Building Permit_1D • Permit
PERMIT NUM
City of Edmonds
980
1L
1 1 1 �
www.edmondswa.gov
OAL
Type: DEMO Owner/ Business: GARTH AND LAURA HITCHENS
Status: ISSUED
Subtype: RES PRIMARY STRUCTURE DEMO
Parcel No: 00914200001100 Site Address: 17901 VISTA DEL MAR DR EDMONDS,WA 98026
Applied: 4/24/2020
Subdivision: LLA LL-2003-185, 009142, LLA PLN20120008, LLA LL-2003-92,
Lot: 0
Issued: 3/25/2021
MAPLE MANOR (UNRECORDED)
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date: 3/20/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: HITCHENS- DEMO SFR PSCAA 202100855-3
WA State Contractor L & I #: KEARSH1005NH City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
EMAIL
APPLICANT KEARSLEY HOMES
6631 NORMA BCH ROAD,
(425)478-6380
r@kearsleyhomes.com
EDMONDS WA 98026
CONTRACTOR KEARSLEY HOMES
6631 NORMA BCH ROAD,
(425)478-6380
r@kearsleyhomes.com
EDMONDS WA 98026
OWNER GARTH AND LAURA
3380 120TH AVE NE, BELLEVUE
(425)941-8305
GHITCHENS@ME.COM
HITCHENS
WA 98005
•' " •
DESCRIPTION ACCOUNT
AMOUNT
PAID
PAID DATE RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/4/20
R5153
PER PERMIT
DEMO - SUB RES BLDG PERMIT FEE
001.000.322.10.000.00
$100.00
$100.00
5/4/20
R5153
DEMO - SUB RES BLDG PLAN
001.000.345.83.000.00
$50.00
$50.00
5/4/20
R5153
REVIEW FEE
DEMO - SUB RES ENG INSP FEE
001.000.341.82.000.00
$100.00
$100.00
5/4/20
R5153
DEMO - SUB RES ENG REVIEW FEE
001.000.341.82.000.00
$50.00
$50.00
5/4/20
R5153
RESIDENTIAL STATE SURCHARGE
001.000.237.150
1 $6.50
1$6.50
1 5/4/20
1 R5153
TOTALS: $346.50 $346.50
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.
FOR
Maintain erosion and sedimentation control per City
and SWMMW standard
ESC REQ
INFORMATION
requirements.
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.
-NSPECTIONS- Schedule Online at: httPs://Inspection.MVBuildingPermit.com
COMPLETED
SEQID INSPECTION TYPE INSPECTOR
DATE
Printed: Thursday, March 25, 2021 1:54:29 PM 1 of 2
DEMO Permit
PERMIT NUMBER
City of Edmonds
�j 121 5th Ave N, Edmonds WA 98020 BLD2020-0434
www.edmondswa.gov 425.771.0220
s /
'-1 TESC AND MOBILIZEE-6
-
DEMO SEWER CAP
6 DEMO WATER AVBX-2
-
ENGINEERING FINAL
X-3 BUILDING FINAL"
Printed: Thursday, March 25, 2021 1:54:29 PM 2 of 2