20170915125142.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 09/15/2017 Permit#: BLD20171267
Expiration Date: 03/15/2018 Project Address: 7909 218TH ST SW #H, EDMONDS
Z)
Parcel No: 00669300900800
ROSEMARY U WALTERS HOMAGE SENIOR SERVICES HOMAGE SENIOR SERVICES
7909 218TH ST SW UNIT 8 11627 AIRPORT RD SUITE B 11627 AIRPORT RD SUITE B
EDMONDS, WA 98026 EVERETT, WA 98204 EVERETT, WA 98204
(425) 672-6042 (206) 819-7057 (206) 819-7057
LICENSE #: SENIOSS2430H EXP:01/20/2018
JOB DIESCRIPTION
INSTALL 14ANDRAIL ON EXISTINGRAMP
ALL WORK SUBJECT TO FIELD INSPECTION FOR CODE COMPLIANCE
VALUATION: $250
PERMIT TYPE: Commercial
PERMIT GR UP: 43 - Miscellaneous
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBACK SIDIESETBACK REARSEUBACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: fi7Q—UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED: I
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION
/ 4 1 TFU$ AEPI INSURANCE AND RCW 18:27.
,6CATIQN IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID._
4w. Ld� t 7
/signature Print Name Date Released By V Date
ATTENTION
Vr 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 GRANTED. UBC109/ IBC1 I 0/IRC1 10
FIRE APPLICANT = ASSESSOR CITY
STATUS: ISSUED BLD20171267
CONI)ITIONS
• 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.
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 10:00arn 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 of this pern* 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 PRIVATEPROPERTY 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)
TOSCHEDULL INS PECTIONS
BUILDING
1. Go to: www.edmondswa.gov Building Department Inspections
2. Then: SeNces are now scheduled online. If you
3. Then: Perm its/Development have difficulties, please call the
4. Then: Online Permit Info Building Department front desk for
5: If you don't have one already, create a assistance during office hours.
login (upper right hand corner) (425) 771-0220
6: Schedule vour inspection
ENGINEERING (426) 771-0220 EXT. 1326
FIRE (426) 775-7720
PUBLIC WORKS (425) 771-0235
RECYCLING (426) 276-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
— being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
0 B-Buflding Final
ov ED,1`10
City of Edmonds
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
1215 th Avenue N, Edmonds, WA 98020
Phone 425.771.0220 2 Fax 425.771.0221
PLEASE REFER TO THE COMMERCIAL & MULTI -FAMILY BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State Zip)-
/Cla q rd A
Parcel #:
Subdivision/Lot #: 2- C
Project Valuation: $ 0 'ZI
APPLICANT:
Phone:
Fax:
Address (Street, City, State, Z*p)-
E-Mail Ajdress:
PROPERTY OWNER:
Vo SP_TW&U
Phone:
4251612-- 6()L42-
Fax:
Address (Street, City, State, Zip): -,I
Rfo ie
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Address (Street, City, State, ZA:
t 1 -7 Lp-f- I C
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
4A State License #/Exp. Date: 112
]VTO S3 ?14 J 0 H
City Business License #/Exp. Date:
tL- 10 ?,q 1 -7 -7
DETAIL THE SCOPE OF WORK: JA5A_Jk
4
PROPOSED NEW SQUARE FOOTAGE FOR THIS
PROJECT:
I st Floor: sq. ft.
2"" Floor:
—scl. ft.
3"' Floor: sq. ft.
Basement: sq. ft.
Garage:
scl. ft.
Deck/Cvrd Porch: —sq. ft.
Other: sq. ft.
Retaining Wall: YesJ7
NoF_1
Fire Sprinklers: YesF_� No
Occupancy Group(s):
Occupant Load(s):
Type(s) of Construction:
Grading: Cut cu.yds. Fill _cu.yds. I
Cut/Fill in CriticAl Area: Yes
I �]
No Li
Ideclare underpenalty ofperjury laws thatthe information Ihaveprovidedon 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 Ednihnds. �s
Print Name: t\/\. Owner 0 Agent/Othcr [&Specify):
Signature: Date: q -//-I
() hy
FORME LABuilding New Folder 201000NE &x-ferred to LBuilding-New driveTorm E 2014.docx Updated: 1/17/2014