ONLINE PERMIT #BLD20161662.pdfof EDM
CITY OF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 12/15/2016
Expiration Date: 06/15/2017
Parcel No: 00595000002000
PATRICIA L GOFORTH
WASHINGTON ENERGY SERVICES
WASHINGTON ENERGY SERVICES
8227 198TH PL SW
C/O EAGLE DEANNA
C/O EAGLE DEANNA
EDMONDS, WA 98026-6438
3909 196TH ST SW
3909 196TH ST SW
CODE:
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
(425) 778-1321
(206) 378-6648
(206) 378-6648
LOT #:
EXISTING AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
LICENSE #: WASHIES851NS EXP:09/07/2017
Installing a fireplace and canning gas piping
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:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE:
OTHER: ------- OTHER DESC
ZONE:
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 1
LOT #:
EXISTING AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
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
BEDROOMS:0 BATHROOMS:O
1 BEDROOMS:0 BATHROOMS:0
FRONT iACK SII)ESMACK REAR SMACK
ZEQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
3EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
>ETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE 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.
CHIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date
Released By
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRC110.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED
BLD20161662
• Installation, use and maintenance of equipment and components shallbe per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
• Gas pipe test mast 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 mast be specifically requested in writing and be called out and identified. Processing
fees for such request shallbe established by Council and shallbe 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 fromtemporary construction sites as a result of construction activity are evmpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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 fromany and allclaims for damages of
whatever nature, arising directly or indirectly fromthe issuance forthis pemrit. 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 CONSTRUCT ON 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 TRFATNIINT 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 -Plumbing Final
• B -Mechanical Final