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20030640.pdf4 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS 18212 72 AVe W CITY ZIP ELEPHONE Edmonds 98026 =-775-7841 NAME ADDRESS CITY ZIP ITELEPHONE NAME FAst Water Heater ADDRESS 12601 132 Ave NE CITY ZIP Kirkland 9803� STATE LICENSE NUMBER EXPIRATION DATE FASTWHC052DF 2-16-05 CBL N PERMIT EXPIRES USE PERMIT ZONE NUMBER JO SUITEIAPT# ADZRESS 18212 72 Ave W PLAT N —SUBDIVISION NO. AME/ LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW PwrM Rewired Strom Use Permit Req'd EXISTING — PROPOSED inspection Required Sidewalk Required REQUIRED DEDICATION— FT UndwWvxvd Wiring required METER SIZE LINE SIZE I NO. OF FIXTURES I PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 1`01,41id—A -n all hfjL M'.Ir%s ENGINE Al1qMff�)LTEWfDB City Code. tCDC 19.30-020 (c) FIRE REVIEWED BY VARIAN Cui PSHORE-LINEORADBJ11 INSPE BY or or L vent al IT9 WTyp e � Fqvii PROPERTY TAX ACCOUNT PARCEL NO. 00477500001100 NEW RESIDENTIAL Ga PLUMBING/MECH ADDITION COMMERCIAL COMPLIANCE OR 11 CHANGE OF USE REMODEL MUI.TIFAMILY SIGN REPAIR GRADING CYOS o FENCE X FT) DEMOLISH [3 TANK OTHER GARAGE CARPORT o RETAININGWALL ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITYI EXPLAft , DATE DATE LOT COVERAGE— I REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR PARKING LOT AREA I PLANNING REVIEWED BY DATE RECrD I PROVIDED I REMARKS CHECKED BY ITYPE NUMBER NUMBER OF CRITICAL OF DWELLING AREAS - SPECIALINSPEtON JAREA STORIES UNITS_� NUMBER /y/A REQUIRED [:] YES DESCRIBE WORK TO BE DONE REmove/re2lace gas water heater REMARKS in Iniinrl-ru rnnm 38000 btu's I PROGRESS INSPECTIONS PER UBC I OCCUPANT GROUP LOAD 0 z 15 1 W 1% rA. INSPECTION RE02'�D C_ Q VALUATION 449.00 Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE ____'_6LAZ1NG % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO, VESTED DATE Plumbing ;Tn, .77 Mechanical THIS PERMIT AUTHORLEES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 2 wl :3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) LL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 160DAYS PERMIT LIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 100 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 51 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. D Ue DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS 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 CONSTRUC- 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 Otficlal or his/her Deputty: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMENS COMPENSATI CE AND RCW 18.27. OFFICIAY SIGYATURE ATE bNATURE (0 R DATE SIGNED IA'Jr, ') az; 771-0220 RELEASED BY DAtE ATTENTION EXr 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 - YELLON- 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 4 0 M a A DATE RECEIVED CITY OF EDMONDS' CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS Roacch, Charlas MAILING ADDRESS -�- 1321*'2' 72 AVe IN CITY ZIP ELEPHONE Ndmonds 98026 =-775-7341 ADDRESS CITY ZIP TELEPHONE NAME CSL 0 FAst Water Heater: ADDRESS 12601 132 Ave NE TELEPHONE CITY ZIP I Kirkland 98031 425-814-3124 STATE LICENSE NUMBER EXPIRATION DATE qMM9 FASTWHC0.52DF 2-16-05 (Lao PROPERTY TAX ACCOUNT PARCEL No. 00477500001100 PERMIT EXPIRES USE PERMIT ZONE V NUMBER JOB SUrrE/APT# ADDRESS 18212 72 Ave W PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP Approved AW Panna Required Street Use Penns We EXISTING - PROPOSED- inspection PAquked Sidewalk Rewired REQUIRED DEDICATION- FT UndwWound Wifft roquked CI METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I N In 5yu trill i I f2ake. PIP— 6", d nki, _er p 'I DATE 19-30.a0(c) FIRE REVIEWED'BY DATE Lu IEL VARIANCEORCLI SHORELINEORADB# INSPECTION BOND M PCISTED we uea�ur I 1:3 NEW CE] RESIDENTIAL PLUMBING / MECH LOTPqVERAGE ALLOWE REQUIRED SETBACKS (FT.) PROPOSED SETBAIKS ( . REAR I tf!! [M ADDITION [j COMMERCIAL COMPLIANCE OR 0 CHANGE OF: USE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY [:] SIGN REOD PROVIDED 0 REPAIR GRADING 0 CYDS FENCE X ( _ FT) REMARKS- .13 DEMOLISH TANK [] OTHER ciGARAGE RETAJNINGWALL 0 F RE SPRINKLER 13 a a Ala.., cNal now CARPORT ROCKERY FIRE ALARM fn?f!. (AflUSE, 'BUSINES9 OR4=1lV"'EXP.LAlN1' -=5r k CHECKED BY CODE. OCCUPANT9�� ITYPE GROUP r- NUMBER':'�`, OF NUMBER OF DWELLING CRrnc AREAS NA _0CCUPANf SPECIAL INSPECTION JAREA LOAD STORIES::%, UNITS NUMB ER REQUIRED DESCRIBE WORK TO BE DONE REmove/rei?lace gas water heater REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REC?D in laundry room 33000 btu's $ 449.00 Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO* VESTED DATE Plumbing Z2 Mechanical T PERUrr AUTHORLUS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO HIS P t BE DOME ON PRNATE PROPERTV ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SID IIIALKS, DRIVEWAYS, MARQU , ETC.) WILL REQUIRE Iz- BEPARAVERERMISSION."t En9r. R'evidw I PERMIT APPLICATION' 150 DAYS PERMIT LIMIT: I YEAn - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS MOM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. TotalArnt.Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." NOR LIMIT IN ANY WAY THE 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 CONMUC. CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or hieftf Deputy: and Fees are paid, land receipt Is acknowledged In epwo provided. NRW�IRANCE AND RCW 18.27. WORKMENS COMPENSATI9, OFFICIALS SIOVATURE ATE SIGNAT, R RE J07 DATE SIGNED LIZ, IILIILI� 2v, 771-02ALW RELEASED BY DAtE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A tUILDING OR STRUCTURE UNTIL It A FINAL INSPECTION HAS BEEN MADE,AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE;bF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 41h, 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING A z 0 0 M M rn 0 r Im 0 _n "n M M n C M C) z z M