20060189.pdfD E RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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ADDRESS
CITY
NAME
PERMIT EXPIRES
USE PERMIT
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NUMBER
10 SUITEIAPT#
ADDRESS 1061 i,1117 A _5
PLAT NAMEISUBDIVISION NO.
LOT NO.
NO.
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LD
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED—
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REQUIRED DEDICATION— 17
METER SIZE
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PRY REQUIRED
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OWNERICONTRACTOR RESPQNS�B OR
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E.GINEEPIN. REVIEWED BY _jAT.
ADDRESS
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FIRE REVIEWED BY DATE
036 pt
LIPHONE
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STATE LICENSE NUMBER DATE
IIARIaNCEORCU I
SHORELINEORADIm I
INSPECT]
REaDON
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PROPERTY TAX ACCO MAU Mh M
SEPA REVIEW
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SIGN AREA
ALLOWED , PROPOSED
HEIGHT
ALLOWED , PROPOSED
ri NEW FEE DENTIAL PLUMBING / MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (IFT.)
FRONT URSIDE REAR
COMPLIANCE OR
ADDITION COMMERCIAL CHANGEOFUSE
PARKING
REoD I PROVIDED
LOT AREA
PLANNING HEW a By DATE
rl REMODEL MULTIFAMILY SIGN
REPAIR Cj GRADING F NCE
CYQS El (
REMARKS
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DEMOLISH fp TANA [] -'-
[3 GARAGE Ei RETAINING WALL o FIR SPRINKLER
CARPORT ROCKERY HE ALARM
(TYPE OF USE, BUSINj��I.Aa
CHECKED BY
TYPE OTjM
CODDE
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GCGUPANI��.
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NUMBER OF
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OF DWELLING
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STORIES I NITS
L.EAS
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SPECIAL INS;PE'Tt N
FREQUIRED [] YES
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REOD
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VALUATION
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING I LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE ORKNOTED. THISPERMITCOVEXISWORKTO
t: BE "", ON ""' PROPERTY 0", '" '0"""0 .......... C
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS
FERMI MARQUEES, ETC,) WILL REQUIRE
SEPARATE SSION.
.
PERMJTAPPUCATI N: ISODAYS
Engr. ReView
PERMIT LIMIT, I YEAR - PRDVI ED WORK IS STARTED WITHIN '80 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-PPUCA"r .11 BEHALF 01 IS OR HER SPOUSE, HE'.% ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY!, DEFEND AND HOLD HARMLESS THE CITY OF
—
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AN AGENTS FROM ANY ANO
Fire Inspection
Receipt #
ALL CLAIMS TO DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT SHALL NOT BE
IE ISSUA CE OF THIS PERMIT. CE
DEEMED TO MODI". WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN
Landscap.Insp.
Total Amt. Due
0 N08 LIMIT IN ANY WAY THE CnFYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt Is
I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
G HT
IVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I ACRE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC_
'E. RUC'
CALL
iffe.pplice nia japamplitnefil signed by Und
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF T CODE OF THE STATE OF WASHINGTON RELATING TO
Bull ding Official orinalher crxdy� and Fees am Paid, a
FOR INSPECTION mcalpfls sclarenstedg,cl 1, space prwided
WORKME" COMPE�4SZEU-N.E AND a- 1.21-
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771-0220
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RELEA BY
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PZ-OWNER - GOLD -ASSESSOR
04)02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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FINAL PROJECT. APPROVAL FORM
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DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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FROM: —FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
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PROJECT 2—
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SITE ADDRESS
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PERMIT #2=00L--L�g ADBff DATE INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS ad the granting of:
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GRANT FINAL PROJECT APPROVAL 1,
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:(etup:b1dg:tonus:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060189
PERMITTRAY,
04105/2006 SMITH 30 APPROVED
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Total TImw. 30
Total Inspections:
Total Time: 30
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Page I of I
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...............
FOUNDATION:
Footing ......................
wall
Pler/Porch .................
Retaining Wall
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Slab insulation ..........
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PLUMBING:
Underground .............
Rough -In .. ..............
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Commercial Final
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HEATING:
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Gas Test ..............
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Gas Piping .................
Equipment .............
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Commercial Final
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EXTERIOR SHEATHING
NAILING ..................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
..............