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20030979.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS Jean Pennington MAILING ADDRESS 10415 226 P1 SW CITY ZIP TELEPHONE Edmonds 98C 1425-774-7504 NAME ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER �oe— N't JOB SUITE/APT# ADDRESS 10415 226 P1 SW PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S TESCP App(OVed PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Roq U:1 F" Street Use Pa rne Req.d EXISTING - PROPOSED Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION- Fr Undergroun Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES I PRV REQUIRED I YES 13 No 13 I nitt;d, expeinsion tanks are ao hot water tanks per z V NAME FAst Water Heater CEIL R# I Code. ECUC 1V.JU-uzu ku) _j ENGINI DATE ADDRESS 12601 132 Ave NE 0 8 FIRE DATE W REVIEWMAY� W rs liryne B 0 r L VC-111 -V CITY ZIP Kirkland 98034 TELEPHONE A 25-814-3124 VARItN! ffftII1J1Nk;6kAWb worEb space& ulml i OND P STED STATE LICENSE NUMBER EXPIRATION DATE FASTWHC052DF 2-16-051 I CHECKED B EIEPA REVI W COMPjC= E*EMP1P'—'-XI!0d�4ED' % 3 _n E PROPOSED R ;0 P 0 ---HEIGHT ALLOWED PROPOSED ALLOWE PROPERTY TAX ACCOUNT PARCEL NO. V ?-70325.Q03 4800 EXP T A %�Tvl ljpr- 4 L4ED 5. -2 NEW R1 RESIDENTIAL PLUMBING MECH COMPLIANCE OR ADDITION COMMERCIAL FRI El CHANGE OF USE LOT COVERAGEX_ %J ALLOWED PROP .49" SHAU a' 01M N 0 Sk L 0 A BE 1 1111 __ t% rr= A I ..T "qjm BED SETBACKS (Fr.) Sl UR SIDE REAR DMG PARKING -MM*ARW --to RIJU REQ`D I ID C31jw1T?A1,r- IRMIA(STEiliEWED BY DATE 916 Tl, ECDC 19.30-020 REMODEL MULTIFAMILY SIGN GRADING FENCE REPAIR ryps 0 ( — X DEMOLISH TANK [:] OTHER REMARKS - REGULATORVALVE (PRV' APRESSURL SHALL BE INSI-ALLI-,u =R z E:i GARAGE o RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (rYPE OF USE. BUSINESS OR ACTIVrrf).WLAIN: ,IL\,)T a� & "ILt CHECKED BY I TYPE OF CrITRUCTION OCCUPANR GROUP 0 NUMBER OF STORIES NUMBER Oft DWELLING UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTION JAREA REQUIRED [] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE Remove/replace gas water heater in REMARKS z PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION MUD 9 I garage Qn stand 40,000 btuls VALUATION $449.00 NO LVW 6-8s, Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % 1 LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Grading BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 Engr. Review SEPARATE PERMISSION. t — PERMIT APPUCATION: 180DAYS PERMIT UMM I YEAR - PROVIDED WORK IS 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 a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAJMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Landscapelnsp. Total Amt. Due 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 0 NOR LIMIT IN ANY WAY I HE CIIYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' x 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 i IN VICLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Buil Ing Official or his/her Deputy: and Fees are paid, and BL FOR INSPECTION receipt is acknowledged In space provided WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27. 0 0 ICI S SIGNATU� hAT�_ SIGNATURE (OWN R 0 AGEN-n DATE SIGNED (425) (" �U) L � 5GE _7/ 771-0 220 . I A - - __: � R SED BY ENTIONA EXT 1333,,, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A C TIFI- 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 t �e ijL '4 :_n 55 :0 am a m 0 10 0 C: -4 C 3: M m Z cl) 3: M M a 0 0 M C (/) 9 co Im 0 z 4 z —4 x 55 z 0 1 3 m RECORD, OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS* .............. ....... FOUND ATION:. Fo6ting . ........... :.4.... Wall........................... Pier/Porch ................. Retaining W� . . ......... �Slab,irmlation ............. �PLUMBING: Underground ............. Rough -In ................... q6.nV.r Ivi* �pftla n GasTest .................... Gas Piping ................. Equipment ............. 6y Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING,.....:.., ..... FIRST. FLOOR FRAMING ... 'INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING ... J." SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 7, 71 I A z 0 4 0 M IT! MID 0C M IT! 10 z 11711 IT! 0 6 Fn C co) Q 0 z z 0 I 0 M STATE LICENSE NUMBER F AS TW11" 05) 2D F PROPERTY TAX ACCOUNT PARCEL NO. DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF 13USINESS J:!ari PennirTton LM MAILING ADDRESS u 0 10 4 15 2 16 1. TELEPHONE CITY ZIP Ilmon(ls )3! 4 2 5 -- 7747 50 NAME ADDRESS C3 I CITY ZIP ITELEPHONE .NAME bBL 0 C-Ast vdater 1-11eater ADDRESS 12601 132 We --NE CITY ZIP TELEPHONE Kirt'lland 1 4 2 5- 914 - 312 4 EXPIRATION DATE I CHECKED 2 - 16 - 0 5 PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 10 4 1 5 2 2 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED TESCP Approved RW Permit Required Street Use Permit Rml'd inspection Required Sidewalk Required 13 REQUIRED DEDICATION— FT Undergrourid I Winne required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 z REMAI OWNE Eill E is open or closed, expansion tanks are requM on all hot water tanks per NEW RESIDENTIAL PLUMBING / MECH [3]'t ADDITION COMMERCIAL COMPLIANCE OR El CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE ( X DEMOLISH [3 TANK OTHER GARAGE CARPORT -1 RETAINING WALL 1:1 ROCKERY F RES RINKLER FIRE APARM (TYPE.OF: USE, BUSINESS ORACT.WUN). qPLAIN: NUMBER BER Of CRITICAL OF 1 01 DWELLING TNU AREAS STORIES U NUMBER DESCRIBE WORK TO BE DONE !'1,--inovn,/reo1ac,a cias water heater ir aaraae on stand 40,000 !13tu's REVIEWED 6"M By -- -- I I required %11 fuel-buniing appWaRcIN"ft 4UMftt6'— -SR-ORELINEORADBN I INSPECTION OND 7 --FUSTED JOYES ONO $ SEPA REVIEW COMPLETE , EXEMPFI --Xp it V LOT COVERA&nft ALLOWED PROff" PARKING REO'D I PROVIDE[ FI) I REMARKS CHECKED BY I TYPE (IF SPECIAL INSPECTION JA REQUIRED [] YES REMARKS PROGRESS INSPEC VALUATION NO Wat) (9f is -P/ $ 4-49.00 Description FEE Plan Check URCE GLAZING % LOT SLOPE % I Building Permit CK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 23 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE --;;,1iftlPARATE PgRMLSCION. .4 Engr.* Revie�v PERMIT APPUCATION: ISO DAYS UMIr I YEAR - PROVIDED WORK IS 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 INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS CFFICiALS, 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 OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE OF ANY CITY ORDINANCE Landscape Insp. ANY REQUIREMENT 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee_-11--, I HEREBY ACKI 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 GIVEN IS Co, HE OWNER. T 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 BuIldl OL 10 IN V ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I I LIOLAT WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27. - ------ O�FI�IA SIGNATURE (0 R OA'iGENT) DATE SIGNED IA95) 7- 45", 3 771-0220 ,Otl4is ATTENTION t�7� L EXT 1333;.-11, IT IS UNLAWFUL TO USE OR OCCUPY'A* VUILDING OR STRIUCTURE�UUNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A C TIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PRESS HARD -YOU ARLMAKANG 5 COPIES P HEIGHT S ED P80POSED V1. T 10111% 4N I IaW.. - a TM , ETBACKS (Fr.) FRONT LJR SIDE REAR z ?"I`eeTWNE1a%30.020)ATE' IbULMRVALVEM INS IM=ID W*R =R smaum N OCCUPANk GROUP OCCUPANT LOAD V% 108/FINAL INSPECTION REO'D INAINI Description State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt It Total Amt. Due Receipt # APPLICATION APPROVAL his application Is not a permit until signed by the ng Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. LS SIGNATUPF <' O(A."�,(J.— I ED BY I DATE OR�GINAL - FILE - YELLOW - INSPECTOR P NK - OWNER - GOLD - ASSESSOR GREEN - ACCOUNTING z 0 A 0 ITI -4 -n M C M 0 0 C M M z X 0) 0 n M M 0 -CA 0 17- 0 M C M 0 Z X z z 0 I F5 171