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20030494.pdfDATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS 8121 187 St SW CITY ZIP TELEPHONE Edmonds 98026 1425-771-7749 NAME ADDRESS CITY ZIP TELEPHONE NAME CBL N Fast Water HEater r ADDRESS 2 12601 132 Ave NE CITY ZIP TTE4LEPHONE Kirkland 98034 425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE I C>421IReSM PERMIT EXPIRES j USE PERMIT ZONE NUMBER M,3—Oqq4 JOB SUITE/APT# ADDRESS 8121 187 St SW PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T E 5 C , z' P" RW Per Street Use Permit Req'd EXISTING - PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION- FT underground Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE is open or dosed, expansion tanks are City Code. ECDC 19.30.020 (c) ;PECTION I BOND REO'D POSTED .S 13NO $ r,aaj: wn%_v z) z. Lix 4— 1 V_V_; I ;W-1 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEM13T ALLOWED PROPOSED ALLOWED PROPOSED 00371700200500 11 NEW RESIDENTIAL [2 PLUMBING MECH E )r AL W9R 09 ED gEDALLO" Jfligelbib PROPO- TBACKS (Fr.) PROPO' Ff 31 DE REAR P O1Y 2 ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE required on A ue u 7 TI&AE4 . 7 2 REMODEL MULTIFAMILY SIGN RE(3D - I PROVIDED PLANNING REVIEWED By E IL E] REPAIR GRADING FENCE 1:1 L-4-7— Cynq ( X FT) REMARKS [] DEMOLISH TANK 1:1 OTHER ciGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM _0 (TYPE OF USE, BUSINESS OR ACT su= CHECKED BY OCCUPANT'6;�� ITYPE 72v-, GR NUMBER NUMBER OF OF DWELLING CRITICAL AREAS SPECIAL INSPECTION! ARkA_ OCCUPANT STORIES UNITS NUMBER IQ& REQUIRED [3 YES LOAD DESCRIBE WORI TO SEPONE ReMove/replace gas water heater REMARKS PROGRESS INSPECTIONS PER U13C 108/FINAL INSPECTION REG'O in garacle utility room 34 000 btu's VALUATION A ND uw $ Description FEE Description FEE Plan Check State Surcharg a HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge A9. PLAN CHECK NO: Kll� Mechanical I THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PFRMITAPPLICATION: 180DAYS IL PERMIT LIMIr 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION A U T ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit NPIPMTCEARNEg`r� AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt lif ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE FROM DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN CE Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL 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 CONSTRUG- CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official at histher Deputy: and Fees are paid, and IN VIOLATION OF THE LAB2p.CQDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORKMENS COMPENSATOMSUIANCE AND RCW 18.27. O!F!FICIALS SIGNAWRE DATE SIGNATURE (OWN50 DATE SIGNED IA13 %425) 771-0220 R ATTENTION 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 I DATE REC 'IPERMITEXPIRES USE PERMIT ZONE_ &M-6 CITY OF EDMONDS NUMBER CCONSTRUCTION PERMIT APPLICATION [7 JOB SUITE/APT# ADDRESS 3121 187 St SIR OWNER NAME/NAME OF BUSINESS I PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS 8121 187 St SW CITY ZIP TELEPHONE Edmonds 98026 1425-771-7749 NAME ADDRESS IAD FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCIR APPr0V§d AW Parfrat Required Street Use Pam* RKd EXISTING — PROPOSED Inapse-don Required Sidawatit Required REQUIRED DEDICATION— FT Undergiround Wiring required 13 METER SIZV. LINE SIZE�. OF FIXTURES PRV REQUIRED YES [3 NO C3 REMARKS OWNERIC91111"IRMIrt RLSPUNIIIEI� F06 9RO.S, ON CO!�IPAL/ A% I a Massinvirmsmask 11111 winHirum uiw I CITY ZIP TELEPHONE @y*aA5I091 19111"1 4 ranif"fl.,pin i:jjj-hW.,%,4j A _e tanks per �c NAME . ri T" JcBuo C'C.'19.30.026 (C) C4 Code. E 0 UAIr Fast Water HEater ENGINEEiRRIE-.. C ADDRESS 12601 132 Ave NE FIRE REVIEWED BY DATE CITY ZIP TELEPHONE Kirkland. 98034 425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE VARIAN TMe or L vent. $ FASTWHC052DF 2-16-05 PROPERTY TAX. ACCOUNT PARCEL 140. COMPIL u I OR P P D 00371700200500 EXP —PR—OPOiED NEW RESIDENTIAL ftffWffrfflM7"-r S BACKS (FT.) [3 PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REA R ADDITION 0 COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE ILI 1:1 REMODEL MULTIFAMILY U SIGN RECYD PROVIDEO [3 REPAIR GRADING CYDS 0 FENCE X FT) REMARKS 0 DEMOLISH TANK OTHER [:1GARAGE RETAJNING WALL CARPORT. ROCKERY FIRE SPRINKLER FIRE ALARM EXP. N -OR. _W CHECKiD'BY TYPEMNS20N CO NUMBER OF PDWELLING CRITICAL AREAS SPECIAL INSPECTION'r AREA, — STORIES UNITS NUMBER REQUIRED [3 YES DESCRIBE WO3 TO BE PONE Rem've/replace gas water heater REMARKS PROGRESS INSPECTIONS PER LIBC 108/FINAL IIN in -garage utility room 34,000 btu's RM A _Pj p I =0*"L r -<-- ' $ 419 00 Descrlp�lon FEE Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE Plumbing Mechanical THI IT .=AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WOF*TO E ON PRIVATE PROPERTY ONLI ANY CONSTRUCTION ON THE PUBLI 1. V D6kA11N. (CURBS, SID"ALkS, DRI AYS..5MIQUEES, I C.)W%LREQUIR*, Ora ing V :60ARATS FR4USS N.. MT, St 0. Engr. Revie�w PERMIT APPLICATION: 1180DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS GTARTED WITHIN ISO DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION GROUP OCCUPANT LOAD Description State Surcharge City Surcharge 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review an epm IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY, OR INDIRECTLY BE FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT I Landscapelnsp. Total Amt. Duo DEEMED TO MODIFY, WAIVE OR REDUCE A14Y REQUIREMENT OF ANY CITY. ORD114ANCE NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt # 40 iz* I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I HERE APPLICATION APPROVAL GIVEN IS CORREC7� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF GIVEN T14E OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- 'E 0, CALL nt This application Is not a permit u III signed by the ION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 4 T t j VIOLATION OF THE LA1309AQDE OF THE STATE OF WASHINGTON RELATING TO V 0 FOR I NSPECTION Building Officiall or his/her DePuty: and Fees are paid, and receipt Is acknowledged In space provided. LIN WORKMEN'S COMPENSAT1?"SUI1iANCE AND RCW 18.27, j OFFICIALS SIGNAJURE DA E/ IGNATURE (OWNE OR S 81 a I OAT SIGNED 1A10 lt-12.5 271 3 771-0220 d4qd Ada% ffDtAE RELEASED BY LI-1 ATT NTION 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 z 0 :1 0 M =i9 M rn 0 C) 0 C �! C M ini z 65 0 _n n M 0 0 6 Fn C 0) C CO) M 0. z CO) z 0 4 0 M