20170228165722.pdfExpiration Date:
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Project ik(ldress:
Parcel No: 00515200000400
PROPERTY OWNER APPUM'ANI CONTRACTOR
ANDREA S/MCMILLAN TIMOTHY VLAD HVAC VLAD HVAC
WALLIS 1207 69TH AVE E 1207 69TH AVE E
1257 8TH AVE S FIFE, WA 98424 FIFE, WA 98424
EDMONDS, WA 98020
(253) 332-1137 EXT. 05182
LICENSE #: VLADHHL855KQ EXP:05/18/2017
NEW GAS PIPINGTO STOVEAND FIREPLACE.
SEPERATE MECHANICAL PERMIT REQUIRED FOR THEFIREPLACE INSERT
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHERDESC:
ZONE.
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR- 0 2ND FLOOR- 0
BASEMENT- 0 1 S7 FLOOR- 0 2ND FLOOR- 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR. 0 GARAGE: 0 DECK: 0 OTHER: 0
,BEDROOMS: 0 BATHROOMS: 0
1 BEDROOMS: 0 BATHROOMS: 0
FRONTSFFBAUK SIDESEFBACK REAR S El'BACK
REQUIRED: PROPOSED: ��REQUIRED: PROPOSED: 771RE-QUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
4 WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27
i1;1,PLICA �ION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
0 1-7
By
ATTENTTON
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED UBC1091IBC110/1RC110
.N. ZI
ONLINE APPLICANT ASSESSOR O-nIEP---
STATUS: ISSUED BLD20170296
C'ONDITIONS i
• Final approval on a projector final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• SoundNoise originating from temporary construction s ites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00arn and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the nois e originating from construction sites /activities must comply with the
nois e limits of Chapter 5.30, unles s a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hanirdess the City of Edmonds, Washington, its officials, employees, and agents from any and all claim for damages of
whatever nature, arising directly or indirectly from the issuance for this pen -nit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMITTIME LIMIT. SEE ECDC 19.00.005(A)(6)
(ALJ_ FOR INS PECTIONS
BUILDING (425) 771-0220 EXT. 1333 7 ENGINURING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720 1
I PUBLIC WORKS (42-5) 771-0235 1 PR&TREATMENT (425) 672-5755 1 RECYCUNG (425) 275-4801 1
When calling for an inspection please leave the folloAng information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and vdiether you prefer morning or afternoon.
B-Gas Test/Pipe
B-Plumbing Final