Building Permit•M MERCIAL BLDG PermitCity
PERMITNUM
1[798020
• • • •
121 5th Ave N, Edmonds WA 1 1 1
-. •.
Type: COMMERCIAL BLDG
Owner/ Business: JAMES TATE Status: ISSUED
Subtype: COM DECK OR PATIO
Parcel No: 00576700002004
Site Address: 23329 HIGHWAY 99 EDMONDS,WA 98026
Applied: 2/3/2021
Subdivision: 005767, SP AFN 8312080108, 007264 Lot: 0
Issued: 5/18/2021
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $4,720.00
Occupancy Type: B Construction Type: VB
Expiration Date: 11/18/2021
Code Edition: 2018
No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: EDMONDS SMOKE SHOP- INV/COD: RAMP BUILT WITHOUT PERMIT
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
JAMES TATE
23329 HIGHWAY 99, EDMONDS
(360)720-9080
ANYANDALLPM@GMAIL.COM
WA 98026
CONTACT
MICHAEL BREUER
23329 HIGHWAY 99, EDMONDS
(360)720-9080
anyandallpm@gmail.com
WA 98026
CONTRACTOR
OWNER
OWNER
JAMES TATE
23329 HIGHWAY 99, EDMONDS
(360)720-9080
WA 98026
INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/18/21
R12345
PER PERMIT
COMMERCIAL STATE SURCHARGE
001.000.237.150
$25.00
$25.00
5/18/21
R12345
PERMIT FEE - COMMERCIAL
001.000.322.10.000.00
$240.40
$240.40
5/18/21
R12345
PLAN REVIEW FEE - COMMERCIAL
001.000.345.83.000.00
$204.34
$204.34
2/4/21
R10302
TOTALS: $509.74 $509.74
CONDITIONS
CONDITION TYPE
STATUS
NOTES
It is the owner's responsibility to repair/replace all damage of utilities or frontage
DAMAGE TO 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.
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
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.
Printed: Tuesday, May 18, 2021 8:25:11 AM 1 of 2
•M
MERCIAL BLDG Permit
PERMIT NU
of Edmonds
EdmondsCity
980i 1 1 1
-. •. i
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
FOR
7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
SOUND OR NOISE
INFORMATION
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.
FOR
All utilities shall be located prior to any excavation. New locates shall be called for if at
UTILITY LOCATES
INFORMATION
I time of excavation, original locates are no longer identifiable.
INSPECTIONS
- -•
•nline
at: https://Inspection.MVBuildingPermit.co
COMPLETED
RESULT
SEQID INSPECTION TYPE
INSPECTOR
NOTES
DATE
B-2 FOOTINGS
B-4 FRAMING
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
Printed: Tuesday, May 18, 2021 8:25:11 AM 2 of 2