BLD20071095.pdfOF E°M° CITY OF EDMOND S
U N
121 5TH AVENUE NORTH - EDMONDS,W A 98020
P HONE: (425) 771.0220 - FAX: (425) 771.0221
n'` I ")o .STATUS: ISSUED PerTmt #: BLD200?i095'
Expiration Date: 5/1/2008 ,''ProlectAtl�ress ;1t1717 ULYMYl( ViLW llKL1YLViVva
Parcel No00434600007201
a �•
CHARLES RIDLEY GASWURKS PLUS MECHANICAL GASWORKS PLUSMECHANICAL
18717 OLYMPIC VIEW DR P O BOX 1201 P O BOX 1201
EDMONDS. WA 98020.2351 LYNNWOOD, WA 99046 LYNNWOOD, WA 99046
425-640 2930 425-640-2930
LICENSE 8: GASWUPM044BS EXP:2/10/2009
REPLACE ELECTRICTO GAS FURNANCE 100K BTUS IN UTILITY ROOM, REPLACE ELECTRICTO GAS WATER HEATER 75K
BTU IN UTILITY ROOM, 9OFT NEW PIPINGTO 5 OUTLETS FUTURE DRYER BBQ & RANGESTUB
PROPOSED:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL HE EMPLOYED IN VIOLATION OF T HE LABOR CODE OF THE STATE OF WASHINGTON RELATINOTO
WORKMEN'S COMPENSATION INSURANCE AND RCW Ie 27.
K APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIIER DEPUTY AND ALL FEESARE PAID.
/SetG(e " Print Name Data NexeaseD By �•�
ATTENTION
FTiS UNLAWFUL TO USE OROCCUPY A BUILDING OR STRUCIURE UNTIL A FINAL INSPI.CnON I IAS BEEN MADE AND APPROVAL ORA CF.RTIFICAMOP
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 101 IRCI 10.
ARCHIVE APPLICANT ASSESSOR OTHER
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STATUS: ISSUED BLD20071095
• Installation, use and maintenance of equipment and components shall be per manufact urer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
• In addition to the required pressure/relief valve, an approved listed expansion tanks hall be installed on all hot water tanks. Per
UPC 608.
• Type B or L vent connectors required on fuel -burning appliances passing through unheated spaces. Per IMC 803.2
• Pursuant to UPC 605.2 a water service shutoffshall be installed on the water line as it enters the building.
• Gas pipe test nmsI be observed by City Building Inspector, affidavits shall not be accepted.
• Provide combustion air per IMC Chapter 7 for cormrercial and multi -family res idential ins tallations, and IRC Chapter 17 for one
and twodamily dwellings.
• Pursuant to UPC 608 a pressure regulator valve(PRV) shall be installed near the water shutoff.
Sound/Noise originating fmmternporary construction sites as a result ofconstruction activity are exempt fromthe noise 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/activites must comply with the
noise lints of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
•
THIS PERMT 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.
PERMIT TIME LIMIT: SEE ECDC 19.00.0050)(6)
CALL FORINSPIEC11 IONS
BUILDING 425 771-022017Cf. 1=1 ENGINERU NG 425 771-0220 EXT. 1326 FME 425 771.02I
PUBLIC WORKS 425) 771.0235 PRE-TRE4.TMp3VT 425 672-5755 RECYCL NG J12512754801
When calling for an inspection please leave the following 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-Plumbing Final
&Mechanical ����
O
``y or 6u,yoy
City of Edmonds N
Plumbing & Mechanical, Tank & Demolish V
Permit Application Form C ,jg90
Site Address: 19717 L-9-lyznp,�,
Suite#:
Tax Parcel #:
Business/Tenant Name (if applicable):
PROPERTY OWNER:
Mailing Address: ��% �lwsobit
(/��✓ Ate/
City: L41noRw3
State:
Phone:
FAX: )
E-Mail:
CONTRACTOR: 62a-5u1 rA3 /-lu3 Wlcc%r�r7 �5/
p
Mailing Address: 19oX 17L7�
City: inn woucC State: lf/r�
zip: gBoYs
Phone:( yamFAX: ( Ii2S
E-Mail:
State License Number: 6:,4SWGt/OlVII41135 Exp: Date:1-0-a City Business License No:
MECHANICAL
PLUMBING
Fixture Type
Fixtures
Total
Fixture Type
Fixtures
Total
Gas Furnace/Fireplace:
Water closet
Lb BTUs Location
Sink
Gas logs/direct vent fireplace
Lavatory
Location
Tub/Shower
_BTUs
Air Handler BTU Location
Dishwasher
a Electric
Hose Bib
a Other
Gas water heater w/expansion tank
Boilers Location
TUs cation
_BTUs
Hydronic Heating
xpansion Tank
Vents, Single Duct #
Floor Drain
Other:
Pressure reduction valve
Water Service Line ft
Gas Piping It
Other:
# of Outlets _ Y
DEMOLITION soft
Gas Outlets
TANK allons
a AC Unit o Furnace
a Fill Material
0 Water Heater a Boiler
a Pum , Rinse & Ca
a Dryer o Stove/Range
a Removal
o Fire lace o BBQ
Critical Area Chklst
a Other Gas Outlet
a Stud Re . a Waiver
L:\TEMP\BUILDING\WEBchecklisls\MECH.PLUMB.APP.doc 8/31106
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Permit Inspection Details
Permit: BLD20071095
PERMITTRA
1128. B Gas TestlPipe
11/02/2007 Readwin 20 APPROVED Y
Total Time 20
1158BtBuilding�Final ,''..":taw�tet,irc.�...:_,„ ,, , ,Complete?._,.
02/0412008 Readwin 20 APPROVED Y
Total Time: 20
Total Inspections: 2 Total Time: 40
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