BLD20130951.PDFC�o
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�f CITY OF EDMONDS
-1 121 5TH AVENUE NORTH - EDMONDS, WA 98020
/fie. 1 890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 09/04/2013 Permit #: BLD20130951
BUILDING
Expiration Date: 03/03/2014 Project Address: 17604 OLYMPIC VIEW DR,
_ _ EDMONDS
Parcel No: 00596700000100
ff�;ZO711;711LTcOliyyll; APPLICANT N 1fv11TAAC'I' ll;
WILSON KAM KUEN & RITA PU TSUI PACIFIC ROOF RESTORATION, INC PACIFIC ROOF RESTORATION, INC
17604 OLYMPIC VIEW DR RODNEY JUSSEL RODNEY JUSSEL
EDMONDS, WA 98026 11911 NE 142ND PLACE 11911 NE 142ND PLACE
KIRKLAND, WA 98034 KIRKLAND, WA 98034
LICENSE #: PACIFRRO77PJ EXP:10/11/2014
i DESCRIPTION
LIKE FOR LIKE REPLACEMENT OF ASPHALT COMPOSITION SHINGLES
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.)
CODE:
OTHER: N ------ OTHER DESC:
ZONE:
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
FRONT1SETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE 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
COMPENSATION INSURANCE AND RCW 18 7.
APPLICATI IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/ DEPUTY AND A L FEES ARE PAID.
Sig
Print
By
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 /,4 sf/
STATUS: ISSUED
BLD20130951
• 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.
INSPECTIONS
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-Roof Tear Off
• B-Building Final
Al
AOF EDAfo
DEVELOPMENT SERVICES
_ RESIDENTIAL BUILDING PERMIT
APPLICATION
�Sr 1 gqo 121 5`' Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 4 Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suit City State, Zip):
Parcel #:
Subdivision/Lot #:
Project Valuation: $
A,PPPLICANT: '
Phone:
Fax:
Le O Q • 2
Address (Street, City, State, Zip): a 3 cI
E-Mail Address:
l ei l ( 121 B `'
PROPERTY OWNER:
Phone:
Fax:
Address Street, City, State, Zip): �%�p
E-Mail Address:
I7 O ' -- I/ "P
LENDING A ENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CO TRACTOR:*
Phone:
Fax: .
t f t c, b h art�10 K
Address (Street, City, State, Zip):
E-Mail Address:
cudLak -1®iL
*Contractor
WA State License #/Exp. ate:
ri 0 -il
must have a valid City of Edmonds business license prior to
L� 0 -
/
City Business License #/Exp. Date:
doing work in the City. Contact the City Clerk's Office at 425.775.2525
DETAIL SCOPE OF WORK: 1` -Q & bT e
r,
PROPOSED NEWSQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: ❑ Finished 0 Unfinished
Pt Floor: s . ft.
Garage/Carport: sq A.
2°d Floor: -sq. ft.
Deck/Patio: s . ft.
Retaining Wall: ❑ Yes ❑ No
Other: s .ft
I declare under penalty of perjury laws that the information I have provided on this fortWapplication 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: ti Qd„ Q *'Owner ❑ Agent/Other (specify):
Signature: „ ,� Date: !'/,q 1.3
FORM A LABuilding New Folder 201000NE & x-ferred to L-Building-New driveTorm A.doc Updated: 6/20/2013