BLD20121082.pdfIITl�jll
v� O F E�
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�4e. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 11/30/2012 Permit #: BLD20121082
Expiration Date: 11/30/2013 Project Address: 18715 OLYMPIC VIEW DR,
EDMONDS
Parcel No: 00434600007202
P&OPE&TYOWNE& APPLICANT V
RICHARD & CAROL MEGENITY RICHARD & CAROL MEGENITY OWNER EXEMPTION
18715 OLYMPIC VIEW DR 18715 OLYMPIC VIEW DR
EDMONDS, WA 98020 EDMONDS, WA 98020
(425) 508-6706 (425) 508-6706
LICENSE #: EXP:
JOB DESCRIPTION
REMODEL OF MASTER BATH AND UTILITY ROOM - MECHANICAL AND PLUMBING INCLUDED
VALUATION: $8,830.00
PERMIT TYPE: Residential
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R-3
OCCUPANT LOAD:
Likit
FENCE: N ( 0 X 0 FT.)
CODE: 09
l
OTHER: N----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
1 VESTED DATE: `/ h l4 `' ° =�
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
FRONTSETBACK SIDE SETBACK REARSETRACK
RE UIRED: PROPOSED: RE UIRED: PROPOSED: 1111RE UIRED: 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
c COMPENSATION INSURANCE AND RCW 18:27.
THI PP CA T E {UNTIL SIGNED BY..T E BUILDING OFFICIAL OR HIS/HER DEPUT ND FEES ARE PAID.
" R10L 0 1;71,r--&l L 7. 11 12n I i-) / / —_�i�
\1J 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. UBC1091IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR ®OTHER
STATUS: ISSUED BLD20121082
CONDITIONS
• 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
• 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 1 FIRE (425) 775-7720 1
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.
• B-Plumb Rough In
• B-Mechanical Rough In
• B-Framing
• B-Shower Pan Test
• B-Insulation/Energy
• B-Building Final
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
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 a-� day of JCDQ , 202,
P ERTY OWNER/AUTHORIZED WITNESS.
7Trpl
Si ature Si a e
lom �Ul
Print Name Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
1 Inspection Comments
PERMITTRAX
BLD20121082 04 - Alteration/Remodel
Applied: 11/27/2012 Issued: 11/30/2012
Expires:
11/30/2013
Address: 18715 OLYMPIC VIEW DR,
EDMONDS
INSPECTION
DATE'
INSPECTOR
ACTION
1126 - B-Plumb Rough In
01/24/2013
LAWLER
CMP
Comment: K
1136 - B-Mechanical Rough In
01/24/2013
LAWLER
CMP
Comment: K
1142 - B-Framing
01/23/2013
LAWLER
COR
Comment: 1.) install nail plates
2.) tub cannot wet vent to clothes washer
1142 - B-Framing
01/24/2013
LAWLER
CMP
Comment: Smoke alarms by final
1146 - B-Insulation/Energy
01/24/2013
LAWLER
CMP
Comment: K
1158 - B-Building Final
03/14/2013
LAWLER
CMP
Comment: K
3/14/2013 12:25:38 PM Page 1 of 1
y of EDMO
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Tuesday, November 27, 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: Tuesday, December 04, 2012
Your City Contact is: LINDA THORNQUIST
Application Number: BLD20121082
Project Address: 18715 OLYMPIC VIEW DR, EDMONDS
RICHARD & CAROL MEGENITY
18715 OLYMPIC VIEW DR
EDMONDS, WA 98020
(425) 508-6706
Work Description:
REMODEL OF MASTER BATH AND UTILITY ROOM.
Outstanding Items at Time of Submittal:
RICHARD & CAROL MEGENITY
18715 OLYMPIC VIEW DR
EDMONDS, WA 98020
(425)508-6706
BY ACKNOWLEDGEIiAT I HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT
T 1 AM THE PROP�Ty OWNER, OR THE DULY AUTHORIZED AGENT OF THE PROPERTY OWNER TO SUBMIT
/1\ t _AB
LDING PERMIT APPLICATION TO THE CITY.
a�
PRINT NAME
Qo0 Zd t2.
DATE SIGNED
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.