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BLD20110175.pdf41 V�OV ED -41 10 a STATUS: ISSUED 3/23/2011 Expiration Date: 3/23/2012 Parcel No: 00430600000600 CITY OF EDMONDS 1215TH AVENUENORTH -EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Permit #: BLD201101751 _Project Addresss 8018 181ST; PL SW, EDMONDSI PROPVx'TYOWNEA__ PERMIT GROUP: 04 - Alteration/Remodel Interior JOHN C & KATY JOHN C & KATY OWNER EXEMPTION BRUEMMER/LEVENHAGEN BRUEMMER/LEVENHAGEN 8018 181 ST PL SW 8018 181 ST PL SW EDMONDS, WA 98155- EDMONDS, WA 98026- (425) 672-8294 Ext. (425) 672-8294 Ext. ( ) - Ext. NUMBER OF STORIES: 0 LICENSE #: EXP: , DESCRIPTION GARAGETO BATHROOM/LAUNDRY CONVERSION. An ME,m.* 9 { M VALUATION: $15,000 cul iII16 ED PERMIT TYPE: Residential PERMIT GROUP: 04 - Alteration/Remodel Interior GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: N OCCUPANT GROUP: OCCUPANT LOAD: FENCE: N ( 0 X 0 FT.) CODE: 09 OTHER: N ------- OTHER DESC: ZONE: RS -10 NUMBER OF STORIES: 0 IVESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 IST 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 FRONTSEI'BACK REQUIRED: PROPOSED: 7=7REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED.0 PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: No change to setbacks, coverage, or height. Not an ADU. 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. HIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS✓FLER DEPUTY AND ALL FEES ARE PAID. Signature Pri t Name Date Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10. ONLINE APPLICANT ASSESSOR OTHER :� STATUS: ISSUED BLD20110175 • 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 indernnify 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 pen -nit 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) BUQ.DING (425) 771-0220 EXT. 1333 1 UNGWEERING (425) 771-0220 EXT. 1326 1 RRE(425) 775-7720 PUBLIC WORKS (425)771-0235 1 PRE-TREATMENT (425)672-5755 1 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. • E -Engineering Final B -Building Final EXEMPTION FROM CONTRACTOR REGISTRATION 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: ❑ 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). r. 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 Zlt` r' 0 contractor for the purpose of leasing or selling improved property that he/she has owned for 0 1'4"W 6") less than twelve months. RCW 18.27.090(11). �e/she ork performed personally on own. property. Anyone personally working on property 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). ❑ 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 FORM IS TRUE AND ACCURATE TO THE BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. DATED this -'J�L day of \ r 20/1. PROPERTY OWNER/AUTHORIZED PERSON Signature C. ue.� YY12C Print Name v� L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM D.DOCREVISED 7/07 e m E m a2C CL C 0UCD r _�-0 f LO Q QL tm Q 7 'C O Ir i Zone R'S' 10 Corner Flag \` Setbacks �L ujred Front ISI Sides Rear 110 Actual APPROVED BY PLANNING CYDI�rL 6�: 0,00e .7 will, 0WNEWCONTRA, CTOR IS R[ J ;:)NSE,'j7 APPRO D BY ENGINEERING P, / 2KFORINSpECTION] ME RDate: 3A3/� 1 SAFzwnm=* 078'011 WMPLAN LeavenhageniSroemmer Addition W9F0u0kMWSWA saftwn imda wiKusA R��'��®� 8098 981st Place SW rd2M.M.0a3 Edmonds. WA 98025 APR 01 9911 RECEIVE 8UILDING DEPARTMENT (��'� MAR 15 2011 CITY OF EDMONDS �✓ DEVELOPMENT SERVICE" COUNTER of E°"' Inspection Comments BLD20110467 22 - Deck/Porch/Patio Cover Applied: 06/20/2011 Issued: 07/13/2011 Expires: 01/13/2012 Address: 7515 BRAEMAR DR, EDMONDS INSPECTION DATE INSPECTOR ACTION 1106 - B -Setbacks 07/21/2011 STEINIKE CMP Comment: 1114 - B -Isolated Footings/Piers 07/21/2011 STEINIKE CMP Comment: 1142 - B -Framing 09/13/2011 STEINIKE CMP Comment: 1158 - B -Building Final 09/13/2011 STEINIKE CMP Comment: 12/2/2011 10:13:57 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1