20040258.pdfDATE RECEIVED
CITY OF EDMONDS
,4 �9,
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
8020 194 Pl SW
CITY ZIP
Edmonds 98026
NAME
ADDRESS
CITY
ZIP
TELEPHONIF
425-778-9999
TELEPHONE
NAME CBL #1
Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland 8034
STATE LICENSE NUMBER
FASTWHC052DF
PROPERTY TAX ACCOUNT PARCEL NO.
00659200000700
a4ii—fai !1�
EXPIRATION DATE
2-16-05
NEW
93:
RESIDENTIAL
ADDITION
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COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
El
TANK
GARAGE
r.APPC)PT
RETAININGWALL
ROCKERY
(TYPE OF USE. BUSINESS OR V.XjVMEXPLtAN:
M
9�1
PLUMBING / MECH
11
COMPLIANCE OR
USE
CHANGE OF
11
SIGN
FENCE
FT)
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OTHER
FIRE SPRINKLER
FIRE ALARM
in CAL,,
w NUMBER NUMBEk OF r SAL
DW ETC
0 OF ELLING AS R
M UNITS A 13ER Pr
0 STORIES
DESCRIBEWOR� TO BE D014E
REmove/replace gas water heater in
-GLAZING % LOT SLOPE %
HEAT SOURCE I
PLAN CHECK NO: I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
k= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc
M PERMIT APPLICATION: 180 DAYS
L uj
U
9 gL
L PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPI, OYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1 HIS PERMIT SHALL NOT BE
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMEN1 OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION *
USE
ZONE
PERMIT EXPIRES
PERMIT
NUMBER
JOB
ADDRESS
8020 194 Pl SW
PLAT NAME/SUBDIVISION NO. LOT NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— FT
METER SIZE I LINE SIZE NO. OF FIXTURES
REMARKS
rj)rpe B or
FIRE REVIEWED BY
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REQ-0 I PROVIDED
EROSION
water
SUITE/APT#
LID NO.
LID FEE $
IESCP Aprin)VOil
RW permit Roquand
Sj,eoj uso Paront Sort d
inspection Requitod
sidowaik noquired
Undetground
FIC,
PRV REQUIRED 10
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ATE
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BOND
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POSTED
qHT
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HEIGHT
ALLO ED .
PROPOSED
REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.)
FRONT SIDE REAR I FRONT LJR SIDE REAR
L_____TA
OT AREA PLANNING REVIEWED BY DATE
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REMARKS
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TYP F ',TION
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SPECIAL INSPECTION
REQUIRED [:] YES
AREA
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REQ'D 2
ION
Description
FEE
Description
FEE
Plan Check
Building Permit
State Surcharge
City Surcharge
15�
Plumbing
40011
Base ee
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
LandscapeInsp. Total Amt. Due I cp,.�)
Recording Fee Receipt # �L1201
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 DUIN AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC_ 1 his 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/her Depuly� and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION iricLipt is acknowledged in space picividpd.
WORKMEN'S COMPENS RANCE AND RCW IB.27. -FICI SIGNATURE ADATE t
.......... (425)
SIGNATURE (0 NER 0 GEN
11L� p q
DATE SIGNED 771-0220 AS
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
D BY
ORIGINAL FILE
PINK - OWNER
YELLOW - INSPECTOR
GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
�PUNIJATi?�"
Ito
7 wall ................. .............
Pier/Porch .................
Retaining .....
PL.
Ynde.rgfoun.d ............
Rough -In ......... I .........
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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