20170703150754.pdf'01: bp
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 07/03/2017 Pnimk#.- SM20170949
Expiration Date: 01/03/2018 ProjectAddivss: 9.401 234TI-I ST SW -0B. EDNIONDS
Parcel No: 01087600000200
ELIZABETH PETRAS ELIZABETH PETRAS OWNER
9801 234TH ST SW UNIT 2 9801 234TH ST SW UNIT 2
EDMONDS, WA 98020 EDMONDS, WA 98020
(206) 619-1547 (206) 619-1547
LICENSE #: EXP
INSTALLNEW 48X48 WINDOW IN DININGROOM.
VALUATION: $1,646.00
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:
OTHER: ------- OTHER DESC:
IZONE:
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 0 HER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
RiONTSFFBACK S1l*,SL—FBA(-K REARSEFBA(-K
REQUIRED: PROPOSED: QUIRED PROPOSED 7RFO—U—IRED: PROPOSED
HEIGHT ALLOWED:O 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
THISAPPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR 111MIE'lZ DEPUTY AND ALL FEESARE PAID.
4'� tAk-c" -115 1 L-1
Signature Print Name Date
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. UBC] 09/ IBCI 10/ IRCI 10.
F-1 ONLINE APPLICANT ASSESSOR OTHER vv6
STATUS: ISSUED BLD20170908
CONI)ITIONS 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 from temporary construction s ites as a result of construction activity are exempt from the nois e 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 nois e originating from construction sites/acti vities 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
hanTdess the City of Edmonds, Washington, its officials, employees, and agents from any and all claims 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 T1ME LIMIT: SEE ECDC 19.00.005(A)(6)
CALL FOR INS PECTIONS
BUILDING (425) 771-0220 EXT, 1333 UNGINEFRING (425) 771-0220 Ex'r. 1326 FIRE (425) 775-7720
I PUBLIC WORKS (42-5) 771-0235 1 PIR&TREATNIENT (425) 672-5755 1 RECYCLING (425) 275-48
When calling for an inspection please leave the follovving information: Permit Number, Job Site Address, Type of Inspection being
reques (e(L Contact Name and Phone Number, Date Preferee(l, and mbetber vou prefer morni ne or afternoon.
• B-Framing
• B-Insulation/Energy
• B-Building Final
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WORK qq -6q
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ALL \f4ORK SUBJECT
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INSPECTION FOR
CIODE COMPLIANCE
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, 1p DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
1h
121 5 Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220!ft Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PI J ADDRESJ (Street, Suite #, City State, Zip):
WS t ;2 - I y L 27-L
Parcel #:
Subdivision/Lot #:
Project Valuation: $
APP�yNT-
tA t)��#S, CL
Phone:
'�76_.yq - �69 �
Fax:
I
Address (Street, City, Stat i p)
(7 IKO I 1� ?� V ��l S 7-rz 6� S t,/
E-Mtil Address:
c-e_V(26Xo0J5?(4Vc-�Wtk_
PROPERTY OWNER:
,� A-m (�
11L , 16 1 q
Nq 9 -36q'
Pax:
I
Address (Street, City, State, Zip):
E-Mail Address:
4� NDI G AGENCY:
Phone:
Fax:
^Ass (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
60o,v G U y S W/ A100 (41
Phone:
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
WA State License #/Exp. Date:
C J_4�� LV 36 9 ITI
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: C t(T- HO&C
K 14 1)
OWIV6�- i1Z6)d"l WACC-
L Lt/ /A) 19 0 Ld C 4r'
--rNSTACC AEPLAC&/ne_�UT_
<TZ4" AW10 6�=n106RS
/,J Ee7o F-0
PROPOSED NEW SQUARE F
OTAGE FOR THIS PROJECT:
Basement: sq. ft.
Select Basement Type: Finished LJ Unfinished U
I't Floor: sq. ft.t.
Garage/Carport: —sq.
2 d Floor: sq. ft.
Deck/Cvrd Porch/Patio: —sq.
Bedrooms # Full-3/4 Bath Half -Bath
Other: sq. ft.
Fire Sprinklers: Yes
L]
No 0
Retaining Wall: Yes
L]
NoLJ
Grading: Cut—cu. yds. Fill. cu.yd.7.1
Cut/Fill in Critical Area: Yes LJ 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: E T72A 5 -M—A,,ent/Other El (specify):
Signature: — Date: 74 �Z :Z
Z
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014