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Building PermitType: COMMERCIAL BLDG Subtype: NEW MIXED USE BLDG I Status: ISSUED Parcel No: 00580700000401 Site Address: 21200 72ND AVE W EDMONDS,WA 98026-7700 Applied: 1/23/2021 Subdivision: 005807 Lot: 0 Issued: 3/14/2022 Fire Sprinklers: Yes Lot Area: Zoning: Final: Valuation: $19,478,516.32 Occupancy Type:A2/A3/B/R2/S2 Construction Type: 1A/5A Expiration Date: 3/9/2023 Code Edition: 2015 No. Stories: 6 # of Dwelling Units: 127 Issued by: NED Scope of Work: ANTHOLOGY - NEW 127 UNIT SENIOR LIVING WA State Contractor L & I #: CADBCCC801PR CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT MARK MILLER 38 NW DAVIS ST 300, (503)952-1397 MARKCM@ANKROMMOISAN.COM PORTLAND OR 97209 CONTACT ANKROM MOISAN 38 NW DAVIS ST NW DAVIS ST, (503)952-1563 richardg@ankrommoisan.com ARCHITECTS PORTLAND OR 97209 CONTRACTOR CADB CATALYST 130 E RANDOLPH ST STE 2100, (312)466-4016 osmith@catalystconstructiongrp.com CONSTRUCTION CHICAGO IL 60601 154 LAKE WASHINGTON BLVD E, OWNER JAS GROUP LLC SEATTLE WA 98112 An FEE INFORMATION DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # 2020 TRANSPORTATION IMPACT 112.502.345.86.000.00 $133,581.97 $133,581.97 3/10/22 R18615 FEE BUILDING - ADDITIONAL REVIEW 001.000.345.83.000.00 $440.00 $440.00 3/10/22 R18615 HOURS CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 3/10/22 R18615 PER PERMIT COMMERCIAL STATE SURCHARGE 001.000.237.150 $25.00 $25.00 3/10/22 R18615 PARK IMPACT FEE - COM ADMIN 001.000.322.10.000.00 $100.00 $100.00 3/10/22 R18615 PARK IMPACT FEE - MULTI FAMILY 332.100.345.85.000.00 $288,259.84 $288,259.84 3/10/22 R18615 PERMIT FEE - COMMERCIAL 001.000.322.10.000.00 $95,879.20 $95,879.20 3/10/22 R18615 PLAN REVIEW FEE - COMMERCIAL 001.000.345.83.000.00 $81,476.92 $81,476.92 1/28/21 R10019 STATE BUILDING CODE SURCHARGE 001.000.237.150 $252.00 $252.00 3/10/22 R18615 EACH ADDL DWELLING UNITS STORMWATER GENERAL FACILITY 422.000.379.00.000.00 $1,113.74 $1,113.74 3/10/22 R18615 CHARGE MF COMM TRANSPORTATION IMPACT ADMIN 001.000.341.82.000.00 $100.00 $100.00 3/10/22 R18615 FEE - MF COMM TOTALS: $601,268.67 $601,268.67 CONDITIONS Printed: Monday, March 14, 2022 2:15:03 PM 1 of 4 Permit City •Edmonds- 1111111117,121 www.edmondswa.gov • CONDITION TYPE STATUS NOTES 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. 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 EXIT SIGNAGE AND EMERGENCY FOR Final locations of illuminated exit signs and emergency lighting subject to field inspection LIGHTING INFORMATION by the Fire Marshal. LOT LINES STAKED FOR Lot line stakes must be in place at the time of foundation setback inspection. NFORMATION Printed: Monday, March 14, 2022 2:15:03 PM 2 of 4 rMERCIAL BLDG PermitCity - • • • • 98020 1 1 D8 ww.edmondswa.gov JAIL MAINTENANCE BONDS FOR Maintenance Bond(s) required at FINAL. NFORMATION FOR Maximum Height is shown on the approved plans and shall be verified by survey prior to MAXIMUM HEIGHT INFORMATION framing inspections. Final approval on a project or final occupancy approval must be granted by the Building OCCUPANCY FOR Official prior to use or occupancy of the building or structure. Check the job card for all INFORMATION required City inspections including final project approval and final occupancy inspections. FOR OCCUPANT LOAD OCCUPANT LOAD must be posted in assembly areas. NFORMATION New and existing buildings shall have approved address numbers, building numbers or approved building identification placed in a position that is plainly visible from the street POST ADDRESS FOR or road fronting the property. Address numbers shall be Arabic numerals or alphabet INFORMATION letters Numbers shall be legible from the public way, at least 6 inches high with a .75inch min stroke width on a contrasting background. The issuance of this permit in no way constitutes approval from any other agencies FOR REGULATING AGENCIES 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. SPECIAL INSPECTIONS ARE REQUIRED FOR: SOILS: As per Soils Report, including but not limited to shoring and grading REQUIRED SPECIAL FOR INSPECTIONS INFORMATION STRUCTURAL: Reinforced Concrete; Bolting in concrete; Prestressed Concrete; Masonry; Structural Steel/Welding/High Strength Bolting;Structural Observation by the FOR OTHER: Smoke Control Systems; FOR SEPARATE PERMIT REQUIRED Separate Permit Required For: See sheet CS NFORMATION 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. Special inspections have been called for on this project and are noted on the approved SPECIAL INSPECTION BUILDING FOR construction plans. It is the owner and or contractors responsibility to ensure that reports DIVISION INFORMATION are provided to the City on a weekly basis. • -. • 11114F.1 I•ilFA @ •- • 1 • COMPLETED SECIID INSPECTION TYPE INSPECTOR RESULT DATE 91111111111111 E-5 TRASH ENCLOSURE E-9 PARKING STRIPING X-0 TRASH ENCLOSURE FINAL X-2 ENGINEERING FINAL P-1 PLANNING LANDSCAPE INSP X-1 PLANNING FINAL 1 A-1 BUILDING PRECON 2 B-2 SHORING 3 B-1 SETBACKS Printed: Monday, March 14, 2022 2:15:03 PM 3 of 4 City •Edmonds Permit - 7121 . •. 4 B-2 FOOTINGS 5 B-2 FOUNDATION WALL 6 B-3 CONCRETE COLUMNS 7 B-2 STRUCTURAL SLAB 8 B-2 PT PRECON 9 B-3 ELEVATED FLR SLAB 10 B-4TRASH ENCLOSURE 11 B-3 ROOF SHEATHING 12 B-3 EXT WALL SHEATHING 13 B-3 EXT GYP SHEATHING 14 B-3 EXTERIOR INSULATION 15 B-4 HEIGHT VERIFICATION 16 B-3 PRE ROCK SHAFTS ETC 17 B-4 FIRESTOPPING 18 B-4 INTERIOR SHEAR 19 B-4 FRAMING 20 B-5 INSULATION ENERGY 21 B-4 DRYWALL FASTENING 23 B-7 BUILDING OTHER INSP 24 B-5 BLDG SPECIAL INSPECTION 24 B-5 WSEC COMPLIANCE REPORTS 25 B-5 CROSS CONNECTION 26 X-1 FIRE FINAL 27 X-3 BUILDING FINAL" Printed: Monday, March 14, 2022 2:15:03 PM 4 of 4