20060399.pdfDATE 'EC11112
PERMIT EXPIRES
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CITY OF EDMONDS
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TH S PERMITAUTHORIZES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH PUBLIC
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYSI MARQUEES, ETC�) WILL REQUIRE
SEPARATE PERMISSION.
Grading
A PERMIT APPLICATION: SEE ECDC 19,00,005(A)(5)
PERMIT L MIT'. SEE ECDC 1100.005(A)(M
Eng, ReView
Recording Fee
SZE BACK OF PINK PERMIT FOR MORE INFORMATION
Engn Inspection
Plan Chk. Deposit
'APPLICANT.ON BEHALF F HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESSORS
IN NTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF THIS P, RMIT SHALL NOT BE
Fire Inspection
Total Amt. [)us
FR M THE ISSUANCE BE THIS PERMIT
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF A Y CITY ORDINANCE
NOR LIMIT IN ANY WAY THE DAYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAC
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
To,� � ponol onl �'Dr.o r"r.
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION 9 D'P.ty 'no F'o' "' P"'d "no
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMENS COMPEN��SURANCE AND RCW 18�27.
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SIGNATURE (OWNER 9 IDATE SIGNED
771-0220
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ATTENfION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINA FILE YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 1 IBC1 10 1 IRCI 10.
PINK OWNER GOLD - ASSESSOR
6105 PRESS HARD YOU ARE MAKING 4 COPIES
FINA, PROJECT APPROVAL I �jRM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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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
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PERFORMANCE BONDS and the granting of:
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAMED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
I:tcmp:bIdg:fbrms:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060399
09128/2006 SMITHM 0 ADDITION APPROVED
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Total Time:
Total Inspections:
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6123/2009 8:59:42 AM
Page 1 of i
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .............
Pier/Porch ................. z
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ............. 0 M
C:
M
Rough -In ................... 0
0
C
Commercial Final -4 K
:r M
IT Z
HEATING: --f
C:
Gas Test .............. > -4
r
Gas Piping .................
0 _n
_n
Equipment ...............
-4
Commercial Final
M M
EXTERIOR SHEATHING 0
NAILING .......................... 0
C C)
FRAMING ........................ to
0
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation >
z
-4
Wall Insulation ........... 3:
Ceiling Insulation z
0
SHEETROCK NAILING
0
SPECIAL INSPECTION IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...........