BLD20110302.pdf�h
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STATUS: ISSUED 4/29/2011
CITY OF EDMONDS
Expiration Date: 10/29/2011
Parcel No: 00434400600100
V
1215TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #i BLD20110302;
Project Address: 109 4TH AVE N, EDMONDS(
PLUMBING FOR TENANT IMPROVEMENT
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain
GRADING: N 'CYDS: 0
TYPE OF CONS'TRUC•TION:
JACK MURPHY'S
THIRD AVENUE SOUTH PROPERTIES
PROPERTY OWNER EXEMPTION TAKEN
THIRD AVENUE SOUTH PROPERTIESL
KIM GARDNER
CODE:
OTHER: N ------- OTHER DESC:
229 3RD AVE SSI'E 301
EDMONDS, WA 98020-
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
EDMONDS, WA 98020-
( ) - tat.
( ) Ext.
( ) Ext. !`
PRD FLOOR: 0 GARAGE, 0 DECK: 0 OTFIFW 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #:
PLUMBING FOR TENANT IMPROVEMENT
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain
GRADING: N 'CYDS: 0
TYPE OF CONS'TRUC•TION:
RETAINING WALL ROCKERY. N
OCCUPANT GROUP.
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER: N ------- OTHER DESC:
"ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #
BASEMENT: O ISI FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PRD FLOOR: 0 GARAGE, 0 DECK: 0 OTFIFW 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK 1 i
:EQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
(EIGHT ALLOWED:0 PROPOSED:O REQUIRED: PROPOSED:
FTBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHF WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'SCOMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR FIIS/HER DEPUTY AND ALL FEES ARE PAID.
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Signature Print Name Date Rel ased By Dat
ATTENTION
ITIS UN LA WPUI. T'U USG OK ix'i:UPY ABU I LDING OR STRUCTURE UN'nl. A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC 10/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR OTHER
STATUS: ISSUED
BLD20110302
• 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.
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)
I CALL 1 R INS PUCTIONS
BUILDING 425 771-0220 EXT. 1333 ENGINEERING 425 771-0220 EXT. 1326 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.
• E -Cross Connection Final
• B -Plumb Ground Work
• B -Plumb Rough In
• B -Plumbing Final
/.k E°M°� Inspection
Comments
BLD20110302
47 - Plumbing/Water Service Line/Fountain
Applied: 04/27/2011
Issued: 04/29/2011
Expires:
12/07/2011
41C. 1891
Address: 109 4TH AVE N, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1120 - B -Plumb Ground Work
05/06/2011
STEINIKE
CMP
Comment:
1126 - B -Plumb Rough In
06/20/2011
STEINIKE
CMP
Comment:
1152 - B -Plumbing Final
11/22/2011
BJORBACK
COM
Comment: See'correction notice for 2011-0066.
1152 - B -Plumbing Final
12/05/2011
LAWLER
CMP
Comment:
12/5/2011 4:34:23 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1