20050155.pdfDATE RECEIVED
PERMIT EXPIRES
PERMIT
CITY OF EDMONDS NUMBER
JOB
CONSTRUCTION PERMIT APPLICATION ADDRESS -SUITE.JAPT#
OWNER NAME/NAME OF BUSIN SS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO�
MAILING ADDRESS LID FEE $
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(3 q TESCIPAppreved
15- '7 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
0 P- RW Permit Required C3
CITY Street usu Permit Required 13
ZIP T4LIPHONE EXISTING PROPOSED inspection Requited Ell
Sidewalk Required E3
REQUIRED DEDICATION FT underground CI
E?) Mind required 13
NAME METER SIZE LINE SIZE NO, OF FIXTURES . PRV REQUIRED
YES 13 NOD z
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t ADDRESS REMARKS W
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a
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CITY ZIP TELEPHONE --------- � I
vent e.onnuctins
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FIRE REVIEWED BY DATE
EPHONE
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STATE LICENSE NUMBER EXPIRATION DATE C CKE?j. B VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA
REO'D CO
-7111142 13YES 13NO
PROPERTY TAX ACCOUNT PARCEL h No. CA# ZONE SIGN AREA HEIGH
ILD VERM ALLOWED , PROPOSED ALLOWED PROPOSED
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NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
IX ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR z
F-1 CHANGE OF USE 2
E] MIXED USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE
RE MODEL MULTIFAMILY 1:1 SIGN REO'D PROVIDED
GRADING FENCE I
REPAIR CYDS 0 X FT.) REMARKS
DEMOLISH TANK 1:1 OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN;
TYPE OCCUPANT
U NUMBER OF S M10 GROUP
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OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT
UNITS
0 STORIES LOAD
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DESCRIBE WORK TO BE DONE
REMARKS
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BY: addition to the required
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BY: &FAIllibim, tank shall be
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Descriptlob
Plan Check State Surcharge
HEAT SOURCE LOTSLOPE% VESTED DATE
Building Permit City Surcharge P)
PI A 141 1%- HECK NO: Plumbing Base Fee
I 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.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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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
Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROWTHE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
IFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
DEEMED TO MOD
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION A15PROVAL f
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
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION eceipt is acknowledged in space provided.
WORKMEN'S COMPENSATIO!��RANCE AND RCW 18:27. rF IALS SIGN TYR �D E
SIGP,,a,TURE (OW AGENT): D E S[,NED/ (4:25)
_AYf E
771-0220 _kE"LEAS_V0 V --T�e
ATTENTION EXT. 1333 -- — ----------------
IT IS UNLAWFUL TO USE OR OZUP'�"YA BUILDING OR STRUCTURE UNTIL I --
A FINAL INSPECTION HAS BEEN MADF_ ANE) APPRUVAL UR A L;ERT I- ORIGINAL -FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK -OWNER GOLD ASSESSOR
110104 PRESS HARD - YOU ARE MAKING 4 COPIES
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"o GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
August 25, 2005
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Ms. Sandra Olson.
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1841579 th Place West
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Edmonds, Washington 9802.6
RE: Plumbing Permit #2005-0155
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Dear Ms. Oilso n:
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According to City records Washington Energy Services obtained a pen -nit On your behalf to change out
a gas water heater within the garage. (reference permit #2005-0155 copy enclosed fo r. your
convenience). The Uniform Plumbing Code regulates the installation and repair of hot water heaters
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and requires a final installation inspection in order to close out the permit and to beassured no life
s fety issues exist.
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Unfortunately, as of this date there is no record of inspection. request. :My staff placed.a.phone call to
Washington Energy Services and confin-ned that the work. is finished. We understand that it is
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sometimes difficult to arrange a day and time for inspection, especially when family i-nembers are
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Working; however the. code requires a final inspection.
Please contact the Building Services Inspection hotline at 425-771-0220 extension 1333 by. Septei -nber
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91' 2005 to schedule a day and time for inspection. Our inspection hours can be from 7:15am to
3:45pi-n, Monday through Ffida'. If these times are not convenient for you perhaps another family'
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member or neighbor could allow the. City Building Inspector access for inspection. We will try to
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accommodate your-scheduld as much as possible. If there are circumstances beyond your control that
will, prevent you from complying by September 9, 2005 please call me directly at 425-771-0220
extension 1226.
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Sincerely,
�!Grraf
canni c L. Gra
Building Official
Incor orated Augusi 11, 1890
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Sister City Hekinan, Japan
RECORD OF INSPECTIONS
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INSPECTOR DATE APPROVED
§tTBAbKS ......................
FOUNl3Af1'6W'
Footing ......................
Wall..........................
Pier/Porch .................
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Ftetaining Wall ...........
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Slab Insulation ..........
PLUMBING-
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Underground .............
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Rough -In ...................
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Commerc ial Final ......
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HEATING:
Gas Test .....................
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Gas Piping .................
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Equipment ...............
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Commercial Final .......
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EXTERIOR S.HEATHI NG
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING...
INSULATION ..........
Floor Insulation ........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING
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SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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