Building Permit_1Type: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00603400001000
Subdivision: 006034
Fire Sprinklers:
Valuation: $20,000.00
Code Edition: 2015
Site Address: 19804 81ST PL W EDMONDS,WA 98026-6410
Lot: 0
Lot Area:
Occupancy Type: R3
No. Stories: 2
Zoning:
Construction Type: VB
# of Dwelling Units: 1
Scope of Work: 107 SF GARAGE CONVERSION, BATHROOM REMODEL
Applied: 12/11/2020
Issued:11/29/2021
Final:
Expiration Date: 3/29/2023
Issued by: WAC
I WA State Contractor L & I #: LUCYCCL880M7 I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
NEIL JORGENSEN
PO BOX 82581, KENMORE WA
(206)412-9296
NEIL@J3-LLC.COM
98028-0581
CONTACT
J3 ARCHITECTS LLC
PO BOX 82581, KENMORE WA
(206)412-9296
neil@j3-Ilc.com
98028-0581
17807 NE WOODINVILLE
CONTRACTOR
LUCY CONSTRUCTION LLC
DUVALL RD, WOODINVILE WA
(425)492-4922
Build@scheermail.com
98072
BERNARDO & FLORES VIC
19804 81ST PL W, EDMONDS
OWNER
FLORES
WA 98026
7DESCRIPTION
ACCOUNT
qLAMOUNT
PAID
PAID DATE
RECEIPT#
r
1BASEFEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
5/21/21
R12478
PERMITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
5/21/21
R12478
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/21/21
R12478
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$60.00
$60.00
5/21/21
R12478
TRAP
EACH VENT OR EXHAUST NOT
CONNECTED TO A HEATING OR AC
001.000.322.10.000.00
$15.00
$15.00
5/21/21
R12478
SYTEM
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$427.00
$427.00
5/21/21
R12478
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$362.95
$362.95
12/14/20
R9080
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
5/21/21
R12478
TOTALS: $1,011.45
$1,011.45
7
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, December 29, 2022 10:55:43 AM 1 of 3
'RESIDENTIAL
BLDG Permit
City of Edmonds PERMIT NUM --
59
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
FOR
shall be established by Council and shall be paid upon submittal and are nonrefundable.
ALL BUILDING PERMITS
INFORMATION
3- SOUND OR NOISE - Sound/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 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.
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.
Maximum Height 25 feet. The agent or contractor shall set up the equipment; establish
the datum point and the point of average grade. Call for inspections to verify. These
MAXIMUM HEIGHT
FOR
items must be consistent with the approved plan. If the proposed height of a building is
INFORMATION
within 12 inches of the maximum height permitted for the zone an elevation survey is
required.
INSPECTIONS
- Schedule Online
at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
NOTES
B-3 EXT WALL SHEATHING
B-3 EXTERIOR INSULATION
B-3 MECH ROUGH IN
B-3 PLUMB ROUGH IN
B-3 ROOF SHEATHING
B-3 UNDERFLR FRAMING
B-4 DRYWALL FASTENING
B-4 FRAMING
B-4 HEIGHT VERIFICATION
B-4 INTERIOR SHEAR
Printed: Thursday, December 29, 2022 10:55:43 AM 2 of 3
' : '-
1AAM
PERMIT NUM
City of Edmonds
W_
121 5th Ave N, Edmondsrmit
98020 1 1 •
www.edmondswa.gov
B-4 SHOWER PAN
B-5 INSULATION ENERGY
X-3 BUILDING FINAL"
B-7 BUILDING OTHER INSP
Requesting building progress inspection for renewal
of permit
B-7 BUILDING OTHER INSP
Inspection cancelled as no construction or progress
has been done.
A-1 BUILDING PRECON
Requesting building progress inspection for renewal
of permit. 
NO WORK HAS BEEN DONE TO
DATE
A-1 BUILDING PRECON
CANCELLED -NEEDS A PROGRESS INSPECTION TO
RENEW
A-1 BUILDING PRECON
Requesting building progress inspection for renewal
of permit
NO WORK HAS BEEN DONE TO
DATE
A-1 BUILDING PRECON
Inspection cancelled as no construction or progress
has been done.
Printed: Thursday, December 29, 2022 10:55:43 AM 3 of 3