BLD20181411O,F EI)Af
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STATUS: ISSUED
CITY OF EDMONDS
107/2018
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE- (425) 771-0220 - FAX: (425) 771-0221
Pemiit#: BLD20181411
Expiration Date: 05/07/201.9 Project Address: 105 5TH AVE S, EDMONDS
Parcel No: 00434212000102
CLINE JEWELERS
CLAYTON MOSS
NW SIGNS
105 5TH AVE S
114 4TH AVE N
C/O BRIAN STODDARD
EDMONDS, WA 98020
EDMONDS, WA 98020
17201 BEATON RD
MONROE, WA 98272
(206) 60 1-1366
(206) 920-5912
(425) 844-6415
LICENSE #� NWSIGS*84201 EXP: 10/07/2020
JOB DESCRIPTION
ONE PROJECTING SIGN - INTERNALLY ILLUMINATED 14.25 SF
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROUP: 63 - Sign
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY:
OCCUPANT GROUP: M
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 2015 1 EBC/l BC
OTHER: ------- OTHER DESC: ____FZONE:
BDI
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
ILOT #:
L-XIS-nNG ARFA
1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSO) ARE,%
1 BASEM NT: 0 1 ST FLOOR: 0 2ND FLO
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OT H
BEDROOMS: 0 BATHROOMS: 0
1 BEDROOMS: 0 BATHROOMS: 0 _Ftj
FRONTSEIFRACK SIDESETBACK REAR SETBACK
REQUIRED: PROPOSED: �=RUIRED: PROPOSED: EQUIRED: PROPOSED:
HEIGHT ALLOWED:14 PROPOSED:10.5 IREQUIRED: PROPOSED:
SETBACK NOTES: Halo si2n
IAGREETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTIONAND IN DOING THEWORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLAT10N 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 OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
>
'72�A
11/7/18
Signatd—re Print Narne //a Released By Date
ATTENTION
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 091 IBCI I Of IRCI 10.
= FIRE = APPLICANT = ASSESSOR = CITY
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STATUS: ISSUED BLD20181411
rem PIN 171 M2
Obtain Electrical Permit fi-om State Department of Labor & Industries. 425-290-1309
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.
Any request foraltemate design, modification, variance or other administrative deviation (hereinafter "variance") from
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 tile appropriate city official in accordance with the appropriate provision
of city code orstate law does not approve any items not to code specification.
• No commercial sign shall be illuminated after I 1:00pm unless the commercial enterprise is open for business and then may
remain on only as long as the enterprise is open.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.3 )0 only during the hours of 7:00arn to 6:00pin 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 of Chapter 5.30, unless a variance has been granted pursuant to ECC5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harinless 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 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 permit approval process shall be interpreted as allowing or permitting the maintenance of any currently existing
illegal, nonconforming or unpermitted 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 of a separate enforcement action.
THIS PERMIT A UTHORIZ_ ES ONLY THE WORK NOTED. THIS PERMIT COV ERS WORK TO BE DONE ON PRKtATE PROPERTY ONLY. A NY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMrF: 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: Services
are now scheduled online. If you
FIRE (426) 775-7720
3. Then: Permits/Dewlopment
have difficulties, please call the
4. Tben: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance dudng office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 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.
a B-Building Final
BUILDING PERMIT Office Use Only
APPLICATION Permit #: �4
Development Services
Building Division
121 Sth Ave N / Edmonds, WA 98020
'nc. I 99'j 425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov/
JOB SITE INFORMATION/LCICATION: (Where the work is taking place)
Job Site Address: (0 5' 6T" A\j 6 60,
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: D r��w
Mailing Address: <az4SI, ':�'C'
City/State/Zip: MOWM, !��%,AtJP
Phone #: 2-te)6 1 (,:;6 L I I �) & &�p
Email: A Za,,P- �
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? 0 Yes El 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:
MailingAddress: jk!q ATH il&\JE�_
City/State/Zip: WA, q&2D
Phone #: 7_� 0)'2-0, 5 0 Il—
E-mail: 4:��M&�25 0 n6Q(1M6(a56,tTk
GENERAL CONTRACTOR: (if different from applicant)
General Contractor: M 012TI4 V)or�'T 17t60J17
Mailing Address: — (N\tV
11;L01 BC-A11AFP.1V10NR09;VV
City/State/Zip: qqa 17D
Phone#: 42K62'4q AllS
r -
E-mail: SjQno; ,
J' —
WA STATE CONTRAC70R L & I # (CCB) & EXPIRATION DATE:
N WC) 105 -Y Vflo I
CITY OF EDMONDS BUSINESS LICENSEM
TYPE Of PERMIT (Provide
11 Accessory Structure/
Detached Garage
Details on Page 2)
0 Addition
El Demolition
0 Mechanical
• New Single Family / Duplex
0 Plumbing
• Fire Sprinkler
0 Remodel
El New Commercial/ Mixed Use
0 Re -Roof
0 Signs
El Tank
OTenant Improvement
0 Other
Remodel Perri 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 N EW SQUARE FOOTAGE FOR THIS APPLICA TION
Basement scl ft: Finished El Unfinished 1-1
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq Ift:
Deck/Covered Porch/Patio:
Other sq ft: PROJECT DES CRIPTION
T-0 C-:,-�Ahq '5,16tJ
J, o6JAA_L�j L� LA tAA1A)ATUO
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 10 li:;19
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 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
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)
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:
AH ERA Survey done? Y / N
TPSCAA Case #:
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
Fill in Place El Fill, Material:
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required 1:1 Conditional Waiver 0 Waiver 0
GRAD E/Fl LL/ EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut/ Fill in Critical Area: YesEl No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of I 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.
Proposed (1) Qty New Sign
Internally illuminated
001 "f row "MAR F"140,
lot
0 V,E,tl
S I G N D E S I G
C I i n e J e w e I e r s 1 0 5 5 t h
10
Existing Sign
I �rMi
DBY P
ENGINEERING DMSM
NOTED
DW nZ�
Sign Permit Submittal Drawings
Cline Jewelers
105 5th Ave. Edmonds, WA 98020
D R A W I N G S -
Ave S. Edmonds , WA. 98020
"No commercial sign shall be illuminated after
11:00 PM unless the commercial enterprise is
open for business and then may remain on
Nothing in this permit approval
process shall be interpreted as
allowing or permitting the
maintenance of any currently existing
illegal, nonconforming, 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 of a separate enforcement
action.
Note:
Existing sign
tp %removetd
lothing in is permit approval process shall I
erpreted as allowing or permitting the
Lintenance of any currmdy existing ifieSaL
nconforming or unpermitted building, struch
site condition which is outside the scope of t
rinit application, regardless of whether such
ilding, structure or condition is shown on the
i plan or drawing. Such buildin& structure oi
adition may be the sub ect of a separate
rorcement action.- i
[:0 —
S;btain Electrical Permit from
t
State Labor & Industries
CITY OF EDMONDS
BUILDING DEPARTMENT
WORK S., 0� ^
ADDRESS I S �t--44jAV
OWNER �,f\ 4p _)pL4
APPROVEDDATE:
BLDG.OFFICIAL:
only as long as the en rprise is open."
(FQ0.2bi 1
crff COPY RECOWD
OCT 2 6 2018
Clayton M oss F 0 R M A D E S I G N 2 0 6 . 9 2 0 . 5 1 8
9SUILDING -
C
Canopy ht. at entry 18"
21'-6- L tt.
Store street frontage 21'-6" LF
Proposed Sign Area 14.25 Sq. ft. l'-6" (18") x 9'-6"(114")
Sign Type:
Letters / Graphic:
S I G N DESIGN DRAWI NGS-
C I i n e J e w e I e r s 1 0 5 5 t h A v e S . Edmonds , WA. 98020
Pro'ecting
Halo Lit / Push Thru
RECEIVED
--GCT -2 6-201t
BUILDING
C I a y t o n M o s s F 0 R M A D E S I G N 2 0 6 . 9 2 0 . 5 9 1 2 1 0 . 2 6 . 1 8
(:i�)
Sign (end view)
Canopy Letter Face
IF
9'
above sidewalk grade
Canopy at entry
Canopy Roof
PARTIAL SECTION VIEW; SIGN ATTACHED
TO CANOPY
OVER DOOR ENTRY
End View
Building Wall
Mount alum angle to steel
canopy beam with MIN. 6
1/4"'SS flat head machine screw
Mount raceway to angle
with # 12 SS flat head
screws. MIN. 8
.................
Canor
..........
Sign cabinet all aluminum
welded construction.
Est. weight= <150 lbs
All Electrical components
UL approved.
PARTIAL SECTION VIEW; SIGN ATTACHED
TO EXISTING CANOPY
OVER DOOR ENTRY
Attachment Details
RECEIVED
--OCT 2 - 6 2018
BUILDING
S I G N DES IGN DRAWl NGS-
C I i n e J e w e I e r s 1 0 5 5 t h A v e S . Edmonds , WA. 98020 C I a y t o n M o s s F 0 R M A D E S I G N 2 0 6 . 9 2 0 . 5 9 1 2 1 0 . 2 6 . 1 8