BLD20190669CITY OF EDMONDS
..............
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771 �0220 - FAX: (425) 771-0221
STATUS: ISSUED 06/13/2019 Pertnit#: BLD20190669
BUILDING PERMIT
Expiration Date: 12/05/2019 ProjeciAddress: 18401 76TH AVE W,-,EDMQNDS,
Parcel No: 00434600010505
PRO PHt I I OWN -r�
APPLICA, T
PARTNERS LLC PERRINVILLE
FASTSIGNS
FASTSIGNS
18401 76TH AVE W
CIO LISA WILSON
C/O LISA WILSON
EDMONDS, WA 98026
2921 ALDERWOOD MALL BLVD.
2921 ALDERWOOD MALL BLVD.
STE 104
STE 104
LYNNWOOD, WA 98020
LYNNWOOD, WA 98036
(425) 775-9709
(425) 775-9709
LICENSE #: FASTSL*863MW EXPi08/06/2020
JOB DESCRIPTION
NEW SIGN, POST AND PANEL.
* * * *COD— WORK DONE PRIOR TO PERMIT*
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROUP: 63 - Sip
GRADING. N CYDS: 0
TYPE OF CONSTRUCTION
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE:
IOTHER: ------- OTHER DESCi
IZONE: BC
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
X,q 61 1�1
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
1
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSMACK SIDESFIFBACK REARSLTBACK
REQUIFLED� E 0 PROPOSED: 0 �TEQUIRED: PROPOSED: IREQUIRED: PROPOSED:
]]EIGHT ALLOWED:14 PROPOSED:6 IREQUIRED: PROPOSED:
SLTBACK NOTES: Group sign
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON VALL BE Elv1PLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION
INSURANCEAND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID.
—9,'Qa= Oq�� Qsca-�wf- V1311� DeniseNelson 6/13/19
Signature Print Name
Released By
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/111C] 10
= FIRE = APPLICANT = ASSESSOR = crry
STATUS: ISSUED BLD20190669
CONDITIONS
• All Dew, 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-orn
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.
• SoundNoise originating fromtemporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00prn 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 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-orn the issuance for this permit. Issuance of this perrnit 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.
INSPECTIONS
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, EFC,) VVILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING
ENGINEERING (426) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: SeNces
are now scheduled online. If you
FIRE (425) 776-7720
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 haw one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (426) 275-4801
6: Schedule your inspection
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 morning or afternoon.
• &Engineering Final
• B-Building Final
ING PERMIT Offi,:eu-,O,Iy
"PLICATION f`P7-'t#<-w/'q
luilding Division
Drids, WA 98020
425.771.0220
I inspection
New Single Family
and Major Tenant
red by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call 425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 1640 1 -7 GTO AVF_ W -0 1 CC
Parcel:
Lot /Unit/Suite #: 100 Subdivision:
PROPERTY OWNER:
Name: Femn Vi LLE- AN #mAL +%PTA_L_
MailingAddress: JBL�01 7(,714 &g W 416D
City/State/Zip: Eombmos WA 9&)2jo
Phone #:
Email:
OWNER INSTALLATION: * If yes, read and sign*
Will work be performed by the property owner? 0 Yes >(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: !W CAS1,N)HU-S OF LY&INNOD1
MailingAddress: 2mll ALpWWwDMM.LRLV
' M IQ+ DAIMADID C1803(o
City/State/Zip: S
Phone #: C�115-17IC5- q-TM
E-mail:
GENERAL CONT�ACTOR: (if different from applicant)
General Contractor: SAma As A13bVF-
Mailing Address:
City/State/Zip:
Phone #:
E-mail:
7
STATE UBI #: Aal)3 - ?2MA - S56-
CITY OF EOMOND&BUSINESS LICENSE #: 01—allo-
L'YNNWMD
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
C C f I - <`6 2, hA VJ
TYPE OF PERMIT (Provide Details on Page 2)
• Accessory Structure/ 0 Addition
Detached Garage
• Demolition
0 Mechanical
• New Single Family / Duplex
0 Plumbing
• Fire Sprinkler
0 Remodel
• New Commercial/ Mixed Use
0 Re -Roof
XI igns
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.
Valuaflon: ow - 0_0
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: NIA Finished 0 Unfinished 0
Ist Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
DST 10 PANEL SI 6-N REPLACIM6-
AND Wd)T14-9(b"W)(4F;'4-
6 1611 IL ALA) M i N LhA CAW P IN I
WrrH- VIKYL 6WAPUIC-Q, &
1.1 P-1) Ok I- S1 D e, 41.<
6fP
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19" POM V] rR+ VIKIA- C-by
CA P-S -
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.
\J I 1\-V VE--fT L'F_
Print Name:
Signature: Z
L, e�z I— Date
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction: 1'4 1 rN
Fire Sprinklers: Yes 11 No El
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 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
ExhaustFans
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
70t h e r:
GAS/FUIEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
I
Outdoor BBQ / Fire pit
Boiler
1 144-
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
I Nitrous Oxide
Helium �J
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 El Fill Material:
0 .11 Matenal- A::
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required El Conditional Waiver C3 Waiver 0
GRADE/FILL/EXCAVATE
Grading: Cut I cubic yards
Fill "'JIc nbi 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.
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Material 3mm Aluminum Composite w/ Laminated Print
Color To Match Building
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Mounting Two White PVC Sleeves w 4 Wooden Posts Inside
BISTRO 76
CAFE & CATERING
1`.dN%ardjoneS 48"
\Vcic() S,tL.,
24"
RECEIVED
JUN a 6 2019
BUILDING
Invoice #: 26464 1 7Mi7gner: Jonathan Noble Fscale. 1"=20" STSIGNS.-
Project: Perrinville Animal Hospital Date: 5-23-2019 Cons put er generated colors in this sketch may not match the finished sign colors.
This fastSigns tyrinwood L Y N N W 0 0 D
artwork is the property of of and is protected under slat, and federal
copyrighilaws Any uses of this artwork other than direct business with fastSigns of Lynnwood without P: (426) 775-9709 F: (425) 648-2098
Produ(t: Monument Sign Version: I ov,illm pernot non slall constitute your agreement to purchase this artwork and the design proposed 'Web: www.fastsigns-com/443 E-mail: 443@fastsigns.com
- 2921 Alderwood Mail Blvd., Ste. 104, Lynnwood, WA 98036
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Applic�nt shail repair/replace all darnago to
U-b5ties orfrc.ntage irnprovernonts in City
t 3ed
1 right-of-way per City standards that is cv- used
i oroccurs during the parmiled project
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APPROVED
PLANS MUST BE
ON JOB SITE.
ALL. WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE
Iy po 11114G
,,— *D
CITY OF EDMONDS
BUILDING DEPARTMENT
WORK
ADD RIf E-
OWNER
APPROVED DATE: 13 q
BLDG. OFFICIAL:
cl
PZOR , - I rA
JUN 6 -0 2019
BUILDING