BLD2021-1323+Supplementals+9.27.2021_8.40.45_PM+2411821f
MyBui ldi ngPermi t. cem
Jurisdiction: Edmonds
Project Name: Crall Addition & Remodel
Application ID: 1019791
Supplemental Name: Residential Addition Project Information
New (added) Square Footage:
1st Floor
New (added) Square Footage:
2nd Floor
M.
New (added) Square Footage:
3rd Floor
New (added) Square Footage:
Deck(s)
New (added) Square Footage:
Garage(s)
New (added) Square Footage:
Storage
Number of NEW bedrooms:
Number of NEW bathrooms:
Total square footage of new or replaced impervious surface:
(Common impervious surfaces include, but are not limited to, roof tops, walkways, patios, driveways, parking lots or storage areas, concrete or
asphalt paving, gravel roads, packed earthen materials, and oiled, macadam or other surfaces that similarly impede the natural infiltration of
stormwater).
Total new lot coverage percentage with the addition:
(Structural lot coverage includes the total ground coverage of all buildings or structures on a site measured from the outside of external walls
or supporting members or from a point 2.5 feet in from the outside edge of a cantilevered roof, whichever covers the greatest area).
31
Be sure you submit the following to ensure your application is accepted and not delay your project:
1) WA STATE ENERGY CODE: Show R values of insulation and U values of glazing. Show energy credits proposed to meet energy
code requirements.
2) STRUCTURAL CALCULATIONS: Plans which do not meet conventional construction must be designed in accordance with the
structural provisions of the International Building Code by a Washington Sate licensed Design Professional with supporting
calculations.
Supplemental Name: Mechanical Equipment - Residential Building Permits
Enter the # of mechanical equipment units being
- installed, altered, repaired, added or relocated
Furnace
- Forced -air or gravity -type, includes ducts and appliance vents
- QTY #
1
Air handler
- Includes ducts (Diffusers, blowers, etc.)
- Up to and including 10,000 cfm (4719 Us)
- QTY #
Air handler
- Includes ducts (Diffusers, blowers, etc.)
- Over 10,000 cfm (4719 L/s)
- QTY #
f
MyBui ldi ngPermi t. cem
Jurisdiction: Edmonds
Project Name: Crall Addition & Remodel
Application ID: 1019791
Gas Heater
- Suspended, recessed wall, or floor -mounted units
- QTY #
Hydronic Heating System
- QTY #
Appliance Vent
- Type B, BIN, L gas vent, etc.
- QTY #
Incinerator
- QTY #
Ventilation and Exhaust
- Fans connected to single duct (bath, laundry, kitchen exhaust)
or each system which is not a portion of any heating or air-conditioning system
- QTY #
3
Hood
- Type 1, Type 2 or Fume Hood including ducts
- QTY # and Type
Gas Piping / # of Outlets
- New or relocated
- QTY #
1
Boiler or Compressor
- Up to and including 50 HP (176 Kw)
- QTY #
Boiler or Compressor
- Over 50 HP (176 KKK
- QTY #
Air Conditioner, Heat Pump, or Absorption System
- Up to and including 1,750,000 Btu/h (512.9 kM
- QTY #
Air Conditioner, Heat Pump, or Absorption System
- Over 1,750,000 Btu/h (512.9 kM
- QTY #
Roof Mounted HVAC Units are:
Each appliance or piece of equipment regulated by the IMC for which no other item is listed
- Fire dampers, ductless mini -split systems, etc.
- QTY # and Equipment Item
Supplemental Name: Authorization and Acknowledgment - Building
Please select who will be performing the construction work on this project.
Work to be done by the homeowner.
All provisions of laws and ordinances governing this type of work will be complied with. I certify under penalty of perjury that the
information provided on this application is true and correct and, further that I am authorized by the owner of the above premises
to perform the work for which the permit application is made. I further agree to hold harmless the City of Edmonds as to any
claim (including costs, expenses, and attorney's fees incurred in investigation and defense of such claim), which may be made by
any person, including the undersigned, and filed against the City of Edmonds, but only where such claim arises out of the reliance
of the City, including its officers and employees, upon the accuracy of the information supplied to the City as part of this
application.
I hereby authorize the City representatives to inspect my property Monday -Friday between the hours of 8:00 a.m. and 5:00 p.m.
during this permit application process for verifying site conditions.
I certify, under the penalty of perjury under the laws of the State of Washington, that the information and exhibits herewith
submitted are true and correct to the best of my knowledge and that I am authorized to file this application on behalf of the
owner of the subject property.
Yes
Electronic documents submitted to the City of Edmonds for plan review and permit issuance must be provided in a format that does
not prevent the City from making code comments on the documents during review or from making the documents ready for permit
MyBui ldi rlgPermi t. cem
Jurisdiction: Edmonds
Project Name: Crall Addition & Remodel
Application ID: 1019791
issuance. Documents submitted in any manner that prevents the City from completing the review and permit issuance process,
including but not limited to submitting documents that are locked, may result in additional review time, permitting delays, and/or
cancellation of the permit application if the problem is not resolved by the applicant in a timely manner.
Please refer to chapter 18.43 RCW, chapter 18.210 RCW, chapter 196-23 WAC and chapter 196-33 WAC for Washington State laws
governing electronic documents. An interpretative guideline from the Board of Registration for Professional Engineers and Land
Surveyors can be found at http://www.dol.wa.gov/business/engineersiandsurveyors/docs/eDocslnterpretiveGuideline.pdf. These laws
and requirements are subject to change and the submitting parties are responsible for keeping apprised of any such changes.
Please acknowledge with your digital signature below that you understand these requirements and have verified the electronic
documents being submitted meet the City of Edmonds submittal requirements. If you have questions, contact permit processing
at onlinepermits@edmondswa.gov or 425-771-0220.
DANIEL E CORCORAN
The City of Edmonds makes permit applications available to the public in an effort to make its processes as transparent as
possible. By signing or initialing this document, I acknowledge that any and all information submitted as part of this application, is
public information. I further acknowledge and agree that this permit application, and any and all documents related
thereto, may be disclosed by the City of Edmonds to the public without redaction.
Enter your digital signature below.
DANIEL E CORCORAN
Supplemental Name: Critical Area Determination - Building
A site specific Critical Area Determination, issued by the Planning Division is required for any ground disturbing activities at the time
of application. A determination is valid for 5 years from the date in which the determination was made; after such date the city shall
require a new determination.
Does the property have a current Critical Area Determination on file with the City?
YES
If you answered YES, what is the Critical Area # (CRAXXXX-XXXX)?
If you answered NO, please apply prior to submitting for your permit. You can apply through MBP, Land Use, Critical Areas.
C RA2021-0179