BLD2020.0370 APP AND ESTIMATESTO:
Denise Nelson
Permit Coordinator
City of Edmonds
1215th Ave N, 2nd Floor
Edmonds, WA 98020
425-771-0220 EXT 1336
FROM:
Laurie Carter
22908 74th Ave West
Edmonds, WA 98026
206-235-8498
SUBJECT:
Building Permit Application
14 pages including this cover page
BUILDING PERMIT
APPLICATION PemJt#:
Development Services
Building Division
121 Sth Ave N / Edmonds, WA 98020 TYPE OF PERMIT (Provide Details on Page 2)
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:a�41iy 14 /+V e W L7 S
Parcel: OO y y 15 00J-0 P r)- DO
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: I_Al)'k-::- .:
Mailing Address: �r; 'T sgclo -7c(, ye l,0�T
City/State/Zip: C—O/ftA/ fJ S / LU A f'1 )- 6'y(0
Phone #: r7-b o -'m S -Ekt Cr 9
Email: ILLNMI}Le eL c OC .WIC
OWNER INSTALLATION: 'if yes, read and sign'
Will work be performed by the property owner? ❑Yes�No
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: L-%it)AZ Cf�':2 i t✓!V
Mailing Address: r3a-ciu8 -74 fn rCy & w ieS-r
City/State/Zip: C-O A'\O.1/ P f w c& A 7 Gl I) A (
Phone #: ; U-7 93 5-- O ��77`t (19
E-mail: IU Ajw\,orL O CDpt f , Lry--
GENERAL CONTRACTOR: (If different from applicant)
General Contractor:
Mailing Address: S c L
city/State/Zip: 6 ✓ ( LOse-y %o/Zn'l
Phone #-.
E-mail-
STATE UBI #:
CITY OF EDMONDS BUSINESS LICENSE#:
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
❑ Accessory Structure/
Detached Garage
p Addition
❑ Demolition
❑ Mechanical
❑ New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
t? 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: 5 5 0@ O. 00
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq it: Finished Unfinished
1st Floor, sq it:
2nd Floor, sq it:
Garage/Carport:, sq it:
Deck/Covered Porch/Patio:
Other sq it:
PROJECT DESCRIPTION
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I certify that the information I have provided on this form application is true,
comedt and complete, and that I am the property owner or duty authorized
agent of the property owner to submit a permit application to the City of
Edmonds. /� O
Print Name: Lf4(%9L-L E `Q1L-!ei`
Signature: Date 3 3/ 3v
GENERAL COMMERCIAL 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 WSECforms.
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 Handier/VAV
Boiler
Dryer Duct
Exhaust Fans il c a
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provideeleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
Qty City
Clothes Washer i Tub/Showers
Dishwasher jBackflow Device (RPBA, DCDA, AVS ,
Drinking Fountain Pressure Reduction/ Regulator Valve
Floor Drain/Sink Refrigerator Water Supply
Hose Sibs Water Heater - Tankless?YorN
Hydronic Heat Water Service Line
Sinks ' Other:
Toilets n ,, Other:
Co f.X.X O — Ai0f SLLV 7 �
BTUs Qty BTUs Qty
A/C Unit Outdoor BBQ/ Fire pit
Boiler Stove/Range/Oven
Dryer Water Heater
Fireplace/ Insert I I I other.
I Furnace I I I Other:
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical -Surgical Vacuum
Other:
Type of structure to be demolished: O
APO c•AE OA— 'SiW-)e c ji,S &
Square footage of structure to be demolished:
AHERA Surveydone? Y/N PSCAA Case#:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
I Fill in Place ❑ Fill Material:
Removal ❑ I Size oil (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Grading: Cut cubic yards
Fill cubicyards
Cut / Fill in Critical Area: Yes ❑ No ❑
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.
Home Owners Club
PO Box 19073
Seattle, WA 98109-1073
American Environmental Construction LLC
Steve Romero
PO Box 81005
Seattle, WA 98108-1005
WA Contractor # AMERIEC996MB
J & I Construction LLC
lone] (Johnny) Hiticas
13025 NE 198th Ct
Woodinville, WA 98072-5763
WA Contractor # JICONCL869B1
Quality Plumbing & Sewer
Bryan Hutchison
1112 NW 53rd Street
Seattle, WA 98107-3735
WA Contractor # QUALIP*181RN
Current -Flo Electric LLC
Florin Boicu
5020 Maltby Road
Woodinville, WA 98072-8368
WA Contractor # CURREFE870L1
Lane Hardwood Floors LLC
Brad Greco
14700 aurora Avenue North
Seattle, WA 98133
Lifetime Heating & Air Conditioning
Kevin Breiwick
2801 Bickford ave Suite 103
Snohomish, WA 98290
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LIFETIME Lifetime Heating&Air Conditioning Estimate 6956918
2801 Bickford Ave Suite 103 Job 6920709
Snohomish,WA 98290 Estimate Date 3/9/2020
425-553-4328 Customer PO
Billing Address
Home Owners Club!
7334 19th Avenue Northwest
Seattle, WA 98117 USA
Estimate Details
Duct modification
Task# Description
! Install Install 5" heat supply run to new bathroom. Install 2 1 /4" x 10 floor grille. Install metal
duct, seal and insulate. Provide and install new baseboard supply grille that feeds
kitchen area. All labor and materials included.
Thank you for choosing Lifetime Heating & Air Conditioning
Job Address
Laurie Carter
22908 74th Avenue West
Edmonds, WA 98026 USA
Quantity Your Price Your Total
1.00 $1,125.00 $1,125.00
Sub -Total $1,125.00
Tax $117.00
Total $1,242.00
Est. Financing $14.78
THIS IS AN ESTIMATE, NOTA CONTRACT FOR SERVICES. The summary above is furnished by Kevin Breiwick as a good faith estimate of
work to be performed at Laurie Carter and is based on our evaluation and does not include material price increases or additional labor
and materials which may be required should unforeseen problems arise after the work has started. I understand that the final cost of the
work may differ from the estimate, perhaps materially. THIS IS NOT A GUARANTEE OF THE FINAL PRICE OF WORK TO BE PERFORMED.
1 agree to the estimate and authorize Kevin Breiwick to perform the work as summarized and on these estimated terms, and I agree to
pay the full amount for all work performed.
ffiP
: c
-
H'ER
PO Box 19073 • Seattle, WA 98109-1073
phone:206-622-3500 fax:206-622-3503
emafL staff@homeownersclub.org
FOR: Laurie Carter
22908 74th Ave W
Edmonds WA 98026
2062358498
kinmal@peoplepc.com
(Member)
LABOR, MATERIALS and SPECIAL PROVISIONS:
ESTIMATE
BY: Current -Flo Electric LLC
5020 Maltby Rd
Woodinville, WA 98072-8368
CURREFE870Ll
(Authorized Contractor)
March 10, 2020
A. Phase 1 work. $1280.00
1. Provide material and install a new 30Amp 240Volt 4 wire dryer circuit. Install at new
location.
2. Relocate existing washer circuit.
3. Provide and install a 120cfm Panasonic fan in laundry area. Includes a programmable
timer for control.
4. Rough in a new light location and install 2 owner supplied light fixtures.
B. Phase 2 work. $3400.00
1. Rough in a new circuit for microwave.
2. Rough in a new circuit for kitchen receptacles.
3. Install new receptacles on kitchen counter where code requires.
4. Provide and install new LED tape light at under cabinets.
5. Install new switch for under cabinet lights.
6. Install new owner supplied light fixtures at existing locations at kitchen.
7. Install wiring for hood fan if required.
8. Provide and install new receptacles and switches at kitchen.
9. Provide dedicated circuit for new bathroom.
10_ Provide and install new fan at new bathroom.
11. Install new owner supplied vanity light.
12. Install code required outlet and switches at new bathroom.
Exclusions:
1. Patching of drywall.
2. Light fixtures.
Page 1 of><
I HOME OWNERS CzLUB.
PO Box 19073 • Seattle, WA 98109-1073
phone:206-622-3500 fax:206-622-3503
email• staff@homeownersclub.org
FOR: Carter, Laurie
HOC # 564892
22908 74th Ave West
Edmonds,. WA 98026
kinmal@peoplepc.com
(Member)
LABOR, MATERIALS and SPECIAL PROVISIONS:
ESTIMATE
February 22, 2020
BY: Quality Plumbing&Sewer
1112 NW 53rd St
Seattle, WA 98107-3735
QUALIP*181 RN
(Authorized Contractor)
Quality Plumbing is pleased to quote the following prices to perform the work described below:
I. Rough -in Plumbing Phase 1
1. Cut-out the existing plumbing utility sink
$ 1,583.43, plus tax.
Cap the old vent line or connect the new vent
line to the vent in the attic. What can be done will be determined once we open things
up. We may need to drill the roof and install a new vent for the clothes washer.
2. Install new plumbing for a clothes washer on the exterior wall to have the top of the water
outlet box at 36-inches.
II. Rough -in Plumbing Phase 2
$ 1,341.16, plus tax.
1. Cut-out the existing plumbing for the kitchen sink.
2. Clean-up and move the plumbing for the kitchen sink as needed.
4. Install a new hose bib inside the kitchen sink cabinet facing the backyard.
Please add, $ 1,117.04, plus tax, to make the final drain and water connections to the kitcher.
sink, faucet and basket strainer. Make the final drain and water connections to the dishwasher.
Connect the water supply line to the refrigerator.
III. Rough -in Plumbing Phase 3
$ 2,334.17, plus tax.
1. Install new rough -in plumbing for one toilet and one lav sink in the laundry area.
Please add, $ 663.52, plus tax, to make the final drain and water connections to the bathroom
sink and toilet at trim time.
Page 1 of&
Job Notes:
a. All new waste and vents will be PVC and/or ABS DWV. All water piping will be Pex with areas
of type °M" copper and with copper terminations.
b. All work will be performed to local codes and inspected. The cost of the plumbing permits
has been included,
c_ The owner may need to hire a roofer to make the final water tight seals to the new roof
flashings installed for the plumbing.
d. The final connections and installation of the clothes washer is not included in the above
pricing.
This estimate shall remain in force for 45 days. Acceptance creates a contract between the parties.
When accepted, please return a signed copy to Club or email SUBTOTAL.• $ 6 , 039.3 2
acceptance along with a forwarded copy of the estimate.
10.4% TAX: $628. 09
Payment shall be made to Home Owners Club upon receipt
of Club billing after satisfactory completion of work
Accepted: x
(Member Signature)
TOTAL: $6,667.41
Quality Plumbing • 206-789-7676
(Authorized Contractor)
Page 2 of 3
AMER/CAN
Environmental Construction LLC
Asbestos - Lead - Mold - Demolition
P.O. Box 81005 Seattle, WA 98108-1005
Phone: (206) 267-0746 Fax: (206) 267-0753
Billing Address
Laurie Carter
22908 - 74th Ave W
Edmonds, WA 98026
Job Address
Single Family Residence
22908 - 74th Ave W
Edmonds, WA 98026
Invoice
Date 3/17/2020
Invoice #
AEC Job #
Terms
Due Date
P.O No.
Estimator
200129
20076
Net 15 Days
4/1/2020
SDR
Description
Amount
ASBESTOS ABATEMENT PER PROPOSAL & CONTRACT DATED 02/10/2020. WORK
COMPLETED 03/12/2020.
3,270.00
Subtotal
$3,270.00
Please make all checks payable to:
American Environmental Construction, LLC., and send to:
P.O Box 81005 Seattle, WA 98108-1005
Questions? Office: 206-267-0746
Fax: 206-267-0753
WA Contractor # AMERIEC996MB
Member of the Better Business Bureau
Sales Tax (10.4n )
$340.08
Total
$3,610.08
Payments/Credits
$0.00
Balance Due
$3,610.08
THANK YOU FOR YOUR BUSINESS
ffMER/CAN
nvironmental Construction LLC
Asbestos - Lead - Mold - Demolition
Name: Laurie Carter
22908 74th Ave W
Edmonds, WA 98026
Completion Date: 3/12/2020
Email: kinmal@peoplepc.com
--- Letter of Comp!etion ---
(20076)
P.O. Box 81005
Seattle, WA 98108 - 1005
Phone: (206) 267-0746
Fax: (206) 267-0753
March 17, 2020
Re: Asbestos Abatement Services at: 22908 74th Ave E Edmonds, WA 98026
This is to certify that American Environmental Construction LLC has removed the
asbestos containing material from the above referenced address per our Proposal and
Contract dated February 10, 2020.
Clearance Air Monitoring (Sample Type=CL) as reported on the Air Sample Data Sheet
(available upon request) indicates that the airborne asbestos level is below the EPA
established standard of .01 fibers/cubic centimeter for clean air after an abatement
project. Accordingly, the work area is safe, regarding asbestos exposure, for re -
occupancy.
Please call me at 206-267-0746 if you have any questions or comments regarding this
Letter of Completion.
Respectfully submitted,
American Environmental Construction, LLC
I
Dee Surface -Office Manager