BLD20110686.pdfof E�
STATUS: ISSUED 8/23/2011
Expiration Date: 2/23/2012
Parcel No: 00528100000800
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20;11
Project Address: 21315 95TH PL W, EDMOND
LYLE G WALLACE
K. L. ENTERPRISES
K. L. ENTERPRISES
21315 95TH AVE W
10120 53RD AVE W
10120 53RD AVE W
EDMONDS, WA 98020
MUKILTEO, WA 98275
MUKILTEO, WA 98275
( ) - EXT:
(425) 879-2315 EXT:
(425) 879-2315 EXT:
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE k: KLENT"232DC EXPA/15/2013
INSTALLING NEW GAS FURNACE WITH APPROX 60 FT OF GAS PIPING. FURNACE LOCATED IN BACK OUTDOOR
CLOSET.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 40 - Mechanical/Solar
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
FENCE: N ( 0 X 0 FT.)
OCCUPANT GROUP:
OCCUPANT LOAD:
CODE: 09
OTHER: N ----OTHER DESC:
NUMBER OF STORIES: 0
ZONE:
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT k:
BASEMENT: 0 1 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
FRONTSETBACK SIDE SETBACK RLAR SETBACK
.E UIRED: PROPOSED:RE UIRED: PROPOSED: RE UIRED: PROPOSED:
[EIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
ETBACK 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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY TAE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ,�&L FEES -,ARE PAID. ,
IT IS
= ONLINE
ATTENTION
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. UBC 109/ IBCI 10/ IRCI 10.
= APPLICANT = ASSESSOR �< OTHER �/
STATUS: ISSUED
BLD20110686
• 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. 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 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
ofE°'"
Inspection
Comments
L � N
BLD20110686
40 - Mechanical/Solar
Applied: 08/23/2011
Issued: 08/23/2011 Expires:
02/23/2012
Address: 21315 95TH PL W, EDMONDS
;INSPECTION
DATE INSPECTOR
ACTION
1128 - B -Gas Test/Pipe
08/31/2011 STEINIKE
CMP
Comment:
1156 - B -Mechanical Final
01/30/2012 LAWLER
CMP
Comment:
1/30/2012 12:46:28 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1