Building PermitRIVATE
PROPERTY WIRELESS Permit
City of Edmonds
PERMIT NUM
EdmondsP
5th Ave N, 98020
1 �
ML121
www.edmondswa.gov
Type: PRIVATE PROPERTY
Subtype: NEW MACRO CELL FACILITY
Status: ISSUED
WIRELESS
Parcel No: 00610700200701
Site Address: 10032 EDMONDS WAY EDMONDS,WA 98020
Applied: 11/9/2023
Subdivision: 006107, ROS AFN 200203075001,
SP S-3-85 Lot: 0
Issued: 4/25/2024
Fire Sprinklers:
Lot Area: Zoning:
Final:
Valuation: $47,500.00
Occupancy Type: Construction Type:
Expiration Date: 4/25/2026
Code Edition: 0
No. Stories: 0 # of Dwelling Units: 0
Issued by: BAC
Scope of Work: DISH WIRELESS- NEW PRIVATE PROPERTY WIRELESS FACILITY
WA State Contractor L & I #: LEGACTL821LL
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
JOHN SCANDOLA
19515 N. CREEK PARKWAY,
(206)465-3935
JOHN.SCANDOLA@CAMPASSOC.COM
BOTHELL WA 98011
CAMP & ASSOCIATES
ON
19515 N. CREEK PARKWAY 220,
CONTACT
(206)465-3935
john.scandola@campassoc.com
BEHALF OF DISH WIRELESS
BOTHELL WA 98011
CONTRACTOR
LEGACY
PO BOX 360, BURLY WA 98322
(253)858-0214
TELECOMMUNICATIONS
4025 DELRIDGE WAY SW STE
OWNER
WESTGATE VILLAGE LLC
350, SEATTLE WA 98106
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
11/9/23
R32630
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$25.00
$25.00
4/25/24
R36628
- COM
WIRELESS ON PRIVATE PROPERTY -
001.000.345.83.000.00
$856.00
$856.00
4/25/24
R36628
FEE
WIRELESS ON PRIVATE PROPERTY -
001.000.345.83.000.00
$727.60
$727.60
11/9/23
R32630
PR
TOTALS: $1,653.60
$1,653.60
• 1 •
CONDITION TYPE
STATUS
NOTES
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PRIVATE " PROPERTY WIRELESPerCity mit
-
• • •
98020 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 7:00am 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
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.
Per ECDC 20.50.050(D), any person, entity, or corporation that operates a
PLANNING CONDITION
IN COMPLIANCE
wireless communication facility must have a valid business license issued annually by the
City of Edmonds.
REQUIRED SPECIAL
FOR
INSPECTIONS
INFORMATION
SPECIAL INSPECTION REPORTS
FOR
Submit all special inspection reports to the City Building Official on a weekly basis.
NFORMATION
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
!NOnTES�����
X-3 BUILDING FINAL**
A-1 BUILDING PRECON
B-4 FRAMING
B-7 BUILDING OTHER INSP
B-4 DRYWALL FASTENING
If drywall is removed, consult with Inspector
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