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BLD20100421.pdfOV EDM IIII��III CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 10/4/2010 Expiration Date: 10/4 Parcel No: 00408800000800 i'" 1 --- -Pernut #: BLD20100421 Project Address: 21703.85TH-PL,W, EDMONDS'. MILTON E & VICKI THOMPSON MILTON E & VICKI THOMPSON CONTRACTOR EXEMPTION 21703 85TH PL W 21703 85TH PL W EDMONDS, WA 98026-7827 EDMONDS, WA 98026- 782 (425) 447-7605 Ext. (425) 447-7605 Ext. ( ) - Ext. LICENSE N: EXP: 670 SQ FT ADDITION FOR BEDROOM SUITE. 14 VALUATION: $68,340 19 19C ug" M P L mLn T E Lmo PERMIT TYPE: Residential PERMIT GROUP: 02 - Addition GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: N OCCUPANT GROUP: R3 i OCCUPANT LOAD: FENCE: N ( 0 X 0 FT.) CODE: 06 OTHER: N ------- OTHER DESC: ZONE: RS -8 NUMBER OF STORIES: 1 VESTED DATE: NUMBER OF DWELLING UNITS: I LOT N: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 670 2ND FLOOR: 0 PRD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 REQUIRED: W 25 PROPOSED: 25+ REQUIRED: N_7.5 PROPOSED: 28 REQUIRED: E 15 PROPOSED: 55 HEIGHT ALLOWED:25 PROPOSEDA6 REQUIRED: S7.5 PROPOSED: 40 SETBACK NOTES: Setbacks to addition only 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 HISIHM DEPWTY AND ALL FEES ARE RAID. Im 0! Of Vol Print Name Date Date ATTENTION v 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/ IBC 10/ IRC I 10. ., •mow r • ar ONLINE APPLICANT ASSESSOR EYOTHER AW. -PG S.ev* gtt,5/( ( STATUS: ISSUED BLD20100421 • 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. Check the job 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 sites as a result of construction activity are eyom>pt from the 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 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 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) BUILDING (425) 771-0220 EXT. 1333 1 ENGWFEiI1NG (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1 PUBLIC WORKS 425 771-0235 PRETREATMENT 425 672-5755 1 RECYCLING 425 275-4801 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 Prefereed and whether you prefer mornine or afternoon. • F Erosion Control/Mobilization • E,Footing Drywell • EEngineering Final • B -Setbacks • B -Footings • B -Foundation Wall B -Foundation Drainage • B -Plumb Rough In • B -Exterior Sheathing • B -Framing • B-WallInsulation/Caulk • B -Floor Insulation/Caulk B -Ceiling Insulation/Caulk • B-Sheetrock Nail • B -Plumbing Final • B -Mechanical Final • B -Building Final Inspection Comments BLD20100421 02 - Addition PERMtT'7'RAX Applied: 06/23/2010 Issued: 10/04/2010 Expires: 10/04/2013 Address: 21703 85TH PL W, EDMONDS INSPECTION DATE INSPECTOR ACTION 1001 - E-Erosion Control/Mobilization 12/27/2010 SIBREL PAR Comment: TESC accomplished via existing vegetation. 1001 - E-Erosion Control/Mobilization 09/25/2013 ZULAUF CMP Comment: ok at final 1018 - E-Footing Drywell 12/27/2010 SIBREL CMP Comment: Approved. 1077 - E-Engineering Final 09/25/2013 ZULAUF CMP Comment: ok to final 1106 - B-Setbacks 12/07/2010 STEINIKE CMP Comment: 1108 - B-Footings 11/22/2010 STEINIKE CMP Comment: 1110 - B-Foundation Wall 12/07/2010 STEINIKE CMP Comment: 1112 - B-Foundation Drainage 12/22/2010 STEINIKE CMP Comment: 1122 - B-First Floor Framing 01/18/2011 LAWLER CMP Comment: 1126 - B-Plumb Rough In 03/18/2011 STEINIKE CMP Comment: 1130 - B-Mechanical Rough In 09/13/2011 STEINIKE CMP Comment: 1132 - B-Exterior Sheathing 02/23/2011 LAWLER CMP Comment: 1133 - B-Roof Sheathing 02/10/2011 STEINIKE CMP Comment: 1142 - B-Framing 10/22/2012 LAWLER COR Comment: 1.) Provide documentation showing U values of aluminum windows meeting the minimum .35 as indicated on approved plans. The Alside window company stickers attached to the 36x60 570 series indicate solid vinyl windows. 2,) Windows need loam rope or caulk 3.) performing a component performance analysis is an option for the aluminum windows 4.) Framing itself looks good. 1142 - B-Framing 04/08/2013 LAWLER CMP Comment: additional insulation was installed at flat ceiling area 5/21/2014 11:29:18 AM Page 1 of 2 INS' PECTION _ _ _-B-Wall ^� DATE ^12/04/2012 INSPECTOR ACTION 1144 Insulation/Caulk LAWLER CMP Comment: 1146 - B -Floor Insulation/Caulk 12/04/2012 LAWLER CMP Comment: 1148 - B -Ceiling Insulation/Caulk 12/04/2012 LAWLER CMP Comment: 1150 - B-Sheetrock Nail 04/08/2013 LAWLER CMP Comment: 1152 - B -Plumbing Final 10/01/2013 LAWLER CMP Comment: 1156 - B -Mechanical Final 10/01/2013 LAWLER CMP Comment: 1158 - B -Building Final 10/01/2013 LAWLER CMP Comment: 5/21/2014 11:29:18 AM Page 2 of 2 EXEMPTION FROM CONTRACTOR REGISTRATION VERIFICATION FORM D 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 owner or authorized person, by their signature below, hereby verifies to the City of Edmonds that: ❑ Value of work under $500.00. The aggregate contract 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 lie/she is a contractor, or that he/she is qualified to engage in the business of contractor. RCW 18.27.090(9). ❑ 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 selling improved property that he/she has owned for ss than twelve months. RCW 18.27.090(11). AeW'ork performed personally on own. property. Anyone personally working on property 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 perform maintenance, repair, and. alteration work in or upon his/her own property. RCW 18.27.090(13). ❑ Licensed Architect, engineer, electrician or plumber. All work performed 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 PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE 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 THE BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED. DATED this _ day of 20� PROPERTY OWNER/AUTHORIZED PERSON Signature - - 1 g2 4 l Lot. 06, DS — Print Name WITNESS 1i I l I / i4A a.Print Name L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM D.DOCREVISED 7/07 >.; II aen me w sacra, Z' 1,dAIV 1d ?J001d NI dW 01-191-0 o f aivo LLI — I>��Q''°�"°"°� • • 9Z096 VM 'SQNOW(33 '1S3M 7d tt158 £OLIL 11IW iS2Q S2x00dg ioaroad t 1 ! 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