20030031.pdfDATE RECEIVED
I
LPERMIT EXPIRES
/yZn—
USE PERMIT
CITY OF EDMONDS ZONE r26jej_ NUMBER
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
PL ':�L)
15 �-Tr`
OWNER NAMEINAME OF BUSINESS
F-0 040\jtr' PLAT NAME/SUBDIVISION NO. 7NO, LID NO.
15 MAILING ADDRESS LID FEE S
PUBLIC RIGHT OF WAY PER OFEICIAL QTH99jjAP__ 7ESUP Appro"Ved
I�E��_q
S P I
E100 tr?1-4—PL'(3L3 t Stre armll
CITY EXISTINGi4k@"MP0fE Ih4@F 11;0 Wate 1. '.0
ZIP TELEPHONE
S
4 S a Oqu
60 AAOL42S C1 ma!e ±,�-rl rly- (,S REQUIRE� jjEEbWfINBf_6k)WdFreXP8R6jq;; ta UTZ a
METER lzmqu Of1wetwim IIRED
NAME edNjDjQZI8jj t erPRV RE
^4 YES E3 o 13 z
15 s. tcode. ECDD 19-30-020 (C)
ADDRESS REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY ZIP ONE
1-900.020
_DC
'WeR VAbVg (PR
NAME TCBL A Pk(V-'W,'3, U
SHAI,j_ _LED NEAR
DATE
BVrIM
ENGINEERING REVIEWED
Wj,, �JJMOFF
cc
ADDRESS
got S 1-,;5L" FL,
FIRE REV W
CITY ZIP TELEPHONE 15 BY DATE
Electrical Permit from
US
cc
W1
;1164ain
--r04-31 LA CM169 I OiNg- *�, r1cM
VARIANC tc Ila ACU, I :)No
STATE LICENSE NUMBER EXPIRATION DATE C Y REOD P( STED
H HT
I loll % REVIEW �IAPR
PR
P 40=1 IrPOIAC OWED OPOSED
PROPERTY TAX ACqO PARCEL IND. E , EXEMPT �6k� 1
AN rATF.R. S� S rOFF
Q 4 54 (000 OC> 160
EXP VTTA T
LOT C CC TBACKS (Fr.)
OVERAtl�&
NEW RESIDENTIAL \10> PLUMBING MECH ALLOWED S DE REAR
PRO j)IT
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
re
PARKING LOT AREA PLANNING REVIEWED
REMODEL MULTIFAMILY SIGN REOD
GRADING FENCE pnt fxmeetors
REPAIR CYDS 13 ( X FT) REMARK JA'J IrV nn fuej-bjrr;u*ng applifInces In
DEMOLISH TANK o OTHER
unbeated spacm UMC 815.1.7
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
_0
(ME OF USE, BUSINESS OR ACTIV" EXPLAIN: CHECKED BY ITYPE OCCUPANT
43 rrro-GROUP
LD
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS SPECIAL INSPECTION JAREA OCCUPANT
STORIES UNITS NUMBER REQUIRED 0 YES LOAD
DESCRIBE WORK TO BE DONE i k TALU&j(�J' loor
IS WU REMARKS
PROGRESS IN ggemm ZtIMSETION REO'D
R)
_01AS
OBSERUD BY CITY INSPECIOB
FIDAVITS S ALL NOT
VALUATION
BE ACCEPTED
va_-) scription FEE Description FEE
V0 BP r-l" e fA Do
Plan Check
State Surcharge
HEAT SOURCE AZING % LOT SLOPE % Building Permit city Surcharge
I
-_
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 Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMITAPPLICATION: 180DAYS
IL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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
2 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 Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE . //(6.
OR L T IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # ZLL&
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION WMIC N APPROVAL
GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CRY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit unfit signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 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 COMPENSAT150JUSU D RCW 18.27.
OFFICIALS S GNATrE DATE
1A9
ER OR E" PATE [OfIED 1 %425)
771-0220 WLEASd6ey— 1111,0 DATE
ATTENT N EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
E"
z
0
M
M
C
M
8r
E2 r.
M
M
10
z
0 _n
'N
Fn M
8 U;
0 Fn
CIO
co
0
X
z
z
0
5
M
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
Location of Violation (Address and Tax Account Parcel No): 8610 187' PI SW, Edmonds, WA
98026 Tax Account Parcel No. 00434600001508
Issued To; Ed Grove, PropgM Owner
Address Of Person This Order Is Issued To: 8610 187th PI SW. Edmonds, WA 98026
Code Section Violated:. Unifonn Mechanical Code Section
Description of Violation: The pWpea owner obtained a mechanical permit to install a gas furnance
and hot water tank and additional j as RiRing outlets for a dMer and flEglace insert. On June 17, 2003
the Cily Inspector performed an insRection and noted three mechanical code violations that were
Mguired to be corrected by July 17, 2003 LcORY of correction attached). Several phone calls have been
made to the propegy owner to inguire as to the status of the corrections without regRonse. Mechanical
code violations are life-safe1y violations and shall be resolved to the minfinum mguirements of the code.
Corrective Action Required: 1) Install 5/8" TMe X sheetrock behind new furnace at the garay—e side4
2) Provide 10 Rsi air test on gas Riping. and 3) Provide installation instructions for new radient heater to
be installed in garage.
Correction is Required no later than: 5:00pm me) September 19, 2003
(ti , -----(date)
If correction is not made by the date and time specifled in the Order, a Notice of
Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
$100.00 Per day, or portion of a day, during which the violation continues.
Date Posted: August 28, 2003 , Date Mailed: Auggst 28, 2003 Date Served
Issuing Party.
Signature
Title - Building Official
0�-
rin