20050966.pdfDATE RECEIVED U
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CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION ooREss
OWNER NAME/NAME OF BUSINESS 1439 O 1
Troy.Brenda Carlson PLAT NAME/SUBDIvlsloNNo.
w MAILINGADDRESS
1439 Olympic View Dr
CITY ZIP TELEPHONE
Edmonds 98020 425-778-7168
PERMIT EXPIRES= ZO
X006, Oq(o(o
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SUITE/APT#
is View Dr
LOT NO. LID NO.
LID FEE 3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved O
RW Permit Required 0
Street Use Pamir Requited 13
EXISTING PROPOSED Inspection Required O
Sidewalk Required 17
REQUIRED DEDICATION FT underground O
--- — Wumo requited ' 17
METER SIZE LINE SIZE NO. OF FIXTURES ARV REQUIRED
NAME CBL# (�^
Fast Water Heater ENGIN
ADDRESS
12601 132
Ave NE
Kirkland 98034
CITY
Kirkland
ZIP
98034
.425-814-3124
TELEPHONE
STATE LICENSE NUMBER
FASTWHC052DF
EXPIRATION DATE
2-16
Ch
07
PROPERTY TAX ACCOUNT
00531904101100
PARCEL NO.
❑ NEW ® RESIDENTIAL 0 PLUM G I MECH
❑ COMMERCIAL COMPLIANCE OR
❑ ADDITION ❑ CHANGE OF USE
❑ MIXED USE
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN
❑❑GRADING ❑ FENCE X FT
REPAIR CI
DEMOLISH ❑ TANK ❑ OTHER
GARAGE ❑ CARPORT ❑ ROCKENING RY WALL FIRE ❑ FIREALARM LER
,.�.... ... .j. .. YES O Nr O E I w
.kl a'i � r•�- .1� r•'1• •' ��
3EVIEWED'BY.,..,.r-..�..< u....,.. ..Q ..ti........��. hair w
Pe Fi conixector•s required ' LL
through tin Avated sp: es. 113 ru tApek'74 ETIDI EXEMPT
CA# ZONE 1� SIGN AREA RErGHT
WAIVER 13 ALLOWED PROPOSED ALLOWED PROPOSED
STUDY O
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED . PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR t7
.W u.a��1.MQQy��--lW1tlMY��I��,bpp����yy ���p,,�W,yry��.•,y.W,. M.rM.o� Z
EI��� PRC'7V�E� •�lTti S�A :r �Y YlSll. l j DATE g
EMARKS
(TYPE OF USE, BUSINESS OR ACTIVITY) XPLAIN:
oc ViUGJIr TYP NSTRT N C OCCUPANT
n • lam. UtUCUC GROUP
U) NUMBER NUMBER OF
OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT
p STORIES UNITS LOAD
DESCRIBE WORK TO BE DONE REQUIRED 13 YES
Remove/replace gas water heater In REMARKS •PURSUAWT4UPC 608
ylRvrjTi xTnRVALVE
RV
NW corner of cellar . 40 000 btu' s BYorecHRE SHA t ���aT�1Nr LM
STRUCTURAL DESIGN
i�+�
BY:
VALUATION
$
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
Building Permit City Surcharge
PLAN CHECK NO: Plumbing Base Fee
.30
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC Gradin
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g
SEPARATE PERMISSION, Engf. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
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 Landscape Insp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee Receipt # 7SJ
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT 1 AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application Is not a permd 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 CALL Building Official or acknowledged
dgediDeputy: and Fairs are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELAYING TO FOR INSPECTION receipt Is arknowledgod mspace provided
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
OFFICQtZUIL DAT
SIGNATURE (OWNER VOE7NT DATE SIGNED (425) 1 0— 1 9— 0 5 771-0220 RELEASE11 DATE
ATTENTION EXT. 1333
ITIS UNLAWFUL TO USE OR 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 / IBC1101 IRC1104 PINK • OWNER • GOLD . ASSESSOR
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