20060500.pdfPERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER a6b - Qc5n(o
CONSTRUCTION PERMIT APPLICATION
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ADDRESS 11170 7 4"', PL /"?
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Description FEE Description FEE
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HEAT SOURCE LOT SLOPE% DATE
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Plan Check State Surcharge
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uilding Permit City Surcharge
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PLAN CHECK NO:
Plumbing Base Fee 5
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THI PERIVITAUTHORIZESONLYTHEWORK NOTED THIS PERNATCOVERSWORK TO
Mechanical
t: HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
140
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
PERMIT APPLICATION: SEE ECDC VLOBOOS(A)(5)
Grading
Recording Fee
ER
P MIT LIMIT. SEE ECDC is)BO.005A�(IH
Engr. Review
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
En9r. Inspection Plan Chk. D.ip.si;
'A P ICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
P L
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review Receipt #
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
re ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection '31
I
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT a E
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
_GIVEN IS CORRECT, AND THAT I Am THE OWNHER� OR THE DULY AUTHORIZED AGENT OF
CALL The appe"ase, 11 — I Perali 11 11911d by ee
T ED NE . I COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
Geld,, OH,,,,I,, ra—re Or ald Fees are aK. rera
FOR INSPECTION
ION; AND IN DOING T E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON ABLATING TO
WORKMEI,VFSATION INSURANCE AND ROW 10:27.
IALS SIGNA RE D E
'425'
�j qn— DATE SIGNED
5
771 0220C P#L A D DATE
EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
O)GINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UB0109 I IBC110 / IRC1110�
PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD2006050'0
PERMIT'I'PAX
. . .... ....
0610812006
20 UNDER6k�O"�U�N-DPI;L�U��Bl��'��G' APPROVED
y
Total Time: 20
11 -Plumb:Ro
06/0812006 MS
20 PLUMBING R6UGH IN APPROVED
y
06/14/2006 MS
20 SHOWER PAN LINER APPROVED
y
Total Time: 40
130'�!w
C
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912006 MS
20 BATHROOM EXHAUST FAN APPROVED
y
Total Time: 20
-Fra —
"FRAMING
"'a % � I
06/0912006 MS
,
26' APP , ROVED
y
Total Time: 20
3:
IT!
";�606 MS
20 WALL INSULATION APPROVED
y
20
-4 0
Total Time:
0
0611412006 Me
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20 SHEETROCKAPPROVE6
y
MM
ITIZ
Total Time: 20
Y,
0710712006 MS
20 FINAL APPROVED
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3:
Total Time: 20
Total Inspections:
Total Time: 160
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7
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...........
FOUNDATION:
Footing ......................
wait_ ...................
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
0
PLUMBING:
gi,
43—
Underground
CA
0 M
Rough -In
C:
1710
0
Commercial Final
0
C
HEATING:
x ITI
ITI z
Gas Test ....................
Gas Piping .................
C 5;
--i
0)
Equipment .................
Commercial Final
0 -n
EXTERIOR SHEATHING
NAILING .................
rn ITI
060
0
FRAMING ........................
0
C
FIRST FLOOR FRAMING
IT 0
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INSULATION ...................
-A
Floor Insulation
CA,
Wall Insulation ...........
Ceiling Insulation
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3:
C/)
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SHEETROCK NAILING
0
SPECIAL INSPECTION
0
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY