20050588.pdfI DATE RE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
=WNER NAMEINAME OF BUSINESS ---
Nancy Beaumont
MAILINGADDRESS
19813 80th P1 W
CITY ZIP TELEPHONE
Edmonds 98026 425-775-5856
ADDRESS
NAME
FAst Water Heater
ADDRESS
12601 132 Ave NE
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C
ci ry ZIP TELEPHONE
T
Kirkland. 98034 L425-814-3124
STATE LICENSE NUMBER EXPIRATION DATE I
FASTWHC052DF 2-16-07
PROPERTY TAX ACCOUNT PARCEL NO.
00506300000200
NEW
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RESIDENTIAL
r;LjADDITION
COMMERCIAL
MIXED USE
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
El
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPUAIN
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
oFENCE
( — X
OTHER
FIRE SPRINKLER
FIRE ALARM
05 .. ..... FPERMIT EXPIRES
PERMIT
NUMBER
JOB SUITE/APT#
ADDRESS
19813 80th Fil W
PLAT NAMEISUBDIVISION NO. LOT NO LID NO
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproved
RW Permit Required
Sirect Use Permit Requited
EXISTING ftj16dKW-
ik F R q7ulr;�
the requir4('d'j""jQf.,'0 U"O
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REQUIRED DE CAT oflIdditi FT ri'd
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METER SIZE MwfeIiram Ipprov
i�!ql 61';an tank shall be13
REMARKS ? JPOSRL4
OWNERiCON1
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lipli4liu pasmng
ENGINEE�W FtAMY0t.nY' s. jAj(?18b3.2
(11rougli ullhelllte.d space ------
FIRE REVIEWED 13Y DATE
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BY VARIANCE OR CU SHORELINE RADB# 1, INSPECTIO SEPA
REQ'D COMPLETED
1:1 YES [31101
CA# ZONE SIGN AREA HEIGHT
WAIVER 13 ALLOWED I PROPOSED ALLOWED I PROPOSED
STUDY 13
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
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PARKING LOTAREA PLANNING REVIEWED BY DATE
iREODPROVIDED I I
FT.) I REMARKS
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NUMBER
OF
STORIES
-RUI
IMBER OF
DWELLING
TS
SPECIAL INSPECTION
REQUIRED 13 YES
DESCRIBE WORK TO 13E DOF
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Remove/replace gas water heater in_
REMARKS
basement 38,000 btu's
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
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VALUATION
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Description
Plan Check
HEATSOURCE
LOT SLOPET
VESTED DATE
Building Permit
PLAN CHECK 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
to
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PERMIT APPLICATION: SEE ECDC 119.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 119.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
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"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.0
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR T14E DULY AUTHORIZED AGENT OF
CONSULTANT
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSAYW"VANCE AND RCW 18:27.
SIGNATURE (OWNER� E�T): DATE SIGNED
0 AqEN�e (425)
le. -12-05
7 771.nqqn
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. UBC109 / IBC110 I IRC1110.
OCCUPANT
GROUP
111141101113
FEE Description
State Surcharge
City Surcharge_
Base Fee
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FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a peraid until signed by the
Building Official or his/her Deputy: and Foos are paid. and
receipt is acknowledged in space provided
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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BY
ORIGINAL -FILE YELLOW -INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS . ....................
'FOUNDATION:
Footing ....................
Wall..........................
Pier/Porch ................. .
M
Retaining Wall ...........
Slab Insulation .....
Cl)
-PLUMBING!
3:
0 M
C
M
Rough -In ...................
C
3: M
Commerc I ial Final
M Z
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HEATING:
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Gas Test ....................
Gas Piping .............
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Equipment .................
M M
Commercial Final ....... .
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EXTERIOR SHEATHING
0 ITI
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NAILING ...........................
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ITI 0
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FRAMING ........................
FIRST FLOOR FRAMING...
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INSULATION ...................
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Floor Insulation .......
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...................