20170403102836.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/03/2017 Permit 4: BLD101 70436
Expiration Date: 10/03/2017 7315 212TI-I ST S\V H104, EDMONDS
Parcel No; 00566900500600
IRG PHYSICAL & HAND THERAPY EVERGREEN STATE HEAT & AC EVERGREEN STATE HEAT & AC
CIO PROFESSIONAL CENTER LLC C/O KEN SALO CIO KEN SALO
EDMONDS 2120 PACIFIC 2120 PACIFIC
7315 212TH ST SW EVERETT, WA 98201 EVERETT, WA 98201
EDMONDS, WA 98026
(425) 252-3114 (425) 252-3 114
LICENSE #: EVERGSS0220T EXP:I 0/10/2017
.IOU DF—SCRIPTION
REPLACE 7 CEILING DIFFUSERS IN NEV CEILING GRID ALONG WITH NEW FLEX DUCT. REINSTALL EXISTING
THERMOSTAT. LIKEFORLIKE.
WORK SUBJECT TO FIELD INSPECTION
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 40 - Mechanical
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION.
RETAINING WALL ROCKERY
OCCUPANT GROUP:
OCCUPANT LOAD:
FFNCF- 0 X 0 FT)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4:
BASEMENT - 0 1 ST FLOOR- 0 2ND FLOOR: 0
BASEMENT � 0 1 ST FLOOR: 0 2ND FLOOR 0
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
FRONTSEFBACK SIDESIFTBA('k REAR SFFBACK
REQUIRED: PROPOSED: —T9QUIRED: PROPOSED: ---FRE—QUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:0 IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27,
'I'l 11SIAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEES ARE PAID.
/k:;�, ---� " /� 1-7
L11^162> Z-z;z� 111312-017
Signature Print Narne Date Released By 0 Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
ONLINE OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCIIO/ IRC1 10. E� OTHER
APPLICANT = ASSESSOR
STATUS: ISSUED BLD20170436
• Final approval on a projector final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Cbeck the job 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") 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 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 from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm 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 ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
hanriless 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 pen -nit 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.
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, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
I CALL. FOR INS PFUTIONS
1 BUILDING (425) 771-0220 EXT. 1333 LNGINELRING (425) 771-0220 EXT. 1326 I-IRE(425) 775-7720
I PUBLIC WORKS (425) 771-0235 1 PREPTREATMENT (425) 672-5755 1 RECYCLJNG (425) 275480-1 ---]
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 Prefereed, and whether you prefer morning or afternoon.
* B-Mechanical Rough In
* B-Mechanical Final