20060230.pdf01TERECINED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
ER NAMC,DAME OF BUSINESS
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PERMIT
NUMBER Q�'30
ADDRESS
PLAT NAMEISUBDIVISION NO,
LOT NO
LID NO
U FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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W PI-11 R11111
EXI$TN _PROPOSED---
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ED DE MCATION _ FT
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING RNIRIVB"
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x ADDRESS
FIRE REVIEWED By
DATE
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S�T I NUMBER I I;N
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13 YES 13 NOI
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LOTCO ERAGE
ALLOWED PROPOSED
REQUIRED SETB
"FRONT SIDEACR"EA(FRY)
PROPOSED ETBACKS FYJ
I FRONT URSIDE REAR
ADDITION COMMERCIAL C MPLIANCE OR
0 MIXED USE C ANGE OF USE
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REPAIR Fj IRADIIO CYQS X FT)
REMA RKS
DEMOLISH 2_5NK OTHER
_1 0 GARAGE o RETATING WALL E3 FF�R SPRINKLER
CARPORT ROC�ERY REALAR.
DO HER NU"BERO1
OF TNYEUL DO SPECIAL INS'�OZYTION CONSULTANT 0 CUPANT
UNITS S LOAD
STORIES R [RED
DESCRIBE WORK TO OF DONE
REMARKS
GEOTECH REPORT
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FEE
Description
FEE
rDescription
Plan Check
State Surcharge
HEAT SOURCE LOT SLOPE, VESTED DATE
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
L6
..a Fee
Mechanical
THIS PERMIT AUTH FUZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
0
Grading
BE DONE ON PRIVAT PROPERTY ONLY, ANY CONSTR CTION ON THE PUBIC
DONMAIN ICURB SIDEWALKS, DRIVEWAYS. MAROU EES, ETC4 WILL REQUIRE
SEPARATE PERMISS'JOW
Engn Review
PERMIT APPLICATIOW SEE ECDC 190000SLABS)
Engr. Inspection
SEEB PERMIT LIMIT: SEE ECDC 1000 005(AH61
ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANTONBEHALF PHIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
IN INTE E T. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
R S
2 EDMONDS, WASHINGTON. ITS OFFICIALS, E-LOYEES, AND AGENTS FROM AN AND
Inspection
Receipt IS
x 0 R CTLY
Z, ALL CLAIMS F R DAMAGES OF WHATEVER NAIURIE� ARISING DIRECTLY OR Not
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE Of THIS PERMIT SHALL NOT BE
REQUIREMENT OF ANY CITY "DINANC
[Fire
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Total Amt. Due
Moot Y, WAIVE OR REDUCE ANY
DEEMED TO F
0 NOR LIMIT IN ANY WAY THE CITY'S AUJLuY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
(I
ocap, t,
Receipt
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION: THAT THE INFO NATION
APPLICATION A. RO AL
GIVEN IS CORRECT, AN D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
TTI—pl-1- 11 � pwIT-ntl �,gr,,U ty Ih.
THEOVINER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTR.C.
CALL
Off,,,,t r h,Wh,r D,Puty ,d F,,X ,, pa,d, rd
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON Wit' BE EMPLOYED
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OF THE STATE OF WASHINGTON R LATING TO
FOR INSPECTION
IN VIOL ON OF T .'BE
ALI Be HE
WORKM OMPENSATION GRANCE AND HOW 1. 11
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STIGUREIOWNE7 OR A E n
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771-0220
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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 CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBCi091 IBC110 I IRC1110�
PINK -OWNER GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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FINAL PROJECT A�PRQVAL FORM
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DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE-Lf--L
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PLEASESIGN
PROJECT .. ......... z)t. A
SITE ADDRESS -2-6
PERMIT #2,015) 2- -3 6 ADB#_DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTEDV Qznz zgl,�,Se
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS..and the granting of:
"RANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date — Signature
1:tenip:b1dg:fonns:oea1)rv1 3/25/04
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Permit Inspection Details
Permit: BLD20060230
PERMITT�'�AX
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19664*i� 1-1,'
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04/1 M006 smith 35 APPROVED
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Total Time: 35
Total Inspections: I
Total Time: 35
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719/2009 8:58:09 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...............
wall
Pier/Porch
Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
Underground .............
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C: . I
M 0
Rough -in ...................
0
0
Commercial Final
-1 K
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HEATING:
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Gas Test ..........
Gas Piping ..............
Equipment .................
Commercial Final
3:
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EXTERIOR SHEATHING
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NAILING ..........................
0
FRAMING ..................
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9 Cn
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FIRST FLOOR FRAMING
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INSULATION ...................
-4
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
/76
OCCUPANCY