20060277.pdf[PERMITEXPIRES
CITY OF EDMONDS
PERMIT
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1111 PIRMITAUT11012EI ONLY THE WORK NOTED. T.ISPER.ITGv�RS wORKTO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
9 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEPARATE PERMISSION.
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PERMIT APPLI ATION: SEE ECDC I9.0DL0D5jAB5)
T PERMIT LIMIT. SEE ECDC 19.Q0.005BU(6)
Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
P tCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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N INTEAEST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review Receipt 4
2 EDMON DS WASHINGTON. I S DFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ALL CLARS FOR DAMAGEST
ISSUANCE PERMIT SHALL MOT 11
Fire Inspection Total Amt. Due
11 M THE ISSUANCE 01 THIS PERMIT, OF TH15
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF At 1. ... . ............ .
NOR LIMIT IN ANY WAY TH CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Landscape Insp. Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL TI1KrpB1K.IPP . P.1 A P-11
THECIVIN&A. I GREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CoNSTRUC.
FOR INSPECTION 8111d�.g QIi -1 .1 Pl.' D.1.11 F P. P, .,,d
TION; AND IN DOING THE WORK AUTHORtZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S COMPENSATION NSURANCE AND RCW 18;27.
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"I 7T=R AGENT&
771-0220
AECEA5t1'11Y
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-
ORIGINAL FILE - YELLOW INSPECTOR
FICATF OF OCCUPANCY HAS BEEN GRANTED. UBCII 09 / IBC1 10 if IRC1 10.
PINK -OWNER - COLD - ASSESSOR
61135 PRESS HARD - YOU ARE MAKING 4 COPIES
Property Owner: 5,0WAK0 4i TKAGY THOMA6
Property Address: 17020 76fH AV6 W
FINAL PROJECT APPROVAL FORM
TO:
1130 DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE-
-PLANNING DIVISION DA�E_
PROJECT
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SITE ADDRESS— 0 7— 0 61 Q- VLE
PERMIT -02-77 B#_DATE INSPECTED Y —6
DESCRIPTION OF WORK TO BE INSPECTEDI/ STIeull-tPO (2_1A,),9
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
C1 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:fbnns:ocaprv1 3/25/04
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'dw Permit Inspection Details
Permit: BLD20060277
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04/06/2006 SMITH 30 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 ..........
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Slab Insulation ..........
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PLUMBING:
Underground
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Rough -in ................
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Commercial Final
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HEATING:
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7- M
Gas Test ....................
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Gas Piping ...........
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Equipment .................
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Commercial Final
EXTERIOR SHEATHING
131 ITI
NAILING ............
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FRAMING .................
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FIRST FLOOR FRAMING
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INSULATION ...........
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Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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