BLD20110869.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 4/19/2012
Parcel No: 00582000400903
STEVE E CHOMENTOWSKI
3D Roof Systems LLC
3 D ROOF SYSTEMS LLC
TYPE OF CONSTRUCTION:
1152 2ND AVE S
KEREN MCFADDEN
PO BOX 330
OCCUPANT LOAD:
EDMONDS, WA 98020-4102
PO BOX 330
LYNNWOOD, WA 98046
ZONE:
NUMBER OF STORIES: 0
Lynnwood, WA 98046
NUMBER OF DWELLING UNITS: 1
LOT #:
(425)246-8732
(425)775-0232
(425)775-0232
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #:3DROOSL982C1 EXP:2/11/2012
JOB DESCRIPTION
Remove existing roofing and replace with Pabco P-30 composition shingles.
VALUATION: $0.00r4
> s
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair (ONLINE)
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: 1
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
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: REQUIRED: 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 ANDXL FEES ARE PAID.
AGREED TO BY APPLICW
Si GH ®INIEn ���� Released By ate
��6 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 to/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20110869
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.
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 1
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
OV E°M Inspection Comments
O
BLD20110869 54 - Re-Roof/Roof-Alter/Repair (ONLINE)
Applied: 10/18/2011 Issued: 10/19/2011 Expires: 04/19/2012
Address: 1152 2ND AVE S, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1154 - B -Roof Tear Off 10/28/2011 STEINIKE CMP
Comment:
1158 - B -Building Final
Comment:
11/01/2011 STEINIKE CMP
11/7/2011 4:06:10 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1