20170112112015.pdf1
UITY OF EDMONDS
1215TH AVENUE NORTH - EDMONDS, WA 98020
PHONE. (425) 771-0220 - FAX: (425) 771-0221
101
STATUS: ISSUED 01/12/20171(�1� ' i'11,
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Expiration Date: 07/12/2017
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PaLggj No: 00527800001500
RYAN L KROM RYAN L KROM OWNER EXEMPTION
1085TH AVENUE S UNIT 411 108 5TH AVENUE S UNIT 411
SEATTLE, WA 98104 SEATTLE, WA 98104
(206)496-8675 (206)496-8675
LICENSE #:' EXP�
CHANGE OUT OF 2 BEDROOM WINDOWS
VALUATION: $0.00
PERMIT TYPE: Residential PERMIT GROUP: 43 - Miscellaneous
GRADING: N CYDS: 0 TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: 0 X 0 FT: CODE 2015
OTHER: ------- OTHERDESC: ZONE:
NUMBER OF STORIES. 0 VESTED DATE:
NUMBER OF DWELLING UNITS: 0 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 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER 0
BEDROOM& 0 BATHROOMS: 0 BEDROOMS. 0 BATHROOMS: "0
RE UIRED: PROPOSED: RE UIRED: PROPOSED: )REQUIRED: PROPOSED:
HEIGHT ALLOWED`0 PROPOSED:O REQUIRED: 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,
I I PI O IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
�6 ( 20/
I P1elOr Rini Name D 1e f�ased 0y 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/ IBC110/ IRC110„
ONLINE APPLICANT ASSESSOR' OTHER
STATUS: ISSUED BLD20170052:
• Final approval on a projector 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 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.
w Approval of any plat or plan containing provisionsBich 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 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.
0 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 from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any Citv ordinance nor limit in anv wav the Citv's ability to enforce anv`nrdinanee`
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.
PERMITTIMELIMIT. SEE ECDC 19.00.005(A)(6)
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PUBLIC WORKS 425 771-0235 PRE-TREATMENT 425 672-5755 RECYCLING 425 2754801
When calling for an inspection please leave the following information; Permit Number, Job Site Address, Type of Inspection being
re iOstoA Contact Name and Phone Number Date llrefiree and vAnther you'prefer umorgio or afternoon.
B-Window Flashing
B-Building.Final