BLD20150890.PDF11111111-1,
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CITY OF EDMONDS
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121 5TH A VENUE NORTH - EDM ONDS, WA 98020
' PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: A*PtMD 07/16/2015 - Permit #: BLD20150890!
Expiration Date: Project Address: 18500 OLYMPIC VIEW DR,'
u5v� . �P i -- -- ----- ------ - -- ---- EDMONDS,
Parcel No: 00565600200202
711 APPLI . ..
CHESTER & NANCY NIESEL KROWN GC LLC KROWN GC LLC
2959 W GULF DR UNIT 304 1821 Cleveland Ave 1821 Cleveland Ave
SANIBEL, FL 33957 Everett, WA 98201 Everett, WA 98201
(239) 249-2167 (425) 309-3022 (425) 309-3022
LICENSE #: krowngl850cb EXP:02/02/2017
i DESCRIPTION
RE -ROOF, SHEATHING INCLUDED.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 54 - Re-Roof/Roof Alter/Repair
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 #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST 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
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO P WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPL IO .[SNOT A PERMIT UNTIL SIGNED BY THE BUIL,DIN OFFICIAL OR HIS/HER DEPUTY AND ALL FEESARE PAID.
khkil.7ohnS 07/16/20I5-
Print Name - Date
Released By
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 ASSESSOROTHER
STATUS: APPLIED BLD20150890
CONDITIONS
• 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 orplan 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 EC DC 19.00.005(A)(6)
ENGINEERING (425) 771-0220 EXT. 1326 1' F'IRE(425) 775-7720
PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING 425 2754801
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 Sheathing
• B-Building Final
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City of Edmonds
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5 h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 2 Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADD S eet Suite #, City�Sta� C VI 1
Parcel #:
10
Subdivision/Lot #: o14.1
Project Valuation: $ 99 n
APPLICANT: ��S ,l� U G/ ��(qtVV CC
p one: L� � ?ALL
Fax:
ity, Stet Zip): r'
Address My V
E-Mail7lddr
L.
PROPERTY NER�-.
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P16n5 ����I�
Fax:
Address (Strut City, State, Zip): I�RG v
E-Mail Address:
LENDING AGENCY: t
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*�
l : 5
Fax:
Addre s ( treet, City, State, Zip )�: �
CL�/4VG � ,,� it � /
E-Mail Address:
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*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 xp. Date 29
� /VAC . .�b C '
City Business License #/Exp. Date:
� � l�
,p �
perLu, �®o/) COX
DETAIL HE SCOPE OF WORK:�etu f/ G 7
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: Finished LJ Unfinished
I" Floor: s . ft.
Garage/Carport: -sq. ft.
2" Floor: s . ft.
Deck/Cvrd Porch/Patio: s . ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: s . ft.
Fire Sprinklers: Yes
LJ
No
Retaining Wall: Yes
No
Grading: Cut cu. yds. Fill cu.yds.
Cut/Fill in Critical Area: Yes LJ No
I declare under penalty of perjury laws that the information 1 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: C �� v l C_ Owner-Age/nt/Othe ❑ (specify):
1ZSignature: Date:
3/w 7
FORM A L:\Building New Folder 201000NE & x-ferred to L-Building-New drive\Form A2014.docx Updated:1/17/2014