Loading...
BLD20170035.pdfCITY 121 5TH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Expiration Date: 07/1 U/ Parcel No: 00484500700700; d1 1 a, KATHLEEN M HODGES 726 HEMLOCK ST EDMONDS, WA 98020 Tear offe)asting 3 tab, install ne VALUATION: $0.00 MARMOT'ROOFING 5539 WALLINGFORD AVE N' SEATTLE, WA 98103 (206)948-3425 C 1 ated composition shingles: MARMOT ROOFING INC C/O DARRELL`BEDNARK 5539 WALLINGFORD AVE N SEATTLE; WA 98103 (206)527-9226 LICENSE #: MARMORI022LR EXP:01713/2018 '.JRL rLV Vlt. V IIHR/1vn. V LnI.A: V V.1 nn1C.::V JJ<L FLuu v V111 "n..V' LnI,A, V'. V I nLR. v BEDROOMS:0 BATHROOMS:O BEDROOMS:0 BATHROOMS:0 FRONTSEIFBACK StI)ESETRACK REAR SETBACK REQUIRED: PROPOSED: JREQUIRED: PROPOSED, ` REQUIRED: PROPOSED HEIGHT ALLOWED 0 'PROPOSED:0 IREQUIRED PROPOSED; SETBACK 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. " S APPLICATI TA PERMIT UNTIL SIGNED BY THE BUILDING, OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID; C".t uL ©/7 Signature Print Name Date Released 8 Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ IRC]70. ONLINE' APPLICANT ASSESSOR' 44 ° j OTHER y STATUS: ISSUEDBLD20170035 ONDITIONS • 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. • • 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 fromthe noise limits' of ECC Chapter 5.30 only during the hours of 7:00amto 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 ofhis `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 pen -nit. Issuance of this pernvt 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 INS13FUTIONS l3 UII DING 425 771.0220 EXT. 1333 FIVGINHMING 425 771-0220 EXT, 1326 f R 425" 775-7720 PUBLIC WORKS 425 771-0235 PRE TREATMENT (425) 672-5755 RECYCLING '42 2754801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being re ested, Contact Name and Phone Number Date Prefereed and wbether you prefer morning or afternoon. • B -Roof Tear Off • B -Building Final v DEVELOPMENT SERVICES RESIDENTIAL BUILDING PERMIT W.� drop�r w A.PPI ICATION s r > 121 5°i Avenue N, Edmonds, WA 98020 City of Edmonds Phone 425.771.0220 P Fax 425.771 .0221 PLEASE REF l"R TO THE RESIDENTIAL BUILDING CHECKLIST F OR .S UBMII TAL REQUIREMENTS PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #: Subdivision/Lot #: Project Valuation: $ APPLICANT:Phone: Fax: LP ® e \ Address (Street, City, State, Zip): E -Mail Addi-ess: _ S� �LLi VLC� Priv\i�. S K� l f�C 0^r_VkST. PROPERTY OWNER: Phone: Fax: 01 Address (Street, City, State, Zip): E -Mail Address: :12C S, cIC_ T, C__'a LENDING AGENCY: Phone; Fax; Address (Street., City, State, Zip). E -Mail Address, CONTRACTOR:* Phone. Fax; Address (Street, City, State, Zip): E-M.ail Address: WA State License #/Exp. Date: i *Contractor must have a valid City of Edmonds business license prior- to - -- -Z-2—L doing i-vorlc in the Cite. Contact the Ciry Clerk's Clffice at 425.775.2525 City Business License #/Exp. Date: DETAIL THE SCOPE OF WORK: ....a�^--...., a ,,,,,,,,,,,,,,,, Z.X .51 \r\\nG 77S7�, r �C,.i�. .. ..... .. ... PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT: Basernent: s . ft Select Basement Type: Finished Unfinished I" ltloor: _ ®.. 5a:. ft. ti,ara e/Car ort ®� _sq. ft. 2"' Floor: � � _ __a . ft. Deck/Cvrd Porch/Patio: ... _ -.-.-s . ft. Bedroorns # Full -3/4 Bath # half -Bath # Other:.. .......,. _ sq. ft. FirSe rinlclers: Yes No Retainin Wall: Yes No Grad iiig: Cut _____c u. 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 ani the property owner or duly authorized agent of the property owner to submit a permit application to the City of Edmonds. )6",9„�, A I'rirrt N:ttpt' \�\,,,.. S.N. ..... Owner El Merit/Other (s�.��i-C� pecify - Print Natn(!Z) St Cq,1tVp1A°:^ l Date: ........... FORMA L:ABUilding New Folder 201MONE &x -ferrel to L-BLlilding-flew drivevF'onn A2014.docx Updated: 1/17/2014