BLD2019-0022CITY OF EDMONDS
1215TH AVENUENORTH- EDMONDS, WA 98020
PHONE- (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 01/18/2019 Penwt#: BLD20190022
Expiration Date: 0 1 /18/2/02 Project Address: 18506 88TH AVE W, EDMONDS
Parcel No: 00434600003404 YS40A
ROBERT CLINTON ROBERT CLINTON GLEN OLIN HOMES
18506 88TH AVE W 18506 88TH AVE W CIO GLEN OLIN
EDMONDS, WA 98026-5709 EDMONDS, WA 98026-5709 10 131 35TH AVE SE
EVERETT, WA 98209
(571) 243-7182 (571) 243-7182 (425) 501-1531
LICENSE 9- GLENOH'082jA EXP�04/03/2020
JOB DESCRI[PTION
IAKEUUI I UB, REPLACEtTH SHOWER- WIDEN 2 DOORWAYS FOR ADA. (BATH DOOR-, AND DOOR FROM KITCHEN TO
"RECROOM") No plumbing being moved.
Eric E. worked e)densively with applicant at counter.
VALUATION: $3,000
PERMIT TYPE Residential
PERMIT GROUP: 04 - Alteration/Reniodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY.
OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE
OTHER ------- OTHER DESC
ZONE:
,NUMBER OF STORIES: 0
VEST ED DATE:
INUMBER OF DWELLING UNITS-)
1XISTkG ARKA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
ILOT #
PROPOSED ARFA
'RASEMEN 1: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER� 0 :13RD
FLOOR 0 GARAGE: 0 DECK: 0 OTHER 0
BEDROOMS: 0 BATHROOMS: 0
1BEDROOMS: 0 BATHROOMS: 0
FRONTSIETBACK SIDESEIFBACK REARSETBACK
REQUIRED: PROPOSED 1"REQUIRED: PROPOSED IREQUIRE PROPOSED.
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED -
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO -_
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION
INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
z' WA Ilia
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109iIBCI I GIIRC 110.
= FIRE = APPLICANT = ASSFSSOR = CITY
:STATUS: ISSUED BLD20190022
I CONDITIONS
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specificafly requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
Sound[Noise originating from temporary construction s ites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5,30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from tire issuance for this permit. Issuance of this pen -nit shall not be deerried to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
I � INSPECTIONS
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATEPROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SIEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
TO SCHEDULE INS PECTIONS
BUILDING I ENGINEERING (425) 771-0220 EXT. 1326 1
Go to: www.edmondswa.gov
:2. Then: Servces
:3. Then: Perm its/Development
4. Then: Online Permit Info
5: If you don't have one already, create a
login (upper right hand corner)
13: Schedule your inspection
Building Department Inspections
are now scheduled online. If you
have difficulties, please call the
Building Department front desk for
assistance during office hours.
(425) 771-0220
FIRE (425) 775-7720
PUBLIC WORKS (425) 771-0235
RECYCLING (425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
__ being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
• B-Preconstruction meeting
• B-Plumb Rough In
• B-Framing
• B-SheetrockNail
• B-Building Final
BUILDING PERMIT Office Use Only
APPLICATION 11'ermit #:
Development Services
Building Division
121 5thi Ave N / Edmonds, WA 98020
.". I Z" 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov/
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: agA Ay�e �J.
Parcel: Q(o 0(i ti
/Unit/Suite#: Subdivision:
PROPERTY OWNER: \
Name: RObE?-Z+ A U,e " —rsa 'A q C LACv,
I 1—i
MailingAddress: _.)-o WIN"A k') 4,1
City/State/Zip:,21*z(f.,Q,-,,—,,�4
Phone #( Zil — ? / R a
Email: 1,' Lto n 6) � .4 ma,, c,,,,
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? 0 Yes XNo
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: 8,0k 14�VV\y cl%"Vr�o
I
Mailing Address: o Av,
I A 2R_��s
City/State/Zip: JlAk
Phone #:
E-mail: ')ev\ "y- c ti V)I!C'A AAA,, /- CO��
GENERAL CONTRACTOR: (if different from applicant)
General Contractor:
Mailing Address:
City/State/Zip:
Phone ft:
E-mail
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
CITY OF EDMONDS BUSINESS LICENSE M
TYPE OF PERMIT (Irovide
Details on Page 2)
El Accessory Structure/
0 Addition
Detached Garage
0 Demolition
0 Mechanical
El New Single Family / Duplex
iWing ,,j
0 Fire Sprinkler
Remodel
El New Commercial/ Mixed Use
11 Re -Roof
0 Signs
El Tank
0 Tenant Improvement
El 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.
�-'Valil.iation:
PROPOSED NEW SQUARE !FOOTAGE FOR THIS APPLICATH,
Basement sq ft: Finished 0 Unfinished 0
Ist Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
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I certify that the information I have ,P��ov on thissform/app lication is true—
correct and complete, and that I am the property owner or duly authorized
agent of the propert wrier to subrrdt a permit application to the City of
Y(
Edmonds.
Print Nam
Signature: Date
iel)
pcv2-)
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes El No 0
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
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
QtY QtY
Clothes Washer
Tub/ Showers
Dishwasher
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
Other:
Toilets
Other:
I
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
E
Dryer
Water Heater
Fireplace/ Insert
Other
Furnace _�Other:
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
QtY (Ity
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 El Conditional Waiver 13 Waiver El
Fill in lace El Fill Material:
Removal El
I Size of Tank (Gallons)
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes 0 No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of I 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.
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ALL WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE
PLAmN'mS MUST BE
ON JOB SITE
City of Edmonds Building Division
17
CITY OF EDMiONDS
BUILDING DE-10ARTMENT
WORK j
U o
ADDRESS
OWNER
APPROVED D/1,TE:
BLDG. 07FIC!AL:
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