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BLD20110953.pdfU � of E� CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 11/16/2011 ' -7 �, .__. —., tam �? ; ._. Permit.# BLD20110953i Expiration Date: 5/16/2012_ M__Project Address;:` 2; Parcel No: 00544200101000 ?.* PP GRADING: N CYDS: 0 MAUREEN WOOD Brennan Heating BRENNAN HEATING 22206 95TH PL W 1AIMIE HOW 4601 S 134TH PL EDMONDS_ WA 98020 4601 S 134TH PL TUKWILA, WA 98168 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 Tukwila, WA 98168 (206)920-8386 (206)248-7900 (206)248-7900 LICENSE #: BRENNHA97 I R9 EXP:12/29/2011 install gas boiler (<100,000 btu's) and gas hot water heater located in the utility room. 3 outlets of gas piping, boiler, water heater and fireplace. VALUATION: $0.00 PERMIT TYPE: Residential PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain (ONLINE) GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N FENCE: N ( 0 X 0 FT.) OTHER: N -----OTHER DESC: OCCUPANT GROUP: OCCUPANT LOAD: CODE: 09 r" ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 1 LOT #: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR. 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONT SETBACK SIDE SETBACK REAR SETBACK tE UIRED: PROPOSED: RE UIRED: PROPOSED:RE UI1tED: PROPOSED: 4EIGHT ALLOWED:O PROPOSED:O RE UIRED: 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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY A ALL FEES ARE PAID. AGREED TO BY A PLICANT1 UGlH OW m E I p PROCESS Released By Date ATTENTION IT IS UNLAW FUL 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/ IBC110/ IRCI10. ONLINE APPLICANT ='XSSESSOR X:Z!v OTHER t/ STATUS: ISSUED BLD20110953 CONDITIONS • Separate Permit Required For: Installation of gas logs or fireplace insert. • 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. • SoundMoise 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 beine requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. B -Gas Test/Pipe • B -Plumbing Final 1'2/16/2011 ; 18:25 WATER I 4258216801 RON BROWN PAGE 03/03 ASSEMBLY IDIME #/UTILITY DEVICE #/IDMete # NAME OF PREMISS Commmvbl 13 Residentlil f SERVICE ADDRESS as Q(p C CEPX/rel gZ1P_�� CONTACT PERSON en HONEo20 LOCATION OF ASSEMBL e e WR j C MP S� f I I DOWNSTREAM PROCESS `� f Lf Pllt �l�ct t DCVA 0 RPBA PVBA OxII$R — NEW INSTALLJL E7oSTING ❑ REPLACBMENT 13 OLD SER. # WASHINGTON STATE APPD ASSEMBLY? YES d(NO 13 PROPER pINSTALLATION? YES 10 NO ❑ MAKE OP ASSEMBLY ! 1 ODEL 115-&T(_ k SERIAL NO. W D 3 I ).R S1ZLr `] AIR GAP INSPECTION: sappiy P4m vkmetar s ration: Pasq O Fats 0 Detector Meter Reading E PRESSURE r_PSI COWED SPACE?At� TESTER'S SIGNATURE: 4 + : CERT. NO. 84283_, DATI, TESTER'S NAME PRINTED: RomBrownTESTER'S PHONE # L2t-226MI9 i425,�,821� 1 RErAIRED BY: DATE MAL TEST BY: CERT. No. B4203 DATE CALIBRATION DATE ! • I i t GAUGE # Q 40 NId-west 84x-5 �/ CALIBRATION DATE � (7/O GAUGE # S e a 13 SERVICE RESTORED? YES ®NO ❑ LEFT SERVICE AS FOUND—Meter/lsotatlon valve: Open [3* Closed ❑ SOV81: Open ❑ Closed ❑ SOVls2: Open ❑ Closed ❑ • r�y�re,�,�naaKa►aayo�erpa�a�aw,scao�r90.e9oapy,��tr�„�e�m,dr�e�W�+a R A Brown Backflow Testing rabxownbft@yahoo.com Roo Brown 14213 95th AVE WF Backflow Specialty Plumber•License # Homd Fax: 425-821-6801 1QrK6, WA 9801'4.5152 BROWNR995408 Cell: 206-22r*80.19 DCV / RPBA . D A� RMA IrVBA1SVBA INITIAL CHECK VALVE NO.1 CHEC VALVE 110.2 � O AIR INLET TEST OPENED AT PSID LEAKED ❑ LEAUD MOM OPENED AT PSID CLOSED TIGHT ❑ �❑{ CLOSED TIGHT fir #1 CHECK PSID t�ia 1.0 ❑ DID NOT OPEN PASSL�D PSID PSID AIR GAP OK? �_ FARM ❑ mw 1.5 Min 1.o . CHECK VALVE CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REP ACB PART HELD AT PSID NEW 0 13 ❑ ❑ 13' ❑ �gh� _ t_ PARTS 13 13 1) 13 13 d R— - LEAK&D 13AND 13 a . (3 1313 REPAIRS ❑ ❑ . p p ❑ ❑ CLEANED ❑ (31311 Q ❑ a REPAIRED ❑ Furaotsed RelieNalve ❑ TESTAF1'ER LEAKED O LEAKED ❑ REP4UR8 CLOSED TIGHT 13CLOSED TIGHT O OPENED AT PSID ALR INLET PSID PASSED O m°Z'° MrRi.o PSID PSID 01 CHECK PSID CHK VALVE PSID FAR" p t.0 min 1.0 Mica U AIR GAP INSPECTION: sappiy P4m vkmetar s ration: Pasq O Fats 0 Detector Meter Reading E PRESSURE r_PSI COWED SPACE?At� TESTER'S SIGNATURE: 4 + : CERT. NO. 84283_, DATI, TESTER'S NAME PRINTED: RomBrownTESTER'S PHONE # L2t-226MI9 i425,�,821� 1 RErAIRED BY: DATE MAL TEST BY: CERT. No. B4203 DATE CALIBRATION DATE ! • I i t GAUGE # Q 40 NId-west 84x-5 �/ CALIBRATION DATE � (7/O GAUGE # S e a 13 SERVICE RESTORED? YES ®NO ❑ LEFT SERVICE AS FOUND—Meter/lsotatlon valve: Open [3* Closed ❑ SOV81: Open ❑ Closed ❑ SOVls2: Open ❑ Closed ❑ • r�y�re,�,�naaKa►aayo�erpa�a�aw,scao�r90.e9oapy,��tr�„�e�m,dr�e�W�+a R A Brown Backflow Testing rabxownbft@yahoo.com Roo Brown 14213 95th AVE WF Backflow Specialty Plumber•License # Homd Fax: 425-821-6801 1QrK6, WA 9801'4.5152 BROWNR995408 Cell: 206-22r*80.19 °; E°M�ti Inspection Comments BLD20110953 47 - Plumbing/Water Service Line/Fountain Applied: 11/16/2011 LsuejNE) 11/16/2011 Expires: 05/16/2012 Address: 22206 95TH PL W, EDMONDS I _ � - - - - - -- - -- - -- — _ _ INSPECTOR ACTION'- INSPECTION _. DATE INSPE 1128 - B -Gas Test/Pipe 11/18/2011 LAWLER CMP Comment: 1152 - B -Plumbing Final 12/15/2011 LAWLER COR Comment: Provide test results for RPBA from certified backflow tester 1152 - B -Plumbing Final 05/08/2012 LAWLER CMP Comment: 5/9/2012 10:39:48 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1 PU of E°M Inspection Comments BLD2011.0953 47 - Plumbing/Water Service Line/Fountain Applied: 11/16/2011 LONe-NE) 11/16/2011 Expires: 05/16/2012 Address: 22206 95TH PL W, EDMONDS ' INSPECTION DATE INSPECTOR ACTION 1152 - B -Plumbing Final `12/15/2011 LAWLER COR Comment: Provide test results for RPBA from certified backflow tester r pzm�--c as �S'7 �4p 5/4/2012 3:23:39 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1