BLD20110250.pdfov FL)41
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y _ CITY OF EDMONDS
1215TH A VENUE NORTH -EDMONDS, WA 98020
o PHONE: (425) 771-0220 - FAX: (425) 771-0221
c. IRA
STATUS: ISSUED 4/15/2011 i Permit #: BLD20110250
Expiration Date: 4/15/2012 Project Address: 21222 82ND PL W, EDMONDS
Parcel No: 00467400000600
P_ Ci17i'1 V ' YIlW ►`I1 t APPLICANT COINT11ACTOR
EDMONDS LUTHERAN CHURCH GERLACH CONSTRUCTION INC. GERLACH CONSTRUCTION INC.
23525 84TH AVE W PO BOX 5664 PO BOX 5664
EDMONDS, WA 98026-7442 LYNNWOOD, WA 98046- LYNNWOOD, WA 98046-
(425) 744-8090 Ext. (425) 745-8800 Ext. (425) 745-8800 Ext.
LICENSE #: GERLAC1077BH EXPAOM, A30.41
REPAIR AND REPLACE WATER DAMAGE ON NORTH SIDE OF HOUSE.
VALUATION: $14,000
PERMIT TYPE: Residential
PERMIT GROUP: 05 - Alteration/Remodel Exterior
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: vb
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
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 1ST FLOOR:0 2ND FLOOR: O
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
FRONTSEFBACK 1RLkRSL-fBACK
tEQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
4EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
iETBACK NOTES:
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.
THIS CA•TI IS T A- IT UNTIL SIGNED BY THE BUILDING OFFICIAL,@R H S/HER DEPUTY AND AL FEES RE PAID.
s3iatt8tAPt i5fint Name Date Z Z k4ared By Dat
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY ABU I LDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
ONLINE APPLICANT ASSESSOR MOTHER ;�
STATUS: ISSUED
BLD20110250
• 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
of city code or state law does not approve any iterm 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 of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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)
BUILAING (425) 771-0220 EXT. 1333 1 FNGINFFRING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRETREATMENT 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 Wall Sheathing
• B -Roof Sheathing
• B -Framing
• B-WallInsulation/Caulk
B -In s u lat ion/Energy
• B-Sheetrock Nail
• B -Building Final
i* i
Inspection
Comments
BLD20110250
04 - Alteration/Remodel
PERMIT—
Applied: 04/12/2011
Issued: 04/15/2011
Expires:
04/15/2012
Address: 21222 82ND PL W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1132 - B -Exterior Wall Sheathing
04/22/2011
STEINIKE
CMP
Comment:
1133 - B -Roof Sheathing
04/22/2011
STEINIKE
CMP
Comment:
1142 - B -Framing
04/22/2011
STEINIKE
CMP
Comment:
1158 - B -Building Final
05/10/2011
STEINIKE
CMP
Comment:
5/12/2011 8:18:08 AM
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