20170106114736.pdfT OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA'98020',
PHONE: (425) 771-0220`- FAX: (425) 771-0221
Ile. IiS
STATUS: ISSUED 01/06/2
Expiration Date: 07/06/2(
Parcel No: 00513100012602
PROPERTYOWNER
STEFANIE & KARLAN BREKNE
6900 172ND`ST SW
EDMONDS, WA 98026-5223
(425) 244-5752
INSTALL NEW W SL
VALUATION: $0.00
STEFANIE & KARLAN BREKNE
6900 172ND ST SW
EDMONDS, WA 98026-5223
(425)244-5752
CONTRACTOR
OWNER EXEMPTION
LICENSE #: EXP:
PERMITAPPROVAL
I AGREE TO COMPLY WITH CITY AND STATELAWS 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
W ORKMEN'S COMPENSATION INSURANCE AND RCW 18:27,
THIS APPIW,I CATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR'HISMER DEPUTY AND ALL FEES ARE PAID„
W
Signature Print Worm Date Re1e1tly 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]'10/ IRCI 10,
ONLINE APPLICAN ' ASSESSOR OTHER
STATUS: ISSUED BLD201
• Pursuant to UPC 605.2 a water service shutoffshall be installed on the water line as it enters the building.
City approved plastic piping may be used in water service piping provided that where metal water service piping is used for
electrical grounding purposes, replacement piping shall be of like materials (UPC 604.8). A state electrical permit and
inspection is required if electrical grounding is altered, removed, improved, or added. Contact State Dept. of Labor &
Industries Electrical Division at 425-290-1309.
• 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 thejob card for all required City inspections including final project approval and final
occupancy inspections.
0 Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specificallyrequested in writing and be called out; and identified. Processing
fees for such request shallbe 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
ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 0:00am 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 ofhis ' 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 fromthe issuance for this permit. Issuance ofthis ,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.
• Refer to City of Edmonds Water service line handout for approved pipe materials, inspections and other requirements.
Owner/Contractor to provide Water Service Line as built at final' inspection. See City Standards for requirements.
THIS PERMIT AUTHORIZES ONLYTHEWORK 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 PR&TREATMENT 425 672-5755 RECYCLING 425 275-4801
an inspection please leave the following information: Permit Number, Job Site Address
E-Water Service Line