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Expiration Date:
Parcel No: 27043000105100
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Project Address: 213
OTH AVE, W, EDMONDSj'
PROPERTYOWNER APPLICANT CONTRACTOR
PSCC HOMES INC TOPGUN PLUMBING TOPGUN PLUMBING
PO BOX 177 AL KING AL KING
LYNNWOOD, WA 98046 2020 MALTBY RD 2020 MALTBY RD
BOTHELL, WA 98021 BOTHELL, WA 98021
(425) 501-7800 EXT: (425) 984-4197 EXT: (425) 984-4197 EXT:
LICENSE #: PL943RD EXP: 12/11/2012
JOB DESCRIPTION
REPLACE WATER SERVICE LINE FROM METER TO APARTMENTS.Am
VALUATION: $0.00 CU a wPLw2Twm'
PERMIT TYPE: Commercial
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
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONT SETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED:RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
I 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.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AN L FEE ARE PAID.
Signature
Date
Released By
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/ IBC 110/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR ® OTHER
WMG
STATUS: ISSUED
BLD20110499
• 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 PRE-TREATMENT 425) 672-5755 RECYCLING 425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morniniz or afternoon.
E -Water Service Line
i
OV E°M Inspection Comments
O
N BLD20110499 477 Plumbing
Applied: 06/28/2011 Issued: 06/28/2011 Expires: 12/28/2011
189Z
Address: 21303 80TH AVE W, EDMONDS
11INSPECTION i DATE INSPECTOR ACTION
1034 - E -Water Service Line 07/22/2011 MCCONNELL CMP
Comment: J.Lambert on site as well. Okay to backfill.
12/19/2011 2:15:27 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1