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BLD20120267.pdf- � ► Ell" CITY OF EDMONDS -'� 121 5TH AVENUE NORTH - EDMONDS, WA 98020 44, I R90 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 5/4/2012 Permit #: BLD20120267 BUILDING PERMIT Expiration Date: 5/6/2013 i Project. Address: 19011 OLYMPIC VIEW DR,' EDMOND& Parcel No: 00434600007800 CHRIS & MERIN MIONE CHRIS MIONE CONTRACTOR EXEMPTION SIGNED 19011 OLYMPIC VIEW DR 19011 OLYMPIC VIEW DRIVE EDMONDS, WA 98020 EDMONDS, WA 98020 (206) 6054870 (206) 6054870 LICENSE #: EXP: JOB DESCRIPTION INTERIOR REMODEL OF KITCHEN AND UPSTAIRS / HYDRONIC HEATING Master Bath - move drain, add sink Kitchen - move dishwasher Living area, Kitchen and Master Bedroom and bath - add radiant heat Pool area - add gas boiler Basement (below living room) add gas boiler VALUATION: $72,000.00 PERMIT TYPE: Residential PERMIT GROUP: 04 - Alteration/Remodel (ONLINE) 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: OTHER: N -----OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: I LOT #: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER- 0 3RD FLOOR 0 GARAGE 0 DECK: 0 OTHER- 0 FRONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: 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. 1 PLICATI N S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DV.UTY AND ALL FEES ARE PAID. Signature Mt Name Date ReVased43y Date ONLINE = APPLICANT ASSESSOR �d`OTHER STATUS: ISSUED BLD20120267 • Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector. • Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309 • Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted. • 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. • Independent certified backflow tester to perform test on backflow assembly and submit report to city. 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) 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-Hydronics • B-Plumb Rough In B-Gas Test/Pipe • B-Mechanical Rough In • B-Framing • B-Shower Pan Test • 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(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 day of 20 R— PROPERTY OWNER/AUTHORIZED PERSON / A Signature Print Name WITNESS Si6ynatde �0Jk % 16rA&Ul Print Name L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM D.DOCREVISED 7/07 Inspection Comments PERMITTRAX BLD20120267 04 - Alteration/Remodel (ONLINE) Applied: 04/12/2012' Issued: 05/04/2012 Expires: 05/06/2013 Address: 19011 OLYMPIC VIEW DR, EDMONDS INSPECTION DATE: n INSPECTOR:::= ACTION; 1114 - B-Hydronics 08/30/2012 LAWLER CMP Comment: 1126 - B-Plumb Rough In 06/26/2012 LAWLER CMP Comment: 1128 - B-Gas Test/Pipe 09/18/2012 MILLERC CMP Comment: Verified 15 psi test for range fireplace and stub for boiler 1130 - B-Mechanical Rough In 07/02/2012 LAWLER PAR Comment: bath fans 1142 - B-Framing 06/28/2012 LAWLER COR Comment: 1.) Complete mechanical work 2.) follow point loads to footling 3.) okay to insulate 4.) repair dry rot damage to exposed roof deck 1142 - B-Framing 07/02/2012 LAWLER CMP Comment: 1144 - B-Wall Insulation/Caulk 07/02/2012 LAWLER CMP Comment: 1146 - B-Insulation/Energy 07/02/2012 LAWLER CMP Comment: 1150 - B-Sheetrock Nail Comment: 1152 - B-Shower Pan Test 08/02/2012 LAWLER COM Comment: Need to add water 1152 - B-Shower Pan Test 08/03/2012 LAWLER CMP Comment: 1158 - B-Building Final 04/2312013 LAWLER COR Comment: Provide backflow test for RPBA 1158 - B-Building Final 04/25/2013 LAWLER CMP Comment: K 4/25/2013 2:25:24 PM Page 1 of 1 OF E-"y ° CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 Inc. I890 PHONE: (425) 771-0220 - FAX: (425) 771-0221 BUILDING APPLICATION ACCEPTANCE Wednesday, April 25, 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, May 02, 2012 Your City Contact is: LINDA THORNQUIST Application Number: BLD20120267 Project Address: 19011 OLYMPIC VIEW DR, EDMONDS 19011 OLYMPIC VIEW DR EDMONDS, WA 98020 Work Description: CHRIS MIONE 19011 OLYMPIC VIEW DRIVE EDMONDS, WA 98020 (206)605-4870 INTERIOR REMODEL OF KITCHEN AND UPSTAIRS / HYDRONIC HEATING Master Bath - move drain, add sink Kitchen - move dishwasher Living area, Kitchen and Master Bedroom and bath - add radiant heat Pool area - add gas boiler Basement (below living room) add gas boiler Outstanding Items at Time of Submittal: 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT AND THAT I AM THE PROPERTY OWNER, OR THE DULY AUTHORIZED AGENT OF THE PROPERTY OWNER TO SUBMIT l)�9 BUILDING PERMIT APPLICATION TO THE CITY. OR AGENT) PRINT NAME To view up to date information about your application please visit the City of Edmonds Development Services website at http.lAvww.ci.edmonds.wa.us.