BLD2019-0268 (2)OV EbAj
Alz '\171
-T CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Pe nwt#: BLD2019026-1
STATUS: ISSUED 03/21/2019 k
8
BUILDING PERMIT
Expiration Date: 09/21/2019 Pro,jectAddress: 545 MAIN ST, EDMONDSI
Parcel No: 00434212000700
APPLICANT
CONTRACTOR
KELNERO
CLAYTON MOSS
NW SIGNS
C/O MAIN LLC 524
114 4TH AVE N
CIO BRIAN STODDARD
PO BOX 1208
EDMONDS, WA 98020
17201 BEATON RD
KINGSTON, WA 98346
MONROE, WA 98272
(206) 715-9500
(206) 920-5912
(425) 844-6415
LICENSE 4: NWSIGS*84201 EXP: 10/07/2020
JOB DESCIMPTNOV
ONENON ILLLTN41NATED SIGN ATTACHED TO BUILDING
VALUATION: $0
PERMIT TYPE Commercial
PERMIT GROUP: 63 - Sip
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY:
OCCUPANT GROUP: A-2
OCCUPANT LOAD: 78
FENCE: 0 X 0 FT-)
CODE: 2015 IEBC/IBC
OTHER: ------- OTHER DESC:
I ZONE: BD I
NUMBER OF STORIES: 0
IVESTED DATE:
NUMBER OF DWELLING UNITS: 0
ILOT #
E-XISTING AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR 0
PRO PO SID ARIA
ASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD
FLOOR 0 GARAGE: 0 DECK 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0 IBEDROOMS
0 BATHROOMS: 0
FRONTSETBACK SIDESETBACK REAR S EIFBACK
REQUIRED: PROPOSED: - ��IMQUIRED: PROPOSED: IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES� Wall sign
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION
INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL gq HISMER DEPUTY AND ALL -FEES ARE PAID.
eL-ltt�JVA-1 ln,!��
Print Name Date
By
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE UNML A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
FIRE APPLICANT ASSESSOR CITY
STATUS: ISSUED
BLD20190268
• All new, extended, re -built or relocated electrical utility and/or service shall be placed underground.
• 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 thejob card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") fi-om
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
Sound/Noise originating from temporary construction sites as a result of construction activity are exempt fi-om the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 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 ofChapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• 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, aris ing directly or indirectly fi-om 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.
• Nothing in this pen -nit approval process shall be interpreted as allowing or permitting the maintenance of any currently existing
illegal, nonconfon-ning or unpen-nitted building, structure or site condition which is outside the scope of the permit application,
regardless of whether such building, structure or condition is shown on the site plan or drawing. Such building, structure or
condition may be the subject ofa separate enforcement action.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: SeNces
are now scheduled online. If you
FIRE (425) 775-7720
3. Then: Perm its/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
I
I I
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
— being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer moming or aftemoon.
. B-Building Final
I
BUILDING PERMIT Off -ice Use Only
APPLICATION F-t #
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
"7 C. I ag 9 V 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov
JOB SITE INFORMATION/LOCATION: (Vyhere the work is taking place)
JobSiteAddress:
151
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: &V'0A.1
Mailing Address:
City/State/Zip:
14,6+
Phone#:
Email: &c 1,I)R Z20-c'! 60)
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? El Yes 0 No
I own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION:
Name of Applicant: e�4eivylt�
MailingAddress: 4/7-/-/ 19ye, /U - -
City/State/Zip: 04,11d, Z�04, 01,eaW_
P h a n e #: 2 4_�� Z
E-mail:
GENERAL CONTRACTOR: (If different from applicant)
General Contractor: Alkl:�2_1244.�
Mailing Address:_/:Z2_0/ z96m Z?Tolt
City/State/Zip: ,Vh&41V,12j4,t�
Phone #: qZr, gq L),
E-mail: 4.3d1d6&0 4 44,1�,�� (2 , Cdi44
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
7-0 j I h7l&z�
CITY OF EDMONDS BUSINESS LICENSE #:
TYPE OF PERMIT (Provide
• Accessory Structure/
Detached Garage
Details on Page 2)
El Addition
• Demolition
0 Mechanical
• New Single Family/ Duplex
11 Plumbing
• Fire Sprinkler
0 Remodel
• New Commercial/ Mixed Use
0 Re -Roof
Signs
0 Tank
0 Tenant Improvement
0 Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
TION
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICA �7
Basement sq ft: Finished 11 Unfinished 1-1
Ist Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
. 6'al
Z2 7729-C4-6CL�= 7-4
I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name:
Signature: Date
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes El No 0
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial buildine ' nermits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
QtY Qty
Clothes Washer
Tub/ Showers
Dishwasher
Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
Other:
Toilets
Other:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
other:
Furnace
Other:
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
Qt Y QtY
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum
Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y/N
FPSCAA Case #:
Critical Areas Determination:
Study Required 0 Conditional Waiver D Waiver 13
imi6iaiiiiili
Fill in Place Fill Material:
Removal El
I Size of Tank (Gallons)
Critical Areas Determination:
Study Required 0 Conditional Waiver El Waiver 0
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubicyards
Cut / Fill in Critical Area: Yes El No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
City of Edmonds Building Department 1!
T
NrP.1011VED PLAN,,
. INV I
Zone 6'�� — \ Comer Flag_
Setbacks Regiiired A
_=al
Front
Sides
Rear
Other
Sign Placement
0
L,
0
ELNFR0
0
I
0
0
Permit Submittal Drawing - Identity Sign for KeInero's
General Description
Quantity: (1) non -illuminated sign panel
Size: 13" x 48"
Sign Area: Approx. 4.25 sq. ft
L %. " W F9 & M-*-.VA � W11 � I � I I
A, 4VA
CITY OF EDMONDS
BUILDING PARTMENT
WORK 61�;l
ADDRESS rtqa hIM r
OWNER 16F.USIL-1w
RECEIVED
FORMA Design date: 2.22.19 114 4th Ave. N. Edmonds WA. 98020 206.920.5912
:of L MAR I J iU19
a(-L) BUILDING
x
N
1/8" th. aluminum sign panel
with graphic routed out (see thru to wood plank behind)
N
Size: 13"h x 48"w
Sign Attachment & Details
Permit Submittal Drawing - Identity Sign for KeInero's
K
IN
wo
(ba
4
Attachment: Anchor Bolt (6) Qty. 1/2" dia. x 6"
evenly spaced washers as reqr'd.
All hardware to be non -corrosive.
Wood siding
Use spacers as required
to make sign plumb & level
Section View
FORMA Design date: 2.22.19 114 4th Ave. N. Edmonds WA. 98020
MAR 13 201�
Qfn��� BUILDING