BLD2020-0679+City_Application+7.1.2020_4.20.10_PMBUILDING PERMIT
APPLICATION
Development services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements go to. WEE. edmandswo. q0v.
To apply for permits, schedule inspections, or check application status
go to: www.mvbuildinavermit.com
JOB SITE IN (Where the work is taking place)
Job Site Address:
18711 88th Ave W
Parcel: 00434600001504
Lot /Unit/Suite #: Subdivision:
BUSINESS OR PROPERTY OWNER:
Name: Majestic View Homes, LLC
Mailing Address;
19502 56th Ave W, #103
City/State/Zip: Lynnwood, WA 98036
Phone #: 2067152400
Email: mark@ mvhomes@outlook.com
OWNER INSTALLATION: *If yes, read and sign"
Will work be performed by the property owner? Des ❑ 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: Majestic View Homes, LLC
Mailing Address: 19502 56th AVe W, #103
City/State/Zip: Lynnwood, WA 98036
Phone #: 2067152400
E-mail: mark. mvhomesCoutlook.com
GENERAL CONTRACTOR: (If different from applicant)
General Contractor:
Mailing Address:
City/State/Zip:
Phone #:
E-mail:
STATE UBI M. 602974384
CITY OF EDMONDS BUSINESS LICENSE M PENDING
WA STATE CONTRACTOR L & 1 #: (CCU) & EXPIRATION DATE:
MAJESVH907DB
office use Only
TYPE Of PERMIT (Provide
Accessory Structure/
Detached Garage
Details ..
❑ Addition
Demolition
R1 Mechanical
New Single Family/Duplex
Plumbing
Fire Sprinkler
❑ Remodel
New CommerciaIN! xed Use
Re -Roof
❑
Signs
❑ Tank
l i
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:
Basement sq ft: Finished❑
unfinished
1st Floor, scl ft:
1613
2nd Floor, sq ft:
1901
Garage/Carport:, sci ft:
588
Deck/Covered Porch/Patio:
108.5
# of NEW Bedrooms: Fj
PROJECTDESCRIPTION
# of NEW Bathrooms: 4
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.
Pant Name: MACHELBARGER
Signature
Date
S7.1.2020
i
Occupancy Group(e): Occupant Loi
Type(s) of Construction: Fire Sprinklers: Yei 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
BTUs
A/C Unit/Compressor
1
Air Handler NAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
500(
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions If a Commercial Bldg)
Olheo
Gas /Elec/Other City
BTUs Qry BTUs City
A/C Unit
Outdoor BBQ/Fire pit
250DO
1
Boiler
Stove/Forge/Oven
35000
Dryer
Water Heater
80000
1
Fireplace/Insert
20000
Other:
Furnace
50000
1
Other:
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
#Other
Other:
Medical -Surgical Vacuum
:
Type of structure to be demolished:
Sq
quare footage of structure to be demolished:
AHERA Surveydone7Y❑/N❑ PSCAA Case#:
Critical Areas Determination:
Study Required El Conditional Waiver❑ Waiver❑
City
Clothes Washer 1 Tub/Showers
Dishwasher 1 Backflow Device(RPBA, DCDA, AVB)
Drinking Fountain Pressure Reduction/ Regulator Valve
Floor Dralni Refrigerator Water Supply
Hose Bibs 2 Water Heater - Tanklessl YorN
Hydronic Heat Water Service Line
Sinks 8 Other:
Toilets d Other:
Fill In Place ❑ Fill Material:
Removal❑ Sl,e of Tank(Gallons)
Critical Areas Determination:
i
Study Required Conditional Waiver Waiver
Grading: Cut 100 cubic yards
Fill 10() cubic yards
Cut/ Fill in Critical Area: Yes ❑NoC
1
APPLICATIONS: Applications are valid for a maximum of 1 year.
1 ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be Iles
with Washington State Department of labor & Industries and have a
current City of Edmonds Business License.