Building Permit_1•M MERCIAL BLDG PermitUM
PERMITJ[M
City • • • •
121 5th Ave N, Edmonds WA 98020 BLD2021-:0473
ww.edmondswa.gov
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Type: COMMERCIAL BLDG Owner/ Business: TOM PIKE Status: ISSUED
Subtype: NEW TENANT IMPROVEMENT
Parcel No: 00610700200600 Site Address: 10032 EDMONDS WAY EDMONDS,WA 98020-5128
Applied: 4/2/2021
Subdivision: 006107, ROS AFN 200203075001, SP S-3-85 Lot: 0
Issued: 5/18/2021
Fire Sprinklers: Yes Lot Area: Zoning: WMU
Final:
Valuation: $210,000.00 Occupancy Type: B Construction Type: 1A
Expiration Date: 5/13/2022
Code Edition: 2018 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: THRIVE KIDS DENTISTRY- NEW T/I (@WESTGATE VLG) no p/m
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
TOM PIKE
8383 158TH AVE NE 280,
(425)885-4300
TOM@MAGELLANARCHITECTS.COM
REDMOND WA 98052
CONTACT
MAGELLAN ARCHITECTS
8383 158TH AVE NE 280,
(425)885-4300
tom@magellanarchitects.com
REDMOND WA 98052
CONTRACTOR
CONTRACTOR UNKNOWN
4025 DELRIDGE WAY SW STE
OWNER
WESTGATE VILLAGE LLC
350, SEATTLE WA 98106
INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
2020 TRANSPORTATION IMPACT
112.502.345.86.000.00
$39,601.60
$39,601.60
5/17/21
R12343
FEE
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
4/5/21
R11462
PER PERMIT
COMMERCIAL STATE SURCHARGE
001.000.237.150
$25.00
$25.00
5/13/21
R12311
PERMIT FEE - COMMERCIAL
001.000.322.10.000.00
$2,092.00
$2,092.00
5/13/21
R12311
PLAN REVIEW FEE - COMMERCIAL
001.000.345.83.000.00
$1,778.20
$1,778.20
4/5/21
R11462
TRANSPORTATION IMPACT ADMIN
001.000.341.82.000.00
$100.00
$100.00
5/17/21
R12343
FEE - MF COMM
TOTALS: $43,636.80 $43,636.80
CONDITIONS
CONDITION TYPE STATUS NOTES
Printed: Tuesday, May 18, 2021 8:13:49 AM 1 of 2
WMERCIAL BLDG Permit
M
PERMIT NUM
City of Edmonds
ILF
121 5th Ave N, . •:� i 141
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1- HOLD HARMLESS - 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 of 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. 2
- PERMIT DISCLOSURE - Any request for alternate design, modification, variance or other
administrative deviation from adopted codes ordinances or policies must be specifically
requested in writing and be called out and identified. Processing fees for such requests
shall be established by Council and shall be paid upon submittal and are nonrefundable.
3- SOUND OR NOISE - Sound/Noise originating from temporary construction sites as a
ALL BUILDING PERMITS
FOR
result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only
INFORMATION
during the hours of 7:00am to 6:00pm on weekdays and 10:00am to 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. 4 -
OCCUPANCY - 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. 5 - PLUMBING - Plumbing contractor license laws are regulated by Chapter
18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and
potential monetary liability for work performed by unlicensed plumbing contractors. For
more information contact L&I Department of Licensing at 1-800-647-0982.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
The issuance of this permit in no way constitutes approval from any other agencies
REGULATING AGENCIES
FOR
having regulatory authority over the facility and this construction activity. It is the
INFORMATION
responsibility of the property owner to obtain any and all such required approvals.
INSPECTIONS
- S• •https://Inspection.MyBuildingPermit.com
COMPLETED RESULT
SEQID
INSPECTION TYPE
INSPECTOR
NOTES
DATE
A-1 BUILDING PRECON
B-3 PRE ROCK SHAFTS ETC
B-4 CEILING GRID
B-4 FRAMING
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
B-4 DRYWALL FASTENING
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