BLD20061108.pdfIL I
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STATUS: ISSUED 10/3/2006
Parcel No:00434600010500
CITY OF EDMONDS
121 5TII AVENUE NORTI I - EDMONDS,WA 9R020
PI10NE: (425) 771-0220 - FAX: (425) 771-0221
MIDORI TERIYAKI
MIDORI TERIYAKI
HERITAGE SERVICE/NORTHERN ENERGY
18605 76TH AVE W SUITE D -
18605 76TH AVE W SUITE D
31 SE EVERETT MALL WAY
EDMONDS, WA 99026
EDMONDS, WA 98026
EVERETT,WA 98208
206-228-9174
425-353-3535
LICENSE N: HERITSCO33BT EXP:9/1/2007
• i DESCRIPTION
Set 120gallon propane lank.
-
VALUATION: $0
PERMIT TYPE: Commcrciol
PERMIT GROUP: 70-Tanks/FRci
GRADING:N CYDS:O
TYPE OFCONSrRUCT10N:
RETAININGWALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.j
COD.;
OTHER: N-•--OT}ICR DESC:
70NE:
NUMBER OF STORIES: 0 -
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
BASEMENT:- IST FLOOR:- 2NDFLOOR:O
BASEMENT:. I6T FLOOR:- 2ND FLOOR:.
3RD FLOOR:- GARAGE:- DECK:- OTHER:-
13RD FLOOR:- GARAGE:- DECK:- OTHER:.
i
REQUIRED: PROPOSED: REQUIRED: 1'ROI'OSED: REQUIRED: PROPOSED:
HEIGIIT ALLOWED:. 1'ROPOSED:O REQUIRED: IROPOSED:
SETBACK NOTES:
I AGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHC WORK AUTHORIZED
T.IEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF TILE LABOR CODE OFT I IF, STATE OF WASIIINGr ON RELATING TO
WORKMEN'SCOMPIbN5AT1ON INSURANCE AND RCW I8:27.
TI 11SAPI'LIG\TION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS'NE -TUTU ND ALL FEES ARE PAID.
VW
.. Signature Print Name Date Released 1
ATTENTION
11'IS UNLAN'PUL TO USE OR OCCUPY A RUII.DiNO OR SIRUCIURE UN11L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CIiR77FICAM OF
` I OCCU FANCY I IAS BEEN GRANTED. InIC 1091 IBCI I IRCI 10.
ARCHIVE APPLICANT ASSESSOR OTII@R
STATUS: ISSUED BLD20061108
• Secure tank by strapping to building (16 ga simpson stropping willsutliee).
• Any request for the modification, variance or other administrative deviation (hercinafler"vuriance")must bespecifically called
out and identified. Approval ofany plat or plan containing provisions which do not comply with City code and lorwhich a
variance has not been specifically identified, request and considered by the appropriate City official in accordance with the
appropriate provision ofCity code or State law does not approve any !term not to code specification.
• Sound/Noise originating from temporary construction sites as a resell of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of T00am to 6:00pm on weekdays and 10:00am mid 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the
noise limits ofChapler 5.30,unless a variance has been granted pursuant to FCC 5.30.120.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 18.00.005(AHS)
BUILDONG (425) 771-0220 EXT. 1333 1 FNGINMUNG (425) 771-022017C1'. 1326 FIRE(425) 771-0215
PUBLIC WORKS 425)771-0235 PR&TRFATMFNT(425)672-5755 RECYCLING 425 275-0801
F-Tank Inspection
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City of Edmonds
of en,y�
Plumbing/Mechanical/Tank/Demolish
Permit Application Form
site Address: l3 S33 b yPic Vjew
P U/
Suite#: A Parcel #:
Business/Tenant Name (if applicable): M t R (
(tea K
PROPERTY OWNER: B-A
Mailing Address:
II3
City: &d P-1 N n S State:
Zip:
Phone: 33 �4 FAX: ( )
E Mail,
CONTRACTOR: N'3 IZTFI 'PLA
PYv/5��
Mailing Address:
City: State:
Zip:
��
Phone: (_ �) S�j 3 FAX: ( )
E-Mail:
State License Number: Exp: Date:
City of Edmonds' License No:�
MECHANICAL
PLUMBING
Fixture Type
Fixtures
Total
Fixture Type
Fixtures
Total
Gas Furnace/Fireplace:
Water closet
Location
Sink
_BTUs
Gas logs/direct vent fireplace
Lavatory
Location
Tub/Shower
_BTUs
Air Handler Location
Dishwasher
_BTU
❑ Electric
Hose Bib
oeater
❑ Other
w/expansion tank
BTUs Location
Location
Hydronic Heating
ankVents,
Single Duct #
=-
Other:
duction valve
ice Line ft
Gas Pi in ft
Ting
Outlets
Gas Outlets
Tank -20 allons
❑ AC Unit ❑ Furnace
in Fill Material
❑ Water Heater ❑ Boiler
❑ Pum , Rinse & Ca
❑ Dryer ❑ Stove/Range
❑ Removal
a Fireplace ❑ BBO
Critical Area Chklst
❑ Other Gas Outlet
❑ Stud Re Waiver
L:\TEMP\BUILDING\WEBchecklists\MECH.PLUMB.APP.doc 8131106
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Permit Inspection Details
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Permit: BLD20061108
PERMITTRAX
1980' F Tahk inspection a
Complete? :.,..S� Ya
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09/10/2007 SMITHM 15 APPROVED
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Total Time: 15
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Total Inspections: 1
Total Time: 15
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1/2/2009 4:36:08 PM
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