Sunrise at Edmonds_Building Permit Application Bldg 1BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
'Ile. 1 gy\j 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.gov.
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: 8512 242nd Street SW - Bldg 1
Parcel: 00812000000000
Lot /Unit/Suite #: 01- 10 Subdivision: 0100-1000
PROPERTY OWNER:
Name: Sunrise at Edmonds Owners Assn c/o Emerald Management
Mailing Address: 14900 Interurban Ave S, Suite 271
City/State/Zip: Seattle, WA 98168
Phone #: 206.641.9631
Email: nicole.lemons@emerald-mc.com
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑ Yes ® 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: Tina Ray c/o Amento Group
Mailing Address: 710 2nd Ave Suite 400
City/State/Zip: Seattle, WA 98104
Phone #: 206.957.4716
E-mail: trayCa)amentogroup.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: To Be Determined
Mailing Address:
City/State/Zip: _
Phone #:
E-mail:
STATE UBI #:
CITY OF EDMONDS BUSINESS LICENSE #:
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
Office Use Only
TYPE OF PERMIT (Provide Details on Page
❑ Accessory Structure/
❑ 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: $176,470.60
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: 0 sq ft Finished ❑ Unfinished ❑
1st Floor, sq ft: 0 sq ft
2nd Floor, sgft: 0 sq ft
Garage/Carport:, sq ft: 0 sq ft
Deck/Covered Porch/Patio: 0 sq ft
Other sq ft: 0 sq ft
PROJECT•
Sunrise at Edmonds is a condominium consisting of two (2)
buildings with seventeen (17) residential units. This
remediation project includes replacement of deck
guardrails, membrane, and sliding glass doors for all decks
at both condominium buildings.
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: Tina Ray
Signature: Date 04/17/2020
GENERAL• DATA
Occupancy Group(s): R-2 Occupant Load(s): Unchanged
Type(s) of Construction: V 1-HR Fire Sprinklers: Unchanged
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
0
Air Handler /VAV
0
Boiler
0
Dryer Duct
0
Exhaust Fans
0
Fireplace
0
Furnace
0
Heat Pump Unit
0
Hydronic Heating
0
Roof Top Unit (Provide eleva-
lions if a Commercial Bldg)
0
Other:
0
COUNTSPLUMBING FIXTURE or re -piped)
Qty Qty
Clothes Washer
0
Tub/ Showers
0
Dishwasher
0
Backflow Device (RPBA, DCDA, AVB)
0
Drinking Fountain
0
Pressure Reduction/ Regulator Valve
0
Floor Drain/Sink
0
Refrigerator Water Supply
0
Hose Bibs
0
Water Heater - Tankless? Y or N
0
Hydronic Heat
0
Water Service Line
0
Sinks
0
Other:
0
Toilets
0
Other:
0
CONNECTION. .. .. .
BTUs Qty BTUs Qty
A/C Unit
0
Outdoor BBQ/ Fire pit
0
Boiler
0
Stove/Range/Oven
0
Dryer
0
Water Heater
0
Fireplace/ Insert
0
Other:
0
Furnace
0
Other:
0
COUNTSMEDICAL GAS, AIR VACUUM
Relocated or re -piped)
Qty Qty
Carbon Dioxide
0
Nitrous Oxide
0
Helium
0
Oxygen
0
Medical Air
0
Other:
0
Medical - Surgical Vacuum 0 Other: 0
DEMOLITION
Type of structure to be demolished: None
Square footage of structure to be demolished: 0
AHERA Survey done? Y / N
TPSCAA Case #:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place ❑ Fill Material: Not Applicable
Removal ❑
Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Grading: Cut 0 cubic yards
Fill 0 cubic yards
Cut / Fill in Critical Area: Yes ❑ 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.