20040054.pdfr,
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
rr MAILING ADDRESS
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9792 Edmonds Way fl421
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CITY ZIP TELEPHONE
Edmonds WA 425-778-3343
NAME
US
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I CITY ZIP I TELEPHONE
NAME CBLa
Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland 98034 1425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE CHE
FASTWHCO52DF 2-16-05 Q�
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USE
ZONE
PERMIT EXPIRES
PERMIT
NUMBER
JOB
SUITE1APT`#
ADDRESS 10124 Edmonds Way
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO,
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TIESCP Approved
RW Permit Required
13
13
Street Use Permit Roq'd
13
EXISTING - PROPOSED
Inspection Required
CI
Sidewalk Required
E3
REQUIRE[) DEDICATION- FT
Underground
Winng nriTivoct
C3
METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
NO 13
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ENGINEERING REVIEWED
ITDWES"or L vent connectors
ronitirpel mn fuel-bUI-7.1111P 2002
DATE
DATE
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BOND
POSTED
I SEPA REVIEW SIG AREA HEIGHT
-j PROPERTY TAX 'ACCOUNT PARCEL ;70. COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED
CC I PROPOSED
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EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
NEW RESIDENTIAL X0 PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR 0
COMPLIANCE OR z
ADDITION COMMERCIAL 2
CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE 5
REMODEL MULTIFAMILY E] SIGN REQ'D I PROVIDED CL
GRADING FENCE
E] REPAIR ryns o ( x FT) REMARKS
DEMOLISH TANK OTHER
RETAINING WALL FIRE SPRINKLER
GARAGE
CARPORT ROCKERY FIRE ALARM
0
(TYPE OF USE, BUSIjrj OR ACTIVITIiPi
CHECKEDBY TYPE 1117 CONSIRUCTION OCCUPANT
0 GROUP
U) RIM
w NUMBER NUMBER OF CRITICAL
13 OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT
to UNITS NUMBER REQUIRED [] LOAD
o STORIES I I YES
DESCRIBE WORK TO BE DONE I
REmove/replace gas water heater in REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D a
basement 76,000 btu's
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LUP HAA rlx::� VALUATION
$ 1280.00
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
5D
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
cc
PERMIT APPLICATION: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Depos ILL
in
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTIY Oil INDIRECTLY
FROM THE ISSUANCE OF THIS PFRMIT. ISSUANCE OF [HIS PFRMII SHALL NOT BE
DEEMED TO MODIFI� WAIVE OR REDUCE ANY REQUIREMENI OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
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x 0 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 111E INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR TIE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a pennit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL. BE EMPLOYED CALL Building Official or hisYhor Deputy. and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASIAINGTON RELATING FOR INSPECTION receipt is acknowledged in spacp provided..
WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27
OF 'IA ' SIGNAIU D TE
711 A�GE T DATE SIGN
SIGNATURE (Orwil, ED (425)
771-0220 11- F, SFD BY DAT
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
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACK$ ......... ..... ..
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
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Retaining Wall ........... ;3
Slab Insulation .... .....
PLUMBING:
Underground ............. Cl)
0 M
Rough -in ................... C
M
0
Commercial Final ...... 0 C
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HEATING: X M
M Z
Gas Test ....................
C z
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Gas P'
..........
3:
Equipment . ..................
Commercial Final .......
M M
EXTERIOR SHEATHING
NAILING .......................... 00)
0
0 M
FRAMING ........................ C= C/)
co
FIRST FLOOR FRAMING ... Q 0
Z
INSULATION ...................
Floor Insulation .........
Wall Insulation ........... z
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3:
Ceiling Insulation ....... U)
SHEETROCK NAILING ... z
0
SPECIAL INSPECTION 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
0054