20050183.pdfDATE RECEIVED
05
USE
CITY OF EDMONDS ZONE
JOB
CONSTRUCTION PERMIT APPLICATION ADDRESS
f I 70WN(ER NAME/NAME OF BUSINESS
noward Aaefield
MAILING ADDRESS
9027 189 PI SW
CITY ZIP TELEPHONE
Edmonds 98026 1425-774-8245
NAME
ADDRESS
CITY
NAME
ZIP ITELEPHONE
CBIL 4
el�N
Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY . . ZIP TELEPHONE
Kirkland 98034 425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE CHECKED B
I
FASTWHC052DF 2-16-07
PROPERTY TAX ACCOUNT PARCEL NO.
00561500000500
IPERMITEXPIRES
PERMIT
NUMBER <6
SUITE/APT#
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Requited
E3
C3
Street Use Permit Roq'd
13
EXISTING - PROPOSED
Inspoction Required
13
Sidewalk Required
E3
REQUIRED DEDICATION- FT
Underground
WirinQ required
E3
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
UJI
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UREMARKS'
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WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
0 OW 1�
IA
Im
In addition to the required
=NGINEEP vreg"reireliet valve$ an appremed
mmon� liated exvansion tank shall be
FIRE REI %%ftIled on all hot water tank&E LU
REO'D POSTED
OYES ONO Is
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE --EXEMPT ALLOWED - PROPOSED ALLOWED PROPOSED
EXP
NEW
RESIDENTIAL
PLUMBING/MECH
LOI CC
ALLOWED
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
or L V�t connectors
re7gired
Mute -
PEOPOSED
rough
FRO WNW-
unheated spaces.
SETBACKS
PNAV%R SIDE R
IMC 803.2
PARKING LOT AREA PLANNING REVIEWED BY
.13 REMODEL El MULTIFAMILY SIGN, REQ'D I PROVIDED
FENCE
13 REPAIR [3 GRADING CYDS ( X FT) REMARKS
OTHER
DEMOLISH TANK
GARAGE RETAININGWALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
E(TYPE OF USE. BUSINESS; OR ACTIVITY) EXPLAIN'
RE CHECKED BY ITYPE OF CONSTPUCIION CODE OCCUPANT
1�� S t omu LCi GROUP
NUM13ER BCIS e 03
NUMBER OF C 7R11.T IC A L
AREA
S SPECIAL INSPECTION' AREA OCCUPANT
OF DWELLING AREAS
NU EF LOAD
o STORIES -+ I
1. 1 UNITS NUMBER REQUIRED
DESCRIBE WORK TO BE DONE
z
2
RemoveireRlace gas water heater
in garage 40,,000 btu's
REMARKS . a
z
PROGRESS INSPEC71ONS PER USC 108/IBC1091IRC109 FINALINSPECTION REO'D
00
IYAI:�:
VALUATION.
$
V
D7escription
FEE
Description
FEE
Plan Check
PI
State Surcharge
HEAT SOURCE
T
GLAZING %
LOT SLOPE %
Bui g P
Building Permit
City Surcharge
Plumbing
Q0 Co
Base Fee
(";30. 0(),
PLAN CHECK NO: VESTED DATE
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
i
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
cc
u.1 PERMIT APPILICATION: 180 DAYS
9L PERMIT LIMIT I 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
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE 013 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp,
To
Total Amt. Due n
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
#
Receipt D690
I -
Recording Fee
C
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 EMPLOYED
Building Official or hisihor 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 INSURANCE AND RCW 10.27.
FFICIALS SIGN URE DATE
SIGNATURE NERO AGENT) DATE SIGNED
(425)
771-0220
DATE
A17ENTION
Off 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILA FINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCLI-
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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