20170608101452.pdf01;
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
C. I "")"I
STATUS: ISSUED 06/08/2017 Pe miii fi: B LD20170763
Expiration Date: 12/08/2017
Parcel No: 00434207300100
810 NN'.-kLNL-r ST, LDNIONDS
GLEN SAFADAGO
SOUTH TACOMA GLASS INC
SOUTH TACOMA GLASS INC
8 10 WALNUT ST
CIO GUY HEMLEY
CIO GUY HEMLEY
EDMONDS, WA 98020
8915 LAKEVIEW AVE SW
8915 LAKEVIEW AVE SW
LAKEWOOD, WA 98499
LAKEWOOD, WA 98499
(206) 412-5219
(253) 537-7132
(253) 537-7132
LICENSE #: SOUTHTGO14L9 EXP:09/09/2017
REPLACE I I WINDOWS AND ONE PATIO DOOR LIKE FOR LIKE.
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: 0 X 0 FT.)
CODE: 2015
IOTHER: ------- OTHERDESC:
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
FRONTSETBAUK S1 S , ACK I ' IS , A('k
REQUIRED: PROPOSED IREQUIRED. PROPOSED: FRE—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 RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27
IS-4444JC—ATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID
WV2o17 A-ud&� Q&Z� 0 (olo e12- 0 / 7
sZ------/S1gnature Print Nahie Date I ( Released By �/ Date
ATTENTION
ITIS UNLAWFULTO 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 101 IRCI 10.
ONLINE APPLICANT = ASSESSOR F-71 OTHER
STATUS: ISSUED BLD20170763
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. Checkthe job 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 specifical�y 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 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 claim for damages of
whatever nature, arising directly or indirectly from the 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 CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT. SEE ECDC 19.00.005(A)(6)
C,ALL FOR INS PECTIONS
BUILDING (425) 771-0220 EXT. 1333 ENGINEERING (425) 771-0220 EXT. 1326 FIRE(425)7 -7720
I PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 1 RECYCUNG (425) 2 548=
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 mbether vou urefer morning or afternoon.
• B-Window Flashing
• B-Building Final
ov. F-b-40
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
1215 1h 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):
'910 VVAIVLR+ _"t
Parcel #: -1 IS 3 -7 0 2_1 '91
Subdivision/Lot #:
Project Valuation: $ +
APPLICANT:
!�uu+IA-Teic,,quda lacs
Phone:
?S* 507 - 7 ijn 1
Fa
z48 i
Address (Street, City, State, Zip):
Mis- 1_,eL1Le_Lje_w
W^
E-Mail Address:
&W-e
PROPERTY OWNER: -
te m ,
&�i-frz,.5k!u
Phone- Fax:
2,01a - L11 7— - 5 2- P7
Address (Street, City, State, Zip):
E-Mail Address:
el!�L.-Jfiel dnt
LENDING AGENCY:
Pgone:'
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
�� &,Taemm 6 16Ec f 2-�s
Phone:
?5a58?_ 24/0
Fax:
-.25-3 S62 - -2 ZM I
Address (Street, City, State, Zip): &kLLb_ 0_0
Im Is LAua� AelAA AVY S-1Z I LA qrW-qq
E-Mail Address:
1, !� - e
*Contractor must have a valid City ofEdmonds business license ior 0
doing work in the City. Contact the City Clerk's Office at 425.7772525
WA State License #/Exp. D t
1-7 S; q S, M1 2;, 11 U 11
ity Business License #/Exp. Date:
rclOV91 — 0 2 qq1 0
DETAIL THE SCOPE OF WORK: Im �Ia tt 11 wrid(as
Aftd bw pi.Ao dow like
PROPOSED NEW SQUARE F
OTAGE FOR THIS PROJECT: AIIA __77_
Basement: sq. ft.
Select Basement Type: Finished Ll Unfinished
V Floor: sq. ft.
Garage/Carport: —sq. ft.
2" Floor: s . ft.
Deck/Cvrd Porch/Patio: sq. ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: sq. ft.
Fire Sprinklers: Yes
0
No
1 Retaining Wall: Yes
L]
No
Ll
Grading: Cut -cu. yds. Fill cu.yds.
I Cut/Fill in Critical Area: Yes L] No LJ
Ideclare underpenalty ofperjury laws that the information I haveprovided 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 ofEdmonds.
Print Name: e Wr_� li-ptiq Owner Agent/Other [�K(specify): el"t 4-4-c*y
Signature: Date:
k-/
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014