20040144.pdfDATE RECEIVED PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
'JOB SUITEIAPT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAM77NAME OF 13USINESS 21311 76 Ave W 4
Edward Schweihs PLAT NAME/SUBDIVISION NO. LOT NO LID NO.
tr MAILING ADDRESS
Lu LID FEE $
z RSCP Aptifoyed
3. 21311 76 Ave W #4 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FiW Permit Required
0 Stmel Use Permit floq'd
CITY ZIP TE EPHONE EXISTING — PROPOSED Insr)ection Requited [3
Sidewalk Haquatid 13
Edmonds 98026 425 775-0482 REQUIRED DEDICATION— FT underground
Wiring ioqUired 13
NAME METER SIZE LIN NO, OF FIXTURES PFIV REQUIRED
YES 13 NO z
U I I W
LU
t: ADDRESS REMARKS z
x z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE E5
tr z
4 ul
CITY ZIP TELEPHONE
I Type B or L c0unvetors
NAME CBL# required on fuel-bui-ning applianess Im
Fast Water Heater E l*Bb0AtedE%"2Ct& UNIC 1315.1.7 DATE
ADDRESS
0
84 12601 132 Ave NE
cc — FIRE REVIEWED BY DATE
CITY ZIP TELEPHONE cc
0 W
Kirkland 98034 25-814-3124
By IANCE OR CU SHORE INE QR B# INSP T11 BOND
STATE LICENSE NUMBER EXPIRATION DATE CHECKED I V POSTED
VIR 0 1) t btictr cai e it
q�E�. [01NO IS
FASTWHC052DF 2=16-05 -4-SOWMtPILIL AV,3 HEIGHT
-4 PROPERT-YTAX ACCOUNT PARCEL NO. CO�PLETE, EXEMPT ALLOWED PROPOSED ALLOWEQ PROPOSED
W 00861531100400
EXP
NEW RESIDENTIAL El PLUMBING MECH LOT COVERAGE REQUIRED SETBAC6§ JLLL. ETBACKS (FT)
R1 �R So
REAR
ALLO#g"..jQQR0M FROUT E REAR
COMPLIANCE OR eml z
ADDITION F� COMMERCIAL I Regardless 01 whether the watei sYs E
CHANGE OF USE L_ _t.. ^V� z
;�ALNAVIR 9D % ty". ATE 5
REMODEL MULTIFAMILY REO.111KMVI; n of 110116A a.
SIGN AD D�
r quP n all hot 7��va!t�er� tanks per
El REPAIR GRADING FENCE - - - - _. �^^ I-% —
CYDS ( X — Fr) REMArerityCode. t:UUU
DEMOLISH TANK OTHER
o GARAGE RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR A ITY) EXPL$IN:
rx CHECKED BY ITYPE :EN I C71 OCCUPANT
GROUP
uj NUMBER NUMbER OF CRITICAL.
0 OF DWELLING AREAS SPECIAL INSPECTION ARffA OCCUPANT
M I LOAD
cl STORIES UNITS NUMBER REQUIRED [I YES
DESCRIBE WORK TO BE DONE
REmove/replace gas water heater in REMARKS
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
livinq room closet 40,000 btu's
VALUATION
)Kci Kai) C�hn P I $ - I -
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge
ECK NO: VESTED DATE Plumbing aD Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CUREIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
j SEPARATE PERMISSION.
Engr. Review
lid PERMIT APPLICATION: 180DAYS
IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
I
in 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
W IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS -THE CITY OF
_j
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Ir Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY Oil INDIRECTLY
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 Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/tier Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 16,27. IA SIGNATUREfi E
( 'FIC
SIGNATURE (OW R ®R GENT) DATE SIGNED (425)
14
IYP L I , �' Y
771-0220 _�SED 13Y
ATTENTION Off 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
z
0
i
0
M
—1 -n
0 M
C:
M 0
0
40
0 C:
4 r,
:E M
M z
_z
3:
W
0 -n
.,n
M M
0
0
0 M
C: 0)
r. (n
M 0
Z
z
__l
3:
Cn
z
0
A
0
1711
0 0
M,
mf
RECORD OF INSPECTIONS
......INSPECTOR DATE APPROVED
SETBACKS ..................... -----------
FOUNDATION:
Footing...................... -------------
Wall..........................
Pier/Porch .................. --------------------
Re
"J
—w-ASIab,Insulation *7 ..........
PLUMBING:
Undeyground ........ .
Rough -in .... ...........
Commercial Final ......
HEATING.
GasTest .................... -------------
Gas Piping .................
Equipment ............
Commercial Final ...... ------------
EXTERIOR SHEATHING
NAILING.......... 6 ...............
FRAMING........................
FIRST FLOOR FRAMING ... ------------
INSULATION .............
Floor Insulation ...
Wall insulation ........... -------------
Ceiling Insulation ....... -------------
SHEETROCK NAILING ...
SPECIAL INSPECTION ... ------------
---------------
MISCELLANEOUS 6 .........
FINAL APPROVAL FOR
OCCUPANCY -.6 ...............
zoo+
z
0
i
0
M
--I -n
0 M
C
M
0
-40
0 C
ITI
ITIZ
C
3:
0 -n
n
x
M M
0
0
0 M
C (1) 1
K Cn
Q 0
Z
>
z
--I
0)
z
0
M