20020026.pdf11 6T PERMIT EXPIRES
CITY OF EDMONDS
ul� PERM T
PS '� IN U . E R 100
CONSTRUCTION PERMIT APPLICATION
jot,
ADD.... 8425 200 St SW
OWNS NAME,NAME OF ED INESS
Jean DeFond
LEGAL DESCRIPTION G[JEC7-1-7777 LIONI
MAILING ADDRESS
0 8425 200 St SW
PUBLIC RIGHT OF WAY PER OFFICIAL ST RE ET MAP I—,
CITY ZIP PHONE
, H_Y H
EXISTING — -�EQURED DEDICATION 0
ITIL
Edmonds 98026 425-697-433b
0
PROPOSED 0
NAME
NIETFR SIZE LINE El��IXTLRES PRV OU
YES 0 NO Cl 9
DRESS
V __AlD_
REMARKS
CITY
1, �eB or 1, vent connectors
NAME
Past water Heater
IF ADDRESS
12601 132 Ave NE
Z CITY zip TELEPHONE
0 425_8
Kirkland 98034 14-3124
STATE LICENSE NUMBER EXPIRATION DATE
FASTWHCO52DF 2-16-02
1�_�LEGAL DBEGRIPPON OF PROPERTY . INCLUDE ALL EASEMENTS
ENGFt!!!!!= y UIA-1 REVIEVVEJ BY
FIRE MEMO DATED REVIEWED By
VARIANCE OR CU ADBI, SHORELINE #
SERA REVIEW SIGN AREA HEIGHT
:oxop 7.1. EXEMPT ALL OWED I PROPOSED ALLOWED I PROPOSES
ETBkCKS, L;T)
oy BOB
ALLffl REAR
�zfnd, tdnri�lc(n lAb I(s are
PROPERTY TAX ACCOUNT RCEL NO.
1"aw'dh I ATE
7n41900208500 per
fdl� W 036.'620 (o)
I
0 NEW
F RESIDENTIAL
ta PLUMBING I MECH
.........
0
AD ITION
o COMPIL ANSE OR
CHANGE OF USE
0 REMODEL
SIGN
REPAIR
GRACING CYCE
0 FENCE X FTI
C
CFECIEOBY ITYPI CCUP-T
OUR
DEMOLISH
TANK
THER
�GCAC��FANT
SPECIAL INSPECTOR
ci GARAGE
CARPORT
r-1 RETAINING WALL
— ROCKERY
RENEWAL
REQUIRED 0 JAREA
YES
Lo
P 0
(TYPE OF USE. BUSINESS OR ACT4rft
REMARKS
PROGRESS INSPECTIONS PER UBC 108
NUMBER
OF
CRITICAL
OF
SAY LUNG
I
A SAE
0
STORIES
I UMTS
N.
UMBER
DESCRIBE WORK TO BE DONE
Rpmovelreplace
gas water heater
��l
I in garage
40,000 btuls
FINAL INSPECTION REQUIRED
F_
I
VALUATION
FEE
z
0
0
M ,
c: R11
M a
0
80
C
�c
MM
z
z
I
0 *n
n
x
M M
C) vi
0 r-
0 M
C 0)
C CO
M 0
Z
X
z
fi)
.
PLAN CHECK FEE
z
- -
GIAIING',
LorSLOFE'.
9
HEAT SOURCE
I
I
0
PLAN CHECK NO:
JVESTIUDOATTI
PLUMBING
[MECHANICAL
�,7
THIS PERMIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADiNGIFILL
DOMAIN (CUR8S.SIDEWALKS, DRIVEWAYS, MARQUEES.ETC.) WILL REQUIRE
SEPARATE PERMISSION.
RE MIT APPLICATION: 180 DAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN IBD DAYS
—ON
STORIV DRAINAGE FEES
'APPLICANT BEHALF OF HIS OR HER SPOUSF. HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN NTEREST AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON. ITSOz �'IALS. E.ILOYEES ANDA.F-SFROLD ANYAND
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF Tl 'IS PERMIT SHALL NOT BE
SEEMED TO MODIFY, M VE OR REDUCE ANY REQUIREMENT OF ANY C Ty ORDINANCE
PLAN CHECK DEPOSIT
NOR LIMI T IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT� H VE READ THIS APPLICATION. TW NFORMATION
GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AU I,, ED AGFNT OF
APPLICATION APPROVAL
THEOWNEF, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAIfNj GONSTRUC
CALL
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL HE EMPLOYED
N VIOLATION Or THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECT ON
OIL.— I ..P F � laP,
IF; —
WORKMEN S COMFENS�=RANCT AND RCW 18,27
SIGNATURE IA
"E SIGNED
(425)
�GFFI
771-0220
E�
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORDINAL FILE YELLOW—SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK .11-Ek
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
.SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
z
Rough -in ...................
Commercial Final
IT!
HEATING:
.....................
Gas Test .
M
Gas Piping .................
M
0
0
Equipment .................
M
IT
Commercial Final
EXTERIOR SHEATHING
........................... ...
ID
FRAMING ........................
INSULATION
0 n
....................
Floor Insulation
M M
Wall Insulation ...........
0
0 Fn
C
Ceiling Insulation
�0)
M C)
SHEETROCK NAILING
SPECIAL INSPECTION
z
MISCELLANEOUS ..........
FINAL APPROVAL FOR
z
OCCUPANCY ..................
0
IT!