BLD20180146.pdfF E" M Nv-"' t
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121 5TH AVENUE NORTH - EDMONDS, WA 98020
„ PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date:
Parcel No: 00419700001000
MICHAEL ARQUILLANO MICHAEL ARQUiLLANO OWNER EXEMPTION
17026 67TH AVE W 17026 67TH AVE W
EDMONDS, WA 98026-5202 EDMONDS, WA 98026-5202
(206)306-6814 (206)306-6814
LICENSE d#: t;XP;
JOB DESCRIPTION
REPA IR WA TER SERVICE LINE
VALUATION: $0
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 AND ALL FEES ARE PAID.
Signature Print Name Date
FAYMINON—W0
Released By
Date
IT1S 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/ iBCI I0/ IRC110
FIRE APPLICANT ASSESSOR CITY
STATUS: ISSUED BLD20180146
CONDITIONS
• Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as it enters the building.
• City approved plastic piping may be used in water service piping provided that where metal water service piping is used for
electrical grounding purposes, replacement piping shall be of like materials (UPC 604.8). A state electrical permit and
inspection is required if electrical grounding is altered, removed, improved, or added. Contact State Dept. of Labor &
Industries Electrical Division at 425-290-1309.
• 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. Checkthe 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 avariance 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 fi•om 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.
• Referto City of Edmonds Water service line handout for approved pipe materials, inspections and other requirements.
• Owner/Contractor to provide Water Service Line asbuilt at final inspection. See City Standards for requirements.
INSPECTIONS
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)
TO SCI-ILDULL INS PECTIONS
BUILDING ��.�.�rr --_.. .... ...www.. w ENGINEERING.�...._... w.w.e_e...�e..�.
_ (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov Building Department Inspections �.�.�...����
2. Then: Services are now scheduled online. If you FIRE (425) 775-7720
3. Then: Permits/Development have difficulties, please call the
4. Then: Online Permit Info Building Department front desk for PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a assistance during office hours.
login (upper right hand corner) (425) 771-0220 RECYCLING (425) 275-4801
6: Schedule dour inspection
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 Preferred,, and whether you prefer mominq or afternoon.
0 E-Water Service Line