20170605104546.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 06/05/2017 RLW24170,745
Expiration Date: 12/05/2017
Parcel No: 00555000003700
I I roj (. c ( k t I t I I -v s,,: 2 4 0 3 2 11) 2 N 1) P L NY, ED MWONDS
ZACH MCDONALD
ZACH MCDONALD
M 0 CONSTRUCTION
24032 102ND PL W
24032 102ND PL W
CIO MYRON OLSOE
EDMONDS, WA 98020
EDMONDS, WA 98020
8542 17TH AVE NW
SEATTLE, WA 98117
(425) 343-3661
(425) 343-3661
(206) 354-6095
LICENSE #: MOCON**007NW EXP:07/16/2017
JOB DF—SCIUPTION
INSTALL FGRl-SS WINDOW (REMOVE OLD, ENLARGE).
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 43 - Miscellaneous
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 FLOOk 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
I BEDROOMS: 0 BATHROOM& 0
1 BEDROOMS: 0 BATHROOMS: 0
FRONTSETBA('K SIDLSFIrBAUK RLARSETRACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED. FR-EQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED-0 IREQUIRED: PROPOSED: I
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 RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS 9�PLICXWON IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HJS/HFR DEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date Rele&ed By
ATTENTION
IT IS UNL AW FUL TO USE OR 0 CCUP Y A BUILD IN G OR STRU CTU RE UNTIL A FIN AL IN SP ECTION H AS BEEN MADE AND AP P ROVAL OR A CERTIFICA TE OF
OCCUP AN CY H AS BEEN G RANTED - UBC 10 9/ IBC I 10 1 IRC I 10
ONLINE APPLICANT = ASSESSOR OTBER
STATUS: ISSUED
BLD20170745
• 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. 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. from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Cbapter 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 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 from the issuance for this 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.
PERMITTIME LIMIT. SEE ECDC 19.00.005(A)(6)
CALL FOR INSIPFf"I"JONS
BUILDING (425) 771-0220 EXT. 1333 04GINEERING (425) 771-0220 EXT. 1326 FIRE(425) 775-7720
I PUBLIC WORKS (425) 771-0235 1 PRE-TRE4,TMENT (425) 672-5755 1 RECYCLING (425) 275-4801 1
When calling for an inspection please leave the follov4ng information: Permit Number, Job Site Address, Type of Inspection being
requested Contact Name and Phone Number, Date Prefereed. and whether you prefer morning or afternoon.
• B-Window Flashing
• B-Framing
• B-Building Final
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5h Avenue N, Edmonds, WA 98020
":St. 1 %91 Phone 425.771.0220 2 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITrAL REQUIREMENTS
PROJECT ADDRESS (Str et, uite #, City St�tq, Zip):
DA C� -:�;z I ca- w_-o�
4-4J
,
Parcel #:
Subdivision/Lot #:
Project Valuation: $
_F
,42]�LICAPT:
Phone:
Fax:
ress (Street, City, Stat Zi
E-Maill A ddrqs: 1
;C0 OR
yv K"
POINVNER:
&�, —c- I /- a Y-�
Phone:
Fax: V
Address (Street, City, State, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
1
14.--
Address (Street, City, State, Zip):
E-Mail Address:
CCj,NTRACTOR-*
A__`10
Phone:
-35,-1
FFax:
AM (,6 .41 )'I
ZM —
Address (Street, City, State, Zip),
q _ " 6 �3
I L
17tJ
E-Mail Address:
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to
t*-kbr 6j��-A A 6 OKI ItQl
iness icense #/�,v. Date-
'��
doing work in the City. Contact the City Clerk's Office at 425.775.2525
-7 1
DETAIL THE SCOPE OF WORK:
('1U , ,
V ('p-,"LOV0. \Jew
Ktj V1
PROPOSED NEW SQ0ARE F
OTAGE FORTH IS PROJECT:
Basement: sq. ft.
Select Basement Type: Finished LJ
Unfi i7she�d
I" Floor: sq. ft.
Garage/Carport: —sq. ft.
2 nd Floor: sq. ft.
Deck/Cvrd Porch/Patio: sq. ft.
Bedrooms # I Full-3/4 Bath # Half -Bath #
Other: sq. ft.
Fire Sprinklers: Yes
7
N--7
o
Retaining Wall: Yes 1-1
No
Grading: Cut —cu. yds. f-ill —cu.yds. 1
Cut/Fill in Critical Area: Yes LJ No
Ideclare underpenalty ofperjury laws thatthe information Ihaveprovided on this formlapplication is true, correctand
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 Nam,-7" A
OwnergAgent/Other 0 (specify):
Signature: "� b, At-
Date:
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New driveTorm A2014.docx Updated: 1/17/2014