Building Permit (3)Type:
PREMANUFACTURED Subtype: MANUFACTURED COACH COMMERCIAL Status: ISSUED
Parcel No: 00566900400600 Site Address: 7509 212TH ST SW EDMONDS,WA 98026-7605 Applied: 7/21/2022
Subdivision: 005669 Lot: 0 Issued: 9/6/2022
Fire Sprinklers: Lot Area: Zoning: Final:
Valuation: $0.00 Occupancy Type: Construction Type: Expiration Date: 9/6/2023
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Issued by: BAC
Scope of Work: GLACIER ENVIRONMENTAL SRVC-TEMPORARY OFFICE
WA State Contractor L & I #: GLACIES108C7
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
LAUREN GOLEMBIEWSKI
PO BOX 1097, MUKILTEO WA
(425)355-2826
LMILES@GLACIERENVIRO.COM
98275
CONTACT
GLACIER ENVIRONMENTAL
PO BOX 1097, MUKILTEO WA
(425)355-2826
LMiles@glacierenviro.com
SERVICES, INC.
98275
CONTRACTOR
GLACIER ENVIRONMENTAL
POB 1097, MUKILTEO WA 98275
(425)355-2826
SMIILES@GLACIERENVIRON.COM
SRVCINC
-5709
LAUREN GOLEMBIEWSKI-DRT
7509 212TH ST SW, EDMONDS
OWNER
HOLDINGS
WA 98026-7605
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
8/1/22
R22060
PER PERMIT
COMMERCIAL STATE SURCHARGE
001.000.237.150
$25.00
$25.00
8/1/22
R22060
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$220.00
$220.00
8/31/22
R22831
MANUFACTURED COACH
001.000.322.10.000.00
$500.00
$500.00
8/1/22
R22060
COMMERCIAL FEDERAL HUD LABEL
TOTALS: $785.00
$785.00
CONDITIONS
CONDITION TYPE STATUS
NOTES
Printed: Tuesday, September 06, 2022 7:51:58 AM 1 of 3
PREMANUFACTURED 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.
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.
FOR
Approval of this structure is temporary. Structure shall be removed from property prior
OTHER CONDITION
INFORMATION
to occupancy of Building Permit for new structures.
INSPECTIONS - Schedule Online
at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR COMPLETED
RESULT
NOTES
B-2 FOOTINGS
B-7 BUILDING OTHER INSP
Please use this inspection for tie down inspection
prior to cover.
X-3 BUILDING FINAL
Please request this inspection prior to structure
occupancy.
X-1 FIRE FINAL
Please request this inspection prior to structure
occupancy.
X-3 BUILDING FINAL"
Please request this inspection after structure has
been removed from the property.
X-2 ENGINEERING FINAL
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