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20030378.pdfI ,f DATE RECE3 I 6Z CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OVMR NAME/NAME OF BUSINESS "�' U 2-al ) 4 1. MAILING ADDRESS I I t:79 -7"0' A o (ZJ NAME ADDRESS CITY ZIP ITELEPHONE C" I TELEPHONE / _VA1A1j')m)) 9RI")P-15210M 14(-1 PERMITEXPIRES USE PERMIT ZONE 4'� '7 10 NUMBER JOB TE/APT# ADDRESS 1152, Z_ P-691 L& 0 PLAT NAME/SUBDIVISION NO. LOT NO. I LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required St'aot Us 0 peffnit Raq.d EXISTING — PROPOSED Inspection Required 13 Sidewalk Raquirod 13 REQUIRED DEDICATION— FT nderground irfing (squired 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 z REMARKS I OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE DATE FIRE REVIEVID BY DATE If U. LICENSE NUMBER EXPIRATION. DIAT HECKED BY VARIANCE OR cul HORE A. VA A IR =5c"zm SEPA REVIEW COMPLETE , EX T �w EXP NEW oews AJ RESIDENTIAL PLUMBING/MECH LOTCOVERAGE- ALLOWED PROPOSED REbL j,'IFI 0 ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE 1:1 REMODEL 0 MULTIFAMILY [:] SIGN REO'Dr" REPAIR GRADING CYDS ci FENCE I X FT) REMARI DEMOLISH TANK E] OTHER ri GARAGE CARPOFIT RETAINING WALL ROC RY F RE SPRINKLER FIRE ALARM OR ADBN INSPECTION BOND REO'D POSTED 1E3YEs 13NOI$ HEIGHT rjQWSED I ALLOWED . PROPOSED ) SETBACKS (FT) UR SIDE REAR -OlUlkil PROVIDEDj lWe I I" alarm or L 4ent A connectors required on fuel -burning appliances in unheated spaces. UMC 915.1.7- (rYPE OF USE. BUSINESS OR A 77r. CHECKED BY CCO13F -1 occu jTY;MNj"I t GROUPPA C, — NUMBER CRITICAL . ---- [NUMBER ING' OF DWI!LL AREAS SPECIAL INSPECTION OCCUPANT STORI ES UNIIYS " JAREA REQUIRED [:] YES LOAD DESCRIBE WORK TO BE DONE REMARKS INSPIE Mpmmqm AAA It"54SPECTION REG-0 .PROGRESS - 9 Una IF It 111. 9 &Rj- N"W " _'_ 11 r.1TVINSPECTOR MU At" . L A 0 0 rg �C ofkArin Illy unT L-uL" rLW UjLd&Ar f)f.ld 01191nC�. 1je..5 V Ma, 0 LC=== I VALUATION a saw FlIp ACCEPTED $ F - Description FEE Description FEE __ State Surcharge HEAT SOURCE 10% LOT SLOPE % Building Permit . City Surcharge 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 zr-w" 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE 3 (0 0 SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 160 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICAK 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 Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTI:V FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 91 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due I z 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I — Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL 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- T CALL fication is not a permit until signed by the TION; AND IN D%11� E WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Bui R71-11ritall go r his/her Deputy: and Fees are paid, and IN __ NABOR CODE OF THE STATE OF WASHINGTON RELATING TO VIOLATIOI FOR INSPECTION s acknowledgV In space provided. WORY"'jeFMANS14ON4,NSURANCE AND RCW 18.27. - A-- - 0 SSI LTURE BIG 4A OWNER E�� DATE,_SIIG$D (425) /0 ,�.6/DATE/ 1 0% 771-0220 F By &fEqj1ON Off 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 MAKINO 5 COPIES GREEN - ACCOUNTING z 0 4 0 M M M 110 0 C 3� r. M M z 8) 0 _n "n M M 0 rn C 0) 0 z 0 1 0 M CITY OF EDMONDS -0= FAX (425) 771 12l 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771 Web0a: www.d.edmorids.wa.us DEVELOPMENT SERVICES DEPARTMENT .Gra Planning Building* Engineering C. July* 8, 2003 GARY HAAKENSON MAYOR This letter is to remind you that an inspection is required in order. to close your -29-03 30 days to call for dcal permit #2003-0378 issued on 5 The City gave you mechar to obtah-dng a permit. Please note, the an inspection since the work was performed prior d by the City. matter is not closed until the final inspection is performed and approve to avoid further Please call 425-77i.022N1333 for your inspection by 7-18-03 in order code enforcement action. Sincerely, jeamtine VGr Building Official City of Edmonds Incorporated August 11, 1890 P�' XX -1-n C. 189 %) % A, - " 'A CITY OF EDMONDS 121 STH AVENUE NORTH * EDMONDS, WA 9M - (425) 771-OM * FAX (425) 771.=1 Websfte: wwwxf.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning e Building - Engineedng February 25, 2003 Suzan MattY 1152 e Ave S Edmonds, WA 98020 Re: Gas Furnace replacement Dear Ms. MattY, GARY HAAKENSON MAYOR -�T VJ', to the City's attention that a gas furnace was replaced without first It hits been brought nd at 1152 2 Ave So, Edmonds. Please note that the replacement obtaining the proper permits n there is no new gas piping installed, does require a 0 en whe f mechanical equipment ev lete, sign an a check for d submit the enclosed application with building permit Please comp if ew piping has been in $75-00 (if no new PIP149, n stalled, the fee is $115). Once the permit will dose this is issued, you will then call for an inspection. Once the work is approved, we es by 3-14-03. If you have any questions, Please submit all necessary information and fe file. se can me at 425.771.0220. plea f Sincerely, 4*� Jeannine Graf Building Official City of Edmonds 425.771.0220 KOC 1< 61' 0 P g ILI a lt� lilt incorporated August 11, 1890 0 V!v �, 1; E� 4 CITY OF EDMONDS DEVELOPMEENT SERVICES DEPARTM[ENT 121 5th Avenue North, Edmonds, WA 98020 (425) 771-0220 Location of Violation (Address and Tax.Account Parcel No): 1152 2 d Avenue South, Edmonds, WA 98020 Tax Account Parcel No. 00582-000400-903 Issued To: Susan A. Ma& PropL* Owner Address Of Person This Order Is Issued To: 1152 2nd Avenue South, Edmonds, WA 98020 Code Section Violated:. Uniform Mechanical Code Section 116 & 1305 Description of Violation: The property owner obtained a mechanical pennit to install a gas furnace. On July 18, 2003 the Cijy Ingpector performed an inspection and Lquired a gas pipe test Lcovv o Ry 0 correction attachgd). Several atteMRts have been made to perfonn a re-ingRection. Mechanical code violations are life-sgft violations and shall be resolved to the minimum requirements of the code. Corrective Action Required: Provide 1QRsi air test on gas RiRing and recall the CLty Lngector to observe the test. Correction is Required no later than: 5:00om _(time) September 19,2003 _(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 flnes; of $100.00 per day, or portion of a day, during which the violation continues. Date Posted: August 29, 2003 Date Mailed: Auggst 29, 2003 Date Served Issuing Party__.Leannine L. Graf Title Building Official Signature. 14%, 1�p 'c.x Z, �j Ef-; M m a DATE RECEIV.% �A 1%j CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION I OWNMNAMEftWE OF BUSINESS ,� U f ) fl MAILING ADDRESS ' -2 2j "I, t ZIP TEjHONE �'.zf rn LILL, 32d 11 NAME A ITEN11% 'ADORE L Ei CITY ZIP TELEPHONE j 10ME' CBL N xb j,.PESS CITY Zip 1:21, TELEPHONE L 9 6 V &) 14 y, sT$rE LICENSE'NUMBER EXPIRATION DATE CHECKED BY AM L PROPE =,0 V C? a �2 i NEW RESIDENTIAL PLUMBING/MECH COMPUANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE RE MODEL muLnFAmiLy SIGN GRADING CYDS FENGE X REPAIR Fr)' OTHER DEMOLISH TAN K 7— GARAGE 0* RETAINING WAL FIRE SPRINKLER - ROCKE0 FIRE ALARM iCMPORT (TYPE OF USE. BUSINESS OR ACT RiT NUMBER NUMBER OF REiTICAL AS 'OF DWELLING dA El C_ N�MUNITS N BER DESCRIBE WORK TO BE DONE PERMIT EXPIRES USE PERMIT ZONE 1U)q NUMBER JOB ADDRESS 1152- (-9DITE/APT# \"�) I PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appro"d RW Pernin Requited EXISTING — PROPOSED Sifeet Use Peffnit Wd Inspection Requited Sidevrobt Requited REQUIRED DEDICATION— FT Uriderground WWg required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 06� FIRE REVIEV41) BY DATE DATE uj cc M VARIANCE OR Cu - __W SHORELINE 611 DB# INSPECTION SON D 10YEs REO'D I POSTED 13NO $ SEPA REVIEW COMPLETE EXEMPT AREA j2fjL E BED HEIGHT: ALLOWED PROPOSEDLI EXP A.! LOTCOVERAGE ;"i a to �KS (Fr.) OVERAGE R SIDE REAR ALLOWED' PROPOSED FLONT. OJI1 RORS, PROPOSED P IN G B 11 AREA �WN%Gl E Li 0 BE �'en comin AL EKI RE if 6 An= IU RE AARK UM 7777� CHECKED Ely OCCUPANT GROUP SPECIAL INSPECTIO AREA OCCUPANT REQUIRED [- _] YES ... . LOAD REMARKS WWWD 9 PROGRESS INSPECT112US W.AffiffWFA Ifl. u0smurn nv F 07C AL2 L / L -5v Description Plan Check HEAT SOURCE —F—GLAZING % LOT SLOPE % Building Permit PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ' BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC . Gradin 911� DOMAIN. (CURBS, SIDEWALKS. DRIVEWAYS, MMUFF,%,ETC.) WILI�REQUIRE,-- SEpARAVE.pCRMISSIbN. t: Engr. Review PERMITAPPUCATIOW. ISO DAYS IL PERMIT UMM 1 YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS Engir. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLI N BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review =TOAGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF IN INTER EDMONDS, �4ASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection 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 - Landscapeinsp. NOR LIMIT IN ANY WAY THE cnys ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee 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 THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL noiiiii; AND IN DOIhQ_1THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN 1110LATION 'VEjHP1JLABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WOR4"%-*bMPENS'jPN AND RCW` 18.27. BIG (OWNER DATE SIGNP 1A _�S 1A9 %,.5 1 L, 771 -0220 EXT 1333 FEE Description FEE State Surcharge City Surcharge I ._ j Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION XPPROVAL !is.Application is not a permit until signed by the ig Official or Ws/her Deputy: and Fees are paid, and I rerdipt Is acknowitledg0p in space provided. �1 �SIG TURE DATE All "V J IT - IS UNLAFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04102 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL -FILE YELLOW -INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING t �11 -i -n 65 � M rn 0 0 C rill rn Z 0 _n n M M —C1) o Fn C 0) C 0) rn 0 M 0 z z 9 0 M