Building Permit (3)Type: RESIDENTIAL BLDG Subtype: ADDITION I Status: ISSUED
Parcel No: 00506400000900 Site Address: 19637 80TH PL W EDMONDS,WA 98026-6404
Subdivision: 005064, SP S-19-78, 009101 Lot: 0
Fire Sprinklers: Lot Area: Zoning: IRS-8
Valuation: $300,000.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: LANG-ADDITION AND REMODEL, PLUMBING NOT INCL
WA State Contractor L & I #: BUILTDW781KL
Applied: 5/12/2022
Issued: 9/7/2022
Final:
Expiration Date: 9/7/2023
Issued by: BAC
CONTACTS
NAME TYPE
NAME
A
PHONE
EMAIL
APPLICANT
TUVIA POLISKIN
14722 32ND AVE NE, SHORELINE
(425)395-4861
T@TUVIAPOLISKIN.COM
WA 98155
CONTACT
T2 DESIGN+ARCHITECTURE
14722 32ND AVE NE,
SHORELINE
(425)395-4861
t@tuviapoliskin.com
WA 981SS
CONTRACTOR
BUILT BY DESIGN WA INC
2114 120TH PL SW, EVERETT
(425)327-4529
DAVEPETERONBBD@GMAIL.COM
WA 98208
OWNER
JOHN WESLEY & SARA LANG
19637 80TH PL W, EDMONDS
(206)390-0847
WA 98026-6404
•,, •
Pr
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
1 -BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
9/6/22
R22880
PERMITS
APPLIANCE VENTS
001.000.322.10.000.00
$30.00
$30.00
9/6/22
R22880
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/13/22
R20234
PER PERMIT
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$220.00
$220.00
9/6/22
R22880
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$45.00
$45.00
9/6/22
R22880
FURNACE OR FIREPLACE
001.000.322.10.000.00
$30.00
$30.00
9/6/22
R22880
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$30.00
$30.00
9/6/22
R22880
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$2,300.00
$2,300.00
9/6/22
R22880
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$1,955.00
$1,955.00
5/13/22
R20234
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
9/6/22
R22880
TOTALS:
$4,706.50
$4,706.50
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Wednesday, September 07, 2022 1:16:30 PM 1 of 3
'RESIDENTIAL
BLDG PermitCity
• • • • -
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:OOam to 6:OOpm on weekdays and 10:OOam to 6:OOpm 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.
It is the owner's responsibility to repair/replace all damage of utilities or frontage
DAMAGE TO FRONTAGE
FOR
improvements in City right of Ways or Easements to City Standards caused by or
IMPROVEMENTS
INFORMATION
occurring during the permitted project.
Pre -inspection required. Street to be cleaned of debris. Side sewer must be capped at
DEMOLITION REQUIREMENTS
O
property line. Water Service must be disconnected from Water Meter and or hose bib
INFORMATION
with AVB installed. Dump at approved dump site only.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
INFORMATION
REQUIREMENTS.
Approval of this foundation design is conditional subject to inspection of existing site soil
FOR
conditions. Retaining walls must be designed and constructed to resist the lateral
FOUNDATION BEARING
INFORMATION
pressure of the retained material. Provisions must be made for the control and drainage
of surface water around buildings.
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.
RESTORE LANDSCAPE
FOR
Restore landscape to like or better conditions
NFORMATION
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:OOam to 6:OOpm on weekdays and 10:OOam and 6:OOpm 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.
Printed: Wednesday, September 07, 2022 1:16:30 PM 2 of 3
'RESIDENTIAL BLDG PermitCity • • • • -
Edmonds12wl:5th Ave N, 98020 1 1.
. •. �
INSPECTIONSOnline
INSPECTIONTYPE
INSPECTOR COMPLETED RESULT NOTES
A-1 BUILDING PRECON
B-1 SETBACKS
B-2 FOOTINGS
B-2 FOUNDATION WALL
B-3 EXT WALL SHEATHING
B-3 MECH ROUGH IN
B-3 ROOF SHEATHING
B-4 DRYWALL FASTENING
B-4 FRAMING
B-4 SHOWER PAN
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
A-1 TESC AND MOBILIZE
X-2 ENGINEERING FINAL
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