BLD20110429.pdf•
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
loc. 1 g90
STATUS: ISSUED 7/20/2011;. Permit #? BLD20110429
BUILDING PERMIT
Expiration Date: 7/20/2012 Project Address 7929 LAKE BALLINGER WAY.'SW,
-
EDMONDS
Parcel No: 00491100001302
BARLEE'S
PANERA BREAD
WILCOX CONSTRUCTION INC
SUZAN LLC
JENNIFER PATTERSON
234 5TH AVE S
4025 196TH ST SW
2350 AIRPORT FRWY., SUITE 150
EDMONDS, WA 98020
LYNNWOOD, WA 98036
BEFORD, TX 76022
ZONE: CG
( ) - EXT:
(817) 391-3970 EXT:
(425) 7744185 EXT:
1 LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
LICENSE #: WILCOC* 104QO EXP:12/10/2011
DEMO EXISTING RESTAURANT
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.)
CODE: 09
OTHER: N ------ OTHER DESC:
ZONE: CG
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
1 LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 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
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: I REQUIRED: PROPOSED: REQUIRED: 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 APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEE RE PAID.
Signature Print Name Date Released By Date
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. UBC109/ IBCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR ® OTHER
0 i
STATUS: ISSUED
BLD20110429
• DEMOLTION OF BUILDING -STRUCTURE ONLY. NO DEMOLITION IN RIGHT-OF-WAY UNDER THIS PERMIT.
• *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 PRE-TREATMENT 425) 672-5755 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine 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 -Final Demolition
4°F EbAt Inspection Comments
�a
N
BLD20110429 23 - Demolition
Applied: 06/07/2011 Issued: 07/20/2011 Expires: 07/20/2012
enc. 1 R90
Address: 7929 LAKE BALLINGER WAY SW, EDMONDS
INSPECTION
DATE
INSPECTOR
1078 - E -Pre -Demolition Sewer Cap
07/26/2011
ZULAUF
Comment: done
1079 - E -Pre -Demo Water Sery DiscncVAVB
07/26/2011
ZULAUF
Comment: done
1080 - E -Pre -Demo Erosion Control
07/26/2011
ZULAUF
Comment: done
1081 - E -Engineering Final Demo
12/14/2011
ZULAUF
Comment: ok at final
1104 - B -Final Demolition
07/29/2011
LAWLER
Comment: cancelled by engineering, will inspect at footings
1104 - B -Final Demolition
08/15/2011
STEINIKE
Comment:
ACTION
CMP
CMP
CMP
CMP
COM
CMP
12/20/2011 9:43:04 AM 1215th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1