1397_001.pdfCITY OF EDMONIDS
I2I 5TH A\iENUENORTH - EDMONDS, V/A 98020
PHONE: (AÐ 77 r0n0 - FAX: (425) 77 t-022r
STATUS: ISSUED 06/1112019
Expiration Date : l2lll 12019
Parcel No: 0083550001 01 00
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BT]ILDIN(; PEIIMTT
PtI,OPEI{'TY OWNER ,\PPLI(]AN1'coNl'tìA('1'OR
BAYSIDE CONDOMINIUMS
323 3RD AVE N I]NIT
EDMONDS, WA 98020-3187
ruLIAN'SPAINTING
C/O ruLIAN FLORES
5810 237TH ST SW
MOUNTLAKE TERRACE, WA 98043
(42s) 9s3-382s
ruLIAN'SPAINTING
C/O ruLIAN FLORES
5810 237TH ST SW
MO1JNTLAKE TERRACE, Iù/A 98043
(42s) 9s3-382s
LICENSE#: JULIAP*940MM EXP:08/14/2020
.¡()fì t)Es( ìRfI'Tt()N
REPAIRLEAII HOLEIN GARAGryCARPORT CEILING. *SUBJECT TO FIELD INSPECTION*
VALUATION: S400
Rrnt Nane Date Date
ATTENTION
ITIS UNLAWFUL TO USEOROCCUPY ABUILDING ORSTRUCTURE UNTILAFINAL INSPECTION HASBEENMADEAND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI09/IBCI IO/IRCI IO.
PERMIT TYPE: Commercial PERMIT GROUP: 04 - Alteration/Remodel
GR-ADING: N CYDS: O TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: ( 0X0 FT.)CODE
OTHER: ------ OTHERDESC:ZONE
NUMBER OF STORIES: O VESTED DATE:
2ND FLOOR: 0
NUMBER OF DWELLINGUNITS: O
BASEMENT:O 1ST FLOOR:0 1ST FLOOR: 0 2ND FLOOR: 0
LOT #
BASEMENT:O
3RDFLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR: 0 GARAGE: 0 DECK:0 OTHER: 0
BEDROOMS:0 BATHROOMS:0 BEDROOMS:0 BATHROOMS:0
t,t\ts ilN(, \t{t,_.\l'lL() l'() S l'.1),\ltl:)\
REQUIRED: PROPOSED:lnnqurneo: PRoPoSED:REQUIRED: PROPOSED:
HEIGHT ALLOWED:0 PROPOSED:O lRroungo: PRoPoSED:
SETBACK NOTES:
FIì.ONT'SETB^CK S II)E S FTB A(]I(RDAR ST]I-BA(.K
I AGREE TO COMPLY WTH CITY AND STATE LAWS REGULATNG CONSTRUCTION AND IN DOING THE WORK AUÏHORIZ ED THEFEBY, NO
PERSON WLL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RB-ATNG TO WORKMEN'S COMFENSATION
INSURANCE AND RCW 1 8:27.
APPLICATION IS NOT A FERMIÏ UNTIL SIGNED BY THE BUILDING ARE PAID,HIS/HER AND
PERMIT APPROVAL
FIRE APPLICANT ASSESSOR CITY
c()NDt'iloNS
STATUS: ISSUED 8LD20190675
Final approval on a project or final occupancy approval rm¡st 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 ploject approval and final
occupancy inspections.
Any request for altemate design, nrodification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specificalþ 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 compþ with cþ code and for which a variance has not been
specificalþ identified, requested and considered by the appropriate cþ official in accordance with the appropriate provision
ofcity code or state law does not approve any items not to code specification.
Sound/l.Toise orþinating fromtemporary construction sites as a result of construction activity are e>ampt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
SundaysandFederalHolidays. Atall othertimesthenoiseoriginatingfromconstructionsites/activitiesmustcornptywiththe
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf ofhis or her spouse, heirs, assigns, and successors in interests, agrees to indenmi! defend and hold
harmless the City of klmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectþ fromthe issuance for this permit. Issuance of this permit shall not bè deemed to
modiÛ', waive or reduce any requiretnents of any Ciíy ordinance nor limit in any way the City's abilþ to enforce any ordinance
provision.
THIS FERMTT AUTHORZES ONLY THE WOÌìK NOTED, THIS FERMI-T COVERS WoRK To BE DoNE oN FRIVATE FRoPERTY oNLY. ANY
CONSTRUCTION ON THE PUBLIC DO]UAIN (CURBS, SIDËWALKS, DRMM/AYS, I4ARQUFtrS, ETC.) WLL REQUIRE SEPARATE PERMISSION. FERMII
TIME LlMlr: SEE rcDc 19.00.005(A)(6)
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INSPT-('TIONS
1() s('HtÐtJL[] tNs PtI-TtoNS
BUILDING ENG|NEER|NG (425) 7714220 EXT. 1326
l. Go to: www.edmondswa.gov
2. Then: Services
3. Then: Pennits/Derelopment
4. Then: Online Permit lnfo
5: lf you don't hare one already, create a
login (upper right hand comer)
6: Schedule vour inspection
Building Department lnspections
are now scheduled online. lf you
haw dificulties, please call the
Building Department font desk for
assistance during ofice hours.
(425)771-0220
FIRE (425)775-7720
PUBLTC WORKS (4251 77 1 û235
RECYCLI NG (4251 27 54801
When calling for an inspection please I ea\e the following information: Permit Number, Job Site Address, Type of lnspection
bei Contact Name and Phone Date P and whether m or aftemoon.
. B-Preconstructionmeeting. &Fire Blocking / Stopping. BSheetrockNail. B-Building Finat
. B-Other
BUITDING PERMIT
APPTICATION
Developmenl Seryices
Building Division
t2l sth Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.eov/
JOB SITE INFORMATION/IOCATION: (Where the work is taking place)
rob site Address: PZ Z >ú 4 t t /l/
Pa rcel:w a 2,o
Lot /Unit/Suite #: _ Subdivision
PROPERTY OWNER:
JName a
Mailing Address:
City/State/Zip:0
Phone #:
Email:
OWNER INSTAILATION: *lf yes, read and sign*
Will work be performed by the property owner? ! Yesþ'No
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
APPUCANT / CONTACT rN Pu,
¿c.18
Name of Applica
Mailing Address:
City/State/Zip:
*: L{
I
nt t/
98 l0 ztV ç/ ru..
LPhone
E-mail 6l^
GENERAT CONTRACTOR: (lf different from applicant)
General Contractor:
Mailing Address:
City/State/Zip:
Phone fi:
E-mail:
wAsrATE CONTRACTOR r & rf (CCB) & EXPTRATTON DATE:
J \ ì0n h^
Permii #:cb70q-lllrce Use uf r\
! Accessory Structure/
Detached Garase
tr Addition
tr Mechanicaltr Demolition
! New Single Family / Duplex tr Plumbing
[J Fire Sprinkier L-l Remodel
tr New Commercial/ Mixed Use ! Re-Roof
! Signs ! Tank
D Tenant lmprovement ryorn* Lû'4'4cl
Remodet Permtt fees qre bosed on: l<( Í/ q';7
The volue of the work performed. lndicole lhe volue (rounded to
the neorest dollor) of oll equipment, moleriols, lobor, overheod,
the-work indicoted on this opplicotion.tto oVoluolion:
ond the profit for
Finished [þ Unfinished trBasement sq ft:
1st Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft:'t4' Xrt,'
Deck/Covered Porch/Patio:
I certify that the information I have provided on th¡s 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 perm¡t appl¡cation to the city of
Other sq ft
ê
Date
Print Name:
Signature:
Edmonds.
TYPE OF PERMII (Provide Detoils on Poge 2)
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
PROJECT DESCRIPTION
CITY OF EDMONDS BUSINESS LICENSE S:JutipÉfua
Occupancy Group(s):Occupant Load(s):
Type(s) of Construction:Fire Sprinklers: Yes ! No E
WA STATE ENERGY CODE: lf your project affects the building envelope,
mechanical systems, andr/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
Tl / CHANGE OF USE / NEW BLDG: lnclude TRAFFIC IMPACT worksheet
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
Qtv Qtv
Clothes Washer Tub/ Showers
Dishwasher Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain Pressure Reduction/ Regulator Valve
Floor Drain/Sink Refrigerator Water Supply
Hose Bibs Water Heater -Tankless? Y or N
Hydronic Heat Water Service Line
Sinks Other:
Toilets Other:
GENERAL COMMERCIAL DATA
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
PLUMBING FIXTURE COUNTS (New, Relocated or re-piped)
BTUs Qty BTUs Qty
A/C Unit Outdoor BBQ / Fire pit
Boiler Stove/Range/Oven
Dryer Water Heater
Fireplace/ lnsert Other:
Furnace Other:
Qtv Qtv
Carbon Dioxide Nitrous Oxide
Helium Oxygen
uu tct.
Medical - Surgical Vacuum Other:
Type of structure to be demolished
Square footage of structure to be demolished:
AHERA Surveydone? Y/N PSCAA Case #:
Critical Areas Determination:
Study Required [1 Conditional Waiver E Waiver !
Fill in Place E Fill Material
Removal E Size of Tank (Gallons)
Critical Areas Determination:
Study Required E Conditional Waiver ! Waiver E
Grading: Cut cubic yards
cubic yardsFill
Cut / Fill in Critical Area: Yes fl No E
APPLICATIONS: Applications are valid for a maximum of 1 year
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & lndustries and have a
current City of Edmonds Business L¡cense.
GAS/FUEL CONNECTION COUNTS (New, Relocated or re-piped)
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re-piped)
DEMOLITION
TANK
GRADE/FILL/EXCAVATE
GENERAT PROVISIONS