20030674.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING ADDRESS
8310 208th St SW
CITY ZIP TELEPHONE
Edmonds 98026 1 425-670-1787
NAME j
ADDRESS
CITY
ZIP
NAME
Fast Water HEater
ADDRESS
12601 132 Ave NE
CITY ZIP
STATE LICENSE NUMBER
TELEPHONE
47c;—Al A —
FP__
ERMIT EXPIRES
USE PERMIT
ZONE NUMBER
JOB
ADDRESS SUITE/Al"llf
8310 1 jjt4,k
LAT NAME/SUBDIVISION NO.
LOT NO.
LID NO. -
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approrsd IT]
RW PfrMt Required
EXISTING - PROPOSED
Shaw Use Psm" Req,
inspection Required
Sidewalk Required
REQUIRED DEDICATION- FT
Undorwourw
WIMOnsquirld 13
METER SIZE LINE SIZE NO. OF FIXTURES
PRV REQUIRED
I
YES 13 NO 13
I
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
spitces. UNIC 815.1.7
rMovaless %VFf3VRWfjPI%PN WMIFI I BOND
PE Tof POSTED
is oi3en or 11 DTEWF 1
PROPERTY TAX ACCOUNT PARCEL NO.
c 0 MXT al
Oat P per EIGHT
9 007897000004*00
City lode. EC
ALLOWE PROPOSED
DC 19.3q.020 (c).o
r
EX
NEW RESIDENTIAL 12 PLUMBING/MECH
LOT COVERAGE
ALLOWED
REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT)
COMPLIANCE
PROPOSED
FRONT SIDE REAR FRONT L/RSIDE REAR
I
ADDITION COMMERCIAL OR
1:1
CHANGE OF USE
-
REMODEL MULTIFAMILY [:1 SIGN
PARKING LOT AREA PLANNING REMEWED BY DATE
REO'D PROVIDEbjD CL
REPAIR GRADING
[:] FENCE
I PIUMMRS NT 10 CDC 19.30.020
_(FKV)
CYDS X-FT)
REMARAPPPM
MZ .
1%1KVAIVb
DEMOLISH TANK OTHER
f BIB
ffiff 1 NN A R
GARAGE RETAINING WALL F IRE SPRINKLER
CARPORT 0
TM SHUTOFF
__11M WA
ROCKERY F RE ALARM
ITYPE OF USE, BUSINESS OR ACTIVITY) EXSP
CHECKED BY
OCCUPANT;g
N UMBER MBER OF CRITICAL
NUII
U
jTYPj=ON
GROUP
OF ELLING AREAS
D 0 W
W
STORIES UNITS
U NUMBER
77
CTION
SPECIAL INSPE OCCUPANT
JAREA
REQUIRED r
LOAD
DESCRIBE WORK TO BE DONE
Remove/replce gas water heater
REMARKS
PROGRESS INSPECTIONS PER UBC 106/FINAL INSPECTION REG'D
in garage on stand 40,000 btus
VALUATION
$ 449.00
Description
FEE Description FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
THIS PERAIrr AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr. Review
PERMrrAPPUCATION: IGO DAYS
PERMIT UMIT! I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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
ALL CLAIMS FOR
Fire Inspection
Receipt #
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 LIMrr IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Recelpt #
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK UMLORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
This li U n Is not a permit until signed by the
IN VIOLATION OF THE UNTHE STATE OF WASHINGTON RELATING TO
WORKMEhl'S
FOR INSPECTION
Bfdj�ji.I.r III th D ty: and Fo 9 are
5 a u p paid, and
ac pt Is acknolwi4d In ep"rovidad.
COMPEN CEPD RCW 18.27.
GNATUM (OWN 0 DATE SIGNED
(425)
OF ICI WSNA�TURE*'j ATt
L =zy�
771-0220
=j
ATTENTION *'
EXT 1333
D BY DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OR:GINAL-FILE - YELLOW- INSPECTOR
04/02
PNK-OWNER - GOLD -ASSESSOR
PRESS HARD -YOU ARE
MAKING 5 COPIES
GREEN - ACCOUNTING
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'DATE RECEIVE�
FPERMIT EXPIRES, see
RES
USE PERMIT
N ZONE NUMBER
C1W OF EDMO DS
JOB UITE/1
CONSTRUCTION PERMIT APPLICATION ADDRESS
8310
OWNER NAME"E OF BUSINESS L�L_
11 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
Laurence Leslie
MAILING ADDRESS
8310 208th St SW
CITY , ZIP ITELEPHONE
Edmonds 98026 425-670-1787
NAME
CITY ZIP TELE PHONE
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP APPFOW011
RW Pera*4 Requked
Stfest Use Pormh Wdi
EXISTING — PROPOSED
hupoction R*qL k1red
51dewsk ROW.,
REQUIRED DEDICATION-- FT
u-*74
WWg Mulred 13
METER SIZE
LINE SIZE
I NO. OF FIXTURES
PRV REQUIRED
YES [3 NO 13
REMARKS
We OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/ . DRAINAGE
NAME
IQ
ween oub 41' OfM. irvaler M
Fast Water HEater
rang
"INEERINd
w.
are
ADDRESS
12601 132 Ave NE
FIRE REVIEWEDjBY
CITY ZIP
TELEPHONE
Ir
Kirkland 98034
4 2 5 - 814 - 312 4o-:z-�
VARIA EOR
+—_'M--D
BOND
STATE LICENSE NUMBER
EXPIRATION DATE I j1fHECK BY
T
ype
I)
REOD
B or L Nent daw
Is
FASTWHIC0520IF
2-1 a'-
9111
D
PROPERTY TAX ACCOUNT PARCEL NO.
COMPL FU
ALLOWED
11WIPOSE .
5
. 0078.9700000400
EXP
.
-sseazi=
Ll kAGE REGUIPM0 leftnmHpli�. p%WAWjMj6&K8 (FT.)
NEW RESIDENTIAL [3 PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
COMMERCIAL COMPLIANCE OR
ADDITION 1:1 CHANCE OF USE PARKING LOT AREA PLANNING REVIEWED 13Y DATE
REMODEL
U MU FAMILY
U SIGN
REOD PROVIDED
i� VA
[:].'REFAIR
GRADING
CYDS
FENCE
X_FT)
j!jMQTTjmT To rm-r 19-30-020
i j
REMARAWwsunPmuLAMvtVALVEnV)
DEMOU . SH
TANK
OTHER
SHALL BE INSTALLED NE
bGCAARRA0GRT
RETAININGWALL.
ROCKERY
FIRE SPRINKLER
FIRE ALARM
gFiffis W
(TYPE OF USE. BUSINESS OR ACTIVITY) P(P
Ty \OCCU 7.
CHECKEDayl Pr=',or.,-coNsfrRuc-noN_:
GROUP,
7t
'NUMBER.,
OF
NUMBER OF
DWELLING
CRITICAL
AREAS
S ECIALINSPECTION OCCUPANT
STORIES
UNITS
NUMBER
JAREA
LOAD,
R�QUIRED rl IV
DESCRIBE WORK tq BE DONE
ater h' te�r REMARKS
Remove/ repice gas w 0a
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION RECVD
4MO btusi
in garage on stanA
7-77",
VA�UATION
449. 00
Description FEE
Description FEE
Plan Check
State Surcharge
HEAT SOURCE GLA23NG % LOT SLOPE %
Building Permit
City Surcharge W1
2
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIj PERMIT AuTHonms ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DOME ON PRIVATE PROPERTY ONLIL ANY CONSTRUCTION ON THE PUBLIC
Grading
DOIWN (CURBS, SIDEWALKS. ORNEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
'Recelpt
0ERfA4.APFbbAihON. 180DAYS"
PERMIT UMM I YM - PROVIDW WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
I
;AP=,
N T, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LU) tuo, HINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
#
ALL CLAIMS FOR DAMAGES OF WHATEVER NATYRE, ARISING DIRECTLY OR INDIRECTLY
OF THIS PERMIT SHALL NOT BE
I
FROM THE ISSUANCE OF THIS PERMr,r. ISSUANCE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
J
NOR LIMIT IN ANY WAY THE CfTY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt 0 00
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AMTHE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COM PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
Thi lk-allon Is not a pamll Until signed by the
CALL his/her Do '. and real are Paid, and
TION; AND IN DOING THE WORKAUnWIZED THEREBY, NO PERSON WILL BE EMPLOYED
lit VIOLATION OF THE JAW QQDE O19%THE STATE OF WASHINGTON RELATING TO
____4NC
FOR INSPECTION Bri
or
a Is ackn puly
0-��,'-1 owlelwinspa
_�*&Aded.
OMPENS.0 D RCW 18.27.
WORKMEICS C 481.11
OF
DAT
SIGNZAME (OWN�KIOR AGE DATE SIGNED
IA13
%,25)
WICINATURE*
o'7,
771-0220
D BY bATE
ATTENTION
off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF+--
ORIGINAL - FILE - YELLON INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD -
A 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN-ACCOUNTI
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