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STATUS: ISSUED 3/28/2011
Expiration Date: 3/28/2012
Parcel No: 00390100000400
SALLIE SHIPPEN
756 14TH WAY SW
EDMONDS, WA 98020-6612
( ) - Ext.
INTERIOR KITCHEN REMODEL
VALUATION: $35,000
CITY OF EDMONDS ,/
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
CARLSrROM CONSTRUCTION
5012 E.BROCKDALE RD
SHELTON, WA 98584-
(360) 432-2199 Ext.
CARLSTROM CONSTRUCTION
5012 E BROCKDALE RD
SHELTON, WA 98584-
(360) 432-2199 Ext.
LICENSE #: CARLSCL964PM EXP: I 1/2/2012
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Alteration/Remodel Interior
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD.-
OAD:FENCE:
FENCE:N ( 0 X 0 FT.)
CODE: 2009
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 IST 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
FRONTSEI'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 LICATIO N A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUT AND ALL FEES ARE PAID.
11-1
'3 ZS— - .
g ure nt Name Date Released By 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/ IBCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR W OTHER
STATUS: ISSUED BLD20110188
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
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 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)
CALL FOR INS PECTIONS
BUILDING 425 771-0220 EXT. 1333 ENGWEERING 425 771-0220 EXT. 1326 FIRE 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.
• B -Plumb Rough In
• B -Framing
• B -Building Final
af" 5/13/2011 8:25:25 AM Page 1 of 1
Inspection
Comments
BLD20110188
04 - Alteration/Remodel Interior
PERMITTRAx
Applied: 03/18/2011
Issued: 03/28/2011
Expires:
03/28/2012
Address: 756 14TH WAY SW, EDMONDS
INSPECTION '
DATE
INSPECTOR
ACTION
1126 - B-Plumb Rough In
04/12/2011
STEINIKE
CMP
Comment:
1142 - B-Framing
05/12/2011
STEINIKE
CMP
Comment:
1158 - B-Building Final
05/12/2011
STEINIKE
CMP
Comment:
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