Building PermitType: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 27033600302100
Subdivision:
Fire Sprinklers:
Valuation: $6,500.00
Code Edition: 0
Site Address: 23619 104TH AVE W EDMONDS,WA 98020-5767
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: BALDOCK- BATHROOM REMODEL M INCL P SEP
WA State Contractor L & I #: OGENEGC793QC
Applied: 10/16/2022
Issued:11/17/2022
Final:
Expiration Date: 11/12/2023
Issued by: NED
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
GINA WEYANT
701 SUTTER ST FLOOR 3, SAN
(415)589-1655
GINA@MADERENOVATION.COM
FRANCISCO CA 94109
CONTACT
UNTITLED LABS INC DBA
701 SUTTER ST FLOOR 3, SAN
(415)589-1655
gina@maderenovation.com
MADE RENOVATION
FRANCISCO CA 94109
A&O GENERAL
15703 3RD AVE NE, SHORELINE
CONTRACTOR
(425)475-8408
gina@maderenovation.com
CONSTRUCTION LLC
WA 98155
OWNER
MATT & SARAH BALDOCK
23619 104TH AVE W, EDMONDS
(206)291-3767
WA 98020
now
•' •
DESCRIPTION
71BASEcFEE
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
11/17/22
R24527
MIT
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
10/19/22
R23841
PER PERMIT
EACH VENT OR EXHAUST NOT
CONNECTED TO A HEATING OR AC
001.000.322.10.000.00
$15.00
$15.00
11/17/22
R24527
SYTEM
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$245.00
$245.00
11/17/22
R24527
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$208.25
$208.25
10/19/22
R23841
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
11/17/22
R24527
TOTALS: $564.75
$564.75
CONDITION TYPE
STATUS
NOTES
Printed: Thursday, November 17, 2022 2:14:25 PM 1 of 2
RESIDENTIAL Permit
City of • • • PERMIT NUM
Edmonds 1 1 / •
• • • • 1 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 7:00am 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
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.
'
•L1 1.12
• •
• • • • - •
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
!NO!TES
B-3 MECH ROUGH IN
B-4 SHOWER PAN
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
Printed: Thursday, November 17, 2022 2:14:25 PM 2 of 2