20050676.pdfDATE
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEiNAME OF BUSINESS
MAILING ADDRESt 1i
9'117 -,13 5'
CITY ZIP TELEPHONE
01 on 99o;� o
NAME
PERMIT EXPIRES
PERMIT
NUMBER
JOB
ADDRESS,,&
SUITEIAPTH
PLAT NAMEISUBDIVISION NO,
LOT NO.
LID NO.
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LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPAppfoved
RW Permit Rwptud
EXISTING
PROPOSED
Streel Use Poralit Requited
Inspection Requited
13
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Sidewalk. Required
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REQUIRED DEDICATION
FT
Undergtound
Waina roqutfrid
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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YES 13 NOO
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY DATE
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ADDRESS/
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FIRE REVIEWED BY DATE Lu
CITY ZIP
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VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
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STATE LICEN SE NUMBER EXPIRATION DATE
CHECKED 13Y
REO'D
COMPLETED EXEMPT
13YES 13NO
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ZONE
SIGN AREA
HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
WAIVER 1:1
ALLOWED PROPOSED
1 1
ALLOWED PROPOSED
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STUDY 13
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NEW RESIDENTIAL PLUM13ING I MECH
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
MIXED USE
PARKIN
LOTAREA
PLANNING REVIEWED BY DATE
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��REMODEL MULTIFAMILY SIGN
REQ'D PRioVIDED
GRADING FENCE
REPAIR CYDS x FT.)
REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
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CARPORT ROCKERY FIREALARM
(TYPE OF USE, BUSINEj>5OR ACTIVITY) EXPLAIN:
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OF
NUMBER OF
DWELLING
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SPEC14L INSPECTION
CONSULTANT
OCCUPANT
STORIES
UNITS
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LOAD
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REQUIRED
DESCRIBE WORK TO BE DONE
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REMARKS
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GEOTECH REPORT
BY:
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STRUCTURAL DESIGN
BY:
VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
LOTSLOPE%
VESTED DATE
Building Permit
city Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
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rf. PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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IL PERMIT LIMIT: SEE ECDC 19.00,006(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR S
Fire Review
Plan Chk. Deposit
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_1 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 #
1 x 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
Landscapelnsp.
Total Amt. Due.
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.0
Recording Fee
Receipt # 27012-..
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
This application is not a permit until signed by the
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
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Building Official or his/her 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 COgfM!"RATION INSURANCE AND RCW 18:27.
OFFICIALS SIGNATURE DATE
SIGN OWNER 9P AGENT): DATE SIGNED
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771-0220
7,iE�LEZF W DATE
IME,W)O N
EXT. 1333
IT IS UNLA*FUL TO U/OFR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK - OWNER GOLD - ASSESSOR
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
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CITY OF EDMONDS.
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
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94 PI SW Edmonds, WA
Location of Violation (Address and Tax Account Parcel No). 17 235"'
98026 Tax Account Parcel No. 00447600001700
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Issued To: Becky Mey-gs.Property 0xvner
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Address Of Person This Order Is Issued To: 9417 235t" PI SW Edmonds, WA 98026
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Code Section Violated:. Uniforni Mechanical Code Section 112. 1.
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Description.of Violation: On behalf of the property owner, Fast Water Heater obtained a mechanical
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permit 02005 -0068) to replace an existing gas fired hot water heat in a utility room. Upon inspection b
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the City Building Inspector on June 20, 2005 the roorri was noted to be used as a utility room as well as a
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bathroom. Gas fired applia I nces are. not pennitted to be installed in a. bathroom unless the fixtures are
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direct vent to the outside or completely separated by a ti�ht fittina. self.closing door (provided ade
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combustion air can be provided to the unit). he City Inspector wrote a correction notice and required
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corrections to be made by June 27, 2005; as of todU no re -inspection has been requested.
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Corrective Action Required: In order for the City to grant mechanica appr,oval the following actions
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must be immediately taken: -1) Install a direct vent for the hot water tank OR, 2) Separate the hot water
-closing door and 3) Recall for re -inspection of the corrected items.
tank area with a weather tight, self
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Correction is Required no later than: 5:06pm (time) Jul�13,2005 -(date)
If correction is not made by the date and time specified.in the Order, a Notice of
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Civil Violation shall be issued. The Notice of Civil Vi olation shall assess fines of
$100.00 per day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: June 28, 2005 Date Served
Issuing Party Jeannine L. Graf T itle Building Official
Signature
nd
Cc: Fast Water Heater 0, 12601 132 Ave NE, Kirkland, WA 98034