BLD20120156.pdfof E Mo�N
a
�n�. 1890
STATUS: ISSUED 6/4/2012
Expiration Date: 12/4/2012
Parcel No: 00477600005300
DAVID M CLOBES
7425 OLYMPIC VIEW DR
EDMONDS, WA 98026
(425)775-9076
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD201,
DAVID M CLOSES OWNER EXEMPTION
7425 OLYMPIC VIEW DR
EDMONDS, WA 98026
(425)775-9076
LICENSE #: EXP:
JOB DESCRIPTION
DEMOLISH PORTION OF EXISTING DECK AND ENTIRE ROOF BUILT WITHOUT A PERMIT
REMAINING DECK TO BE 216 SQ FT TOTAL.
VALUATION: $4,320.00
PERMIT TYPE: Residential
PERMIT GROUP: 22 - Deck/Porch/Patio Cover
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R-3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ---OTHER DESC:
ZONE: RS-12
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
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
SETBACKFRONTSETBACK SIDE, REQUIRED: S/W 25/25 PROPOSED: 25+/25 REQUIRED: N/E 10/10 PROPOSED: 10+/10+ RE UIRED: PROPOSED:
HEIGHT ALLOWED:25 PROPOSED:12 I REQUIRED: PROPOSED:
SETBACK NOTES: Deck to be reduced to 7.5' depth to comply with 25' street setback from Homeview Drive
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.
THIS APPlaTION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND A4 FEES ARE PAID.
( i� 0 �
ignature Print Name Date Released 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/ IBC110/ IRCI W.
ONLINE APPLICANT ASSESSOR OTHER
11XI
STATUS: ISSUED
BLD20120156
• 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 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 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.
• B-Isolated Footings/Piers
• B-Framing
• B-Building Final
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
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(l1).
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 DAMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this day of N / (j 44 , 20 I z
PROPERTY OWNER/AUTHORIZED
RSON
Signatu4e
Print Name
WITNESS.
SiVaftde
biyl"CVrtQUIS�
Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
Inspection Comments
BLD20120156 22 - Deck/Porch/Patio Cover
Applied: 03/07/2012 Issued: 06/04/2012 Expires: 12/04/2012
Address: 7425 OLYMPIC VIEW DR, EDMONDS
INSPECTION DATE INSPECTOR ^.T ACTIONS
1114 - B-Isolated Footings/Piers 11/30/2012 LAWLER CMP
Comment:
1142 - B-Framing 11/30/2012 LAWLER CMP
Comment:
1158 - B-Building Final 11/29/2012 LAWLER CMP
Comment:
12/3/2012 10:35:23 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
`y OF 6�
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Wednesday, March 07, 2012
This Application has been accepted by the City of Edmonds for review. More information and changes may be
required during this process. The review target date is: Wednesday, March 14, 2012
Your City Contact is: LINDA THORNQUIST
Application Number: BLD20120156
Project Address: 7425 OLYMPIC VIEW DR, EDMONDS
PROPERTY OWNER APPLICANT
DAVID M CLOBES DAVID M CLOBES
7425 OLYMPIC VIEW DR 7425 OLYMPIC VIEW DR
EDMONDS, WA 98026 EDMONDS, WA 98026
(425) 775-9076 (425) 775-9076
Work Description:
DEMOLISH PORTION OF EXISTING DECK AND ROOFING OVER DECK AND MODIFY EXISTING
PORTION.
Outstanding Items at Time of Submittal:
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT
AND THAT I THE PROPERTY OWNER, OR THE DULY AUTHORIZED AGENT OF THE PROPERTY OWNER TO SUBMIT
-� c\ / _ A BUILDING PERMIT APPLICATION TO THE CITY.
IGNATVRE (OWNER OR AGENT)
VA-v 10 M
PRINT NAME
3�zoIZ
DATE SI NED
To view up to date information about your application please visit the City of Edmonds Development Services
website at http://www.ci.edmonds.wa.us.