20030955.pdfa
DATE RECEIVED
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PERMIT EXPIRES(04
CITY OF EDMONDS
USE PERMIT
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NUMBER
CONSTRUCTION PERMIT APPLICATION
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REQUIRED DEDICATION—
Street Use Permit Req'd
Inspection Required
Sidewalk Required
Underground
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REMARKS
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Description
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Description
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State Surcharge
S U RCS GLAZING % LOT SLOPE % Building Permit City Surcharge 105,
PLAN 6HEC 10: VESTED DATE Plumbing _0
Mechanical 126
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 Grading
:3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
t: SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK 16 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
x EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, AFUSING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due
9 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Recordinll��___ Receipt # If"3 _&d
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 This application Is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Bu ding 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 FeCOlpt 13 acknovAodged In space provided. f
WORKMEN'S COMPE�SA
;J�INSURANCE AND RCW 18.27. 1 SIGNATUR .—DATd I
SIG RE (OW R ENT) D SIG E 1425)
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771-0220
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AyrTtNTION
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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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
10R%""ER TO CORRECT VIOLATION,
Location of Violation (Address and Tax Account Parcel No): 810 Walnut Street, WA98020 Tax
Account Parcel No. 00434-207-300-100
Issued To:- John Allen & Tamara Chin, Property Owners
Address Of Person This Order Is Issued To: 810 Walnut Street, Edmonds, WA 98020
Code Section Violated:. Uniform Mechanical Code Section 112. 1.
Description of Violation: On behalf of the property owners, Washington Energy Services obtained a
mechanical vennit (#2003-0955) to install a new -gas furnace and with gas piping. The Uniform
Mechanical Code reguires that gas piping be placed under test and observed by the inspecting authority.
The ffirnace is reguired to be installed per manufacturer's snecifications under the inspecting authorily.
The contractor and owner have failed to contact the City for the reguired inspection in order for the work
to be Rassed off and al2proved. Note, the permit expired on June 5, 2004.
Corrective Action Required: Contact the installer for the purpose of plading a pressure valve on the
eas nit)ing so that a test mavbe--�medContact the City building inspector and schedule for the
Muired inspection of the gas piping test and fumace installation. If you schedule an inspection b
August 9. 2004 the pennit deadline shall be extended to this date. Failure to meet the deadline shall
Muire that a new permit be obtained to have the work inspected and approved. Because this is
considered to be a life-safe!y violation inspection gpproval is reguired before the Ci!y can close the
permit file.
Correction is Required no later than: 5:00pm (time) August 9,2004 (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 per day, or portion of a day, during which the violation continues.
Date Posted: Date Mailed: July 23, 2004Date Served
Issuing Party Je c L. Graf Title Building Official
Signature
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DATE RECEIVED
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PERMIT EXPIRES
USE PERMIT
ZONE
CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JO SUITE/APT#
ADODRESS fj 0
OWNER NAMEINAME OF EBB
)C) " V� At�p \ 7 TAO&A C+110
PLAT NAMEISUBDIVISION NO.
T
LOT NO.
LID NO.
MAILING ADDRESS
st
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP AV
AW PerrrJt Required
r, U+
Street I Ue Pennit Rsq'd
CITY ZIP
ITELEPHONE
EXISTING — PROPOSED
inspection Required
Sidewalk Required
1(�2c)ma-�k
9 k0201,425
L(-7
-71 8�
REQUIRED DEDICATION— FT
UnderWOUnd
Wking roquinad 13
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
NO E3
ADDRESS
REMA 8
OWNE
Labor & Industries
CITY ZIP
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NAME CBLO
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REVIEWED BY DATE
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REPAIR GRADING 0 FENCE x FT)
CYDS (
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REMARKS
'DEMOLISH TANK OTHER
oGARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKE f FIRE ALARM
(ME OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY ITYPE
CODE -
'77
OCCUPANT/_?
GROUP 0;�-- —.z
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL
AREAS
SPECIAL INSPECTION
JAREA
OCCUPANT
STORIES
UNITS
NUMBER
REQUIRED [] YES
LOAD
DESCRIBE WORK TO BE DONE
—�D
REMARKS
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REG-D
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VALUATION
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$ L449 C6
Description
FEE
Description
FEE
Plan Check
State Surcharge
LAZING %
LOT SLOPE %
Building Permit
City Surcharge
PLAN dHECK NO:
VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
*
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
*
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPUCATION: 190DAYS
IL
PERMIT LIMM I YEAR - PROVIDED WORK 16 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 INDEMNft DEFENQ #,No HOLD JJARMLESS THE CITY OF
TICI[ALt EMPUDYE
EDMONDS, WASHINGTON, ITBOI FS, AND AGENTS"PM ANY AND
lnsp�ction
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATOM NATUWAPJSWG DIRECTLY ORINDIREOJIY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL Nor -BE
DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY crry,6RE)iNANCE
1andscape Insp.,,,
Total Amt. Due
-L
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recordin
Receipt #
032-
q
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPUCATION
APPROVA L
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-
L
Bul
Iul
;i.
This application Is not a permit until signed by the
I
ing Official or his/her Deputy: and Fees are paid, and
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 INSPECTION1
receipt Is acknowledged in space provided. f
f
WORKMENS COMPENSATXAjJ.NSURANCE AND RCW 18.27.
0 C, SIGNATURfj AT
0 A) YS �107E
3 D/
1A9
1,425) (
OED
(0
771-0220
-S EBY DIrE
AT-TkNTION
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 - INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD -ASSESSORqt[�j
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING