BLD20111004.pdfG
U If,
'Y
STATUS: ISSUED 12/5/2011
Expiration Date: 6/5/2012
Parcel No: 00506700003604
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
' rpPrrnit f!�'
RELOCATION OF GAS METER
VALUATION: $0.00
PERMITTYPE_ Residential
PERMIT GROUP47 - Plumbing
. .•
ROBERT KITCHNER
INFRASOURO
INFRASOURCF.
8925 200TI I S1 SW
CORY AI,EXANDER
1200 ROOSEVELT RD SUITE 400
EDMONDS, WA 98026
13330 STONE AVE N
GLEN ELLYN, IL 60137
NUMBER OF S'I'ORIF:S 0
SF.AI TLE. WA 98093
NUMBI`R Oh DWELLING UNI'1 S 0
(425)320-7391
(425)516-4388
(425)516-4388
LICENSE H INFRACL899CZ EXP 2/14/2013
RELOCATION OF GAS METER
VALUATION: $0.00
PERMITTYPE_ Residential
PERMIT GROUP47 - Plumbing
-
GRADING N CYDS 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY N
----- -- ---
OCCUPANT GROUP.
OCCUPANf LOAD. —
FENCL: N ( 0 X 0 FT)
CODE 09
OTHER N ------- OTHERDIiSC
ZONE -
NUMBER OF S'I'ORIF:S 0
VESTED DATE.
NUMBI`R Oh DWELLING UNI'1 S 0
LO'1 d.
BASIiMF:N'f 0 1 ST I-LOOR 0 2ND FLOOR 0
3RD FLOOR 0 GARAGE 0 DECK 0 OTHER 0
BASEMENT 0 IST FLOOR 0 2ND FLOOR 0
3RD FLOOR -0 GARAGE 0 DECK -0 OTHER' 0
FRONTSETBACK SIDE SETBACK ' SETBACK
LEQUIRED PROPOSED REQUIRED PROPOSED REQUIRED PROPOSED:
IEIGHTALLOWEDO PROPOSEL REQUIRED PROPOSED
;EJ—BACK--NOTES - --- ----- --- --- - - - --
I AGREE fO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF "rl-IF. LABOR CODE OF TILE STATE OF WASHINGTON RELATING'TO WORKMEN'S
COMPENSATION INSURANCE AND RC W 18'^_7.
l' PLIC IS NO'T ER I'I LIN111- 'IGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY A D ALL 'EES ARE PAID.
natureVfint Name Date Released By X Date
ATTENTION "
I f IS 1;NL.AWF'l'1- 10 USI: OR OCCUPY ;A tit tl DING OR S IRII(IL'KE It Ill- A FINAL INSPFC"IION HAS B17F.N NLADE .AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BF,[ -.N (,RANTED UB( 109 ►BCI 10IRCI 10
ONLINE APPLICANT ASSESSOR OTHER �, VL
c
STATUS: ISSUED - BLD20111004
CONDITIONS
• 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 pr9ject 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 7:00arn to 6:00pm on weekdays and I0:00am 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 -Gas Test/Pipe
• B -Plumbing Final
0V Ebv InspectiontComments
v N
BLD20111004 47 - Plumbing
Applied: 12/05/2011. Issued: 12/05/2011 Expires
Address: 8925 200TH ST SW, EDMONDS
INSPECTION DATE INSPECTOR
1128 - B -Gas Test/Pipe 12/06/2011 LAWLER
Comment: No inspection card posted, will sign at final. Piping green tagged.
06/05/2012
ACTION
CMP
7/11/2012 9:24:50 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1