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BLD20110155.pdfIIII�lIII �y OV EDA, CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 890 STATUS: ISSUED 7/14/2011 Parcel No: 00481600300600 DEL & KELLY BILLINGS DEL & KELLY BILLINGS HOME OWNER EXEMPTION TAKEN 18916 83RD AVE W 18916 83RD AVE W EDMONDS, WA 98026- EDMONDS, WA 98026- (425) 308-7478 Ext. (425) 308-7478 Ext. ( ) - Ext. LICENSE k: EXP: ADDTION TO EXISTING HOUSE. VALUATION: $94,350.00 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 -10 NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 IST FLOOR: 940 2ND FLOOR: 1468 BASEMENT: 0 1ST FLOOR: 871 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 528 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 E UIRED: E = 25' PROPOSED: 25'+ RE UIRED: N = 10' PROPOSED: 10'+ 1 REQUIRED: W = 20' PROPOSED: 20'+ [EIGHT ALLOWED:25 PROPOSED:13.59 I REQUIRED: S = 10' PROPOSED: 14' ETBACK NOTES: IA R TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING TI{E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF T14E STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIPLI _ T f A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUIWMND ALI. FEES ARE PAID. lgnituie Print Name Date Released By Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC 110/ IRC I 10. = ONLINE = APPLICANT = ASSESSOR = OTHER STATUS: ISSUED BLD20110155 • 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. • 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 7:00am 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. • Call for locates of underground utilities prior to any excavation. • Maintain erosion & sedimentation control per city standards. • Nothing in this permit approval process shall be interpreted as allowing or permitting the maintenance of any currently existing illegal, nonconforming or unpermitted building, structure or site condition which is outside the scope of the permit application, regardless of whether such building, structure or condition is shown on the site plan or drawing. Such building, structure or condition may be the subject of a separate enforcement action. 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) FBUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 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 • E -Engineering Final • B -Setbacks • B -Footings • B -Foundation Wall • B -Foundation Drainage • B -First Floor Framing • B -Plumb Rough In B -Mechanical Rough In • B -Exterior Wall Sheathing • B -Roof Sheathing • B -Framing • B-Insulation/Energy • B-Sheetrock Nail °V E°M�� Inspection Comments BLD20110155 02 - Addition Applied: 03/08/2011 Issued: 07/14/2011 Expires: 07/14/2012 �0c. I R90 Address: 18916 83RD AVE W, EDMONDS (INSPECTION DATE INSPECTOR ACTION 1001 - E -Erosion Control/Mobilization 07/19/2011 LAMBERTJ PAR Comment: TESC adequate at this time 1001 - E -Erosion Control/Mobilization 01/03/2012 LAMBERTJ CMP Comment: Final Approved - homeowner will install grass in right-of-way in the spring - current cover over soils adequate at this time. 1077 - E -Engineering Final 01/03/2012 LAMBERTJ CMP Comment: Final Approved 1106 - B -Setbacks 07/21/2011 STEINIKE CMP Comment: 1108 - B -Footings 07/20/2011 STEINIKE COM Comment: Not ready. 1108 - B -Footings 07/21/2011 STEINIKE CMP Comment: 1110 - B -Foundation Wall 07/21/2011 STEINIKE CMP Comment: 1118 - B -Slab Insulation 08/01/2011 STEINIKE CMP Comment: 1130 - B -Mechanical Rough In 11/10/2011 LAWLER CMP Comment: 1132 - B -Exterior Wall Sheathing 08/29/2011 STEINIKE CMP Comment: 1133 - B -Roof Sheathing 08/29/2011 STEINIKE CMP Comment: 1142 - B -Framing 10/20/2011 STEINIKE COR Comment: Gave correction notice. 1142 - B -Framing 11/02/2011 STEINIKE COM Comment: Add bracing at gable end walls. Fir out for drywall also. Ok to Insulate. 1142 - B -Framing 11/03/2011 LAWLER PAR Comment: met owner and carpenter and explained how to stiffen GE wall, gave okay to insulate. 1142 - B -Framing 11/10/2011 LAWLER CMP Comment: 1/6/2012 11:19:42 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 2 (INSPECTION DATE INSPECTOR ACTION `. 1146 - B-Insulation/Energy 11/10/2011 LAWLER CMP Comment: 1150 - B-Sheetrock Nail 11/14/2011 LAWLER CMP Comment: 1158 - B -Building Final 01/04/2012 LAWLER CMP Comment: 1/6/2012 11:19:42 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 2 i of EDAfQ SPECIAL INSPEC'TI®N AND TESTING AGREEMENT r Permit #: O/S"S Project: ,AAA Esc. 1 s9° Prior to issaaance of a permit, dais form must be completed in its entirety and retaarned tothe Cit, for approval. The completed form must have signatures of ackno>vledgment by all parties. DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special Inspectors: The Special Inspection firm of will perform special inspection for the following types of work (separate forms must be submitted if more than one firm is tobb employed): ❑ Reinforced Concrete ❑ Spray applied Fireproofing ❑ Bolting in Concrete ❑ Prestressed Concrete ❑ Shotcrete ❑ Structural Masonry ❑ Structural Steel/Welding ❑ High Strength Bolting ❑ Smoke Control Systems ❑ Lateral Wood ❑ Structural Observation 9 Grading/soils ❑ Other ❑ Other All individual inspectors to be employed on this project will be WABO certified for the type of work they are to inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO certified, a detailed resume of the inspector and firm must be submitted. The resume roust show that the inspector and the firm are qualified by education and experience to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not be used. for inspection, unless they have been approved by the City. Inspection records shall include: A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work shall be brought to the immediate attention of the contractor for resolution. A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing any nonconforming work and resolution of nonconforming items. A final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must be detailed in the final report. LABuildingNew Folder 2010\Forms\Special inspection form.doclo/25/2010 MICROFILM BUILDING DEPARTMENT GTY OF EDMONDS Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Building Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall he responsible for approving various stages of construction to be covered and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown ori the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved plans and this document, may void this agreement'and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and ee t comply with the terms and conditions of this agreement. Si ature �� /� /a �/V6 Dat Owner: � � Coi►i W,U- 111� Signature bate: Arch./En : Signature _ Date: 1.. Speciallnsp. Si ature Date: ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPY / 1 By: Date: — LABuilding New Folder 20101rornu\Special inspection rorm.doclrl/25/2010 4i 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 co tractor for the purpose of leasing or selling improved property that he/she has owned for ess 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 day of'AG'//� L , 20 �l PROPERT RfAUTHORIZYD WITNESS PER •� `� .-�' Sign�e Signature Print Name Print Name L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM D.DOCREVISED 7/07 I N tO wO 10 w O O y.� oommo v» O C< O O O O 3 " 3 r00o — 3 o ri ci D , N � O f m 3 m m I N tO wO 10 w O O y.� oommo v» ,�3 x 1IfI 101910 go 411 1�� _. N?? l .0 Q M Pally loughrin•De101111ngs Pesldence 0 1_— •� 7[ H 3rd Avenue West ed..nd Edmonds, WA 98326 a one Cornere�FlaU Q _'•� res Ci f� • �a Pn (cell aO qL atum- top of water meter 97.25 4 �b a uir d Actual �� Poln["A' 100.50 0/ 5 Point"B' 100.83 /-,_.,._.�•— ^"� Point 'C' 98.50 o front e1�-Point 'D' 90.03 R• M {y • �/� / Total 398.66 ^l Y �� (W` ^/ - /�• Avenge height 7�F�QQMii1 F ) {•l Plus limit 25.00 Q Allowable height Other s�'' New addition ridge I�Y 113.25 n, n•f / /e"' • �' Tap of existing ridge (highest pt.) 119.80 Hei Th ... W.,adeld-is OPandcompllanl C 4A t1l H111 I tl Lao4 Arta.= IG, 5 756 a;. 12 Tei.- I i . J �l ALL kXF0 ;ECS SU = 6E COV LED . 1THW . .... S U B ADD GUTTERS/ OWN POUTS FORS MAY 13 2011 AND SPLAS BL KS - W � w SUILDING DEPARTMENT ..� olTv OF 6#3M0NDS IG T_ Fy E?4(5tar4 info vL Wom�., ��% �ND F'�T -- T1 elf To Lv2 dN p FS/�'"'7" G.Aw�v �- �.�/v��ro� •- /Owio`% ��blit R�-ns: ,e-t.�.�oy " �ed,rrt�.� 5ha�,l. wct" �n'k.✓' fr�l� r,�� /9d 3 SY Eli401 Where does the existing site n..(rdiscbaree7 (CArcIAAnr spell)Chapter See Watershed Map Fi mB Hendou[ 4 Supplement 2.3.❑ ❑ Direct Dbeherge Bdmonda We Baffin ❑ Crcek or Lake Basin Trp• Am (poen Pe•t) Impervionf sunc�es How much and what type7 pill lx rolorel Wr•s) See Defnitiam, Handout pg 9 Figure -C, Handout pg 7 Examples, Handout pg 10 Snppiement Chapter 2.2 & Figure -C 8rrmpf 3 Psem [ rvon-Er•m f Repl.ed '��j,• - s. Nan, Tent Rep6rN Ml•w (rve.Bumpe) /mMmm•bnm Nv. hnA peptao" a� /� _901