20060491.pdfTE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
�HERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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ADDRESS 1U.TE` A
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OWNER NAMEINAME OF allSINESS
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FLAT NAMEISUBDIVtSION NO
LOT NO
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MAILINGAODRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
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NAME
METER SIZE
LINE SIZE
NO OF FIXTURES
PRV RECLINED
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13 N013
YESAOF
ADORES$
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAIN RCr,)fA
CITY I ZIP I TELEPHONE
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NEW
Ig RESIDENTIAL
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ADDITION
COMMERCIAL
, COMPLIANCE OR
MIXED USE
L_J CHANGE OF USE
REMODEL
rl MULTIFAMILY
1:1 SIGN
REPAIR
GRADING
0 PENCE
Eyos
X FT.)
F1 DEMOLISH
M TANK
El OTHER
0 RETAINING WALL
F RE SPRINKLER
ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS OR AC!�M
NUMBER
N MIEROF
OF
STORIES
DWELLING
UNITS
fIRE REVIEWED BY DATE
VARIANCE OR CU ONEORADON INSPECTION SEF�
SHORE RED
3 YES
GAb ZONE SIGN ARIA HEIGHT
WAI�� AILL.1103 I PROPPSED Au;� I P
STUDY 13 _ II I
LOTCOVERAGE RED IREOSETS CK (FT) PROPO ED SETBACKS (FT)
ALLOWED PROPOSED FRON Sl E REAR FRONT URSID REAR
36A I,/,a 7,5' 15" 75"30' 1`�'
PARKING PINNING REVIEWED BY DATE
REDD PROVIDED
Q + 1,LOTAREA
TYPE G�TFUCTION
I GODE3
0
JOCCUPANT
--UP
SPECIAL INSPECTION
REQUIRED EI YES
CONSULTANT
OCCUPANT
LOAD
REMARKS
BEG ECH REPORT
Y�
S TR CTURA.DESIGN
VALUAT ON
$ 1% 1 1 -.111 i
FEE
Description I
FEE
Plan Check
State Surcharge
4,50
HEAT SOURCE LOTSLOPE% VESTED DATE
rDescription
Building Permit
City Surcharge
.4-7
PLAN CHECK NO:
Ou — /Ob—
Plumbing
Base Fee
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Grading
BE DONE ON PRIV TE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005buts)
Engr. Inspection
PERMIT LIMIT, SEE ECDC 19.00.005(A)(6)
OF ION
SECITACK PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF His OR HER SPOUSE, HEIRS, ASSIGNS No SUCCESSORS
Fire Review
7n 717 Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTOK. TS OFFICIALS, EMPLOYEES� AND AGENTS FROM ANY AND
ALL C IMS FOR DAMA015 OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
LandscapeInSpr
Total Am[, Due
'OR LIMIT IN ANY WAY THE CETY'S ABILITY 0 ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
]HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN MCORRIECT, ANOTHAT IAMTHE OWNHULORT E DULY AUTHORIZED AGENT OF
Thl, IMI—t-1 - I PlInt 119bM by th,
T E OWNER, I AGREE TO COMPLY WITH CIT AND STATE LAWS REGULATING CONSTRUC�
CALL
B,,Id,,g Offi-I r hWhr, D,p,ly nd Fe,- pl�, Ild
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
FOR INSPECTION
ept is ackr-edged �b spac. Pro.ded
WORKMEN'S ��SATJON NSURANCE AND RCW 18;27.
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O�IALS SIG�� D E
SIGNATUR:,�GE��I:
(425)
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771-0220
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ATTENTION
EXT. 1333
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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 - INSPECIOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC11Q.
PINK -OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060491
PERMIT
1106 - B-Setbacks
Complete?
y
0810812006 MS 20 SETBACKS APPROVED
y
Total Time:
20
1108 - B-Footings
Complete?
y
08/0812006 MS 20 FOOTINGS APPROVED
y
Total Tim.:
20
1110 - B-Foundation Wall
Complete?
y
z
08/29/2006 MS 20 FOUNDATION APPROVED
y
Total Tim.:
20
1132 - B.Extedor Sheathing
Complete?
y
10/03/2006 Snook 25 APPROVED
y
Total Time:
25
1142 - B-Framing
Complete?
y
m
10/0312006 Snook 25 APPROVED
y
m 0
Total Time:
26
--40
y
0
0
1158 - B-Building Final
Complete?
06103/2008 steinike 20
y
m
Total Time:
20
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Total Inspections: 6
Total Time:
130
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6/2512008 2:04:34 PM
Page I of I
Permit Inspection Details
Permit: BLD20060491
1166,-,BwSetbacks
I't
�qmp 0 ell,�
61il/0812006 MS 20 SETBACKS APPROVED
y
Total Time: 20
110,8 W�a Fd.ot*
T96 .
lC*
0810812006 MS 20 FOOTINGS APPROVED
y
Total Time: 20
1110:-BuFoundition'Wall
�c leutzi� �4
08129/2006 Me 20 FOUNDATION APPROVED
y
Total Time: 20
z
0
10/03/2006 Snook 25 APPROVED
y
Total Time: 25
0
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114 2 -,B, �Rrami,
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1010Si20`0'6' 'Snook 25 APPROVED
y
Total Time: 25
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06103/2008 steinike 20
y
M 0
Total Time: 20
0
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Total Inspections: 6
Total Time: 130
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Page I of I
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
MIS
SETBACKS .....................
FOUNDATION:
Footing .....................
4
Wall ................
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
z
0
PLUMBING:
=j
Underground .............
0
Rough -in ...................
Commercial Final
M
C
HEATING:
M 0
0
Gas Test ....................
0
C
M
Gas Piping .................
M z
Equipment .................
C _Z
Commercial Final
x
EXTERIOR SHEATHING
NAILING ............. ............
t
-4
Z:
FRAMING .................
1111 M
0
FIRST FLOOR FRAMING
0
0 M
INSULATION ...................
C
Floor Insulation
M 0
Z r-
Wall Insulation ...........
;D
Coiling Insulation
-4
:C
SHEETROCK NAILING
z
-4
SPECIAL INSPECTION
z
0
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MISCELLANEOUS
FINAL APPROVAL FOR
I'D
OCCUPANCY ..........
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