Building Permit (3)Type: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00555000000500
Subdivision: 005549, 005550
Fire Sprinklers:
Valuation: $4,950.00
Code Edition: 0
Site Address: 10116 241ST PL SW EDMONDS,WA 98020-5746
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: PETERSON-FOUNDATION REPAIR
Applied: 9/15/2022
Issued:10/13/2022
Final:
Expiration Date: 10/13/2023
Issued by: BAC
I WA State Contractor L & I #: MATVEFR837K5 I
CONTACTS
NAME TYPE
NAME
ADDRESS T
PHONE
EMAIL
APPLICANT
PERMIT MANAGER
18915 16TH AVE S, SEATAC WA
(253)327-1650
PERMITS@GOMATVEY.COM
98188
CONTACT
MATVEY FOUNDATION
18915 16TH AVE S, SEATAC WA
(206)660-7971
permits@gomatvey.com
REPAIR
98188
CONTRACTOR
MATVEY FOUNDATION
18915 16TH AVE S, SEATAC WA
(253)327-1650
permits@gomatvey.com
REPAIR INC
98188
RANDOLPH & BARBARA
10116 241ST PL SW, EDMONDS
OWNER
PETERSON
WA 98020
•' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
9/19/22
R23162
PER PERMIT
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$217.00
$217.00
10/13/22
R23678
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$184.45
$184.45
9/19/22
R23162
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
10/13/22
R23678
TOTALS: $447.95
$447.95
• •
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, October 13, 2022 2:16:17 PM 1 of 3
'RESIDENTIAL
BLDG PermitCity
• • • • -
EL
98020 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: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.
ESC REQUIREMENTS
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
INFORMATION
REQUIREMENTS.
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: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.
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.
Special inspections have been called for on this project and are noted on the approved
construction plans. It is the owner and or contractors responsibility to ensure that reports
SPECIAL INSPECTION BUILDING
FOR
are provided to the City on a weekly basis. Special inspections required for this project
DIVISION
INFORMATION
are: 1. Pin Pile Installation 2. Foundation Bracket Installation 3. Grading and Soils 4.
Stabilization Base and Hardware Installation.
FOR
All utilities shall be located prior to any excavation. New locates shall be called for if at
UTILITY LOCATES
INFORMATION
time of excavation, original locates are no longer identifiable.
Printed: Thursday, October 13, 2022 2:16:17 PM 2 of 3
RESIDENTIAL BLDG Permit
PERMIT NUM
of Edmonds
AveCity
N, Edmonds WA 98020 1
www.edmondswa.gov 022•
INSPECTIONSOnline
INSPECTIONTYPE
INSPECTOR COMPLETED RESULT NOTES
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
B-5 BLDG SPECIAL
Special inspections required for this project are: 1. Pin
INSPECTION
Pile Installation 2. Foundation Bracket Installation 3.
Grading and Soils 4. Stabilization Base and Hardware
Installation.
Printed: Thursday, October 13, 2022 2:16:17 PM 3 of 3