BLD20110384.pdf�y OF EOMU�
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STATUS: ISSUED 5/26/2011
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CITY OF EDMONDS M�
Expiration Date: 11/26/2011
Parcel No: 00370800300401
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20110384
Project Address: 18201 76TH AVE W, EDMOND:
WENDY R & JONATHAN C BANNISTER
Evergreen State Sheet Metal
EVERGREEN STATE SHEET METAL
TYPE OF CONSTRUCTION:
18201 76TH AVE W
CANDACE SHIVELY
2120 PACIFIC AVENUE
OCCUPANT LOAD:
EDMONDS, WA 98026-5408
2120 PACIFIC AVENUE
EVERETT, WA 98201
ZONE:
NUMBER OF STORIES: 0
Everett, WA 98201
NUMBER OF DWELLING UNITS: I
LOT #:
425-771-6816
4252523114
4252523114
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #: EVERGSS0220T EXP:
Electric to gas furnace change out with gas piping in garage studio
VALUATION: $0.00
Ct")a'mi
.ETED
PERMIT TYPE: Residential
PERMIT GROUP: 40 - Mechanical/Solar (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 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
tE UIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
4EIGHT ALLOWED:O PROPOSED:O I REQUIRED: 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 RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATIQNISILOT_A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
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3 8 FQM ff PRollak o� Released By Date
611 {SRR G ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER �!
STATUS: ISSUED
10
BLD20110384
• 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. 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.
• Sound/Noise originating from temporary construction sites 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 10:00am 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 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
instr6ctions, 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.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I CALL 1,011 INSPECTIONS
BUILDING 425) 771-0220 EXT. 1333 1 ENGINEERING 425) 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425) 672-5755 RECYCLING 425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beim requested. Contact Name and Phone Number. Date Prefereed, and whether you prefer mornine or afternoon.
• B -Gas Test/Pipe
• B -Mechanical Final
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Inspection
Comments
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BLD20110384
40 - Mechanical/Solar (ONLINE)
Applied: 05/25/2011
Issued: 05/26/2011 Expires:
11/26/2011
Address: 18201 76TH AVE W, EDMONDS
INSPECTION
DATE INSPECTOR
ACTION
1128 - B -Gas Test/Pipe
07/20/2011 STEINIKE
CMP
Comment:
1156 - B -Mechanical Final
10/18/2011 LAWLER
CMP
Comment:
10/19/2011 9:12:41 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1