20040844.pdfI
DATE RECEIVED
1 4
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
Alvarez, Ian/Kim
MAILING ADDRESS
7027 165th Pl SW
CITY ZIP ELEPHONE
Edmonds 98026 M-742-8246
NAME
ADDRESS
CITY
NAME
Wri
TELEPHONE
CEIL #
FAst Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP TEL PHONE
Kirkland 98034 425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE I
I
FASTWHC052DF le
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PROPERTY TAX ACCOUNT PARCEL NO.
00655000001000
NEW
RESIDENTIAL
gj[
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
GARAGE
nARPORT
RETAINING WALL
ROCKERY
I[TYPE OF USE, BU��NESS OR A. CTIVITY) EXPLAI - N:
NUIMB NUMBER 0
0
DWELLING
F
ST S
DESCRIBE WORK TO BE DONE
Remove/replace ga
in crawl soace area in basem
40,000 btu's
Kyj
QC PLUM13ING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X Fr,
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
PERMIT EXPIRES
US E PERMIT
ZONE NUMBER
JOB SUITE APT#
ADDRESS
PLAT NAMEISUBDIVISION NO. LOT NO.
LID NO,
LID FEE S
TESCP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
HW permit Required
street Use Permit Req'd
EXISTING - PROPOSED
inspection Required
Sidewalk Required
REQUIRED DEDICATION- Fr
underground
wiring required
METER SIZE
I LINE SIZE I
NO. OF FIXTURES
PAV REQUIRED
YES 0 NO 13
REMARKS
OWNEI VrdjUjaWdMR RESPONSIBLE FOR EROSION CONTROL/DRAI�
In addition to the required
pressure/relief valve, an approved
isted expansion tank shall be
I UPC 608
FIRE REVIEWED BY
J)ATE
DATE
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
REO'
I
POSTED
OYES ONO
S
SEPA REVIEW
CO MPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT POSED
ALLOWED PRO
EXP
I
LLL-
-1
LOT COVERAGE
REQUIRED SETBACKS (FT.�
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE REAR
PARKING LOT AREA
PLANNING REVIEWED BY DATE
PROV D
R E QDJ_I_ E D
_M
REM�
01 a vun, runnectors requireil
tilt fuel sburisillig 311I)h2l jj't3ai&AA6
CHECKED BY
TYPE )NSTRUCTI N
CODE
1413
OCCUPANT
GROUP
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SPECIAL INSPECTION
OCCUPANT
REQUIRED M YES
1;�Rbr'
LOAD
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PROGRESS INSPECTIONS PER UBC 1081IBC109/IRC109 FINALINSPECTION REQ'D -
D
f- '77 a im
VALUATION
$ 449.00
Description
Plan Check
HEAT SOURCE
GLAZING %
LOT SLOPE %
Building Permit
Plumbing
PLAN CHECK NO: VESTED DATE
Mechanical
It
Lu
QL
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.
Grading
Engr. Review
PERMIT APPLICATION: IBODAYS
PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
Fire Review
U)
2
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4
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0
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*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OV:
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 HE
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."
I
Fire Inspection
Landscapelnsp.
cording Fee
FEE Description FEE
State Surcharge
City Surcharge
I " t
Base Fee P.��o
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- CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATI URANCE AND RCW 18.27.
SIGNATURE (OWNI�R OR�AqG[KN�/ DATE SIGNED (425)
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a perrInit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged in space provided,
FA 7,J S 1jr3 NiAT U R E DATE
771-0220 REEL AS
ATTENTION 44141 EXT 1333
ITIS UNLAWFULTO USEOR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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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:
b�ais Test .........
Gas Piping ......
2—MIT7
-,-(-Eq6Iph1oht
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 ..................
The Initials MT are Miltoll
Thompson, a temporary contract
ilispector for tile City.
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