BLD20110904.pdfOV EQ4f IIII��III
CITY OF EDMONDS . 0888
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Parcel No: 00559700200100
PROPERTYONNINER
TOM PETERSON NELSON HEATING NELSON HEATING
9730 216TH PL SW PO BOX 1126 PO BOX 1126
EDMONDS, WA 98020 EVERETT, WA 98206 EVERETT, WA 98206
(425)257-1300 (425)257-1300
LICENSE k: NELSON* 101 LR EXP:3/29/2013
JOB DESCRIPTION
INSTALLING GAS PIPING TO FURNACE, WATERHEATER, FIREPLACE, RANGE, DRYER AND OUTDOOR BBQ.
INIQ'rAI I INIr. PI TONIArF
VALUATION: $0.00
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PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ----- OTHER DESC:
ZONE:
11CCTCT 1lATC
NUMBER OF DWELLING UNITS: 0 LOT 4:
7BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
LOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK RE.All SETBACK
RE UIRED: PROPOSED: I REQUIRED: PROPOSED: I RE UIRED: PROPOSED:
HEIGHT 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 APPLIC TIGN-VFNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND L FEES ARE PAID.
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Signature Print Name Date Released By V Date
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/ IBC I 10/ IRC I 10,
ONLINE APPLICANT ASSESSOR OTHER
P sE
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STATUS: ISSUED
BLD20110904
• 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 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
r
0V Eb"'0 Inspection Comments
BLD20110904 47 - Plumbing
Applied: 10/31/2011 Issued: 10/31/2011 Expires: 04/28/2012
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Address: 9730 216TH PL SW, EDMONDS
,INSPECTION DATE INSPECTOR - ACTION,',,,,
1128 - B -Gas Test/Pipe 11/03/2011 LAWLER CMP
Comment: 16psi test approved
1156 - B -Mechanical Final 12/21/2011 LAWLER CMP
Comment:
5/11/2012 1:43:40 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1