BLD20111034.pdfof ED4f
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CITY OF EDMONDS Ic
STATUS: ISSUED 12/16/2011
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
"Permit fir RI MR11 If
Expiration Date: 12/16/2012
Parcel No: 00559300003600
NEDWOOD FINANCE LLC NEDWOOD FINANCE, LLC OWNER EXEMPTION
18121 88TH AVE W ROMBAKH PAVEL
EDMONDS, WA 98026 18121 88TH AVE W
EDMONDS, WA 98026
(206)235-0335 _ (206)235-0335
Do L) h 2Dtp I I C7-16,1 LICENSE #: EXP:
Interior alteration and Remodel. Rough in bathrooms, replacing galvanized piping With PEX tubing. Creating additional bathroom on
the first floor and installing a sink in the basement. Replace WSL and Repipe.
VALUATION: $25,000.00
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Alteration/Remodel (ONLINE)
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
FENCE: N ( 0 X 0 FT.)
OTHER: N -----OTHER DESC:
NUMBER OF STORIES: 0
OCCUPANT LOAD:
CODE: 09
ZONE: 11A FIVI r— V
VESTED DATE:
OF DWELLING UNITS: I
LOT #:
0NUMBER
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
LEQUIRED: PROPOSED: I REQUIRED: PROPOSED: IRE UIRED: PROPOSED:
(EIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WI E EMPLOYED IN ATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLI I S NO RMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUT D Al,L FEES ARE PAID.
e Print amG���( Date Released By Date
ATTENTION
S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
BLD20111034
• 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 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.
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 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720
PUBLIC WORKS (425)771-0235 1 PRE-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 reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
E -Water Service Line
B -Isolated Footings/Piers
B -Plumb Ground Work
B -Plumb Rough In
• B -Mechanical Rough In
• B -Framing
• B -Building Final
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
FORM D
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
❑ Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ Owner who contracts for a project. A property owner contracting with registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(11).
❑ Work performed personally on own. property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any ' activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
Use of own employees. Property owner using him/herself or his/her own employees to
perform maintenance, repair, and. alteration work in or upon his/her own property. RCW
18.27.090(13).
❑ Licensed Architect, engineer, electrician or plumber. All work performed under this
permit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
❑ Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this f5 day of20/(/
PROPERTY 07R/AUTHORIZED
PERSON
M41.
Signa
L' e
Print Name
WITNESS.
l�
SiViature
uuf"
Print Name
LATEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
I
°FF�"�a Inspection Comments
BLD20111034 04 - Alteration/Remodel (ONLINE)
Applied: 12/13/2011 Issued: 12/16/2011
Expires:
12/16/2012
Address: 7620 239TH PL SW, EDMONDS
INSPECTION DATE
INSPECTOR
ACTION
1034 - E -Water Service Line 11/30/2012
MCCONNELL
COR
Comment: Issued correction notice (and attached) - WSL backfilled prior to inspection.
1034 - E -Water Service Line 12/06/2012
SIBREL
CMP
Comment: Approved
1126 - B -Plumb Rough In 01/06/2012
LAWLER
COR
Comment: Test required on DWV
Hammer arrestors by final
Secure closet flanges with non -corrosive screws
Secure tubs per installation guide
Install nail plates
Basement sinks and clthes washer to vent through roof
1126 - B -Plumb Rough In 01/11/2012
LAWLER
CMP
Comment: Will allow AAV at one basement sink due to structural conditions
1130 - B -Mechanical Rough In 01/24/2012
LAWLER
COR
Comment: Complete hvac rough in work
Add fan in basement bathroom
1130 - B -Mechanical Rough In 05/04/2012
LAWLER
CMP
Comment:
1142 - B -Framing 01/24/2012
LAWLER
COR
Comment: Install smoke alarm in hallway outside bedrooms
Electrical cover approval required from L&I
Okay to insulate after electrical approval prior to reinspection
1142 - B -Framing 02/07/2012
LAWLER
PAR
Comment: Exterior walls approved
1142 - B -Framing 05/03/2012
LAWLER
PAR
Comment: all but basement furnace room
1142 - B -Framing 05/04/2012
LAWLER
CMP
Comment:
1144 - B -Wall Insulation/Caulk 02/07/2012
LAWLER
CMP
Comment:
1146 - B-Insulation/Energy 04/02/2012
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail 05/04/2012
LAWLER
CMP
Comment:
12/12/2012 1:03:08 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 2
.INSPECTION DATE INSPECTOR ACTION
1158 - B -Building Final 05/25/2012 LAWLER COR
Comment: 1.) Install graspable handrails at exterior rear deck and basement stairs
2.) Install stove and dishwasher
3.) Replace broken glass in upstairs bedroom
4.) Obtain engineering final approval
1158 - B -Building Final 12/11/2012 LAWLER CMP
Comment:
12/12/2012 1:03:08 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 2