Building Permit (3)Type: RESIDENTIAL BLDG Subtype: ADDITION I Status: ISSUED
Parcel No: 00491100000906
Subdivision: 004911
Fire Sprinklers:
Valuation: $73,571.68
Code Edition: 0
Site Address: 24020 76TH AVE W EDMONDS,WA 98026-9100
Lot: 0
Lot Area: 9583.2 sf
Occupancy Type:
No. Stories: 0
Zoning: RS-8
Construction Type:
# of Dwelling Units: 0
Scope of Work: BROUSSEAU-ADDITION, PLUMBING NOT INCLUDED
Applied: 8/11/2022
Issued:11/30/2022
Final:
Expiration Date: 11/30/2023
Issued by: BAC
I WA State Contractor L & I #: CORNECG877PS I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
TIM BROUSSEAU
24020 76TH W, EDMONDS WA
(425)308-5518
T.BROUSSEAU@COMCAST.NET
98026
CONTACT
CORNERSTONE
12024 JUANITA DR NE,
(425)418-1906
jae@cornerstonecg.org
CONSTRUCTION GROUP
INC.
KIRKLAND WA 98034
CONTRACTOR
CORNERSTONE
12024 JUANITA DRIVE NE,
(425)814-9588
jae@cornerstonecg.org
CONSTRUCTION GROUP INC
KIRKLAND WA 98034
TIM R & MERRILL M
24020 76TH W, EDMONDS WA
OWNER
(425)308-5518
BROUSSEAU
98026
• --Pmr
V
DESCRIPTION
ACCOUNT
7•'
AMOUNT
PAID
PAID DATE
RECEIPT #
1 -BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
11/29/22
R24698
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
11/29/22
R24698
PER PERMIT
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$220.00
$220.00
11/29/22
R24698
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$15.00
$15.00
11/29/22
R24698
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$918.00
$918.00
11/29/22
R24698
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$750.55
$750.55
8/12/22
R22433
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
11/29/22
R24698
TOTALS: $2,000.05
$2,000.05
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Wednesday, November 30, 2022 10:03:37 AM 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 7:00am 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.
CARBON MONOXIDE ALARMS SHALL BE INSTALLED OUTSIDE OF EACH SEPARATE
SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS AND ON EACH LEVEL IN
FOR
CARBON MONOXIDE SYSTEMS
NEW CONSTRUCTION AND IN EXISTING DWELLINGS WHEN ALTERATIONS, REPAIRS OR
INFORMATION
ADDITIONS REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE SLEEPING ROOMS
ARE ADDED OR CREATED.
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.
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.
INSP PRIOR TO BACKFILL
FOR
Call for all required inspections. All work shall be inspected prior to backfill.
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
O
Restore landscape to like or better conditions
ORMATION
FOR
Heat pumps, AC units and similar equipment greater than 36 inches in height are not
SIDE YARD EQUIPMENT
INFORMATION
allowed within required building setbacks.
Printed: Wednesday, November 30, 2022 10:03:37 AM 2 of 3
'RESIDENTIAL
BLDG Permit
PERMIT NUM
of Edmonds
EdmondsCity
98020 1 178,
. •. •
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.
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.
INSPECTIONTN INSPECTOR
COMPLETED
RESULT
NOTES
A-1 BUILDING PRECON
B-2 FOOTINGS
B-2 FOUNDATION WALL
B-2 SLAB INSULATION
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
Printed: Wednesday, November 30, 2022 10:03:37 AM 3 of 3