Building PermitType: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00555000004100
Subdivision: 005550
Fire Sprinklers:
Valuation: $100,000.00
Code Edition: 0
Site Address: 24132 102ND PL W EDMONDS,WA 98020-5716
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: ROOSENDAAL- REMODEL M INCL P SEP.
WA State Contractor L & I #: RGHINI*965DE
Applied: 6/10/2022
Issued:7/25/2022
Final:
Expiration Date: 7/20/2023
Issued by: NED
AL
I
CONTACTS
NAME TYPE
NAME
A
PHONE
EMAIL
APPLICANT
DARRYL ROOSENDAAL
P.O. BOX 207, CHELAN WA
(206)940-6250
DARRYLR50@FRONTIER.COM
98816
CONTACT
DARRYL ROOSENDAAL
P.O. BOX 207,
CHELAN WA
(206)940-6250
darrylr50@frontier.com
98816
CONTRACTOR
R G H INCORPORATED
PO BOX 1214, EDMONDS WA
(206)940-3143
Rghconst@comcast.net
98020
DARRYL W. & LAMONA
G.
P.O. BOX 207,
CHELAN WA
OWNER
(206)940-6250
ROOSENDAAL
98816
•' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
17BASEFEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
7/25/22
R21915
PERMITS
APPLIANCE VENTS
001.000.322.10.000.00
$30.00
$30.00
7/25/22
R21915
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
6/10/22
R20879
PER PERMIT
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$15.00
$15.00
7/25/22
R21915
FURNACE OR FIREPLACE
001.000.322.10.000.00
$30.00
$30.00
7/25/22
R21915
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$30.00
$30.00
7/25/22
R21915
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$1,100.00
$1,100.00
7/25/22
R21915
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$935.00
$935.00
6/10/22
R20879
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
7/25/22
R21915
TOTALS:
$2,236.50
$2,236.50
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Monday, July 25, 2022 9:27:18 AM 1 of 2
'RESIDENTIAL
BLDG PermitCity
• • • • -
EL
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
GAS PIPE TEST
O
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
ORMATION
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.
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.
INSPECTIONTYPE INSPECTOR COMPLETED
RESULT
NOTES
A-1 BUILDING PRECON
BG1
B-2 FOOTINGS
BG1
B-3 GAS PIPING TEST
BG1
B-3 MECH ROUGH IN
BG1
B-4 FRAMING
BG1
B-5 INSULATION ENERGY
BG1
B-7 BUILDING OTHER INSP
BG1
X-3 BUILDING FINAL"
BG1
Printed: Monday, July 25, 2022 9:27:18 AM 2 of 2