20060442.pdf_05- ----- -7 PERMIT EXPIRES
PERMIT
CITY OF EDMONDS NUMBER 6 q q _Z
CONSTRUCTION PERMIT APPLICATION SUITEYAPT.
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NAMEINAME OF B S q&,)L� I
NAME'SUBDIVISiON No, LOT NO. _150NDL
MALIN6 ADDRESS
LID FEE S
7 __0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RL7r1'A1
Z/ W ft 1 a
13
ZIP TELEPHONE EXISTING , PROPOSED 0
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Eli, ao NEOUIRED DEDICAHON __ FT C!
13
METER SIZE I LINE SITE� YE PRV REQUIRED
SO NO 13
I. ADDRESS
REMARKS
OW14EHICONTRACTOA RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
GIR!i A'iUST BE
NAME INSPECTORE
J.1,
ADDRESS RECYCLE REVIEWEUBY � NOT DATE
i'idl 0 BE ACGUPTED
rt CITY zip TELEPHONE U V_' PUBLIC WORKS REVIEWED BY DATE
FIRE REVIEWED BY DATE
0
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0
&Li=/)2ZT _-EM VARIANCE OR CU SHORELINE OR ADS' I INSPICTIO'77-77
PHOU�/5;UNT PAq7 NO 13 REQO
0 1) /"'2�22 YES 13 NO
ZONE N AREA I -EIGHT 'fi
E"BENT'A"] PROPDSED ALLOWE. I IR—ED 3:
L STUDY
NEW _:��Es,.ENTIAL WAIVER -4
'MM�RGA COMPLIANCE o'CH AL SIG ITI
E3 ADDITION .. M-C BACKS(FT C
MIXED USE CHANGE OF USE ALLLOTCOVERAGE ED REQUIRE SIDE , ED SETBACK$ jFT) M 0
OWED JPROPOS FRONTD SET EAR 0
n REMODEL El MULTIFAMILY SIGN 0
n REPAIR E:] GRADING C,GS E] (FENCE
X ,I PARKING LOTAREA PLANNIN IEVIEWEDUY DATE 3: rn
In
E] DEMOLISH F1 TANK REOrO I PROVIDED 10
n GARAGE ci RETAINING WALL o FIRE SPRINKLER REMARKS
CARPORT ROOKERY REALARM
(TYPE OF USE. BUSINESS 08 AfWIT IN:
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NUMBER OF
,g NUMBER D ELIIN.
UNWITS
D ELIING TY!Mj ION
o"CRIES 0 CUPANT
In ST GROUP 3:9
DESCRIBE WORK TO BE DONE 0 rn T
SPECIAL INSPECTION CONSULTANT OCCUPANT 0
LOAD 014
REQUIRED 13 YES 0
/7 f, c Ir, REMARKS C
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GEOT CH REPORT
BY:
STRUCTURAL DESIGN
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U VALUATION >
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6'OTEcH REPORT
By
STRUCTURAL -ESIGI
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VALUATION
Description FEE Description FEE
VESTED DATE Plan Check State Surcharge
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PLAN CHECK NO: Building Permit City Surcharge lf:�)
P PBBe 1 0
lumbing Base Fee
THIS PERMITAUTHORIZeS ONLY THEWORK NOTED, THIS PERMITCOVERS WORK TO Mechanical
t BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUC ION ON THE PUBLIC
DOMAIN ICURUS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Grading
PERMIT APPLICATION: SEE ECDC 1940,005(A)(5) Engr. Review Recording Fee
T PERMIT LIMIT'� SEE ECDC 19.0(Lf305JAN6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr, Inspection Plan Chk. Deposit
' P L
A P ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
INTEREST. AGREES TO INDEMNIFY, D FEND AND HOLD HARMLESS THE CITY OF Fire Review Receipt #
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLAIMSF R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
o Fire Inspection Total Amt. Due
0 FROM THE ISSUANCE F THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Receipt H
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,' 1.DdSB.pe Insp.
MERE V ACKNOWLEDGE THAT I HAVE R.A. THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVENIS CORRECT. AND THAT I AM THE OWNER. OR T E DULY AUTHORIZED AGENT OF CALL TI,,..,BI A F.I. P.-I 11 �19r,.d oy
THE OWNER, I ACRE
N; AN. IN D.UNS I TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- FOR INSPECTION "u"I'M Oth-1 .1 N�' D.Puly — 1— .1. P ro
THE WON I AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED '—p- 1� �P P,.,.d
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO 4-25)' SIGNAT
SIGNAT D
WORKMEWSC�Mft!ATIONOISUR No ANDRCWIBzII7.
11425)
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�71-0220 4URE
MN I I a f
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGIN L � FILE YELLOW -INSPECTOR
it
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 I IBC110 / IFIC110. PINK -OWNER GOLD - ASSESSOR
Eros PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060442
PE:RMITTP-,\
'tik5/2006 'MS 15 GAS TEST AND GAS PIPE APPROVED
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Total Time: Is
07112/2006 MS 15 FINALAPPROVED
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Total Time: Is
Total Inspections:
2 Total Time: 30
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................
FOUNDATION:
Footing......................
wall ............
Pier/Porch .................
Retaining Wall ...........
z
Slab Insulation
0
PLUMBING:
Underground
Rough -in ..............
M
Commercial Final
0
HEATING:
'As
C
K
M
TR
Gas Test ..............
Gas Piping ................
>
Equipment ...........
0 "n
Commercial Final
EXTER OR SHEATHING
K
M M
NAILING ..........................
0
0
FRAMING .... ....................
0
C:
FIRST FLOOR FRAMING_
M 0
INSULATION ...................
Floor Insulation
-4
Wall Insulation
z
Calling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
t >
OCCUPANCY ..................