20180308094215.pdf0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 03/08/2018 Perinit#: BLD20180314
BUILDING PERMIT
Expiration Date: 09/10/2018 Project Address: 410 4TH AVE N, EDMONDS
Parcel No: 27032400207100
PROPERTVOWNER
APPLICANT
C*r1T&A(-!V1lik
EDMONDS CENTER FOR THE ARTS
V & R SHEET METAL LLC
V & R SHEET METAL LLC
C/O PUBLIC FACILITIES DISTRIC
CIO RICHARD MARCELLE
C/O RICHARD MARCELLE
EDMONDS
6709 S ADAMS STREET
6709 S ADAMS STREET
410 4TH AVE N
TACOMA, WA 98409
TACOMA. WA 98409
EDMONDS, WA 98020
(425) 275-9481
(253) 328-5678
(25 3) 32 9-5 67 9
LICENSE #: VRSHESM973KM EXP:05/15/2019
JOB DESCRIPTION
RE -ROOF GYMNASIUM PORTION OF BUILDING. NEW TPO ROOF SYSTEM. FLAT, 104 SQUARES.
VALUATION: $20,800
PERMIT TYPE Commercial
PERMIT GROUP: 54 - Re-Roof/RoofAlter/Repair
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPANT GROUP -
OCCUPANT LOAD�
FENCE: OXO FT I
CODE.
10THER: ------- OTHER DESC:
IZONE
I NUMBER OF S ORIES: 0
IVESTED DATE:
[NUMBER OF DWELLINGUNITS: 0
ILOT 4
VNISTINGAREIA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR 0
11110 110 S ED Alt KA
IBASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS 0 BATHROOMS: 0
IBEDROOMS: 0 BATHROOMS: 0
FRONT S ETB ACK SIDESETBACK RLAR SETBACK
REQUIRED: PROPOSED: QUIRED: PROPOSED IREQTIRED PROPOSED
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THEWORK 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.
THISAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID.
3-k-/f A'U� �)&� 0310el-l-'ole
Signature Print Name Date
Released
Date
ATTENTION
IT IS UN LAWFUL TO U SE OR OCCUP Y A BUILDfN G OR STRUCTURE UNTIL A FIN AL IN SP ECTION HAS BEEN MADE AND AP P ROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC 10 9/ IBC I 10/ IRC I 10.
FIRE APPLICANT = ASSESSOR IN CITY
STATUS: 19SUED BLD20180314
CONDITIONS
• 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. Cbeckthe job 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 Councfl 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 7:00arn to 6:00prn on weekdays and I 0:00arn and 6:00prn on Saturdays, excluding
Sundays and Federal Holidays. At all other times 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 of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hartriless 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 of this permit 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.
I INSPUCTIONS I
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
TIME LIMIT: SEE BCDC 19.00.005(A)(6)
I TO SCHEDULL INSPECTIONS
BUILDING JENGINEEFUNG (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov Building Department Inspections 1
2. Then: SeNces are now scheduled online. If you FIRE (425) 775-7720
3. Then: Perm its/Development have difficulties, please call the
4. Then: Online Permit Info Building Department front desk for PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a assistance during office hours.
login (upper right hand comer) (425) 771-0220 RECYCLING (425) 276-4801
6: Schedule your inspection I
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being requested. Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
• B-Roof Tear Off
• B-Budding Final
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
121 5hAvenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771-0220 ft Fax 425.771.0221
pLEA SE REFER To THE COMMER CIAL & MUL TI-TAMIL Y B UILDING CHECKLIST FOR SUBMITTAL REQ UIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
410 Fourth Avenue North, Edmonds, WA - 020
Subdivision/Lot #:
Project Valuation: $299,830
APPLICANT:
V&R Roofing
Phone: Fax:
253-328-5678 253-328-6877
Address (Street, City, State, Zip):
2920 South Cushman Ave, Tacoma, WA 98409
E-Mail Address:
ericf@vrroofing.net
PROPERTY OWNER:
Edmonds Center For The Arts
Phone: Fax:
425-275-9481 425-275-4487
Address (Street, City, State, Zip):
E-Mail Address:
410 Fourth Avenue North, Edmonds, WA 98020
mattkeller@ec4arts.org
LENDING AGENCY:
Phone:
F
NA
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
V&R Roofing
Phone:
253-328-5678
Fax:
253-328-6877
Address (Street, City' State, Zip):
E-Mail Address
2920 South Cushman Ave, Tacoma, WA 98409
eiicf@vrroofing.net
WA State License #/Exp. Date:
*Contractor must have a valid City ofEdmonds business license prior to
VRSHESM973KM
doing work in the City. Contact the City Clerk's Office at 425.775.2525
City Business License #/Exp. Date:
NR-025617 / 12-31-18
DETAIL THE SCOPE OF WORK: Re -Roof of Gymnasium portion of the building. Remove existing roof
systems and install new insulated TPO roof system. Roof area is 104sqs. FLA I
PROPOSED NEW SQUARE FOOTAGE FOR THIS PROJECT:
I st Floor: -sq. ft.
2"" Floor:
sq. ft.
3' Floor: sq. ft.
Basement: sq. L._
Garage:
sq. ft.
Deck/Cvrd Porch: sq. ft
Other: sq. ft.
Retaining Wall: Yesr7
No
Fire Sprinklers: YesF_1 No L�
Occupancy Group(s):
Occupant Load(s):
Type(s) of Construction -
Grading: Cut cu.yds. Fill cu.yds.
I Cut/Fill in Critical Area: Yes U No Li
Ideclare underpenalty ofperjury laws that the information Ihaveprovided on this form/application is true, correct and
complete, and thatIam theproperty ownerorduly authorized agent of the property ownerto submitapermit application to
the City of Edmonds.
Print Name: Eric Fra Owner
0 Agent/Other (specify): Contractor
Signature: Date:
FORM E LABUILDtNG DIVISION FILES\DONE & x-ferred to L-Building-New drive\Form E 2014.docx Updated: 1/17/2014