20041054.pdfDATE RECEIVED I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
Olof Strandell
MAILING ADDRESS
626 Elm PI
CITY ZIP TELEPHONE
Edmonds 98020 1 425-672-8784
NAME
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t: ADDRESS
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CITY ZIP TELEPHONE
NAME
Fast Water Heater
ADDRESS
12601 132 Ave NE
PERMITEXPIRES
us�
ZONE
PERMIT
NUMBER
JOB
SUITEWT0
ADDRESS
626 Elm PI
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT
OF WAY PER OFFICIAL STREET MAP
I ESCP Approved
RW Permit Required
13
13
Street Use Perind Roq*d
13
EXISTING
— PROPOSED
inspection Required
13
Sidewalk Required
REQUIRED DEDICATION—
FT
Undinaround
Wiring required
C3
METER SIZE
LINE SIZE
I
NO. OF FIXTURES
I
PRV REQUIRED
YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CBL 9
[ENGINEERING REVIEWED BY
CITY ZIP TELEPHONE
Kirkland 980� 425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE I r
FAS,IrvfflC052DF 2-16-05 'It.0 I
PROPERTY TAX ACCOUNT PARCEL NO.
00736400001400
M
NEW
RESIDENTIAL
91
ADDITION
COMMERCIAL
1:1
REMODEL
MULTIFAMILY
1:1
REPAIR
GRADING CYDS
1:1
DEMOLISH
TANK
GARAGE
CARPORT
RETAINING WALL
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) _LXPLJ�tN,*/
M(
.!P:LUMBIIING
MECH
C C017PL ANC
LIANCE OR
E] CHANGE OF USE
SIGN
FENCE
( X Fr)
OTHER
FIRE SPRINKLER
FIRE ALARM
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
Remove/reolace qas water heater in basement
HEAT SOURCE
GLAZING %
LOT SLOPE %
PLAN CHECK NO: 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.
a: PERMIT APPLICATION: 180 DAYS
W
CL 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
UJI IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
_j
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Ir
,X ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT* BE
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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0 NOR LIMIT IN ANY WAY THE CITYS ABIL11Y 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 DU& 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 V61LATION OF THE LABOB_J�ODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATIQ"SbfIANCE AND RCW 18,27.
SIGNATURE (DY6ALF1 OR kENT) / I DATE SIGNED
I
FIRE REVIEW1 �Vessure/relief valve, an appmed
Wed cxvnallleir�n Iqnk i"hall be
VARIANCE 01; ILI jSHQR L�Egffft kS, PB(
inst Ilea I Ww�ctt 0
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,r, rlk OYES ONO S
SEPA IEW 51UN AN
COMPLETE,WrmfT— —AyrMt=PA'0POSED ALLOWED , PROPOSED
EXP I
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (IT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR
V :rG�' $"t 1Iffftt1§W4§YtjfiiredDA -E
RE To PRGQ"��'�61& IpVt �M
oil uel-burhing appliances passing
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RE Mug I unflanted spul�va. I.M-C 803.2
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CHECKED BY
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OCCUPANT
GROUP
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SPECIAL INSPECTION
OCCUPANT
REQUIRED 11 YES
JAREA
LOAD
REMARKS
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PROGRESS INSPECTIONS PER
UBC 1081 IBC109
/ IRC109 FINAL INSPECTION REO'D
VALUATION
Description FEE Description FEE
Plan Check State Surcharge
Building Permit City Surcharge
Plumbing r-2 Base Fee
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Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review Plan Chk. Deposit
Fire Inspection Receipt #
Landscapelnsp. Total Amt. Due
Recording Fee Receipt #
APPLICATION APPROVAL
I his application is not a permit until signed by the
CALL Bunding 011icial or his/tier Deputy. and Foos are paid, and
FOR INSPECTION receipt is acknowledged in space provided.
OFFICIALS SIGI�ATURF D E
(425)
771-0220 RELEASED BY /DATE
ATTENTION t:)k I I
ITIS UNLAWFULTO USEOR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC1091IBC110/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:
Gas Test ....................
Gas Piping .................
Equipmdnt .................
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 .................. YV)S
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