Building PermitType: COMMERCIAL BLDG Subtype: NEW TENANT IMPROVEMENT I Status: ISSUED
Parcel No: 00614300001604
Subdivision: 006143
Fire Sprinklers:
Valuation: $125,000.00
Code Edition: 2018
Site Address: 21010 76TH AVE W EDMONDS,WA 98026-7104
Lot: 0
Lot Area:
Occupancy Type: E
No. Stories: 0
Scope of Work: NOVA FAMILY CTR- TI
Zoning:
Construction Type: VB
# of Dwelling Units: 0
Applied: 6/14/2023
Issued:10/23/2023
Final:
Expiration Date: 10/17/2024
Issued by: NED
I WA State Contractor L & I #: METALI*141CG I
CONTACTS
AM
0 mop"
NAME TYPE
NAME
ADDRESS I
PHONE
EMAIL
APPLICANT
CAROLE HARPER
21010 76TH AV W, EDMONDS
(425)214-2493
CAROLEH@NOVAFAM.ORG
WA 98026
CONTACT
DWUDESIGN
14632 14TH AVENUE
SE, MILL
(425)512-1780
dwudesign@gmail.com
CREEK WA 98012
7116 220TH ST SW,
CONTRACTOR
THE METALSMITHS
INC
MOUNTLAKE TERRACE WA
(206)362-3430
MARKCRAY1@HOTMAIL.COM
98043
OWNER
KIM CHAN SKY PROPERTIES 8
PO BOX 524, KIRKLAND WA
(206)618-4631
LLC
98083
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT#
BLD - COM VALUE BASED FEE
001.000.345.83.000.00
$873.00
$873.00
10/23/23
R32179
BLD - COM VALUE BASED REVIEW
001.000.345.83.000.00
$1,258.00
$1,258.00
10/23/23
R32179
BLD - PERMIT BASE FEE
001.000.322.10.000.00
$100.00
$100.00
6/14/23
R29352
CHANGE OF USE
001.000.345.83.000.00
$482.00
$482.00
6/14/23
R29352
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
6/14/23
R29352
PERMIT
PARK IMPACT - NON RESIDENTIAL
332.100.345.85.000.00
$703.50
$703.50
10/23/23
R32179
SQFT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$25.00
$25.00
6/14/23
R29352
- COM
TRANSP IMPACT FEE -
112.502.345.86.000.00
$4,979.62
$4,979.62
10/23/23
R32179
INDEPENDENT FEE CALC
TOTALS:
$8,466.12
$8,466.12
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Monday, October 23, 2023 2:56:45 PM 1 of 3
•MERCIAL BLDG PermitCity
• • • • -
•:0i BLD2023-0750
www.edmondswa.gov •
ak�
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.
FIRE EXTINGUISHERS
FOR
Provide 2A 106C portable fire extinguishers at locations noted on approved plans.
NFORMATION
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.
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
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.
I [mad
7INSPECTIONTYPE90 INSPECTOR COMPLETED RESULT
INAL
X-3 BUILDING FINAL"
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7 .D
MMERCIAL BLDG Permit
�j PERMIT NUM
City of Edmonds
121 5th Ave N, Edmonds WA 98020 BLD2023-0750
www.edmondswa.gov / 425.771.0220
B-4 FRAMING
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
INSP
A-1 TESC AND MOBILIZE
9 PARKING STRIPING
X-2 ENGINEERING FINAL
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