20040010.pdfDATE RECEIVFD
PERMIT EXPIRES
__1111
USF PERMIT
CITY OF EDMONDS ZONE NUMBER -cl ell
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS e
S
(11AWFJ1 NAME/NAMEQ" , INESS
a_u ( p2z��!?,P6� PLAT NAME/SUBDIVISION NO LOT NO� 1.10 NO
W MAIL IN�, ADDRESS LID FEE S
z iFSCP Approved E3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Potmil Hoqt ad [3
b ltC� S11001 Use Pcrff::� Roq'd 0
CLTY ZIP TELEPHONE EXISTING — PROPOSED Inspection Required C3
Sidowall, Roquired 13
<P REQUIRED DEDICATION— F1 Underground
lfc)lww,� 4-f�zjf Wiring required E3
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 0 z
1 1 1 NO RE
W z
t: ADDRESS REMARKS z
OWNER/CONIRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 5
z
cc
CITY ZIP TELEPHONE
RF
NAME CBL I$ CITY INS
SHALL NOT
LJ�) ks e-1 Ce� V ENGINEERING REVIONED BYJ DATE
Cc ADDRESS
FIRE REVIEWED BY DATE W
cc
C11Y P TELEPHONE
0
=Q?� VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND
STATE LICENSE NUMBER ON DATE CHECKEQyy REO'D OSTED
OYES ONO Is P
o/3 oz, k REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL No. COMPLETE , EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED
a 07- -7 () L4 I iq ool EXP
W 00
NEW ESIDENTIAL VFPLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR
COMPLIANCE OR z
ADDITION COMMERCIAL z
CHANGE OF USE z
PARKING LOT AREA NNING REVIEWED BY DATE
11 REMODEL E] MULTIFAMILY SIGN REO'D I PROVIDED
GRADING FENCE
REPAIR CYDS ( X FT) REMARKS
DEMOLISH TANK El OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF CX7J? CODE OCCUPANT
, 7�
iE GROUP
L) S* Q _I
111 NUMBER OF CRITICAL
OF DWELLING AREAS SPECIAL INSPECTION JAREA
LOAD
UNITS NUMBER REQUIRED []
NUMBER
o STORIES
DESCRIBE WORK TO BE DONE
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D Ei
Iv
cv)o P�4—'u IS VALUATION
Description FEE" Description FEE
Plan Check State Surcharge
HE&T SOU E GLAZING % LOT SLOPE % Building Permit City Surcharge
CrAj I
I IC NO: VESTED DATE
Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
2 Engr. Review
Itr PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) Fire Review Plan Chk. Deposit
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
W IN INTERES!", AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
_j
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
cc
ALI. CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECIiYOR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF 1 HIS PERMIT SHAI I NOT 13E
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITYTO ENFORCE ANY ORDINANCE PROVISION
X1 Recording Fee Receipt #
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR 111E DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL This application is not a permit until signed by�tfi�o
TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her DCpLIty: and Foes 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 COMPENSAT2=NCE AND FICW 18.27.
1 DA
FFIC IIALS SIGNAT R TE
SIGOtURE 1: WN__'R GEN DATE G�N E D (425)
0( OL
L _ — L_ I DA"TIE
771-022 ASED BY
ENTION '77T�--7 2c, -3 '2610 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- ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
09,,03 PRESS HARD -YOU ARE MAKING 4 COPIES
z
0
M
0
C:
M
M
10
0
0
C:
4
a:
K
M
M
.0
Z
x
U)
o
n
-n
M
M
0
0
—C1)
r-
M
U)
U)
M
Z
0
r- i
M
X
z
0)
z
0
I
0
M
CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Ednionds, WA 98020
(425) 771-0220
GIRDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 8410 Maplewood Lane, WA 98026
Tax Account Parcel No. 002704-1900-200-600
Issued To: Paul Poppe, Property Owner
Address Of Person This Order Is Issued To: 8410 Maplewood Lane, Edmonds, WA 98026
Code Section Violated:. Uniforrn Mechanical Code Section 112. 1.
Description of Violation: Oil behalf of the property owners, Washington Energy Services obtained a
mechanical Dermit 02004-0010) to install a new iaas furnace and with gas piping. The Uniforni
Mechanical Code requires that gas piping be placed under test and observed by the inspecting authority.
The furnace is 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 permit expired on July 5, 2004.
Corrective Action Required: Contact the installer for the pu!Pose of Placing a pressure valve on the
gas piping -so that a test may be performed. Contact the City building insl2ector and schedule for the
required inspection of the gas piping test and furnace installation. If you schedule an inspection by
August 9, 2004 the pern-fit deadline shall be extended to this date. Failure to meet 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 inspection approval is required before the City can close the
permit file.
Correction is Required no later than: 5:00prn (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
$1.00.00 per day, or portion of a day, during which the violation continues.
Date Posted:
Date Mailed: July 23, 2004Date Served
Issuing Party Jeannine L. Graf Title Building Official
girl
z
0
A
0
!71
=i 9
M
M 0
0
-10
0 C
-j K
M M
MZ
jo --I
C -Z
C')
0 71
M M
055
0 r-
0 M
(1)
0)
Q 0
Z
71
z
--i
a:
W
z
0
i
0
M
I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining
Slab Insulation ..........
PLUMBING:.'
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
q!�
GasTest .................... ---
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 3
OCCUPANCY ..................
z
0
i
0
M
—1 -n
171
C
M
0
__110
0 c::
M
ITI z
o -n
_n
M M
0 5)
0 r— I
0 M
C: W
90)
M 0
z
z
--A
x
U)
z
0
1
0
1711