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° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 6/15/2011
Expiration Date: 6/15/2012
Parcel No: 27032500108300
Permit #: BLIE
__ Project_ Address: 21515 981'H AVE W, EI M
RANDY & RHONDA DORMAIER RANDY DORMAIER OWNER EXEMPTION
21515 98TH AVE W 21515 98TH AVE W
EDMONDS, WA 98020 EDMONDS, WA 98020
(206) 679-7396 EXT: (206) 679-7396 EXT: ( ) - EXT:
LICENSE #: EXP:
RE ROOF HOUSE AND ADD GABLE ROOF OVER EXISTING GROUND LEVEL DECK.
VALUATION: $2,560.00 COMPLmETED
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Alteration/Remodel
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 #:
ME=
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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED: WEST 25 PROPOSED: 93 1 REQUIRED: NORTH 7.5 PROPOSED: 25 RE UIRED: EAST 15 PROPOSED: 42
HEIGHT ALLOWED:25 PROPOSED:I 1.6 1 REQUIRED: SOUTH 7.5 PROPOSED: 30
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING "AUTHORIZEDEREBY, NOPERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINMEN'SCOMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUT
re Print Name 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. UBC 109/ IBC 110/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR E.� OTHER
STATUS: ISSUED
BLD20110424
• 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 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.
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 ENGINEERING (425) 771-0220 EXT. 1326 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.
y E -Engineering Final
• B -Isolated Footings/Piers
• B -Framing
B -Roof Tear Off .
• B -Building Final
°F E°Moti Inspection Comments
BLD20110424 04 - Alteration/Remodel
Applied: 06/06/2011
Issued: 06/15/2011
Expires:
06/15/2012
Address: 21515 98TH AVE W, EDMONDS
'INSPECTION
DATE
INSPECTOR
ACTION
1077 - E -Engineering Final
06/01/2012
SIBREL
CMP
Comment: OK to Final.
1114 - B -Isolated Footings/Piers
03/21/2012
LAWLER
CMP
Comment:
1142 - B -Framing
03/21/2012
LAWLER
CMP
Comment:
1154 - B -Roof Tear Off
06/21/2011
STEINIKE
CMP
Comment:
1158 - B -Building Final
06/01/2012
LAWLER
CMP
Comment:
t'
6/4/2012 9:06:39 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
Applicant shall repair/replace all damage to
utilities or frontage improvements in City III -may
right-of-way per City standards that is caused �r/UNl '� ��• _
or occurs dudhg the permittsd project.
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— House Piot Plan
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IMPERVIOUS SURFACE CALCS .
Exist. House Roof Outline: 2135 sf. (1955)'
Exist. Garage Roof Outline: 559 sq. (1955)
Exist. Driveway: App. , (1955)
Exist. Frond addition Roof outline: 108 sq.(1980)
ryExist. Ground Level deck: 306 sq (1980-2000 ??)
Exist. Shad Roof Outline: 126sq. (2009)
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OWNERMONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROI., AND ORAINAC
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FOR IN8PECT10N i�
PROPERTY OWNER RANDY AND RHONDA DORMAIER
ADDRESS: 21515 98TH AVENUE WEST
EDMONDS WA 98020
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PRJECT CONTACT PI_SON: RANDY DORMAIER (206) 679-7396
TAX ACCOUNT P�RCEL NUMB ER:27032500108300
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ZONING: RS -8A
LOT SQUARE FOOTAGE: 20,473
IRO - D BY ENGINEERING 3
0
EXISTING HOME SQUARE FOOTAGE: 1995 sq. It.
Zone P- 5— S Corner Flea_„_ APPROVED BY PLANNING
Dale:
Setbacks Required
Actual
'
Front W 1/5
61 3
W
Sides 14 1'5
z5 i3D
RECEIVED
Rear E 15
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JUN 0 6 2011 a
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60'
FDD (;U T fERS/IDOWNSPOUTS'
>IuD SPLAS.HBLOOKS
0O
11
N
N-
(0
— House Piot Plan
Y16
/6
IMPERVIOUS SURFACE CALCS .
Exist. House Roof Outline: 2135 sf. (1955)'
Exist. Garage Roof Outline: 559 sq. (1955)
Exist. Driveway: App. , (1955)
Exist. Frond addition Roof outline: 108 sq.(1980)
ryExist. Ground Level deck: 306 sq (1980-2000 ??)
Exist. Shad Roof Outline: 126sq. (2009)
afrer e67 reac
QU8/'aye 9r�a�Pe — . l02, �7
s
pr aper 4
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24 HR. NOTIC
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FOR IN8PECT10N i�
PROPERTY OWNER RANDY AND RHONDA DORMAIER
ADDRESS: 21515 98TH AVENUE WEST
EDMONDS WA 98020
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PRJECT CONTACT PI_SON: RANDY DORMAIER (206) 679-7396
TAX ACCOUNT P�RCEL NUMB ER:27032500108300
e
ZONING: RS -8A
LOT SQUARE FOOTAGE: 20,473
IRO - D BY ENGINEERING 3
0
EXISTING HOME SQUARE FOOTAGE: 1995 sq. It.
Zone P- 5— S Corner Flea_„_ APPROVED BY PLANNING
Dale:
Setbacks Required
Actual
'
Front W 1/5
61 3
W
Sides 14 1'5
z5 i3D
RECEIVED
Rear E 15
`f71CRY COPY
JUN 0 6 2011 a
Other
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BUILDING DEPARTMENT - -
CITY OF EDMONDS
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