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STATUS: ISSUED 1/19/2011
Expiration Date: 1/19/2012
Parcel No: 27033600104500
CITY OF EDMONDS /ty
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20,110021
Project Address:. 23'007'94TH,PL W EDMONDS
PROP VV1N 1NN'N-
APPLICANT
OINT ACTIV
TYPE OF CONSTRUCTION:
CHRIS NYSSEN
CHRIS NYSSEN
CONVERGENT BUILDERS
OCCUPANT LOAD:
ENGE ELIZABETH C
ENGE ELIZABETH C
13309 28TH AVE SE
ZONE:
23007 94TH PL W
23007 94TH PL W
MILL CREEK, WA 98012 -
LOT #:
SEATTLE, WA 98020-
SEATTLE, WA 98020-
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 , DECK: 0 OTHER: 0
(206) 546-5278 Ext.
(206) 546-5278 Ext.
(425) 577-0292 Ext.
JOB DESCRIPTION
LICENSE #: conveb'91 Orp EXP: 12/17/201 1
BATHROOM REMODEL
VALUATION: $5,000
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Altera / dddI `Int-enor
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 DWELLING UNITS: 0
LOT #:
BASEMENT:0 1ST FLOOR:0 2ND FLOOR:0
BASEMENT:0 IST FLOOR:0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 , DECK: 0 OTHER: 0
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
IEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
IIS PPL AT ONjn NOT PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
—
Signature int Name liate Released By 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/ IRC I 10.
= ONLINE = APPLICANT = ASSESSOR W OTHER
STATUS: ISSUED TIONS BLD20110021
CONDI
• 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
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 7:00am to 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
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 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.
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 1 PR&TREATNIENT 425 672-5755 1 RECYCLI[NG 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number Date Prefereed, and whether ou prefer morning or afternoon.
• B -Plumb Ground Work
• B -Plumb Rough In
• B -Mechanical Rough In
• B -Framing
• B-Sheetrock Nail
• B -Shower Pan
• B -Building Final
0
AML Inspection Comments
PE^canniT"�,m. BLD20110021 04-Alteration/Remodel Interior
Applied: 01/13/2011
Issued:
Address: 23007 94TH
PL W, EDMONDS
FID. ._+ DATE��� - INSPECTOR
ACTIONS^
1126 - B -Plumb Rough In
01/25/2011 BJORBACK
CMP
1130 - B -Mechanical Rough In
01/28/2011 •STEINIKE
PAR
02/02/2011 STEINIKE
CMP
1142 - B -Framing
01/28/2011 STEINIKE
CMP
1150 - B-Sheetrock Nail
02/02/2011 STEINIKE
CMP
1152 - B -Shower Pan
02/02/2011 STEINIKE
CMP
1158 - B -Building Final
03/04/2011 STEINIKE
CMP
01/19/2011 Expires: 01/19/2012
COMMENT.
Will provide photo of insulated duct in attic.
3/4/2011 3:45:21 PM Page 1 of 1