BLD20181113 (2)0� EbAf
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH -EDMONDS, WA 98020
C. I
STATUS: ISSUED 10/26/2018 Perniit#: BLD20181113
BUILDING PERMIT
Expiration Date: 04/26/2019 Project Address: 203 5TH AVE S #7, EDMONDS�
Parcel No: 00434212103700
PAOP_n'-n'OWNER
APPLICANT
CONTRACTOR
01-D MILL TOWN ASSOCIATES RH
SEATTLE STUNNINGEVENTS
SIGN ASSOCIATES INC
PO BOX 5003
CIO KATHRYN WARNER
6825 176TH AVE NE # 125
BELLEVUE, WA 98009-5003
8905 NE 151ST PL
REDMOND, WA 98052
BOTHELL, WA 98011
(206) 434-6386
(425) 885-6100
LICENSE#: SIGNAI *099MB EXP:06/28/2020
signs- for new business, one on face of building- the other a blade sign.
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROGF=�o'F_
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE:
OT14ER: ------- OTHER DESC:
IZONE: BDI
NUMBER OF STORIES: 0
IVESTED DATE:
INUMBER OF DWELLING UNITS: 0
LOT #:
ENISTING AREA
A 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSE,I) AREA
ASEMENT, 0 1 ST FLOOk 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OT14ER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0 �
I BEDROOMS: 0 BATHROOMS: 0
FRONTSL-FBACK SIDESETBACK REARSETBACK
RLQUIKED: PKUF()bl.-D: 7
.7QUIRED: PROPOSED: �REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED: I
SETBACK NOTES: Sign fits Within existing frame. Blade signs are less than four square feet and do not count towards overall sign area.
IAGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THEWORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEIqS COMPENSATION
INSURANCE AND RCW 18:27.
,THIS AP9.rATION 6 NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAl,.9R HIS/HER DEPUTY AND ALL FEES ARE PAID.
_"4tju/Vk"-- obx"k E:�]� . / - 9
nature Ri6t,19me Date Released By 15ate
ATTENTION ZI
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI 09/ IBC) 10/ iRCI 10.
F7RE APPLICANT ASSESSOR CITY
allow
%A
STATUS: ISSUED
BLD20181113
• 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 foralternate design, modification, variance orother administrative deviation (hereinafter "variance") from
adopted codes, ordinances orpolicies 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 from the noise limits
of ECC Cbapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00arn 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 of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf ofhis 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 firomthe 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.
I INSPECTIONS
THIS PERMfTAUTHORV-ES ONLY THE WORK NOTED. THIS PERMITCDVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDBIVALKS, DRKIEWAYS, MARQUEES, ETC.) VALL REQUIRE SEPARATE PERMISSION. PERMfT
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: SenAces
are now scheduled online. If you
FIRE (425) 775-7720
3. 7hen: Perm its/Development
ha\e 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
When calling for an inspection please leave the follmuing information: Permit Number, Job Site Address, Type of Inspection
being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon.
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I
BUILDING PERMIT Office Use Only
APPLICATION Permit #:
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
, "I C. 1,69, 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov/
JOB SITE IN FORMATION/LOCATION: (Where the work Is taking place)
Job Site Address: 54K ftx-
Parcel:
Lot /Unit/Suite #: Subdivision: 10\& YNt�� �hw
PROPERTY OWNER:
Name: V-A& n IYA. 0affV-'q"
MailingAddress: P1
City/State/Zip:
Phone#: 3q eb YU
Email:
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? # Yes XNo
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: �AAftj M. (AA01V
V4) &� j ' lor
Mailing Address: Q & fj F; 1�-[ 'Fk.
City/State/Zip: FAVM I A* q?O U
Phone#:
E - m a i 1: IrAu - I , ),q 1( V1 f W ffle- z fu n ri i ww
GENERAL CONTRACTOR: (If different from applicant)
General Contractor:
Mailing Address:_
City/State/Zip:
Phone #:
E-mail:
WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE:
CITY OF EDMONDS BUSINESS LICENSE #:
TYPE OF PERMIT (Provide
0 Accessory Structure/
Detached Garage
Details on Page 2)
0 Addition
El Demolition
1:1 Mechanical
El New Single Family/ Duplex
0 Plumbing
El Fire Sprinkler
0 Remodel
0 New Commercial/ Mixed Use
0 Re -Roof
1A Signs
0 Tank
EJ 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:
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished 0 Unfinished El
Ist Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Cthersq ft:
PROJECT DESCRIPTION
awl
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: 9AKWI 11JIVIV
Signature: Date
n
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes El No El
WA STATE ENERGY CODE: If your project affetts the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits 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/FLIEL 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)
QtY
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
PSCAA Case #:
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
Fill in Place 13 Fill Material:
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required 1:1 Conditional Waiver 1:1 Waiver
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
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.
WEST ELEVATION U1.1-Y COPY
c Sign Associates, Inc. All Rights Reserved
Unauthorized use, reproduction, and or display
shall render the infringer liable for up to $150,000 sign associates, inc.
in Statutory Damages, plus attorneys fees and Customer Approval:
costs, for each infringement, under the 8/6/18 uite 125 Redmond, WA 98052
104 (425) 885-6100 FAX (425) 882-3433
C
U.S. Copyright Act (17 U.S.C. 412 & 504) Date: 1j 1 D T D 6825 176TH Ave. N.E. S
PLANS MUST BE
ON JOB SITE
R Ei C H I V E-H D
AU G 20 13
DEVELOPMENT SERVICES
COUNTER
Non Illuminated Wall Sign
SPECIFICATIONS - Non Illuminated
20 Square Feet
Aluminum panels painted Dark Brown (SW Rockwood Dark Brown) with front panel attached to fabricated 2" deep aluminum pan. Pan to be attached
directly to building and properly weather sealed.
Face panel to be spaced off background 1 Y2" using visible carriage bolts painted background color.
GRAPHICS:
SEATTLE STUNNING EVENTS" to be 1/2" thick raised dimensional cut white acrylic letters mounted flush to background.
Flower logo and "Coordination & Design graphics to be 3M White vinyl film (flat) applied directly to background
c Sign Associates, Inc. All Rights Reserved
Unauthorized use, reproduction, and or display
shall render the infringer liable for up to $150,000 r
in Statutory Damages, plus attorneys fees and Customer Approval:
costs, for each infringement, under the 8/6/18 wn/w* ly
U.S. Copyright Act (17 U.S.C. 412 & 504) Date: COORDINATION &
ATTACHMENT NOTES (use one of below)
For Wood Stud Wall:
3/8" x 3" galvanized lag screws
into wood studs (6) places
For Concrete behind wood:
3/8" x 3" concrete wedge anchors
into wood studs (6) places
For Hollow Wall:
3/8" x 5" toggle bolts (6) places
6825 176TH Ave. N.E. Suite 125 Redmond, WA 98052
(425) 885-6100 FAX (425) 882-3433
Fe E C Z- E 50 V F. D
i � 2010
DEVELOPMENT SERVICES
COUNTER
c Sign Associates, Inc. All Rights Reserved
Unauthorized use, reproduction, and or display
shall render the infringer liable for up to $150,000
in Statutory Damages, plus attorneys fees and
costs, for each infringement, under the
U.S. Copyright Act (17 U.S.C. 412 & 504)
REFACE EXISTING SIGN WITH NEW VINYL COPY
36"
1. 75 Square Feet H 1. 75"
BLADE SIGN
2-sided non illuminated blade sign - EXISTING
Tenant Graphics - White 3M vinyl film cut and applied directly to the
background.
Customer Approval: 8/6/18
C
Date: fOORDINATION &
I
d beam
6825 176TH Ave. N.E. Suite 125 Redmond, WA 98052
(425) 885-6100 FAX (425) 882-3433
RECEjW=
AUG 1 2010
DEVELOPMENT SERVICES
COUNTER