BLD20170757.pdf'-"4
UITY
121 5TH AVENUENORTH -EDMONDS, WA 98020
PHONE. (425) 771-0220- FAX: (425) 771-0221
Expiration Date: 12/06/2
20931 88TH PL W
EDMONDS, WA :98026-6907
VALUATION: $0.00
5900 119TH AVE SE #C113 5900 119TH AVE SE #C113
BELLEVUE, WA 98006 BELLEVUE, WA 98006
(206) 499-5292 (206) 499-5292
LICENSE #: MONGOCL855C p EXP:I1/24/2017
JOB DESCRIPTION
rl 1 CT TTIL'D T'..TV1Q LVID T TVV TVI (`QA TVA: TAT AUTATTll1\17 OT71-7
PERMIT APPROVAL
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.
THISAPPLICATION[ISNOT A_PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER- DEPUTY ,AND ALL,FEESARE PAID.
S`C l "VA ba o f e16 1-J- � � � ( 20/7
Signaure Print Name Date Released By Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC] 09/ IBCI 10/ IRCI10.
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ONLINE APPLICANT ASSESSOR OTHER Jo
STATUS: ISSUED BLD2017075'
CONDITIONS
• Final approval on a projector final occupancy approval must be granted by the Building Official prior to use or occupancy of
the buildingor 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.
• Appficant, 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 pen -nit. 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.
IMSPECTIONS
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 L425) 771-0235ROTRI" 'TMT" (Q5)672-5755 RECYCLING L42,L275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
r0auested, Contact Name and Phone Number. Date Prefereed,`andwhether vna rrr°cfer.'nrrrrrrino or afternoon.
• B -Window. Flashing
• B-Insulation/Sealing
B -Building Final