BLD20110557.pdft
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° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�pc. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date:
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GEORGE N MOORE GEORGE MOORE EXEMPTION FROM CONTRACTOR
750 BROOKMERE DR 750 BROOKMERE DR
EDMONDS, WA 98020-2609 Edmonds, WA 98020
425-771-2029 ( ) - EXT:
LICENSE #: EXP:
INSTALLING APPROX 70 FT GAS PIPING AND REPLACING FURNACE AND WATER HEATER LOCATED IN THE
BASEMENT. FUTURE STUB OUTS FOR DRYER, STOVE AND OUTDOOR BBQ.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing (ONLINE)
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
FENCE: N ( 0 X 0 FT.)
OTHER: N -----OTHER DESC:
NUMBER OF STORIES: 0
OCCUPANT LOAD:
CODE: 09
ZONE:
1 VESTED DATE:
NUMBER OF DWELLING UNITS: I
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED: PROPOSED: RE UIRED: PROPOSED:RE UIRED: PROPOSED: '
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, N
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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DFPUTY AND ALL FEES ARE PAID. ,
bUGN ONdig PENMIT PROC� Ref�aseii By // Date
NTION (/
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
BLD20110557
• 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.
• In addition to the required pressure/relief valve, an approved listed expansion tank shall be installed on all hot water tanks.
Per UPC 608.
• 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.
• 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 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.
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 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT (4251672-5755 1 RECYCLING 425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Gas Test/Pipe
• B -Plumbing Final
• B -Mechanical Final
of E°M Inspection
Comments
v.
BLD20110557
47 - Plumbing (ONLINE)
Applied: 07/19/2011
Issued: 07/20/2011
Expires:
01/20/2012
Address: 750 BROOKMERE DR, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1128 - B-Gas Test/Pipe
07/26/2011
STEINIKE
CMP
Comment:
1152 - B-Plumbing Final
01/19/2012
LAWLER
CMP
Comment:
1156 - B-Mechanical Final
01/19/2012
LAWLER
CMP
Comment:
1/20/2012 10:40:58 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1