Building_Permit_Permit_Application_2019_house - signedBUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
'"C. 189" 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.aov.
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 825 MAIN STREET
Parcel: 00434201803000
Lot /Unit/Suite #: 30 &31 _ Subdivision:
PROPERTY OWNER:
Name: KIRSTEN AND NATHANIEL PAUST
Mailing Address:
825 MAIN STREET
City/state/zip: EDMONDS, WA 98020
Phone #: 860-830-6644
Email:
KIRSTEN.PAUST@FORTIVE.COM
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑ Yes XI 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. HEIDI HELGESON, H2D ARCH. + DESIGN
Mailing Address:
23020 EDMONDS WAY, #113
City/State/Zip: FnhAnKin.q \A/A gR(17f1
Phone #: 206-542-3734
E-mail: rnnn
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: LEWIS CONSTRUCTION GROUP
Mailing Address: 7229 212TH ST SW, STE A
City/State/zip: EDMONDS, WA 98026
Phone #: 425-678-8550
E-mail: JAY@LEWISCG.COM
STATE UBI #: 602-733-054
CITY OF EDMONDS BUSINESS LICENSE #: BL-01 1415
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
LEWISCG873135 2/11/2021
Office Use Only
TYPE OF PERMIT (Provide Details on Page 2)
❑ Accessory Structure/
X Addition
Detached Garage
❑ Demolition
❑ Mechanical
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
❑ Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
❑ Tank
❑ Tenant Improvement
❑ Other
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: $235,000
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
235.9 SF
2nd Floor, sgft:
311 .7 SF
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
51 .3SF
Other sq ft:
PROJECTDESCRIPTION
-ADDITION AND INTERIOR
_REMODEL TO EXISTING S.F.R.
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: Kirsten Paust
kit 911 A�r 17, 2020
Signature: 1-=1��_,,,=t,Apr 17,2020 Dat
COMMERCIALGENERAL
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes ❑ No ❑
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
EQUIPMENTMECHANICAL •
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
ELEC
3
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE
Qty Qty
Clothes Washer
Tub/ Showers
3
Dishwasher
1
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
3
Other:
Toilets
2
Other:
CONNECTION COUNTS.. .. .
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
COUNTSMEDICAL GAS, AIR VACUUM
Relocated .
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 ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place ❑ Fill Material:
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
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.
Build ing_Permit_Permit_Application_2019_hous
e
Final Audit Report 2020-04-17
Created: 2020-04-17
By: Heidi Helgeson (heidi@h2darchitects.com)
Status: Signed
Transaction ID: CBJCHBCAABAAxdFLEGoAoahVhNpBVLf9_85p8ksBgePK
"Building_Permit_Permit_Application_2019_house" History
Document created by Heidi Helgeson (heidi@h2darchitects.com)
2020-04-17 - 5:03:27 PM GMT- IP address: 50.46.195.70
Document emailed to Kirsten Paust (kirsten.paust@fortive.com) for signature
2020-04-17 - 5:04:05 PM GMT
Email viewed by Kirsten Paust (kirsten.paust@fortive.com)
2020-04-17 - 5:25:53 PM GMT- IP address: 174.245.240.53
Document e-signed by Kirsten Paust (kirsten.paust@fortive.com)
Signature Date: 2020-04-17 - 6:18:56 PM GMT - Time Source: server- IP address: 165.225.50.169
Signed document emailed to Kirsten Paust (kirsten.paust@fortive.com) and Heidi Helgeson
(heidi@h2darchitects.com)
2020-04-17 - 6:18:56 PM GMT