20170511125331.pdfOV EbAf
A
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 05/11/2017 PenniM BLD20170636
BIJILDING PERM IT
ExpirationDate: 11/11/2017 Proje ct- Addass -. 22908,74TH AVE VrVj MAJON
Parcel No: 00441500200200
LAURIE C CARTER AMERICAN RELIABLE ROOFING
AMERICAN RELIABLE ROOFING
22908 74TH AVE W C/O BRYAN ZADOW
C/O BRYAN ZADOW
EDMONDS, WA 98026 1607 NE 186TH ST
1607 NE 186TH ST
SHORELINE,WA 991SS
SHORELINE, WA 98155
(206) 375-4430
(206) 375-4430
LICENSE #: amerirr006d2 EXP: 11/15 /2 018
A SPHA LT COMP RE -ROOF
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:
I ZONE:
INUMBER 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 OARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSUTBACK SII)LSL-I'RA('K RLAR SFTBACK
REQUIRED: PROPOSED 7REQUIRED: PROPOSED: RE7UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O 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.
�IS APPLICATION IS NOT —A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
7 (J&4rd, 2-017
-5-11 ( / 7-C 1 -7
Print Name Date
Released
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- UBCI 09/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR Wtp
STATUS: ISSUED BLD2017 636
CONDITIONS I
• 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. Checkthejob 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 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 firomtemporary construction sites as a result of construction activity are exempt firomthe 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
Sundays and Federal Holidays. At all other times the noise originating from construction sites /activities must comply with the
noise litnits 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
harrnless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatevernature, arising directly or indirectly from the issuance forthis permit. Issuance ofthis pennit 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 CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT. SEE ECDC 19.00.005(A)(6)
-0220 EXT. 1333 1 ENGWEERING (425) 771-0220 EXT, 1326 1 FIRE (425) 775-
PUBLIC WORKS (425) 771-0235 PR&TRE4,TNIENT (425) 672-5755 RECYCMG (425) 2754801
When calling for an inspection please leave the folloming information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and vsbether Von prefer 11101-ninp- or afternoon.
• B-Roof Tear Off
• B-Buflding Final
V. E 1)
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite # City State Zip)-
L-L-103 -�V+11 Ave- 1,Je'O , N��o�d�
Parcel #:
Subdivision/Lot #:
Project Valuation: $ c1l 2 -5-1), 0 0
APPLICANT:
6r,lo.^_
Phone:
(2a6) 3 -1 �— L/ q? 0
TFax:
Address (Strec�t, City, State, Zip)-
16 o -7 IV6- d 64�, mx+ , �k re- I? r, e 9 g 1
I -Mail �d�,ress:
roo eoMl e 03 J.Covu
PROPERTY OWNEJL:
Phone:
F!
Address (Strget, City, State, Zip):
1:L'9o,d 7YA Ave- 11J0_41 E-JAka-W3
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
__FFax-
CONTRACTOR:*
(!r,-6AA P-Ac3le R-Ioi�_/12,
Pho
qY70
_62Z375"
Address (Street, City, State' Zip)- 1-11
A167 a4i4 m-ee,40 �Afirell,^e
E-Ma 'Q
roov� ek— I - C-1)
*Contractor must have a valid City of Edmonds business license phor to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
g_
7rg
A" 66 6 Da
City Business License #/Exp. Date:
A//Z - 0 1_q 3 q 17-/ 3 2- 1 -7
DETAIL THE SCOPE OF WORK: er-ove P_ -A C, 0 (Ne-
A in i- lbf\
PROPOSED NEW SQUARE F
OTAGE FOR THIS PROJECT:
Basement: sq. ft.
Select Basement Type: Finished LJ Unfinished L_]
I't Floor: sq. ft.
Garage/Carport: —sq. ft.
2 d Floor: sq. ft.
Deck/Cvrd Porch/Patio: sq. ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: scl.
Fire Sprinklers: Yes Ll
No
Retaining Wall: Yes L_J No
Ll
Grading: Cut _____cu. yds. Fill -cu.yds.
Cut/Fill in Critical Area: Yes U No LJ
I declare under penalty ofperjury laws that the information I have provided 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 to
the City of Edmonds. Agent/Other �K (specify):
Print Name: er UA Owner
Signature: Date: ILO (_7
FORM A LABuilding New Folder 2010\130NE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014