BLD20110346.pdfIIII��III
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
enc I ago PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 5/12/2011
Expiration Date: 11/12/2011
Parcel No: 00449900001200
FIRDALE VILLAGE FIRDALE VILLAGE PROPERTY OWNER EXEMPTION TAKEN
WNS PROPERTY INVESTMENT INC WNS PROPERTY INVESTMENT INC WNS PROPERTY INVESTMENT INC
9500 ROOSEVELT WAY NE 9500 ROOSEVELT WAY NE 9500 ROOSEVELT WAY NE
SEATTLE, WA 98115 SEATTLE, WA 98115 SEATTLE, WA 98115
( ) - EXT: ( ) - EXT: ( ) - EXT:
LICENSE #: EXP:
INSTALL APPROXIMATELY 12 FT OF GAS PIPING& INSTALL 180K BTU INDOORS TANKLESS WAT., NEATER
VALUATION: $0.00 (t�
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: PLUMB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
1VESTED DATE:
NUMBER OF DWELLING UNITS: 0
-A
ILOT #:
EXISTING ARI.
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR:0
PROPOSED AREA
BASEMENT: 0 IST 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.
THISAPPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEBSAREIPAID.
-'-*5 i � i ).WA Clef _ dl" O -! /// '7-",4 4"119-11
Signature Print Name Date
Releas
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 GRANTED. UBC109/ IBCI 10/ IRCI 10.
a ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
BLD20110346
• 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 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 pemnit. Issuance of this pennit 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 ENGWEERI 1G 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425 771-0235 1 PR&TREATMENT (425)672-5755 1 RECYCLING 425 275-4801
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 -Plumb Rough In
• B -Gas Test/Pipe
• B -Plumbing Final
Inspection
Comments
BLD20110346
47 - Plumbing
g
Applied: 05/12/2011
Issued: 05/12/2011
Expires:
11/12/2011
Address: 9713 FIRDALE AVE, EDMONDS
;INSPECTION V
�Y DATE _ _INSPECTOR
ACTION_
_
1126 - B -Plumb Rough In T
06/02/2011
STEINIKE
CMP
Comment:
1128 - B -Gas Test/Pipe
05/27/2011
STEINIKE
COR
Comment: No test.
1128 - B -Gas Test/Pipe
06/02/2011
STEINIKE
CMP
Comment:
1152 - B -Plumbing Final
06/06/2011
STEINIKE
CMP
Comment:
0
6/7/2011 10:39:25 AM 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 he/she/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:
❑ 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 lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ 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).
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).
❑ 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).
❑ 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).
❑ 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 �- d�day of 0 �� , 20 It.
PROPERTY OWNER/AUTHORIZED
PERSON
Signature
fir/ Gam- aP�
Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07