4353_001of ED404, BUILDING PERMIT
APPLICATION
Development Services
—y.r-:Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to:
PLEASE NOTE. Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If plans are prepared by a profession-
al, electronic files are requested In addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: ;tX1 D? 7144"` /ill S i
Parcel: DOyy 1 ✓()0c�,DD,3-b()
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: L_Ptur'i f_e cAtL I L—iL-,
Mailing Address: -7`i p
1- 'ty e \,j &,, f
City/State/Zip: C� AND !V Q S, Lo n C1 eO
Phone #: .� b �' — 9-
Email• ILIINmRL e-Detrole- OG l�t►ti
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? ❑ Yes)"Mlo
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 ofApplicant:Lay�I_ C�—I�t`�
Mailing Address:
City/State/Zip: C—_o AN0 L o_3 WA q 9 t) ,
Phone#: abb 3 S'" Y tcl9
E-mail: ILI towxx -L o C
u
GENERAL CONTRACTOR: (If different from applicant)
General Contractor.
Mailing Address: S G L' r
City/State/Zip: G—A c L t7 S C—n / IVL IVI
Phone #:
E-mail:
STATE UBI #:
CITY OF EDMONDS BUSINESS LICENSEM
WA STATE CONTRACTOR L & 1 M (CCB) & EXPIRATION DATE:
Pemrt S: /7/ ) /0-✓ C a)- —)
❑ Accessory Structure/
❑ Addition
Detached Garage
❑ Demolition
❑ Mechanical
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
_'Remodel
❑ New Commercial/ Mixed Use
❑ Re -Roof
❑ Signs
❑ Tank
❑ 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: A 5 5 o 0 0' 0 0
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
&-9A l; i7 TQ (, S i 0ILA & i= C L0.5Cs i ,=r1 i D Po -0 oc 2
2ocrr—Re--t'cAtSNG- Wt)sH&a.0 Ply-46-
AoD.ulr- i.�Gt4 ° .2 1=A-K.S -rl✓ L-k%jA13A'i _tr`eQ
tPv�uinc (L aao&►. kl('a-,-;:A) I��1�(.HEA)--new
I wul,L a4 chee f oc�.l►� lu�ctna„rc IDs�J
}U Qj�� ►J sheivtS ,�Loc11< MlCfuwrt�c
MEW 1-�.�of� rN l��itl,�,� fLPt or> �� �c��;QetL�'•�,
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. /�
Print Name: L qo A E ` /� 4�1 1 &X
Signature: ,.it . /� Date 3 3/
I
GENERAL• DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: Fire Sprinklers: Yes ❑ 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
EQUIPMENTMECHANICAL •
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler/VAV
Boiler
�L G
Dryer Duct
Exhaust Fans
L
d
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provideeleva-
tions if a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE
Qty Qty
Clothes Washer
i
Tub/ Showers
Dishwasher
Ba�ckflow Device (RPBA, DCDA, AVB
Drinking Fountain
Pressure Reduction/ Regulator Valve
a
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater -Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
1
Other:
Toilets
Other:
ti o 5 L{'UZ 7?
• . . .. .. .
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other.
Furnace Other:
COUNTSMEDICAL GAS, AIR VACUUM
(New, Relocated or re -piped)
QtY Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished: A �`}a,.
Asp cnt; )41—(USG--
Square footage of structure to be demolished:
AHERA Survey done? Y / N PSCAA Case #:
Critical Areas Determination:
Study Required ElConditional Waiver El Waiver El
Fill in Place ❑ Fill Material:
Removal ❑ Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
GRADE/
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes ❑ No ❑
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 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.