Building Permit 2020Type: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00513100013803 Site Address: 17303 72ND AVE W EDMONDS,WA 98026-5103
Subdivision: 005598, 005131, SP S-6-79 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $125,000.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: GROSS -INTERIOR REMODEL
Applied: 5/13/2021
Issued:6/30/2021
Final:
Expiration Date: 6/30/2022
Issued by: WAC
WA State Contractor L & I #: belotmd881cg City of Edmonds Business License #: 602454996-001-0001 1
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
ERIN GROSS
17303 72ND AVE W, EDMONDS
(206)949-8222
ERIN.DANAE.GROSS@GMAIL.COM
WA 98026
BELOTTI MCHUGH
DESIGN
1900 N NORTHLAKE WAY,
CONTACT
206.458.0570
todd@belottimchugh.com
AND CONST. SERVICES
SEATTLE WA 98103
BELOTTI MCHUGH DSN\CNST
1900 N NORTHLAKE WAY,
CONTRACTOR
(206)458-0570
erin.danae.gross@gmail.com
SR LLC
SEATTLE WA 98103
17303 72ND AVE W,
EDMONDS
OWNER
MARK F & ERIN D GROSS
WA 98026
DESCRIPTION
7,BAsE
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
6/29/21
R13217
PERMITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
6/29/21
R13217
PERMITS
APPLIANCE VENTS
001.000.322.10.000.00
$15.00
$15.00
6/29/21
R13217
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/18/21
R12348
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$210.00
$210.00
6/29/21
R13217
TRAP
EACH VENT OR EXHAUST NOT
CONNECTED TO A HEATING OR AC
001.000.322.10.000.00
$15.00
$15.00
6/29/21
R13217
SYTEM
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$60.00
$60.00
6/29/21
R13217
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$1,250.00
$1,250.00
6/29/21
R13217
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$1,062.50
$1,062.50
5/18/21
R12348
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
6/29/21
R13217
TOTALS:
$2,759.00
$2,759.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Wednesday, June 30, 2021 8:12:40 AM 1 of 3
'RESIDENTIAL
BLDG Permit
of Edmonds PERMIT NUM
EdmondsCity
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
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.
New and existing buildings shall have approved address numbers, building numbers or
approved building identification placed in a position that is plainly visible from the street
POST ADDRESS
FOR
or road fronting the property. Address numbers shall be Arabic numerals or alphabet
INFORMATION
letters Numbers shall be legible from the public way, at least 4 inches high with a half
inch min stroke width on a contrasting background.
• •
-. - •
•VTAF 2 •- •
a i •
COMPLETED
RESULT
rNOTES
SEQID INSPECTION TYPE
INSPECTOR
DATE
A-1 BUILDING PRECON
B-3 MECH ROUGH IN
B-3 PLUMB ROUGH IN
B-3 ROOF SHEATHING
B-4 FRAMING
B-4 SHOWER PAN
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
Printed: Wednesday, June 30, 2021 8:12:40 AM 2 of 3
Printed: Wednesday, June 30, 20218:12:40 AM 3 of 3