20020123.pdfDATE RICIIVEII
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
Amy nveart
MAILING ADDRESS
757 14th Way SW
CITY zip TELEP;0NE7
Edmonds 98020 _ 74-0897
OLIA
[PERMIT EXPIRES
USE
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PERMIT
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SUITE,APTI
ADDRESS
757 14th W SW
PLAT NAMEISUBDIVISION NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
TSB PApp,
EXISTING - PROPOSED
F
REOUIREODEDICATION-
FT
METER SIZE
LINE SITE
ERV` REQUIRED
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YES 0 NO 0
ADDRESS
R MARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
NAME
Fast Water Heater
ENGINEERI 'Type
B or L vent conaWjbft11E
ADDRESS
12601 132 Ave NE
Fill IEII IU
h9eated spaces. UMC 815.7 "AT'
CITY ZIP
Kirkland 9 8034
ITELEPH
1 425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE
FASTWHC052DF JgJJR02
I WY
VARIANCE OR CU
SHO ELINE OR ACE.
ON
RE
IN111C!L12
0 YES [3 NO
PRO
E
SEPA REVIEW
COMPLETE j_R""arL
EXP ea di,
SIGN AREA
ALLOWED . EROPOS�D_
HEIGHT
ALLOWE PR 0S
PROPERTY TAX ACCOUNT PAR EL NO,
00390100000900
ms of wliethiIr th
NEW [5j RESIDENTIAL PLUMBING MECH
ADDITION COMMERCIAL C MPLIANCEOR
CHANGE OF USE
REMODEL APARTMENT SIGN
REPAIR GRADING CYDS ( F NCE
0 DEMOLISH 0 TANK 0 OTHER
GARAGE f-1 RETAINING WALL 0 RENEWAL
A FIT
C Po
LOT CO
ALI.WCD
I
raquired
OJE W TPRWI,
% _j.
on all hOt water IS
R WfJA S(I
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-
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C Y DATE
(TYPE OF USE, BUSINESS OR AC�Xft
CHECKEOSY
ITY]WTION
JC� 0 PANT
GROUP
W NUMBER
0 SoTORIES
RITICAL
REAS R IV
UMBER f VF4
SPECIJAILEINSPECTOR
R EQU R JAREA
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER USC 10$/FINAL INSPECTION RE
Remove/replare Gas water beater
in laundry room 40,000 Bi2ij��_
WO fQV-41A) 401PILY::7
VALUATION
FEE
PLAN CHECK FEE
F E E
HEAT SOURCE GILkING LOT SLOPE %
5�0
PLAN CHECK NO: IVESTED DATE
PLUMBING
P
LUNHBHEC AL
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRA.I.GIPILL
DOMAIN (CURBS, SIDEWALKS, DRIVE S, MA QUEES. ETC.) WILL REOtRE
SEPARATE WPEARYMISSI'O'N.
LWSMURCHARGE
' MIT APPLICATION: III DAYS
V
PERMIT 1.1.111 Y.A'" PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, RE -�W FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY
LANDSCAPING
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENT. ED.. A.YA N.
INSPECTION FEE
ALL CLAIMS FOR DAMAGES F WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
—RECEIPT
IT SHALL NOT
FIT M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERM Y SEE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C T OHDINANC
PLAN CHECK DEPOSIT
0 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROWSION,'
TOTAL AMOUNT DUE
JRECEIPT/f/�.5
IHERE Y ACKNOWLEDGE THAT I HAVE DEAD THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER� OR THE DULY AUTHORIZED AGENT OF
T EOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG-
CALL
TP,ppj,,.I,, b,t a parmit 11 11gIld by 1h,
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE 0 THE STATE OF WASHINGTON RELATING TO
B,Wd,Pq Otfii 11 h111h11 DOPUI, — I`— — P,11d, Pd
FOR INSPECTION III P P—dod
WORIMENICOMPINIATI "111LIFIANCEANDICW11,11.
.111CIA TURE DATE
i=
SIGNATURE (OWNER �Tt LATE SIGNIO
(425)
da,
I/
771-0220
il
1
RELEASED 6Y C/ OF E
ATTENTION
EXT 1333
1
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAI_ INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD -ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..........
FOUNDATION:
Footing ............
wall .................
Z�
Pier/Porch .................
Retaining Wall ...........
ITI
Slab Insulation ..........
PLUMBING:
-q
M
Unclerground
M
0
-10
Rough -in ...................
0 C:
Commercial Final
M Z
M
HEATING:
C
Gas Test ..................
>
Gas Piping .................
0
"n
Equipment
Commercial Final
ITI 111
0
EXTERIOR SHEATHING
0
oFn
NAILING ..........................
ca
FRAMING ..........
M 0
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
z
Coiling Insulation
9
SHEETROCK NAILING
0
IT!
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................