BLD20110530.pdfSTATUS: ISSUED 7/11/2011
Expiration Date: 1/11/2012
Parcel No: 00614300001605
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD201105:
INSTALL BACKFLOW PREVENTER TO SODA MACHINES.
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing cam
BURGER KING -
SOUTH COUNTY PLUMBING
SOUTH COUNTY PLUMBING
HOLGI LAKIN
18604 76TH AVE W
18604 76TH AVE W
811 IST AVE #422
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
SEATTLE W, 98104
FENCE: N 0 X 0 FT.
(425) 775-8299 EXT:
(425) 775-7377 EXT:
( ) - EXT:
ZONE:
LICENSE #: SOUTHCP19302 EXP:8/25/2012
INSTALL BACKFLOW PREVENTER TO SODA MACHINES.
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing cam
r
ILI
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 IST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0
2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0
DECK: 0 OTHER: 0
FRONTSETBACK
REQUIRED: PROPOSED:RE UIRED: PROPOSED:RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: 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.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANQ kLL FEES ARE PAID.
vff ,
Signature Print Name Date
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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/ IBCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED BLD20110530
CONDITIONS
• 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.
• Independent certified backflow tester to perform test on backflow assembly and submit report to city.
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
being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Plumbing Final
Inspection Comments
BLD20110530 47 - Plumbing
Applied: 07/11/2011 Issued: 07/11/2011 Expires: 01/11/2012
Address: 7609 212TH ST SW, EDMONDS
!INSPECTION DATE INSPECTOR
1152 - B -Plumbing Final 01/31/2012 HARRISON
Comment: FINALED 7/22/11
ACTION
CMP
1/31/2012 7:16:01 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1