20050783.pdfDATE RECEIVED
h,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWt�RN��,ME/NAME OF BUINESS
*?Zz-
= 7
MAILING ADDRESS
rl&3?, 2,30 b P/ SCO
CITY ZIP TELEPHONE
NAME
ADDRESS
CITY ZIP TELEPHONE
PERMIT EXPIRES
USE
ZONE
PERMIT
NUMBER
JOB
ADDRESS
_§UITE/VT*t
PLAT N BDIVISION NO,
LOT NO.
LID
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCIP Approved
AW Permit Required
0
Street Use permit Floq d
0
EXISTING — PROPOSED
inspection Required
0
Sidevvii:1, Required
0
REQUIRED DEDICATION
FT
Undert;iround
Wiring reqUifed
0
METER SIZE
LINE SIZE
OF FIXTUR".
-PIRV REQUIRED
LN10.
NO 0
ISP
cc
10, E 'AM_WA#fOFfA' -'A 'I..
z
z
E S&L!�
4R
TROL/DRAAAGE
a
z
Izt tn-
,4 bN WATER HEATER ONILY INC
3:n-r 17= D 4 C r. f. 5 17 RCIAI rENTPR 9z.07 -1TTMWnT1_NG REVIEWEJ/DATE
x 'ATD to the required
0 In addition
124t1h ST4 43
01 pf
4 J/ I i-: I Alp �AJA 13' Y'_ DATE
CITY ZIP TELEPHONE nsion tank shall be
z listed expa
0
jl�ili - VA) watpr tallks,
- - yg�/4 6
STATE LICENSE NUMBER EX ATIT DATE CHECKEDpy SHORELINE OR ADB# IN ECTIO
EO'D
C 6 018
S 0
.0
REVIEW SIP W --'�EIGHT
PROPERTY T CCOUNT PAHLA:L COMPLETE "A=10=0 P OP tjj*L4E PROPOSED
df�o to _t��
5�s A . . i C 0
U.1
Px� C
NE I W RESIDENTIAL 02ED�SETBACKS (FT.)
PLUMBING MECH d§PgMDE R "ORN'T OSIDE REAR
V 9 C3
UgPROP
COMMERCIAL COMPLIANCE 0 Xjj&
F R th 0 z
ADDITION 2
CHANGE OF USE z
PARKING LOT AREA PLANNING REVIEWED BY DATE
REMODEL APARTMENT SIGN REO'D I PROVIDED Q.
o GRADING� FENCE
REPAIR CYDS X FT) REMARKS
DEMOLISH TANK OTHER
Ei GARAGE REOTAIENRING WALL RENEWAL
z CARPORT 9 CK Y
p (TYPE OF USE, BUSINESS OR.ACTIVIjY) EXP IN:
LL
cc
f Inc)
CHECKEDBY
TYPE OF CQ5,STRI�CT11011
I
CODE U
OCC `9
GROUP
IL)
in
w
NUMBER
NUMBER OF
CRITICAL
SPECIAL INSPECTOR
AREA OCCUPANT
OF
DWELLING
AREAS
0
STORIES
UNITS
N UMBER
REQUIRED [] YES
LOAD
DESCRIBE WORK TQJ*.Qj2A
REMARKS 0
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
N
Iz,
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE 0,6
BUILDING
PLAN CHECK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
SURCHARGE
w PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOR S
ENG. INSPECTION FEE
in
w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
_j A
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM NY AND
INSPECTION FEE
M ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
4
.
RECEIPT
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
C' DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
RECEIPT
TOTAL AMOUNT DUE
;�2
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 011icial or his/her Deputy: and Foes are paid. and
IN VI'OLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowlec1god in space provided.
WORKMEN'S COMPENS�CURANCE AND RCW 18.27�
OFFIkALSS1 TU DATE
ILN
Ix
SIGXNT (OWNER DATE SjGNED
(425)
rl�,
*UE
!!�A*
771 -0220
6ATE
jQ
RELEASE[
Arr4NTION
EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
5/913
z
0
1
0
M
:; 9
W
M
C
M
0
0
0 C
M
M Z.
�z
C/)
0 -n
n
M M
C-1)
0 r_.
0 M
C (j) I
Fb.C/)
Q 0
Z
X
>
z
3:
z
0
0
M
GARY FIAAKEN SON
CITY. OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS.WA98020 (425) 771-0220 FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT.
Planning - Building Engineering
C C)
March 21, 2006
Pete Goranson
z
2825 South.Lake Stevens Road
Everett, Washington 98201
0
R.E: 7632.23 8"'. Place Southwest, Edmonds
Gas Hot Water Tank Permit #2005-0783
rn
C
Dear Mr. Goranson:
M 0.
0
According to City permit records, Action Water Heater obtained a permit on your behalf to install a
0
0 C
-4
gas hot water tank in the garage of a home you own at 763 2 238"' Place Southwest in Edmonds
M
M z
(reference permit #2005-0783 copy enclosed for your convenience). The Uniform Plumbing Code
JO -4
regulates the installation of gas* water heaters and requires a final installation inspection in order to,
close o nd to be assured no life -safety issues exist.
ut the permit a
r
Unfortunately, as of this date there is no record,of inspection request. Please contact the Building
0 _n
A
Services, Inspection hotline at 425-771-0220 extension 1.333 by March 31, 2006 to schedule a day and
M M
-n 7:15am to 3:45prn, Monday through
time for inspection. Our inspection hours can be froi Friday. If
05
these tim -or you perhaps another family me . rnber or neighbor or building-
es are not convenient f
0
0 M
manager could �allow the City Building Inspector access for inspection. We will try to. accommodate
ca
co
your schedule as much as 'ossible. If there are circumstance's beyond your control that will prevent
p
M 0
Z
you from complying by the noted deadline please call me directly at 425-77..1-0220 extension 1226.
Sincerely,
z
Jeannine L. Graf
z
Building Official
0
M
Incorporated August. 11, 1890
s ister City - Hekinan, Japan
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
z
Retaining Wall ........... .
ITI
Slab Insulation ..........
-n
PLUMBING:
C/)
O.M
Underground .............
C=
IT!
Rough -In ...................
__110
Commercial Final ...... .
M
M Z'.
HEATING:
Gas Test ....................
a
>
Gas Piping .................
q -n
Equipment .......... ........
-n
Commercial Final .......
M IT!
EXTERIOR SHEATHING
0 r
NAILING, ..........................
0 M
C Cn
FRAMING ........................
0)
Q 0
FIRST FLOOR FRAMING ...
Z r
;U
INSULATION ................... .
Floor Insulation, ......... .
z
Wall Insulation ......
Ceiling Insulation .......
z
SHEETROCK NAILING
0
SPECIAL INSPECTION
ITI
MISCELLA NEOUS ......
FINAL APPROVAL FOR MS,
OCCUPANCY ..................
4w
&0000