20060397.pdfDATE RE
PERMIT EXPIRES
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CITY OF EDMONDS
PERMIT
NUMBER 13 ��) 7,
CONSTRUCI
CONSTRUCTION PERMIT APPLICATION
06 SUITE/Am.
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REMARKS
OWNERCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAMAGE
CITY =E
NAME
ENGINEERING REVIEWED By DATE
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PUBLIC WORKS REVIEWED BY DATE
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Plumbing Base Fee
THIS PERMITAUTHORIZES ONLY THEWO RK 46TED. THIS PERMIT COVERS WORK TO
Be DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
Mechanical
DOMAIN (CURDS. SIOEWALKS� DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICAT ON: SEE ECDC 19.00.005000)
T PERMIT LIMIT. SEE ECDC 19,00.ODS(A)(6)
Engr. RevieW Recording Fee
__ SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Rovio, Receipt #
IN INTEREST, AGREES TO,INDIMNIFY, GIPI"D AND HOLD HARMLESS THE CITY 01
EDMONDS, WASHINGTON, TE OFFICIALS, EMPI YIE1, AND AGENTS FROM ANY AN'
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,11 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORTDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT a'
Fire Inspection Total Aml, Due
DEEMEDT MODIFY, WAIVE OR REDUCE ANY FICOUMEMENT OF ANY CITY ORDINANCE
Receipt H
NOR LIMIT INANYWAYTHE CITY'SABiLITYTO ENFORCE ANY ORDINANCE PROVISION,'
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APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT; No THAT IA. THE OWNER. OR THE DULY AUTHORIZED AGENT OF
CALL
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST -
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FOR INSPECTION
TION: AND IN DOING T E WORK AUTHORIZED THEAEBY� NO PERSON WILL BE E.PL
OYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN;jCfMP N I INSUIANCEANDRCWIB:27,
(425) 1 'S, U.L
SIGNAT ` E
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771-0220
EXT. 1333 5/- 7;
ATtffNTION
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
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ IRC110.
PINK -OWNIIA - GOLD . ASSESSOR
6105 PRESS HARD YOU ARE MAKING 4 COPIES
FIN,6,xi, PROJECT APPROVAL I iRM
TO:
DATE: �2
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE v
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
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PROJECT
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PERMIT #d,&�19.-317AD13ft DATEINSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to determine compliance with -approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
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FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
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0 Copy of CORRECTION NOTICE givcn to owner/contractor by inpector
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RE-[NSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tcmp:b1dg:forms:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060397
PERMITTRAX
. . ...... .
09128/2006 SMITHM 0 ADDITION APPROVED
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Total Time: 0
Total Inspections:
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing ......................
wall
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground
Rough -In ................... 0 IT
IT
Commercial Final -4 0
C:
0 0
HEATING: M
IT
Gas Test .................... 10
Gas Piping .................
Equipment .................
0 n
Commercial Final -n LD
EXTERIOR SHEATHING M ITI
NAILING .................... 055
0 r-
FRAMING . ....................... 0 IT
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FIRST FLOOR FRAMING C
ITI 0
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INSULATION ...................
Floor Insulation _q
Wall Insu iation .......... >
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Calling Insulation
SHEETROCK NAILING z
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ....... ...