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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 3/16/2011 Permit #: BLD20110177
Expiration Date: 9/16/2011 Project Address': 6611 172ND PL SSV, EDMOND -
Parcel No: 00643600000200
PROPERTYOWNER APPLICANT CONTIUCTIMA
FRED TUTTLE Evergreen State Sheet Metal EVERGREEN STATE SHEET METAL
6611 172ND PLACE SW 2120 PACIFIC AVENUE 2120 PACIFIC AVENUE
EDMONDS, WA 98026 Everett, WA 98201 EVERETT, WA 98201-
206-650-7718 4252523114 (425)252-3114 Ext.
LICENSE #: EVERGSS0220T EXP: 10/10/201 1
Gas Piping and replace furnace. Location: Garage
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain (ONLINE)
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: I
LOT #:
BASEMENT: 0 I ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
'O . i
ZEQUIRED: PROPOSED:REQUIRED: PROPOSED: REQUIRED: PROPOSED:
-lE1GHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
;ET BACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUL,ATINGCONSTRUCT ION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE SLATE OF WASHINGTON RELATINGT0
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27,
THISAPP1.ICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDINGOFFICIAL OR UIEHER REPLIT Y AND ALL FEES ARE PAID.
AGREED TO BY APPLICANT ?2lb i
NLI ^"U NWRMIT PRESS �Aelea(ed By Date
ATTENTION (�
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN'171- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE
= APPLICANT
ASSESSOR
STATUS: ISSUED BLD20110177
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.
• Cas 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. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Provide combustion air per IMC Chapter 7 for commercial and multi -family residential installations, and IRC Chapter 17 for one
and two-family dwellings.
• Any request for altemate 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 iters not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are e�ompt from the 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/activities must comply with the
noise limits of Chapter 5.30, unless 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 pen -tit. 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.
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.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT, 1333 1 IiNGINFEMG (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS 425) 771-0235 1 PR&TREATMNTIT (425)672-5755 1 RECYCLING 425 275-4801
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 -Mechanical Final
of E041 Inspection Comments
O�ON
BLD20110177
47 - Plumbing/Water Service Line/Fountain
LONejNE)
Applied: 03/15/2011
03/16/2011
Expires:
09/16/2011
Address: 6611 172ND PL SW, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1128 - B-Gas Test/Pipe
04/19/2011
STEINIKE
COR
Comment: Left Door Tag! Called and NO answer.
1128 - B-Gas Test/Pipe
08/23/2011
LAWLER
CMP
Comment:
1156 - B-Mechanical Final
08/19/2011
LAWLER
COR
Comment: no one home, left door hanger
1156 - B-Mechanical Final
08/23/2011
LAWLER
CMP
Comment: needs duct test, left correction notice
11/30/2011 1:32:41 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1