BLD20130293.PDFt
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CITY OF EDMONDS
- 121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
S CO
STATUS: ISSUED 04/16/2013 r Permit #: BLD20130293
Expiration Date: 10/16/2013
Parcel No: 00513100015415
CHERYL SPASOJEVIC
17626 68TH AVE W
EDMONDS, WA 98026
(425) 745-1785
Project Address: 17734 OLYMPIC VIEW DR,
EDMONDS!
RADOJE SPASOJEVIC HOMEOWNER EXEMPTION TAKEN
17734 OLYMPIC VIEW DR
EDMONDS, WA 98026
(425) 745-8181
LICENSE #: EXP:
POST WITH 4' X 4" WELDED WIRE MESH PANELS WITH ARBOR NO TALLER THAN 8" FOR ABOUT 8" IN LENGTH.
FENCE TOPPED WITH RED TILE ALONG THE LENGTH NOT EXCEEDING 6' TALL. AT THE SOUTH CORNER THE
FENCE TURNS PERPENDICULAR TO THE ROAD AND ATTACHES TO THE GARAGE WITH A G�-T_E AT THE PAVED
SECTION OF THE DIRVEWAY AND THE GATE WILL INCLUDE A TILE ROOF NOT TO EXCEED qj
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 27 - Fence
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD: 1&49 . ,,
FENCE: Y 8 X 0 FT_
CODE -
OTHER: N ------ OTHER DESC:
ZONE: RS-8
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
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES: 6' fence, 2.5' arbor over gate
1 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.
THISAAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/M DEPUTY ANDALL FEES ARE PAID.
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Print
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/ IBCI 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER 1 IJS1
STATUS: ISSUED
BLD20130293
• Fence location and height shall not create a site distance hazard for vehicles exiting the property.
• No fence shall be more than six feet in height as measured from the top of the fence to the lowest original grade. An arbor up
to three additional feet in height to a nine -foot maximum may be constructed over a gate, walkway or entrance.
• 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.
• Fences, gates, and arbors shall be located on private property. Property owner responsible for determining property lines.
Fence shall not enclose or prevent access to any City maintained utilities.
• 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.
• Call for locates of underground utilities prior to any excavation.
• Maintain erosion & sedimentation control per city standards.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
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
beiniz requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• E-Fence Location/Height
• E-Engineering Final
• P-Planning 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 registeted
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
,e/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).
0 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 , 20j3�
PROPERTY OWNER/AUTHORIZED
PERS
Signature
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Print Name
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Print Name
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BUILDING DEPARTMENT
CITY OF EDL40NDS
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FORM -A -PERMIT APPLICATION.pdf http://www.ci.edmonds.wa.us/Public Handouts/Building_handouts/...
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N DEVELOPMENT SERVICES
RESIDENTIAL BUILDING IPlER1M!] T
APPLICATIONFse.121 50' AvenueN, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL RE'QUIRMSMS
PROJECT ADDRESS (Street, State #, City State, Zip):
V
Parcel #:
ZD I O 8
a, OI is i et�.3 r• j-PVL;Ajb WA 9
00
Subdivision/Lot #:
Project Valuatton: S
APPLICANT:
G\d0 a3o I V
�i.e-.v
Phone: 43S
YS - 4yI y
Fax:
Address (Street, City, State, Zip):
of is lee Dr E �molI W 9FOAP
E-Mail Address:
ysoovio)e 4-m-AiI , Caw1
PROPERTY OWNE �
Cher lases -t.vl c.
Phone: 4, S
-.i S
Fax:
Address (Street, City, State, Zip):
6 O! - e.Wmoi1Gi0 Inl A} 90
E-Mail Address:
CS- o so @ In•►a i C c re'I
LENDING AGEN A n
Phone:
Fax:
Address (Street; City, State, Zip):
E-Mail Address:
CONTRACTOR:* S(� �•
Phone:
Fax:
Address (Street; City; State, Zip):
E-Mail Address:
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to
doing work in the. City. Contact the City Clerk's Office at 425.775.2525
City Business License #/Exp. Date:
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'DETAIL
SCOPE OF NfORK: •i %C el
re me-me-sk k0coke Is %,41 uv rr no 1 8' ",0,j
T t i n (e n4-K, . -F-e n ce -tu i9 ere d w i1k reck -Fi Ie- al oln�t 't1�
ofi dl 1 �.I1 5e� %aE / es r
PROPOSED NEW 9QUARE FOOTAGE
FOR TffiS PROJECT:
Basement: s . ft.
Select Basement e: Finished Unfinished
I" Floor: sq. ft.
G e/C rt: s .ft.
2no Floor. sq. ft.
DecldPatio: s . ft.
.Retaining Wall: Yes No Other: Wice.t L-ong s .ft
Ideelare underpenalty ofperjury laws that the ht ormadon I have provided on this formlapplicadon Is tru4 correct and
complete, and Beat lam Bee proper+ owner or duo, authoriwd agent of the proper owner to submit a permit appEcation.to
the City oJEdmQonds Chen ! L S�01S aJR- o L
.Print Name: t'Owner Agent/Other (specify):
Signature: Date: 5��?
FORMA L:\Buil&ng New Folder 2010\DONE & a-ferred to L-Building New drive\Fotm A.doc
Updated: 1012011
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