20050080.pdfI DATE �RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME
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PERMIT EXPIRES
PERMIT
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PLAT NAME/SUB DIVISION NO. LOT NO.
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TESCP Approved
RW Permit Required
Street Use Permit Required
Inspection Required
Sidewalk Required
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PROPERTY TAX ACCOUNT PARCEL NO WAIVER 13 ALLOWED I PROPOSED ALLOWED I PROPOSED
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NEW RESIDENTIAL LUMBIN / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
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ADDITION MIXED USE CHANGE OF USE I I - E
PARKING LOT AREA PLANNING REVIEWED BY DATE
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GRADING o FENCE
REPAIR El CYOS ( x FT.) REMARKS
DEMOLISH TANK OTHER
EGARAGE RETAINING WALL FIRE SPRINKLER
I CARPORT El ROCKERY FIREALARM
(TYPE OF USE S OR ACTIVITY) EXPLAIN:
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NUMBER NUMBER OF
OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT
STORIES UNITS REQUIRE LOAD
DESCRIBE WORK TO BE DONE
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Description FEE Description FEE
Plan Check State Surcharge
HEAWC I LOTSLOPE% VESTED DATE - Building Pe I rmit City Surcharge
PLAN CHECK NO: Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) Engr. Review
PERMIT LIMIT. SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
&APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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 BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I 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 Official or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged in space provided.
IN VIOLATION OF THE LAB E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATI 114SUR NCE AND RCW18:27. OFFICIALS SIG NATURE PATE
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SIGNATUPj (OWN )-'7 (425) ef
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771-0220 —RELEAS5
N ION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 If IRC110.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD - ASSESSOR
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0226 FAX (425) 771-0221
Website: wmai.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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August 25, 2005
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Carl Goodwin
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23902 102"' Avenue West
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Edmonds, Washington 98026
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RE: Gas Water Heater Pen -nit #2005-0080
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Dear Mr. Goodwin.
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According to City records Washington Energy Services obtained a pen -nit on your behalf to replace a
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gas hot water heater in your basement (reference permit -#2005-0080 copy enclosed for your
convenience). The Uniforni Plumbing Code regulates the installation of gas piping and hot water tanks
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and requires a final installation approval in order- to close out tile permit and to be assured no lird-
safety issues exist..
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On August 9, 2005 the City Inspector wrote a correction Notice that required a direct vent to be placed
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on the water heater- the Notice required correction within 14 calendar days. We understand that it is
sometimes difficult to arrange a day and time for inspection, especially when family members are
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orking; however the code requires this issue to be resolve and a filial inspection approval ranted.
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Please contact the Building Services Inspection hotline at 425-771-0220 extension 13,33 by September
2, 2005 to schedule a day and time for inspection. our inspection hours call be from 7:15ai il to
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3:45pm, Monday through Friday. If these tinies.are not convenient for you.per other family
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member or neighbor could allow the City Building Inspector access for inspection. We.will try to
accommodate Your sched ule as much as possible. If there are circumstances beyond your control that
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will prevent you from complying by September 2, 2005 please 'call.me. directly a t 425-771-0220
extension 1226. Failure to contact the City by this date shall result in the issuaric e of a Order to
rst step in the City's Civil Penalties
Correct, Violation Notice tile fi process whereby fines may be
imposed in order to gain code compliance.
Sincerely,.
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister Citv - Hekinan. JaDan