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BLD20170213.pdf"ITY OF EDMOND�S 1215TH AVENUENORTH- EDMONDS, WA 98020 loc. STATUS: ISSUED 02/10/2017 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Expiration Date: 08/10/2017 Parcel No: 00391400001700 ...... ............. . . . . . . .. WIN rrr1111111, 1 1,', Mm NO NO " , 140 offilk, m� I ' #11"! 1 If .. .. .. .. ......................... ............................................ . . ....... . ........................................................................................................... . �Pfzomkw-OWNLR APPLICANT CONTRA( TOR ROGER C & RENNICK MERRIDA STRONG EDUARDO ZAMBRANO ED INC 23031 99TH AVE W 1'016 INDUSTRY DRIVE C/O EDUARDO ZAMBRANO EDMONDS, WA 98020-5082 TUKWILA, WA 98188 1016 INDUSTRY DRIVE TUKWILA, WA 98188 (206) 972-5482 (206) 972-5482 ....... . . . ...... LICENSE# EDCAI**126RT EXP:O 1 /06/2019 . . . . . . ...... . . . ...... . . . . . . . ................................................................................................................................................................................... --------- JOB DESCIUPTION Tear off e)dsting roof. Install new plywood, Telt and coffiposition, VALUATION: $0.00 �PERMIT TYPE: Residential !GRADING-. N CYDS: 0 RETAINING WALL ROCKERY: FENCE: 0 X 0 FT) OTHER: ------- OTHER DESC: NUMBER OF STORIES 0 NUMBER OF DWELLING UNITS: BASEMENT: 0 1 ST FLOOR: 3RD FLOOR: 0 GARAGE: 0 BEDROOMS: 0 BATHROOMS: PERMIT GROUP 54 - Re-Roof/Roof Alter/Repair TYPE OF CONSTRUCTION� OCCUPANT GROUP,,, OCCUPANT LOAD: CODE: ZONE: VESTED DATE: 0 LOT #*, 0 2ND FLOOR: 0 BASEMENT: 0 1 ST F700071 On 2ND FLOOk 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 0 [BEDROOMS: 0 BATHROOMS: 0 ---- FRONTSEUBACK REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O SETBACK NOTES: I AGREE TO COMPLY WITH THEREBY, NO PERSON WILL T141S AjM*f(CATION IS NOT A PERMIT .......... . . . . . . ...................................................................................... . . ................. . . ..................................... SIDESE-rBACK RLAR S ETB ACK IREQUIRED; PROPOSED: REQUIRED: PROPOSED: IREOUIRED: PROPOSED CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27, UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID, Name Date Released By ATTENTION ' Print ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ARNAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED,UBC]09/ IBCI 10/ IRCI 10, ONLINE< APPLICANT ASSESSOR OTHER STATUS: ISSUED BLD20170213 • Final approval on a projector 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 specifically 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 sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 0:00am and 6:00pmon 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 grantedpursuant 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 fromthe issuance for this permit. Issuance ofthis ',permit shall not be deemed 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. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) _L FOR INS PE( -TIONS PUBLIC WORKS 425) 771-0235 1 PR&TREATIVIFNT 425 672-5755 1 RECYCLING;' L,25)12754 801 ien calling for an inspection please leave requested, Contact Name and Ph B -Roof Tear Off * B -Building Final Permit Number, Job Site Address, Type of Inspection :ed, and whether vou,Drefer mornine or afternoon. f F t:) Wra DEVELOPMENT SERVICES RESIDENTIAL BUILDING PERMIT APPLICATION :wsAir, 121 5`h Avenue N, Edmonds, WA 98020 City of Edmonds Phone 425.771.0220 4 Fax 425.771.0221 PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS �T ADDRESS (Street, Sutte #, Cly State, Zip): Parcel #: . A301i JjthAJ W "c'bt"'OV) 1lVR 19020 40311400001100 Subdivision/Lot #: Project Valuation: $ 1599,30-00 C99,3O-00 yC, V' c ® �i r cy v� L� :. ax. APPLICANT: � � l �, Pltt�tt�6 9 11�19Z, Address (Street City, State, Zip): E -Mail Ad re : (�,Jcc, OC. (:,.-n V . C u -� PROPERTY OWNER: Phone: Fax: Sire",, Ra(kec-nr,A RernnicK MCr r%Aati 425 L1124223 Address ( treyyt ,ty, State, Zip): E -Mail Address: x.3 0`3 [ `1 �1 `^ d 4V �d w► �,��S W IA' LENDING AGENCY: Phone: Fax: Address (Street, City, State, Zip): E -Mail Address: 14 CONTRACTOR:* Phone: zr Fax:. eccc, C_ 26-91zs4v Address (Street, City, State, Zip): E -Mail Address: 1vi6 :G xt uS�e rWc Tu i\ci .W c1MV 0)eScc, v-uo�z..,,c'. L0 t•n WA tate 1 icensg #/Ext Da c: *Contractor must have a valid City of Edmonds business license prior to e a Cet l `lk 7RR t- / 6/2- J cl doing work in the City. Contact the City Clerk's Office at 425.775.2525 City Business License #/Exp. Date: DETAIL THE SCOPE OF WORK. ."� �.i "5i i VN C, C'i�.t� �^ e'N tic 41 --- O'c' A' . . m_1 .. A PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT: Basement: sq. ft. Select Basement Type: Finished Unfinished 1" Floor:_ __IT_ ,,,,,,,, sq. ft. Garage/Carport: sq. ft. 11 2" Floor: sq. ft. Deck/Cvrd Porch/Patio: sq. ft. Bedrooms # Full -3/4 Bath # Half -Bath # Other: sq. ft.. Fire Sprinklers: Yes 0No Retaining Wall: Yes No Grading: Cut cu. yds. Fill cu.yds. I Cut/Fill in Critical Area: Yes LJ No LJ I declare under penalty of perjury laws 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: ^ekJC 1 44 ),vl br ti1K0 �_ .. Owner ❑ Agent/Other �4 (specify)„ Signature: Date:—�..._f ©..J .._! ...! ...._ FORM A LABuilding New Folder 2010\DONE & x-ferred to L -Building -New driveTorm A2014.docx Updated: 1/17/2014