20050497.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
Miller, Kay
MAILING ADDRESS
820 14 St SW
CITY ZIP TELEPHONE
Edmonds C 1425-640-9519
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ADDRESS
NAME
CBL#
.Fast Water Heater
ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland 98034 1425-314-312
STATE LICENSE NUMBER EXPIRAT ION DATE C
FASTWHC052DF 2-16-07
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PROPERTY TAX ACCOUNT PARCEL NO.
27032500305500
NEW ETRESIDENTIAL
COMMERCIAL
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MIXED USE
REMODEL MULTIFAMILY
REPAIR 13 GRADING CYDS
DEMOLISH 1:1 TANK
GARAGE RETAINING WALL
1:1
CARPORT ROCKERY
(TYPE OF USE, BUSINESS OR ACT ITY)E
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PERMIT
NUMBER '1Qa)5,_6qq
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PLUMBING I MECH
COMPLIANCE OR
OF USE
CHANGE
SIGN
FENCE
( X FT.)
OTHER
FIRE SPRINKLER
FIREALARM
Uj NUMBER NUMBER OF
a OF DWELLING
M 0 STORIES UNITS
DESCRIBE WORK TO BE DONE
Remove/replace gas water
in garage 40,000 btu
JOB SUITE/APT#
0 B
D D RE S S
ADDRESS 820 14 St SW
8
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PLAT NAME/SUBDIVISION NO.
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LID NO.
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LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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RW Permit Required
street use Permit Requited 13
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LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
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Description
Plan Check
HEAT SOURCE
LOT SLOPE%
VESTED DATE
Building Permit
PLAN CHECK NO:
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
t:
-1
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Revie W
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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 SUCCESSOR
W 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 Oil INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL tjOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
C NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
S Fire Review
Fire Inspection
Landscapeinsp.
Recording 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 or
THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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
CALL
FOR INSPECTION
WORKMEN'S COMPENSA�T�RANCIE AND RCW 118:27.
-
(425)
774 .1111120n
SIGNATURE IDA kAgENTY.
A "/
DATE SIGNED
6-20-05
ATTENTION EXT. 1333
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. UBC1091 IBC110 / IRC110.
appliances
ed spaces.
IMC 803.2
FEE Description
State Surcharge
City Surcharge
Base Fee
FEE
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0
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Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Olficial or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK -OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE. APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall'..: ....... : ...............
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Pier/Porch . ..........
Retaining Wall ...........
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-Slab. Ins plation ..........
PLUM61NG,
M
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Underground .............
0
Rough -In .......... .........
ITI
Commercial Final ......
M z
10
HEATING:
C
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Gas Test . . ..............
Gas.Piping -i ............
�9 1 1 9 � :
Equipment ...............
M M
Commercial Final .......
0 0)
EXTERIOR SHEATHING
0 M
NAILING ... .......................
0)
FRAMING ........... .......
M 0
Z
FIRST FLOOR FRAMINGv...
X
INSULATION ...................
>
Z
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
SHEETROCK NAILING
ITI,
SPECIAL INSPECTION
MISCELLANEOUS ............
FINAL APPROVAL FOR
OCCUPANCY ..................
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