BLD2020-0700+City_Application+6.30.2020_4.34.32_PMI'll, I Z '
BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements go to: www.edmondswu.gov.
To apply for permits, schedule inspections, or check application status
go to: www.mybuildingpermit.com
JOB SITE INFORMATION/LOCATION: (where the work is taking place)
Job Site Address: 523 Paradise Lane
Parcel
Lot /Unit/Suite #: Subdivision:
BUSINESS OR PROPERTY OWNER:
Name: Julie and Daniel Schoening
Mailing address: 523 Paradise Lane
City/State/Zip: Edmonds, VITA 98020
Phone #: 914-420-9752
Email: julie.r.schoeningGgmail.com
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑Yes Fv-] 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. 67
Owner Signature: Julie
APPLICANT/ CONTACT INFORMATION:
Name of Applicant: Julie Schoening
Mailing Address: 523 Paradise Lane
City/State/Zip: Edmonds, WA 98020
Phone #: 914-420-9752
E-mail: julie.r.schoening@gmail.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: Procraft Windows
Mailing Address P710 220TH STREET SW
City/State/zip: MOUNT LAKE TERRACE, WA 9804
Phone #: 206 361 5121
E-mail: rob@procraftwindows.com
STATE [18I #: 601005376
CITY OF EDMONDS BUSINESS LICENSE #: NR-026752
WA STATE CONTRACTOR L & 1 #i: (CC818r EXPIRATION DATE:
PRQCRI'114K4 EXP 3/6121
Office Use only
TYPE OF
❑Accessory Structure/
Detached Garage
❑ Addition
Demolition
Mechanical
New Single Family/Duplex
Plumbing
Fire Sprinkler
Remodel
New Commercial/Mixed Use
Re -Root
Signs
❑ Tank
❑ Tenant improvement
❑ Other_
Remodel Permit fees are based on:
The value of the work performed. indicate the value (rounded to
the nearest dollarl of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation: 6000
PROPOSED NEW SQUAREr■ r• THIS APPLICATION
Basement sq ft: Finished Unfinished❑
1st Floor, sq ft:
N/A
2nd Floor, sqft:
N/A
Garage/Carport:, sq ft:
N/A
Deck/Covered Porch/Patio:
N/A
It of NEW Bedrooms: N/A
PROJECT DESCRIPTION
JA
# of NEW Bathrooms: N/A
W
IsklAsF
A VI(AA 0W-
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: Julie Schoening
Signature: LDate
__
Occupancy Group(s):
COMMERCIALGENERAL
Occupant Loads):
s) of Construct)on:
Fire Sprinklers: Yes❑NoTATE
ENERGY CODE: 1f your project affects the building envelope,
echanical systems, and/or lighting, you must complete the
ppropriate WSEC farms.
r
RRED St1mTTALS: 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
NIA
Air Handler /VAV
N/A
A
Boiler
N/A
Dryer Duct
N/A
Exhaust Fans
N/A
Fireplace
NIA
Furnace
N/A
Heat Pump Unit
N/A
Hydronic Heating
N/A
Roof Top Unit (Provide eleva-
tions of a Commercial 13fdg)
, �J A
Other:
PLUMBING FIXTURE
Qty
N/A
COUNTS (New, Relocated . -.
Qty
Clothes Washer
N/A
Tub/ Showers
NIA
Dishwasher
N/A
Backfiow Device (RPBA, DCDA, AVB)
N/A
Drinking Fountain
N/A
Pressure Reduction/ Regulator Valve
N/A
Floor Drain/Sink
N/A
Refrigerator Water Supply
N/A
Hose sibs
N/A
Water Heater - Tankless? Y or N
N/A
Hydronic Heat
N/A
Water Service Line
N/A
Sinks
NIA
Other:
NIA
Toilets
N/A
Other:
NIA
CONNECTION COUNTS
BTUs Clty aTUs Qty
A/C Unit
N/A
Outdoor BBQ/ Fire pit
N/A
Boiler
N/A
Stove/flange/Oven
N/A
Dryer
N/A
Water Heater
N/A
Fireplace/ Insert
N/A
Other:
N/A
Furnace N/A
Other: N/A
-J
COUNTSMEDICAL GAS, AIR VACUUM
piped)(New, Relocated or re
Qty City
Carbon Dioxide
N/A
Nitrous Oxide
N/A
Helium
NIA
Oxygen
N/A
Medical Air
N/A
Other:
N/A
Medical -Surgical Vacuum N/A I Other: JN/A�
DEMOLITION
Type of structure to be demolished: N/A 7
Square footage of structure to be demolished: N/A
AHERA Survey done? Y❑/ N❑
PSCAA Case it.N/A
Critical Areas Determination:
Study Required ❑ Conditional Waiver[] Waiver❑
Fill in Place ❑ Fill Material: N/A
Removal ❑ Size of Tank (Gallons)
Critical Areas Determination:
Study Required Conditional Waiver Waiver
.D
f;rar#inn tilt riohi, "Irdl
Fill
cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
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.