500 Paradise Lane #202 - Application")c. 199,
BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 500 Paradise Lane #202
Parcel: 006S6900020200
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: Tammi Bulzomi
Mailing Address:
500 Paradise Lane #202
City/State/Zip: Edmonds 98020
Phone #: (206) 484-8896
Email
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? El Yes El No
I own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature:
APPLICANT/ CONTACT INFORMATION:
Name of Applicant: Dyanna Sconzo / Northwest Permit
Mailing Address: 9808 31st Ave SE
City/State/Zip: Everett, WA. 98208
Phone #: 360-945-2787
E-mail: dy@nwpermit.com
GENERAL CONTRACTOR: (if different from applicant)
General Contractor: Home Depot USA, INC
Mailing Address: 2455 Paces Ferry Rd
City/State/Zip: Atlanta, GA. 30339
Phone #: 360-945-2787
E-mail: dy@nwpermit.com
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
HOMED**088RH
CITY OF EDMONDS BUSINESS LICENSE #: 021369
Office Use Only
TYPE OF PERMIT (Provide
El Accessory Structure/
Detached Garage
Details on Page 2)
I] Addition
I--] Demolition
I] Mechanical
El New Single Family/ Duplex
0 Plumbing
• Fire Sprinkler
El Remodel
• New Commercial/ Mixed Use
I] Re -Roof
El Signs
El Tank
El Tenant Improvement
EXOther CONDOMINIUM
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation: $11,550.04
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished El Unfinished El
1st Floor, sq ft:
2nd Floor, scl ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
Replace 7 windows like for like
I certify 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: Dyanna Sconzo
Dyanna SconZo D1,,41y,,gn,dbyDy,nn.
Signature: D 202OD421 138 0700 Date 4/21/20
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes 0 No El
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
Qty Qty
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
Other:
Toilets
Other:
GAS/FUIEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
Qty Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum
Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y/N
PSCAA Case #:
Critical Areas Determination:
Study Required E Conditional Waiver El Waiver El
Fill in Place El Fill Material:
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes El No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
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A-83*54'01" N 17'29'32" E 107.47' A=73'24'57"
R = 20.00 R 45.00
L = 29.29' L 57.66'
ADDRESS
500 PARADISE LANE, UNIT #202
EDMONDS, WA 98020
PARCEL
00656900020200
5TH PLACE SOUTH N 17'29'32" E 182.89'
NORTH
SCALE = 1"=30'
SCOPE OF WORK
REMOVE AND REPLACE 1 SLIDING GLASS PATIO
DOOR WITH A U-VALUE OF 0.29 AND SHGC FACTOR
OF 0.31
LEGAL DESCRIPTION
SPINNAKER, CONDOMINIUM PLAN OF BILK 000 D-00 - APT 202 TGW AN UND 8.517% INT IN COMMON
AS & FACILITIESIDESC IN ARTICLE VI OF DECLARATION REC AUD 5/6/77 V 1114 P 451-470
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ReVision/Issue
Northwest Permit Inc.
NORTHWEST PERMIT, INC.
1026 SW 151st ST
BURIEN, WA 98166
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BULZOMI PATIO DOOR REPLACE
500 PARADISE LANE, UNIT #202
EDMONDS, WA 98020
(HDE #10965099/10965100)
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NWP #108979
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04/15/2020
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1" = 30'
@Northwest Permit Inc. / All Rights Reserved
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Andersen,
Quote #: 8113
Andersen Windows - Abbreviated Quote Report
Project Name: BULZOMI
Print Date: 04/07/2020 Quote Date: 04/02/2020
iQ Version: 20.0
Dealer: QUOTE VALID 60 DAYS Customer:
Billing
Address:
Phone: Fax:
Sales Rep: Administrator - DO NOT REMOVE Contact:
Created By: Trade I D: Promotion Code:
Item Oty Item Size (Operation) Location
0001 1 1 OOGX06030 (XO) BED
RO Size = 6' 0" W x 3' 0" H Unit Size = 5' 11 1/2" W x 2' 11 1/2" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, XO Handing, Low E SmartSun Glass (Each Sash), Insect Screen, Dark Bronze,
Andersen 100 Series hardware, White
Exterior Frame Extender Trim - Dark Bronze
Viewed from Exterior U-Factor: 0.29, SHGC: 0.21
0002 1 1 OOGX06030 (XO) MBEID
RO Size = 6'0" W x 3'0" H Unit Size = 5' 11 1/2" W x 2' 11 1/2" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, XO Handing, Low E SmartSun Glass (Each Sash), Insect Screen, Dark Bronze,
Andersen 100 Series hardware, White
Exterior Frame Extender Trim - Dark Bronze
Viewed from Exterior U-Factor: 0.29, SHGC: 0.21
Quote #: 8113
Print Date: 04/07/2020
Page 10f 3
iQ Version: 20.0
Item Qtv Item Size (Operation) Location
0003 1 1 OOGXOX9' 11 5/8" X 4' 11 1/2" (XOX) LIV
L ROSize=10'01/8"Wx5'0"H Unit Size= 9'11 5/8"Wx 4'11 1/2" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, XOX Handing, Low E SmartSun Glass (All Sash), Insect Screen, Dark Bronze,
Andersen 100 Series hardware, White
Exterior Frame Extender Trim - Dark Bronze
Viewed from Exterior U-Factor: 0.29, SHGC: 0.21
0004 1 1 OOGXOX7' 11 5/8" X 4' 11 1/2" (XOX) LIV
RO Size = 8'0 1/8" W x 5'0" H Unit Size = 7' 11 5/8" W x 4' 11 1/2" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, XOX Handing, Low E SmartSun Glass (All Sash), Insect Screen, Dark Bronze,
Andersen 100 Series hardware, White
Exterior Frame Extender Trim - Dark Bronze
Viewed from Exterior U-Factor: 0.29, SHGC: 0.21
0005 1 100CS2'11 3/8" X 4'11 1/4" (L) LIV
RO Size 2' 11 7/8" W x 4'11 3/4" H Unit Size 2'11 3/8" W x 4'11 1/4" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, L Handing, Low E SmartSun Glass, Insect Screen, White, White Lock Hardware
Exterior Frame Extender Trim - Dark Bronze
U-Factor:0.27, SHGC:0.19
Viewed from Exterior
Quote #: 8113 Print Date: 04/07/2020 Page 20f 3
iQ Version: 20.0
Item 0tv Item Size (Operation) Location
0006 1 100GX03'11 5/8" x 3'5 5/8" (XO) KITCH
RO Size = 4'0 1/8" W x 3'6 1/8" H Unit Size = 3'11 5/8" W x 3'5 5/8" H
100 Series
Unit, No Flange w/Exterior Accessory Kerf (Insert), Dark Bronze/White, XO Handing, Low E SmartSun Glass (Each Sash), Insect Screen, Dark Bronze,
Andersen 100 Series hardware, White
Exterior Frame Extender Trim - Dark Bronze
Viewed from Exterior U-Factor: 0.29, SHGC: 0.21
Customer Signature
Dealer Signature
Total Load Factor
1.824
All graphics viewed from the exterior
Rough opening dimensions are minimums and may need to be increased to allow for use of building wraps or flashings or sill panning or brackets or fasteners or
other items.
Ask to see if all of the products you purchase can be upgraded to be ENERGY STAR@ certified.
ASK ABOUT
ENERGYSJAR�
This image indicates that the product selected is certified in the US ENERGY STAR@ climate zone that you have selected.
19 Data is current as of November 2019. This data may change over time due to ongoing product changes or updated test results or requirements. Ratings for all sizes are specified by NFRC for testing and certification.
Ratings may vary depending on the use of tempered glass or different grille options or glass for high altitudes etc.
Nexia is a registered trademark of Ingersoll Rand Inc.
Project Comments:
Quote #: 8113 Print Date: 04/07/2020 Page 30f 3
iQ Version: 20.0
Job Name: BULZOMI
P.O. Number: 10965100
Simonton Order Number
Expected Delivery Date:
L n Qty
No Ord Description
: 10301866
04/21/2020 - 04/23/2020
71 1/4" (T) X 80 3/4" (T) 6200 White Contemporary Door (2-Lite)
Right Opening (OX); Painted Bronze; Int. Handle Satin Nickel;
Ext. Handle Satin Nickel; Tip -to -Tip; Block Frame; Energy Star
North Central; Super Spacer; ProSolar Low E; Argon Gas; Double
Glazed; Temper All All; Double Strength (1/8"); Half Screen
Fiberglass Extruded Screen Mold; E5 All Stiles(SL/EV); Tape
Applied; Non -Keyed MultiPoint; Corrosion Resist Roller/Glide
Footbolt; (Ul=1 52"); DP:20; U-Factor:.29; SHGC:.31; Unit qualifies
for ENERGY STAR�, region(s): Northern, North Central.
Room
ID