BLD20110235.pdfY
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1890
STATUS: ISSUED 4/7/2011
Expiration Date: 10/7/2011
Parcel No: 00626100000200
CITY OF EDMONDS
121 5TH A VENUE NORTH - EDM ONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20110235
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S PATRICK & CHERYL M LEWIS
8514 192ND ST SW
EDMONDS, WA 98026-6125
(425) 273-6322 Ext.
Project Address: 8514 192ND ST SW; E,DMONDS
HILLSIDE ROOFING
16573 HWY 99
LYNNWOOD, WA 98036-
(206) 362-7663 Ext.
REM OVE ONE LA YER COM P, REPLA CE W ITH COM P.
VALUATION: $0
HILLSIDE ROOFING
16573 HWY 99
LYNNWOOD, WA 98036-
(206) 362-7663 Ext.
LICENSE#: HILLSRGO21 LC EXP:5/19/2011
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 ------- OTFIER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DW ELLING UNITS: 0
LOT N:
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
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 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 APPWCATIONJS NOT A PERMIT UN IL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEEESSA PAID.
1
Signature Print Name Date
Released By
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCIURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
P
ONLINE APPLICANT '� ASSESSOR OTHER
STATUS: ISSUED BLD20110235.
CONDITIONS I
• 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 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 fromthe 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)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 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 arefer mornine or afternoon.
• B -Roof Tear Off
• B -Building Final
0 EDMO� Inspection Comments
BLD20110235 54 - Re-Roof/Roof Alter/Repair
Applied: 04/07/2011 Issued: 04/07/2011 Expires: 11/30/2011
Address: 8514 192ND ST SW, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1158 - B -Building Final 11/22/2011 STEINIKE COM
Comment: Re -schedule.
1158 - B -Building Final
Comment:
11/28/2011 LAWLER CMP
11/29/2011 9:03:58 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1