BLD20110814.pdfL� OF ED -4.1
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STATUS: ISSUED 9/27/2011
Expiration Date: 3/27/2012
Parcel No: 27031300409900
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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Permit #. BLD2011081.4;
.: -:Project Address: 1441 10TH PL N, EDMUND
Replace oil furnace with gas furnace. Gas piping to
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain (ONLINE)
GRADING: N CYDS: 0
PAUL DEVER
BLUE FLAME
BLUE FLAME LLC
1441 10TH PL,N
AMY LYNN GREBIN
7116 220Th Street Sw #I
EDMONDS, WA 98020
7116 - 220TH ST SW #I
Mountlake Terrac, WA 98043
NUMBER OF STORIES: 0
MOUNTLAKE TERRACE, WA 98043
NUMBER OF DWELLING UNITS: 1
(425) 412-3461
(425) 771-7139
(425) 771-7139
3RD FLOOR: 0 GARAGE: 0 DECK 0 OTHER- 0
13RD FLOOR: 0 GARAGE 0 DECK: 0 OTHER: 0
LICENSE #: BLUEFL"997R1 EXP:12/21/2011
Replace oil furnace with gas furnace. Gas piping to
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
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.
CODE:
OTHER: N ----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 1
LOT #:
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 REAR SETBACK
tE UIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
-IEIGHTALLOWED:0 PROPOSED:O I REQUIRED: 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.
IS APPLICATION IS NOT A PERMIT UNTIL SIGNED B-YjkiFF:BU1LDING OFFICIAL OR HIS/HER DEPUTY AN -P ALL FESS ARE PAID.
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. UBC 109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR
= OTHER
STATUS: ISSUED
BLD20110814
• 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.
• 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.
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)
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 Rough In
• B -Mechanical Final
2/16/2012 10:44:01 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
y E°M� Inspection
Al ' ��
Comments
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BLD20110814
47 - PlumbinglWater Service Line/Fountain
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Applied: 09/26/2011
09/27/2011
Expires:
03/27/2012
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Address: 1441 10TH
PL N, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1128 - B -Gas Test/Pipe
10/05/2011
STEINIKE
CMP
Comment:
1130 - B -Mechanical Rough In
02/15/2012
LAWLER
CMP
Comment:
1156 - B -Mechanical Final
02/15/2012
LAWLER
CMP
Comment:
2/16/2012 10:44:01 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1