Building PermitType: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00527900001600 Site Address: 21925 95TH AVE W EDMONDS,WA 98020-3915
Subdivision: 003736, 006455, 005279 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $95,000.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: LAFOLLETTE-INTERIOR REMODEL, PLUMBING SEPARATE
Applied: 4/27/2022
Issued: 6/2/2022
Final:
Expiration Date:6/2/2023
Issued by: BAC
I WA State Contractor L & I #: NORTHG*891KF I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
TERRY WILLEY
15414 91 ST AVE SE,
(360)668-0191
AWHOMES@COMCAST.NET
SNOHOMISH WA 98296
CONTACT
NORTHWEST QUALITY
15414 91 ST AVE SE,
(360)668-0191
awhomes@comcast.net
REMODEL & DECK
SNOHOMISH WA 98296
NW QUALITY REMODEL &
15414 91St Ave Se, Snohomish
CONTRACTOR
(360)668-0191
ROB@NWQRD.COM
DECK LLC
WA 98296
21925 95TH AVE W, EDMONDS
OWNER
CLAUDIA 1 LAFOLLETTE
WA 98020
•' - •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
1 -BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
6/2/22
R20646
PERMITS
AIR HANDLERS - OVER 10,000 CFM
001.000.322.10.000.00
$80.00
$80.00
6/2/22
R20646
APPLIANCE VENTS
001.000.322.10.000.00
$30.00
$30.00
6/2/22
R20646
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/2/22
R19843
PER PERMIT
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$30.00
$30.00
6/2/22
R20646
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$30.00
$30.00
6/2/22
R20646
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$1,065.00
$1,065.00
6/2/22
R20646
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$905.25
$905.25
5/2/22
R19843
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
6/2/22
R20646
TOTALS: $2,236.75
$2,236.75
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, June 02, 2022 3:56:03 PM 1 of 3
'RESIDENTIAL
BLDG Permit
of Edmonds PERMIT NUM
EdmondsCity
98020 1 1 C
. •.
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.
\r\n2 - 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.\r\n3- SOUND OR NOISE - Sound/Noise originating from temporary
FOR
construction sites as a result of construction activity are exempt from the noise limits of
ALL BUILDING PERMITS
INFORMATION
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.\r\n4 -
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. \r\n5 - 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
GAS PIPE TEST
FOR
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
NFORMATION
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.
The issuance of this permit in no way constitutes approval from any other agencies
REGULATING AGENCIES
FOR
having regulatory authority over the facility and this construction activity. It is the
INFORMATION
responsibility of the property owner to obtain any and all such required approvals.
Sound or 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
FOR
7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
SOUND AND NOISE
INFORMATION
Sundays and Federal Holidays. At all other times the noise originating from construction
sites and activities must comply with the noise limits of Chapter 5.30, unless a variance
has been granted pursuant to ECC 5.30.120.
COMPLETED
SEQID INSPECTION TYPE
INSPECTOR
RESULT NOTES
DATE
A-1 BUILDING PRECON
B-3 EXT WALL SHEATHING
B-3 GAS PIPING TEST
B-3 MECH ROUGH IN
B-3 UNDERFLR FRAMING
B-4 DRYWALL FASTENING
B-4 FRAMING
B-4 INTERIOR SHEAR
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