20170317111314.pdfov El)-4
0311171��017
CITY OF EDMtD bS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 03/17/2017 ftmaft BLDM17WM4
BUILDING PERM IT
Expiration Date: 09/18/2017 rvl*�d A46m: 23M I GM AVIK W, EDMONDS
Parcel No: 27033600202200
WOODWAY CAMPUS WOODWAY CAMPUS WAYNE'S ROOFING INC
CIO SCHOOL DIST 15 EDMONDS CIO SCHOOL DIST IS EDMONDS CIO DONALD GUTHRIE
20420 68TH AVENUE W 20420 68TH AVENUE W 13105 HOUSTON RD
LYNNWOOD, WA 98036 LYNNWOOD,WA 98036 SUMNER, WA 98390
(253) 863-4455
LICENSE #: WAYNESR20SQ5 EXP:05/02/2017
.JOB DES('RIPI'ION
RE -ROOF OF ADMIN BUILDING "A"
VALUATION: $8,400.00
PERMIT TYPE: Commercial
PERMIT GROUP: 54 - Re-Roof/RoofAlter/Repair
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: OXO FT)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4:
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: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBA('K S1DFSFFBA('K REAR SF.YBA('K
REQUIRED: PROPOSED: REQUIRED: PROPOSED: f=QUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT ING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED -
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
Iski)iACATION IS NOT A4PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID
MA61440111 1P "1q, R A'ua&of- (J�Zgd- 03117 2P,17
Signature Print Narne Date Released
ATTENTION
Date
ITIIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/IBCI 10/IRCI 10.
ONLINE APPLICANT ASSESSOR T�OTIIER
STATUS: ISSUED BLD20170364
CONDITIONS
• Final approval on a projector 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 aftemate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies 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 s ites as a result of construction activity are exempt from the noise Emits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00arn 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 Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• 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 from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe 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.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT10N ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION
PERMIT TIME LIMIT. SEE ECDC 19.00.005(A)(6)
FNGINITAING (425) 771-0220 EXT. I
I PUBUC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 1 RECYCLING (425) ��
When calling for an inspection please leave the folloWng information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Preferee(l, andvvhether you prefer morninp, or afternoon.
• B-Roof Tear Off
• B-Building Final
OV rl)A,,
A,
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
STATUS: ISSUED
Expiration Date: 09/18/2017
Parcel No: 27033600202200
WOODWAY CAMPUS
WOODWAY CAMPUS
WAYNE'S ROOFING INC
C/O SCHOOL DIST 15 EDMONDS
C/O SCHOOL DIST 15 EDMONDS
CIO DONALD GUTHRIE
20420 68TH AVENUE W
20420 68TH AVENUE W
13105 HOUSTON RD
LYNNWOOD, WA 98036
LYNNWOOD, WA 98036
SUMNER, WA 98390
(253) 863-4455
LICENSE #: WAYNESR205Q5 EXP:05/02/2017
VALUATION: $55,200.00
PERMIT TYPE: Commercial
PERMIT GROUP: 54 - Re-Roof/RoofAlter/Repair
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY.
OCCUPANT GROUP.
OCCUPANT LOAD:
FENCE: OXO FT)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR, 0 GARAGE: 0 DECK: 0 OTHER: 0
.3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
IBEDROOMS: 0 BATHROOMS: 0
1 BEDROOMS: 0 BATHROOMS: 0
FRONTSErRACK SIDESFI-BACK 11F.A11 SUrBACK
REQUIRED: PROPOSED: — ��REQUIRED: PROPOSED: 77P--EQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:0 IREQUIRED PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:2T
THISAeP)WATION IS NOT A tERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR VIS/I IJA DEPUTY AND ALL FEES ARE PAID
A-4 1"d 311-4 12.0 13- 1---?
Nanie
ed
Date
% ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC] 09/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR OTIIER
STATUS: ISSUED BLD20170363
CONOITIONS
• 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 thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request foralternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies 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 forwhich 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.
SoundNoise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00prn on weekdays and 10:00arn and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites /activities must comply with the
noise limits of Cbapter 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 indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance forthis permit. Issuance ofthis perrnit 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.
INSIPWTIONS
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)
1-0220 EXT. 1333
425) 775-7720
I PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 T —RECYCLING (425) 27-5--4-8-01---]
When calling for an inspection please leave the follovAng information: Permit Number, Job Site Address, Type of Inspection being
reques te(L Contact Name and Phone Number. Date Preferced, and mbether vou vrefer mornine or afternoon.
• B-Roof Tear Off
• B-Building Final
2 Bu:,IjinQ�5
ov
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
Ps 1h
121 5 Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 9 Fax 425.771.0221
PLEASE REFER TO THE COMMERCIAL & MULTI -FAMILY BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS�ZStreet, Suite # City State, Zip):
2.7.,Zoo too Alp,
Parcel
Subdivision/Lot #:
Project Valuation: $
APPLICANT:
SAmpv\A,
Phone-
Fax:
Address (Street, Cit, 4S;ate, Aip):
-2nA2.0
EAOJPERTY OVYNER:
kV_AWA&VA4 4SPC�API
E-Mail Address:
6kyiAKQ
Phone:
Fax:
I
Address (Street, City, State, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CO TRACTOR:*
AL PJ @A AV
— — I — &A
Phone:
Fax:
Address Ntreet. City, State, Zip):
1 ?2104- 86A�00?-A a, 6LAmmew-
WA
E-Mail Address
I Ftv Mice sCepprior to
*Contractor must have a valid City of Edmonds busit
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WW State License #/E D t
M A 94 y 0 GL
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: ?eyeapawal
W0bJW,&_U CAS.&Pws
PROPOSED NEW SQUARE FOOTAGE FOR THIS
PROJECT:
I st Floor: —sq. ft.
2 "d Floor:
—sq. ft.
P Floor: sq. ft.
Basement: sq. ft.
Garage:
—sq. ft.
Deck/Cvrd Porch: —sq. ft.
Other: sq. ft.
Retaining Wall: Yes I Nol
I
Fire Sprinklers: Yes r-] No
LJ
Occupancy Group(s):
Occupant Load(s):
Type(s) of Construction:
Grading: Cut -----cu.yds. Fill cu.yds.
I Cut/Fill in Critical Area: Yes
LJ No LJ
Ideclare underpenalty ofperjury laws that the information Ihaveprovided on this formlapplication 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 t90
the City of Edin rids.
— AAARIA
Print Name: Owner /Agent/OtherE] (specify):
Signature: Date:
FORME LA13-ving New Folder 2010\DONE & x-ferred to LBuilding-New drive\Form 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 Handier / VAV
(circle selected)
Gas #
Elec # Other:
# CFM: <10k >10k Location(s)
AC / Compressor
Boiler / Heat Pump
Roof Top Unit
(circle selected)
Gas #—Elec
IN:
#—Other:—
<3,3-15,15-30
#— BTUs:—<100k, 100k-500k,
Location(s)
Hydronic Heating
Gas #—Elec
#—In-Floor
—Wall Radiant— Boiler BTUs: Location
Exhaust Fans (single
duct)
Bath #
Kitchen # Laundry # —Other: #
Fireplace
Gas #—Elec
#_Other:—_
# Location(s)
Dryer Duct
Applj�nce Type
Appliance/Equipment Information.fnew afid 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 RBQ
TOTAL OUTLETS
MI
Fixture Type (new and relocated) Total # Fixture Type (n�ew 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
0 No
Hydronic Heat in: Floor El wall El
Floor Drain/Floor Sink
Other:
Refrigerator water Supply (for water/ice dispenser)
Other:
FORM E LABuilding New Folder 201000NE & x-ferred to LBuilding-New drive\Form E 2014.docx Updated: 1/17/2014