20060263.pdfD All RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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FLAT NAMEISUBDIVISION NO. ot No. LID NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IES6P 0
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PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D
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PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
1: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
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Grading
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m OMAIN (CURBS, SIDEWALKS, DRIVEWAYS MAFIQUEES. ETC�) WILL REQUIRE
t: SEPARATE PERMiSSION.
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PERMITAPPLICATI N: ISODAYS
PERMIT LIMIT. i YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLI AN ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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Plan Chk. Deposit
IN INTCEREST, AGREES TO INDEMNiF � DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPUOYEE% AND AGENTS FROM ANY AND
LL "MMS FOR DAMA ES OF WHATEVER NATURE, ARISING DIRECTIN' OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SMALL NOT BE
DEEMED TO M WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
0. NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAI
GIVEN IS CORRECT, AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WAIN JINGTON RELATING TO
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FOR INSPECTION P.ppVI&d,
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A17ENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GtNAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-OVINER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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City of Edmonds
Critical Areas Conditional Waiver
Applicant: Budget Tank Removal Determination #: CA-2006-027
Project Name: N/A Permit Number: 'aO0XO - 0963
perty Tax Acct #: 0047830000020 Z
Site Location: 17125 — 66h Place West Pro 0
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Project Description: Removal and disposal of one, 300 gallon UST.
Waiver Criteria (all criteria must be found to apply):
X —There will be no alteration ofthe Critical Area or its required buffers;
X _The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
X The development proposal meets the minimum standards of the Critical Areas
ordinance;
X The above findings are based on the following conditions of approval:
1. This conditional waiver is only for the removal of the tank located on the northern
side of the existing house.
2. A building permit is required for all work.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Conditionally Waived, as authorized by
Chapter 20.15B.040 (A)(1) of the Edmonds Community Development Code.
April 3, 2006
Jennifer..Witzgall
Name �igna;.,e Date
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: FIE T c16�'�INATOR, BUILDING DIVISION
FROM: I -FIRE DEPARTN4ENT DATE 41,3106
ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
PROJECT
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A field inspection was conducted to determine compliance with ipproved, plans. Final approval
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denotes that there are no objections from (he above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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Permit Inspection Details
Permit: BLD20060263
PERMITTRAX
"6�i�i/2006 S�'MITH �O
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Total Time: 30
Total Inspections;
Total Time: 30
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6/2212009 11:28:08 AM
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...........
FOUNDATION:
Footing ................ .....
Wall ............ ............
Pier/Porch .................
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Retaining Wall
Stab Insulation ..........
PLUMBING:
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NAILING .............
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FRAMING .................
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FIRST FLOOR FRAMING
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INSULATION
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY _ ................