20040328.pdfDATE RECEIVED I ;
I
I
z
I
--
PERMITEXPIRES
CITY OF EDMONDS
LiISE PERMIT
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUIT E/APT#
ADDRESS lj�qqB Ave
OWNER NAMEINAME OF BUSINESS
Fritts, Steve/McBride, Heidi
PLAT NAMEISUBDIVISION NO NO LID NO,
7
cc
W
MAILING ADDRESS
LID FEE $
z
3-1
0
Ave
TIESCP Appfov0d 11
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0
1.W_UxUL&UWL"
street Use Pannit 8 q*d [3
CITY TELEPHONE
ZIP
EXIST PROPOSED inspection Required [3
0I- 1� vent cunzieCL(jj 'Nduwalk Haquired L3
Edmonds 98020 425-771-3463
RE 6, UDdenglound
QU�N
R 'DURCeA fn
N ME
METER 31ZE tINE SIZE 1C :;.Nq. Iff U%W t.7PRV REOU IED
unil al SPL .5.
YES 13 N 11
E
z
0
U3
FE
uj
I=
ADDRESS
REMARKt--��_'
z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
a
z
w
CITY ZIP TELEPHONE
A11-
.Regaffl,"s Of Mitt r ithe water system
Is Oppn or close'
NAME CBL#
. __Q' "i�i.,iivlsien tanks atu
required on all hot water tanks per
a:
Fast Water Heater
ADDRESS
ENGINEE WOW ECDC 19.30.020 (c) DATE
0
12601 132 Ave NE
FIRE REVIEWED BY DATE
CITY ZIP TEtEPHONE
0
Kirkland 98034 1425-814-3124z* -
VARIANCE OR CUPUP, )iP4L-i`!itrsPtd-ni6t4 BOND
STATE LICENSE NUMBER EXPIRATION DATE Cl,*CKED BY V)POSTED
SSURE RFXTUL RVA
FASTWHC052DF 2-16-05 1C...;
A P,_ 1WPSP!R
q, '.'- - TKIC
SEPA REVIEW OK11 " "ftiq HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE EXEMPT 7.nln P511VTDWtOWED PROPOSED
ul
00619401000801
EXP I
NEW RESIDENTIAL PLUMBING i MECH
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
JNT URSIDE REAR
ALLOWED PROPOWjSbffqT1fb OM
COMPLIANCE OR
ADDITION COMMERCIAL
CHANGE OF USE
(0811
A T SHIftOFF
z
z
REMODEL MULTIFAMILY
PARKING TWjjqyjy&j_M0RB`M DATE
REQ'D PROVII
5
a.
SIGN
rr EWERS THE BUMDING
I
E] GRADING FENCE
REPAIR r. y r) S ( X FT)
REMARKS
DEMOLISH TANK OTHER
oGARAGE E] RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
0
(TYPE OF USE, BUSINESS OR ACTIVITY)
OCCUPANT
ONSTRUCTION
CHECKED BY JTYPE� ICODE
U)
GROUP
w
NUMBER NUMBER OF CRITICAL
OF DWELLIN AREAS
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
0
STORIES UNITS NUMBER
REQUIRED
DESCRIBE WORK TO BE DONE
RE:nove/rey)lace cfas water heater in
REMARKS
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
5
laundry room 40,000 bitus
A
VALUATION
$
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
I
Building Permit City Surcharge
PLAN CHECK 0! VESTED DATE
Plumbing h 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
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
CL
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in
'APPLICAN I. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
uj
_j
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS mE CITY OF
2
EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
4 ALI, CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1 HIS PERMIT SHAi I NOT BE
Landscapelnsp. Total Amt. Due
_j
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY's ABIL11Y 10 ENFORCE ANY ORDINANCE PROVISION"
Recording Fee Receipt N "j
I
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 perinit until signed by the
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building 011icial or his1her Deputy: and Fees are paid, and
IN V6LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided
WORKMEN'S COMPENSATTPN INSURANCE AND RCW W.27.
OFFICIALS, SIGNATURE DATE
All
SIGNATURE (OWI�Erl OR GENe DATE SIG ED
(425)
"y
771-0220
RFLFASFD 13Y DATE
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
0903 PRESS HARD -YOU ARE MAKING 4 COPIES
z
0
M
M
C
M 0
0
__l 0
0
M
M Z
ID --I
C
:c
CD
0 71
n X
--I >
af 9
M M
0
0
0 M
Cn
Cn
M C-)
Z
z
--I
3:
C/)
z
0
1
0
M
INSPECTOR DATE APPROVED
SETBACKS .....
FOUNDATION`; —
Footing ......... ........
Wall .............
Pier/Porch .................
Re'iai6fn_g'Mll', .. ...... ;...
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
ina . ......
CqMm.ercial, 1*
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 ...
blitr jiec,4-er -
L-1,4414;"A
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
a.
0A1— o-inq
yo Acc e-
Ll
The initiais wr arc Milton
Thompson, a temporary contract
inspector ror the City.
z
0
i
0
M
--I -n
Cf) --I
0 M
C
M
0
__10
0
--i
:C M
M z
C/)
0 71
n
M M
0
0
0 M
C Cn
9 Cn
ITI 0
Z
>
z
--I
z
0
1
0
M