20060268.pdfDATERECEIIED PERMIT EXPIRES.
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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ENSW
THIS PERMSTAUTHORIZES ONLY THEWORK NOTED. THIS PERMITCOVERS WORKTO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:3 SEPARATE PERMISSION.
Mechanical
Grading
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I PERMIT APPLICATION! SEE CDC1940.05u%)(S)
PERMIT LIMIT. SEE ECDC 19.00,005(A)(6)
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Review Recording Fee
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER S OUSE, HEIRS, ASSIGNS AND SUCCESSOIRS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
OND% WASHINGTON. ITS OFFICIAL% EMPLOYEES, AND AGENTS FROM ANY AND
IF EDM TLY OR IN ReCTLY
AL CLAIMS FOR DAMAGES 0FWHATEV.RNATURE,AStSING DIREC G OT BE
FROM THE ISSUANCE F THIS PERMIT, ISSUANCE OF THIS PERMIT SHAL N
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DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ROMANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
Fire Review Receipt IT
Fire Inspection Total Arm, [)us
Landscapeinsp. Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN Is CORRECT; AND THAT I A THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL
THE OWNER- [AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
K AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED FOR INSPECTION 8Pq olf,,.ai a, Nvra, Dep,,, ad Fees ale P and
TION; AND IN DOING THE WO .rea a- ....... de, "a.
IN VIOLATION OF THE LASO CODE OF THE STATE OF WASHINGTON RELATINO TO
WORKMEN S NSURANCE AND RCW 18:21. (425)
771-0220C fluke,
Z�� I DATE.IGN..
EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI� ORIGIN L -FILL YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. PINK -OWNER GOLD - ASSESSOR
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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-variance or other
Any request for modificati
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administrative deviation (hereinafter "variance")
must be specifically called out and identified.
Approval of any plat or plan containing provisions
. "Co which do not comply with city code and for which a
variance has not been specifically identified,
requested and considered by the appropriate city
official in accordance with the appropriate provision
of city code or state law does not approve any items
not to code specification.
CTIT Cop
RECEIVED
MAR 7 4 2006
19-- 1)00? PERMIT COUNTER.
777�
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE 0 6
_______________YLANNING DIVISION DATE
PROJEC
SITE ADDRESS /=O-"7
PERMIT# 1404— 00&5 ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED_6�L,_
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:
GRANT 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:temp:b1dg:forrns:ocaprv1 3/25/04
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Permit Inspection Details
Permit: BLD20060268
PERM IT`Tr,�,,��,,
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10/0312006 JH 1 5 ENGINEERING FI�AL GRANTED BY JH ON 7/14106
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10/1912006 machuga 30 PLANNING FINAL INSPECTION COMPLETED ON 10119106.
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Total Time: 30
Total Inspections: 2
Total Time: 45
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing .— ..................
Wall.. ........................
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Equipment .................
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .........................
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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