BLD20070474.pdfof ED-4
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS W A 98020
sec. 1490
PI ZONE (425) 771 0220 FAX (425) 771 0221
STATUS: ISSUED 4/27/2007
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Expiration Date: 10/24/2007s�7y
PmlecAddre`ss� 15.70175HyPI;W ED1Vi�ND'S;
Parcel No:00513300,002502
CARYL FAMILY LIVINGTRUST
CARYL FAMILY LIVINGTRUSr ANDERSON FIREPLACE INC.
15701 75TH PL W
15701 75TH PL W 14616 SMOKEY POINT BLVD
EDMONDS. WA 98026
EDMONDS, WA 98026 MARYSVILLE, WA 98271
425-970.8084
425.870-8094 360-651-7900
LICENSE 8: ANDERDER11961 LT EXP:6/312007
•Ir •
ADDINGTWONEW FREESTANDINGGAS FIREPLACES-, 30K BTU IN REC ROOM, AND 17K BTU IN SUN ROOM, APPROX 75FT
OF NEW GAS PIPING AND 1 FUTURE STUB.
j PGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OFT HE LABOR CODE OF THE STAT F. OFWASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE ANDR W 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I 1 E .PU Y AND ALL FEES RE PAID.
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Signature R'inl Name Date Release tj e
ATTENTION
UTS UNLAWFULTO USE OROCCUPY A BUILDING OR MUCURE UNTIL A FINAL INSPECTION HAS BEEN EAN APPROVALORA CERTIFICATEOF
OCCUPANCY HAS BEEN GRANTED.000I09/IIA'.110/tRC_I0.
ARCHIVE APPLICANT ASSESSOR OTHER \I�
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STATUS: ISSUED BLD20070474
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• Maximum Height 25 feet. measured from average elevation ofundisturbed sod at comers ofcxtended building rectangle.
Subject to field check by building department.
Obtain Electrical Pemlit from State Department of labor & Industries. 425-290-I309
• Gas pipe lest most be observed by City Building Inspector, affidavits shall not be accepted.
• 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 foraltematedesign, modification, variance or other administrative deviation (hereinafter "variance,) from
adopted codes, ordinances or policies mist 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 ofany 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
ofcity code or state law does not approve any items not to code specification,
• Sound/Noise originating from temporary Construction sites as a result ofconstmetion activity are exempt fromthe noise [links
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 othertimes the noise originating from construction sites/activates must comply with the
noise limits of Chapter 5.30, unless a variance has been gmnted pursuant to ECC 5.30.120.
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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 TIM LIMIT. SEE ECDC 19.00.00S(A)(6)
•
BUILDING 425 771-0220 EXT. 1333 1 E IGINMUNG 425) 771-0220 EXT. 1326 FIRE(425) 771-0215
PUBUC WORKS 425) 771-0235 1 PR&TREATMENT(425) 672-5755 RECVCLINC 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 Prefereet4 and whether you prefer morning or afternoon.
B-Gas TesUPipe
• &Mechanical Final Q )1 10-1
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APR-24-2007 08:28 P. 02i02
M
City of'Edmonds
Plumbing/Mechanical/Tank/Demolish
Permit Application Form 189�
Site Address- f 5701 75' Pl, W
Suit -#:NI_ Parcel#: 005 ( S3 0000252a
Businesslrenant Name (if applicable): iJ Pr
PROPERTYOW.NERc eRRYe+"rCA�GITLY' ilfLtnsT
Mailing Address: 1570i 75_*'L'_ i0/i0� l�
City: 6womyS State: zip:
Phone: 61.25 1 870 -?P?_ f FAx: (yz l 3 V 9 - 509 5- E-nMail: UA n0 0Lr_cj 19G' c v„ c1C W11
CONTRACTOR: P\V\,�.LYS0,^: �'tv�'�,2.C4 nC �S�tnG�4rSt„ Zr• �Sr
Mailing Address:NGtlri SVK0k1Ls, iP-atV\k
2� ��n,City:/ M ,r �f1 �`5, state:- W-A zip: C(b--
Phone: (1>b0) 6 r5 l��0 0 FAX: (f.' %) (,S \ -:2 R7 L( E-Mail: //��
State License Number: A w w_yz oo g Ecp: Date:� City of Edmonds' License No: (U - 011,%33
T. T q 6 t L-T
MECHANICAL
PLUMBING
Fixture Type
Fixtures
Total
Fixture Type
Fixtures
Total
Gas FurnaeelFireplace:
Water closet
w. Location
Sink
tBTUs
Gas logsldired vent fireplace
Lavatory _
12 oMBTUs u h Location
Tub/Shower
Atr Handler _BTU Location
Dishwasher
❑ Electric
Hose Bib
o Omer
Gas water heater wlexpansion tank
Boilers BTUs Location
BTUs Location
11 nlc Hearing
Expansion Tank
Vents, Single butt #_
Floor Drain
Other:
Pressure reduction valve
Water Service Line ft
Gas Pi in tlI
Other:
# of Outlets
Gas Outlets
Tank_gallons
a AC Unit ❑ Fumace I
❑ Fill Material
❑ Water Heater ❑ Boiler
❑ Pump. Rinse & Ca
o Dryer ❑ StoveJRange
a Removal
Fireplace o BBB
Critical Area Chkist
a Other Gas Outlet
o Study Reg. p Waiver
L:\TEMPIBUILDING%WEBcneckiiobWECH.PLUMBAPP.doc aF31106
1
TOTAL P.02
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� Permit Inspection Details
!:°»\
Permit:
PERMITTr-;.s;:
BLD20O7O474
1128i B eas�Tes,,Pipe
05/01/2007 Snook
25 CORRECTION NOTICE WRITTTEN
N
05/04/2007 Snook
25 NO ACCESS -LEFT DOOR HANGER AT 9:17 AM
N
05/07/2007 Readwin
30 INSPECTED AND APPROVED
Y
Total Time: 80
1156BMechanicalFinal'.;
-
"
05107/2007 Readwin
,,--
20 INSPECTED AND APPROVED FREE STANDING FIREPLACE IN ROOM OFF OF N
GARAGE. NEED TO RE -CALL FOR SECOND FIREPLACE ONCE INSTALLED,
06/13/2007 Readwin
20 APPROVED
Y
Total Time: 40
Total Inspections:
5 Total Time: 120
8/18/2010 10:03:09 AM
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