Building PermitType: RESIDENTIAL BLDG Subtype: ALTERATION OR REMODEL I Status: ISSUED
Parcel No: 00434600005301
Subdivision: 004346
Fire Sprinklers:
Valuation: $75,000.00
Code Edition: 0
Site Address: 9212 192ND PL SW EDMONDS,WA 98020
Lot: 0
Lot Area: 20473 Zoning: RS-12
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: QUIROGA- REMODEL M INCL P SEP
WA State Contractor L & I #: GREENBN861QE
Applied: 11/22/2023
Issued:4/10/2024
Final:
Expiration Date: 4/10/2026
Issued by: NED
do CONTACTS
m
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
OWEN KEEPER
400 NW GILMAN BLVD #171,
(425)414-4264
OWEN@KBPRODESIGN.COM
ISSAQUAH WA 98027
CONTACT
KB PRO DESIGN
P.O. BOX #171, ISSAQUAH WA
(425)414-4264
owen@kbprodesign.com
98027
CONTRACTOR
GREEN BUILT NORTHWEST
18604 76TH AVE W UNIT B,
(206)274-9226
fabian@greenbuiltnw.com
LLC
EDMONDS WA 98026
7815 5TH AVE NE, SEATTLE WA
OWNER
JORGE FABIAN QUIROGA
FABIAN@GREENBUILTNW.COM
98115
im FEE
INFORMATION
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE RECEIPT #
BLD - RES VALUE BASED FEE
001.000.345.83.000.00
$925.00
$925.00
4/10/24
R36261
BLD - RES VALUE BASED PLAN
001.000.345.83.000.00
$786.25
$786.25
11/22/23
R32847
REVIEW
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
11/22/23
R32847
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$6.50
$6.50
4/10/24
R36261
RES
TOTALS: $1,762.75
$1,762.75
7
CONDITION TYPE
STATUS
NOTES
Printed: Wednesday, April 10, 2024 2:47:34 PM 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: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.
CARBON MONOXIDE ALARMS SHALL BE INSTALLED OUTSIDE OF EACH SEPARATE
FOR
SLEEPING AREA IN THE IMMEDIATE VICINITY OF THE BEDROOMS AND ON EACH LEVEL IN
CARBON MONOXIDE SYSTEMS
INFORMATION
NEW CONSTRUCTION AND IN EXISTING DWELLINGS WHEN ALTERATIONS, REPAIRS OR
ADDITIONS REQUIRING A PERMIT OCCUR, OR WHEN ONE OR MORE SLEEPING ROOMS
ARE ADDED OR CREATED.
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.
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.
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.
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.
Installer shall provide the manufacturer installation, operating instructions, and a whole
WHOLE HOUSE FAN
FOR
house ventilation system operation description. A label shall be affixed to the whole
INFORMATION
house timer control that reads "Whole house ventilation, see operating instructions".
Printed: Wednesday, April 10, 2024 2:47:34 PM 2 of 3
RESIDENTIAL BLDG '-rmit
AveCity of Edmonds PERMIT NUM
•:� i 1 1 •
www.edmondswa.gov
Lw.A&
INSPECTIONS•
•.
AdINSPECTIONTYPE INSPECTOR COMPLETED RESULT NOTES
A-1 BUILDING PRECON
B-2 DEMO AMT
VERIFICATION
B-2 FOOTINGS
B-2 FOUNDATION WALL
B-2 ROOF TEAR OFF
B-3 EXT WALL SHEATHING
B-3 GAS PIPING TEST
B-3 MECH ROUGH IN
B-3 ROOF SHEATHING
B-3 UNDERFLR FRAMING
B-4 DRYWALL FASTENING
B-4 FRAMING
B-4 SHOWER PAN
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
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