BLD20110003.pdf4
OF EO,yf
C A J r N4 -
STATUS:
-
STATUS: ISSUED 4/11/2011
Expiration Date: 4/11/2012
Parcel N o: 00662200001200
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CITY OF EDMONDS
1215TH A VENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permits#: BLD20110003!
,Project Address: 8216 211TH PL SW, EDMONDS
PROPERTYOWN V %e*N I &AU 1411(
JAMES M & LINDA A ZAHNOW SORENSON DARYL CONTRACTOR EXEMPTION
8216 21 ITH PL SW 20816 HUBBARD RD 8216 21 ITH PL SW
EDMONDS, WA 98020- LYNNWOOD, WA 98036- EDMONDS, WA 98020-
(425)774-4431 Ext. (206)948-9586 Ext. (425)774-4431 Ext.
LICENSE #: EXP:
JOB DESCRIPTION
GARAGE ADDITION 332 sf
VALUATION IS $13,147.20
VALUATION: $13,147
COMPLETED
PERMIT TYPE: Residential
PERMIT GROUP: 33 - Garage
GRADING:N CYDS:0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE:
OTHER:N------- OTHERDESC:
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 ISI' FLOOR:0 2ND FLOOR: 0
,3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 332 DECK: 0 OTHER: 0
'El'BACK
REQUIRED: N 25 PROPOSED: 25+ REQUIRED: E 7.5 PROPOSED: 7.5 REQUIRED: W25 PROPOSED: 25+
HEIGHT ALLOWED:25 PROPOSED:17 REQUIRED: S7.5 PROPOSED: 15
SETBACK NOTES: Setbacks to garage addition
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,
THIS APPLICATION ISNOT A WRj11T UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Name
I =
sed By
ATTENTION
]TIS 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.
= ONLINE = APPLICANT = ASSESSOR ® OTHER
.•4h
STATUS: ISSUED
BLD20110003
• An inspection is required to verify that the swale of the vegetated path meets approved plans. The inspection should occur
when the trench (swale) is dug so that the minimum 27 long by 2' wide by 8" deep swale is constructed as approved.
• Lot line stakes must be in place at the time of foundation/setback inspection.
• 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 altemate 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 exempt from the noise limits
of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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 lirnit 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 ENGUMMING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425)672-5755 RECYCLING (425) 2754801
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.
Vegetated Path - Swale (27x2'x8" )
• &Engineering Final
• B -Setbacks
• B -Footings
• B -Foundation Wall
• B -Foundation Drainage
B -Roof Sheathing
• B -Shear Nailing
• B -Framing
• B-Sheetrock Nail
• B -Building Final
Inspection
0*�)'
Comments
BLD20110003
33 - Garage
PERMITTRAX
Applied: 01/03/2011
Issued: 04/11/2011
Expires:
04/11/2012
Address: 8216211TH PL SW, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1001 - Vegetated Path - Swale (27'x2'x8")
05/27/2011
MCCONNELL
CMP
Comment: Water tested TL. Flows to rock
swale, no ponding.
1077 - E-Engineering Final
06/28/2011
ZULAUF
CMP
Comment: Ok to final
1106 - B-Setbacks
05/13/2011
STEINIKE
CMP
Comment:
1108 - B-Footings
05/13/2011
STEINIKE
CMP
Comment:
1110 - B-Foundation Wall
05/13/2011
STEINIKE
CMP
Comment:
1112 - B-Foundation Drainage
05/16/2011
STEINIKE
CMP
Comment:
1132 - B-Exterior Wall Sheathing
06/01/2011
STEINIKE
CMP
Comment:
1133 - B-Roof Sheathing
06/01/2011
STEINIKE
CMP
Comment:
1136 - B-Shear Nailing
06/07/2011
STEINIKE
CMP
Comment:
1142 - B-Framing
06/02/2011
STEINIKE
PAR
Comment: Ok to insulate , but need electrical installed.
1142 - B-Framing
06/07/2011
STEINIKE
CMP
Comment:
1150 - B-Sheetrock Nail
06/28/2011
LAWLER
CMP
Comment:
1158 - B-Building Final
06/28/2011
LAWLER
CMP
Comment: y
6/28/2011 2:14:54 PM 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 he/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
/ less than twelve months. RCW 18.27.090(11).
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. Propertyowner 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 3/ day of , 20
PROPERTY OWNER/AUTHORIZED
PERSON
ignature
J4W ar,—z
Print Name
WITNESS
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07