BLD20130713.PDFCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
no. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 02/13/2014
Expiration Date: 08/13/2014
Parcel No: 00865300000200
Pei
Project Address: 1233 Pl ' MPIC'V1 ! W D►R, #29
EDMONDS
PAGE FAMILY LIVING TRUST FAMILY LIVING TRUST PAGE SHEETS ENTERPRISES INC.
1233 OLYMPIC VIEW DR 1233 OLYMPIC VIEW DR JIM SHEETS
EDMONDS, WA 98020 EDMONDS, WA 98020 16205 MEADOW RD
LYNNWOOD, WA 98037
(425)319-1234 (425)319-1234 (425) 74 1-8822
LICENSE # SHEETE1938PU EXP 10/31/2015
ENCLOSE DECK ON UPPER LEVEL WITH WINDOWS ""'PLETED
VALUATION: $17,500.00 com
PERMIT TYPE: Commercial
PERMIT GROUP 04 - Alteration/Remodel
GRADING: N CYDS: 0
'TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE N ( 0 X 0 FT.)
CODE: 2012
OTHER: N------- OTHER DESC
ZONE BN
NUMBER OF STORIES 0
VESTED DATE
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR 0
3RD FLOOR: 0 GARAGE 0 DECK. 0 OTHER. 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
2EQUIRED: See Below PROPOSED REQUIRED: PROPOSED: REQUIRED: PROPOSED:
-JEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
;ETBACK NOTES: Adding windows to existing covered and partially -enclosed deck only. Therefore, no change proposed to existing setbacks, height, etc
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL, BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHING'TON RELATING TO WORKMEN'S
COMPENSA'r10N INSURANCE AND RCW 18:27.
I'HI APPL 'ATI NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR Hl$/HE& DEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date elea d 13Y D to
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/ IBC 10/ IRC'I 10,
ONLINE APPLICANT ASSESSOR ( OTHER
STATUS: ISSUED
BLD20130713
• 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 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-Window Flashing
• B-Building Final
O,F EDP -
O
�16' DEVELOPMENT SERVICES
"M COMMERCIAL & MULTI -FAMILY BUILDING
_r
PERMIT APPLICATION
FSr 18go 121 5 h Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 2 Fax 425.771.0221
PLEASE REFER. TO THE COMMERCIAL & MULTI-FAMILYBUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
�a#,
PROJECTADDCiS
Parcel #:
Cup
Subdivision/Lot #:
Pro'ect Valuation: $
1 15ce.�,
APPLI T:
• S:�:%°Z
Phone:
y 25 -_'SAI
Fax:
Address (Street, City, State, Zip):
_dil
E-Mail Address:
ROPERTY OWNER:
Phone:
Fax:
Address (Street, City, State, Zip):
Is
E-Mail Address:
LENDING AGENCY: `\
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
C TRACTOR:*
e,
Phone:
h Z�
Fax:
Address (Street, City, S Zip):
lP- o 5
E-Mail Address
*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
WA State License #/Bxp. Date:
% P k - a 3
City Business License #/Exp. Date:
DETAIL SCOPE OF WORK: nC.I 05e—
PROPOSED NEW SQU
FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Garage:
s ; ft,
l't Floor: sq. ft.
Deck:
sq. ft.
2" Floor: s . ft.
Other:
s . ft.
3r Floor: s . ft.
Occupancy: Occupancy Load:
Retaining Wall:. ❑ Yes ❑ No
Grading: cyds:
I Type of Construction:
I declare under penalty of perjury laws that the information I have provided on this form application is true, correct and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to
the City of Edmonds.
Print Name: y l t� er ❑ Agent/Other (specify):
Signature: � Q�� Date:
FORME LABuilding New Folder 2010\DONE & x-ferred to LBuilding-New driveTorm E.doc Updated: 10/2011
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