The URL can be used to link to this page

20040779.pdfDATE RECEIVED / �- /� CI�7 l �t- PERMIT EXPIRES LISE , air CITY OF EDMONDS ZONE NUMBIER l,t CONSTRUCTION PERMIT APPLICATION JOB / SUIT # NER NAk IrrEINAME OF OUSINES ut / ADDRESS % G / L /1n �� )e Hall / I PLAT NA(MEE�/SUBDIVISION NO. LOT NO. I t/ LID NO. l/l��✓// / lJL / LID FEE $ MAILING ADDRESS w ❑ rescr �provod 3 `! �J PUBLIC RIGIIT OF WAY PEER 0_FFLCIAI S1aEAXJAAF6* MIN-Pnrmd Ruquuod ❑ O C.. ,�` ., Stroot Use Pomd Ruq'd ❑ (STY 1 ZIP TELEPHONE EXf'bt '�/{(�.`',�T • ri ".1 T'-�ri rv•va-�� ewalknflegnlred ❑ Vuh, �i-'�I.4Pri.t� ftognund ❑ 71 C HE1R D D DICVION F Unde,om d , Winne rogAond ❑ NAME ti ME ER SIZE LINE SIZE NO. OF FIXTURES, ,);F.1V REQUIRED U F YES ❑ NO ❑ w U ADDRESS H6AIAHKB "" _ nv iti V OW N AGi H�?fBPQN�BIE(1:FJfi ��G 1NU�WINA E CITY ZIP TELEPHONE on fuel-iatir)iirti;� a1)►�►i:a><Iccs I�sxssu)g W �tl)rou t) unheatre sl)stce�. NAME � CEILL0�j� j�1 MUST ✓ ENGINEERING REVIjCYJff�BYPtI TEST �YII.I►i 1ILDATE 2 ADDRESS UH 4,� ZDV G► Y�SJ L DATE w¢ FIRE REVIEW YAFFIDAVITS SHALL NOT CITY ZIP TELEPHONE LL o L Q�610 U VARIANCE OR Cu SH N 1 PECTION BOND STATE LICENSE /NUMBER ( EXPIRATION DATE CHE1\CK � BY PIE ONO POSTED OYES ❑NO 5 .,,� cir_r.t GIiT Q PROPERTY TAX ACCOUNT PARCEL NO. COMP �E E T$ A LOW D PROPOSED ALLOWED PROPOSED W l �� $�n ac altio to tie required aw EXP ol iA.J" ❑ NEW RESIDENTIAL PLUMBING / MECH LO R � TRACKS ( R ALLOW IlsteiTIM � �� t'i tlft sidll L,F�ONT U SIDE REAR z COMPLIANCE OR t' �l Z ❑ ADDITION ❑ COMMERCIAL ❑ CHANGE OF USE ❑OT AREA PLANNING REVIEWED BY ATE REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'D Dl ,(ga ❑ GRADING FENCE j� ~ REPAIR ❑ CYDS ❑ ( X FT) REMARKS F ❑ DEMOLISH TANK OTHER ❑ ❑ SHALL BE INSTALLED ON THE GARAGE Z ❑ CARPORT ❑ ROCKERY RETAINING WALL FIRE ❑ FIRE ALARM SPRINKLER JIVE 3 FO (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: i> CHECKED BY TYPE ST TION O OCCUPANO� U _ GROUP w NUMBER NUMBER OF CRITICAL OCCUPANT O OF DWELLING AREAS SPECIAL INSPECTION AREA O STORIES UNITS NUMBER REQUIRED ❑ LOAD YES DESCRIBE WORK TO BE DONE c7 REMARVO KS PROGRESS INSPECTIONS PER UBC 1081IBC109 / IRC109 FINAL INSPECTION REQ'D 3 'e cr" f l:� i I.� ��_ m d -r Gkq VALUATION L L "Oe-a Description FEE Description FEE Plan Check State Surcharge HEAT URCE GLA ING % LOT SLOPE % City Surcharge 1 Building Permit tY e g PEAN CHECK NO: VESTED DATE Plumbing U Base Fee G 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 a PERMIT LIMIT, 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION f° •APPLICANT, ON BEHALF OF FITS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 6E Landscape Insp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFOHCE ANY ORDINANCE PROVISION.' l Recording Fee Receipt #� I HEREBY ACKNOWLEDGE THAT T HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building OIITcial or his/her Deputy: and Fees are paid, and TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL. BE EMPLOYED receiptfs as acknowledged in space provided. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION_ WORKMEN'S COMPENSATI NSURANCE AND RCW 18.27. 0 ICI 1 SIGNATURE ATE _ EDSIGN TUBE (OW 5) 3 DATE SIG�(4 7�f 771 C� =0220 R 1. ASED BY DA E AT7ENTION EXT 1333 ITIS UNLAWFULTO USE OR O PYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW • INSPECTOR PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK - OWNER GOLD - ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES 0 m oM 171 0 IO On C m z ID DZ p 71 MD mm_ O� r �(n m Zr ;U --I D Z Cn Z O M 1 r RECORD OF INSPECTIONS SETBACKS FOUNDATION: Footing Wall........................:. Pier/Porch.................. Retaining Wall ........... Slab Insulation PLUMBING: Underground ............. Rough -In ............:...... Commercial Final .....: HEATING: ; e Gas Test ..:.............. .. Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING FRAMING'": : .:.....::.:........... FIRST FY.00R FRAMING.., INSULATION Floor Insulation ........: Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS 0.110.010, FINAL APPROVAL FOR OCCUPANCY The Initials MT are Milton Thompson, a temporary contract inspector Coto the City. Z O n m U1 = vm M0 �O OC Z mZ 0Miami DZ r —1 �C/) O "tt M� rnm_ orM nr m Cl) m Zr 2 D Z -I 2 Z O 0 m I DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Mar Dou ias Anderson MAILING ADDRESS tRAR9 18427 Olympic View Dr CITY ZIP ITELEPHONE —672-1 21 4 NAME ADDRESS CITY ZIP ITELEPHONE NAME A Fast Water Heater ADDRESS 12601 132 Ave NE CITY ZIP TELEPHONE Kirkland 98034 425-814STATE LICENSE NUMBER EXPIRATION DAT FASTWHC052DF 2-16-05 PROPERTY TAX ACCOUNT PARCEL NO. 00565600100100 ❑ NEW ®j{FIESIDENTIAL ADDITION ❑ COMMERCIAL ❑ REMODEL ❑ MULTIFAMILY ❑ REPAIR ❑ GRADING CYDS ❑ DEMOLISH ❑ TANK GARAGE RETAINING WALL ❑ CARPORT ❑ ROCKERY (TYPE OF USEJaLlSkNESS OR ACTT ITY) EXPLAI : XE] PLUMBING / MECH COMPLIANCE OR ❑ CHANGE OF USE ❑ SIGN ❑FENCE t X FT) ❑ OTHER ❑FIRE SPRINKLER FIRE ALARM GNUMBER NUMBER OF CRITICAL OF DWELLING AREAS OSTORIES UNITS NUMBER IS DESCRIBE WORK TO BE DONE Remove/replace gas water heater in laundry room 50,000 btus HEAT SOURCE I GLAZING % I LOT SLOPE % PLAN CHECK NO: I 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 APPLICATION: 100 DAYS PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 1 PERMIT EXPIRES us PERMIT 'LONE NUMBER JOB 18427 SUITE/APT# ADDRESS lfikkfi Olympic View Dr PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S ed PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pe mit Required HW Permit Roquiretl Strout Use Permit Ruq'd EXISTING PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION FT underground Wiring required METER SIZE I LINE SIZE NO, OF FIXTURES PRV REQUIRED YES ❑ NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED BY DATE .� FIRE REVIEED' R WIR co nneefor.rquired O:� Fuel-burl>li¢Ig{j�� li;�nce� pGsing ,. a z z z z 8 W VARIANCE QR CU " EC .'It- AUF3 I lNINSFIECTIUM l j'qL 241Ja� POS"'L� c . <o TTEED ❑YES ONO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP L� LOT C DVERAGE�-�- -'REOUIRED•S✓ TBAGVXau(FT)a FARO ACKS (FT) ALLOWED R NT SIDE REAR RONT L/R S E REAR jff�a�$it 0 the: reguir d • z PAR 1 G PLANM F; A E g REO'D I t @M 7dpar35s yk tank shall he a RE CHECKED 8Y TYPE OF U TION OCCUPANT GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED ❑ YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REQ'D 9 VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection FEE Description FEE State Surcharge J City Surcharge /] f ' 1 Base Fee Plan Chk. Deposit Receipt # _ Total Amt. Due ?�-- Receipt # 7 G I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER. On THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRl1C. CALL This application is not a permit until signed by the T N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy. and Fecs are paid, and VIOLATION OF THE LABOR CODE OF THE STATE OF WASIIINGTON RELATING TO FOR INSPECT receipt is acknowledged in space provided WORKMEN'S COMPENSATION INSURANCE AND RCW 1B.27. OFTICI)SIGNATU DAT SIGNATURE (OWOaq OR G DATE SIGNED (425 I� L� J L < / ./ 771 mO,22 R - - - SED BY TE ATTENTION EXT 1333--- IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW - INSPECTOR PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC 110. PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES '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 CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION' Fire Review Fire Inspection Landscape Insp Recording Fee 2 I r 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 ,�^ c- OCCUPANCY The Initials MT are Milton Thompson, a temporary contract inspector For the City. q' 1 ,