Building PermitType: DEMO Subtype: RES PRIMARY STRUCTURE I Status: ISSUED
Parcel No: 00571300101000
Subdivision: 003847, 005713
Fire Sprinklers:
Valuation: $0.00
Code Edition: 0
Site Address: 23310 HUMBER LN EDMONDS,WA 98020-6157
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: SHEN-DEMO SFR AND EXISTING SHED PSCAA#202300882
WA State Contractor L & I #: DLHIN**072B5
Applied: 3/31/2023
Issued:10/2/2023
Final:
Expiration Date: 9/26/2024
Issued by: NED
CONTACTS
NAME TYPE
NAME
ADDRESS I
PHONE EMAIL
APPLICANT
PATRICIA BRENNAN
4515 BAGLEY AVENUE NORTH,
(206)328-2886
OFFICE@PATRICIABRENNANARCHITEC
SEATTLE WA 98103
TS.COM
CONTACT
PATRICIA BRENNAN
4515 BAGLEY AVENUE NORTH,
(206)328-2886
office@patriciabrennanarchitects.com
ARCHITECTS
SEATTLE WA 98103
CONTRACTOR
D L H INC
44021 SE TANNER ROAD, STE A,
(425)888-1853
office@patriciabrennanarchitects.com
NORTH BEND WA 98045
BERNARD T & FEDERMAN
417 NW 132ND ST, SEATTLE WA
OWNER
SHEN
98177
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
BLD - PERMIT BASE FEE
001.000.322.10.000.00
$100.00
$100.00
4/13/23
R27799
BLD - PERMIT BASE FEE
001.000.322.10.000.00
$100.00
$100.00
4/13/23
R27799
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
4/13/23
R27799
PERMIT
DEMO - INTERIOR OR SECONDARY
001.000.345.83.000.00
$72.00
$72.00
4/13/23
R27799
STRUCTURE
DEMO - RESIDENTIAL PRIMARY
001.000.345.83.000.00
$242.00
$242.00
4/13/23
R27799
TOTALS: $559.00 $559.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
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.
Pre -inspection required. Street to be cleaned of debris. Side sewer must be capped at
DEMOLITION REQUIREMENTS
FOR
property line. Water Service must be disconnected from Water Meter and or hose bib
INFORMATION
with AVB installed. Dump at approved dump site only.
FOR
MAINTAIN EROSION AND SEDIMENTATION CONTROL PER CITY AND SWMMW STANDARD
ESC REQUIREMENTS
INFORMATION
REQUIREMENTS.
Printed: Monday, October 02, 2023 1:04:26 PM 1 of 2
DEMO Permit
PERMIT NUM
i City of Edmonds _
lit.
121 5th Ave N, Edmonds WA 98020 BLD2023-0402
www.edmondswa.gov / 425.771.022
INSPECTIONS
- Schedule Online at https://Inspection.mybuildingpermit.com
INSPECTIONTYPE
Ad
'A-1 TESC AND MOBILIZE
E-6 DEMO SEWER CAP
E-6 DEMO WATER AVB
X-2 ENGINEERING FINAL
Printed: Monday, October 02, 2023 1:04:26 PM 2 of 2