20060508.pdfDATE RECEIVED 10
PERMIT EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
PERMIT
NUMBER
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ADDRESS
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OWNEMM,F BUS2&
PIT NAME'SUBDIVISION NO.
LOT NO,
110 NO
LID FEE S
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Description
FEE
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Plan Check
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State Surcharge
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City Surcharge
P I U ITT 'n I g I P
Base Fee
THIS PERMIT AUTHORIZES ONLYIFIE —K NOTE.. THIS PERMIT COVERSWORK TO
, Is
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
$a
Mechanical
Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEIES� ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 10.00.005(A)(5)
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Recording Fee
PERMIT LIMIT�. SEE ECDC 19.00.005(A)16)
Engr. Inspection
Plan Chk, Deposill
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
S UCGES-OF$
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
M INTEREST, AGREES TO I"DE--PY DEFEND AND HOLD HARMLESS THE CITY OF
a, WAS.N.T...hre , AGENTS FROM ANY AND
6 MOND FICI�Le, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
BE EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Fire Review
R.C.1p,
Fire Inspection
Total Amt. Due
Landscapoinsp.
Receipt
HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHOR ZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF TH OF THE STATE OF WASHINGTON RELATING TO
IN VIOLATI ON E
WORKMEN SGOMPEN.5�EECEAN. R.W 111;-
CALL
FOR INSPECTION
(425)
APPLICATION APPROVAL
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EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. USCI 091 IBC1 10 1 IRC11 0.
ORIGINAL FILE - YCILLOW INSPECTOR
PINK -OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060508
PERMIT'rR.A\
.. ........ .. . ..........
06114/2006 MS 20 PLUMBING ROUGH IN APPROVED
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Total Time: 20
06114/2006 MS 20 PLUMBING FINAL APPROVED
y
Total Time: 20
Total Inspections:
2 Total Time: 40
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Page 1 of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .............
wall ...........
z
Pier/Porch . ..........
0
--I
Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
x
Underground .............
C
IT
Rough -In ..................
0
C
Commercial Final
x M
ITI z
HEATING:
-4
> z
Gas Test _ .................
Gas Piping .................
Equipment .................
0 -n
Commercial Final
M M
ov-)
EXTERIOR SHEATHING
0
0 r_.
ITI
NAILING ..........
C 0)
FRAMING _ ......................
IT 0
FIRST FLOOR FRAMING
INSULATION ...................
-4
Floor Insulation
z
Wall Insulation ...........
3:
W
Ceiling Insulation
z
SHEETROCK NAILING
0
ITI
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................