20020424.pdfDATE FECEJVE�,
PERMIT EXPIRES
USE
CITY OF EDMONDS ZONE
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FIRE REVIEWED By DATE
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STATE LICENSE NUMBER EXPIRATION DATE ONE KED BY U SHORELINE OR ADB# INSPECTION BOND
REC,gWo POSTED
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SEPA REVIEW SIGN AREA HEIGHT
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PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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LOT COVERAGE REQUIRED SETEACK$ (FT) PROPOS 0 S BACKS (FT.)
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ALLOWED '..F' SIDE REAR
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DATE
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NUMBER OF .
OF DWELLING AREAS at OCCUPANT
I I NUMBER CRITICAL ARE
STOR"' UNITS NUMBER RI LOAD
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DESCRIE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC l0S/FINAL INSPECTION REG'O
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ALUATION $
Description
FEE Description FEE
Plan Check
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GLAZING % LOT SLOPE %
Building
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PLAN CHE:2_,,,,, VESTED DATE
Plumbing
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THIS PERMIT AUTHORIZES ONI THEWORKNOTE..�Irl...IT..E.....TO
L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T E BUD
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Grading
Recording Fee
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
City Surcharge
PE MITAPPLICATION: 180DAYS
PERMIT LINI I YEAR -PROVIDED Woe 15STARTEDWITHIN INDAYS
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection
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_Lt.,. Surcharge,
'"PUCANT' ON BEHALF 01 HIS 01 MIR SPOUSE, HEIRS. ASSIGNI -11 IUCCE.ra
Traffic Mitigation
PlanChkDeposit '7611-
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IN INTE EST, AGREES TO IND MNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire
Receipt # ff-M
ALL CLAIMS Fo DAMAGES OF WHATEVER NATURE . ARISING . .1CTI2Y .11 11DIFIECILY
Review
—
FROM THE I SUANCE OF THIS PERMIT ISSUANCE I THIS PERMIT SMALL NOT BE
9 DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due j 41-4,
. NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Landscape map.
I Receipt #
404
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
Thlppft�fin. 1, bol. P.1.11-fil �Igmd by Ihn
T'ON`AN I" ODIN RK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
.11 V..- ON 01 .1 THE a— OF ASHINGTON RELATING TO
a." ding OM6.1., 1,W", D.P.1y; nd F .1. pid, bd
FOR INSPECTION _'pt I—k—ledged In spaco proWded.
WOFKM�J.. DOM, CE AND RCW 18.27.
1 IAL NAT DATE
KINAT 11 N104 IATE SIGNED
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771-0220
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DATE
TI' N
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EXT 1333
ML6J��'6&u
IT I U LAWFUL TO US - OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
C�RJGINAL�FILE YEULOW-JNShCTOK
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK�OWNER GOLD -ASSESSOR
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RECEIVED
JUN 13 2002
BUILDING DEPT.
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
STIH AVENUE NORTH -EDMONDS, WA98020 - (425) 771-0220 -FAX (425) 771-0221
Web$fte; �,Cledmond&wa.us
DEVELOPMENT SERVICES DEPARTMENT
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Planning Building Engineering
June 27, 2002
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SGA Corporation
Trygve Oye, Pr ect Manager
1501 North 200 Street
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Shoreline, WA 99133-3301
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RE: Olympic Injury and Rehabilitation Center — New Office T.I.
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22019 Highway Edmonds, WA
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Dear Mr. Oye:
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The Assistant Building Official has reviewed the adjusted bid sub ed June 14, 2002.
Unfortunately some ofthe deleted items are required for the contractor's bid for materials
and labor for the project. The original bid of$102,956 represents a true scope ofthe
project and will be the basis for permitting fees.
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If you have any questions, please feel free to call Ann Bullis, Assistant Building Official
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at 425-771-0220.
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Sincerely,
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Permit Coordinator
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Incorporated August 11, 1890 0
Sister City - Hekinan, Japan
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Of (ftmoubg
Cerfituate of ettup
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: Bul ding Permit #2002-0424
Occupancy established by this certlflcate: Dwelling Units: -NA- No. Stories: I
TYpe Construction: V-N -Basement: NA
Maximum Occupant Load --23-* (Per U.B.C. 1002)
ROOM capacity signs, when required, must remain posted at alf times.
Owner of Building: -N&S.Partnorship . Address 2261909"PIVII.EddiondsVIA9802D
THE "c.l!,jlu[�jar)d&hab. AS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997
11
ED UNIFORM BUILDING CODE AS ADOPTED BY THE C17Y FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR
WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 22th day of_AggusL, 2002
CHIEF BUILDING OFFICIAL
BY:
This c"Nslahs $1401 be leNted In. Wbhbu$ PUNIC.M.tuf hWI aul be huah�dd, nuAleteal m ob-0 and shall be anasualnes In lalrble =dl#w al all Inaes.
rUnwican, oro=p.nw Issued by In. CftV eEdm.41 5,11ding Offidal.
NOT,
Everett Office
MAYESTESTING ENGINEERS, INC. 917-134th Street SW
t
it, f Suite A-1
4UG Everett, WA 98204
ph 426.742.9360
1ax425.745A737
T. Office
MTE No.: E2223
to— Tacoma Way
Project: OLYMPIC INJURY & REHABILITATION CENTER S029S,
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Address: 22019 Highway 99, Ste. A, Edmonds, WA Tacoma, WA 98499
ph 253.594.3720
Permit #: 20020424 tax 253.SB4.3707
Portland Office
Owner: Olympic Injury & Rehabilitation Center 7911 NE 33rd Drive
Architect: Gordon Fleener Suite 190
Portland, OR 97211
Engineer: ph 503.281.7515
Contractor: SGA Corporation fax.503.281.7579
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Page 1
Date: 7112/02
Weather: Indoors
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Inspection: Reinforced Concrete
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inspected re -steel in three footings under neon tube steel columns. Reinforcing was found to
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conform to approved plans and specifications. Epoxy grouting was previously done and not
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inspected.
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To the best of our knowledge, all items inspected today are in conformance with pproved p ns
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and specifications.
INSPECTOR: Trip Edgerton
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Reviewed y:
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- - - - - - - - - -
MAYESTESTING ENGINEERS, INC.
Evereff office
917-134th Street SIN
MIRE MIMCFMZ11'11%t�P"�'
Suite A-1
Everett, WA 98204
ph 425.742.9360
lu 425.745.1737
August 27, 2002
Towma WNW
10029S. Taconnaway
Suite E-2
Tacoma, WA 98499
City of Edmonds Building Department
ph 25M84,3720
tax
121 5th Avenue N
253.584.3707
Edmonds, WA 98020-3146
Portland Offide,
7911 NE 33rd Drive
E
Suite 190
Portland, OR 97211
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Aftn.: Commercial Inspection
ph 503,281.7515
fa 503,281.7579
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Re:. Olympic Injury and Rehabilitation Center Permit # 2002 -0424
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22019 Highway 99, Suite A
Edmonds, WA
MTE Project # E -2223
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Gentlemen,
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for
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This is to inform you that registered special inspections have been completed
this project as
per our reports, copies of which have been sent you.
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To the best of our knowledge, all work inspected was either performed in accordance
with, or
corrected to conform to, the city approved drawings, or engineer approved changes.
Special inspection for:
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was provided
Reinforced Concrete
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We trust that this provides you with the information which you require. Should you
have any
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questions give us a call.
Sincerely,
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MAYES TESTING GINEERS, INC.
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Michael S. Dolder, P.E.
Vice President
MSD-jwr
CC: Trygve Oye, SGA Corporation
TINAL PROJECT -APPROVAL FORM
TO:
PATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE _L_�- —6 2-
ENGINEERING DIVISION DATE�__
PLANNING DIVISION DATE
PROJECT
SIT E ADDRESS LL,-O) �J
PERMIT #_&012,:�2- �ADB# ---------- PATE INSPECTED.
DESCRIPTION OF WORK TO BE INSPECTED=4-f(-�
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -In ..........
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Commercial Final
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HEATING:
Gas Test ....................
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Gas Piping .................
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Equipment .� ...............
Commercial Final
EXTERIOR SHEATHING
171 IT
NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING...
INSULATION
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...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
- �70
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ...............
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