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Jurisdiction: Edmonds
Project Name: Johanson cottage
Application ID: 1028243
Supplemental Name: Residential Addition Project Information
New (added) Square Footage:
1st Floor
:11
New (added) Square Footage:
2nd Floor
New (added) Square Footage:
3rd Floor
New (added) Square Footage:
Deck(s)
544
New (added) Square Footage:
Garage(s)
New (added) Square Footage:
Storage
27
Number of NEW bedrooms:
Number of NEW bathrooms:
Total square footage of new or replaced impervious surface:
MyBui(dingPermit.com
(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).
1,180
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: Plumbing Fixtures - Residential Building Permits
Enter the # of plumbing fixtures being
- installed, altered, repaired, added, or relocated
Water Heater
- Specify GAS or ELECTRIC
- QTY #
New plumbing fixture on 1 trap or set of fixtures on 1 trap
- Includes sinks, toilets, tubs, showers, etc.
MyBuildingPermit.com
Jurisdiction: Edmonds
Project Name: Johanson cottage
Application ID: 1028243
- QTY #
Re -pipe
- Drain, vent, or water piping for each fixture served
- QTY #
Drain's w/in footprint of building
- Rainwater systems, roof deck drains, etc.
- QTY #
Water service line
- Replacement or repair
- QTY #
Water service line
- New
- QTY #
Water treating equipment (water softener)
- QTY #
Backflow protective device
- 2" and smaller
- QTY #
Backflow protective device
- Over 2"
- QTY
Graywater system or reclaimed water system
- In addition to fixtures
- QTY #
Non -grease waste pre-treatment interceptor
- Oil/water separator
- QTY
Medical gas piping system
- QTY #
Grease trap - HGI inside building
- QTY #
Gravity grease interceptor - GGI
- QTY #
Supplemental Name: Authorization and Acknowledgment - Building
Please select who will be performing the construction work on this project.
Work to be done by a licensed contractor as listed on this application.,Work to be done by a licensed contractor, not yet selected. Name, State
Contractor License Number, and City Business License Number will be submitted prior to permit issuance.
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
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
MyBuildingPermit.com
Jurisdiction: Edmonds
Project Name: Johanson cottage
Application ID: 1028243
governing electronic documents. An interpretative guideline from the Board of Registration for Professional Engineers and Land
Surveyors can be found at ttp://www.dol.wa.ciov/business/enciineersiandsurveyors/docs/eDocsinterpretiveGuideline.pa.. 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.
christopher ezzell
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.
cle
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.
19980254