BLD20110178.pdfJ __
CITY OF EDMONDS
1215TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
1w
Expiration Date:
Parcel No: 00479300000700
PROPERTY OWNER APPLICANT C*NTRACTOA
STEINAR K GJERDE CORNERSTONE ROOFING CORNERSTONE ROOFING
21328 92ND PLACE WEST 17624 15TH AVE SE #IOTA 17624 15TH AVE SE #IOTA
EDMONDS, WA 98020 BOTHELL, WA 98012 BOTHELL, WA 98012
(425) 318-0461 EXT: (425) 485-0111 EXT: (425) 485-01 1 1 EXT:
LICENSE #: CORNERIOI ICM EXP:
O. DESCRIPTION
TEAR OFF SHINGLES AND INSTALLNEW PLYWOOD SHEATHINGOVER APPROZX. 24 SQ FT OF ROOF. INSTALLNEW
SHINGLES. C,
VALUATION: $15,268.00
0
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
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 1 Sr FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTIRE-UlSEl'BACK
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 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.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISHER D UTY AND ALL FEESARE PAID.
7,&L"
Signature Print Name Date
,U0/1 --P//(
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/ IBC I0/IRC 110.
ONLINE APPLICANT = ASSESSOR OTH
A
STATUS: ISSUED BLD20110178
CONDITIONS
• 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 pen -nit. 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.
INS PFCTIONS
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.
771-0220
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
771-0220 EXT.
PUBLIC WORKS 425 771-0235 PRE-TREATMENT (425)672-5755 RECYCLNG 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 -Shear Nailing
• B -Roof Tear Off
• B -Building Final
�ERM-Tr -Trr: Inspection Comments
BLD20110178 54 - Re-Roof/Roof Alter/Repair
Applied: 03/15/2011 Issued: 03/15/2011 Expires:
Address: 21316 92ND PL W, EDMONDS
ID INSPECTOR ACTION COMMENT
DATE
1136 - B-Shear Nailing
03/17/2011 STEINIKE CMP
1154 - B-Roof Tear Off
03/17/2011 STEINIKE CMP
1158 - B-Building Final
03/21/2011 STEINIKE COR Gave correction notice.
03/22/2011 LAWLER CMP
09/15/2011
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