BLD20100907.pdfSTATUS: ISSUED 3/1/2011
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
- Permit #:. BLD201009.07.
Expiration Date: 9/1/2011
Parcel No: 00513100013805
YrojeCt AddreSS:. /Ull 1 /41 ri i3 1 :3 VV9 _r1l1V1VlriJa,
PROPERINOWNER APPLICANT KL0,NTRACTIVA
ROBERT N & LEAH MARIE RIXMANN COZY HOMES CORPORAT ION COZY HOMES CORPORATION
7011 174TH ST SW 23231 72ND AVE NW SUITE 102 23231 72ND AVE NW SUITE 102
EDMONDS, WA 98026-5228 STANWOOD, WA 98292- STANWOOD, WA 98292-
( ) - Ext. (360) 629-5333 Ext. (360) 629-5333 Ext.
LICENSE #: COZYHC*066NJ EXP:8/10/2012
DEMO EXISTING SFR
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: O
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT:0 1ST FLOOR:0 2ND FLOOR: 0
BASEMENT:0 IST FLOOR:0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
.ORE-kRSEI-BACK
tEQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
4EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
;ET BACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT ING CONSTRUCT ION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEESARE PAID.
Print Name
ed
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10,
a ONLINE = APPLICANT = ASSESSOR 0(OTHER
STATUS: ISSUED BLD20100907
CONDITIONS
• *Pre -inspection required.
*Street to be cleaned of debris.
*Side sewer must be capped at property line.
*Water Service must be disconnected from Water meter and or hose bib with AVB installed.
*Dump at approved dump site only.
*See demolition inspection checklist on 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 the job card for all required City inspections including final project approval and final
occupancy inspectiolhs.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any 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 iterns not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes 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.
• Applicant, on behalf ofhis 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 fromthe issuance for this permit. Issuance ofthis 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
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.
PERMITTIME LIMIT: SEE ECDC 19.00.005(A)(6)
PUBLIC WORKS (425) 771-0235 1 PR&TREATMENT 425 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and vvbether you prefer morning or afternoon.
• E•Pre-Demolition Sewer Cap
E -Pre -Demo Water Sery Discnct/AVB
• E -Pre -Demo Erosion Control
• E•Engineering Final Demo
&Final Demolition
F EOp,y
Uma
Inspection Comments
BLD20100907 23 - Demolition,
Applied: 12/02/2010 Issued: 03/01/2011 Expires: 12/05/2011
Address: 7011 174TH ST SW, EDMONDS
,INSPECTION
DATE
INSPECTOR
ACTION
1078 - E -Pre -Demolition Sewer Cap
03/28/2011
SIBREL
CMP
Comment: sewer capped.
1079 - E -Pre -Demo Water Sery Discnct/AVB
03/28/2011
SIBREL
CMP
Comment: Water meter shutoff and locked out. Contractor will seek to have the meter turned back
on and install
hose bib and AVB for dust control.
1079 - E -Pre -Demo Water Sery Discnct/AVB
08/04/2011
MCCONNELL
CMP
Comment: See attached email regarding missing hosebib
& AVB.
1080 - E -Pre -Demo Erosion Control
03/28/2011
SIBREL
CMP
Comment: TESC adequate.
1081 - E -Engineering Final Demo 08/17/2011 ZULAUF CMP
Comment: ok to final
1104 - B -Final Demolition 12/01/2011 LAWLER CMP
Comment:
12/1/2011 2:00:44 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1