BLD20161309.PDFIIII�III �x��RED• 5� '����»-
0851
CITY OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 11/04/2016 Permit #: BLD20161309
BUILDING PERMIT
Expiration Date: 05/02/2017 i Project Address: 18906 OLYMPIC VIEW DR,,
EDMONDS
Parcel No: 27031300401500
•O *Wr1EA APPLICANT CONTRACTOR
TAMEST MANN JAMEST MANN HOMEOWNER EXEMPTION
18906 OLYMPIC VIEW DR 18906 OLYMPIC VIEW DR C/O JAMEST MANN
EDMONDS, WA 98020-2353 EDMONDS, WA 98020-2353 18906 OLYMPIC VIEW DR
EDMONDS, WA 98020-2353
(425)672-4371 (425)672-4371 (425) 672-43 71
LICENSE #: EXP:
1: DESCRIPTION
REMOVE PERVIOUS DECK AND REPLACE WITH NEW IMPERVIOUS DECK. 80SF
WORK STARTED PRIOR TO PERMIT
VALUATION: $1,600.00
PERMIT TYPE: Residential
PERMIT GROUP: 22 - Deck/Porch/Patio Cover
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAININGWALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
I ZONE: RS-12
NUMBER OF STORIES: 0
IVESTED 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: 80 OTHER: 0
BEDROOMS- 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
REQUIRED: E 25 PROPOSED: 29 REQUIRED: W 10 PROPOSED: 10+ REQUIRED: N 25 PROPOSED: 0
HEIGHT ALLOWED:25 PROPOSED:7 REQUIRED: S 10 PROPOSED: 10+
SETBACK NOTES: Like for like replacement of existing nonconforming deck. Setbacks shown are to deck. A 20' access easement runs across the
northern extent of the subject parcel benefiting the lots to the west. The 'rear' setback above is actually a street setback taken from the edge of the access
easement. The deck (and most of the northern half of the house) is within the required 25' setback from the southern edge of the access easement.
PERMITAPPRONIAL
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 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID.
J��' i'%Cw�-^— 7 � �i7 /1) Ap �u //- S� /b (�/LtlQ�o Signature Print Name Date Rele
ONLINE = APPLICANT ASSESSOR
By Date
OTHER � / �
STATUS: ISSUED
BLD20161309
• 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. Checkthe 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
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-Isolated Footings/Piers
• B-First Floor Framing
• B-Building Final
City of Edmonds
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
121 5`h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 Q Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
l()1y11p1t 1
Parcel #:
Subdivision/Lot #:
Project Valuation: $
APPLICANT:
/ P- M A- AJ A/
Phone:
A12-S7_- & 2 ?_ - 3 %
Fax:
Address (Street, City, State, Zip):
)Rqo(y/ M i C VEtw 1 QI ✓CC
E-Mail Address:
PROPERTY OWNER:
7-1 /�-I Ia-N /✓
Phone:
Fax:
Address (Street, City, State, Zip):
5 A /-4 E' ..
E-Mail Address:
LENDING AGENCY:
Phone: TFax:
7
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR-* ' O
Phone:
Fax:
Address (Street, City, State, Zip):
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 #/Exp. Date:
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: JZF_My U C- 010 l7 ECG= &Nej ?_ e P 1 f+Ce_
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: Finished Ll Unfinished Ll
1" Floor: s . ft.
Garage/Carport: s . ft.
2nd Floor: s . ft.
Deck/Cvrd Porch/Patio:)r d s . ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: sq. ft.
Fire Sprinklers: Yes
NoT7
Retaining Wall: Yes
No
Grading: Cut cu. yds. Fill cu.yds.
Cut/Fill in Critical Area: Yes No
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:-Ti ►'yk M AN 0 Owner OAgent/Other ❑ (specify):
Signatur, � / '/A�� Date: f — 2-7- /rP `
FORM A L:\Building New Folder 2010\DONE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
FORM D
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that he/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
/ Owner who contracts for a project. A property owner contracting with registered
p� contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(11).
Work performed personally on own property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
Use of own employees. Property owner using him/herself or his/her own employees to
perform maintenance, repair, and alteration work in or upon his/her own property. RCW
18.27.090(13).
Licensed Architect, engineer, electrician or plumber. All work performed under this
permit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this 4 day of QCT 20 �Y•
PROPERTY OWNER/AUTHORIZED
PERSON
a," - rIa-"'
'gnature
A r✓l.C- 9 —T— M Aov^J
Print Name
WITNESS
4/��,- 1-b
Signaturee�/ZAA—'
In
YV
Print Name
LATEMP\BUILDING\Handout Archives\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION
FORM D.DOCREVISED 7/07