Building Permit 2021Type: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00418600000500
Subdivision: 004186
Fire Sprinklers:
Valuation: $45,000.00
Code Edition: 2018
Site Address: 841 CASPERS ST EDMONDS,WA 98020-2618
Lot: 0
Lot Area:
Occupancy Type: R3
No. Stories: 2
Scope of Work: SHURTS-BATHROOM REMODEL P&M INCLUDED
Zoning:
Construction Type: VB
# of Dwelling Units: 0
Applied: 8/9/2021
Issued:10/4/2021
Final:
Expiration Date: 10/4/2022
Issued by: WAC
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001 1
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
TUVIA POLISKIN
14722 32ND AVE NE, SHORELINE
(425)395-4861
T@TUVIAPOLISKIN.COM
WA 98155
CONTACT
T2 DESIGN+ARCHITECTURE
14722 32ND AVE NE, SHORELINE
(425)395-4861
t@tuviapoliskin.com
WA 981SS
CONTRACTOR
GIDNER CONSTRUCTION LLC
2314 ROCKEFELLER AVE,
(425)754-7739
DAWN DSHIRLEY@YAHOO.COM
EVERETT WA 98201-2832
OWNER
AARON & ALISON SHURTS
841 CASPERS, EDMONDS WA
(704)293-4861
98020
DESCRIPTION
7,BAsE
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
10/4/21
R15138
PERMITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
10/4/21
R15138
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
8/17/21
R13999
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$75.00
$75.00
10/4/21
R15138
TRAP
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$30.00
$30.00
10/4/21
R15138
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$700.00
$700.00
10/4/21
R15138
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$595.00
$595.00
8/17/21
R13999
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
10/4/21
R15138
TOTALS: $1,546.50
$1,546.50
CONDITION TYPE
STATUS
NOTES
Printed: Monday, October 04, 2021 12:55:55 PM 1 of 2
RESIDENTIAL BLDG Permit
-
City of • • •
F
980206k.�I)2021-11
www.edmondswa.gov•
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:OOam to 6:OOpm on weekdays and 10:OOam to 6:OOpm 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.
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.
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.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
111 In
COMPLETED RESULT
SEQID INSPECTION TYPE
INSPECTOR
NOTES
I r
DATE
A-1 BUILDING PRECON
B-3 MECH ROUGH IN
B-3 PLUMB ROUGH IN
B-4 FRAMING
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
B-4 SHOWER PAN
Printed: Monday, October 04, 2021 12:55:55 PM 2 of 2