BLD20110412.pdfof ED4t IIII�lIII
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 6/1/2011 Per==mit # BLD20.1-104-1-2�
-Expiration Date: 12/1/2011 L__�_Project Address; 8525',TALBOT,RD,,DMQNDS
Parcel No: 00594400002000
PROPERTI'ONVNER APPLICANT CONTRACTOR
JAY CORY ALEXANDER INFRASOURCE CONSTRUCTION LLC
8525 TALBOT RD 13330 STONE AVE 1200 ROOSEVELT RD STE 400
EDMONDS, WA 98026 SEATTLE, WA 98133 GLEN ELLYN, IL 60137
(425) 772-1811 EXT: (425) 518-4388 EXT: (425) 518-4388 EXT:
LICENSE #: INFRACL899CZ EXP:2/14/2013
RELOCATION OF RISER IN POOL HOUSE.
VALUATION: $0.000 muml P L t1m wl mh mum
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
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 ----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK. 0 OTHER. 0
13RD FLOOR. 0 GARAGE. 0 DECK. 0 OTHER: 0
RE UIRE�D. PROPOSED: REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
/ COMPENSATION INSURANCE AND RCW 18:27.
1S_APPOICATION IS.XOT A PERmI1T UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY—AND ALL FEES ARE PAID.
Signature Print Nar>'(e Date Released By / Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI10/ IRCI10.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED
BLD20110412
• Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted.
• 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 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) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Gas Test/Pipe
• B -Plumbing Final
°F E°M° Inspection Comments
V N
BLD20110412 47 - Plumbing
Applied: 06/01/2011 Issued: 06/01/2011
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Expires: 12/01/2011
INSPECTOR ACTION'
STEINIKE CMP
LAWLER CMP
k
12/16/2011 7:41:19 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
Address:
8525 TALBOT RD, EDMONDS
'INSPECTION '
DATE
1128 - B -Gas Test/Pipe
06/02/2011
Comment:
1152 - B -Plumbing Final
12/15/2011
Comment:
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Expires: 12/01/2011
INSPECTOR ACTION'
STEINIKE CMP
LAWLER CMP
k
12/16/2011 7:41:19 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1