20050570B.pdfGATE RECEIVED /
PERMIT EXPIRES
CITY OF EDMONDS NUMBER
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CONSTRUCTION PERMIT APPLICATION JOB _ SUITEIATI#
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OWLFNA MEINAME OF BUSINESS `(' / ��/� L` � '�
S. PLAT NAMEISUBDIVISION NO. LOT NO LID NO,
W MAILING ADDRESS LID FEE 5
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3 4 1 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved O
O RW Permit Required 0
CITY Street Use Permit Required C3
ZIP TELEPHONE EXISTING PROPOSED inspexeon Required D
/� n ^ !� f, Sidewalk Required o
L��' U.� 1 62Z REQUIRED DEDICATION FT Underground O
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METE SIZE'S LINE SIZE�� NO. OF FIXTURES PRV REQUIRED
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FIRE REVIEW DATE
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STATE LICENSE NUMBER EXPIRATI N DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA
REQ'D COMPLETED EXEMPT
4571 G`J ! V 0 YES 13 NO
a PROPERTY TAX ACCOUNT PARCEL NO. CA# ZONE SIGN AREA HEIGHT
W '''J ^� !�- i•� / �r'1 WAIVER [3 ALLOWED PROPOSED ALLOWED PROPOSED
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❑ NEW RESIDENTIAL PLUMBING / MECH f
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❑ COMMERCIAL COMPLIANCE OR v O j� �' z
❑ ADDITION ❑ MIXED USE ❑ CHANGE OF USE • _
❑ REMODEL ❑ MULTIFAMILY ❑ R 1� �9� aNIT IpLShI�IE°�tM DATE g
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❑ REPAIR ❑ GRADING CYDS ❑ FENCE
❑ DEMOLISH ❑ TANK ❑ OTHER
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GARAGE RETAINING WALL ❑ ❑ FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
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Fa (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
U TYPE 90r0bSTRUCTI CODE OCCUPANT.
LuNUMBER NUMBER OF V V
M OF DWELLING SPECIAL INSPECTION CONSULTANT LOAD O STORIES UNITS
DESCRIBE WORK TO BE DONE REQUIRED YES
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C, GEOTECH REPORT 9
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STRUCTURAL DESIGN
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VALUATION
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11 Description FEE Description FEE
U anf 4w111 1 "6t76V Plan Check State Surcharge
EAT RCE LO SLOPE% VESTED DATE
�'L J Building Permit City Surcharge
PLAN CHECK NO: Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
t SEPARATE PERMISSION.
\ Engr. Review
LU PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
a . PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
•APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS 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 #
a 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 Landscape Insp. Total Amt. Due
= NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT 1 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- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/hor Deputy: and Fees are paid, and
IN VIOLATION OF THE CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space prow ed.
WORKMEN'S COMPENSAT I RANCE AND RCW 18:27.
OFF AL AT R DATE
SIGN RE (OWNERUENV ATill,
GNE (425) C'
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r 71 -0220 RELEAS BY ATE
T NTION EXT. 1333
IT IS UNLAWFUL TO USE OCCUPY A BUILDING OR STRUCTURE UNTIL
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M r1111IML, IIN rIWIV IIMa 1,01imu1 mrsvc P% IN Mr►-r•vVrsa. vn M vV.Mrr- ORIGINAL -FILE YELLOW-INSPECTOI
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 I IBC110 / IRC110. PINK. -OWNER GOLD - ASSESSOR
10104 PRESS HARD YOU ARE MAKING 4 COPIES
CITY OF EDMO .NDS
DEVELOPMENT SERVICES DEPARTMENT
121. 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel No): 9615 Blake Place, Edmonds, WA z
98020 Tax Account Parcel No. 27013100402500
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Issued To: Stuart Sierer, Property Owner _ o
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Address Of Person This Order Is. Issued To: 9615 Blake Place, Edmonds WA 98020 O C
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Code Section Violated:. Uniform Plumbing Code Section 103.5 D Z
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Description of Violation On behalf of the property owner, Washington Ener Services obtained a O
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plumbing permit #2005-0570B) to change out an existing gas hot water tank located in the utility room �
of the basement The City has 'confirmed with Washington Energy Services that the work is complete I m
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however no final installation approval has occurred as required by the code. O r
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1 Call for the required final installation inspection b September 30 t .. n:
4 Corrective Action Required: ) q p �p
2005 (Building Inspection Hotline 425-771-0220 ext 1333). If upon inspection additional corrections
are required all corrections shall be completed by October 15, 2005. Failure to meet the imposed
deadlines shall require that a new permit be obtained to complete the work.
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Correction is Required no later than: 5:00pm (time) September 30, 2005 (date)
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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 m
$100.00 per day, or.portion of a day, during which the violation continues.
Date Posted: Date Mailed: September 1, 2005 Date Served
Issuing Party Jeannine L. Graf Title Building Official I "_
Signature .
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GARY HAAKENSON
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CITY OF EDMONDS
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Ira a MAYOR �
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121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
Website: www.ci.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT;:
j p Planning • Building Engineering
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August 19, 2005 '
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Stuart Sierer
`± 9615 B1ake.Place rn
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t Edmonds, Washington 98020
SEEM
RE:Gas Water Heater Permit #2005-0570B c to
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Dear Mr. Seirer: C
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According to
City records Washington Energy Services obtained a permit on your behalf to replace a O r`
gas hot water heater in the utility room of your basement (reference permit #2005-0570B copy e SEND fir,
r,- enclosed for your convenience). The Uniform Plumbing Code regulates the installation of gas piping D_
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{ and hot water tanks and requires a final installation inspection in order to close out the permit and to be
assured no life -safety. issues exist. r
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Unfortunately, as of this date there is no record of inspection request'.My staff placed several phone m m
calls to Washington Energy Services and confti
timed that the work is finished. We understand that it is $ i
sometimes difficult to arrange.a. day and time for inspection, especially when family members are c� i;
working;however the code requires the as piping and final inspection.
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5 Please contact the Building ServicesInspection hotline at 425-771-0220 extension 1333 by August 31,,
2005 to schedule a day and time for inspection. Our inspection hours can be from 7:15am to 3:45 01`111
Monday through Friday. If these times are not convenient for you perhapsanotherfamily member or
neighbor or building manager could allow the City Building Inspector. access for inspection. We will.
try to accommodate your schedule as much as possible. If there are circumstances beyond your control
that will prevent you from complying by August 31, 2005 please call me directly at.425-.771-0220
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Sincerely, m
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Jeannine L. Graf
Building Official
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Incorporated August 11, 1890
` Sister City - Hekinan, Japan
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