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BLD20110178.pdfJ __ CITY OF EDMONDS 1215TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 1w Expiration Date: Parcel No: 00479300000700 PROPERTY OWNER APPLICANT C*NTRACTOA STEINAR K GJERDE CORNERSTONE ROOFING CORNERSTONE ROOFING 21328 92ND PLACE WEST 17624 15TH AVE SE #IOTA 17624 15TH AVE SE #IOTA EDMONDS, WA 98020 BOTHELL, WA 98012 BOTHELL, WA 98012 (425) 318-0461 EXT: (425) 485-0111 EXT: (425) 485-01 1 1 EXT: LICENSE #: CORNERIOI ICM EXP: O. DESCRIPTION TEAR OFF SHINGLES AND INSTALLNEW PLYWOOD SHEATHINGOVER APPROZX. 24 SQ FT OF ROOF. INSTALLNEW SHINGLES. C, VALUATION: $15,268.00 0 PERMIT TYPE: Residential PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair GRADING:N CYDS:0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N OCCUPANT GROUP: OCCUPANT LOAD: FENCE: N ( 0 X 0 FT.) CODE: 09 OTHER: N ------- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1 Sr FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTIRE-UlSEl'BACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISHER D UTY AND ALL FEESARE PAID. 7,&L" Signature Print Name Date ,U0/1 --P//( 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/ IBC I0/IRC 110. ONLINE APPLICANT = ASSESSOR OTH A STATUS: ISSUED BLD20110178 CONDITIONS • 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. • 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 items not to code specification. • Sound/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 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm 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. • 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 for this pen -nit. 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. INS PFCTIONS 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. 771-0220 PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) 771-0220 EXT. PUBLIC WORKS 425 771-0235 PRE-TREATMENT (425)672-5755 RECYCLNG 425 2754801 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 whether you prefer morning or afternoon. B -Shear Nailing • B -Roof Tear Off • B -Building Final �ERM-Tr -Trr: Inspection Comments BLD20110178 54 - Re-Roof/Roof Alter/Repair Applied: 03/15/2011 Issued: 03/15/2011 Expires: Address: 21316 92ND PL W, EDMONDS ID INSPECTOR ACTION COMMENT DATE 1136 - B-Shear Nailing 03/17/2011 STEINIKE CMP 1154 - B-Roof Tear Off 03/17/2011 STEINIKE CMP 1158 - B-Building Final 03/21/2011 STEINIKE COR Gave correction notice. 03/22/2011 LAWLER CMP 09/15/2011 3/22/2011 4:14:59 PM Page 1 of 1