20040852.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMENAME OF BUSINESS
Ryan Johnson
MAILING ADDRESS
7435 210 St SW #6
CITY ZIP ITELEPHONE
Edmonds 98026 425-774-1125
NAME
ADDRESS
CITY
ZIP
NAME
Fast Water Heater
ADDRESS
12601 132 Ave N`3
CITY ZIP
Kirkland 98034
STATE LICENSE NUMBER
FASTWHC052DF
TELEPHONE
CBL
TELEPHONE
425-814-3124
EXPIRATION DATE
2-16-0
PROPERTY TAX ACCOUNT PARCEL NO.
00837943500600
1:3
NEW
Ok RESIDENTIAL
ID
ADDITION
E] COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
E:]
DEMOLISH
TANK
GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSWM—OjIACTIWTY) EXPWN:
USE
S
Z ZONE
o E
fU
Jo
JOB
ADDRESS
RN
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( _X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
Remove/replace gas water h(
in cfaraae 38.000 btu's
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
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
U1 PERMIT APPLICATION: 180 DAYS
9L PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) OAPPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
W
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 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 MODIFN� 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 VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENsAT)60NSURANCE AND RCW 18,27.
SIGNATURE 1OWNE&-_0RIAGEN1Y) I DATE SIGNED
PERMIT EXPIRES
PERMIT
NUMBER
09��
SUITE/APT#
PLAT NAME/SUBDIVISION NO. LOT NO.
LID NO.
LID FEE $
TESCP Approved E3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
RW Permit Required 13
Street Use permit Roq'd E3
EXISTING - PROPOSED
inspection Required 13
Sidewalk nequired E3
REQUIRED DEDICATION- FT
Underground
Wiring required Cl
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YESE3 NO 13
REMARKS
OWNER/CONTRAC F3,9 -f-OR AGE
In addition to the re7quired
roved
pressure/relief vaive) an a:pp;
ifir.ted ex*oarisilay,
UPC 6108
FIRE REVIEWED BY DATE ul
VARIANCE OR CU SHORELINE OR ADBI I INSPECTION BOND
REO'D POSTED
OYES ONO S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED
EXP I I
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
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PARKING LOT AREA PLANNING REVIEWED BY DATE 5
REO'D I PROVIDED
REMARKS
CHECKED BY I TYPE,0 CO S LICTION OCCUPANT
GROUP
SPECIAL INSPECTION AREA OCCUPANT
REQUIRED 0 YES LOAD
REMARKS
z
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
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE
Description
FEE
State Surcharge
City Surcharge
';Z_
Base Fee
CALL
FOR INSPECTION
(425)
771-0220
ATTENTION E)ff 1333
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OFOCCU.
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
Plan Chk. Deposit
Receipt #
Total Amt. Due _�7
Receipt # I
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 acknowleoped in space provided. i
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
M.
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ......... !.1 ...........
Pier/Porch .................
Retaining Wall ...........
------------ -
Slab Insulation ..........
-----------
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
------------
HEATING:
GasTest ....................
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 ..................
1 0 ?51,
W101- .y,00,
The Initials MT are Milton
Thompson, a temporary contract
inspector for the City.
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