Building PermitType: DEMO Subtype: COM PRIMARY STRUCTURE DEMO I Status: ISSUED
Parcel No: 00580700000401
Subdivision: 005807
Fire Sprinklers:
Valuation: $0.00
Code Edition: 0
Site Address: 21200 72ND AVE W EDMONDS,WA 98026-7700
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: ANTHOLOGY -DEMO BUILDING HAVE PSCAA#
Applied: 1/20/2022
Issued: 3/8/2022
Final:
Expiration Date: 9/4/2022
Issued by: NED
I WA State Contractor L & I #: CADBCCC801PR I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
MICHAEL DUGGAN
130 E. RANDOLPH STREET,
(312)248-2091
MDUGGAN@CA-VENTURES.COM
CHICAGO IL 60601
CONTACT
CA SENIOR EDMONDS
130 E. RANDOLPH STREET,
(312)248-2091
mduggan@ca-ventures.com
PROPERTY OWNER,
LLC
CHICAGO IL 60601
CONTRACTOR
CADB CATALYST
130 E RANDOLPH ST STE 2100,
(312)466-4016
osmith@catalystconstructiongrp.com
CONSTRUCTION
CHICAGO IL 60601
DEVELOPER
CADB CATALYST
130 E RANDOLPH ST STE 2100,
(312)466-4016
osmith@catalystconstructiongrp.com
CONSTRUCTION
CHICAGO IL 60601
OWNER
JAS GROUP LLC
154 LAKE WASHINGTON BLVD E,
(218)818-8386
SEATTLE WA 98112
PRIOR
DICKSON COMPANY
3315 SOUTH PINE RD, TACOMA
(253)472-4489
CONTRACTOR
WA 98409
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
1/26/22
R17631
PER PERMIT
COMMERCIAL STATE SURCHARGE
001.000.237.150
$25.00
$25.00
1/26/22
R17631
DEMO - SUB COM BLDG PERMIT
001.000.322.10.000.00
$150.00
$150.00
1/26/22
R17631
FEE
DEMO - SUB COM BLDG PLAN
001.000.345.83.000.00
$100.00
$100.00
1/26/22
R17631
REVIEW FEE
DEMO - SUB COM ENG INSP FEE
001.000.341.82.000.00
$150.00
$150.00
1/26/22
R17631
DEMO - SUB COM ENG REVIEW FEE
001.000.341.82.000.00
$100.00
$100.00
1/26/22
R17631
TOTALS: $565.00
$565.00
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.
Printed: Tuesday, March 08, 2022 12:58:55 PM 1 of 2
DEMO Permit
PERMIT NUM
of Edmonds
EdmondsCity
98020 1 11
ondswa.gov1.02
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.
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
time of excavation, original locates are no longer identifiable.
COMPLETED RESt
SEQID
INSPECTION TYPE
INSPECTOR
DATE
A-1 PLANNING PRECON
A-1 TESC AND MOBILIZE
E-6 DEMO WATER AVB
X-2 ENGINEERING FINAL
X-3 BUILDING FINAL"
E-6 DEMO SEWER CAP
A-1 ENGINEERING PRECON
Printed: Tuesday, March 08, 2022 12:58:55 PM 2 of 2