BLD20100661.pdfIII ISI III
Ory O V ED-4
OWN
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED
Expiration Date: 10/10/2012
Parcel No: 00576700001410
PROPERTYOWNER APPLICANT CONTRACTOR
SHIOMI INVESTMENTS LLC CM ARCHITECTS G M NORTHRUP CORPORATION
9001 NE 37TH PL JESSICA IVERSON 15950 Franklin Trail Se
BELLEVUE, WA 98004- 219 N 2ND ST, SUITE 301 Prior Lake, MN 55372
MINNEAPOLIS, MN 55401-
(612)547-1374 (952)226-3091
LICENSE #: GMNORC*033MM EXP: 12/4/2011
DEMO EXISTING STRUCTURE 2298 SQ FT.
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: DEMO
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.
CODE: 2009
OTHER: N ----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 2298 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE. 0 DECK. 0 OTHER. 0
13RD FLOOR. 0 GARAGE. 0 DECK. 0 OTHER. 0
FRONTSETBACK
REQUIRED: PROPOSED:RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE 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 APPLMATION IS T A P IT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANDo&L FEE9 ARE PAID.
f (r f- 1dAd
Signature f Print Name Q Date Released By ate
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC 109/ IBC I to/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR = OTHER
of
STATUS: ISSUED
BLD20100661
• *Pre -inspection required.
• *Street to be cleaned of debris.
• *Side sewer must be capped at property line.
• *Water Service must be disconnected from Water meter and or hose bib with AVB installed.
• *Dump at approved dump site only.
• *See demolition inspection checklist on back of job card for inspection requirements.
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the 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 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.
• Sound/Noise 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 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm 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
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 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.
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 ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 1 RECYCLING (425) 275-4801
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 Prefereed, and whether you prefer morning or afternoon.
• E -Pre -Demolition Sewer Cap
• E -Pre -Demo Water Sery Discnct/AVB
• E -Pre -Demo Erosion Control
• E -Engineering Final Demo
• B -Pre -Demolition
• B -Asbestos PSCAA Permit
• B -Cleaned SiteBld Final Demolition
°F E°'"�� Inspection
Comments
d
V N
BLD20100661
23 - Demolition
Applied: 09/15/2010
Issued: 10/10/2011
Expires:
10/10/2012
��c. 1890
Address: 23005 HIGHWAY 99, EDMONDS
(INSPECTION
DATE
INSPECTOR
ACTION
1078 - E -Pre -Demolition Sewer Cap
10/19/2011
ZULAUF
CMP
Comment: ok
1078 - E -Pre -Demolition Sewer Cap
10/28/2011
ZULAUF
CMP
Comment: ok
1079 - E -Pre -Demo Water Sery DiscncVAVB 10/19/2011
ZULAUF
CMP
Comment:
1080 - E -Pre -Demo Erosion Control
10/19/2011
ZULAUF
CMP
Comment: ok
1081 - E -Engineering Final Demo
10/24/2011
ZULAUF
CMP
Comment: ok to final
1104 - B -Cleaned Site/Bid Final Demolition 02/27/2012
LAWLER
CMP
Comment:
3/12/2012 12:55:52 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1