20040008.pdfI'm
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAII ING ADDRESS-
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CITY ZIP
NAME
ADDRESS
CITY ZIP
OqI PERIMITEXPIRES
IUSE PERMIT 7
ZONE NUMBER 010ECT
'JOB SUITE/APT#
ADDRESS __TLIO NO.
PLAT NAME/SUBDIVISION NO. LOT NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
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STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
PROPERTY TAX ACCOUNT PARCEL NO
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NEW RESIDENTIAL
XPLUMBING / MECH
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1:1 CHANGE OF USE
REMODEL MULTIFAMILY SIGN
GRADING FENCE
REPAIR CYDS ( X FT,
DEMOLISH TANK OTHER
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GARAGE RETAINING WALL
CARPORT ROCKERY
FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Ix PERMIT APPLICATION: 180DAYS
111
IL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
tu IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 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 PERMI1 SHALL NOI BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMEN I OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT 111E 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.
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
WORKMEN'S COMPENS URANCE AND RCW 18.27.
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PRV REQUIRED
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REMARKS
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Regardless of whether the watEers:ysplem
is open or Elosed, expans.1an,
FIRE REVIEWED BY
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PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION RE01D 2i
VALUATION
M4 Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE Description
State Surcharge
City Surcharge
ii�j Base Fee
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
FEE
APPLICATION APPROVAL
I his application is not a permit until signed by the
CALL Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION toceirit is acknowledged in space provided.
OFFI IAL)SIGNATUFIE (7DA
(425)
771-0220 RFI.ifl]) BY I DATE I
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Aftl ENTION /6 3 Z-a-4ff E)ff 1333
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
09M PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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CITY OF EDMONDS
DEVELOPMENTSERVICES DEPARTMEN'r
121 5th Avenue Noi-th, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 703 6"' Avenue South, Ednionds, WA
98020 Tax Account Parcel No. 002703-2500-2444-00
Issued To: John & Julie Hacker, Property Owners
Address Of Person This Order Is Issued To: 703 6"' Avenue South, Edmonds, WA 98020
Code Section Violated:. Uniforrn Mechanical Code Section 112. 1.
Description of Violation: On behalf of the property owners, Washington Energy Services obtained a
mechanical pennit (#2004-0008) to install a new gas furnace and gas water heater with gas piping. T
Uniform Mechanical Code requires that gas piping be placed under test and observed by the inspecting
authority. The furnace and hot water tank are required to be installed per manufacturer's specifications
under the inspecting authority. The contractor and owner have failed to contact the City for the required
inspection in order for the work to be passed off and approved. Note, the pennit expired on July 5,.
2004.
Corrective Action Required: Contact the installer for the pu!pose of placing a pressure valve on tile
gas piping so that a test may be perfornied. Contact the City building inspector and schedule for tile
required inspection of the g s piping test and hot water tank and furnace installation. if you schedule an
inspection by August 9, 2004 the pennit deadline shall be extended to this date. Failure to rneet the
deadline shall require that a new pennit be obtained to have the work inspected and approved. Because
this is considered to be a life -safety violation insl2ection approval is required before the City can close
the permit file.
Correction is Required no later than: 5:00pm- (time) Augu t 9, 2004 ,._(date)
.If correction is not made by the date and time specified in tile Order, a Notice of
Civil Violation sliall be issued. The Notice of Civil Violation sliall assess fines of
$100.00 pel- dav, or portion ofa, day, during which tile j.,jolatioll continues.
Date Posted:.
Issuing Party
Signature —
Date Mailed: July 23, 2004Date Served
ine L. Graf —Title Building Official
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SETBACkS ......................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaihtna!-�Vall .........
Slab insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
66mm6rclal. Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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