20030270A.pdf11
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DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINME OF BUSINESS
RonaldISharon Fischer
MAILING ADDRESS
19409 86 Ave W
CITY ZIP TELEPHONE
Edmonds 98026 425-672-6773
NAME
ADDRESS
CITY
ZIP ITELEPHONE
NAME
Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP
Kirkland 98034
STATE LICENSE NUMBER
TAX ACCOUNT PARCEL NO.
CBL N
9- 1�7 PERMITEXPIRES
USE PERMIT
ZONE NUMBER2(_).�
JOB SUITE/APT#
ADDRESS 19409 86 Ave W
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
rv%__ LID FEE S
- B- VA-W&, Pllttiur Appmed
PUBLI RIGAQ1' �QPFR "'MiREWAW
recl 0 n ofu7ec Dgt v rn I In P n n n ",w;,en,""
9
7 Whing requir6d 13
METER SIZE LINE SIZE F FIXTUMS IRED
NO 13
REM
OWN Md&W A90011111OLU/0RAIN E
gillItp
fl&aFtv, Lilbor & Yq-duSW1W
Is , open or dosed, expendion tanksare
FIRE REV ri on all 110t wat 6�TE
TELEPHONE
I Code, ECDC J9.30.020(c)
425-814-3124
VARIANCE HORSLINE OR ADB# INSPECTION 5OND
EXPIRATION DATE CHECAFj6= REO'D POSTED
YSACRNO $
2-16-05 SEPA REVIEV HEIGHT
5:j
COMPLE1 WEI
TM PROPOSED
rE EXEIP" L , —ft
N V& Mn
BING / MECH
LOT COVMjff
T
ALLOWED
Ff SIDE EAR
FRO
LIANCE OR
7
GE OF USE
PARKING
LOT AREA
PLANNING REVIEWED BY,
REOID I
PROVIDED
I
X FT)
REMARKS
R
PRINKLER
ALARM
NEW
RESIDENTIAL 13 PLUM
ADDITION
COMMERCIAL COMP
13 CHAN
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING
CYDS
FENC
DEMOLISH
TANK
13 OTHE
oGARAGE
RETAININGWALL
FIRE 8
CARPORT
ROCKERY
FIRE
(TYPE OF USE, BUSINESS OR ACTIVITY)i EXPLAIN: f-11c:712-
NUMBER
NUMBER OF
CRrriCA1
OF
DWELLING
AREAS
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
40.000 btu'
HFAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO- VESTED DATE
THIS PERMrT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
:1 ou
:3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL RE IRE
SEPARATE PERMISSION.
PERMI'TAPPUCATION: 188DAYS
PERMIT LIMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, 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
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED 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
IN VIOLATION OF THE LABOA CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATI CE AND RCW 118.27.
SIGNATURE (OWN R OR NT) DATE SIGNED
3 SETBACKS (Fr.)
L/R SIDE REAR
DATE
CHECKED BY TYPE N OCCUPANT
1229 GROUP
SPECIAL INSPECTION4ARMEA OCCUPANT
REOUIRED [71 YES I LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D
$ 449.00
Description
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
M
CALL
FOR INSPECTION
IA'25)
771-0220
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building Official or his/her Deputy: and roes are paid. and
receipt Is acknowledged In space provided.
OFFICIAL SIGNIKURE DAJE
F � �EA ED BY I DATEf
ATTENTION I EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED IL
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SETBACKS
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1, 1
FOUNDATION
Footinga 0 0 a 0 a 0 a 0 a 0 a 4 9 6 1184,
11 1 1 1 T I I I
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WAII *0*89 1 840661468few I 66080G& I a&
Pier/Porch
a a a 6 0 a a a 6 8 6 0 6 6 a 0
I I 1 4 1
M
Retaining Wall
1 4
awl
Slab Insulation
4 1 1 1
PLUMBING9
1 .4
P. M
4 1
Uncle nd
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Mesa
10 late,
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lI I dL
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Equipment
I k I I I t I
Commefcial'Fi
Miami
C
rd EXTERIOR SHEATHING
IL .1 1
4. 1 1
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NAILINGr ****41000048 66660*689 ate
I ILL, 'r', r. Name, I r.' ;t
it $.'I
ILI— r
r FRAMING, e
6006, A 0 6 0 a 6 a 0 & a 0 0 0 9 6 0 1 6 0
t r; III! I I I lit
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14
r eit;
FIRST FLOOR FRAMING
I 1 1. dC I I I I I I I r I I I
$09
INSULATIq
Floorlfis6latlo%h,
if
-Wall Insulation
was
ceiling Insulation.......
Estimate
M
.'SHEETROCK NAILING
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.SPECIAL INSPECTION...
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY 'e"a
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