BLD20100342.pdfCITY OF EDMOND S
121 5TH AVENUE NORTH - EDM ONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STA:I'US: ISSUED 1 BLD2016042
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ExpirationDate: 1/2011 Project11 1 75TH
, .. EDMONDS
Parcel No: 005 13106000400
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GOLD (SOUTH) MIKE & NANCY GOLD AMERICAN WEST COAST C-ONSI'ED
MIKE: & NANCY GOLD 15225 14TH COURT SF. 15322 39TH AVE NF.
15225141 11 COUK r Sr MILL CREEK. WA 98012- MARYSVILLE. WA 98270-
MILL CRI'FK. WA 98012-
(425) 337-3794 Lxt (360) 398-7252 Est (42i)'754-1277 Fsl.
LICENSE# AME:RIWC903NS F.XP 8/102012
APPROX 1032SF RFSIDENCE IN ESL) IA
VALUATION: $0.00
PERM11'rYPI. Resident'Al
PERMIT GROUP. 23-Denolitmn
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RETAINING WALL ROCKLRY N
OCCUPANT GROUP R3
OCCUPANT LOAD
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NUMBER OF STORIES, 0
VESTED DATE
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PROPOSED
PROPOSED
I AGREE 'rO COMPLY WITH CITY AND SPATE LAWS REGULA'TIN(i CONSTRUCTION AND IN DOING I -HE WORK AUTHORIZED
THEREBY, NO PERSON WILL RE EMPLOYED IN VIOLATION OFT HE LABOR CODE OF THE STATE OF WASHINGTON RELAT ING1'0
WORKMEN'S COMPENSAT ION INSURANCE AND RCW 18:27,
THISARPLICATION IS NOT A PERMI'1 UNTIL SIGNED BY 1.1,1L BUILDINGOFFICIAL OR HIS(4-R DEPUTY AND ALL FEES QRE PAID
Signature
Date
ATTENTION
11IS UNIA W FL'1, IO L SF OR M CLIPY A BUILDING DR STRUIIURP. UN 11L A HNAI. INSPECTION HAS BP.I-N MADE AND APPROVAL OR A CFR11F1('A IF OF
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ONLINE APPLICAVf ASSESSOR kan ER
STATUS: ISSUED BLD20100342
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• I) Clearing limits not to exceed those identified on the clearing plan associated with BI-D20100339.
• 2) All recommendations ofgeolechnical reports prepared in association with FILD20100339 ❑ust be followed.
• 3) Demolition cannot begin until December 17, 2010.
• *Pre -inspection required.
• *Street to be cleaned ofdebris.
• *Side sewer must be capped at property line.
• *Water Service must be disconnected from Water meter and or hose bib with AVB installed.
• *Durnp at approved dump site only.
• *See demolition inspection checklist nn back of job card for inspection requirements.
• 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 thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request foraflemate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies most be specifically requested in writing and be called out and identified. Processing
fees 1'orsuch request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval ofany plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating fromterriporary construction sites as a result ofeonstmction activity are excmpl fromthe noise limits
of FCC.. Chapter 5.30 only during the hours of7:00am to 6:00pm on weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal I lolidays. At all other times the noise originating froniconstmction sites/activities must comply with the
noise lintits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalfofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hamlless the City ol'Edmunds, Washington, its officials, employees, and agents fromany and all claims flydamages of
whatever nature, arising directly or indirectly fromthe issuance for this pemiit. Issuance of this pemlit 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.
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00,00btA(6)
T71-0220 FXT. 1333 1 E NGWEERING (425) 771-0220 FXT. 1326
PUB IIC'WORKS (425)771-0235 1 PR&TRFikT c,.'T(425)672-5755 1 RECYCLING (425) 275-4801
When calling for an inspection please leave the following information: Permit Number, JobSite Address, Type of Inspection being
...,.,aceod f'r,oroer N•me and Phone Numlrr. Dale Prefereed. and whether you prefer mornim! or afternoon.
• E-Pre-Demolition Sewer Cap
E-Pre-Demo Water Sery District/AVB
• E-Pre-Demo Erosion Control
• F. Fngineering Final Demo
• B-Pre-Demolition
• B-Asbestos PSCAA Permit
B-Cleaned Site/Bld Final Demolition
yOf `D4, Inspection Comments
U s
BLD20100342 23 - Demolition
Applied: 05/18/2010 .Issued: 04/29/2011
Expires:
10/29/2011
��c, 18y0
Address: 16220 75TH PL W, EDMONDS
INSPECTION DATE
INSPECTOR
ACTION
1078 - E-Pre-Demolition Sewer Cap 07/09/2012
LAMBERTJ
CMP
Comment: Final approved per sewer inspection on 7/9112 (ENG20100379).
1079 - E-Pre-Demo Water Sery Discnct1AVB 08/03/2012
LAMBERTJ
CMP
Comment: Not sure when water was disconnected
1080 - E-Pre-Demo Erosion Control 09/01/2011
ZULAUF
CMP
Comment: TESC adequate at this time - will monitor under the single family permits.
1081 - E-Engineering Final Demo 07/09/2012
LAMBERTJ
CMP
Comment: Final Approved
1104- B-Cleaned Site/Bid Final Demolition 05/26/2011
LAWLER
CMP
Comment:
8/31/2012 10:59:04 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1