20170609105827.pdf01;
--k
CITY OF EDMONDS
121 5TH ANTNUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 06/09/2017
Expiration Date: 12/09/2017
Parcel No: 00511600000100
Pro.icet
STEPHEN C & WARLICK CHRIS MISCZUK STEPHEN C&WARLICK CHRIS ADVANCED INSTALLATION, INC
24014 79TH PL W MISCZUK 16504 HWY 99 #101
EDMONDS, WA 98026-9114 24014 79TH PL W LYNNWOOD, WA 98037
EDMONDS, WA 98026-9114
(704) 615-9339 (704) 615-9339 (425) 745-5977
LICFNSF #: ADVANI1033DU EXP:03/13/2018
INSTALL FIREPLACEINSERT WITH GAS PIPING.
GAS PIPING OUTLET FOR FUTURE RANGE
VALUATION: $0.00
NDS
PERMIT TYPE: Residential
PERMIT GROUP: 40 - Mechanical
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY
OCCUPANT GROUP
OCCUPANT LOAD
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
IZONE,
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
I BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONI'SFTBA('k SIDES [,-I'BA(-Ik REAR S VI'B AUK
REQUIRED: PROPOSED QUIRED: PROPOSED: 7RE_QUIRED� PROP-OSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27
MW_)L)LICAT ION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID
Signature
Date
ATTENTION
Released By
�P_0/
IT IS 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. UBCI09/113CI 10/ IRCI 10.
ONUNE APPUCANT = ASSESSOR OTBER
STATUS: ISSUED BLD20170774
CONDITIONS
• Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
• Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted.
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Checkthejob card for all required City inspections including final project approval and firial
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 nois e limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites /activities must comply with the
noise 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
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this 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.
• Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
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.
PERMITT1ME LIMIT. SEE ECDC 19.00.005(A)(6)
BURDING (425) 771-0220 EXT. 1333 1 04GINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
P LJB LIC WORKS (425) 771-0235 PRFPTREATNIENT (425) 672-5755 RIBCYCLI NG (425) 2754801
IWhen calling for an inspection please leave the folloming information: Permit Number, Job Site Address, Type of Inspection being
requested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B-Gas Test/Pipe
• B-Mechanical Rough In
• R-Merhnnirnl Fins]