ONLINE PERMIT #BLD20161382.pdfOp ED&
�_ °+� CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
IMFo PHONE: (425) 771-0220 - FAX: (425) 771-0221
nc. 1 s9
STATUS: ISSUED 10/19/2016 Permit #: BLD20161382
Expiration Date: 04/19/2017
Parcel No: 00559700302200
RANDALL L & SUSAN M FAMIL GRAY
9610 216TH PL SW
EDMONDS, WA 98020-3938
tear off and replace with like product
VALUATION: $0.00
Project Address: 9610 216TH PL SW, EDMONDS
State Roofing Inc.
C/O LANCE SMITH
PO BOX 53
Monroe, WA 98272
(360) 794-7164 EXT: 254
ST ATE ROOFING INC.
C/O LANCE SMITH
PO BOX 53
MONROE, WA 98272
(360) 794-7164 EXT: 254
LICENSE #: STATERI101JW
EXP :12/21 /2017
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair (ONLINE)
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE:
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: O
ILOT #:
EXIS TING AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
PROPOSLI) AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
FRONT C •CK SIDESEMACK
.SQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: ['ROPOSI'D:
[EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
ETBACK NOTES:
PERMIT APPROVAL
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.
'HIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date ReleasegBy Date
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/ IBC110/ IRC110.
= ONLINE = APPLICANT = ASSESSOR = OTIIER
STATUS: ISSUED
BLD20161382
• 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 orpolicies 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 fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 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 fromthe 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)
CALL FOR INSPECTIONS
BUILDING 425 771-0220 EXT. 1333 ENGINEERING 425 771-0220 EXT. 1326 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 lease the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and mbether you prefer morning or afternoon.
• B-Roof Tear Off
• B-Building Final