20060162.pdfDATE RECEIVED
PERMIT EXPIR:ESILZLA—E�
PERMIT
CITY OF EDMONDS
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Plumbing Base Fee
THIS PERMITAUTHORUNES ONLY THEWORK NOTED, THIS PERMITCOVERS WORKTO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN JCURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
PERMIT APPLICATION: SEE ECEIC 19,00,005(A)(5)
PERMIT LIMIT'. SEE ECDC 19.0(L006tAA6)
Engr, Review Ing Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection IlanClik,Depw
;APLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSOFM
P SS THE CITY OF
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE
Fife Review 7--.P—� 7—
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2 EDMOND WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS ROM ANY AND
- S' ARISING DIRECTLY OR INDIRECTLY
NATURE
0 SOP WHATEVER .
ALL LAIMS F A DAMAGE
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X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDNANCE PROVISION.
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APPLICATION A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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CALL P
THE 0 HER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
FOR INSPECTION
no�?RSON WILL BE EMPLOYED
; NO IN DOING THE WORK AUTHO IZED THEREBY, NO PE
T OF THE STATE OF WASHINGTON RELATING TO
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IN VIOLATISN OF
WORKMEN, CE AND RCW 18:27.
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NATU w SRO AGENT): DATE SIGNED
771-0220 FEL A.Ele
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EXT. 1333
ATTENTION
IT'S UNLAWFUL TO U E OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINA INSPECTI N HAS BEEN MADE AND APPROVAL OR A CERTI ORIGINAL FILE YELLOW - INSIECTOR
L UN.P..T,
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC`110�
PINK OWNER GOLD - ASSESSOR
PRESS HARD - YOU
ARE MAKING 4 COPIES
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'ii- "cc t 1;11 I'll 9r: ,d Ill FCC 5.30,120, EXPIRES. z Oil)
City of Edmonds ISSUED: 3�
THIS CARD MUST BE POSTED 04 SITE AND AVAILABLE TO THE INSPECTOR
Owner: 5)t id
Site Address: sw
Project: V�Wol 16 V�
Setbacks for Zone
Front Rear:
Side: Height:
Variance #:
Notes
Inspections
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MOBILIZATION-AND-ERQSION CONTROL INSTALLATION MUST BE APPROV DPRIOR C-0MMENCEMENTOF4DD!-g A
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771-0220 xI326 Mobilization/ Emsion
Detention
Forms (side
Water Service
--- --------- ----------
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bet'C�'-
Permit # Side Sewer
Permit # =f-Way)
paving
#2 SITE/DEMOLITION Pre -Demolition
AsbestosPSCAA Permit
Sewer.Cap
Cleaned Site/Final
-----------------------
----------------------
- - - - - - - - - - - - -- - - - -
#3 FOUNDATION Setbacks
F-o"n S
Foundation Wall
Piers
Retamin Wall
Slab *Insulation
- - - - --- - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -- - -
#4 PLUMBINOL. WW Ground Work
Permit Rough In
Grease Fixture
- - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
L-#5 PUBLIC WORKS* Cross Connection Control
F(425� 771-0235 71rash Enclosure
#6 MECH/HVAC Gas Test/Pipe
Permit # Equipment
—
- - - - - - - - - - - - - - - - - - - - - -
1
#7 FRAMING Exterior Sheathing
Shear Nailing
First Floor Framing
Framin
Height Check
- - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - - - -
#8 INSULATE / CAULK Wall
Floor
Ceiling
-----------------------
--- -------------------
92 SHEETROCK NAIL
#10 FIRE Hydrant
(425) 771-0215 FDC
Fire Protection System
Extinguis ets
Addressing Visibilit,
------------------------
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Call (425) 771-0220 x1333 for BUILDING INSPECTIONS
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Permit Inspection Details
Permit: BLD20060162
PERMITTrAX
6&/0112006 JH 0 APPROV"'E'D Y
Total Time: 0
Bm�fiti �sew a C
08117i 006 Ed 30 Demed pNor to approval. No AV� on Hose' Bib. SS not capped at PL. Corr Notice Writ. IN
08118/2006 J H 0 APPROVED Y
Total Time: 30
1 9
08118/2006 JH 0 APPROVED y
Total Time: 0
IT!
�Ql/2006 JH 0 APPROV"EID Y
Total Time: 0
0
J4K
Y
C;
1)911412016 JLG 0 OWNER FAILED TO OBTAIN PSCAA PERMIT
Total Time: 0
10
09105/2006 0 VERBALLY TOLD OWNER ON SITE NEED COPY OF ASBESTOS REPORT AND BEFORE N
WE CAN SIGN OFF FINAL. HE WILL GET AND BRING IN A COPY.
09/14P2006 JLG 0 FINAL APPROVED, OWNER FAILED TO OBTAIN PSCAA PERMIT y
00
Total Time: 0
Total Inspections: 8 Total Time: 30
M ITI
0
ITI
0
718/2009 8:48:46 AM Page 1 of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing .............
Wall.�� . ..... _ .............
Pier/potch ...............
Retaining Wall
Slab Insulation
PLUMBING:
Underground .............
Rough -in ... .............
Commercial Final
HEATING:
Gas Test ....................
GasPiping .................
Equipment ............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation . ..........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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