Building PermitType: MISCELLANEOUS Subtype: NON STANDARD PERMIT I Status: ISSUED
Parcel No: 00434600010602
Subdivision: 004346, 004710
Fire Sprinklers:
Valuation: $0.00
Code Edition: 0
Site Address: 18502 76TH AVE W EDMONDS,WA 98026-5800
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: TEMP USE OF VACANT STRUCTURE FOR CITY HOST MEETING
WA State Contractor L & I #:
Applied: 6/30/2022
Issued: 7/8/2022
Final:
Expiration Date:1/9/2023
Issued by: BAC
CONTACTSji
NAME TYPE NAME
ADDRESS I
PHONE
EMAIL
APPLICANT BRAD SHIPLEY
121 5TH AVE N, EDMONDS WA
(206)225-3367
BRAD.SHIPELY@EDMONDSWA.GOV
98020
CONTACT BRAD SHIPLEY
121 5TH AVE N, EDMONDS WA
(206)225-3367
BRAD.SHIPELY@EDMONDSWA.GOV
98020
8827 29TH AVE NW, SEATTLE
OWNER 104 N 84TH LLC
WA 98117
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
BUILDING - ADDITIONAL REVIEW
001.000.345.83.000.00
$110.00
$110.00
7/8/22
R21451
HOURS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
7/8/22
R21451
PER PERMIT
FIRE - PLAN REVIEW HOURS
001.000.345.83.100.00
$110.00
$110.00
7/8/22
R21451
TOTALS: $260.00
$260.00
CONDITION TYPE
STATUS::?!!!!
NOTES
Printed: Friday, July 08, 2022 12:52:19 PM 1 of 2
-MISCELLANEOUS
Permit
City of • • • -
EL
98020 1 1:
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.
Final approval on a project or final occupancy approval must be granted by the Building
OCCUPANCY
FOR
Official prior to use or occupancy of the building or structure. Check the job card for all
INFORMATION
required City inspections including final project approval and final occupancy inspections.
Mi
• • • • •- • C • •'� •
COMPLETED RE
SEQID INSPECTION TYPE INSPECTOR
DATE
X-3 BUILDING FINAL"
X-1 FIRE FINAL
Printed: Friday, July 08, 2022 12:52:19 PM 2 of 2