123 4TH AVE N.PDF1111111111115016
123 4TH AVE N
PLANNING DATA
STREET FILE
-- Signs --
o
PLANNING DATA sTx�ET Frr�
-- Signs --.
Sign Colors
Proposed: Bj
Acceptable?
Requires ADB Approval?
Si n LaItion
If freestanding and 3-feet
or over (unless a fence) meets setbacks?
Reqqired Setbacks
Street-
Side: j
Side:
Rear:
Actuaf Setbacks
Street:
Side:
Side:
c c.. i
Rear:
e:
Landsca in for creestaridi signs
Size:
bred or%
S ..f�. �( s: n
ocation: L.
6--Z ap '
Critical Areas Determination #: q DLO\O p
❑ Study Required
Waiver
Other
Plan Review By:
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CITY ot-FI)MONDS IDE SEItA PE;RM!T
STREET FIL9
For Inspection Call 771-3202 PERMIT NO.
Address of Construction: J a 9+1-\ 4Le. /JOr+d1
Property Legal Description (Include all easements):
Owner and/or Builder: I C`�'� Co1JS4('J4', O r,\ '
Contractor & License No: Q 19 03 SO %y E3
s`
Si ngl:e Family Residence EDMONDS
Multi -Family
Commercial
TREATMENT PLANT
(No. of Units )
(No. of fixture Units )
Invasion into City Right -of -Way: No e/ Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No —Z Yes (If Yes, easement required,
attach legal description and county easement number.)
RECEIVED
PLEASE READ THE ITEMS LISTED ON THE BACK OCT 12 1989
PUBLIC WORKS
I certify that I have read and shall comply Date
with the items listed on the back.
����������������----���Od011 1��--------Permit Fee: Issued By: S,
`
Trunk •- 1.Issued:
ReceiptAssessment Fee: ESP— zz-z�
Partial Inspection:
Comments Date Initial
Final Inspection Approved: Ip_y111
10
Date I Dlitial
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector Buff Copy - Applicant
r The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ -ASMT. NO..-.--.--.---------
1
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR --�� C.o ..--- QO►�S ,---- ------------------------------- PERMIT NO.
JOB ADDRESS A_:Z_3-------- N----- V�:.------LV&_ -1 b- ------------------- LEGAL DESCRIPTION: LOT NO. ------------- ------------------------ BLOCK NO. ---------- ---------------------_-
NAME OF ADDITION---------------------------------------------------------------------------------------
Z � � __ 1 2- 1
'f�T\\may �►.LiA�► Tfl g2�oE..C.i 1.r)
EDi�iON�JS
TREATMENT P�.ANT
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Approved: q
PWW-0001-11/75 (REV.11178) DATE AQ-.1 �:...h................
11
:y °� LY °tid CITY OF EDMONDS
121 5 h Avenue North • Edmonds, WA 98020
Phone: 425.7-71.0220 • Fax: 425.771.0221 - Web: www.ci.edmonds.wa.us
�qgq0 DEVELOPMENT SERVICES DEPARTMENT: PLANNING DIVISION
ADMINISTRATIVE DESIGN REVIEW — REVISION #1
- STAFF DECISION -
BLD20100673 Project Proposal for Revision #1
Douglas Russell with Russell Sign Company has submitted for a revision to the building permit
issued under BLD20100673 on behalf of "The Northwest Center for Homeopathic Medicine" to
revise the approved monument sign to include the names of the two doctors, which increases the area
of the sign face. The addition of the names is within the space that had served as the base of the
approved monument sign, reducing the size of the sign base, but keeping the height of the sign
consistent with the original approval.
Property Owner
Ann Davis -Turner
P.O. Box 458
Edmonds, WA 98020
Design Review Process
Applicant
Douglas Russell
Russell Sign Company
21104 — 70t'.Ave. W
Edmonds, WA 98026
Design review for signs is considered a Type I decision subject to the requirements of ECDC
20.01.003 and ECDC 20.60 (Sign Code).
Analysis:
1. Location. The subject site is located at 123 — 4`h Avenue North, within the Downtown Business
(BD5) zone. The site is designated as Arts Center Corridor and Downtown/Waterfront Activity
Center in the Edmonds Comprehensive Plan. The proposal is subject to the general criteria found
in the sign code (ECDC 20.60) and the design guidelines within the Comprehensive Plan.
2. Sign type. The proposed monument sign is a permitted sign type in the Downtown area. The site
is permitted to have three signs per tenant. The proposed monument sign will be the only sign
for the entire site, as there are no existing signs. The sign is proposed to be located near the
northeastern corner of the site.
3. Size. The maximum allowed area of freestanding signs within the BD zones is 32 square feet.
Additionally, the maximum total sign area for the site is 1 square foot per lineal foot of wall with
the main public entrance. The site plan on file for the existing building indicates that the wall
containing the main public entrance is 40 feet long. Thus, the maximum allowed total sign area
for the site is 40'square feet, and the maximum allowed sign area for the proposed monument
sign is 32 square feet. With the proposed revision to add the names of the two doctors to the text
of the sign, the sign will be 15.2 square feet. This will be the only sign for the site, so the total
sign area for the site will also be 15.2 square feet. Thus, the proposed sign. complies with the
square footage requirement for freestanding signs in the BD5 zone.
4. Color. The proposed sign face is blue, white, and black. It has been determined that these are
acceptable colors for this site.
STREET FILE ,p I °`
File No. BLD20100673
The Northwest Center for Homeopathic Medicine
Sign Permit Application
• 123 — 4 ° Avenue North
5. Height. Freestandingsigns may be a maximum of 14' high within the BD zones. In this case,
the top of the sign will be 52 inches high. Therefore, the proposed sign will comply with the
height requirements.
6. Illumination. The proposal does not include any plans for illuminating the sign.
7. Landscaping. ECDC 20.60.045.G requires freestanding signs to have a landscaped area twice the
size of the sign area at the base of the sign. With the proposed revision to increase the sign area
to 15.2 square feet, a landscaped area of 30.4 square feet must be established at the base of the
sign.
Decision: Based on the facts and conclusions of this report, staff finds that the design review for
Revision #1 to this project (File No. BLD20100673) is APPROVED.
I have reviewed the application for compliance with the Edmonds Community Development Code.
PI Division
June 7, 2011
Date
Appeals: Design review decisions by staff are only appealable to the extent that the applicable
building permit or development approval is an appealable decision under the provisions of the
ECDC. Design review by staff is not in itself an appealable decision.
Page 2 of 2
ED
CITY OF EDMONDS
=' N 121 5`h Avenue North • Edmonds, WA 98020
Phone: 425.771.0220 • Fax: 425.771.0221 - Web: www.ci.edmonds.wa.us
I. loll DEVELOPMENT SERVICES DEPARTMENT: PLANNING DIVISION
ADMINISTRATIVE DESIGN REVIEW
- STAFF DECISION -
BLD20100673 Project Proposal
Douglas Russell with Russell Sign Company has submitted an application on behalf of "The
Northwest Center for Homeopathic Medicine" for a freestanding monument sign to be located at
123 — 4th Avenue North.
Property Owner
Ann Davis -Turner
P.O. Box 458
Edmonds, WA 98020
Design Review Process
Applicant
Douglas Russell
Russell Sign Company
21104 — 70th Ave. W
Edmonds, WA 98026
Design review for signs is considered a Type I decision subj cIt to the requirements of ECDC
20.01.003 and ECDC 20.60 (Sign Code).
Analysis:
1. Location. The subject site. is located at 123 — 41h Avenue North, within the Downtown
Business (BD5) zone. The site is designated as Arts Center Corridor and
Downtown/Waterfront Activity Center in the Edmonds Comprehensive Plana The proposal
is subject to the general criteria found in the sign code (ECDC 20.60) and the design
guidelines within the Comprehensive Plan.
2. Sign type. The proposed monument sign is a permitted sign type in the Downtown area. The
site is permitted to have three signs per tenant. The proposed monument sign will be the only
sign for the entire site, as there are no existing signs. The sign is proposed to be located near
the northeastern corner of the site.
3. Size. The maximum allowed area of freestanding signs within the BD zones is 32 square
feet. Additionally, the maximum total sign area for the site is 1 square foot per lineal foot of
wall with the main public entrance. The site plan on file for the existing building indicates
that the wall containing the main public entrance is 40 feet long. Thus, the maximum
allowed total sign area for the site is 40 square feet, and the maximum allowed sign area for
the proposed monument sign is 32 square feet. The proposed monument sign is 10.5 square
feet. This will be the only sign for the site, so the total sign area for the site will also be 10.5
square feet. Thus, the proposed sign complies with the square footage requirement for
freestanding signs in the BD5 zone.
4. Color. The proposed sign face is blue, white, and black. It has been determined that these
are acceptable colors for this site.
STREET FILE
Page 1 of 2
. File No. BLD20100673
The Northwest Center for Homeopathic Medicine
Sign Permit Application
123 — 4" Avenue North
5. Height. Freestanding signs may be a maximum of 14' high within the BD zones. In this
case, the top of the sign will be 52 inches high. Therefore, the proposed sign will comply
with the height requirements.
6. Illumination. The proposal does not include any plans for illuminating the sign.
Decision: Based on the facts and conclusions'of this report, staff finds that the design review for
this project (File No. BLD20100673) is APPROVED.
I have reviewed the application for compliance with the Edmonds Community Development
Code.
Division
October 11, 2010
Date
Appeals: Design review decisions by staff are only appealable to the extent that the applicable
building permit or development approval is an appealable decision under the provisions of the
ECDC. Design review by staff is not in itself an appealable decision.
Page 2 of 2
a
• STREET USE PERMIT APPLICATION
STRLET FILE Date Received-d9-8q
Date Issued 87--o29- 8 9
Permit No. 9-/3
Name of Applicant or Business: ' Well -Partnership.
•
Mailing Address: P. 0. Box 2579 Lynnwood Telephone No: 774-4185
Address of Public Use: 123 - 4 h Ave. No- Edmonds, WA
**********************************************************************
1. DESCRIBE THE PUBLIC PLACE OR PORTION OF PUBLIC PLACE TO BE UTILIZED:
Attach an appropriate plot plan or elevation view.
2. SPECIFY THE TYPE OF USE DESIRED:
3-. SPECIFY LENGTH OF TIME FOR USE 2'days. 9- a6 t" $' 3�
The issuance of this permit is .understood by the applicant to -be of a
temporary nature and that no vested right is granted.
INDEMNITY: The applicant understands and by his signature to this
_application, agrees to hold the City of Edmonds harmless from any
injuries, damages or claims of any kind.or description whatsoever,
foreseen or unforeseen, that may be made against the applicant -or the
City of Edmonds, or any of its departments or employees, including but
-- not limited to the defense or any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this
- -permit. In addition the applicant understands that.the City shall be
provided a certificate of insurance to indemnity and hold harmless the
-- City of Edmonds from all claims and/or property damage, and naming the
City of Edmonds as an additional insured.
CODE APPLICATION:
By signing the application below the applicant warrants that s/he has
read or had the opportunity to read Chapter 18 of the.Edmonds Community
Development Code, and s/he understands that all terms of that Ordinance
are incorporated herein as if set forth in full'and this application
and permit therefore are subject to the terms of that Chapter.
gnatu
re
atl
NJU: .
Page 6 of 8 1/89
Street Use Permit Application
Page Two
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable; if.the street use proposal is for utilization of City
right-of-way that may directly impact any adjacent business or private
property owners, the applicant shall obtain written approval from the -
neighbors. (This requirement will be evaluated by the City after
initial submittal of the permit has been made by the applicant.)
SIGNATURE PRINTED NAME ADDRESS
DATE
**********************************************************************
DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY
City Council Approval Date ADB Approval
Certificate -Of Insurance`Posted Bond Required
SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE
Fire Department
Police Department
Da to
Date
Date Engineering. Dept. 1—���r Date
Building .Officil _� ,� � �..• Date
Public Works Date 5--a 9-- jr"-cJ
REMARKS/COMMENTS:
PERMIT NO. DATE OF ISSUANCE S' 9
,RELEASED By RECEIPT NO. <<
BUILDING PERMIT NO.
Page 7 of 8
1/89
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LEGAL
°� _ CODE
CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) —�
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
WIL NEW ~ NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
VSH, COTTON & THOMPSON, INC. "
5612 LAKE WASHINGTON BOULEVARD N. E. COMPANIES AFFORDING COVERAGE
KIRKLAND, WASHINGTON 98033
COMPANY
CODE SUB -CODE A
LETTER NORTHERN INSURANCE COMPANY OF NEW YORK
i..,...._..,_.�__.....�_.,,�.�.._,,.,,,,,,
COMPANY B
INSURED LETTER
WILCOX CONSTRUCTION, INC. j LETTER COMPANY
C
P. 0. BOX 2579
COMPANY D
LYNNWOOD, WASHINGTON 98036 LETTER
COMPANY
LETTER E .-...,....,.__._...—._......._.,—,.
COVERAGES _
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
COI ! I POLICY EFFECTIVE (POLICY EXPIRATION
TR I TYPE OF INSURANCE POLICY NUMBER I DATE (MM/DD/YY) DATE (MM/DD/YY) ALL LIMITS IN THOUSANDS
4 GENERAL LIA„BI_.._.--_ ._..__._.---�—..._....... _____________.,... __._....._...1»....,...._. �.,.._._
LITY I GENERAL AGGREGATE $
COMMERCIAL GENERAL LIABILITY ..._.,.,_. _
A XI (A) EPA06021720 ( 6 / 1 / 89 j 6/1/90 iff PRODUCTS-COMP/OPS AGGREGATE �$ A-1-0.00'
CLAIMS MADEi OCCUR PERSONAL &ADVERTISING INJURY $
_ 0.0.0_,
X' OWNER'S & CONTRACTOR'S PROT.! 3#' EACH OCCURRENCE $ 1_,.00.0..,
X __STOP _GAP _LIABILITY FIRE DAMAGE (Any one (ire)
__50.,
MEDICAL EXPENSE (Any one person) i $
AUTOMOBILE LIABILITY COMBINED 5
t SINGLE
ANY AUTO w
(A)WAA82657388 i 6/1/89 6/1/90 ?LIMIT
X ALL OWNED AUTOS j BODILY
X, SCHEDULED AUTOS ; INJURY $
(Per person) I
�X? HIRED AUTOS ; j BODILY v II
i I XI I INJURY $ I NON -OWNED AUTOS I (Per accident)
GARAGE LIABILITY PROPERTY j$ 1 jDAMAGE
EXCESS LIABILITY EACH' AGGREGATE
OCCURRENCE
A[-Xt (A)UB64748354 i 6/1/89 6/1/90 ; $ 2,000, €$ 2,000,
OTHER THAN UMBRELLA �. FORM _. _...........
_ ..( ..._. __. _..._...___.. I....
i I STATUTORY ;
WORKER'S COMPENSATION
j $ I (EACH ACCIDENT)
AND ;
$ 3 (DISEASE —POLICY LIMIT)
EMPLOYERS' LIABILITY
j i $ (DISEASE —EACH EMPLO`
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
RE: STREET USE PERMIT APPLICATION. IT IS
UNDERSTOOD AND AGREED THAT THE CITY OF EDMONDS IS NAMED AS AN ADDITIONAL INSURED, AND
-HELD HARMLESS FROM ALL CLAIMS AND/OR PROPERTY DAMAGE AS PERTAINS TO THE NAMED PERMIT.
'ERTIFICATE HOLDER jj CANCELLATION '
CITY OF EDMONDS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
BUILDING DIVISION i EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
,15TH AVENUE NORTH MAIL 30DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
ONDS, WASHINGTON 98020 I LEFT, BUT FAILURE TO -MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
ACORD
1988.
CITY OF EDMONDS STREET SECTION
STREET CUT REPAIR
UTILITY OR R/W CONSTRUCTION WORK ORDER
ADDRESS OF PROPERTY
INVOLVED: DATE RECEIVED: BY:
/.�
NAME: l,1 / ,( (�,�,nr�C_ (��� RECEIPT NO.:
MAILING ADDRESS: c2 1 %Z
BUILDING PERMIT NO.: R/W CONSTRUCTION PERMIT NO.: r2— � E 7
SIDE SEWER PERMIT NO.:
WATER METER PROJECT NO.:
STREET CUT DEPOSIT:
-----------------------------------------------------------------------------------
TYPE OF REPAIR: ASPHALT ROADWAY CONCRETE SIDEWALK CONCRETE CURB
WATER METER CUT UTILITIES CUT
---------------------- -------------------------------------------------
TOTAL AREA REPAIRED FT. x FT., TOTAL SQUARE YDS./LN. FT.---- -
Sq. Yds./Ln. Ft. Minimum Charges @ $ _ $
Sq. Yds./Ln. Ft.. Additional @ $ _ $
_ $
_ $
TOTAL COST ................ = $
FUND #620 DEPOSIT FEE. ............................................ = $
TOTAL REIMBURSEMENT .............................................. = $
TOTAL ADDITIONAL EXPENSE TO BILL ............... = $
STREET CUT REPAIR REQUIRED: YES NO..
THE FINANCE DIVISION IS AUTHORIZED TO: ;
PREPARE A CHECK IN THE AMOUNT OF $ MADE PAYABLE TO THE ABOVE
BILL THE A T ONED ft
TO COVER ADDITIONAL
EXPENSES D ON THE ABOVE SUBJECT WORK
REQUESTED BY: ROVED BY:
STREET SUPERVISOR DATE SUPT. P.W. DATE
VERIFIED BY: RECEI QED
WORK ORDER COORDINATOR DATE 0 C r O 5
1989
R/W/FORMS STREET FILE PUBLIC WORKS
2/8787
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CITY OF EDMONDS Permit No.--? y
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue,Date
A. • Owner: _ The Well Partnership B. • Contractor:" Wilcox Construction, Inc.
Name Name
111 Durbin Drive P. 0. Box 2579
Mailing Address Mailing Address
Edmonds, WA 98020, Lynnwood, WA 98036.
City State Zip City State Zip
WILCOC*194QO 774-4185
State License Number Telephone Number
C. • Address or Vicinity of Construction: 123 — 4th Ave. No. Edmonds, WA 98020
Type of Work to be Done: Storm System
D. • Work in Connection With: ❑ Sub. or Plat ❑ Single Family ❑ City Projects
CN Commercial ❑ Multifamily ❑ Utility
E. • Pavement Cut: ( Y ❑ N F. • Size of Cut: 4' X 40''
APPLICANT. TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS- FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
A'
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call_ Engineering: 771-3202
• Work is to be inspected during progress.and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance wL �yegulions.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the abov a d that this permit must be a b site for inspection purposes at all times.
Signature: Date: 10/5/89
67 Owner or ontractor
This Permit Must be Posted at the.Job Site For Inspection Purposes
Call DIAL -A -DIG .Prior to Beginning Work
APPROVED BY: PERMIT FEE b`2j �k2o.-
Time Authorized: Void after _days. Restoration Fee:
Special
itinnc-
Receipt No.:
Street Cut Dimensions:
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Fng: Div. March 1989
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) 4
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Eng. Div. July 1985
i
CITY OF EDMONDS STREET SECTION
STREET CUT REPAIR /
UTILITY OR R/W CONSTRUCTION WORK ORDER /
ADDRESS OF PROPERTY
INVOLVED: 1.23 /U, DATE RECEIVED: 1011624BY: —rP
NAME: %7 ECEIPT NO.:
MAILING ADDRESS: 2&3 / Zd- C6fvf— (-y'-
BUILDING PERMIT NO.:
SIDE SEWER PERMIT NO.:
R/W CONSTRUCTION PERMIT NO.:��
WATER METER PROJECT NO.:
STREET CUT DEPOSIT:
------------------------------------------------------------------------------------
TYPE OF REPAIR: ASPHALT ROADWAY CONCRETE SIDEWALK CONCRETE CURB
WATER METER CUT UTILITIES CUT
=------------------------=-- - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
TOTAL AREA REPAIRED FT. x FT:, TOTAL SQUARE YDS./LN. FT.
Sq. Yds./Ln. Ft. Minimum Charges @ $ = $
Sq. Yds./Ln. Ft. Additional @ $ = $
_ $
TOTAL COST ................ = $
FUND #620 DEPOSIT FEE. ............................................ = $
TOTAL REIMBURSEMENT .............................................. = $
TOTAL ADDITIONAL EXPENSE TO BILL ................................. = $
STREET CUT REPAIR REQUIRED: YES NO
THE FINANCE DIVISION IS AUTHORIZED TO:
PREPARE A CHECK IN THE AMOUNT OF $ MADE PAYABLE TO THE ABOVE
BILL THE ABO MENTIONED COMPANY FOR $ , TO COVER ADDITIONAL
EXPENS T ET IVISION ON THE ABOVE SUBJECT WORK
REQUESTED BY: APPROVED BY:
SUPERVISOR DATE SUPT. P.W. RECEIVEDDATE
VERIFIED BY: OCT 121989
WORK ORDER COORDINATOR DATE PUBLIC WORKS
R/W/FORMS
2/87 STREET FILE
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CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
Permit No. _ 7 6 57
Issue Date
A. • Owner: Wet I PPr4Y ►0rS�J B. • Contractor: kr(lO,n P l4e4.9n" c 9 '
i rmemcb'n_[•! (,yNamee —77 nci 4JF t-JeS+
iling ddress Mailing Address
mon we 98OZIO 'Mop LAJ 1136 Z�
City State Zip City State Zip
State License Number Telephone Number
C. • Address or Vicinity of -Construction: /�� Li �)-. ✓e LVoi
Type of Work to be Done:
D. • Work in Connection With:
E. • Pavement Cut: ❑ Y VN
❑ Sub or Plat
Pr Commercial
F. • Size of Cut:
❑ Single Family
❑ Multifamily
X
❑ City Projects
❑ Utility
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature .to this application, agreesto hold `the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, foiseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant..
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to .be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above aq that this permit must be available at the job site for inspection purposes at all times.
Signature: Date:
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: S %�
Time Authorized: Void after 10 days.
Special Conditions:
RELEASED BY:
Date
PERMIT FEE: b v
Restoration Fee:
Receipt No.:_
Fund III Fee:
Street Cut Dimensions:
INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Date
Eng. Div. March 1989
FIELD INSPECTION NOTES (Fund III - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
890 _ 194
CITY OF EDMOND5 STREET FILERYS-NAUGHTEN
250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works • Planning • Parks and Recreation Engineering DIRECTOR
September 14, 1990
Robert E. Wilcox
Wilcox Construction
123 4th Avenue North
Edmonds, Washington 98020
RE: Sign
STREET FILE
It has come to the attenti_on_o_f=the-building division that a sign has
been installed at 12A3`• tth:�Avenue North without the required
Architectural Design Board (ADB) approval and sign permits.
The following must be submitted by September 26th, 1990:
1. An ADB application to Ed Somers, Planning Department;
2. A sign and street use permit application to the building division.
All application forms have been enclosed for your convenience. If
there are any questions please feel free to call me at 771-3202.
Thank you,
Jeannine L. Graf
Permit Coordinator
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
APPLICATION FOR
ARCHITECTURAL DESIGN BOARD
OWNER/REPRESENTATIVE
ADDRESS
ARCHITECT/DESIGNER
ADDRESS
PROPERTY ADDRESS
LEGAL DESCRIPTION
WELL PARTNERSHIP
Ill Durbin Drive Edmonds
WARREN LAFON - ARCHITECT
111 Durbin'Drive Edmonds
123 Fourth Ave. N.
DATE /(�9F I L E # r
SITE PLAN i/ SIGN EXHIBITS
BUILDING PLANS 3 : ELEVATIONS
LANDSCAPE PLANENVIRONMENT DATA
FEE RECT #
PLAN MODIFICATIONS 0 FILE
HEARING DATE
Lot 4, Block 006, Plat of Edmonds
PLANS SUBMITTED FOR APPROVAL:
PHONE 774-0580
ZIP CODE 98020
PHONE 774-0580
ZIP CODE 98020
ZONING BC
1. Building Plans - Preliminary Final x Site Plan
Landscape Plan x Elevations x
2. Sign Elevations Site Plan Landscape Plan
3. Modifications of previous approval
EXISTING USE OF PROPERTY Rental House
DESCRIPTION OF PROPOSAL Erect a Office / Retail Buildinc
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT May 1, 1989
ESTIMATED TIME FOR COMPLETION OF WORK
5 Months
x
RELEASE/HOLD HARMLESS AGREEMENTS: The undersigned applicant, his heirs and assigns, in
consideration for the City processing the application agrees to release, indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for'damages, including
reasonable attorney fees, arising from any action or inaction of the City whenever such actionv
inaction is based in whole or in part upon false, misleading or incomplete information'furnishE
by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The undersigned applicant grants his, her or its
permission for public officials and the staff of the City of Edmonds to enter the subject
property for the purpose of inspection and posting attendant to this application.
APPADBI/PFORMS STREET FILE v v (Signature of Applican
/�/ a"Id-15
STREET FILE
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works - Planning - Parks and Recreation - Engineering
1 890 19C'
December 19, 1989
Warren LaFon
111 Durbin Drive
Edmonds, Wa 98020
#,3q
LARRY S. NAUGHTEN
MAYOR
Re: Well Partnership Building Alley Improvement Requirement
Dear Warren:
PETER E. HAHN
DIRECTOR
Earlier this week we spoke about the requirement to pave the alley
behind your new building at 123-4th Avenue North. You felt that the
requirement had some how been waived or changed during the City Council
hearings concerning alleys and street standards. In discussing this
with other staff members, I find that no one else came away with this
impression.
According to the attached information, the requirement was made with
your permit to pave the alley from Bell St. south toward Main St. to
wherever the alley pavement begins. This will need to be completed
before occupying your building.
If you have any questions, feel free to contact this office.
Yours truly,
Al
Dan Smith
Engineering Inspector
Enclosure
Alberts
WELL/TXTLC610
- Incorporated August 11, 1890 -
Sister Cities International — Hekinan. Japan
..1.
USE ERMu
CITY OF EDMONDS ZONE NUMBER
IT APPLICATION_ --
CONS"TRUCTION PERM SOB �,.��� ' :=v�,r .
OWNER NAME/Nr1 OF BUSINESS ADDRESS Mx,�p 4,i , (} ,-
� H Lj P LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
vvv�w
' w MAILING ADDRESS G `� S
O
Z�7U,3in�
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP i
CITY ��'''�••''�� TELEPH'O/NE NUMBER .�.�.¢� APPROVED BY !I
PROPOSED - -
REQUIRED DEDICATION
NAME
aC
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED . U"
r w ADDRESS �}�� STREET USE PERMIT REQUIRED Z
U �/ upzl i 1..4�^' V� SEE ENGINEERING MEMO DATED ^ n W
a CITY 6 / TELEPHONE NUMBER A
, jPU ON47 J 7 t�� Q�j �� REMARKS
11
/� / a
_ N' ME I L 0X C�' 7�0� at)jff(1(0,0r
ADO ESScc
3 ry / 4f- iVh/NCe�w4 .T'S�cnaN ��
O O� O- �Qx &B IL(OA METER SI E �/ BUILDING SUj'fLY SIZE FIXTURE UNITS Q
CITY / TELEPHONE NUMBER / w
" ~ l�l ivyj D41� '17 - l �S
z REMA /
o E u,i1 3 I
V STATE LICENSE NUMBER
Wl cO / 4 20 SIGN AREA ENV. REVIEW ADB NO.
Legal Description of Property - Include all easements ALLOWED PROPOSED COMPLETE EXEMPT
Z (show below or attach two copies) SHORELINE R
0
VARIANCE OR CU PLANNING REVI Y DAT7
w ..
O O
SETBACKS_ — FEEI—�Ij) — `HEEIIG-HI LOT COVERAGE Z
O FRONT SIDE ± REAR �/ "L l`l' C Z
� g I REMARKS I CL
T/� X - Olv -U--/1d99
NEW 0 RESIDENTIAL PLUMBING
ADD/ALTER Z,4COMMERCIAL MECHANICAL
REPAIR APT. SIG�,vrJl
CHECKED BY ITYPE OF CONSTRUCTION CODE HEIGHT
DEMOLISH ORCFILL E ❑ ; ENt�E lV
x_FT) 1.37y I ! i
'.areo '-9�5" z30
CARPORT SWIM '' SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REMODEL GARAGE POOL RE UIREDYES C' NO I ��
WO ❑OD STOVE/ ❑ RETAINING WALL/ D
•INSERT ROCKERY RENEWAL REMARKS
o . PROGRESS INSIPECTIOPpS,PER UBC 305
_ o
cc
Wki
N NUMBER OF SITORI�ES NUMBER OF 5% I E DIG — m ,(�� !
m `%� UNITSDWELUNG r
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) LAC-P/T i �v t '
�A upi4il/c y cnv� � �
- VALUATION FEE
I
PLAN CHECK FEE.
Fa.
BUILDING 1O O
i
I
PLUMBING rF P
a RAI Er P
' � •. MECHANICAL /
aga=E
I
This Permit covers work to be done on private property ONLY. GRADINGIFLL '
Any construction on the public domain (curbs, sidewalks, `
driveways, marquees, etc.) will require separate permission. ° STATE SURCHARGE �G
Permit Application: 180 Days -
ENERGY CODE.. I
-' —'Permit Limit: t-Year�Provlded•WorR-ls-Started•WIthin 180:Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold `
w 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 from the Issuance
= of this permit. Issuance of. this permit shall not be deemed to PLAWCHECK DEPOSIT
modify,.waive or reduce any requirement of any city ordinance
°33
x nor limit in any way the City's ability to enforce any ordinance TOTAL'AMQUNT. DUE _ 111)
provision." /
I hereby acknowledge that I have read this application; that the ATTENTION • •APPLICATION APPRO • AL
information given is correct; and that I am the owner, or the duly Y
authorized agent of the Owner. I agree to comply with city and THIS PERMIT This application is not a permit until
state laws regulating construction; and In doing the work authoriz- AUTHORIZES signedis b the Building Official or his
ed thereby, no person will be employed in violation of the Labor ONLY THEY 9 l
Code of the State of Washington relatlnQ to Workmen's Compensa• WORK NOTED ! Deputy; and fees are paid, and receipt is
nce. INSPECTION acknowledged In space provided.
tion Iu.
SIG A RE (OWNER OR AGE DATE SIGNED DEPARTMENT
CITY OF OFFICIAL'S NAT E DATE
EDMONDS g� i
7i1-32O REL ED BY: DATE
ATTENTION
r
!! DING RSTRUCTURE CZ
UPY L 0
. 17 IS UNLAWFUL TO USE 'OR OCCUPY �
UNTIL A FINAL INSPECTION HAS BFDE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCi )EEN GRANTED. UBC
pjy:.N7ER 8. PINK — Owner GOLD — Assessor
k rJamul;
X60n99nato
Iz,
W
hg Qigfsion
Smith,, Engineeringl/rnspector
_-.,an
' ADDRESS: ' ` .
OWNER: : , N� .. -
After
following
review of the subject buildin
comments: 9 Permit application, we have the
i 1)
Construction hours
are: WEEKDAYS y:00am to 10:00pm
i
WE 10:00am to 6:00pm
2)
A Right -of -Way construction
City
permit is required for any work on
property.
I
i 3)
Connection to City water system required.
4)
I �
Connection to City sanitary
permit. ; sewer system required; obtain separate
i ,
5)
I j
I
Water and sewer lines to be separated by 10 foot minimum.
I
6)
Driveway must 'be paved a minimum of 20 feet back from City
right-of-way; separate
permit required.
7)
Driveway slope not to exceed 14%.
8)
Back water valve -required if downstairs_ plumbing is below
elevation of upstream
manhole.
9)
Builder/Owner responsible for,containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in
any. way.
10)
No burning of construction refuse without approval from Fire Dept.
11)
Street to be kept 'clean ofdebris, dirt, mud, and construction
materials. Contractor
responsible for dust control.
12)
Inspection requireld on drainage system, catch basin installation,
driveways,
and sidewalks. A final engineering inspection is
required prior to !the building' division granting occupancy:
�x
c . ,c,_,r .k, i fh.., a,.e
I s ` �,iL' .a ��.
'�TsJ,•-, j ,�'•"' ����/iC..:2a
'
__ ,
,
i
# 20502
Sign shall be located
entirely on private property.
-Qn
Sign measures 42"x,3fr
52" Tall
Setback 48.0" from sidewalk
SPECS:
Move existing sign to new location. Clean up
and repaint sign as necessary.
Move existing sign from
131 3rd Ave to new location 123 4th Ave
COLOR SPECS
Black
❑ Peacock Blue
El
30.4 square feet of landscping shall be provided
at the base of the sign. The landscaped area
should include a mix of shrubs and groundcover
and shall not include lawn.
Sign shall comply with the definition of a
monument sign. Any supporting posts shall
be completely beneath the ground surface
so that no portion of the supporting posts
are exposed to view.
123 4th Avr . •. �
z
Q
M@gWff@M& @MEOW L o 0 00 Gg
Rick Ste
Bell St.
APPROVED By F
-ifth.-
NORTH
CITY OF EDMOND;
[BUILDING DEPARTMENT
INK st Cl V1
ADDRESS
J C-M 1tiLrP
OWNER NU
1
APPROVED DATE:
BLDG. OFFICIAL
iPERMOI`I' NUMBE
Cto 7
,
Main St.
MAY 2 7 2911
BUILDING DEPARTMENT
iN 1" CITY OF EDMONDS
Jr
SCALE: 1.0" = 1'-0"
has been `e�cetl a e
Customer: NW Center for Homeopathic Medicine Date: 8/12/2010
Address: 123 Fourth Ave N, Edmonds, WA 98020 Job # 20502
Contact: Judyth Reichenberger PO # -
ELL
Phone # SIGNm COM
Mobile # - Fax # - Rll 413.
E-Mail: I Sales: D. Russell
/RPPNQWITID
Customer has reviewed drawing and has
approved for production.
Signature _
Date
J.
11
COPYRIGHT 2010 RUSSELL SIGN CO. co
O
Proofs are property of Russell Sign Company and may not be reproduced in anyway without consent from w
Russell Sign Company. All Proofs are for presentation and client approval only. Artwork and designs are
subject to a design fee. THIS DESIGN IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS. Q
For more detailed information or to purchase the rights to use this custom design contact Russell Sign Co. Z
Lu
21104 70th Ave W. Edmonds, WA 1 98026 98036 425.775.7010 Fax 425.673.5508 J
H
'5Vn
Sign measures 42"xaK
52" Tall
Setback 48.0" from sidewalk
Move existing sign from
131 3rd Ave to new location 123 4th Ave
SPECS:
Move existing sign to new location. Clean up
and repaint sign as necessary.
0
N
U7
COLOR SPECS
Black
❑ Peacock Blue
El
Customer: NW Center for Homeopathic Medicine I Date: 8/12/2010
Address: 123 Fourth Ave N, Edmonds, WA 98020 Job # 20502
Contact: Judyth Reichenberg PO # -
Phone # Mobile # - Fax # -
E-Mail: Sales: D. Russell
42.0"
RUSSELL
SIGN CO.
I
t
MAY 27 2911
BUILDING DEPARTMEN r
CITY OF EDMONDS
# 20502
NORTH
'Nothit:g in this permit aIg rcrval praoAs� ell be
interpreted as allowing or permitting the
maintenance of any currently existing illegal,
nonconforming or unpermitted building, structure
or site condition which is outside the scope of the
permit application, regardless of whether such
building, structure or condition is shown on the
site plan or drawing. Such building, structure or
condition may be the subject of a separate
enforcement action."
LQppG30MC�D
Customer has reviewed drawing and has
approved for production.
Signature
Date
COPYRIGHT 2010 RUSSELL SIGN CO.
Proofs are property of Russell Sign Company and may not be reproduced in anyway without consent from
Russell Sign Company. All Proofs are for presentation and client approval only. Artwork and designs are
subject to a design fee. THIS DESIGN IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS.
For more detailed information or to purchase the rights to use this custom design contact Russell Sign Co.
21104 70th Ave W. Edmonds, WA ( 98026 98036 425.775.7010 Fax 425.673.5508
# 20502
5;L"
Sign measures 42" x.3K
52" Ta I I
Setback 48.0" from sidewalk
Move existing sign from
131 3rd Ave to new location 123 4th Ave
SPECS:
Move existing sign to new location. Clean up
and repaint sign as necessary.
Customer: NW Center for Homeopathic Medicine Date: 8/12/2010
Address: 123 Fourth Ave N, Edmonds, WA 98020 Job # 20502
Contact: Judyth Reichenberger I PO # -
Phone # Mobile #- Fax # -
E-Mail: Sales: D. Russell
10
RUSSELL
SIGN CQ
O
COPYRIGHT 2010 RUSSELL SIGN CO.
Proofs are property of Russell Sign Company and may not be reproduced in anyway without consent from
Russell Sign Company. All Proofs are for presentation and client approval only. Artwork and designs are
subject to a design fee. THIS DESIGN IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS.
For more detailed information or to purchase the rights to use this custom design contact Russell Sign Co.
21104 70th Ave W. Edmonds, WA 1 98026 98036 425.775.7010 Fax 425.673.5508
i
m
O
LIJ
Q
w
a
P
12
Afl) GTz fir- 4'601eb : (C--)
AadccIPe,
STREET FILE
REVISION
MAY 27 2n1l
aUIL of EDMONDSNr