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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
18N0
STATUS: ISSUED 3/1/2011 � - , „_Permit #: BLDIH10101
Expiration Date: 3/1/2012 Project Address: 110 °WEST DAYTON ST #104J
EDMONDS`
Parcel No: 27032300408101
PR/OWNER 1
ZWEIFACH FARMERS INSURANCE PORT OF EDMONDS COMMERCIAL EXEMPTION TAKEN
336 ADMIRAL WAY 336 ADMIRAL WAY
EDMONDS, WA 98020- 721 EDMONDS, WA 98020-
(425) 774-0549 Ext. (425) 774-0549 Ext. ( ) - Ext.
LICENSE #: EXP:
JOB DESCRIPTION
DEMO 2 WALLS, RECONSTRUCT 2 WALLS, RELOCATE 2 DOORS.
VALUATION: $1,750
PERMIT TYPE: Commercial
PERMIT GROUP: 71 g metU'- :++�a MR WIN,
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: V -B
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: B
OCCUPANT LOAD: 1/100
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 2
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1ST FLOOR:0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
1
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
I 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.
THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES RE PAID.
�4IA 10nC 3- j - 1
Print Name I Date
By
ATTENTION
IT IS 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.
ONLINE APPLICANT ASSESSOR OTHERt—
STATUS: ISSUED BLD20110102
CONDITIONS
• Obtain Electrical Permit from State Department of Labor & Industries. 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. 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.
INSPECTIONS
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 EC DC 19.00.005(A)(6)
BULDING (425) 771-0220 EXT. 1333 ENGINEEMG (425) 771-0220 EXT. 1326 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PR&TREATtVIE T 425 672-5755 RECYCLING 425 2754801
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 you prefer morning or afternoon.
• B -Framing
• B-SheetrockNail
• B -Building Final
• F -Fire Final
EXEMPTIONTROM CONTRACTOR.
REGISTRATION V.E.RIFICATION
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:
0 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 $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ 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 18.27.0.90(l 1).
0 '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).
Use of own employees. Property. owner using him/herself or his/her own employees to
perform maintenance, repair, and, alteration work in or upon his/her own property. RCW
18.27.090(13).
0 Licensed Architect, engineer, electrician or plumber. All work performed under this
permit 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).
❑ Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORINT IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKINOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORINT IS FALSE. HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this CO day of 20JJ
PROPERTY OWNER/AUTHORIZED WITNESS
�G
Si. ature Signature
%�r•
Print Name Print Name
L:iTEMP\BUILDINGIHANDOUTS REVISED IN 20091PREVIOUS HANDOUTSIFORMSICONTRACTOREXEMPTION FORM
D.DOCREVISED 7107
Inspection Comments
BLD20110102 71 -Tenant Improvement
Applied: 02/16/2011 Issued: 03/01/2011
Address: 110 WEST DAYTON ST #104, EDMONDS
ID INSPECTOR ACTION COMMENT
DATE
1142 - B -Framing
03/03/2011 STEINIKE COR Gave Correction Notice.
03/08/2011 STEINIKE CMP
1158 - B -Building Final
03/09/2011 STEINIKE CMP
1985 - F -Fire Final
03/14/2011 SMITHM CMP APPROVED
Expires: 03/01/2012
3/14/2011 10:40:36 AM Page 1 of 1