BLD20100567.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
0100567!
Expiration Date: 4/7/2012,
Parcel No: 00554900002400
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LESLIE E & TODD A WILKIE LESLIE E & TODD A WILKIE HOMEOWNER
24301 101ST AVE W 24301 101ST AVE W
EDMONDS, WA 98020- 571 EDMONDS, WA 98020- 57
(206)546-2643 Ext. (206)546-2643 Ext. ( ) Ext.
LICENSE #: EXP:
JOB DLSCRIPTION
ADD 70 SQ. FT. ONTO THE FIRST FLOOR TO ADD MORE ROOM IN BEDROOMS 2 AND 3 AT THE NORTH W EST SIDE OF THE
HOUSE. Amma
VALUATION: $7,140 Cu FLmEmTEU"'�`
PERMIT TYPE: Residential
PERMIT GROUP: 02 - Addition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
ZONE: RS -8
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1ST FLOOR:0 2ND FLOOR:0
BASEMENT: 0 IST FLOOR: 70 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED: W 25 PROPOSED: 25 REQUIRED: N 7.5 PROPOSED: 10 REQUIRED: E 15 PROPOSED: 15+
HEIGHT ALLOWED:25 PROPOSED:15.5 REQUIRED: S7.5 PROPOSED: 7.5+
SETBACK NOTES: Setbacks shown to addition
1 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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18',27.
THISAPPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND—ALL FEESARE PAID.
a ure In Name o Date Released By Date
ATTENTION
ITIS UNLA WFUL 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.
0 ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: READY TO ISSUE BLD20100567
CONDrrl0NS
• Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309
• 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 fromtemporary construction sites as a result of construction activity are exempt fromthe 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 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 TIME LIMIT: SEE ECDC 19.00.005(A)(6)
CALL FOR INS PucrIONS
BUILDING 425) 771-0220 EXT. 1333 ENGINEERING 425 771-0220 EXT. 137—F FIRE 425 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT (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 morning or afternoon.
• E -Erosion Control/Mobilization
• &Engineering Final
• B -Setbacks
• B -First Floor Framing
B -Plumb Rough In
B -Gas Test/Pipe
B -Exterior Sheathing
• B -Framing
• B-WallInsulation/Caulk
• B -Floor Insulation/Caulk
• B -Building Final
oF-E04f Inspection
Comments
-
BLD20100567
02 - Addition
Applied: 08/12/2010
Issued: 04/07/2011
Expires:
04/07/2012
JOc. I89O
Address: 24301 101ST AVE W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1001 - E -Erosion Control/Mobilization
05/19/2011
LAMBERTJ
PAR
Comment: TESC adequate at this time.
1001 - E -Erosion Control/Mobilization
11/04/2011
MCCONNELL
CMP
Comment: Project finaled.
1077 - E -Engineering Final
11/04/2011
MCCONNELL
CMP
Comment: Approved.
1106 - B -Setbacks
05/23/2011
STEINIKE
CMP
Comment:
1108 - B -Footings
05/23/2011
STEINIKE
CMP
Comment:
1110 - B -Foundation Wall
05/23/2011
STEINIKE
CMP
Comment:
1132 - B -Exterior Sheathing
06/15/2011
STEINIKE
CMP
Comment:
1142 - B -Framing
06/30/2011
STEINIKE
COR
Comment: Gave correction notice.
1142 - B -Framing
11/03/2011
LAWLER
CMP
Comment: by RS -(signed off on inspection card)
1144 - B -Wall Insulation/Caulk
07/11/2011
STEINIKE
CMP
Comment:
1146 - B -Floor Insulation/Caulk
11/03/2011
LAWLER
CMP
Comment:
1158 - B -Building Final
11/03/2011
LAWLER
COM
Comment: okay to final after engineering and electrical approval
1158 - B -Building Final
11/04/2011
FRONT
CMP
Comment:
5/11/2012 1:33:37 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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).
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 selling improved property that he/she has owned for
/Aess than twelve months. RCW 18.27.090(11).
E Work 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).
❑ 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).
❑ 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 I P
PROPERTY OWNER/AUTHORIZED
PERSON
Signa e
Print Name
WITNESS.
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07