20161216152834.pdfDecember 16, 2016
To Whom It May Concern:
The Board of Colonial Heights Condominiums is approving the work that is proposed by Michael Faris,
owner of 7909 #3. The work proposed is as follows:
1) Replace the material on the bath/shower walls
2) Replace sink/vanity in bathroom
3) Replace the sink in the laundry room
4) Replace both toilets
�5) Replace flooring in both bathrooms
6) Paint all walls, ceiling and trim as well as kitchen cabinets
7) Minor drywall repairs/patches
If you have any questions, please feel free to contact me at the phone number below.
Sincerely,
Kyle Caley
Colonial Heights Condominiums Board President
425-681-7723
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
st 121 5"' Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 A Fax 425.771.0221,
PLEASE REFER TO THE COMMERCIAL & MULTI -FAMILY BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite ,'City Slat' Z�iP)„
Parcel:
1
0 6 Q
Subdivision/Lot #: „
"
Project Valuation:
APPLIC wl N
/4c rL f �D I S
Phott ": Fax:
7,. - s
Address ,'Street Cit' to, Zj'),
,ro
E-Mail Addresl`
PR0PEJ;tTY OW, .I ,
S
Phone: !:fFax.
Address (Street„ City„ $tate Zi ),
E-Mail Address.
LENDING AGENCY:
Phone: Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:* I
Phone:
Fax:
Address (Street, City, State, Zip): E-Mail Address
WA State License,#/Exp. Date:
*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 City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: �....� « t��Wv �A
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Al �f . W 7 WWWWWW
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PROPOSED NEWSQUARE FOOTAGE FOR THIS PROJECT:
1 st Floor: s . ft. 2 Id Floor: s . ft. P Floor: s . ft.
Basement:s. ft. Gara e: s . ft. Deck/Cvrd Porch: —SQ. ft.
Other: s . ft. Retainir r Wall: des No 7 Fire S rinklers: Yes No
Occupancy Grou (s Occu ant Load s): T " e(s) of Construction:
Grading: Cut cu. ds. Fill cu. ds. I Cut/Fill in Critical Area: YesL INo
I declare under penalty of perjury laws 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: e rp Owner [�dAgent/Other ❑ (specify):
Signature: Date:
FORM E LABuilding Ne%Ulder 201000NE & x-ferred to L Building -New driveTorm E 2014.docx Updated: 1/17/2014
Equipment Type
Appliance/Equipment Information (new and relocated) Total #
Furnace Gas #_Elec
#_Other:
,
#;BTUs: <100k_,>100k_ Location(s)---
Air Handler / VAV Gas #_Elec
#_Other:
# CFM: <10k_ >10k_ Location(s)
(circle selected)
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 # J-0ther:, #
duct)
Fireplace Gas #_Elec
#_Other.
# Location(s)
Dryer Duct
Appliance Type
Appliance/Equipment Information (new and relocated) Total #
AC Unit
BTUs:
Location(s):
Furnace
BTUs:
Location(s):.
Water Heater
BTUs:
Locations)
Boiler
BTUs:.-
Location(s):-
Other:
BTUs:
i,ttcalion(s):
Fireplace/Insert
BTUs:
Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
Fixture Type (new and relocated)
I IN It 1114 MINES
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, ocoA, AVB)
Water Heater Tankless. Yes No
H in: Floor Wall H dromc eat
y ❑ ❑
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
FORM E LABuilding New Folder 2010\DONE & x-ferred to LrBuilding-New drive\Form E 2014.docx Updated: 1/17/2014
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:
0 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 (L) _ day of 20J_V)
PROPERTY "NER/,MIORIZED
Signatdre
Print Name
WITNESS
ry Signature
Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07