20050089.pdfDATE RECEIVED
Vx) L I LPERMIT EXPIRES
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Q NUMBER
CONSTRUCTION PERMIT APPLICATION
J013
SUITE/APT#
ADDRESS
18216 76 Ave W
OWNER NAME/NAME OF BUSINESS
PLAT NAM E/S UBDIVI SION NO. LOT NO.
LID NO.
LID FEE $
Kurt Larson
MAILING ADDRESS
18216 76 Ave W
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
7ESCP Approved
RW Parnill Requited [3
EXISTING — PROPOSED
Street Use Pentrut Req'd 13
inspection Required 0
Sidewalk Required 13
CITY ZIP
TELEPHONE
Edmonds 980261
425-776-5010
REQUIRED DEDICATION FT
Underground
Wiring required, 0
METER SIZE
LINE SIZ7
NO. OF FIXTURES
PRV REQUIRED
NAME
YES 1:1 NO 13
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ADDRESS
REMARKS
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OWNER/C
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in ad ition to the required
CITY ZIP
TELEPHONE
pi essu, ch eiirf -mirep Hit x1ppruveit
wolk shall
be
NAME
CBL#
in, alled con Iall hM w.4tea,
-tanks-
FAst water Heater
ENGINEEjNtpeWg),136
DATE
ADDRESS
12601 i32 Ave NE
FIRE REVIEWED BY
DATE
W
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CITY ZIP
TELEPHONE
Kirkland 98034
425-814-3124
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REO'D
BOND
POSTED
is
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
OYES
ONO
FASTWHC052DF
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED, PROPOSED
HEIGHT
ALLOWED PROPOSED
-2-16-
PROPERTY TAX ACCOUNT PARCEL NO.
00822600000300
,
,
MEN
EXP
NEW RESIDENTIAL
PLUMBING I MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT)
FRONT SIDE HEAR
PROPOSED SETBACKS (Fr.)
FRONT LJRSIDE REAR
ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
0
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PARKING
A
PLANNING REVIEWED BY DATE
5
REMODEL MULTIFAMILY
SIGN
REO'D. I PROVIDED
GRADING--- FENCE
REPAIR El (-Ynq F-1 x IFT),
.17
REMARKS
DEMOLISH TANK
OTHER
nCTAINIMr. WAI
I clor COMIKIWI rp
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NUMBER 4UMBER OF
OF DWELLING
o STORIES UNITS
DESCRIBE WORK TO BE DONE
REmove/r eplace gas
Fqaraqe 40,000 btu'
CHECKED -BY ITY2 0 ST U WTI UUL;UVANl 4�1
GROUP
CRITICAL
AREAS SPECIAL INSPECTION JAREA OCCUPANT
NUMBER REQUIRED C: LOAD
:er heater in REMARKS
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E PROGREM INSPECTIONS PER UBC 108/ IBC109 IRC109 FINAL INSPECTION REO'D 1 9
VALUATION
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOU FICE T GLAZING % LOT SLOPE %
Building Permit
City Surcharge
.PLAN CHECK NO: VESTED DATE
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY 7HE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
ILL! PERMIT APPUCATION: 180 DAYS
a. PERMIT UMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS 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
9
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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1 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLJOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INWANCE AND RCW 10.27.
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Fl LS DAYE
Sl GNATURE (OWNER214 ENT) D
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(4425)
MSIGE
11 'IV -
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771-0220
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RE(EA66 BY DATY
ATTENTION
EXT 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR 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
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue Northl Edmonds,.WA 98020
(425) 771-0220
-""ER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account.Parcel No): 18216 76"' A v*enue West, Edmonds,
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WA 98026 Tax Account Parcel No. 00822600000300
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Issued To: Kurt Larson, Property Qwner
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Address Of Person This Order Is Issued To: 18216 76thAvenuc West, Ednionds, WA 98026
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Code Section Violated:. 2003 ed ition of the International Mechanical Code Sections 106 & 107 & 108.
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Description of Violation: On belialf of the property owner, Fast Water Heater obtained a mechanical
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pgrrnit (#2005-0089) to install a new. gas hot water heater in the garage of the Larson residence. The
City Building Inspector performed an inspection on FebruaEy 11, 2005 and wrote a correction Muiring a
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one inch clearance around the exhaust pipe. The correction was to be made and a recall for inspection
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by March I I .2005.
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Corrective Action Required: Contact the City Building Inspector (425-77 0220 extension 1333)and
schedule for a mutually agreeable d" and time to inspection the clearance around the exhaust pipe.
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Correction is Required no later than: 5-00prn (tinie) May 31, 2005 (date)
If correction is not made by the date and time specified in the Order, a Notice of
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Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
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$100.00 per day, or. portion of a day, during which the violation continues.
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Date Posted: Date Mailed: May. 4, 2005 Date Served
Issuing Part Jeannine L. Graf Title Building Official
Signature.
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Cc: Fast Water Heaterlk 12601 132 Ave NE, Kirkland, WA 98034
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
'Wall ..........................
Pier/Porch ................
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
Underground .............
Rough -In ...................
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Commercial Final ......
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HEATING:
Gas Test ....................
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10-4
Gas Piping .................
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Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
NAILING ....... i ..................
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FRAMING ........................
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FIRST FLOOR, FRAMING...
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INSULATION ...................
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