BLD20110417.pdfc
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OF LD,y/o� i
_ CITY OF EDMONDS
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
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PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 6/3/2011
Expiration Date: 12/3/2011
Parcel No: 00545600000100
GERALD R & RUSSELL SUSAN HOFF
H BERGMAN ROOFING
H BERGMAN ROOFING
15027 27TH AVE NE
2011 BICKFORD AVE
2011 BICKFORD AVE
SHORELINE, WA 98155
SNOHOMISH, WA 98290
SNOHOMISH, WA 98290
( ) - EXT:
(425) 422-4199 EXT:
(425) 422-4199 EXT:
NUMBER OF STORIES: 0
VESTED DATE:
LICENSE #: HBERGR" 125C5 EXP: 8/19/2012
TEAR OFF EXISTING ROOFING AND REPLACE WITH SAME.
VALUATION: $0.00
N.
�'-' PIC -041141=1113
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
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: I
LOT #:
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
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
1,11ONTSETBACK SIDE SETBACK REAR SETBACK
ZE UIRED: PROPOSED:RE UIRED: PROPOSED: RE UIRED: PROPOSED:
-IEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY. yV H CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WIL EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27,
THIS APPLICAT,10S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AW ALL FEES
ARE PAID.
ame 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. UBC 109/ IBC110/ IRC 110.
ONLINE APPLICANT ASSESSOROTHER
STATUS: ISSUED
BLD20110417
• 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 requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Roof Tear Off
B -Building Final
Just a reminder...
Mailing Address 'G r
Job Address *' LL] '
Building Permit For:
Issued on d a I It Expires:
All required inspection(s) must be completed by the expiration date.
[ ] If more work must be done your permit may be renewed by submitting
renewal fees of $ prior to expiration.
lease call (425) 771-0220 x 1333 to schedule for inspection(s) if the
or is complete and the permit has not expired. If the permit expires
without all required inspection approvals, the matter will be forwarded to
enforcement for resolution
his permit is not renewable. Please call a Permit Coordinator for
ore information.
DATE MAILED
Just n rem
Thank You.
Building Division
425-771-0220
finder 0 0
of E°Moti Inspection Comments
BLD20110417 54 - Re-Roof/Roof Alter/Repair
Applied: 06/03/2011 Issued: 06/03/2011 Expire:
Address: 9329 216TH ST SW, EDMONDS
INSPECTION DATE INSPECTOR
1154 - B -Roof Tear Off 06/06/2011 STEINIKE
Comment: Need ladder flat roof.
1158 - B -Building Final 06/07/2011 STEINIKE
Comment: Need Taller ladder.
12/03/2011
ACTION
COM
COM
12/30/2011 10:49:54 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1