BLD20151126 (2).PDFt
U A Ot' Eb,VOcaa'm- ��
OF EDMONDS
1 A VENUE NORTH - EDMONDS, W A 98020
ONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 10/16/2015 Permit #: BLD20151126'
Expiration Date: 10/16/2016
Parcel No: 00513105800400
Project Address: 16007 75TH PL W, EDMONDS
PROPEWIN OWNER APPLICANT•` •'
LYNN & ROBERT NGUYEN T & D GENERAL CONSTR &PAINTNG T & D GENERAL CONSTR & PAINTNG
16024 75TH PLACE WEST 14534 27Th Ave Ne C/O THANH TRANG
EDMONDS, WA 98026 Shoreline, WA 98155 14534 27Th Ave Ne
Shoreline, WA 98155
(206)226-1833 (206)227-1031 (206)227-1031
LICENSE #: TDGENDG923KT EXP:06/05/2016
JOB DESCRIPTION
R&BUILD ROOF ON EXISTING CONCRETE GARAGE.
VALUATION: $1,500.00
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: RS-20
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
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:O
1 BEDROOMS:0 BATHROOMS:0
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:15 PROPOSED:9.75 REQUIRED: PROPOSED:
SETBACK NOTES: Changing low pitch roof to flat roof. No change to existing setbacks.
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.
THIS APPLICATION (SNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS✓HER DEPUTY AND ALL FEES ARE PAID.
Sig
Print Name
S�Li�tala7hwii k 06toM- 16, 2015"
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/ IBC I10/ IRC110.
ONLINE APPLICANT = ASSESSOR (OTHER
STATUS: ISSUED BLD20151126
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 or plan containing provision 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 ofconstniction 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)
CALL FOR INS PECTIONS
BUILDING 425 771-0220 EXT. 1333 ENGINEERING 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425) 771-0235 1 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
requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B-Preconstruction meeting
• B-Framing
• B-Roof Sheathing
• B-Building Final
J
24-
I DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
Est 1890 121 5`b 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 ADDRES� Suite #, City State, Zip):
Parcel #:
Subdivis'on/Lot#: q9 C? ?=:g
Project Valuation: $4#) S-00
APPLICANT:
Phone:
26 c zz,6 t83
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
PROPERTY OWNER:
dIN
Phone:
Fax:
Address treet, City, State, ip):
ra OG
E-Mail Address:
LENDING NCY:
Ph ne: ZZ�
Fax:
Ad ss (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
20 7-Z��03
Fax:
Address (Street, City, State, Zip): N
E-Mail Address:
x k-09,--- Cl g(��-
*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 Stat License #�/Ex� at�+
Z
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: e-bu; k6
rocs Lsr�►^
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: Finished LJ Unfinished LJ
1" Floor: s . ft.
Garage/Carport: s . ft.
7 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
LJ
No
Grading: Cut cu. yds. Fill cu.yds.
Cut/Fill in Critical Area: Yes LJ NoLJ
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 duI authorized agent of the property owner to submit a permit application to
the City of Edmonds. jo`y11/ /"r`�wc
Print Name: LU AIN !t/ (1'c�%�L� /U Owner Agent/Other ❑ (specify):
Signature: - Date: Z
FORM A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New driveTorm A2014.docx Updated: 1/17/2014
46-
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DEVELOPMENT SERVICES
_
RESIDENTIAL BUILDING PERMIT
APPLICATION FORM A
F �t 1 gqo
121 5`b Avenue N, Edmonds, WA 98020
City of Edmonds
Phone 425.771.0220 2 Fax 425.771.0221
Equipment Type
MECHANICAL
Appliance/Equipment Information (new and relocated) Total #
Furnace
Gas #_Elec
#_Other:
#_ BTUs: <100k_ >100k_ Location(s)
Air Handler / VAV
Gas #_Elec
#_Other:
# CFM: <lOk_ >lOk Location(s)
(circle selected)
AC / Compressor /
Boiler / Heat Pump /
Gas #_Elec
#_Other:
# BTUs: <100k, 100k-500k, 500k-1Mil
Roof Top Unit
HP:
<3, 3-15,
15-30 Location(s)
(circle selected)
Hydronic Heating
Gas #_Elec
#_In -Floor
_Wall Radiant_ Boiler BTUs: Location
Exhaust Fans (single
Bath #_Kitchen
#_Laundry # #_
duct)
_Other:
Fireplace
Gas #_Elec
#_Other:
#_ Location(s)
Dryer Duct
FUEL GAS
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
PLUMBING
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
o
Clothes Washer
Hose Bib
Baclflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? Yes ❑ No
Hydronic Heat in: Floor ❑ WallEj
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for waterrice dispenser)
Other:
FORM. A LABuilding New Folder 2010\DONE & x-ferred to L-Building-New driveTorm A2014.docx Updated: 1/17/2014
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