20060372.pdfDATE RECEIVED
PERMIT EXPIRE
PERMIT
CITY OF EDMONDS
NUMBER
62—a) 0 -7
CONSTRUCTION PERMIT APPLICATION
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REMARKS
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THI PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO
Mechanical
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BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
9 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
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PERMIT APPLICATION: SEE ECDC 19.004005A)(s�
PERMIT LIMIT'. SEE ECDC I9,01005(Ad((H
Engr, Review
Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engn Inspection
Plan Ch1k, Depo�it
'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESSORS
Receipt
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
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CTLY OR IND RECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRE 'NOT
Fire Inspection
C-_ Total Amt. Due
FROM THE ISSUANCE OF THIS PERMIt ISSUANCE OF THIS PERMIT $HALL E
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
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Receipt #
APPLICATION APPROVAL
IHERESYACK OWLEDGE THAT I 14AVE READ THIS APPLICATION; THAT THE INFORMATION
NO THAT IAM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
The applKat—a not a peanad.,ateagned Dy too
GIVENISCOARECTI
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION OuflantIONICIIIIII ".0no, 0 Lady a or Fell 11 load and
TION; AND IN DOING T14E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABO 0 THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S COMPEN-�=�—..E XAND HOW U,27.
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SIGNA RE(OWNERO DATE SIGNED
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771-0220
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EXT. 1333
ATTENTION -
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL -FILE YELLO - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 IIBC1101 IRC110.
PINK -OWNER GOLD ASSESSOR
PRESS HARD - YOU ARE MAKING 4 COPIES
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: P I E I O�O , �]T BUILDING DIVISION
FROM: M 1-1 FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT
SITEADDRESS 64IS— /..70rk
PERMIT# (9(c)-0372— ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED --
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 tile release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PRO JECT APPROVAL
44
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 PROJ ECT APPROVAL
Date Signature
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Permit Inspection Details
Permit, BLD20060372
PERMITTR,�,x
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05126/2006 35 APPROVED
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Total Time: 35
Total Inspections:
I Total Time: 35
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INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch . ..........
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground .............
Rough -in ...................
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Commercial Final
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HEATING:
3: M
Gas Test ....................
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Gas Piping .................
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Equipment .............
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EXTERIOR SHEATHING
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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Coiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................