20170425155944.pdf0
6- CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/25/2017 Permit 8: BILM 17906
BtJILDING PERMIT
Expiration Date: 10/25/2017 Pkajw, Add, tem. W15 184TTF1 ST 8W, KDMN ONDS
Parcel No: 27041800107000
RICHARD G LUND CR MASTER ROOFING
CRMASTERROOFING
8315 184TH ST SW C/O ODILIO MATA
C/O ODILIO MATA
EDMONDS, WA 98026-5831 19542 6TH AVENUE NE
19542 6TH AVENUE NE
SUITE 122
SUITE 122
SHORELINE, WA 98155
SHORELINE, WA 98155
(206) 446-9297
(206) 446-9297
LICENSE #: CRROORL936K5 EXP:06/03/2017
RE -ROOF; NO SHEATHfNG
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP
OCCUPANT LOAD -
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
,BEDROOMS: 0 BATHROOMS: 0
1 BEDROOMS: 0 BATHROOMS: 0
FR0N'1'SL-1'RA(-K S1DLSL-1'BACK RLARSL-1'B.A(-K
REQUIRED: PROPOSED: ]REQUIRED: PROPOSED: I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:0 IREQUIRED 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
TI IS NOTo2A PERMITUNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID.
A��-f,11,50AA&t Z-7J-4-v7-%-/7 0-1112-5-12-017
Released
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECnON HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC] 09/ IBC1 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20170556
CONDITIONS
• 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 6:00pm 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 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
hanydess the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fi-omthe issuance for this permit. Issuance ofthis 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.
I INSPW.TIONS
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)
CALL FOR INS PECTIONS
WILDING (425) 771-0220EXT. 1333 ENGINM—UNG (425) 771-0220 EXT. 1326 PIRE(425) 775-7720
I PUBILIC WORKS (425) 771-0235 1 PR&TREATMENT (425) 672-5755 1 RECYCLING (425) 275-4801 1
When calling for an inspection please leave the folloMng information: Permit Number, Job Site Address, Type of Inspection being
reques te(L Contact Name and Phone Number. Date Prefereed, andwhether you lrefer morniiq� or afternoon.
• B-Roof Tear Off
• B-Building Final
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
I th Avenue N, Edmonds, WA 98020
47 199" 215
City of Edmonds Phone 425.771.0220 ft Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECTADDRESS (rSXet, Suiite #, City State, Zip):
Parcel #:
Subdivision/Lot #:
Project Valuation: $
APgLICADiT. k1
A
In 42
VOL
Phone: T77
-cro
Address (Street, City, State, Zip):
E-Mail Address:
PR0,F!rRTY 0 N
)IV ER:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
LENDINN�r, CY:
Phone:
Tax:
Add��rect."`Kily, State, Zip):
E-Mail Address:
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
W,A State License 41JExp. Date -
cc (_ oek -OD R /-_ V� kIS
City Business �icenjs #/Ex� Date:
DETAIL THE SCOPE OF WO
J.-
A -
PROPOSED NEW SQUARE F
OTAGE FOR THIS PROJECT:
Basement: sq. ft.
Select Basement Type: Finished LJ Unfinished L]
I" Floor: sq. ft.
Garage/Carport: sq. ft.
2"' Floor: sq. ft.
Deck/Cvrd Porch/Patio: sq. ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: -sq. ft.
Fire Sprinklers: Yes
0
No
LJ
I Retaining Wall: Yes
LJ
No
[_1
Grading: Cut -cu. yds. Fill cu.yds.
-
I Cut/Fill in Critical Area: Yes LJ NoT��
I declare under penalt o erj aws that the information I have provided on this formlapplication is true, correct and
complete, and that In t p own or duly authorized agent of the property owner to submit a permit application to
theCithyofEdnio s.
Print Name: �# - - OwnerkAgent/OtherE] (specify):
-7 Signature: S Y.4 it 10A Date:
IQ
12
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014