20170306100552.pdf0%.
CITY OF EDMONDS
121 5TH AVa4UE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 03/06/2017 Permit ft: BLD20170317
Expiration Date: 09/06/2017 1'IN)JCC(AL1dl'C-SS: 184214 84111 ANT W, EDMON
Parcel No: 00434600000904
PATRICIA L LINDE SOUTH COUNTY PLUMBING SOUTH COUNTY PLUMBING
18424 84TH WEST PO BOX 6157 PO BOX 6157
EDMONDS, WA 98026 EDMONDS, WA 98026- EDMONDS, WA 98026
(425) 778-7278 (425) 775-7377 (425) 775-7377
LICENSE#: SOUTHCP 1932 EXP:08/30/2018
replace 49 water line service from meter to house. Remove yard hydrants.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Pliumbing
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY
OCCUPANT GROUP.
OCCUPANT LOAD:
FENCE: OXO FT)
CODE: 2015
JOTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE
NUMBER OF DWELLING UNITS: 0
LOT
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEM -.NT: 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
IBEDROOMS: 0 BATHROOMS: 0
JBEDROOM& 0 BATHROOMS: 0
RLARSUTBACK
FR0NTSL-TBA(-'K Sl[)LSF1'BA('K
REQUIRED: PROPOSED: —fUQUIRED: PROPOSED:
IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK 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.
T[ [IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID
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S-ig-TY-atu��— Print Nanie Date Released By Date
ATTENTION
ITIS UNLAWFUL TO USE OROCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED UBCI09/IBCII0/IRCI40
0MANE APPUCANT = ASSESSOR r6z:i onim
STATUS: ISSUED BLD20170317
• 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. Checkthejob 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.
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 7:00amto 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.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hanriless 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 pernit. 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.
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 PR&TREATMENT (425) 672-5755 RECYCLING (425) 27-5-48-0-1-1
When calling for an inspection please leave the follo-Aing information: Permit Number, Job Site Address, Type of Inspection being
requested, ContactName andPhone Number, Date Prefereed, andwhether N-ou 1)refer morninp- or afternoon.
0 &Water Service Line
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
kk
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WITH ANOTHER PROJECT? Yes N ',S;�
Associated Permit #:
IS THIS WORK ASSOCIATED
APPLICANT:
Phone:
Fax:
Addrets (Street, City, State, Zip):
E-Mail Address:
PROPERTYr(�W, E
Phone:
Fax:
rj2_,c- --7 V -- 72-7 �r
Address (Street, Ci ty, sta�_'Zik��
%9 Lj -;L -4 <? k4
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
<,-
C, -k-,
Phone:
L42 S_ - '7
Fax:
.
Address (Street, City, State, Zip):
E-Mail Address:
c. A 9 302-t,
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to doing work
C_ t
City Business License #/Exp. Date:
in the City. Contact the City Clerk's Office at 425.775.2525
�j m - c�l 405
PLUMBING MECHANICAL TANKI
I DEMOLITION
DETAIL THE SCOPE OF WORK: c-e— q0 L_)
SR
I declare under penalty ofperjury laws that the information I have provided on this formlapplication is true, correct and complete,
and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of
Edmonds.
Owner Agent/Other (specify):
PrintName:
Signature\ Date: -7- V)
FORM C LABuilding New Folder 2010\])ONE & x-ferred to L-Building-New driveTorm C 2014.docx Updated: 1/17/2014
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