Building Permit, Permit
FILL GRADE
PERMIT NUM
City of • • •
11
121 5th Ave N, Edmonds WA 98020
www.edmondswa.gov425.771.0220
Type: FILL GRADE Owner/ Business: MIKE MCISAAC Status: ISSUED
Subtype: COMMERCIAL FILL AND GRADE
Parcel No: 00434212001500 Site Address: 550 MAIN ST EDMONDS,WA 98020-3183
Applied: 1/25/2021
Subdivision: 004342 Lot: 0
Issued: 3/22/2021
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $1,840.00 Occupancy Type: Construction Type:
Expiration Date: 3/22/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: JOK
Scope of Work: MAIN ST COMMONS - DETENTION VAULT BLD2019-0528
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
MIKE MCISAAC
234 5TH AVE SOUTH, EDMONDS
(206)817-0351
MMCISAAC@WILCOXCONSTRUCTION.
WA 98020
COM
CONTACT
WILCOX CONSTRUCTION
234 5TH AVE SOUTH, EDMONDS
(206)817-0351
mmcisaac@wilcoxconstruction.com
WA 98020
CONTRACTOR
WILCOX CONSTRUCTION INC
234 5TH AVENUE SOUTH,
(425)774-4185
mmcisaac@wilcoxconstruction.com
EDMONDS WA 98020
MAIN ST COMMONS - MIKE
9525 AIRPORT WAY,
OWNER
MCMURRAY
SNOHOMISH WA 98296
•' ' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
3/18/21
R11144
PER PERMIT
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$110.00
$110.00
3/18/21
R11144
ENGINEERING PEER REVIEW
001.000.245.963
$2,500.00
$2,500.00
3/18/21
R11144
GRADING - PLAN REVIEW FEE
001.000.345.83.000.00
$440.00
$440.00
3/18/21
R11144
GRADING PERMIT BASE FEE
001.000.322.10.000.00
$35.00
$35.00
3/18/21
R11144
GRADING PERMIT FEE - CUBIC
001.000.322.10.000.00
$380.00
$380.00
3/18/21
R11144
YARDS
TOTALS: $3,505.00 $3,505.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
FOR
Maintain erosion and sedimentation control per City and SWMMW standard
ESC REQ
INFORMATION
requirements.
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.
INSP PRIOR TO BACKFILL
FOR
Call for all required inspections. All work shall be inspected prior to backfill.
NFORMATION
Printed: Monday, March 22, 2021 9:44:31 AM 1 of 2
OV EDP
0� FILL GRADE Permit
City of • • • PERMIT NU
-• • • •• 1 1
PROJECT CIVIL ASBUILT
FOR Electronic civil asbuilt shall be submitted to the City prior to final project acceptance.
INFORMATION Asbuilt shall be submitted to Engineeringpermits@edmondswa.gov.
SPECIAL INSPECTIONS
ENGINEERING
FOR A Special Inspection agreement is required for this project. It is the owner/contractors
INFORMATION responsibility to ensure inspections take place and that reports are provided to the
Engineering Division on a weekly basis at Engineeringpermits@edmondswa.gov.
INSPECTIONS - Schedule Online at: https://Inspection.MyBuildingPermit.com
SEQID INSPECTION TYPE INSPECTOR COMPLETED RESULT NOTES
DATE
X-2 ENGINEERING FINAL
E-5 ENG SPECIAL INSPECTION
Printed: Monday, March 22, 2021 9:44:31 AM 2 of 2