BLD20150638.PDFOF F1)41 com
CITY OF EDMOND
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: APPLIED 05/22/2015 Pei�ut# BLD20=15063&
BUILDING PERMIT
Expiration Date: 11/22/2015 Project Address:1870'9 OLYMPIC VIEW"DR+
EDMONDS
Parcel No: 00398900000300
ERTY-OWN Ell APPLICANTCONTRAC'11011
STEPHEN J & KAREN RINDAL DWYER STEPHEN J & KAREN RINDAL DWYER O'MALLEY BROTHERS INC
18709 OLYMPIC VIEW DR 18709 OLYMPIC VIEW DR 22114 92Nd Ave W
EDMONDS, WA 98020 EDMONDS, WA 98020 Edmonds, WA 98020
(425)640-0464
LICENSE #: OMALLB1964RO EXPA 1/23/2015
JOB DESCRIPTION
COMPLETE REMODEL OF BATHROOM. INSTALL FAN/LIGHT FIXTURE. SIZE OF ROOM AND PLUMBING IS STAYING IN SAME
LOCATION. REPAIR DRY ROT AND REPLACE INSULATION WHERE NEEDED. ENCLOSE WINDOW. WORK SUBJECT TO FIELD
INSPECTION.
VALUATION: $2,000.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE:_
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
E-XISTING AREA
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR. 0 GARAGE. 0 DECK. 0 OTHER: 0
13RD FLOOR. 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
1 1
tEQU1RED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
{EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
;ET BACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE 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.
THISIAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
my_U&&Aw o m�� 5-/zqI.15 S�
Signature LAint Name kJ Date I I . Released By Date
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 t
STATUS: APPLIED BLD20150638
CONDITIONS
• Final approval on a projector 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.
• Approvalof any plat orplan containing provisions which do not comply with city code and forwhich 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 of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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) 775-77201
PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425 672-5755 RECYCLING 425) 2754801
When calling for an inspection please lease 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-Plumb Rough In
• B-Framing
• B-Insulation/Energy
B-Building Final
-W�21
n DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
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, Suite #, City State, Zip):
18709 Olympic View Dr, Edmonds WA 98020
Parcel #:
00398900000300
Subdivision/Lot #:
Project Valuation: $
$9,000.00
APPLICANT:
Stephen and Karen Dwyer
Phone:
425.776.4013
Fax:
Address (Street, City, State, Zip):
18709 Olympic View Dr, Edmonds, WA 98020
E-Mail Address:
karendrd@frontier.com
PROPERTY OWNER:
Stephen and Karen Dwyer
Phone:
425.776.4013
Fax:
Address (Street, City, State, Zip):
18709 Olympic View Dr, Edmonds, WA 98020
E-Mail Address:
karendrd@frontier.com
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
O'Malley Brothers Inc
Phone:
206.972.9080
Fax:
425.640.0464
Address (Street, City, State, Zip):
22114 92nd Ave W, Edmonds, WA 98020
E-Mail Address:
omaHeybrothers@frontier.com
*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 #/Exp. Date:
OMALLBI964RO / 11/23/15
City Business License #/Exp. Date:
BL008752 / 12/31/15
DETAIL THE SCOPE OF WORK: Remove tile in existing shower, replace with travertine slab, remove and replace
shower fixtures, remove and replace existing tile floor, remove window in shower, close in window, install fan/light fixture.
We are not changing the size or shape of the room, and the plumbing is staying in the same location. Remove and replace
the existing vanity countertop , sink and faucet.
PROPOSED NEWSQUARE FOOTAGE
FOR THIS PROJECT: None
Basement: s . ft.
Select Basement Type: Finished
LJ Unfinished
LJ
1" Floor: s . ft.
Garage/Carport: s . ft.
2"d Floor: s . ft.
Deck/Cvrd Porch/Patio: —sq. ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: s . ft.
Fire Sprinklers: Yes Ll No
R_f.etainin Wall: Yes No
Grading: Cut cu. yds. Fill cu.yds.
Cut/Fill in Critical Area: Yes LJ No
1 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: Kaggn DmW&r Owner ®CAgent/Other ❑ (specify):
Signature: Date:
FORM A LABuilding New Folder 2010\130NE & x-ferred to L Building -New drive\Form A2014.docx Updated: 1/17/2014
011 EDAfO
Fsr. 1 g90
City of Edmonds
Equipment Type
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION FORM A
121 5`h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 Q Fax 425.771.0221
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #_Elec #_Other:
#_ BTUs: <100k_ >100k_ Location(s)
Air Handler / VAV
(circle selected)
Gas #_Elec #_Other:
#_CFM: <10k_ >10k_ Location(s)
AC / Compressor /
Boiler / Heat Pump /
Roof Top Unit
(circle selected)
Gas #_Elec #_Other:
HP: <3, 3-15,
#_ BTUs: <100k, 100k-500k, 500k-IN it
15-30 Location(s)
Hydronic Heating
Gas #_Elec # In -Floor
_Wall Radiant_ Boiler BTUs: Location
Exhaust Fans (single
duct)
Bath #Kitchen #_Laundry # _Other: #_
1
Fireplace
Gas #_Elec #_Other:
# Location(s)
Dryer Duct
Appliance Type
Appliance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs:
Location(s):
Furnace
BTUs:
Location(s):
Water Heater
BTUs:
Location(s):
Boiler
BTUs:
Location(s):
Other:
BTUs:
Location(s):
Fireplace/Insert
BTUs:
Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
lll.UN,IlllN(; FIXTURE COUNT
Fixture Type (new and relocated) Total # Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? Yes 0 No
Hydronic Heat in: FloorEj Wall
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for waterfice dispenser)
Other:
FORM A L:\Building New Folder 2010\130NE & x-ferred to LrBuilding-New drive\Fonn A2014.docx Updated: 1/17/2014
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