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BLD20170721-APPROVED PERMIT.pdftn� '111�I STATUS: ISSUED Expiration Date: 11 CITY OF EDMONDS 1215TH AVENUE NORTH -EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 KENNETH & SANDRA BELLINGHAM BOP N BURGER 1505 LOTH PLIN C/O KENNETH & SANDRA EDMONDS, WA 98020 BELLINGHAM 1505 LOTH PL N EDMONDS, WA 98020 (206)81873768 (206)818-3768 Replace in line swing check in supply line to dishwasher,; VALUATION: $0.00 C/O JAMES DURNIN 23701 102ND PL W EDMONDS, WA 98020 (206)546-4940 1DZ EXP:03/09/2018 I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION' AND IN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. 'I'll I$ APPLICATION IS NOTA I I RMIT UNTIL SIGNED BY THE BUILDING' OFFICIAL OR 11INHES DERt I'Y AND ALL FEES ARE PAID Signature RInMarna Date Released By Date SR" D& Q B FC_C-1 JJCP EFS t'�� - ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBCI09/ IBC110/ IRC110, q; ONLINE APPLICANT ASSESSOR OTHER ) SP. STATUS: ISSUED BLD20170721 • Final approval on a'projector 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 ofany ,plat or plan containing provisions which do not comply with city code and `for which avariance has not been specifically identified, requestedand 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 7:00amto 6:00pmon 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) PUBLIC WORKS 425) 771-0235 1 PR&TREATMENT (425) 672-5755 1 RECYCLING' 4251,275-4801 When calling for an inspection please leave the.following information: Permit Number, Job Site Address, Type of Inspection being requeste Contact Name and Phone Number, Date Prefereed, and mbether you prefer;morning or afternoon. • B -Plumbing Final til, Ei7410 10 DEVELOPMENT SERVICES m PLUMBING, MECHANICAL, TANK, & DEMOLITION w, PERMIT APPLICATION 121 5`h Avenue N, Edmonds, WA 98020 sc X tt1i Phone 425.771.0220 9 Fax 425.771.0221 City of Edmonds PII:"AS&A °I"ER TO 9,11y -PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS -U Pei PROJIt-C1' ADDRESS (Street, Suite #, City State, Zip): LLIA �� (� Parcel #: Associated Permit #: IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ No ©' APPLICANT: .,_, C� (Street, Street, City, State, Zip): PROPERTY OWNER:. Address (,Street, 'i State, Zi : LENDING AGENCY: Address (Street, City, State, Zip). CONTRACTOR:* , Ji WL. ICU i,"'' ly, p 0 vyt- ''L S Address (Street, City Stutc,„ Zip): '110 1 10"�- (P 1 *Contractor must have a valid City of Edmonds business license prior to doing work in the City. Contact the City Clerk's Office at 425.775.2525 PLUMBING KI MECHANICAL L_j TANK Phone: Fax:. E -Mail Address: zOfo Phone: Fax: E -Mail Address: Phone: I Fax: E -Mail Address: Phone: Fax: 10 to E -Mail Address: I Lt d"" Vl lkt o t cv, C WA State License #/Exp. Date: City Business License #/Exp. Date: DEMOLITION DETAIL THE SCOPE OF WORKA�...,,.... ..(J- .__5W,.{ ....,�,�. _ .... Vl 4=c Z, I declare under penalty of perjury laws that the information I have provided on this form/application is true, correct and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. Print Name5� Owner MAgent/Other ❑ (specify): Signature: FORM C L:\Building New Folder 2010\130NE & x-ferred to L -Building -New drive\Form C 2014.doex Updated: 1/17/2014 FORMC LABuilding New Folder 2010\DONE & x-ferred to LBuilding-New drive\Form C 2014.docx Updated: 1/17/2014