BLD20110259.pdf;r
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a� ° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 4/21/2011 Permit #: BLD20110259'
BUILDING_.
Expiration Date: 10/21/2011 Project Address: 9005196TH ST SW, EDMONDS
Parcel No: 27041800304000
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CORNELIA BRUJBAN-TOMICI CORNELIA BRUJBAN-TOMICI COMPLIANCE PERMIT
936 9TH AVE N 936 9TH AVE N
EDMONDS, WA 98020- EDMONDS, WA 98020-
(206) 550-4785 Ext. (206) 550-4785 Ext. ( ) Ext.
LICENSE #: EXP:
AFH COMPLIANCE
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 82 - Ad i G wi e -
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: AFH
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
OTHER: N ------- OTHER DESC:
ZONE: RS -12
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
1 LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
'/ 1 i
REQUIRED: See Below PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:0 PROPOSFD:O REQUIRED: PROPOSED:
SETBACK NOTES: Adult family home compliance only. No additions or remodeling proposed at this time. Therefore, no changes proposed to existing
setbacks, lot coverage, height, etc. State law requires that adult family homes be considered allowed uses in all single-family residential zones pursuant to
RCW 70.128.175
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
IEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
, %� /� /� WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
APPII.ICA/f 1 N ANOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEE$ ARE PAID.
COG
Print Name
C/ 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 GRAN•IED. UBC109/ IBCI 10/ IRCI10.
ONLINE � APPLICANT � ASSESSOR OTHER
STATUS: ISSUED
BLD20110259
• 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 permit. Issuance of this peri -nit 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.
• Provide 2A:IOB:C portable fire extinguishers at locations as noted on approved plans.
INSPECTIONS
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 PRE-TREATMENT(425) 672-5755 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 "tether you prefer morning or afternoon.
• B -Building Final
• F -Fire Safety and Evacuation Plan
• F -Addressing Visibility
F -Fire Final
Inspection Comments
PERMiT`fiT2�A"t
BLD20110259 82 - Adult Family Home
Applied: 04/14/2011 Issued: 04/21/2011 Expires: 10/21/2011
Address: 9005 196TH ST SW, EDMONDS
INSPE@TpION DATE INSPECTOR ACTION:
1158 - B-Building Final 04/25/2011 STEINIKE CMP
Comment:
1950 - F-Fire Safety and Evacuation Plan 04/26/2011 SMITHM CMP
Comment: APPROVED
1980 - F-Addressing Visibility 04/26/2011 SMITHM CMP
Comment: APPROVED
1985 - F-Fire Final 04/26/2011 SMITHM CMP
Comment: APPROVED
5/6/2011 9:11:32 AM Page 1 of 1
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