20170501135723.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 05/01/2017 Ilennit it: BLD201711579
Expiration Date: 11/01/2017
ProJect.,vidi-css: 550 -51'"ANTS, EDMONDS
Parcel No: 27032600102500
PROPERTYOWNER APPLIC:ANT ('ONTRACTOR
EDMONDS ACE HARDWARE EDMONDS ACE HARDWARE TBD
550 5TH AVE S 550 STH AVE S
EDMONDS, WA 98020 EDMONDS, WA 98020
LICENSE #: EXP:
INTERIOR DEMO OF NON -BEARING WALLS AND STRUCTURES A S SHOWN ON SHEEI` A-2.0 OF PERMIT SET BLD2016-1689.
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE OXO FT)
CODE. 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VEST ED DATE.
NUMBF'1� OF DWl*-*1.I.IN(v UNITS: 0
v0ffly��
LOT #:
fflffl��
BALSF.MFNT- 0 1 ST Ff -OOR- 0 -2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13
RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
,BEDROOMS: 0 BATHROOMS: 0 JBEDROOM&
0 BATHROOMS: 0
FRONI'SLA'BACK' SIDESLTBACK RLARSFIFBA('k
REQUIRED: PROPOSED: REOUIRED: PROPOSED: f=QUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT ING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APP1jdTI0N IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HINHER DEPUTY AND ALL FEES ARE PAID
0510112-017
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTTFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR OTHM
STATUS: ISSUED
BLD20170579
* 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 thejob 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.
• SoundNoise 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 10:00am and 6:00prn on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf ofhis 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 from the issuance for this permit. Issuance ofthis pen -nit 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 11ME LIMIT: SEE ECDC 19.00.005(A)(6)
CALL FOR INSPH'TIONS
BUILDING (425) 771-0220 EXT. 1333 13NGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720
I PUBLIC WORKS (425) 771-0235 1 PRFTREATNIFNT (425) 672-5755 1 RECYCLJNG (425) 27548�
When calling for an inspection please leave the follaiving information: Permit Number, Job Site Address, Type of Inspection being
requeste(L Contact Name and Phone Number. Date Prefereed, and mfiether you prefer morning or afternoon.
• E-Pre-Denio Erosion Control
• E-Engineering Final Demo
• B-Final Demolition
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
121 5t" Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 ft Fax 425.771.0221
PLEA SE REFER TO THE CO "ER CIAL & MULTI- FAMIL Y B UILDING CHECKLIST FOR S UBMITTAL REQ UIREMENTS
PROJECT ADDRESS (Street, Suite # ity St e, Zip):
Parcel #:
Vr
Sugdivision/Lot #:
Project Valuation: $
r
Z00-
APPLX.NT:
COJ A aCO?o -4 -LV, At"4C.4 &C,
Phone:
elo L- _77r- or -0;,
lzax.
-7 z 5X 9?
Address (Street. City, State, Zip):
!9-So A yr. S-.
E-Mail Address:
:2:�e /CA rq f
PROPERTY OWNER:
Phone: ax:
L._3 4' If IMA.) X
9.C- - f3
E-Mail Address:
& I f LIJ V- ^4 94 w-4
Address (Street, City, State, Zip):
,f03 40wri) , _e-Amn-40S U-4. ?8o-?,o
Phone:
Fax:
�END G AGENCY:
r
A��s (Street- Citv Zin):
E-Mail �de.s:
L
C(PTRACTOR-.*
Phone:
Fax:
1
0 &_' (t�s o ? A % ��r \ Ij 6'�-N C�
0-- 3U 11
Address (Street, City, State, Zip): Ix
t 0 o "r' 5T T - TA_ co t�,N a (b ot %-,q
E-Mail Address
6 0. - *,s 0 =S�, i C. ,,tZ�l
k.75" L
VA State License #/El Date -
*Contractor must have a valid City of Edmonds business license prior to
(00*3 -51X 1(15 1* A A)La i I
doing work in the City. Contact the City Clerk's Office at 425.775.2525
City Business License 4/Exp. bate: '
I NIL 0 2.4 33 12(1/ I.D--f-7
DETAIL THE SCOPE OF WORK: 6 ( T- -J -
-a f/3 A-- P e-71,Qe 3 P/6 4.. J cp�a -S! W CS 777
6> 40 e V-'Ir/Z S: -7—
IS, 4 -2
PROPOSED NEW SQUARE FOOTAGE FOR THIS
PROJECT:
1 st Floor: sq. ft.
2"" Floor: —sq.
ft.
P Floor: sq. ft.
Basement: sq. ft.
Garage: sq. ft.
Deck/Cvrd Porch: —sq. ft.
Other: —sq. ft.
Retaining Wall: Yes L
No
Fire Sprin ers: Yes F] No7
Occupancy Group(s): -
Occupant Load(s):
Type(s) of Construction:
Grading: Cut cu.yds. Fill cu.yds.
I Cut/Fill in Critical Area: Yes
LJ
No L
I declare under penalty ofperjury laws that the information I have provided on this form/application is true, correct and
complete, and that I am the propeny owner or duly authorized agent of the
property owner to submit a permit application to
the City of Edmonds.
Print Name: --7—'7 Owner R]
Agent/OtherE] (specify):
Signature -Date:
Y_
1�
FORM
",�3uilding Nc-,Oa'r"2010\DONE & x-ferred to LBuilding-New driveTonn E 2014.doex Updated: 1/17/201