20030153.pdfI
DATE RECEIVED
W00725744
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING ADDRESS
20415 81st Ave W
CITY ZIP
Edmonds, WA 98026
NAME
ADDRESS
CITY
ZIP
TELEPHONE
206-672-9388
NAME CBL N
MacDonald -Miller Residentialc, Inc.
ADDRESS
18103 NE born Uf U-41IJU FIRE REVIEWED BY DATE
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CITY ZIP TIELIPHONE
Redmond, WA 98052 425-881-7920 E;xt208 VARIANCE OR CU SHORELINE OR AMIN BOND
STATE LICENSE NUMBER EXPIRATION DATE I. ---CHECKED REO'D POSTED
mhrnrmR991MB 7/2/03 (1 — I 13YEs 13NO $ LICIPUT
PROPERTY TAX ACCOUNT PARCEL NO.
cl) ()(0 1 Li 15 0100 00 5 00
1:3 NEW
RESIDENTIAL
ig
PLUMBIN if MECH
<EP
ADDITION
IL
COMMERCIAL
0
COMPLIANCE
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING CYDS
FENCE X FT)
DEMOLISH
0 TANK
OTHER
GARAGE
RETAININGWALL
ROCKERY
0
FIRE SPRINKLER
FIRE ALARM
SEPA REVIEW N OWED PROPOSED
COMPLETE . EXEMPT I ALL-W. I
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT)
ALLOWED PROPOSED
FRONT
SIDE REAR
FRONT LIR SIDE REAR
PARKIN
YAJI srEBr BY DATE
REO'D I Pkj&PftRft'PI
- W m - �'�
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
Residence -] NUMBER OF CRITICAL
NUMBER
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE I
Install replacement gas furnace. Reconnect
_� 6 _( P1 � . -.d
HEAT SOURCE GLAZING % LOT SLOPE %
Gas I —
PLAN CHECK NO: I VESTED DATE
PERMIT EXPIRES"`4�
USE PERMIT
ZONE NUMBER
JOB
ADDRESS S'
SUIT
6 JC
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appfo"d
RW Permit Requited
6111-parmhReq.dT
EXISTING — PROPOSED
inspection Requited
Sidewalk Required
REQUIRED DEDICATION— FT
underground
Wiring requk*d [3
METER SIZE
LINE SIZE NO. OF FIXTURES
PRV REQUIRED
I
YES NO 13
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REMARKS E
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I
required on fuel-burn"ing atipliances In
CHECKED By ITYPEAOFIP biSTRUCTWN F _V1
&A LhL
SPECIAL INSPECTIOli JAREA OCCUPANT
REQUIRED [] YES !TLOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG'
Description FEE Descriptlon FEE
Plan Check State Surchargell,
Buildin g Permit City Surcharge
Plumbing
Mechanical
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt # ;7r�
�PPLICATION APPROWkL
Is application is not a permit until signed by the
I Id
Ig oftial or his/her Deputy: and Foes arc) pa cl, and
receipt Is acknowledged in space provided.
kLS IGNATU 91ATE
RD BY (DATE
;; IS,U—N-LAWFUL 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
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr. Review
PERMITAPPLICATION: 160DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
Fire Inspection
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 DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Recording FEL
DEEMED
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
I HEREBY 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLJOYED
CALL
TIONI; AND IN
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTI(
WORKMEN'S COMPENSA3P_4ZbQffE AND RCW 18.27.
IA35)
'k—WAr-
DATE SIQNED
SIGNATURE
It �7r�1_30n
jhmh�
771-0220
as�
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EXT 1333
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
7L
Location of Violation (Address and Tax Account Parcel No)-. 20415 81" Avenue West, Edmonds,
WA 98026 Tax Account Parcel No. 0061-4500-000-300
Issued To:- Steve MarklgL ProRejjy Owner
Address Of Person This Order Is Issued To: 20415 8 I't Avenue West, Edmonds, WA 98026
Code Section Violated:. Uniform Mechanical Code Sections 114 & I I - .
Description of Violation: Installation of a gas fumace without ingRection Wroval.
Corrective Action Required: Contact the City inspection hotline at 425-771-0220 extension 1333 and
schedule for the reguired inspection for the gas water heater installation. Failure to respond shall result
in additional enforcement action.
Correction is Required no later than: 5:00pm _(time) October 17,2003 (date)
If correction is not made by the date and time specified in the Order, a Notice of
Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
$100.00 Ber day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: September 18, 2003 - Date Served
Issuing Party, Jeannine L. Graf Title Building Official
Signature
c'DQT cl OOR FRAMING
INSULATION ......................
............
.t JDATE RECE�a
W0#725744
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
Steve miarkley
MAILING ADDRESS
20415 81st Aue W
CITY ZIP TELEPHONE
Fkb)onds, VIA 9802 1206-672-9388
NAME
nuUnCoo
CITY ZIP TELEPHONE
NAME . . 1 44131: N
MacDonald-ftiller Residential, Inc.
ADDRESS
18103 NE 68th ST C-200
j PERMIT EXPIRES W-4
USE PERMIT F.
ZONE NUMBER ay ..
0
JOB Sul
ADDRESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TEGCP Appmed
RW Pam% Required
Street Use Peffnit Wd
EXISTING — PROPOSED
Inspection Required
fildewa* Required
RESUIRED DEDICATION— Fr
underground
I,
VVWQ required
METER SIZE
LINE SIZE
I
NO. OF FIXTURES
I
I PRV REQUIRED
YES E3 NO 13
CITY zip TELEPHONE
P
Redwnd, VTA 980,52 _L425481-7920 Fxt2O8
STATE LICENSE NUMBER EXPIRATION DATE 1,—CHECKED
MACDOM991MB 7/2/03 r I A ril
C) 0(v I H 5 00c) CIO 5 0o
NEW
RESIDENTIAL
PLUMBIN
ADDITION
[3 COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMO DEL
MUITIFAMILY
SIGN
REPAIR
GRADING
CYDS
IFFINICE
( _ X_FT)
0 DEMOLISH
0 TANK
[3 OTHER
o GARAGE
o RETAININGWALL
FIRE SPRINKLER
CARPO
,- H
ROCKERY
FIRE ALARM
—
I[TYPE OF, USE. BUSINESS OR ACTIVITY) EXPLAIN:
Residence
NUMBER
NUMBER OF
CRITICAL
OF
DWELLING
AREAS
STORIES
UNIT$
NUMBER
DESCRIBE WORK TO BE DONE
Install replacement gas furnace. RecOnnect
HEAT SOURCE GLAZING % LOT SLOPE %
Gas !f I
PLAN CHECK NO: I VESTED DATE
REMARKS
OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
BY
FIRE REVIEWED BY
InAng app—Ho—mm
UMC 815.1.7
DATE
VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND
REGIO POSTED
113YES 13NO is
SE.�A REVI SIGN AREA HEIGHT
COMPLET EZEMPT ALLOWED PRO OSED I ALLOWED PROPOSED
E E
LOT COVERAGE j REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE,,. REAR
P. A _ PIPZXCQT U11=!
PARKING " PINNIAG WNW Iffs- -DATE
REO`D I litwWOW P-nv imemcmnim
CHECKED By
SPECIAL INSPECTIC
REQUIRED [3 YES
Description
Plan Check
Building Permit
Plumbing
Mechanical
PER UBC 108/FINAL INSPECTION
f \ —
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONVZ ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATIOW 1180DAYS
PERMIT LIUM I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS
Enpr. Inspectlon
SEE BACKOF PINK PERMIT FOR MORE INFORMATION -
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
OF NATURE, ARISING DIRECTLY OR INDIRECTLY
FIre Inspection
ALL CLAIMS FOR DAMAGES WHATEVER
FROM THE ISSUANCE OF THIS PERMrT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I
Recording Fee
I HEREBY 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTIO"
WORKMEWS COMPENSATPKA*bkMCE AND RCW 18.27.
SIGNATURE (OWNER A E"
DATE SIPNECD
IAIJ
%425)
xro,
Plan Chk. Deposit
Receipt #
Total Amt. Due
R 1pt#
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Lu
IEL
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FEE
kPPLICATION APPROVAL
9 application Is not a permit until signed by the
g Official or hieftier Deputy: and Fees are paid, and
recelptis4icknowtod ad In space provided.
.?IGNATU1 OATE
)iAa �ju m
f I _Uicew ED BY DATE
ATTMN IiON 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
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