BLD20120234.pdfCi�� OF E�MO�N
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
R90
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 6/14/2012 ! Permit #: BLD20120234
Expiration Date: 6/14/2013 Project Address: 9207 OLYMPIC YIEW DR, EDMONDS�
Parcel No: 27031200400400
PROPERTN'OWNER APPLICANT CONTRACTOR
GREG GORSUCH GREG GORSUCH HOMEOWNER EXEMPTION TAKEN
9207 OLYMPIC VIEW DR 9207 OLYMPIC VIEW DR
EDMONDS, WA 98020-2396 EDMONDS, WA 98020-2396
(425)770-7222 (425)770-7222
LICENSE #: EXP:
ADDING 2ND STORY LIVING ROOM & BEDROOM OVER EXISTING FAMILY ROOM & KITCHEN.
VALUATION: $65,586.00
PERMIT TYPE: Residential
PERMIT GROUP: 02 - Addition
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-12gf
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NUMBER OF STORIES: 0
VESTED DATE:
Lj
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NUMBER OF DWELLING UNITS: 0
LOT #:
Fa I
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0
2ND FLOOR: 643
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONT SETBACK SIDE SETBACK REAR SETBACK
REQUIRED: E 25 PROPOSED: 25 RE UIRED: N 10 PROPOSED- 10 1 RE UIRED- W 25 PROPOSED: 25+
HEIGHT ALLOWED:25 PROPOSED:24.22 RE UIRED: S 10 PROPOSED: 10
SETBACK NOTES: 1 parking space is on -site, 1 is in a garage across the street
1 AGREE TO COMPLY WITH CITY AND TE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED I VI LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERM) L SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID,
EPA FrITLINFA
Signature
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. UBCl09/ IBCI 10/ IRCI10.
= ONLINE = APPLICANT = ASSESSOR OTHER
STATUS: ISSUED BLD20120234
CONDITIONS
• Project shall be undertaken in accordance with the attached geotechnical report prepared by Dennis Bruce on July 29, 2011.
• Lot line stakes must be in place at the time of foundation/setback inspection.
• Approval of this foundation design is conditional subject to inspection of existing site soil conditions.
• Retaining Walls must be designed and constructed to resist the lateral pressure of the retained material.
• Provisions must be made for the control and drainage of surface water around buildings.
• Maximum Height 25 feet. The agent/contractor shall set up the equipment; establish the datum point and the point of average
grade. Call for inspection to verify. These items must be consistent with the approved plan. If the proposed height of a
building (as shown on the plans) is within 12 inches of the maximum height permitted for the zone an elevation survey is
required.
• 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 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 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 reauested, Contact Name and Phone Number. Date Prefereed. and whether you prefer morning or afternoon.
• E-Erosion Control/Mobilization
• E-Review Inspection
• E-Engineering Final
• B-Setbacks
• B-Footings
• B-Foundation Wall
• B-Isolated Footings/Piers
• B-Underfloor/First Floor Framing
• B-Plumb Rough In
• B-Exterior Wall Sheathing
• B-Roof Sheathing
• B-Height Verification
• B-Framing
• B-Insulation/Energy
• B-Building Final
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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).
0 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).
R7/ 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 '`t
PROPERTY OWNER/
PERSON
Signature
Print Narne
of -:Z o , 20 /1
WITNESS
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
Inspection
Comments
BLD20120234.
02 - Addition
PERMITTRAX
Applied: 04/02/2012
Issued: 06/14/2012
Expires:
06/14/2013
Address: 9207 OLYMPIC VIEW DR, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1001 - E-Erosion Control/Mobilization
06/25/2012
ZULAUF
COM
Comment: ok
1001 - E-Erosion Control/Mobilization
03/28/2013
SIBREL
CMP
Comment: Landscape stabilized.
1051 - E-Review Inspection
04/11/2012
LAMBERTJ
CMP
Comment: Took pics
1077 - E-Engineering Final
03/28/2013
SIBREL
CMP
Comment: OK to final. Downspouts reconnected to existing system.
1106 - B-Setbacks
04/26/2013
LAWLER
CMP
Comment: surveyed May 24,2012
1108 - B-Footings
06/25/2012
LAWLER
CMP
Comment: Pending geotechnical engineer's
approval of soils
1110 - B-Foundation Wall
08/10/2012
LAWLER
CMP
Comment:
1112 - B-Foundation Drainage
04/29/2013
LAWLER
CMP
Comment:
1114 - B-Isolated Footings/Piers
08/10/2012
LAWLER
CMP
Comment:
1122 - B-Underfloor/First Floor Framing
07/20/2012
LAWLER
PAR
Comment: Preliminary framing
1122 - B-Underfloor/First Floor Framing
08/28/2012
LAWLER
CMP
Comment:
1126 - B-Plumb Rough In
08/28/2012
LAWLER
CMP
Comment:
1132 - B-Exterior Wall Sheathing
08/10/2012
LAWLER
CMP
Comment:
1133 - B-Roof Sheathing
08/10/2012
LAWLER
CMP
Comment:
1140 - B-Height Verification
04/26/2013
LAWLER
CMP
Comment: surveyed May 24, 2012
1142 - B-Framing
08/28/2012
LAWLER
CMP
Comment:
1144 - B-Interior Shear Walls
04/29/2013
LAWLER
CMP
Comment:
5/7/2013 11:19:50 AM Page 1 of 2
INSPECTION
DATE
INSPECTOR
ACTION
1146 - B-Insulation/Energy
08/31/2012
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail
04/29/2013
LAWLER
CMP
Comment:
1158 - B-Building Final
04/2612013
LAWLER
COR
Comment: 1.) smoke alarm outside the master bedroom
2.) handrails to return to wall at each end
1158 - B-Building Final
04/29/2013
LAWLER
CMP
Comment: K
5/7/2013 11:19:50 AM Page 2 of 2
Dp E D41 p�
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�qc. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Monday, April 02, 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: Monday, April 16, 2012
Your City Contact is: MARIE HARRISON
Application Number: BLD20120234
Project Address: 9207 OLYMPIC VIEW DR, EDMONDS
GREG GORSUCH
9207 OLYMPIC VIEW DR
EDMONDS, WA 98020-2396
(425)770-7222
GREG GORSUCH
9207 OLYMPIC VIEW DR
EDMONDS, WA 98020-2396
(425)770-7222
Work Description:
ADDING 2ND STOR)' LIVING ROOAI & BEDROOM Of'ER EXISTING FA,b11L)' ROOA1 & KITCHEN.
Outstanding Items at Time of Submittal:
1 HEREBY ACKNOWLEDGE THAT I HAVE AD THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT
AND THAT 1 AM THE PROPERTY OWNER, OR THE DULY AUTHORIZED AGENT OF THE PROPERTY OWNER TO SUBMIT
A,kUW61NC. PERMIT APPLICATION TO THE CITY.
TURE
DATE
a,
To view up to date information about your application please visit the City of Edmonds Development Services
website at http.1Avww.ci.edmonds.wa.us.
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