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Construction Progress Card
c. 18
Cily of Edmonds 121 5th Ave N Edmonds WA 98020
To schedule your inspections:
Construction houns are 7am - 6pm on weekdays, l0am - 6pm Saturdays.
B - building:
1. Go to: www.edmondswa.gov
2. Then: Services
3. Then: Permits/Developnrent
4. Then: Online Permit Info
5: Ifyou don't have one aheady, create a
login (upper right hand comer)
6: Schedule your inspection
E - engineenngt 425.77t,0220 ext. 1326
F - fïrc: 425.775.7720
P - planningz 425,771.0220
B - building fiont desk during oflice
hours: 425,771.0220
Call24 hours in advance for inspections
Scope ofwork: Install6 ft cedar fence in rear of property.Permit #: 8LD20180530
Project Address: 1055 BELL ST' EDMONDS Parcel #: 00434204102100
OTv¡TeT: MICHELE VANDERFORD
IO55 BELL ST
EDMONDS, WA 98020
ContrACtOr: MICHELEVANDERFORD
I055 BELL ST
EDMONDS, WA 98020
LICENSE #: EXP:
B,Review Inspection
ÞFence Location/Height
BEngineering Final
s¿
City of Edmonds
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
l2l 5'h Avenue N, Edmonds, WA 98020
Phone 425.77 1.0220 û F ax 425.71 1.0221
PLEASE REFERTO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADjRESg(Street, Slrite #, City State, Zip): 2tttl66 Y-A)- çUt66 'fuUfta.Jb ttKL4',
Parcel #:
0h]
Subdivision/Lot #:Project Valuation: t /tU 0
^PPLrc^NrÅArt['Þi7tt4 oçh Fax:
Add'es s4ff lhïv' ff E' Tìhw("ffiäîfËfji¡r,r¿ z (à tnumt L
a fu
PROPFöfiüÞNER:Phone:Fax
Address (Street, City, State, Zip)E-Mail Address
LENDINGAGENCY: d IA Phone:Fax:
Address (Street, City, State, Zip)E-Mail Address
coNrRACroR:* g/fr4/?Phone:Fax
Address (Street, City, State, Zip):E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #Æxp. Date:
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK:tN-Þ !.)çç
PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT:
Basement:
-sq.ft.
Select Basement Tvpe: Finished Unfinished
I't Floor:
-sq.
ft.Garage/Carpofi:
-sq.
ft.
2nd Floor:so. ft.Deck/Cvrd Porch./Patio:
-sq.
ft.
Bedrooms #-Full-3/4 Bath #- Half-Bath #-Other:_sq. ft.
Fire Sprinklers: Yes No Retainins Wall: Yes No
Grading: Cut cu. yds. Fill cu.yds CulFill in Critical Area: Yes No
I ileclqre under penalty of perjury laws thst the informøtion I høve provided on this fonn/applicøtion is true, correct and
complete, ønd that I am the propefi owner or duly authorÍzed øgent of the property owner to submìt a pennit applicøtion to
the City of
Print Name I
Signature:Date:
l-l (specify):
,1"
FORM A L:\Building New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A20l4.docx Updated: lllln0l4
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION FORM A
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.77 1.0220 ft Fax 425.7 7 1.0221
s
City of Edmonds
Equipment Type ApplianceÆquipment Information (new and relocated)Total #
Furnace Gas#-Elec#-other:-#-BTUs:<l00k->100k-Location(s)-
Air Handler/VAV
(circle selected)Gas #-Elec #-Other:- #-CFM: <10k- >10k-
AC / Compressor /
Boiler / Heat Pump /
Roof Top Unit
(circle selected)
Gas #_Elec #_#- BTUs: <100k,
-100k-500k, -500k-1Mil
HP: <3, 3-15,
-15-30
Location(s)
Hydronic Heating Gas #-Elec #-In-Floor
-Wall
Radiant- Boiler BTUs:-
Exhaust Fans (single
duct)Bath #-Kitchen #-Laundry #
Fireplace Gas #_Elec #_Other:_ #_I ^^ô+i^h/-ì
Dryer Duct
Appliance Type ApplianceÆquipment Information (new and relocated)
!
Total #
AC Unit BTUs:Location(s):
Furnace BTUs:Location(s):
Water Heater BTUs:Location(s):
Boiler BTUs:
Other:BTUs:
Fireplace/Insert BTUs:
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
Fixture Type (new and relocated)Total #Fixture Type (new and relocated)
I
Total #
Water Closet (Toilet)Pressure Reduction ValveÆressure Regulator
Sink (kitchen, låundry, lavatory, bar, eye wash, etc.)Water Service Line
Tub/Shower Drinking Fountain
Dishwasher Clothes Washer
Hose Bib Backflow Prevention Device (€.s. RBPA, DCDA, AvB)
Water Heater Tankless? Yes f No I Hydronic Heat in: Floor l-l WaU I
Floor DrainÆloor Sink Other:
Refrigerator water supply (for water/ice dispenser)Other:
FORM A L:t3uilding New Folder 2010\DONE & x-ferred to LBuilding-New drive\Form A20l4.docx Updated: U17n014
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CITY OF EDMONIDS
I21 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425) 771-0221c. l8
B TNLDTN G APPLICATION ACCF],PTANCE
Wednesday, April 11, 2018
This Application has been accepted by the Cþ of Edmonds for review. More information and changes
may be required during this process. The review target date is:
Your City Contact is: CHRISTINA WAYLAND
Application Number: BLD20 I 80530
Project Address: 1055 BELL ST, EDMONDS
PTIOPERT\'0WNER APPLICANT
MICHELE VANDERFORD
IO55 BELL ST
EDMONDS, V/A 98020
(42s) 239-0s30
MICHELE VANDERFORD
IO55 BELL ST
EDMONDS, WA 98020
(42s) 239-0s30
Work Description:
InsÍall 6 ft cedar fence in rear of property.
Outstanding Items at Time of Submittal:
It is anticipated that the following departments will be reviewing your application:
Building
Planning
Engineering
Fire
Please wait to re-submit corrections until after you have received comments from all reviewing
departments.
I HM.EBY ACKNOWLEDGETTIATI HAVEREAD TTIIS APPLICATION THATTHEINFORMATION GIVM{ IS CORRECT
AND TI AM TIIEPROPM,TY O\ilNM., OR TTIEDULY AUÏ}IORIZED AGFNTOFTIIEPROPFÀ,TY OWNm' TO
STIB MIT A BUILDING PM,MIT APPLIC ATIO N TO TIIE C ITY.
ûúçr,ú'll ç
NATURE(OWNm, ORAGB.{Ð PRINTNAME DATESIGNE)
To view up lo date information øbouÍ your applicafion please visit the City of Edmands Development Services
w eb si t e at http ://www. edmo ndsw ø.g ov.
CITY OF EDMO}{DS
I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
CRTTICAL AREA APPLICATION ACCEPTANCE
Wednesday, April I l, 2018
Your Application has been accepted by the City of Edmonds and we will start the application process with the
information you provided. More information and changes may be required during this process. The decision target
date is .
Application Number: CRA20 1 80066
Project Address: 1055 BELL ST, EDMONDS
PROPERTYOWNER {I'¡'LICANT
MICMLEVANDERFORD
IO55 BELL ST
EDMONDS, WA 98020
(425)239-0530
MICHELEVANDERFORD
IO55 BELL ST
EDMONDS, V/A 98020
(42s) 239-0s30
To view up Ío date information øbout your permit pleøse visit the CÍty of Edmowls Developmcnt Senices website
at ht tp : //www. c i. e dmo nd s.w ø. us.