20000558.pdfEXPIRES
PERMIT
CITY OF EDMONDS NUMBER �LDQ5518
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
130MAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:1 SEPARATE PERMISSION
STATE SURCHARGE
PERM IT APPLICATION: 140 DAYS
I YE K IS WITHIN 180 DAYS
PERMIT LIMIT.- AR, PROVIDED WOR STARTED
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
N BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGINS AND SUCCESORS
DEFEND AND HOLD HARMLESS THE CITY OF
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D E EDTOMODIFYMIV E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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APPLICATION AMP L
I I AM THE NER, OR THE DI H Y AGENT OF
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LAWS REGULATING CONSTRUC-
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MTCIMaterials Testing &
Consulting, Inc.
RECF-IVED
ReDort #F 8314
FIELD REPORT
Materials Testing & Consulting, Inc. FILE NO.: 000610
17, 2000
777 Chrysler Drive, Suite A DATE: October
Burlington, WA 98233 Phone: (360) 755-1990 CLIENT: Compton Construction
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Fax: (360) 755-1980 PROJECT: Steven's Health Care
ADDRESS: 21700 Hwy 99
CITY: Edmonds, WA.
CLIENT: Steven's Hospital and Radiology ENGINEER: DCI
ADDRESS: 21601 76th Avenue West ARCHITECT: Boxwood
Edmonds, WA 98026-7507 CONTRACTOR: Compton
NO.: 200458
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Attn: Jerry Jacobson PERMIT
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IVITC was on site for welding inspection in the emergency departm ent fast track blood
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bank. All work was done from approvpddrawings A5.0 details 3 -4. A 11 welding was done
by WABO certified welders and in accordance with AVVS DIA. Contractor has
photoco py of WABO card on file. Work performed includes welding of 6x8 angle iron to
tube steel columns with fillet welds and tube steel columns to structure at the tops of
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columns. All work was satisfactory and complete.
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Inspected By: Russ Jones, Field Inspector
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Reviewed By: Niall P. Hackett, Technical Director
DISTRIBUTION:
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ORIGINAL: Steven's Health Care
COPIES: DCI
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city of Edmonds
ALL REPORTS ARE CONSIDERED CONFIDENTIAL AND ARE THE PROPERTY OF THE CLIENT AND IVITC
THE WRITTEN CONSENT OF IVITC IS STRICTLY FORBIDDEN
REPRODUCTION EXCEPT IN FULL WITHOUT
te A Burlington, WA 98233 (360) 755-1990 Fax 755-1980
777 Chrysler Dfive, Sui
8 14 Lakeway Drive, #161 Bellingham, WA 98226 (360) 647-6061
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Steven Mc Cary
Stevens Hospital
21601 76th Ave W
Edmonds, WA 98026
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STATE OF WASHINGTON
DEPARTMENT OF HEALTH
P,O. Box 47852 - Olympia, Washiogion 96504-7852
July 14,2000
BUILDING
JUL Z 0 2000
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JUL 2 12000
'EVELOPMCNY SErVICES CTR
CiTy OF EDMONUS
RE: St s Hospital
ast track ER & Blood bank
CRS oo.00081-5666-002/003
Dear Mr. Mc Cary:
Staff reviewed your project using Chapter 246-320 WAC-Hospitals and found it acceptable.
You still need to submit the following items for review and approval before their
installation:
• Fire alarm system plans;
• Sprinkler Drawings and Specifications;
Enclosed is your stamped "Approved" set of plans. These plans should become a
permanent part of the facility records. Only one set of revised M- I and M-4 were received,
they will remain on file at this office.
Also enclosed is a green notification of construction start card. Please complete and return
the preen card when construction begins. Once we have received and approved the above
list of items, a pink notification of construction completion card will be sent to you. The
pink card will need to be returned to us before we can notify Acute Care Licensing.
The local building official is responsible for building construction permitting and
occupancy. The local building official or the State Department of Labor and Industries is
responsible for electrical construction permitting.
Page 1, of 2
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July 14,2000
CRS # 00-00081-5666-002/003
Page 2 of 2
Please note that the Hospital regulations do not allow you to use the completed project area
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until authorized by DOH and the local building authority.
ication. You must contact the Acute Care
Construction changes may require a license modif
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licensing Unit at least three weeks prior to your anticipated opening date. Please call
the
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(360) 705-6612 to clarify any additional information or action needed before using
project area.
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If you have questions, please call (360) 705-6778.
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Sincerely,
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Richard M. Swanson, Supervisor
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Construction Review Services
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Enclosures: Notification of construction Start Cud
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Stamped 'Approved' Plans
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cc: Acute Care Licensing (2 copies)
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City of EDdmonds, Building Official
Architect: Pentalink Amitmuffe
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FINAL PROJECT APPROVAL FORM
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DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DAT
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE —
PROJECT
SITE ADDRESS--;�6,�
PERMIT # ADB#
INSPECTED
SPECTEI)f��/—ft-L-
DESCRIPTION OF WORK TO BE IN
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting o I f
Final approval of the described work
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
1
2.
3.
FINAL INSPECTION - OUTSTANDING ISSUES
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
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