20060415.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
O—EIT NAME-11C 01 UUSIIS�S
MAILING ADDRESS
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,I ()I/? I I PERMIT EXPIRES
PERMIT
NUMBER
Y115
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PUBLIC RIGIiT OF WAY PER OFFICIAL STREET MAI`
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EXISTING PROPOSED
REQUIRED DEDICARON Ff.
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RE.ARKS
o NERICONTRACTOR RESPONSIBLE FOR E DEIGN CONTROLIDRAINAGE
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COMPLIANCE
C3 STUDY
17'21
ALLOWED PRopos
REQUIRE SET ACKS"T
FRONT SIDE BEAR )
PRoPoS D SETBACKS (FT
FRONT LIR SIDE REAFj
MIXED USE CHANGE OF USE
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GRADING CYDS E3 (N' X T)
PARKING
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PLAMI 'ING REVIEWED BY DATE
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REMARKS
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Description
FEE
Description
FEE
FAN
Plan Check
late Su"'Dagge
HEAT S ------ V111`10 DATE
Building Permit
City Surcharge
Nz� I
PLAN CHECK NO:
Flumd, 1
19LO)
as. Fle
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
SIE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
..
Grading
DOMAIN JCURSS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC I-BBIBBASIa
Engf. ReView
TZOILlIng Fee
PERMIT LIMIT; SEE ECDC 19.00,0051A)(6)
Eng, Inspection
Plan Chk. Deposit
SEE SACK OF PINK PERMIT 1.H IYU INIUR—n—
A ;APP ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEISE, ASSIGNS AND SUCCESSORS
A L
P INDEIMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF
, N HTEREST, AGREES TO
IF EDMONDS ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
'WASHINGTON' TLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIREC
z FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
M DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Fire REVIEW
Receipt 0
Fae Inspection
Total Arm Due
Landscape Insp.
I. . .... . ..............
Receipt It
A —am
r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT: AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL IPPI—t— ' a For- 11 S1911d by thl
THE OWNER, I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- FOR INSPECTION AbrV..P An
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF TH E STATE OF WASHINGTON RELATING TO
WORKMEN'S CoMpENSATIObj3SEEIMINCE AND A W 18;27. (425)
E (OWNER DATE SIGNED 771-0220
5-11-616, EXT. 1333
ATTE44TION
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 0 F OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRCIIO. PINK _ OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060415
PCRMIT r1,4X
1126;� jli�d`
05MM006 SNOOK 25 APPROVED
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Total Time; 25
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05117/2006 SNOOK 15 APPROVED
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Total Time: is
Total Inspections: 2 Total Time: 40
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Page I of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...............
FOUNDATION:
Footing .............
wall ...............
Pier/Porch .. ...............
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground . ............
Rough -in ... ................
Commercial Final
HEATING;
VV\% I �a
GasTest ...................
_3
Gas Piping ................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ............
FIRST FLOOR FRAMING...
INSULATION ..............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..........
6000-
716W
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