20170628095855.pdfov r*
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
STATUS: ISSUED 06/28/2017 Pam* * RLM01 7W*7
Expiration Date: 12/28/2017 Projvc(Address: 601) -5TIi ANT S. EDMONDS
Parcel No: 00477300000400
RITA RICHARD
MIKE'S PLUMBING
MIKE'S PLUMBING
609 STH AVE S
C/O NICOLE MARINEZ
C/O NICOLE MARINEZ
EDMONDS, WA 98020-3452
2219 97TH AVE W
2219 97TH AVE W
EDMONDS, WA 98026
EDMONDS, WA 98026
(425) 890-9480
(425) 775-0201
(425) 775-0201
LICENSE #: MIKESPC99OKM EXP:05/12/2019
Smota :101013o
VALUATION: $0.00
PERMIT TYPE Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: OXO FT)
CODE:
OTHER: ------- OTHERDESC:
IZONE:
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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
IBEDROOMS: 0 BATHROOM& 0
BEDROOMS: 0 BATHROOMS: 0
FRONT S FTB ACK SIDESETBACK REA R S FTB ACK
�EQUIRED: PROPOSED: IREQUIRED: PROPOSED: REQUIRED: PROPOSED:
-IEIGHT ALLOWED:O PROPOSED�O ]REQUIRED: PROPOSED:
3ETBACK 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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPI-ICATT(IWIS NOT -A P1--RMVI' UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID
7 xte.�t� 4,6Z4' 7
L-' Sianaturle Print Name Date Released X Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC1 10/ IRCI 10.
E-1ONLWE APPLICANT = ASSESSOR OTIIER
STATUS: ISSUED BLD20170867
CONDITIONS
• Pursuant to UPC 605.2 a water service shutoff shall 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 (LTC 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. Cbeck thejob 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 subrnittal 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 7:00arn to 6:00pm on weekdays and 10:00am and 6:00prn on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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 fi-om 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.
• Owner/Contractorto provide Water Service Line asbuilt at final inspection. See City Standards for requirements.
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)
CALL FOR INSPECTIONS
B t 1ILDING (425) 771-0220 EXT. 1333 ENGFNFfRING (425) 771-0220 EXT. 1326 F—FIRE(425) 775-7720
PUBLIC WORKS (425) 771-0235 PIR&TREATMENT (425) 672-5755 RECYCLING (425) 27-54-8-0-1
When calling for an inspection please leave the follmMng information: Permit Number, Job Site Address, Type of Inspection being
reques ted, Contact Name and Phone Number, Date Prefereed, and mhether you prefer morning or afternoon.
0 E-Water Service Line
rb_
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
1215 1h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 A Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
(009 ��o AVCL�D ,
Parcel #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes No FW
Associated Permit #:
APPLICANT:
Phone:
qZ5 990 q
Fax:
Address (Street, City, State , Zip):
� pr)� 6,ry j C_ Dal 0 Nar,
E-Mail Address:
PROPERTY OWNER:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:* A1Ft<e,5 P W rn 13X
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to doing work
in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
ME M'C-S PC CL Cl 6 K M
City I usiness License #/Exp. Date:
I 8L- 0
PLUMBING MECHANICAL TANKI
I DEMOLITION[
DETAIL THE SCOPE OF WORK: 21EIPI-ACE If- YLLS U N kA vQ R1 C ff .5 C_ I CG
— i__ 6 tP\ -Tc�, )AW5k� ( afc-t-A J9CAJcA)
I declare under penalty ofperjury laws that the information I have provided on thiNformlapplication 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.
Print Name: A0 Owner 0 Agent/Other 2 (specify):
Signature: Date:
FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form C 2014.docx Updated: 1/17/2014