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BLD20110502.pdfCITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Expiration Date: Parcel No: 00434400501100 1 PERMIT GROUP: 63 - Sign GRADING: N CYDS: 0 2000 LLC EDMONDS PILATES EDMONDS LLC BRODDRICK CONSTRUCTION INC 307 BELL ST #101 CURTIS BRODRICK CURTIS BRODRICK EDMONDS, WA 98020 1489 CASCADIAN WAY 1489 CASCADIAN WAY NUMBER OF STORIES: 0 LYNNWOOD, WA 98087 LYNNWOOD, WA 98087 (425) 640-8000 EXT: (206) 949-1996 EXT: (206) 949-1996 EXT: 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 LICENSE #: BRODRC1923JJ EXPA/17/2012 INSTALL 2 WALL MOUNTED SIGNS ON PILLARS AND I SIGN TO AWNING. APPLICANT WILL BE SUBMITTING FOR A STREET USE PERMIT. COMPLwt�'TEIU�6 VALUATION: $0.00 PERMIT TYPE: Commercial PERMIT GROUP: 63 - Sign 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: BD2 NUMBER OF STORIES: 0 IVESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTSETBACK SI DE SETBACK REAR SETBACK 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. S APPLIC4TION I 0 A P RMIIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY D AL FEES ARE PAID. It _ , - I —. _G- '71 -2 __ 1 Al -m.41 / [ �-7 1: 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 l� STATUS: ISSUED BLD20110502 I CONDITIONS • All new, extended, re -built or relocated electrical utility and/or service shall be placed underground. • 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. INSPECTIONS 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 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. B -Building Final of E°M r OWInspection Comments ON U� � BLD20110502 63 - Sign Applied: 06/29/2011 Issued: 07/13/2011 Expires: 01/13/2012 R90 Address: 307 BELL ST, EDMONDS JNSPECTION DATE INSPECTOR ACTION 1158 - B -Building Final 12/22/2011 LAWLER COM Comment: Final approved owner elected not to install awning signage portion of permitted work 1158 - B -Building Final 12/27/2011 HARRISON CMP Comment: 12/27/2011 9:44:54 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1 of EC>% tti� ' PERMIT #: I copy RECEIVED STREET USE PERMIT jUL -7 201 1NC. 1$90 DEVELOPMENT SERVICES CTR. Y I //// CCCITY OF EDMONDS PROPERTY OWNER NAME: ►yIrenJS &00 LC C Phone `'. 5- 00- $000 BUSINESS NAME: P,- ,/Q �e5 L L C BUSINESS OWNER NAME: c, A C✓ e—Q.r 0 d r 1 CIL Phone ZOO, — 550 — 72 75 ADDRESS OF PUBLIC USE: 30 7 B e I 1 6+ lk !0 3 �i" 0 n d,�A q8d.2- O APPLICANT MAILING ADDRESS: lo7 SU 6f �%Q S Ed Mn nd S U 4 780 20 irrrrrrrrrrrrrrrrraorsrrrrrrrsrrrrrrrrrrrrrorrrrrrrrrrsrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrsrs Placement of any temporary or movable objects in any portion of public space or City right-of-way shall meet all Code Requirements as set forth in the following chapters of the Edmonds Community Development Code. 18.70 STREET USE AND ENCROACHMENT PERMITS 17.65 LIMITED OUTDOOR DISPLAY OF MERCHANDISE 17.70.040 TEMPORARY USES; Bistro and outdoor dining PERMIT ISSUANCE A Street Use Permit may be issued, at the discretion of the Development Services Director, City Engineer or their respective designee, for temporary objects located within any public space, right-of-way, roadway, parking strip and/or sidewalk, including the air space above them, if they are placed in compliance with the above referenced Code Sections and the following criteria are met: ➢ It has been concluded that the proposal will not adversely impact public space open to vehicular or pedestrian travel; ➢ Architectural Design Board approval has been granted or the process has been administratively approved; ➢ The proposal will not unreasonably interfere with the rights of the public; ➢ Items shall be placed adjacent to the building and may encroach onto a maximum of two feet of the public sidewalk; or in accordance with Bistro and outdoor dining code ,prier an approved building permit; f ➢ Safe pedestr%ah"trayel area, or clear zone, of 44 inches minimum •vo�idth�shktbe maintained on City t ,; r. .. r u•; Jari•. sidewalks; (see definition of clear zone below) ' ➢ Exterior light fixtures, banners, signs and flags must be a minimum of 7 feet above City right-of-way; ➢ Clear landings of 44 inches or no less than the width of the door (whichever is greater), measured toward the street, shall be maintained on the exterior side of all required exit doors; ➢ Illumination from City light fixtures shall not be blocked; ➢ No objects shall be hung from City light standards; and SAEngr\Forms\Street Use Permit.doc Revised 12/5/05 ➢ Three feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs, cleanouts and valves shall be maintained. Clear Zbne'Difinition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing a level, safe walking surface along the public sidewalk (e.g. measuring 44 inches from edge of street tree grates or newspaper stands toward place of business and from the ground up to a height of 7 feet). �) \ DESCRIPTION OF PROPOSED STREET USE: i✓ty"�"a� � � W a � ti v� Te 5 1 a hS In APPLICANT TO READ AND SIGN ;ve, NOTE: The issuance of this permit is understood by the applicant to be of a temporary nature, shall vest no permanent right and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. By signing this application, the applicant accepts responsibilityfor all existing and/or future street uses. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21" day of January. INDEMNITY: The applicant understands and by his/her signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition, the applicant understands that he/she shall provide and continually maintain during the term of the permit a certificate of insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code and s/he understands t of the adopted ordinance are incorporated herein as if set forth in full and this applicati a d perm t e are subject to the terms of those Chapters. SIGNATURE DATE 12 — Property caner/Business Owner FOR CITY USE ONLY Approved b : _ wig � 1 Building Permit #: ►�IiU110SQ2 Issued by: Date: Insurance Verified baE4 Street Use Fee: 00 Receipt No: Copy to Applicant: ❑ Pick-up ❑ Mail SAEngrTorms\Street Use Permit.doc Revised 12/5/05 DATE nErr� CERTIFICATE OF LIABILITY INSURANCE 07/06/2011 r CER THIS CERTIFICATION IS ISSUED AS A MATTER OFre Insurance Agency, Inc. INFORMATION ONLY AND CONFERS NO RIGHTS UPON Puerta Real Suite 200 THE CERTIFICATE HOLDER. THIS CERTIFICATE on Viejo, CA 92691- DOES NOT AMMEND, EXTEND OR ALTER THE COVERAGE 438-7459 1 „—..— ee IAe.e ..i.. _n _ —.a....w Pilates Edmonds, LLC INSURER B: 307 Bell St Suite 103 Edmonds, NII+ 98020-3216 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BEL40W HAVE BEEN ISSUED TO THE INSURED NAND ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERIFICATION MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIM11TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADD' L POLICY POLICY INSR IMR POLICY EFFECTIVE DATE EXPIRATION DATE LTR D TYPE OF INEOAANCB NMR /YYYY) D/YYYY T.TMTTS A X GENERAL LIABILITY PHPE639191- 10/14/2010 10/14/2011 EACH OCCURENCE $1,000,000 P f SES E Tc ur ence $100,000 X COMMERCIAL GENERAL LIABILITY 00D MED EXP (Any oneperson) $5,000 CLAIMS MADE EO OCCUR PERSONAL S ADV INJURY $1,000,000 X PROFESSIONAL LIABILITY GENERAL AGGREGATE $3,000,000 PRODUCTS - COMP/OP AGO $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJEC LOC X C 11 T A X A*rcbK=LE LIABILITY PHPX639191- 10/14/2010 10/14/2011 COMBINED SINGLE LIMIT ANY AUTO 000 (EA accident) BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT EA ANY AUTO OTHER THAN AUTO ONLY: ACC AGG !WEBS / UNBRELLA LIABILITY EACH OCCURENCE AGGREGATE OCCUR 0 CLAIMS MADE DEDUCTIBLE RETENTION IpY�g Y/N LIABILITY ANY TORY LI LIMITS ME E.L. EACH ACCIDENT OPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED. E.L. DISEASE - EA (Mmdatory in NH) AMPLOYEE If yes, describe under E.L. DISEASE - POLICY SPECIAL PROVISIONS below LIMIT OTHER DESCRIPTION OF OPERATIONS / LOCATIONS/ VEHICLES / MUMUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS It is understood and agreed that the following entity is added as an additional insured but only with respect(REOSl insured except that liability resulting from the additional insured's sole negligence. CE fVeDamed 'JUL -7 2011 T r + nQDAIT LIT AI AA9 tlAT TLIfl �.c1i\i iciWfiC� AVLLC+i� W471�L'LLIi11Vi\ rin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE TBE City of Edmonds Engineering Division MIPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO NAIL 10 121 5th Ave N DAYS MITTEN NOTICE TO THE CERTIFICATE HOLDER NANSD TO THE LEFT, HUT Edmonds, WA 98020-3145 1 FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IMM ACORD 25 (2009/01) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD • IIPOR THE nMURER, IRS AGMS OR RUWMMMrVICS. Aursmtw RSPFxsmATIVS XA' /:91V,R- y ACORD 25 (2009/01)