BLD20110066.pdfi r . of E°)M
STATUS: ISSUED 3/15/2011
Expiration Date: 3/15/2012
Parcel No: 00434400600100
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CITY OF EDMONDS _
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit.#: BLD2`0110066
Project Address: 109 4TH. AVE N, EDMONDS1
JACK MURPHY'S- KIM GARDNER COMMERCIAL EXEMPTION TAKEN
PO BOX 69 18616 71ST AVE W
EDMONDS, WA 98020- LYNNWOOD, WA 98037-
(425) 954-4085 Ext. (425) 954-4085 Ext. ( ) - Ext.
LICENSE #: E
JOB DESCRIPTION
NEW WALLS, FLOOR, 2 BATHROOMS, CHANGE OF USE FROM RETAIL TO PUB.
VALUATION: $20,000
PERMIT TYPE: Commercial
PERMIT GROUP: 1 I - Change of Use
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VA
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: A2
OCCUPANT LOAD: 52
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
ZONE: BD
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT N:
BASEMENT: 0 IST FLOOR: 1356 2ND FLOOR:0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR:0
13 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDEsErBACK
REQUIRED:0 PROPOSED: REQUIRED:0 PROPOSED: REQ7IRED:0 PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: 0 PROPOSED:
SETBACK NOTES: No changes to setbacks or height.
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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEESARE PAID.
Signature Print Name
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR
STATUS: ISSUED
BLD20110066
• Separate Permit Required For: MechanicaVHVAC; Plumbing; Exterior Signage
• 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 fromthe 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 11ME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 IENGEMEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE-TREATN ENT 425 672-5755 1 RECYCLING 425 2754801
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.
• B -Framing
• B-Sheetrock Nail
• B -Building Final
• F -Fire Final
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C) CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
BUILDING APPLICATION ACCEPTANCE
Thursday, February 03, 2011
This Application has been accepted by the City of Edmonds for review. More information and changes may be
required during this process. The review target date is: Thursday, February 10, 2011
Your City Contact is: MARIEHARRISON
Application Number: BLD20110066
Project Address: 109 4TH AVE N, EDMONDS
JACK MURPHY'S -
PO BOX 69
EDMONDS, WA 98020-
(425) 954-4085 Ext.
KIM GARDNER
18616 71 ST A VE W
LYNN W OOD, WA 98037-
(425) 95411085 Ext.
Work Description:
NEW WALLS, FLOOR, 2 BATHROOMS, FROM RETAIL TO PUB.
Outstanding Items at Time of Submittal:
LIGHTING BUDGET
I HEREBY ACKNO W LEDGETHAT I HAVE READ THIS APPLICATION THATTHE INFORMATION GIVEN IS CORRECT
AND TH AT I AM THE PROPERTY OWNER, OR THE DULY AUTHORIZED AG ENT O F TH E PROPERTY OWNER TO
SUBMITA BUILDING PE7/4
APPLICATION TO THE CITY.
6;G�ic4-- 2-f-11
SIGNATURE (OWNER OR AGENT)
PRINTNAME
DATE S IG N ED
To view up to date information about your application please visit the City of Edmonds Development Services
website at http✓Avww.ci.edmonds.wa.us.
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
FORM D
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
0 Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any sign or card or other device which might indicate to the public that lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ Owner who contracts for a project. A property owner contracting with registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(11).
0 Work performed personally on own. property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
Use of own employees. Propertyowner using him/herself or his/her own employees to
perform maintenance, repair, and. alteration work in or upon his/her own property. RCW
18.27.090(13).
0 Licensed Architect, engineer, electrician or plumber. All work performed under this
permit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
❑ Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this �_ day of j`e , 20�.
PROPERTY OWNER/AUTHORIZED WITNESS
PER N
,,
Sifggnnature// Signature
Print Name Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07