BLD20100366.pdfpF 11110 II
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V CITY OF EDMONDS
121 5'1'11 AVENUF NOR 'I'II -I: UMOND,S-WA 98020
YIIONI' 1425) 771-0220 - PAX(425) 771-0221
STATUS: ISSUED 7/22/2010 Peru t #: BLD20100366
Expiration Date: 1/22/2011 Project Address: 17806 OLYMPIC VIEW DR,
EDMONDS
Parcel No: 00513100016105
IIASIM MU)KANOVIC IIASIM MI7)KANOVIC' OWNER F.XFMPTION TAKEN
17X06 OLYMPIC VII: W DR 17806 OLYMPIC VIEW DR -
I.UMONDS WA 911026- ICDMONUS. WA 98026-
(425)761-6340 I:xl (425)761-6340 lim ( 1 - lixt
LICLNSIi 8' EXP.
VALUA IIUN: aU
PI-RMIT I'YPI: ResRIcniml
PERMIT GROIII' 27-Pcncc/Scrccn/(�ulcs/Culuinns
(iRADINGN ('YDS0
1' YI'H OF C'ONSI'RIA'P ION.
RI -'I AININ(i WALL ROCKERY' N
OC'CUPAN'F GROUP
OCCUPANT LOAD
I+NCF. Y ( 223 X 5 VI)
CODE'
O'1'I11'. R. N------- OTHER DESC
ZONE RS8
NUMBER OF STORIES 0
VESI'HD DA'I E.
NUMBER 01: DW ELLINO I)NI'I S 0
1.( q
BAST:MEN'1'' 0 IS] " PLOW( 0 2ND FLOOR: 0
BASI'.MI:N'1'. 0 ISF FLOOR:0 2ND FLOOR:0
JRD FLOOR: (I GARA0I:. O DECK 0 0'1 HER (1
13RD FLOOR 0 (IA RAU::: 0 DECK: 0 O'FIIER. 0
REQUIRED: East 25 PROPOSED. RI{QUIRIiD. North 7.5 1'ROPOSf:D. RIiQUllil?R Wcsl 1.5 PROPOSIM:
Ilti Uil' ALLOW'I-.0 6 PROPOSED.S RI{QUI212): South 7 5 PROPOSI'.0
81: FBACK NO'I I• S Up Ln 6' fence uk nround Perimeter.
I AGREF TO COMPLY WIT 11 CITY AND STATE LAWS REGULA'r mi CONST RUCTION AND IN DOINGTI11; WORK A011IORIZED
'fllli Nl°H}'. NO PERSON W'll 1. HE EMPLOYED IN VIOLATION OF IAA LABORC'ODF OI HIE SPATE 01' WASI IINGI ON RGLA'I'IN(i'f0
WORKMI:N:SCOMPI:NSAI ION INSURAN(T AND RC'W 18.27.
F llISAI'1'I.IC'AFION IS NO'l APERMI'I' IN I' 11.51(iNl:) 13Y Fill: BU .DINOOFFICIAL OR I IISI 'R DITU'I' YAND ALL 1'LESARE PAID
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Signature Print Name Date PSOsedBy Date
ATTENTION
1'1 IS I I NLAWFUI. IU USI:OR0('CITY A]WILDING OR SIRUCI I WE ON Of. A FINAI. INSP F( TON I ]AS BEEN MADE AND APPROVAI OR A CFR III IL'A M OF
OCCI IPA N CY I IA S Bid; N(7 RA N'11 )P IIIWI 091 1 RCI 101 IRCI 10
ONLINE APPLICANT = ASSESSOR VOTIJEH
I'?(- I _ r (C.;)1t
STATUS: ISSUED
BLD20100366
Final approval on a project or final occupancy approval oust be granted by the Building Official prior to use or occupancy of
the building or structure. (Beck the job card for all required City inspections including linal project approval and I'naI
occupancy otspectnons.
Any request for akemate design, modification. variance orotheradmanistrative 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 ofany plat or plan containing provisions which do not comply with city code and Rurwhich 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.
Fences, gates, and arbors shall be located on private property. Property owner responsible for determining property Imes.
Fence shall not enclose or prevent access to any City maintained utilities.
Sound/Noise originating from temporary construction sites as a result ofconstmction activity arc elmnynt from the noise limits
of I•CC Chapter 5.30 only during the hours of7:00am to 6:(X)pm on weekdays and fO:Wtram and 6:00pm on Saturdays, excluding
Sundays and Federal Ilolidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits ofC7napter 5.30, unless a variance has been granted pursuant to EC.0 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hanndess the City of I dnnnds, Washington, its ofGciaLs, employees, and agents from any and all claim lbr damages of
whatever nature, arising directly or indirectly from the issuance fur this pemtit. Issuance of this permit shall not be deemed to
nndify, 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 AUTHOR I7FS ON[ Y THL WORK NOTED. THIS PERMIT COVERS WORK TO BL DONE ON PRIVATE PROPERTY ONIY, ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIOLWALKS, DRIVEWAYS, MARQUEES, FTC) WII I RLQUIRE SEPARATE PERMISSION
PERMIT TIME LIMIT SEE ECDC 19.00 005(A)(6)
771-0220 F)CT. 1326 1 FIRE(425) 771-0215
PUBLIC WORKS 425771-0235 1 PR&TREA1T*1ENT 425 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please ]caw the following information: Permit Number, JobSile Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
F.-Fence Location/l [eight
H-Iinginccr ng Final
EXEMPTION FROM CONTRACTOR
RECISTRATION VERIFICATION
FORM D
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
I Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than S500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does riot apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that he/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
1 Owner who contracts for a project. A property owner contracting with registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27,090(11).
Work performed personally on own property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
1 . Use of own employees. Property owner using him/lierself or his/her own employees to
perform maintenance, repair, and alteration work in or upon his/her own property. RCW
18.27.090(13).
1 Licensed Architect, engineer, electrician or plumber. All work performed under this
pen -nit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification- RCW 18.72.090(14).
1 I Other. Specify which provision of RCW 18.27.090 applies:
1'III: UNDERSIGNED PROPERTY OWNER OR AUTIIORL7,1?D PERSON [IERERY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
REST OF HIS OR IIE.R KNOWLEDGE AND ACKNOWLEDGES THAT' IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SIZE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMFDIATITY REVOKED AND ALL FFFS PAID FORFE ITI).
DATED this 5 �(? day of __ - : 20,/Q
PROPFR'I'Y OWN ER/Al 1'I'IIORIZED
PERSON
Signature
Print Name
WITNESS
Sig&atre
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Print Name
L ('rE•MPUi1111.DW(i\IIANDOI ITS REVISED IN 2001APREVIOIIS I IANI)OHMFOIlMS)('ON'I'RA'I OR EXENII'I'ION FORM
D.INN'REVISIiD 7/01
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Appiicarrtshait repair/replace Ml clan age t
utlihies or frontage improvements in City
right-of-way per CKy standards that Is caused
or occutt during the permitted project.
RESPONS
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Inspection Comments
F�t_litNl BLD20100366 27 - Fence/Screen/Gates/Columns
Applied: 05/28/2010 Issued: 07/22/2010 Expires: 01/22/2011
Address: 17806 OLYMPIC VIEW DR, EDMONDS
ID DATE INSPECTOR ACTION COMMENT
1059 - E-Fence Location/Height
12/10/2010 1 AMBF.RTJ CMP .1 McConnell also on site - OK to final
1077 - E-Engineering Final
1211 Or2010 LAMBERTJ CMP J.McConnell also on site OK to final
1 /4/2011 8 31 32 AM Page 1 of 1