20060235.pdfIIIIIII i
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMONAME OF BUSINESS
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PERMIT EXPIRES IrljK2
PERMIT
NUMBER
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SUITEIAPT.
ADDRESS
PILAT NAME;SUSDtVl�
I'D NO,
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI
EXISTING PROPOSED__
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RECUPIED DEDICATION IT
METER SIZE
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FFV REQUIRED
YES 13 NO 0
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJOSAINAGE
PROPERTY TAX A C.UNTP EL
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AREA
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NEW
RESIDENTIAL
FLU.SIN
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0 WAIVER
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0 STUDY
0 ADDITION
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C MPUANCE OR
0 CHANGE OF USE
ERAGE
'RE UIRED
SETO CKS(FT)
PROPOSED
SETS CKS IF
REMODEL
0 MULT,_,Ly
0 SIG.
ALLOLOWTECDO'PROP.SED,
FRONT SIDE REAR ;
FRONT Lm SIDE REA
0 REPAIR
o rENCE
0 GRADING CYOS X FT.)
PARKING
LOT AR
T
REVIEWED BY DATE
0 DEMOLISH
0 TANK o OTHER
DE.
REO 11 1 PROVIDED
oGARAGE
o IT NINO WALL 17E SPRINKLER
0
REMARKS
CARPORT
REOTCAKIERY FKIEA1_ARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
NUMB
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OF
2-
DWELLING
UNITS
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TYPE OF CONSTRUCTION
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GROUP
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' SPECIAL INSPECTION
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CONSULTANT
OCCUPANT
13
LOAD
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REQUIRED YES
Description
FEE
Description
FEE
15 LOT SLOPE% VESTED DATE
Plan Check
State Surcharge
jgr
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMITAUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
z BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Viechamcal
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 1940,005(AHS)
Engr. Review
Recording Fee
C
PERMIT LIMIT. SEE E DO 19.00.00SAH(O
Engr. Inspection
Plan Chk. Deposit
EE BACK OF PINK PERMIT FOR MORE INFORMATION —
S SEE 8
P ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
'AP L
IN NTEREST. AGREES TO INDEMNIFY, DEFEND No HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY,
N a
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL Or
DZEMEO To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
C NOR LI PRO
MIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE VISION.
Fire Review
Receipt 0
Fire inspection
Landscapetnsp.
Receipt
IHEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TiON: AND IN DOING THE WORK AUTHORIZED THESESY� NO PERSON WILL BE EMP DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S 590,60,SATION INSURANCE AND HOW 18:27.
CALL
FOR INSPECTION
(425)
APPLI ATION APPROVAL
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BI�Idlq 011,I D.Iu�y — r — 1.10.
Ld9wd',, Hr.. P,.,..
R� DATE
-16
IGNATURE ATE SIGNED
S =R TI:
I
771-0220
;-,f,
RCLEA�SY
EXT. 1333
ATTENMN
IT IS UNLAWFUL TO P A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HA A BE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC1101 IRCIM
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ORIGINAL -FILE - YELLOW -INSPECTO
PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060235
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08/1512006 MS 971A�P`RIOVED
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Total Time: 20
Total Inspections:
I Total Time: 20
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...........
FOUNDATION:
Footing ......................
Wall ........... ..............
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
0
..........
PLUMBING:
Underground .............
--I
M
Rough -In ...................
C:
M
Commercial Final
0
C
HEATING:
4
Gas Test ....................
C
Gas Piping .................
Equipment ...............
0 -n
Commercial Final
-n
EXTERIOR SHEATHING
ITI M
NAILING . ..................
0 (—n
0 ;
FRAMING ...................
0
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FIRST FLOOR FRAMING
ITI C)
INSULATION ...................
;0
Floor Insulation
--I
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................