Building Permit 2021Type: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00434600002105 Site Address: 8419 192ND ST SW EDMONDS,WA 98026-6124
Subdivision: LLA LL-98-193, SP S-06-21, SP S-1-91, SP S-6-77, SP S-2001-40,
004346
Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $2,000.00 Occupancy Type: R3 Construction Type: VB
Code Edition: 2018 No. Stories: 1 # of Dwelling Units: 1
Scope of Work: TELLEFSON- ENCLOSE CARPORT (COD)
Applied: 7/7/2021
Issued:9/30/2021
Final:
Expiration Date: 9/25/2022
Issued by: NED
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001 1
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
EMAIL
APPLICANT
MARK TELLEFSON
8419 192ND SW, EDMONDS WA
(206)423-3820
TELLEFSONMARK@GMAIL.COM
98026
8419 192ND SW 192ND SW,
CONTACT
MARK TELLEFSON
(206)423-3820
tellefsonmark@gmail.com
EDMONDS WA 98026
CONTRACTOR
OWNER
OWNER
MARK TELLEFSON
8419 192ND SW, EDMONDS WA
(206)423-3820
98026
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE RECEIPT#
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
7/8/21
R13379
PER PERMIT
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$175.00
$175.00
9/30/21
R15028
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$148.75
$148.75
7/8/21
R13379
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
9/30/21
R15028
TOTALS: $370.25
$370.25
Wr
R •
7•
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, September 30, 2021 2:43:11 PM 1 of 2
'RESIDENTIAL
BLDG Permit
of Edmonds PERMIT NUM
EdmondsCity
98020 1 1 •
. •. •
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
shall be established by Council and shall be paid upon submittal and are nonrefundable.
3- SOUND OR NOISE - Sound/Noise originating from temporary construction sites as a
ALL BUILDING PERMITS
FOR
result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only
INFORMATION
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. 5 - PLUMBING - Plumbing contractor license laws are regulated by Chapter
18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and
potential monetary liability for work performed by unlicensed plumbing contractors. For
more information contact L&I Department of Licensing at 1-800-647-0982.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
Approval of this foundation design is conditional subject to inspection of existing site soil
FOR
conditions. Retaining walls must be designed and constructed to resist the lateral
FOUNDATION BEARING
INFORMATION
pressure of the retained material. Provisions must be made for the control and drainage
of surface water around buildings.
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
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.
Maximum Height 25 feet. The agent or contractor shall set up the equipment; establish
the datum point and the point of average grade. Call for inspections to verify. These
MAXIMUM HEIGHT
FOR
items must be consistent with the approved plan. If the proposed height of a building is
INFORMATION
within 12 inches of the maximum height permitted for the zone an elevation survey is
required.
INSPECTIONS
- Schedule Online
at: https://Inspection.MVBuildingPermit.com
COMPLETED
RESULT
SEQID
INSPECTION TYPE
INSPECTOR
NOTES
DATE
B-3 EXT WALL SHEATHING
B-3 ROOF SHEATHING
B-4 FRAMING
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
B-2 FOOTINGS
Printed: Thursday, September 30, 2021 2:43:11 PM 2 of 2