Loading...
BLD2020-0586+City_Application+6.8.2020_1.49.33_PMBUILDING PERMIT APPLICATION Permit#: Development Services Building Division TYPE OF PERMIT (Provide Details on Page 2) 121 5th Ave N / Edmonds, WA 98020 425.771.0220 '. 1 a' For handouts, submittal requirements go to: www.edmondswa.aov To apply for permits, schedule inspections, or check application status go to: www.mvbuildinapermit.com JOB SITE INFORMATION/LOCATION: (Where the work is taking place) Job Site Address: 7216 Soundview Dr Edmonds, WA 98026 Parcel: 00513600000400 Lot /Unit/Suite #: N/A Subdivision: N/A BUSINESS OR PROPERTY OWNER: Name: Jonathan Castillo Mailing Address: 7216 SOUndview Dr City/State/Zip: Edmonds/WA/98026 Phone #: (206) 949-1825 Email: jonathancastilloll@yahoo.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: Jonathan Castillo Mailing Address: 7216 SOundView Dr City/State/Zip: Edmonds/WA/98026 Phone #: (206) 949-1825 E-mail: jonathancastillol l @yahoo.com GENERAL CONTRACTOR: (If different from applicant) General Contractor: Zach Waltier Mailing Address: 23920 101 St PI W EdmondSNVAMMU City/State/{I- p0 Phone #: Z 2273 E-mail: zwaltier@gmail.com STATE UBI #: 604 313 735 CITY OF EDMONDS BUSINESS LICENSE M WALTIHL824RS WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE: WALTIHL824RS 12/11/2020 Accessory Structure/ Detached Garage Addition ElDemolition ❑ 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: $55,250 PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION Basement sgft: Finished❑ Unfinished El 1st Floor, sq ft: 200 2nd Floor, sgft: Garage/Carport:, sq ft: Deck/Covered Porch/Patio: # of NEW Bedrooms: 2 # of NEW Bathrooms: 0 PROJECT• Existing garage partially converted into an ADU with a small addition. 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: Jonathan�P. Castillo Signature: -/�✓` Date ©G�QZr1 GENERAL. DATA Occupancy Group(s): Occupant Load(s): Type(s) of Construction: Fire Sprinklers: Yes NoFv] 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 J Elec / Other Qty A/C Unit/Compressor Air Handler /VAV Boiler Dryer Duct 1 Exhaust Fans 1 Fireplace Furnace Heat Pump Unit Hydronic Heating Roof Top Unit (Provide eleva- tions if a Commercial Bldg) Other: COUNTSPLUMBING FIXTURE d or re piped) Qty Qty Clothes Washer 1 Tub/ Showers Dishwasher 1 Backflow Device (RPBA, DCDA, AVB) Drinking Fountain Pressure Reduction/ Regulator Valve Floor Drain/Sink Refrigerator Water Supply 1 Hose Bibs Water Heater -Tankless? Y or N 1N Hydronic Heat Water Service Line Sinks 2 Other: Toilets Other: COUNTSGAS/FUEL CONNECTION Relocated or .. . BTUs Qty BTUs Qty A/C Unit Outdoor BBQ/ Fire pit Boiler Stove/Range/Oven Dryer Water Heater Fireplace/ Insert Other: Furnace Other: GAS, AIR VACUUM COUNTS RelocatedMEDICAL 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 ❑ Conditional Waiver❑ Waiver❑ Fill in Place ❑ Fill Material: Removal ❑ Size of Tank (Gallons) Critical Areas Determination: Study Required Conditional Waiver Waiver GRADE/FILL/EXCAVATE Grading: Cut cubic yards Fill cubic yards Cut / Fill in Critical Area: Yes ❑ No ❑ GENERAL•• • 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.