20051164.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
'97 NAME)NAME OF BLI�NFSS
V
Cc MAILINGADDRESS
W
z
M�
0
CITY
ZIP TELEPHONE
CIO^ L/
NAME
U
ul
It t:
: ADDRESS
NAME
ADDRESS
CITY-
STATE LICENSE NUMBER
I 'dAP-116
PROPERTY TAX arCOUN
ne-) yq�;O��
NEW
ADDITION
E] REMODEL
L
REPAIR
DEMOLISH
GARAGE
CARPORT
tTYPE OF USE, BUSINES�
TELEPHONE
C BL#
I
PERMIT EXPIRES L9
PERMIT
NUMBER
S-L'I lbv
C)A�
JOB SUITQAPTx
ADDRESS —7
PLAT NAIAE/SUBDIVISION NO.
7.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
I LSCf) A ppro, on
HVV flelm.l Reqj�fpcl
EXISTING PROPOSED
sirem use Permt Fiecijiferl
inspect,on R&quaw E3
Ssclo%alk Requ,fed 0
REQUIRED DEDICA1 ION
FT
Undefground
W.(,nj iprl,pim
METER SIZE
LINE SIZE
NO OF FIXTURES
PRV REQUIRED
YESM NO13
In addition to the required
pressure/renet valve, an approve
hMAdjVXPR115iU11 t8nlZ Sfiall WE
installed on all hot water tanks.
lawar, eno DATE
zilli TELEPHONE PUBLIC WORKS REVIEWED BY DATE
EXPIRATIO"ATE CAlECKE BY FIRE REVIEWED BY DATE
UT
0
z
FE
Uj
Lu
UJI
uj
Cc
U.
VARIANCE OR CU
SHORELINEORADB#
INSPECTION
SEPA
PARCEL NO.
REO D
'D
CO3YRE S
S
COMPLErED I EXEMPT
CotL4P
0
z
RESIDENTIAL PLUMBING MECH
COMMERCIAL COMPLIANCE OR
MIXED USE CHANGE OF USE
MULTIFAMILY SIGN
CA#
IV
13 wAIVEIR
ObC
11 STUDY Obt
rUDY
jeel
In JElectri
SN AR
atoVerfilitto
HEIGHT
%L D PROPOSED
LOT C 9ETTrZ7S_(FTj
ALLOWED "E6 F
P-alaRclsRas TBACKS(F I T I
RONT IM SIDE REAR
GRADING FENCE
CYDS X FT.)
z
z
4
PARKING
LOTAREA
PLANNING REVIEWED BY DATE
TANK OTHER cwij I r UVIUM
RETAINING WALL FIRE SPRINKLER REMARKS
ROCKERY FIRE ALARM
FR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF I I -
OF DWELLING CCUP
UNITS no NI STVTIO rj::� PIZ
STORIES I VGROU
DESCRIBE WORK TO BE DONE U n I
SPECIAL INSPECTION CONSULTANT OCCUPANT
0C LOAD
REQUIRED 13YES
REMARKS
BY*
C/01 bll�l �:r STRUCTURAL DESIGN
By.
VALUATION
$
bolffhbd 616�ell_ 1
Description FEE Description FEE
HEAT SOURCE LOT SLOPE% VESTED DATE Plan Check State Surcharge
PLAN CHECK NO: Building Permit City Surcharge is
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 PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Lu Engr. Review Recording Fee
0. PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Fire Review Receipt #
2 ED ONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
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
C NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Landscapeinsp. Receipt If
x I I ,
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 CALL This application is not a permit until Signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- Building 011icial or his/her Deputy! and Fees are paid. and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO receipt is ack dged in s )ace provide I
WORKMEN'S COMPENSATION INSURA14CE AND RCW 18:27. IC UR.. E kTE
(425) OF"
!ER "GE Iq Tr
SIGN40RE (OWN DATE SIG*ED 771-0220 E_ lt
1--f /_ S
�/Y/4 / �L &--I / RELEA ED G'A C ATE
EXT. 1333
WTTtNTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
0
z
z
0
i
0
M
-n
0 M
C
M 0
0
0
0 C
M
M Z
j) —4
C _z
C/)
0
n
M M
0
0
0 M
C (j)
M C/)
�MO
Z
z
z
0
11
0
M
.CITY OF EDMONDS
DEVELOP MENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and/or description of location): 22030 95"' Place West, Edmonds,
Z.
WA 98020 Tax Account Parcel No. 005544200100500
0
7n
Is sued To: Bruce Vandyke, Property Owner
—.4
co
OM.
1h
Address Of Person This Order Is Issued TO: 22030 95 Place West, Edmonds, WA 98020
M 0
0 0
C�
M
M z
Code Section Violated% Unifon -n Plumbing Code Sections 103 & 103.5
C:
ca
Description of Violation: 1) Installed gas fired hot water tank without obtaining City inspection
royal and 2) The plumb*ng pen -nit expired on 6/28/06.
MM
Cn.
Corrective Action Required: Call for the required plumbing inspection by calling the Inspection
0
0
H tline at 425-771-0220 extension 1333. Inspection hours are Monday to Firidqy from 7:30arn to 11:30
o
C CD
C co
am and 1: 1 5pm to 3:45pm.
M 0
Z
X
Correction is Required no later than: 5:00pm (time) Au t30,2006 (date)
If correction is not made by the date and time specified in the Order, a Notice of
z
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.
z
0.
Date Posted: Date Mailed: August 16, 2006 Date S6 rved
0
M
Issuing Part Jeannine L. Graf Title Building Official
Signature'
GARY. HAAKENSON
MAY
CITY OF EDMONDS OR
121 5TH AVENUE NORTH EDMONDS. WA 98020 (425) 771-0220 FAX (425) 771 -0221
Website: wymb.edmondsma;us
DEVELOPMENT SERVICES DEPARTMENT
z Planning -.Building - Engi inee'ring
August 23,.2006
z
John & Terri Nugent
M7.
22030 05" PlaceWest
Edmonds, Washington 98026
a
RE: Plumbing Permit #2005-1164
M.
c
M:
6
OP
Dear Mr. & Mrs. Nugent:
C,
The pu e of this letter is to inform you that when the prior owners of your. home had the gas
rpos
rn
M z
C)
-ailed to
liot Water heater replaced last year, the installer Washington Energy Services, f contact
e r ection.
the City for th equired installation insp
y inspector ap
The State adopted Plumbing Code., requires that the Cit prove all installations of gas
0 _n
_n
at ty
erify th* no life -safe
fired appliances to ensure. minimum compliance to the codes and to, v,
3: K
M:
iciencies exist in the installation'.
Aef
M
ca
0
We respectfully reques t that you schedul c* for the inspection by September 15, 2006 by calling
.0m
C ca
425-771-0220 extension 1333.
M 01
�.z ff
If you have any questions about the installation or the inspection process please.feel free to
X
contact me at 425-771-0220 extension 1226
Sincerel Y,
Can
01
0
Jeannine L. Graf
Building Official
Incorporated.August 11, 1890
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ......................
FOUNDATION:
Footing ......................
Wall ..... ..................
Pier/Porch ..................
z
Retainin W611 ...........
9.
Slab Insulation
PLUMBING:
=n-
Underground .............
M
C
M 0
Rough -in ............ I ......
Commercial Final ......
C
HEATING:
M:
M Z
Gas Test ....................
Gas Piping ......... .......
Equipment ...............
Commercial Final .......
x
M M
EXTERIOR SHEATHING
NAILING ..........................
0 M
C
FRAMING ........................
0
Q 0
Z r—
FIRST FLOOR FRAMING...
INSULATION ...................
-4
Floor Insulation .........
3:
>
z
Wall Insulatio n ........
__q
Ceiling Insulation .........
ca
z
SHEETROCK NAILING
0
SPECIAL INSPECTION,...
M
MISCELLANEOUS .........
FINAL APPROVAL FOR
OCCUPANCY ..................
1 2 00 r=011641