BLD20110581.pdfCITY OF EDMONDS
STATUS: ISSUED 7/26/2011 I
Expiration Date: 1/26/2012
Parcel No: 00654200000800
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit # BLD201.1058
Lv._ _ . Project Address: 914 HINDLEY LN,_ QED
DAVID L COVER DAVID L COVER HOMEOWNER EXEMPTION TAKEN
914 HINDLEY LANE 914 HINDLEY LANE
EDMONDS, WA 98020 EDMONDS, WA 98020
(412) 835-5818 EXT: (412) 835-5818 EXT: ( ) - EXT:
LICENSE #: EXP:
COMPLETION OF PERMIT BLD20100948 DECK SOLID SURFACE LANDING AT BOTTOM OF STAIRS.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 18 - Complete Minor Work
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
FENCE: N ( 0 X 0 FT.)
OTHER: N -----OTHER DESC:
OCCUPANT GROUP: Aft A&M 11MR13 MMM
OCCUPANT LOAD:
CODE: 09
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
EXISTIN-GAREA
BASEMENT: 0 I ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
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
FRONTSETBACK SII)E' SETBACK REAR SETBACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES:
I 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 RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THI&APPLICATIWIS-WT AP.ZB 441 UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Print Name
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/ IBCI10/ IRC I 10.
= ONLINE = APPLICANT = ASSESSOR XOTHER
STATUS: ISSUED
BLD20110581
• 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.
• SoundMoise 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)
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 -Engineering Final
• B -Building Final
4dll&45g
i�
Al E°M0ti Inspection Comments
BLD20110581 18 - Complete Minor Work
Applied: 07/26/2011 Issued: 07/26/2011 Expires: 01/26/2012
Address: 914 HINDLEY LN, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1158 - B-Building Final 11/15/2011 STEINIKE CMP
Comment:
11/16/2011 8:20:11 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
STATUS: ISSUED 12/28/2010
Expiration Date: 6/28/2011
Parcel No: 00654200000800
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
-^ ^
Permit #:BLD20.100948
Project Address: 914 HINDLEY LN, EDMONDS'
DAVID L COVER DECK PRO DECK PRO
914 HINDLEY LANE 16410 84TH ST NE 16410 84TH ST NE
EDMONDS, WA 98020- LAKE STEVENS, WA 98258- LAKE STEVENS, WA 98258-
(206) 786-1902 Ext. (206) 786-1902 Ext. (206) 786-1902 Ext.
LICENSE #: DECKP**924BP EXP:3/1/2011
JOB IKSCRIPTION
REPLACE AND ENLARGE DECK, 564SF
VALUATION: $11,280 INCOMPLETE
PERMIT TYPE: Residential
PERMIT GROUP: 22 - Deck/Porch/Patio Cover
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: DECK
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
OTHER: N ------- OTHER DESC:
ZONE: RS -12
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
13 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 564 OTHER: 0
REQUIRED: N 25 PROPOSED: 25+ 77fR-EQUIRED: W 10 PROPOSED: 10 REQUIRED: S25 PROPOSED: 25+
HEIGHT ALLOWED:25 PROPOSED:] I REQUIRED: E 10 PROPOSED: 12
SETBACK NOTES: Through lot
1 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 AA06AI UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIW
§R DEPUTY AND ALL FEES ARE PAID.
Print Name Date
By
Date
ATTENTION
IT IS 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/ IBCI 10/ IRCI 10.
= ONLINE
= APPLICANT
4
ASSESSOR
IVA
STATUS: ISSUED
BLD20100948
Lot line stakes must be in place at the time of foundation/setback inspection.
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 forwhich 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.
Maintain erosion & sedimentation control per city standards.
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 1 FIRE (425) 775-7720
PUBLIC WORKS 425 771-0235 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.
• E•Erosion Control/Mobilization
• E•Engineering Final
• B -Setbacks
• B -Isolated Footings/Piers
• B -Framing
• B -Building Final
°V ED'V Inspection Comments
c; N
BLD20100948 22 - Deck/Porch/Patio Cover
Applied: 12/14/2010 Issued: 12/28/2010 Expires: 06/28/2011
�nc, i A90
Address: 914 HINDLEY LN, EDMONDS
INSPECTION DATE INSPECTOR ACTION.-
1001 - E -Erosion Control/Mobilization
Comment:
1077 - E -Engineering Final
Comment:
1106 - B -Setbacks
Comment:
1114 - B -Isolated Footings/Piers
Comment:
1142 - B -Framing
Comment:
1158 - B -Building Final
Comment:
01/03/2011
STEINIKE
CMP
01/03/2011
STEINIKE
CMP
01/11/2011
STEINIKE
CMP
11/16/2011 8:21:44 AM 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:
0 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
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. 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 ? �r�� , day of V L Y , 20 1
ROPERTY OWNER/AUTHORIZED
P SON
QL
ignature
Print Name
WITNESS.
Signature
Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07