BLD20100967.pdfof ED_4 Ilil�llli
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
��c. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 1/10/2011 iPermit #: BLD20100967'
BUILDING
Expiration Date: 1/10/2012 Project Address: 23711 84TH AVE W EDMONDS
Parcel No: 00451900101202
84TH AVE W LLC 23707 MICHEL CONSTRUCTION MICHEL CONSTRUCTION
11511 39TH AVE SE 7907 212TH ST SW #102 7907 212TH ST SW #102
EVERETT, WA 98208-7782 EDMONDS, WA 98026- EDMONDS, WA 98026-
( ) - Ext. (425) 776-2211 Ext. (425) 776-2211 Ext.
LICENSE #: MICHEC1061 D5 EXPA/19/2012
JOB DESCRIPTION
ROOF ALTERATION
VALUATION: $15,000 COMPLETED
PERMIT TYPE: Commercial
PERMIT GROUP: 05 - Alteration/Remodel Exterior
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLINGUNITS: 0
LOT #:
BASEMENT:0 ISI' FLOOR:0 2ND FLOOR: O
BASEMENT:O 1ST FLOOR:0 2ND FLOOR:
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
1
REQUIRED: PROPOSED: REQUIRED: PROPOSED: JREQUIRED7 PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCT ION 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,
HIS APPLICATION IS NOTo5A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HY4)) DEPUTY AND ALL FEESARE,PAID/
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Signature Print Name Date
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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/ IBC 10/ IRC I 10.
i
= ONLINE = APPLICANT = ASSESSOR OTHER
0
STATUS: ISSUED
0
BLD20100967
• 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. 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.
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
ofcity code or state law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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
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)
BUILDING (425) 771-0220 EXT, 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS 425 771-0235 1 PRETREATMENT (425)672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
renuested. Contact Name and Phone Number. Date Prefereed. and whether you urefer morning or afternoon.
•
B -Roof Tear Off
• B -Building Final
• P -Planning Final
eztq/0,947 74Z
Inspection
Comments
BLD20100967
05 - Alteration/Remodel Exterior
Applied: 12/17/2010
Issued: 01/10/2011
Expires:
01/10/2012
Address: 23711 84TH AVE W. EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1154 - B-Roof Tear Off
04/12/2011
STEINIKE
CMP
Comment:
1158 - B-Building Final
05/12/2011
STEINIKE
CMP
Comment:
2000 - P-Planning Final
05/12/2011
COCCIA
CMP
Comment: OK.
5/16/2011 8:30:42 AM Page 1 of 1