20060208.pdf-1 DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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FLAT NAMEISUBDIVISION NO. 1 —110. LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFIC� STREET MAP rESdF Arpnd E3
W
C3
0
EXISTING — PROPOSED — Ri�. �W
REQUIRED DEDICATION— R
METER SIZE I LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES C3 No C3 I.
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
FIRE REVIEWED BY DATE
CITY
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STATE LICENSE NUMBER pR
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May
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VARIANCE OR CU I
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INSPECTION
RE 'D
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BOND
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-
PROPERTY TAX —ACCOUNT PARGE,
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BE. REVIEW
COMPLETE EXEMPT
EXF I
SIGN AREA
ALLOWED , PROPOSED ALLOWED
HEIGHT
, PROPOSED
NEW RESIDEN IAI_ PLUMBING/MECH
LOT C VERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.) PROPOSED
FRONT SIDE REAR FRONT
I
SETBACKS (FT)
QRSIDE RW
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0 REMO DEL
COMMERCIAL
1:1
rl MULTIFAMILY
C MPLIANCE OR
1:1 CHANGE OF USE
m SIGN
PARKING
RECTI I PROVIDED
LOT AREA
PLANNING R VIEWED BY DATE
[3 REPAIR
F1 GRACING CYDS
FENCE
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REMARKS
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TANK
OTHER
EiGARAGE
C C ARPORT
RETAININGWALL
ROCKERY
FIRE SPRINKLER
L-J FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTN�
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REQUIRE, [] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESSINSPECTIONS PER U13C 10811SC109/IRC109 FINALINSPEcTION FIEQ'D
VALUATION
$
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO:& VESTED DATE
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WO K NOTED. THIS PERMIT COVERS WORK TO
Mechanical
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
E
IS E
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS MAR U ES. IFFC.) WILL REQUIR
SEPARATE PERMiSSIOQ.
—
Engr. Review
PE MITAPPLICATION: ISDIDAYS
PERMIT LIMIT. I YEAR - PROVI ED WORK IS STARTED WITHIN 180 DAYS
Engr, Inspection
SEEBACK F PINK PERMIT FOR MORE INFORMATION
A
'APFLIC W, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFN. DEFEND AND HOLD FARM EBB THE CITY OF
Fire Review
Plan Chk. Deposit
2 E MONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE 0 REDUCE ANY REQUIREMENT OF ANY C ORDINANCE
Landscapeinsp.
I
Ox NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANC'WE PROVISIOrL'
Recording Fee
I Receipt If I a�7
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAT ON
GIVE IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
Thi—PaIaMina I. - A pund—fil �Rdnd by M.
TION; AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATI E LABO ODE OF THE STATE OF WASHINGTON FIELATING TO
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8.11ding Offi.1.1 , In""' D.p,ny; and F.aa paid, and
FOR INSPECTION
S
WORKMEN'S JE ATION INSURANCE AND RCW 18.27,
DATE,SIGNED7/
(425)
OFFICIALS SIGNATURE
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IS UNLAWFULTO USE OR 6C/ZCUPYABU ILDING OR STRUCTURE UNTI LA FINAL
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NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI FI CATE OF OCCU-
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PANCY HAS BEEN GRANTED. UBC109/16C1101IRCim
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Permit Inspection Details
Permit: BLD20060208
PERMITTr.,,,'.�
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03/22/2006 SNOOK APPROVED
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Total Time: 30
Total Inspections: I
Total Time: 30
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ...................
Pier/Porch .................
Retaining Wall
z
Slab insulation ..........
0
PLUMBING:
R!
Underground .............
Rough -in ...................
IT
C
Commercial Final
IT
0
HEATING:
0
C
Gas Test ..........
M
Gas Piping .................
C
-4
Equipment ... ..............
Commercial Final
0 -n
EXTERIOR SHEATHING
in
NAILING ...................
M M
FRAMING ..............
C,
0
FIRST FLOOR FRAMING_
0
C
9 to
INSULATION ...................
IT 0
Z
Floor Insulation
Wall Insulation ...........
Calling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
z
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
-3 __.L
OCCUPANCY ..................