20170619141322.pdf0 1.0.11
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CITY OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 06/19/2017 Penwt#: BLD20170810
BUILDING PERMIT
Expiration Date: 12/19/2017 Project Address: 7317 LAKE BALLINGER WAY,
EDMONDS
PROPERTV OWNER APPLICAfIT C*r1T&ACT*&
PUNYA TEERANOOOIT PUNYA TEERANOOTI WEST COAST PROPERTY MAINT
7317 LAKE BALLINGER WAY 4102 SW AUSTIN ST CIO KON CHIN
EDMONDS, WA 98026 SEATTLE, WA 98136 12518 NE 163RD ST
WOODINVILLE, WA 98072
(425) 260-4464 (425) 260-4464 (425) 48 8-6045
LICENSE # WESTCPM027PO EXP:09/28/201 8
JOB DESCRIPTION
RE -ROOF; fNLCUDES SHEATHfNG
VALUATION: $0.00
PERMIT TYPE Residential
PERMIT GROUP: 54 - Re-Roof/RoofAltei-/Repair
GRADING N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY.
OCCUPANT GROUP:
OCCUPANT LOAD
FENCE: OXO FT)
CODE 2015
JOTHER: ------- OTHER DESC:
ZONE:
INUMBER OF STORIES 0
VESTED DATE:
NUMBER OF DWELLING UNITS 0
LOT 4:
IST I
OBASEMENT: 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 BAT HROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBACK StDESETBACK REARSETBACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: fR-EQUIRED: PROPOSED:
HEIGHT ALLOWED 0 PROPOSED:O 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 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID
?A'-yn(( -14('AA f, � /m h � A-U'�-� Q� o(oll?12-017
Signature Wint Nan-p,/ Date Released B& Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GR_ANTED.UBC109/1BCI 10/1RC 1 10.
ASSESSOR V\S?
ONLfNE APPLICANT I - I OTHER
STATUS: ISSUED BLD20170810
I 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 fin a] 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 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.
Sound/Noise originating from temporary construction sites as a result of construction activity are exempt firomthe 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
hannless the City of Edmonds, Washington, its officials, employees, and agents from any and all claim for damages of
whatever nature, aris ing 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)
PUBLIC WORKS (425) 771-0235 PRFPTREATMENT (425) 672-5755 RECYCLING025)2754870-1-1
When calling for an inspection please leave the follovving information: Permit Number, Job Site Address, Type of Inspection being
reques ted, Contact Name and Phone Number, Date Pre lereed, and mbether Vou vrefer morn i ni! or afternoon.
• B-Roof Sheathing
• B-Building Final
1C E 1)
C)
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
9,3 Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMI77AL REQUIREMENTS
PROJECT ADDRESS (Street, Suite y State, Zip):
1 13 17 LA� 3<lhk4�,
Parcel #:
Subdivision/Lot #:
Project Valuation: $
APPLICANT: 1)1��I�>v 71
Phone:
Fax:
Address (Street, City, Stal AAJ
E-Mail Address -
PROPERTY OWNER:
PJIVI
Phone.
4 7-q 7-& 0 -
Fax:
Address (Street, Cit State Z' AJ �klU
E-Mail Address:
LENDING AGENCY: P(A
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:* Wt.6
Phone:
Fax�
Address(Str et,Cit , ate Zip):
StA-Aff fO
E-Mail Address:
Kv v% CA ) m 9 11 ID
177-
*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
WA State Liccnsc #/Exp. Date:
W E57 - CXN 02--1
City Business Liccns6 #/Exp. Date:
DETAIL THE SCOPE OF WORK:
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: sq. ft.
Select Basement TyE��nished LJ Unfinished LJ
J." Floor: ;,o 0 Sq. ft.
Garage/Carport: _ -sq.
2 d Floor: scl. ft.
Deck/Cvrd Porch/Patio: Sq.
Bedrooms# 15 Full-3/4 Bath #-3- Half -Bath #_
Other: Sq.
Fire Sprinklers: Yes
L_J
No a
etaining Wall- YesTT
No
Grading: Cut cu. vds. Fill -cu.yds.
i Cut/Fill in Critical Area: Yes L_J No,
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.
Print Name: PC4 A; Owner;;�Kent/Other F1 (specify):
Signature: Date:
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014