20170705095817.pdfCITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENTUE NORTH - EDMONDS, WA 98020
STATUS: ISSUED
Expiration Date: 01/05/2018
Parcel No: 00566900400301
ULM A
Permit N: BLD20170912
ProjectAtitimss: 2,1034 74THALVE M7, E'DMONDS
JAMES/COOK CHRISTINE PRICE SOUTH COUNTY PLUMBINGINC SOUTH COUNTY PLUMBING INC.
13731 3RD AVE NW CIO RICKY MUSTARD CIO KURT VOLKLU
SEATTLE, WA 98177 PO BOX 6157 PO BOX 6157
EDMONDS, WA 98026 EDMONDS, WA 98026
(206) 915-7491 (425) 775-7377 (425) 775-7377
LICENSE #: SOUTHCP 193 02 EXP:08/30/2018
REPLACE SERVICE LINE METER TO BLDG
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPAN GROUP.
OCCUPANT OAD:
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
IZONE:
INUMBER 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
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONT SEMACK SIDESFrBACK REAR SFrRA('K
REQUIRED: PROPOSED: =EQUIRED: PROPOSED: 7= [REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES -
PERMIT X111PROVAL
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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID
V-0 -7 -�Z - I
Signature 1-1 Print Narne Date
Released
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/ IBCI 10/ fRC1 10.
ONLINE APPLICANT ASSESSOR 50 OTHER
STATUS: ISSUED BLD20170912
01
• 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. Cbeck the job card for all required City inspections including final project approval and fin a]
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.
SoundNoise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00arn and 6:00pm 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 of his or her spouse, heirs, assigns, and successors in interests, agrees to indermify 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 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.
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)
(ALL FOR INS ni 'TiONS
BUILDING (425) 771-0220 EXT. 1333 ENGINURING (425) 771-0220 Exr. 1326 FIRE(425) 775-7720
PUBLIC WORKS (425) 771-0235 PRFTREATNHNT (425) 672-5755 RECYCLING (425) 275480�1
When calling for an inspection please leave the folloWng information: Permit Number, Job Site Address, Type of Inspection being
rcques tc(L Contact Name and Phone Number, Date Preferce(l, and vdiether you prefer morning or afternoon.
. EWater Service Line
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 9 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
2 4 '57 S so
Parcel #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes [:] No�<
Associated Permit #:
APPLICANT:
(�� "_ A
Phone:
-1 -L T - I ') T- -") 3 ;J
Fax:
-_
Address (Sir I City, State, Zip):
1�_,N C) 'Y'
E-Mail Address:
PROPERTY OWNER:
__r_1 k
Phone:
Zoe- it 15 7,4qj
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
F ax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRAC OR:*
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
WA State License #/Exp. Date:
*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
',�3 0 h -T VA C k3 19*3,v 2 It? ti
City Business License #/Exp. Date:
PERMH APPLICATION FOR
PLUMBING I 1_ MECHANICAL
DETAIL THE SCOPE OF WORK: C, C-4-
I declare underpenalty 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.
Print Name: Owner [2 Agent/Other F1 (specify):
Signature. Date: -7 12
FORMC LABuilding New Folder 2010\DONE & x-ferred to I-Auilding-New driveTorm C 2014.docx Updated: 1/17/2014