1330_001.pdf04 Gv O'4
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
��c. 18A0
STATUS: ISSUED 06/05/2019 Permit #: BLD20190660
Expinition Date: 12/05/2019 Project Address: 20832 76TH AVE W, EDMONDS
Parcel No: 00614300001301
***NORTH BUILDING*** PEAKMASTERS
PEAKMASTERS
C/O 250/CHALET ROYALE LLC IMPERIAL 33012 DANIEL DR
C/O PETER ANDRIET
1521 2ND AVE STE 3303 DANA POINT, CA 92629
33012 DANIEL DR
SEATTLE, WA 98101
DANA POINT, CA 92629
(425) 773-3323 (209) 777-5020
(209)777-5020
LICENSE #: PEAKM* *821 CN EXP:02/05/2020
RE -ROOF MANSEARDS AT APT BUILDING# 1 (NORTH BLDG
VALUATION: $5,484
PERMIT TYPE Commercial
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: f 0 X 0 FT.)
CODE.
OTHER: ------- OTHERDESC:
ZONE:
NUMBER OF STORIES 0
VESTED DATE:
NUMBER OF DWELLING KNITS: 0
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
BEDROOMS:0 BATHROOMS:O
1 BEDROOMS:0 BATHROOMS-0
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 PERMfF UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID.
re
k er- AV\ 6/5/19
BY Date
ATTENTION
ITIS 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. UBC109tlBCI 10/ IRC110.
FARE APPLICANT = ASSESSOR CFI'Y
STATUS: ISSUED BLD20190660
• 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 orpolicies 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
ofECC Chapter 5.30 only during the hours of 7:00amto 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 Chapter5.30,unless avariance has been granted pursuant to ECC5.30.120.
• 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 fi-om any and all claims for damages of
whatever nature, arising directly or indirectly fi•omthe 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.
INSPFCTIONS
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 ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov Building Department Inspection
2. Then: Services i are now scheduled online. If you i FIRE (425) 775-7720
3. Then: Permits/Development I have difficulties, please call the
4. Then: Online Permit Info Building Department front desk for PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a assistance during office hours.
login (upper right hand corner) I (425) 771-0220 RECYCLING (425) 275-4801
16: Schedule your inspection
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 Preferred, and whether you prefer morning or afternoon.
B-Roof Tear Off'
B-Building Final
&Other
.� OV I_i).`rr� BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
+r c ,425,771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to:w:..�.:d��c�z
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call425-771-0220 to schedule an intake appointmentl
JOB SITE INFORMATION/LOCA ION:: (Where the work is taking place))
Job Site Address: AQ ',-7o1-1, Je
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
o
Name: 4 Rol-lai
Mailing Address,,:•• 11 -p 6 �1`.%,9- 1 G /
City/State/Zip: �11. : U moy S � W .A q Do2L
Phone #: 23
Email: .J ea bl O_Ca ? v�ecect , Co
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑ Yes 171No
I own, reside in, or will reside in the completed structure. This
installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange according to RCW
18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION: ((��
Name of Applicant: 54`r
V�
Mailing Address: �3 otz 6% N i.
City/State/Zip: 1 )OLvIO\ o-wy 26 Z�
Phone #: i ! nn j0
E-mail: (J P �0(Vl �: C Vlc7 µtfi.� -CJIn.
GENERAL CONTRACTOR: (If different from applicant)
General Contractor:
Mailing Address: _
City/State/Zip: _
Phone #:
E-mail: / /' C7
STATE UBI #: (�i�`4 CITY OF EDMONDS BUSINESS LICENSE #: 0 ~ QV�- c/ ZG
Permit #:
❑ Accessory Structure/
Detached Garage
❑ Demolition
0-& ( 0
❑ Addition
❑ Mechanical
❑ New Single Family / Duplex I ❑ Plumbing
❑ Fire Sprinkler ❑ Remodel
❑ New Commercial/ Mixed Use Z Re -Roof
❑ Signs I ❑ Tank
❑ Tenant Improvement ❑ Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
rZOPMORW/T 1,i
A
I certify that the information I have provided 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:
WA STATE ONT OR L & I #: (CCB) & EXPIRATION ATE:
c` .I C
Signature: \ Date ' 5 " I 1
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