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Building PermitType: FILL GRADE Subtype: COMMERCIAL AND GRADE I Status: ISSUED Parcel No: 00580700000401 Subdivision: 005807 Fire Sprinklers: Valuation: $18,000.00 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 - FILL GRADE/SHORING FOR NEW SENIOR LIVING BLDG Applied: 1/27/2021 Issued:3/21/2022 Final: Expiration Date: 3/21/2023 Issued by: NED I WA State Contractor L & I #: CADBCCC801PR I CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT JENELLE TAFLIN 11235 SE 6TH STREET SUITE 150, (425)458-7896 JTAFLIN@NAVIXENG.COM BELLEVUE WA 98004 CONTACT NAVIX ENGINEERING INC. 11235 SE 6TH STREET SUITE 150, (425)458-7896 jtaflin@navixeng.com BELLEVUE WA 98004 CONTRACTOR CADS 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 ANKROM MOISAN all shoring comments go to this PROFESSIONAL ASSOCIATED ARCHITECTS, richardg@ankrommoisan.com INC contact , INFORMATION DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 7/15/21 R13493 PER PERMIT ENGINEERING INSPECTION FEE 3.3 001.000.341.82.000.00 $22,495.39 $22,495.39 3/10/22 R18616 PERCENT GRADING - PLAN REVIEW FEE 001.000.345.83.000.00 $550.00 $550.00 7/15/21 R13493 GRADING PERMIT BASE FEE 001.000.322.10.000.00 $35.00 $35.00 3/10/22 R18616 GRADING PERMIT FEE - CUBIC 001.000.322.10.000.00 $805.00 $805.00 3/10/22 R18616 YARDS PEER REVIEW FEES 001.000.245.965 $2,500.00 $2,500.00 1/19/22 R17400 PEER REVIEW FEES 001.000.245.965 $1,620.00 $1,620.00 3/10/22 R18616 TOTALS: $28,045.39 $28,045.39 CONDITIONS CONDITION TYPE STATUS NOTES FOR 48 HRS NOTICE-ENGR FINAL 48 Working hours notice is required when requesting your FINAL engineering inspection. NFORMATION ALERT RESIDENTS O ALERT AFFECTED RESIDENTS AND OR BUSINESSES PRIOR TO WORK START. ORMATION Printed: Monday, March 21, 2022 1:02:35 PM 1 of 3 GRADEFILL PerCity mit - • • • •:� i 1 1 www.edmondswa.gov • 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:OOam to 6:OOpm on weekdays and 10:OOam to 6:OOpm 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. 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. INSP PRIOR TO BACKFILL FOR Call for all required inspections. All work shall be inspected prior to backfill. NFORMATION FOR Electronic civil asbuilt shall be submitted to the City prior to final project acceptance. PROJECT CIVIL ASBUILT INFORMATION Asbuilt shall be submitted to Engineeringpermits@edmondswa.gov. 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. SPECIAL INSPECTIONS REQUIRED FOR; REQUIRED SPECIAL FOR -SOILS, ACCORDING TO GEOTECH REPORT, INCLUDING SHORING INSPECTIONS INFORMATION -STRUCTURAL: CONCRETE FOR VAULT 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:OOam to 6:OOpm on weekdays and 10:00am and 6:OOpm 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. STORM COVENANT FOR A stormwater covenant shall be approved for recording prior to project final approval. NFORMATION FOR All new, extended, rebuilt, or relocated electrical utility and/or service shall be placed UNDERGROUND WIRING INFORMATION underground. 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. Printed: Monday, March 21, 2022 1:02:35 PM 2 of 3 GRADEFILL Permit City of Edmonds PERMIT NU 98020BLD2021-031116 . •. � ML SEQID INSPECTIONS• INSPECTION TYPE INSPECTOR https://Inspection.MyBuildingPermit.com COMPLETED DATE RESULT NOTES A-1 BUILDING PRECON B-2 FOUNDATION WALL B-2 FOOTINGS X-3 BUILDING FINAL" B-5 BLDG SPECIAL INSPECTION A-1 TESC AND MOBILIZE E-3 STRM CONVEYANCE E-3 STRM COVENANT E-3 STRM TIGHTLINE E-4 ACCESS WIDTH SLOPE E-4 WATER SERVICE LINE E-5 TRASH ENCLOSURE E-9 COMPOST AMEND E-9 PARKING STRIPING X-0 TRASH ENCLOSURE FINAL X-2 ENGINEERING FINAL E-9 PROJECT ASBUILTS E-3 STRM MGMT FACILITY A-1 ENGINEERING PRECON E-4 RPBA AND HOTBOX Printed: Monday, March 21, 2022 1:02:35 PM 3 of 3