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0025_001.pdf6L-Ll ) Z10 [e--/' - 00 q DEVELOPMENT SERVICES RESIDENTIAL BUILDING PERMIT APPLICATION s,i 18'i� 121 5th Avenue N, Edmonds, WA 98020 City of Edmonds Phone 425.771.0220 0 Fax 425.771.0221 PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #: 8407 200TH STREET SOUTHWEST, EDMONDS, WA 98026 27041900210700 Subdivision/Lot #: Project Valuation: $ SEC 19TWP27 RGE 04RT-25A)S 70FT OF N 210FT OF TH PTN NE1/4NW114 DAF BEG BE COR SO SUB TH NOI-0722WALG E LN 33345Fi TH S89-0241W1 A $16,329.31 APPLICANT: Phone: Fax: CHLOE BARKER / NW PERMIT INC 360-945-2787 Address (Street, City, State, Zip): E-Mail Address: 9808 31 ST AVE SE, EVERETT, WA 98208 HD@NWPERMIT.COM PROPERTY OWNER: Phone: Fax: JOHN WILLARD (360) 387-4113 Address (Street, City, State, Zip): E-Mail Address: 8407 200TH STREET SOUTHWEST, EDMONDS, WA 98026 CAMANOMENZ@GMAIL.COM LENDING AGENCY: Phone: Fax: Address (Street, City, State, Zip): E-Mail Address: CONTRACTOR:* Phone: Fax: HOME DEPOT USA INC 360-945-2787 Address (Street, City, State, Zip): E-Mail Address: 2455 PACES FERRY RD, ATLANTA, GA 30339 HD@NWPERMIT.COM WA State License #/Exp. Date: *Contractor must have a valid City of Edmonds business license prior to HOMED**088RH 7/17/20 City Business License #/Exp. Date: doing work in the City. Contact the City Clerk's Office at 425.775.2525 NR-025556 ISSUED 12/31/2018 DETAIL THE SCOPE OF WORK: Replacing 17 windows like -for -like. no size or structural change. PROPOSED NEWSQUARE FOOTAGE FOR THIS PROJECT: Basement: sq. ft. Select Basement Type: Finished LJ Unfinished I" Floor: sq. ft. Garage/Carport: sq. ft. 2n Floor: sq. ft. Deck/Cvrd Porch/Patio: sc . I1. Bedrooms # Full-3/4 Bath # Half -Bath # Other: sq. ft. Fire Sprinklers: Yes Ll No 17 1 Retaining Wall: Yes No 71 Grading: Cut cu. yds. Fill cu. ds. I Cut/Fill in Critical Area: Yes L No I declare under penalty ofperjury laws that the information I haveprovided on this form/application is true, correct and complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. Print Name: CHLOE BARKER Owner ❑ Agent/Other W (specify): CONTRACTOR'S AGENT Digitally signed by Chloe Barker Signature: Chloe Barker Date: 2018.06.04 19:07:27 -07'00' Date: 01/14/2019 FORM A L:\Building New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1 /17/2014 of DEVELOPMENT SERVICES RESIDENTIAL BUILDING PERMIT APPLICATION FORM A •� r. I x�1� 121 5`h Avenue N, Edmonds, WA 98020 City of Edmonds Phone 425.771.0220 A Fax 425.771.0221 Equipment Type Appliance/Equipment Information (new and relocated) Total # Furnace Gas # Elec #_Other: #— BTUs: <100k_ >100k _ Location(s) Air Handler / VAV (circle selected) Gas # — Elec # Other: — #—CFM: <10k >10k— Location(s) AC / Compressor / Boiler / Heat Pump / Gas #—Elec #_Other: # BTUs: <100k, 100k-500k, 500k-1Mil Roof Top Unit HP: <3, 3-15, 15-30 Location(s) (circle selected) Hydronic Heating Gas # Elec # In -Floor _Wall Radiant_ Boiler BTUs: Location Exhaust Fans (single Bath # Kitchen # Laundry # #— duct) —Other: Fireplace Gas # Elec # Other: # Location(s) Dryer Duct FUEL GAS Appliance Type Appliance/Equipment Information (new and relocated) Total # AC Unit BTUs: Location(s): Furnace BTUs: Location(s): Water Heater BTUs: Location(s): Boiler BTUs: Location(s): Other: BTUs: Location(s): Fireplace/Insert BTUs: Location(s): Stove/Range/Oven Dryer Outdoor BBQ TOTAL OUTLETS Fixture Type (new and relocated) Total # Fixture Type (new and relocated) Total # Water Closet (Toilet) Pressure Reduction Valve/Pressure Regulator Sink (kitchen, laundry, lavatory, bar, eye wash, etc.) Water Service Line Tub/Shower Drinking Fountain Dishwasher Clothes Washer Hose Bib Backflow Prevention Device (e.g. RBPA, DCDA, AVB) Water Heater Tankless? Yes ❑ No ❑ Hydronic Heat in: Floor ❑ Wall Floor Drain/Floor Sink Other: Refrigerator water supply (for water/ice dispenser) Other: FORMA L:\Building New Folder 2010\130NE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1 /17/2014 -7(VJI -W)I --LNd 1 1 o Ir► I-k- ---�N61 I n5 1b zlnb5 _q/ 'FfO � r r r rvL�- u LA"� IpNL I PtiL- P� Pw Pw L U) E m 3 as v ca Order Confirmation Order Details Ship To: THD/SEATTLE-Lynwood West Hansen Bros 2810 Lincoln Way Lynnwood, WA 98087 Job Name: WILLARD P.O. Number: 10861642 Simonton Order Number: 10250009 Expected Delivery Date: 01/08/2019 - 01/10/2019 Ordered Ln No Qty Ord Description 35 1/2" (T) X 71 1/2" (T) Clear Value White PC over SL; Tip -to - Tip Oriel 53.625"; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied (U1=107"); DP:20; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. Clear Value White Picture; Tip -to -Tip; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); 00 No Reinforcement; Tape Applied (UI=90"); Clear Value White Slider (XO); Tip -to -Tip; Block Frame; T- Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; 00 No Reinforcement; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=53"); 2 1 35 1/2" (T) X 71 1/2" (T) Clear Value White PC over SL; Tip -to - Tip Oriel 53.625"; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied (U1=107"); DP:20; U-Factor:.30; Room ID Ln No Qty Ord Description SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 2 1 Clear Value White Picture; Tip -to -Tip; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); 00 No Reinforcement; Tape Applied (UI=90"); Clear Value White Slider (XO); Tip -to -Tip; Block Frame; T- Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; 00 No Reinforcement; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=53"); 3 1 35 1 /2" (T) X 71 1 /2" (T) Clear Value White PC over SL; Tip -to - Tip Oriel 53.625"; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied (U1=107"); DP:20; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARS region(s): North Central. 3 1 Clear Value White Picture; Tip -to -Tip; Block Frame; T-Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); 00 No Reinforcement; Tape Applied (UI=90"); 3 1 Clear Value White Slider (XO); Tip -to -Tip; Block Frame; T- Mulled; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; 00 No Reinforcement; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=53"); Room ID Ln No Qty Ord Description Room ID 4 1 59 1/2" (T) X 47 1/2" (T) Clear Value White Slider (XO); Tip -to- Bedroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (U1=107"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 5 1 59 1/2" (T) X 47 1/2" (T) Clear Value White Slider (XO); Tip -to- Bedroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (U1=107"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARS region(s): North Central. 6 1 29 1/2" (T) X 71 1/2" (T) Clear Value White Single Hung; Tip -to- Bedroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Slotted Cavity Plug; (Ul=101"); DP:20; U- Factor:.29; SHGC:.30; Unit qualifies for ENERGY STARE region(s): North Central. 7 1 29 1/2" (T) X 71 1/2" (T) Clear Value White Single Hung; Tip -to- Bedroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Slotted Cavity Plug; (U1=101"); DP:20; U- Factor:.29; SHGC:.30; Unit qualifies for ENERGY STARE region(s): North Central. 8 1 47 1/2" (T) X 17 1/2" (T) Clear Value White Slider (XO); Tip -to- Bathroom Tip; Block Frame; Energy Star North Central; Supercept; ine Item Ln No Qty Ord Description Room ID ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=65"): DP:15. U-Factor:.30: SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 47 1/2" (T) X 17 1/2" (T) Clear Value White Slider (XO); Tip -to- Bathroom Tip; Block Frame; Energy Star North Central; Supercept; PrnSnlar I rnN F• Arnnn C;ac nniihla (_�In7prl• Tamnar All All; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=65"); DP:15; U- Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 10 1 47 1/2" (T) X 41 1/2" (T) Clear Value White Slider (XO); Tip -to- Bathroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=89"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 11 1 71 1/2" (T) X 81 1/2" (T) (60610P) 6200 White Contemporary Dining Door (2-Lite) Left Opening (XO); Assembled PD; Int. Handle Powder Coat White; Ext. Handle Powder Coat White; Tip -to -Tip; Block Frame; Intercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); Half Screen Fiberglass Extruded Screen Mold Wrap Screen Separate; E5 All Stiles(SL/EV); Tape Applied; Non -Keyed MultiPoint; Corrosion Resist Roller/Glide (U1=153"); DP:20; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): Northern, North Central. 12 1 71 1/2" (T) X 81 1/2" (T) (60610P) 6200 White Contemporary Bedroom Door (2-Lite) Left Opening (XO); Assembled PD; Int. Handle Powder Coat White; Ext. Handle Powder Coat White; Tip -to -Tip; Ln No Qty Ord Description Room ID Block Frame; Intercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); Half Screen Fiberglass Extruded Screen Mold Wrap Screen Separate; E5 All Stiles(SL/EV); Tape Applied; Non -Keyed MultiPoint; Corrosion Resist Roller/Glide (U1=153"); DP:20; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARS region(s): Northern, North Central. 13 1 47 1/2" (T) X 23 1/2" (T) Clear Value White Slider (XO); Tip -to- Bathroom Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; One Cam White; Plain; Corrosion Resist Roller/Glide (UI=71"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 14 1 35 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to- Living Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=71"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 15 1 35 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to- Living Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=71"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. 16 1 35 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to- Living Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum Ln No Qty Ord Description Lok Ra/St Steel Stayba; Tape Applied; Two Cam White; Plain; Corrosion Resist Roller/Glide (UI=71"); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARS region(s): North Central. 17 1 59 1/2" (T) X 35 1/2" (T) Clear Value White Slider (XO); Tip -to - Tip; Block Frame; Energy Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen Fiberglass Roll -Formed Scr Mold; Y2 Alum 1 _1_ Ra/0-t -0t__1-0t_..1__. — _.__ 11._._1_J. — ..._ lam_.__ 11111_:t_. Pl1_:._. wK r�ai�� ��eei �►ayoa, i ape r�ppnea, i wo �,arn vvnite, ruin, Corrosion Resist Roller/Glide (UI=951); DP:15; U-Factor:.30; SHGC:.31; Unit qualifies for ENERGY STARE region(s): North Central. Room ID