Building PermitType: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00391800000400
Subdivision: 003919, 003918
Fire Sprinklers:
Valuation: $75,000.00
Code Edition: 0
Site Address: 22122 92ND AVE W EDMONDS,WA 98020-4502
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: COOK- FIRE REPAIR & DECK, M INCL P SEP
Applied: 7/10/2023
Issued:8/28/2023
Final:
Expiration Date: 8/22/2024
Issued by: NED
I WA State Contractor L & I #: JNORDNH770JJ I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
LARRY THIBEAULT
732 131ST AVE NE, LAKE
(425)209-7600
RSALARRY@HOTMAIL.COM
STEVENS WA 98258
CONTACT
LAKE STEVENS DESIGN
732 131ST AVE NE, LAKE
(425)209-7600
rsalarry@hotmail.com
STEVENS WA 98258
CONTRACTOR
J NORDSTROM HOMES LLC
8719 HOLLY LN, EDMONDS WA
(425)312-5733
98026
22122 92ND AVE W, EDMONDS
OWNER
DAVID COOK
WA 98020-4502
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
BLD -RES VALUE BASED FEE
001.000.345.83.000.00
$925.00
$925.00
8/27/23
R30993
BLD - RES VALUE BASED REVIEW
001.000.345.83.000.00
$786.25
$786.25
7/10/23
R29852
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
7/10/23
R29852
PERMIT
ENG - INSPECTIONS
001.000.345.83.400.00
$126.00
$126.00
8/27/23
R30993
NEW SINGLE FAMILY MECHANICAL
001.000.345.83.000.00
$340.00
$340.00
8/27/23
R30993
SYSTEMS
I
I
I
I
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
-r
8/27/23
R30993
- RES
TOTALS: $2,228.75
$2,228.75
• 1 •
CONDITION TYPE
STATUSI !
NOTES
Printed: Monday, August 28, 2023 8:47:04 AM 1 of 3
'RESIDENTIAL
BLDG PermitCity
• • • • -
EL
98020 1 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.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
ESC REQUIREMENTS
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
INFORMATION
REQUIREMENTS.
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.
INSPECTIONS
FOR
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INFORMATION
www.mybuildingpermit.com
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.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
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: Monday, August 28, 2023 8:47:04 AM 2 of 3
'RESIDENTIAL BLDG Permit
PERMIT NUM
City of Edmonds
WWW.edmondswa.gov•
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.
' 191LIMMIM- • •
• •
- • • • • • - •
INSPECTIONTYPE INSPECTOR COMPLETED
RESULT
NOTES
B-1 SETBACKS
B-2 FOOTINGS
B-3 EXT WALL SHEATHING
B-3 MECH ROUGH IN
B-3 ROOF SHEATHING
B-4 DRYWALL FASTENING
B-4 FRAMING
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
X-2 ENGINEERING FINAL
Note to Inspector: This inspection is to verify that the
downspouts are connected and erosion control is
good.
Printed: Monday, August 28, 2023 8:47:04 AM 3 of 3