Building PermitType: FILL GRADE Subtype: COMMERCIAL AND GRADE I Status: ISSUED
Parcel No: 00451900100900 Site Address: 23625 84TH AVE W EDMONDS,WA 98026-8900 Applied: 4/12/2022
Subdivision: LLA LL-2001-101, 004519, 011244, 009042, 009341 Lot: 0 Issued: 6/27/2022
Fire Sprinklers: Lot Area: Zoning: Final:
Valuation: $220.00 Occupancy Type: Construction Type: Expiration Date: 6/27/2023
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Issued by: NED
Scope of Work: FILL GRADE -REMOVE CONTAMINATED SOIL REPLACE WITH CLEAN FILL
I WA State Contractor L & I #: HOLTSS1898JG I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
DARREN NESS
10621 TODD ROAD EAST,
(253)604-4878
DNESS@HOLTSERVICESINC.COM
EDGEWOOD WA 98372
CLEARCREEK CONTRACTORS,
CONTACT
A DIVISION OF HOLT
10621 TODD ROAD EAST,
(253)604-4878
dness@holtservicesinc.com
EDGEWOOD WA 98372
SERVICES
CONTRACTOR
HOLT SERVICES INC
10621 TODD RD E, EDGEWOOD
(253)604-4878
dness@holtservicesinc.com
WA 98372
TERRACE PLACE-DRR
21014TH AVE, SEATTLE WA
OWNER
KIRKLAND LLC AND VPSP LLC
98121
PRIMARY
DAVID COHANIM
(206)465-4611
david@synergyconstruction.com
CONTACT
FEE
INFORMATION
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
4/22/22
R19712
PER PERMIT
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$330.00
$330.00
6/21/22
R21044
GRADING - PLAN REVIEW FEE
001.000.345.83.000.00
$55.00
$55.00
4/22/22
R19712
GRADING - PLAN REVIEW FEE
001.000.345.83.000.00
$165.00
$165.00
6/21/22
R21044
GRADING PERMIT BASE FEE
001.000.322.10.000.00
$35.00
$35.00
4/22/22
R19712
GRADING PERMIT FEE - CUBIC
001.000.322.10.000.00
$110.00
$110.00
4/22/22
R19712
YARDS
GRADING PERMIT FEE - CUBIC
001.000.322.10.000.00
$50.00
$50.00
6/21/22
R21044
YARDS
TOTALS: $785.00
$785.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Monday, June 27, 2022 4:30:37 PM 1 of 3
FILL
GRADE Permit
PERMIT NUM
of Edmonds
EdmondsCity
98020 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.
\r\n2 - 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.\r\n3- SOUND OR NOISE - Sound/Noise originating from temporary
FOR
construction sites as a result of construction activity are exempt from the noise limits of
ALL BUILDING PERMITS
INFORMATION
ECC Chapter 5.30 only 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.\r\n4 -
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. \r\n5 - 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 REQUIREMENTS
INFORMATION
REQUIREMENTS.
FOR
SCHEDULE REQUIRED INSPECTIONS AS NOTED THROUGH MY BUILDING PERMIT.
INSPECTIONS
INFORMATION
www.mybuildingpermit.com
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.
Sound or 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 AND NOISE
INFORMATION
Sundays and Federal Holidays. At all other times the noise originating from construction
sites and 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.
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.
L INSPECTIONS - Schedule Online
at: https://Inspection.MyBuildingPermit.com
COMPLETED
SEQID INSPECTION TYPE INSPECTOR
RESULT NOTES
DATE
B-5 BLDG SPECIAL
INSPECTION
B-7 BUILDING OTHER INSP
A-1 BUILDING PRECON
X-3 BUILDING FINAL**
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