BLD20170159 (2).pdfiDAf
O V E� OWN
CITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
nc. I SA
STATUS: ISSUED 02/15/2017 Permit #• BLD20170159'
Expiration Date: 02/15/2018 Project Address: 18717 OLYMPIC VIEW DR,
EDMONDS
Parcel No: 00434600007201
11ilisap• 1 .. 1, , , . - CONTRACTOR
CHARLES M & MARCIA CHAN RIDLEY JEFF WOLFE-ARCHITECT JOHNSON BROTHERS
18717 OLYMPIC VIEW DR 20207 23RD AVE NW C/O KEVIN JOHNSON
EDMONDS, WA 98020-2351 SHORELINE, WA 98177 3223 NE 123RD ST
SEATTLE, WA 98125
(206)851-7527 (206)367-8036
LICENSE #: JOHNSBC075DU EXP:03/31/2018
JOB DES1
Demolish kitchen and laundry on main floor. Remodel new kitchen in that space:'RdJT del 1new,lau dry on upper floor.
VALUATION: $45 000.00
PERMIT TYPE: Residential
PERMIT GROUP: 04-= Alteiatio_n model
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
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
1 I
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTFIER: 0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS:0
FRONT1S';ErBACK
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 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. Qom[
T S APP IC TION (SNOT A PERMIT UNTIL SIGNED BY THE B ILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. ��JJ
1_'1/5120/7
qr Signatur Print Name Date Releasdd By Date
s'
ATTENTION
ITIS 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 0
OTHER
J .�
STATUS: ISSUED
BLD20170159
• 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 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
ofcity code or state law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe 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 othertimes 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)
771-0220 EXT. 1333
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 wfiether you prefer morning or afternoon.
• B-Plumb Rough In
• B-Gas Test/Pipe
• B-Mechanical Rough In
• B-Framing
• B-Insulation/Energy
• B-Building Final
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
�sr 1 g9p 121 5'h Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 Q Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, S Re #, City tate, Zip):
Parcel #:
Sub ivision/Lot #:
F
Project Valuation: $
APPLICANT:
Phone:
Fax:
14
e
2�
Address (Street, City,,State, Zip):
72
E-Mail Add
es :
fmg, ,
PROPE TY WNER:
Phone:
Fak•
Address (Street, City, State, Zip): ' 0(,d
E-Mail Address:
LENDING AGEN Y: I//
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
,'g
Address (Street, Ci y, State, Zip);
E- ail A ess:
Z
?�— t
A State Lic se #/Exp. Date: t •�
*ContractormA-Yraalid iyof mdsiness lileinse prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
City Business License #/Exp. Date:
O ZZA51 q !O
I� s� �re� 1� )cjpj;�q
DETAIL, THE SCOPE O1F_WORK: ra gj
_ I.�
-i,li?d,►� �ql�l Gilt �t�� �Irar� ;
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement T e: Finished N
Unfinished Li
1" Floor:
s . ft.
Garage/Carport: 42 s . ft.
2nd Floor:
Z_s . ft.
Deck/Cvrd Porch/Patio s . ft.
Bedrooms # Full-3/4 Bath # Half -Bath #
Other: s . ft.
Fire Sprinklers: Yes
No
Retaining Wall: Yes
No NJ
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 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: U36� Owner ❑ Agent/Other lq(specify):
Signature: 1 A Q Date:
v
FORM A LABuilding New Folder 2010\DONE & x-ferred to LrBuilding-New driveTorm A2014.docx Updated: 1/17/2014
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Fsr j8qo
City of Edmonds
Equipment Type
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION FORM A
121 5'" Avenue N, Edmonds, WA 98020
Phone 425.771.0220 4 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
HP:
#_Other:
<3, 3-15,
#_ BTUs: <100k, 100k-500k, 500k-1Mil
15-30 Location(s)
Hydronic Heating
Gas #_Elec
#_In -Floor
_Wall Radiant_ Boiler BTUs: Location
Exhaust Fans (single
•
duct)
Bath #_Kitchen
# � Laundry # I —Other: - #_
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
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.)
Z
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? Yes
❑ No ❑
Hydronic Heat in: Floor ❑ Wall
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
FORM A LABuilding New Folder 2010\DONE & x-ferred to LrBuilding-New drive\Fonn A2014.docx Updated: 1/17/2014