BLD20110222.pdfOV EI)Aj
CITY OF EDMONDS
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ImmoummigREW 1215TH A VENUE NORTH - EDMONDS, WA 98020
C. I g9C3 PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED
Expiration Date:
Parcel No: 00434210101900
DUPLEX -CHURCH OF THE OPEN BIBLE RON JOHNSON PROPERTY OWNER EXEMPTION TAKEN
657 DALEY ST 19601 23RD AVE NW
EDMONDS, WA 98020- SHORELINE, WA 98177-
( ) - Ext. (206) 546-2288 Ext. ( ) - EXT:
LICENSE #: EXP:
REMODEL FIRE RATED WALLS Ash OE' " PLOmwi ED
VALUATION: $1,350.00 C m t
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Alteration/Remodel Interior
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER: N ------- OTHER DESC:
ZONE: RM -1.5
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 177 FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 Sr FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER:
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED: See Below PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES: No change proposed to existing setbacks or height.
I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
ERE 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.
T_ AP AT ION IS NOT A PERMIT UiN,T`IL SIGNED BY THE BUI /DING OFFICIAL OR HIS/H R DEPUTY AND ALL FEYS AqRE PAID.
fv,VyN NSO'✓ � V
Ignature Print Name Date Relea d By V Itafe
V 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 I0/IRC 1 10.
ONLINE APPLICANT ASSESSOR
ePC__41gI(s_"
m
Just a reminder., ..
Mailing Address Mr'J _
Job Address
Building Permit # I Ln2D11-0 2-ZFor:'
Issued on 5M 11 Expires: S 4 Z
All required inspection(s) must be completed by the expiration date.
If more work must be done your permit may be renewed by submitting
renewal fees of $ _LI1s,'Z5prior to expiration. 7%
XPlease call (425) 771-0220 x 1333 to schedule for inspections) if the
0 k- is complete and the permit has not. expired. If the
-permit expires
enforcement for resolution
[ ] This permit is not renewable. Please call a Permit Coordinator, for .
more information. ZWd lnj
DATE MAILED17— Thank ' You,
Building"Division
425-771-0220..
STATUS: ISSUED
BLD20110222
• Exterior portions of the building that are being modified under this permit shall be finished with the same colors and materials
to match the existing building.
• 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 fromthe issuance for this pemtit. 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)
BUILDING 425 771-0220 EXT. 1333 ENGMFRING 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425 771-0235 1 PRIITRFATMFNT 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 -Exterior Gypsum Sheathing
• B -Framing
• B-SheetrockNail
• B -Building Final
• P -Planning Final
E10) Inspection Comments
�^l0.
N
BLD20110222
04 - Alteration/Remodel Interior
Applied: 04/01/2011
Issued: 05/04/2011
Expires: 05/04/2012
zoc. 1 R90
Address: 656 DALEY ST, EDMONDS
'INSPECTION
DATE,
INSPECTOR,..
ACTION!-
_ _
1134 - B-Exterior Gypsum Sheathing
- _ _
06/01/2011
STEINIKE
PAR
Comment: See job site plans for location.
1134- B-Exterior Gypsum Sheathing
06/02/2011
STEINIKE
PAR
Comment: See job site plans for location.
1134 - B-Exterior Gypsum Sheathing
06/15/2011
STEINIKE
CMP
Comment:
1142 - B-Framing
05/31/2011
STEINIKE
COM
Comment: Partial, see approved plans for locatio.
1142 - B-Framing
06/01/2011
STEINIKE
CMP
Comment:
1150 - B-Sheetrock Nail
06/15/2011
STEINIKE
CMP
Comment:
1158 - B-Building Final
05/02/2012
LAWLER
CMP
Comment:
2000 - P-Planning Final
05/02/2012
MACHUGA
CMP
Comment: Signed off on 5/2/12.
5/7/2012 7:56:33 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
EXEMPTION FROWCONTRACTOR
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 helshe/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
hat:O 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 he/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
J 18.27.090(9).
�D 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 18.27.090(11).
O 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).
O 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).
O 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).
O 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 � day of VA` , 201( .
PROPERTY OWNER/AUTHORIZED
PERSON
( 4L_-�L�
s�
tutwAvv_ J CxEAA4,rs,
Print Name
REVISED 7107
Print Name