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20030675.pdfDATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS 20623 81 Ave W CITY ZIP TELEPHONE Edmonds 98026 1425-640-9965 NAME ADDRESS CITY ZIP NAME Fast Water Heater 1771 ADDRESS 12601 132 AVe NE CITY ZIP TELEPHONE Kirkland 98.034 1425-814-312 STATE LICENSE NUMBER EXPIRATION DAT FASTWHC052DF 2-16-0 PROPERTY TAX ACCOUNT PARCEL No. 00414000001400 PERMIT EXPIRES USE PERMIT ZONE NUMBERi46L2-)' JOB SUITE/AK# ADDRESS 20623 81 Ave W PLAT NAME/SUBDIVISION NO. LOT NO, LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ApprMQd 13 AW Pertnit Required Street Use Permit RWd EXISTING — PROPOSED Inspection Required Sidewstir Required REQUIRED DEDICATION— FT nderamund iring requirsod 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C3 NO 13 z REMARKS OWNER/CONTRACTOR -RESPONSIBLE FOR EROSION CONTROUDRAINAGE PTIRSUANT To ECDC 19.30.020 - THE WATER SHMFF REVIEWED BY E eirdless of whether the water system apallp J--- -1-RFm VTI_--1aT= tire E Lu fffffDopff all hot water tanks per EWE x code PC In j 9 30 02a I- i ANr.F: OR CU SHORELiNffbT[-ADW INSPEE!ION BOND POSTED 113YE�s SEPA REVIEW IEA HEIGHT EXEMPT ROPOSED ALLOWED PROPOSED NEW RESIDENTIAL Fx1 PLUMBING/MECH AL WM In ADDITION M COMMERCIAL ri COMPLIANCE OR unheated CHANGE OF USE REMODEL MULTIFAMILY SIGN RE D REPAIR GRADING 13 CYDS FENCE ( — X FT) rREMARKS 0 DEMOLISH [3 TANK OTHER GARAGE CARPO RETAININGWALL ROCKERY 0 FIRE SPRINKLER FIRE ALARM OWE OF USE, BUSINESS OR ACTIVA� NUMBER NUMBER OF CRITICAL OF WELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE .REmoveireplace gas water heater in aaraqe on stand 40,000 btus S--(FTT -PROPOSED 8 BACKS (Fr.) lie IDE REAR 81 1 1 V z ILM��ED BY D E IT CHECKED BY _ ITYPE 9FIntM 0 OCCUPANTf/ �6 . 171— - GROUP IL'.'00, SPECIAL INSPECTION JARFA OCCUPANT REQUIRED LOAD REMARKS 111P'ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D VALUATION $ 449.00 Description Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building P rmit PLAA CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AtfrHORMIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading BOMAN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PFRMITAPPLICATION: 100 DAYS PERMIT LIMIT! I YEAR - 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 IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECT1Y OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. DEEMED TO MODIF'4 WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* I Recording Fee 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- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPEN - D CW 18.27. SIGNATURE (OWN _WOR AGENn DATE SIGNED f 1425) T,-Fa. k/-� A3 771-0220 ENTION f M 1 33 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FEE Description FEE State Surcharge City Surcharge Plan Chk. Deposit Receipt # Total Amt. Due Receipt # Or7 I I 'g7o&& APPLICATION APPROVAL This application is not a permit until signed by the Ping Official or his/her Deputy; and Fees are paid, and Vjeceipt is acknovdedged in space provided. 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES BY VaTh ORIGINAL -FILE YELLOW -INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 1 W z 0 0 M M C M _4 §. 0 C 3� z M M z 0"" M M 0 Fn C (a Co. :0 z z 0 41 0 M RECORD OF INSPECTIONS 11 Tf, O�", pli W. IN I a I (C r'DATE RECE11 PER�MIT EXPIRES OL MMMMEEW,� USE PERMIT ZONE CITY OF EDMONDS' N U M B E R CONSTRUCTION PERMIT APPLICATION 'OB SUITE/APT# OWNER NAMENAME OF BUSINESS ADDRESS 20623 31 Ave 'vl John/fleather Farrar PLAT NAME/SUBDIVIISION = L07T NO, UD NO. MAILING ADDRESS LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FtW 'Ea 20623 81 Ave V1 Straip.'-Use �PR==Reql 9 CITY ZIP TELEPHONE EXISTING — PROPOSED ImpecOm Ploquired Sldewa& Rewired REQUIRED DEDICATION— FT underground Edmonds 98026 1 425-640-9965 WhIng required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED ADDRESS CITY ZIP ITELEPHONE NAME r . , . I � ", # Fast Water Heater lcq� 6 W ADDRESS 12601 132 AVe NE CITY ZIP P TELEPHONE Kirkland 98034 T425-814-3124,f�� STATE LICENSE NUMBER EXPIRATION DATE FASTWHC052DF 2 -16 - 0 PROPERTY TAX ACCOUNT PARCEL NO. 00,414000001400 0 NEW RESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL OMPLIANCE OR CHANGE OF USE 0 REMODEL MULTIFAMILY SIGN IREPAIR, I GRADING FENCE CYDS ( X FTI 13 DEMOLISH TANK OTHER 0 GARAGE: CARPORT RETAINING WALL FIRE SPRINKLER ROCKERY FIRE ALARM NUMBER OF. NUMBER I DWELL NG CRITICAL AREAS STORIES UNITS NUMBER DESCRIBE WORK T9 BE DONE REmoveireplace gas water heater in r garage on s tand 40,000 btus HEAT SOURCE PLAN CHECK NO: LOT SLOPE % VESTED DATE REMARKS I I — —1 YES 13 NO 13 OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAINAGE I — ---- --- --- is is ppen or dosed, expansion tanks are fe-quired on,alfhui wer tanKs per � . -1.Uzu C) DATE FIRE REVIEWED BY DATE US 0C IE16 PURSUANT TO ECDC 19.30.020 VARIAN A P& — 13OND craWHAITIT. tow POSTED BE INHALL '-50 0 $ WA= RIF; .. I SEPA REVIEW -M -AREK IGHT .COMPLETE . EXEMPT I ALLOWED , PROPOSED ALLO 'PROPOSED LOT COVERAGE I REQUIREI a" m a Tvne B or Veut $15.1.7 SPECIAL INSPECTION JAREA REOUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC I VALUATION $ 449.00 Description Plan Check Building Permit Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE. WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURSS, SIDEWALFA DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE .. .... 185101% th ?. RevI04 9 PERMIT APPUCATION; 180 DAYS 06 PERMIT limm I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Insp ��lon SEE "CKOF PINK PERMIT FOR MORE INFORMATION 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND.SUCCESORS Fire Review IN INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OP THIS PERMIT SHALL NOT BE Landscapoinsp. DEEMED TO MODIF% WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN W CORRECT, AND THAT I AM THE OWNER, ORTHE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION. AND INVOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OFTHE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMENS COMPEN D RCW 18.27. SIGNATURE (owNgp& AGENTi DATE SIGNED 1A 1-4251 7 -0220 71 -78ACKS (FT) SIDE REAR ffE bCcfjpvft GROUP OCCUPANT, LOAD :INAL INSPECTION RECVD Al. FEE Description State Surcharge E City Surcharge_ FEE Plan Chk. Deposit Receipt Total Amt. Due Receipt # APPLICATION APPROVAL This application Is not a permit until signed by the 04ing OMcIaI of his/her Deputy: and Fees are paid, and I I, flacolpt is acknowledged In space provided. - BY I \j ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSOECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW -INSPECTOR CATE OF OCCIJPANCY H4AS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU AM MAKING 5 COPIES GREEN - ACCOUNTING z 0 4 0 M