20040655.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
John Doolittle
MAILING ADDRESS
21215 92nd Pl W
CITY ZIP TELEPHONE
Edmonds 980: 1425-778-9047
ILUIVIIN
ADDRESS
CITY ZIP
NAME
Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP
Kirkland 98034
STATE LICENSE NUMBER
FASTWHC052DF
PROPERTY TAX ACCOUNT PARCEL NO.
00373600501001
TELEPHONE
CBL #
TELEPHONE
EXPIRATIO44 DATE
2-16-00
NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
EiGARAGE
FIETAININGWALL
CARPORT
ROCKERY
(TYPE OF USE, BUSIPte* OR ACTJVITY) EXPLAIJ:
M NUMBER 140MBER OF
0 OF DWELLING
M
0 STORIES UNITS
DESCRIBE WORK TO BE DONE
in laund
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XFj]
PLUM13ING / MECH
COMPLIANCE OR
CHANGE OF USE
F1
SIGN
EFENCE
]
( X Fr,
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
room closet 35.500 b
PERMIT EXPIRES
USE PERMIT
ZONE NUMBER L53
JOB SUITEIAPT#
ADDRESS
21215 92nd Pl W
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE S
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW permit Required E3
Street Use Permit Req d C3
EXISTING - PROPOSED inspection Required E3
Sidewalk Required [3
Underground
REQUIRED DEDICATION- Fr winng fuq .... . . 13
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 NO 0
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REMARKS z
OWNER/CONTRACTOR RESPONSIBLE F E 53
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In addition to the required ILI
pressure/relief valveg an approve+d--
ENGINEIP11111111MBAM Ell
UPC 608
FIRE REVIEWED BY
VARIANCE OR CU
SEPA REVIEW
COMPLETE EXEMPT
EXP I
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REO'D I PROVIDED
REMARKS
CHECKED BY ITYPE
DATE
SHORELINE OR ADBI I INSPECTION BOND
REO'D POSTED
OYES [J NO IS
T-SIGN AREA HEIGHT
I ALLOWED . PROPOSED I ALLOWED , PROPOSED
REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
FRONT SIDE REAR I FRONT UR SIDE REAR
LOT AREA I PLANNING REVIEWED BY
SPECIAL INSPECTION "JAREA
REQUIRED [] YES
DATE
OCCUPANT
GROUP
OCCUPANT
LOAD
us
a
z
E
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5
016
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/ IBC109/ IRC109 FINAL INSPECTION REQ'D
S
VALUATION
HEAT SOURCE
PLAN CHECK NO:
GLAZING %
LOT SLOPE %
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 180 DAYS
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, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR 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
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION *
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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN V�16LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND PICW 18.27.
SIGNATURE (OY�MER 0 DATE SIGNED
I , I .0irviv, I
Description
Plan Check
Building Permit_
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
LandscapeInsp.
Recording Fee
FEE Description
State Surcharge
City Surcharge
0 Base Fee
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION EXT 1333
FEE
Plan Chk. Deposit
Receipt
Total Amt. Due -5
Receipt
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged in space provided,
-F Cl� S SIGNATUR D TE
ITIS UNLAWFULTO USE OR OCCUrT MOUILL)INU UM S I RUG I UnE UN ILA
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCIJ- ORIGINAL -FILE YELLOW -INSPECTOR
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK -OWNER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
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
f (Al
ro
OCCUPANCY ..................
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