3529_001.pdfOv ED4.f
CITY OF EDMONDS
121 5TH AV13-�UE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 08/08/2018 Pennit#: BLD20181066
BUILDING PERMIT
Expiration Date: 02/08/2019 Project Address: 224 3RD AVE S #30 1, EDMONDS
Parcel No: 00681000030100
PROPERTYOWNER APPLICANT CONTRACTOR
APARTMENTS LLC JASPER APARTMENTS LLC JASPER OWNER
224 3RD AVE S UNIT 301 224 3RD AVE S UNIT 301
EDMONDS, WA 98020-3535 EDMONDS, WA 98020-3535
(253) 8S4-3596 (253) 854-3596
LICENSE #: EXP.
JOB DESCRIPTION
FIRE DAMAGE, KITCHEN, OVER THE COUNTER.
VALUATION: $19,650
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION:
RETAININGWALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: OXO FT-)
COD`F-
OTHER: ------- OTHER DESC:
IZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
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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
FRONTSLTBACI� SIDESFFBACK RLARSIFTRACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: ��REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
PERMIT APPROVAL
IAGREETO COMPLY WITH CITY ANDSTATELAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHOREED THEREBY, NO
PERSONVALL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TOWORKMEN'S COMP94SATION
INSURANCE AND RCW 18:27. 0
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
r_)C�
Z�>g4eiz z6adA0, AUG 8, 2018
SieWture Print Name Date Released By 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.
FIRE APPLICANT ASSESSOR CITY
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
FORMI)
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property ow ' ner or
authorized person, by their signature below, ' hereby verifies to the City of Edmonds that'
0 Value of work under $500.00. The aggregate c . ontract price of labor and materials and all
other items required for the project.is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that he/she is
a contractor, or that he/she is' qualified to engage in the: business of contractor. RCW
18.27.090.(9).
0 Owner who contracts for a project. A property owner contracting with registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or §elling improved property that he/she has owned for
less than twelve months. RCW 18 27.090(l I). king on property
Work performed personally on own . property. Anyone personally wor
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18,27.090(12).
0 Use of own employees. - Property. owner using him/herself or his/her own employees to
perforin maintenance, repair, and. alteration work in or upon his/her own property. RCW
18.27.090(13).
0 Licensed Architect, engineer, electrician or plumber. All work perfon-ned under this
permit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
0 Other. Specify which provision of RCW 18.27.090 applies: -
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVII)ED. ON THIS FORM IS TRUE AND ACCURATE TO TEE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT T * HE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED
DATED t1us day of .20
PROPERTY OWNER/AUTHORIZED
aPE 0 N.
.1 A.441
Signature
CL:e V-/
Print NaTr(e
)N=S&
Signature
Dent'bc-
Print Name
LATEMP\BTJILDINGV1ANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
Jasper Project Cost Estimate
224 3'd Ave S. Edmonds, Wa.
Manager— Mike Jasper -253 854 3596 Job- Lead Rick Katana 253 254 1780
Scope of work:
Rebuild kitchen after fire damage.
To include:
Framing: 14 In. ft. 2x4x8'studwall. Misc. blocking and bracing as needed.
Electrical: Add 6 can lights, relocate range outlet, add countertop receptacles.
Insulation: Replace 225 sq, ft. ceiling insulation R-30, replace 110 sq. ft. wall insulation R-13,
seal all penetrations with fire foam.
Drywall: walls and ceiling to be 5/8. 700 sq. ft.
Paint: by owner
Flooring: 250 sq. ft. LVT flooring
Millwork: Base
Cabinets: Per owner preference
Countertops: owner preference
Estimated costs -
Framing $500
Electrical $2000
insulation $500
Drywall $2200
Paint $200
Flooring $1900
Millwork $350
Cabinets installed $8500
Countertops $3500
Total $19,650