Building PermitPermit
PERMIT NUMN
City of Edmonds
EdmondsFRMRINKLER
98020 FIR2021-0031
www.edmondswa.gov
Type: FIRE SPRINKLER Owner/ Business: JASON DUBY Status: ISSUED
Subtype: FIRE SPRINKLER NEW - RES
Parcel No: 27032500116900 Site Address: 917 PINE ST LOT 3 EDMONDS,WA 98020-3949
Applied: 3/31/2021
Subdivision: SP 81-101, SP S-9-61A, KELLOGG SUPPLEMENTAL PLAT OF
Lot: 0
Issued: 4/28/2021
EDMONDS
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date: 4/23/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: PINE STREET VIEWS- SFR FIRE SPRINKLER
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
EMAIL
APPLICANT
JASON DUBY
809 E MOUNTAINVIEW AVE,
(425)301-8707
ARROWJDI6@GMAIL.COM
ELLENSBURG WA 98926
CONTACT
ARROW FIRE PROTECTION
809 E MOUNTAINVIEW AVE,
(425)301-8707
arrowjdl6@gmail.com
LLC
ELLENSBURG WA 98926
CONTRACTOR
ARROW FIRE PROTECTION
809 E. MOUNTAINVIEW AVE,
(425)301-8707
arrowjdl6@gmail.com
LLC
ELLENSBURG WA 98926
13110 NE 177TH PL 194,
OWNER
PINE STREET VIEWS LLC
WOODINVILLE WA 98072
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE RECEIPT#
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00 $40.00
3/31/21
R11375
PER PERMIT
FIRE SPRINKLER - NEW SFR BLDG
001.000.322.10.000.00
$100.00 $100.00
3/31/21
R11375
PERMIT FEE
FIRE SPRINKLER - NEW SFR FIRE
001.000.342.40.000.00
$100.00 $100.00
3/31/21
R11375
INSP FEE
FIRE SPRINKLER - NEW SFR FIRE
001.000.345.83.100.00
$100.00 $100.00
3/31/21
R11375
PLAN REVIEW FEE
TOTALS: $340.00 $340.00
CONDITIONS
CONDITION TYPE STATUS NOTES
Printed: Wednesday, April 28, 2021 10:02:57 AM 1 of 2
of Edmonds PERMIT NU
EdmondsCity
••0ML�1 11 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 7:00am 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.
INSPECTIONSSchedule
•https://Inspection.MvBuildingPermit.com
COMPLETED RESULT
SEQID
INSPECTION TYPE
INSPECTOR
NOTES
DATE
F-5 FIRE SPRINKLER ACCEPT
F-6 FIRE BUCKET TEST
F-7 FIRE PRESSURE TEST
F-8 FIRE SPRINKLER INSUL
X-1 FIRE FINAL"
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