20170713111823.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 07/13/2017 Permitim RLD,20170951
Expiration Date: 01/12/2018 Proliect Wdress: 1020 WALNUT ST, EDMONDS
Parcel No: 00434203500800
TIMOTHY & MARIA E HEWETT
STAR ROOFING& CONSTR INC
STAR ROOFING& CONST R INC
1026 WALNUT ST
C/O GREG OSTOLAZA
C/O GREG OST OLAZA
EDMONDS, WA 98020-3336
16912 9TH AVE SE
16912 9TH AVE SE
MILL CREEK, WA 98012
MILL CREEK, WA 98012
(425) 290-7827
(425) 290-7827
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LICENSE 4: starrci994kh EXP: 10/31/2018
RE -ROOF; NO SHEA TFUNG
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 DESC:
ZONE
R STORIES: 0
VESTED DATE:
UMBER OF
F DWELLING UNIT S: 0
LOT #
B A SiE MOE NT! 10 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3 3RD FLOOR.,
RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
B BEDROOMS.,
EDROOMS: 0 BATHROOMS� 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBACK swEsFrBACK REA 11 S ETRACK
REQUIRED: PROPOSED ��REQUIRED� PROPOSED: TQ: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 ISNQT--A-RERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL ORHIS/HERDEPUTY AND ALL FEESARE PAID
W
/3 -,Po "p6L'f�' -71011-7
f .
-'T ---§!Kature --Pfint Name Date Rele�sed By u 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. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTBER
STATUS: ISSUED BLD20170951
CONDITIONS I
• 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. Cbeckthejob 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.
• 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 7:00amto 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
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 fromthe issuance for this pennit. Issuance ofthis 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)
CALL FOR INSPFCTIONS
I BUILDING (425) 771-0220 EXT. 1333 ENGINEERING (425) 771-02w EXT. 1326 FI RE (425) 775-77
PUBUC WORKS (425) 771-0235 PRFTREATMENT (425) 672-5755 RECYCLING (425) 2 5-48 �1
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 vdiether you prefer morning or afternoon.
• B-Roof Tear Off
• B-Building Final
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 It Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADPRESS (Street, Suite #, City State, Zip)-
arcel #:
jg±ff!� 161.74 wdlnal!�;ia Fa4m,
Subdivision/Lot #:
Project Valuation: $ 00 Z) 4510
APPLICANT:
Flione:
-7
Ax:
1&- 742
Addre *7teet, city tateAZ'P):
E-Mail Address:
el
q%_r&4Z op 4XV,&OW:
PROYE, RTY OW ER-
Phone:
Fax:
Addre5s Street,,City. State Zip):
1
3
E-Mail Address:
167 Z -4
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:* Q
Phone:
Fax:
_44 ve qr.�$ ^_ L000, 0_1
ddress (Street, City, Statq, Zip)-
A./
E-Mail Address:
*Contractor must have a valid City of Edmonds business license pr ior to
WA State License #/Exp. Date..
(C q q /0 -
city usiness License #/Exp. Date:
kO.-X3
doing work in the City. Contact the City Clerk's Office at 425.775.2525
A 351 U-1 - 05
-It/ R—e V16P el-4c
DETAIL THE SCOPE OF WORK: C_0.�VJ?405'1
PROPOSED NEW SQUARE F
OTAGE FOR THIS PROJECT:
Basement: sq. ft.
Select Basement Type: Finished L] Unfinished Ll
V 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: sq. ft.
Fire Sprinklers: Yes
L] No[—]
Retaining Wall: Yes
[_1
No
LJ
Grading: Cut —cu. yds. Fill —cu.yds. I
Cut/Fill in Critical Area: Yes L] No
I declare underpenalty 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: Owner �2r/Agent/Other 0 (specify):
Signature: Date:
6�
FORM A LABuilding New Folder 2010\130NE & x-ferred to L-Building-New driveTorm A2014.docx Updated: 1/17/2014