20050448.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
Larry Fahey
MAILING ADDRESS
7630 '193 Pl SW
CITY ZIP TELEPHONE
Edmonds 1 425-772-6797
NAME
ADDRESS
NAME
Fast Water Heater I t ok,'A
ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland 980.34 1425-314-3124
STATE LICENSE NUM BER EXPIRATION DATE CHECKED
FASTWHC052DF 2-16-07
PROPERTY TAX ACCOUNT PARCEL NO.
[;7ERMIT EXPIRES
PERMIT (31/11
NUMBER C&5 17
JOB SUITEJAPT ft
ADDRESS 7630
4:?� 19 3 P 1 S W
PLAT NAME/SU
BDIVI SION NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
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A WATER SERVICE SHU170FT
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PLANNING REVIEWED BY DATE 15
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NUMBER OF
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SPECIAL INSPECTIOI
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DESCRIBE WORK TO BE DONE
Removeierplace gas water heater
REMARKS
in outside storage 40,000 btus
GEOTECH REPORT
BY:
STRUCTURAL DESIGI
BY: API
VALUATION
Description
Plan Check
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VESTED DATE
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Building Permit
PLAN C�CK NO:
Plumbing
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
SEPARATE PERMISSION.
Grading
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
���R�ocording
Fire Review
Fire Inspection
Landscapelnsp.
Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
OCCUPANT
GROUP
CONSULTANT OCCUPAN
LOAD
jjNT To 1j?C 608
REREGULATORVALVE(PRV)
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE-17ASIQ f R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION ""URANCE AND RCW 18:27.
. . 17 -
SIGNATURE (OWNER 0 6'kGE� DATE SIGNED
(425)
771-0220
ATTENTION A L
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due &S, 06
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or hisitier Deputy! and Fees are paid. and
receipt is acknowledged in space provided.
11�,ICIAI�
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10104 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/�qrch .................
Retalhing all
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Slab Insulation ..........
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PLUMBING:
Underground .............
Rough -in .................
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Commercial Final . ......
0
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HEATING:
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Gas Test ........... ........
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10
Gas Piping .................
Equipment ......... * ..........
3:
Commercial Final .......
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EXTERIOR. SHEATHING
3:
�mm
NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING...
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INSULATION ....................
-1
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
3:
SHEETROCK NAILING ...
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SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL.FOR
OCCUPANCY ....
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