20060309A.pdfWMV\V�. W,-eib lt�, DATE RECEIVE:�
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
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7 NAMESUBDIVISIONNO LOT 10, LID 10,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
REOUMED DEDICATION ____ IT
METER SIZE I U"ESIZE 1 10, 01 FIXTURES PW'OUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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Description
FEE
Description
FEE
Plan Check
State Surcharge
�162HEAT
SOURCE LOT SLOPE.. VESTED DATE
PLAN CHECK NO:
PERMIT COVERS WORK TO
Building Permit 6�41k
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City Surcharge
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Plumbing
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Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED,
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
Mechanical
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
Grading
PERMIT APPLICATION: SEE ECDC J9.00o0SA)(B,
Engr. Review
Recording Fee
PERMIT LIMIT. SEE ECOC 10.00,005(A)(s)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Eng, Inspection
Plan Chk, Deposit lbvll�
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
Review
- Receipt 4
IN INTEREST. IG EES To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire
25, R,
EdON.S, WASH�NGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
AL CLAIMS FOR DAM DES OF WHATEVER NATURE. ARISING DIRECTLY on IN.IBIECTLY
Fire Inspection
Total Amt. Due
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT e
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OEEMEDT 0 CE ANY REGUIREMeNT OF ANY CITY ORDINAN -
Receipt #
NOR DEITY TO ENFORCE A Y ORDINANCE PROVISIGIt.
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Landscapemsp.
APPLICATION APPROVAL
INERE ACK WE GE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
AUTHORIZED AGENT OF
CALL
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GIVENOY OR ECT., No TH I AM THE OWNER, OR THE DULY
IS
COR =�'
THE OWNER. AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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FOR tNSPECTION 8,g off,-- J,,, D�p�y ald Fe1S IM P 4-
TON;ANDtN ING HE WORK AUTHORIZED THEREBY. NO PERSON WILL HE EMPLOYED
IN VIOLATIO F T E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
DATE
WORKMEN, S MAE SfTION INSURANCE AND now 18�27.
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SIGNATUn DATE S']Z
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771-0220
Day
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EXT. 1333
ATTE '51M
IT IS UNLAWFUL�T(3,11SE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL N§PE�TION HAS BEEN MADE AND APPROVAL 08 A CERTI-
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ORIGINAL FILE - YELLOW INSPECTOR
FICATE OF OC C PANCY HAS BEEN GRANTED. USC109/IBC110/iRC110,
PINK -OWNER - GOLD - ASSESSOR
61.6 PRESS HARD - YOU ARE MAKING 4
COPIES
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Detailed Written Scope of
Work Worksheet
Owner: VVK A V4. '�t'cee+ C-
Address: q7 0 V-VA (w vf at
Plan Check
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Provide a complete detailed written scope of work for the proposed project.
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Additions (additional square footage): Specify town use, floor level and square footage
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and direction ifapplicable (i.e. 545 square foot master bedroomfbathroom addition on tile
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second floor with 140 square foot deck and 245 square foot kitchen addition on the main
floor, South side oftiouse).
Remodels (interior renovations): Specify room uses and floor levels (i.e. combine
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bedrooms I and 2 on the main floor to create new master bedroom/bathroom; replace
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dinning room sliding glass door with new French doors, reconfigure kitchen with new
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island prep counter and install new gas Fireplace in the living room),
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RIGHT-OFMAY CONSTRUCT!ON PERMITI
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CIG & SIDEWALK FORM
INSPECTIONS REQUIRED
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��tbacks Required ACtUal o"n
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P RKING SPACES REO'D. 7
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DEPARTMENT OF BUIL.111-S
certificate lot lett"atttp
PER International Building Code Section 110
B B—Idding Permit #: 2oo6-0309
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At:
0. St
had by this certificate: Dwelling Units: -NIAW** NO. Stories: I
occupancy establIS
C truc . VB Basement: No
B Type Construction. VB
(Per IBC 1004)
Maximum occupant Load ;he, —required, must remain posted at all times.
Room capacity signs,
Owner of Building: 1:11'atrick Girardl Address: 'O'Box W'Lgd_mqnds,WA9S020 WITH THE REQUIREMENTS OF THE 2003
it Coffe_eLLC HAS BEEN INSPOE; �� AZIPROVED AS COMPLYING Y AND THE USE
THE —W—A-19Q—, G THE CITY FOR THE GROUP AND DIVISION OF OCCUPANC
L.Lill, ril CODE AS ADOPTED BY
EDITION OF THE INTERNATIONAL BUILDIN
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIEM
issued this 10th day of----Ju-'X—1 2006
CHIEF Bu!��OFFICIAL
BY: 61�� 7 ) — y change II occupancy or use requires a pubding'.'rhit.md. h-
This tentificapt shall bas Pooldid in I p—l"clumul P'V" "'a and shall no, p.'mad,.d' unmila— ----- a, I, J,gitale canditIon It III whon. An
nposteal occupancy Issued by and City of Edmonds Building Clausal.
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Permit Inspection Details
Permit: BLD20060309A
PERMITTIn/0,
1077 -�E- n ineter ng Final
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0710612006 Ed 10 Complete
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Total Time:
10
1120, s-plumb Ground Woirk,�
ete?�
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04118/2006 MS 20 UNDERGROUND PLUMBING APPROVED
y
Total Time;
20
I I 26'.)il-Plurnb Rough In:
corn .to
'Pie
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05/1112006 MS 25 PLUMBING ROUGH IN APPROVED
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Total Time;
25
0
E fit-M C
1.130-13 quilorne 'a h
Complete
0
06/11/2006i MS 20 EXHAUST FANS APPROVED
Total Time:
20
cent,
TI6
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05/1112006 MS 25 FRAMING APPROVED
y
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Total Time;
25
im 0
11 1 4 4 1 1 B I aWall Itisulition1daulk
c0im plate
0
0 0
20 INSULATION APPROVED
y
05/1112006 MS
Total Time;
20
M
!!id B-Sheet ck Nail
'911110
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0512412006 MS 20 SHEETROCK APPROVED
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Total Time;
20
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do rn—plete'.,?"
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0 7 1 0512006 MS 30 CORRECTION NOTICE WRITTEN
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07106/2006 MS 15 SITE VISIT
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07/07/2006 MS 15 FINALAPPROVED
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Total Time:
60
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Total Inspectiom: 10
Total Time;
200
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing ...............
wall . . ......
Pier/Porch .................
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Retaining Wall ...........
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Stab Insulation ..........
PLUMBING:
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Underground .............
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C:
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Rough -in ...................
0
__40
0
Commercial Final
C
M
M
HEATING:
M Z
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GasTest ................
4
Gas Piping .................
0 -n
I
Equipment ...........
In �
Commercial Final
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3:9
rn IT!
EXTERIOR SHEATHING
a F) t
0
NAILING .............
0
FRAMING ...............
FIRST FLOOR FRAMING
Q 0
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INSULATION ...................
Floor Insulation
3:
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
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4
0
SPECIAL INSPECTION
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
LN ke,
OCCUPANCY