4197_001BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.aov.
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 1w,,ork is taking place)
Job Site Address: 11$� SOUv,i, V i r.W PI.
Parcel: 00 q9 pi OV 000Zbb
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: V�Gv',QVA 4r
Mailing Address:
City/State/Zip: 114 V1/HWO/D `C( �it%�'T 41 ros �-
Phone #: 4-Zs zs - - - k5Y
Email: Pne-leci-cQ 0'.k .CCUw�
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:
I klcc t-
Name of Applicant: _ r- Los N
Mailing Address: 11c9S�it J344*"
City/State/Zip:
Phone #: 4ZS Z- G.Q Yq
E-mail: a, i'ipo C.6 b✓r
GENERAL CONTRA TOR: (If different from applicant)
General Contractor:
Mailing Address:_
City/State/Zip:
Phone #:
E-mail:
STATE UBI #: (46 l- 1 ` 1. • U
CITY OF EDMONDS BUSINESS LICENSE #: imQ. • 62(ps 9
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
S6becosai-dr-K) a -s t -zo
r)Ilice Use Unh-
i•: • RWPA
TYPE OF
❑ Accessory Structure/
Detached Garage
Details
❑ Addition
❑ Demolition
❑ Mechanical
0 New Single Family / Duplex
❑ Plumbing
❑ Fire Sprinkler
❑ New Commercial/ Mixed Use
❑ Signs
❑ Remodel
❑ Re -Roof
❑ Tank
El 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:
PROPOSED NEW SQUARE•• •• THIS APPLICATION
Basement sq ft: Finished ❑ Unfinished ❑
1st Floor, sq ft:
21510
2nd Floor, sgft:
(,
Garage/Carport:, sq ft:
' LI -0
vV
Deck/Covered Porch/Patio:
V
Other sq ft:
PROJECT DESCRIPTION
1�L�Jl�I� S
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: Iw A O `J
Signature: Date
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 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
MECHANICAL •COUNTS
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
/L
Exhaust Fans
Fireplace
Z
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
COUNTSPLUMBING FIXTURE .•.
Qty Qty
Clothes Washer
2
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
'
Hose Bibs
2
Water Heater-Tankless?Oor N
Hydronic Heat
Water Service Line
`
Sinks
Other:
Toilets
r
Other:
• • . .. .. .
BTUs Qty BTUs Qty
A/C Unit
+
Outdoor BBQ / Fire pit
1
1
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL•
.. re -piped)
Qty Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical -Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y / N
PSCAA Case #:
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Fill in Place ❑ Fill Material:
Removal ❑ Size of Tank (Gallons)
Critical Areas Determination:
Study Required ❑ Conditional Waiver ❑ Waiver ❑
Grading: Cut (eba cubic yards
Fill G 00 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.