Building Permit 2020'SIDENTIAL BLDG
Permit
PERMIT NUM
City of Edmonds
.
•:i
1 1 1 .
wWA.edmondswa.gov
Type: RESIDENTIAL BLDG
Owner/ Business: SHAUNA ROBERSON
Status: ISSUED
Subtype: ALTERATION OR REMODEL
Parcel No: 27040700404100 Site Address: 7622 175TH ST SW EDMONDS,WA
98026-5022
Applied: 5/1/2020
Subdivision: SP AFN 7709160402, SP S-40-79
Lot: 0
Issued: 6/5/2020
Fire Sprinklers: Lot
Area: Zoning:
Final:
Valuation: $91,113.00 Occupancy Type: R3 Construction
Type: VB
Expiration Date: 6/5/2021
Code Edition: 2015 No. Stories: 2 # of Dwelling Units: 1
Issued by: NED
Scope of Work: ROBERSON-REMODEL
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE NAME
TO
ADDRESS
PHONE
EMAIL
APPLICANT SHAUNA ROBERSON 7622 175TH ST SW, EDMONDS
(205)235-4460
MAIL.SHAUNA@GMAIL.COM
WA 98026-5022
CONTRACTOR CUSTOM CUT REMODELING, 20247 MOUNTAIN VIEW RD,
(206)459-6228
CUSTOMCUT@WILDBLUE.NET
INC.
DUVALL WA 98019-8813
OWNER SHAUNA ROBERSON 7622 175TH ST SW, EDMONDS
(205)235-4460
MAIL.SHAUNA@GMAIL.COM
WA 98026-5022
INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
1 - BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
6/5/20
R5672
PERMITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
6/5/20
R5672
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
6/5/20
R5672
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$135.00
$135.00
6/5/20
R5672
TRAP
EACH VENT OR EXHAUST NOT
CONNECTED TO A HEATING OR AC
001.000.322.10.000.00
$45.00
$45.00
6/5/20
R5672
SYTEM
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$15.00
$15.00
6/5/20
R5672
FURNACE OR FIREPLACE
001.000.322.10.000.00
$60.00
$60.00
6/5/20
R5672
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$30.00
$30.00
6/5/20
R5672
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$1,044.00
$1,044.00
6/5/20
R5672
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$887.40
$887.40
5/18/20
R5330
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
6/5/20
R5672
TOTALS: $2,362.90
$2,362.90
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Friday, June 05, 2020 1:36:08 PM 1 of 3
MIDENTIAL BLDG PermitCity
PERMITNUM
• • • •
1215th Ave N, Edmonds WA98020 61
www.edmondswa.gov •
66
1- HOLD HARMLESS - 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 of 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. 2
- PERMIT DISCLOSURE - Any request for alternate design, modification, variance or other
administrative deviation from adopted codes ordinances or policies must be specifically
requested in writing and be called out and identified. Processing fees for such requests
FOR
shall be established by Council and shall be paid upon submittal and are nonrefundable.
ALL BUILDING PERMITS
INFORMATION
3- SOUND OR NOISE - 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 to 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. 4 -
OCCUPANCY - 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 project approval and final occupancy
inspections.
Work approved under this permit may or may not qualify as an essential or allowed
activity per the Governors Stay Home, Stay Healthy Order. Refer to the Order and the
FOR
Citys website for up-to-date information related to development activities during COVID-
COVID-19 NOTICE
INFORMATION
19. Issuance of this permit does not certify that construction is allowed to immediately
occur, and inspections may or may not be granted accordingly. Construction activities and
all required inspections will resume when the Order has been lifted.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
GAS PIPE TEST
FOR
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
NFORMATION
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,
FOR
employees, and agents from any and all claims for damages of whatever nature, arising
HOLD HARMLESS
INFORMATION
directly or indirectly from the issuance of 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.
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
provide manufactures installation instructions on site for Building Inspector.
FOR
OTHER
INFORMATION
COMPLETED
SECZID INSPECTION TYPE
INSPECTOR RESULT NOTES
DATE
A-1 BUILDING PRECON
B-3 EXT WALL SHEATHING
B-3 MECH ROUGH IN
B-3 PLUMB ROUGH IN
B-3 ROOF SHEATHING
B-4 DRYWALL FASTENING
B-4 FRAMING
Printed: Friday, June 05, 2020 1:36:08 PM 2 of 3
Printed: Friday, June 05, 2020 1:36:08 PM 3 of 3