Building PermitFILL GRADE Permit
PERMIT NU
of Edmonds
EdmondsCity
980
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1 1 1
www.edmondswa.gov
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Type: FILL GRADE Owner/ Business: MATT CHRISTENSEN
Status: ISSUED
Subtype: COMMERCIAL AND GRADE
Parcel No: 27033600404600 Site Address: 9521240TH ST SW EDMONDS,WA 98020-5602
Applied: 4/8/2021
Subdivision: 005548, 004633, 005553, 005048, 004464, 004468, 004565,
Lot: 0
Issued: 6/18/2021
004476,004463
Fire Sprinklers: Lot Area: Zoning: RS-8
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date: 6/18/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: ESD - CIVIL WORK FOR 3 PORTABLE CLASSROOMS
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
EMAIL
APPLICANT
MATT CHRISTENSEN
4010 LAKE WASHINGTON BLVD
(425)828-8948
MCHRISTENSEN@HOARCH.COM
STE 320, KIRKLAND WA 98033
CONTACT
HUTTEBALL+ OREMUS
4010 LAKE WASHINGTON BLVD
(425)828-8948
mchristensen@hoarch.com
ARCHITECTURE
STE 320, KIRKLAND WA 98033
CONTRACTOR
CONTRACTOR UNKNOWN
20420 68TH AVE W,
OWNER
EDMONDS SCHOOL DIST 15
LYNNWOOD WA 98036-7405
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE RECEIPT#
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
6/18/21
R12982
PER PERMIT
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$110.00
$110.00
6/18/21
R12982
GRADING - PLAN REVIEW FEE
001.000.345.83.000.00
$55.00
$55.00
6/18/21
R12982
GRADING PERMIT BASE FEE
001.000.322.10.000.00
$35.00
$35.00
6/18/21
R12982
GRADING PERMIT FEE - CUBIC
001.000.322.10.000.00
$110.00
$110.00
6/18/21
R12982
YARDS
TOTALS: $350.00 $350.00
•7•km r
CONDITION TYPE STATUS NOTES
It is the owner's responsibility to repair/replace all damage of utilities or frontage
DAMAGE T7�7O FRONTAGE
FOR
improvements in City right of Ways or Easements to City Standards caused by or
IMPROVEMENTS
INFORMATION
occurring during the permitted project.
FOR Maintain erosion and sedimentation control per City and SWMMW standard
ESC REQ
INFORMATION requirements.
IL INSPECTIONS - Schedule Online
at: https://Inspection.MvBuildingPermit.com
COMPLETED
SEQID INSPECTION TYPE INSPECTOR
RESULT
NOTES
DATE
X-2 ENGINEERING FINAL
Printed: Friday, June 18, 2021 12:58:06 PM 1 of 2
Printed: Friday, June 18, 2021 12:58:06 PM 2 of 2