BLD20100949.pdfr
of EDM
Vey � 0�0
Inc. 1890
STATUS: ISSUED 1/14/2011
Expiration Date: 1/14/2012
Parcel No: 0046 1000 100101
1
CITY OF EDMONDS All
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Penn ##: #: BLD2010094
Project Mdresg:1161.6 76TH AVE W `'#104, EDMOP
RETINA EYE CARE A & D CONSTRUCTION SERVICES A & D CONSTRUCTION SERVICES
C/O MORRIS PIHA MGMT GR 14838 JAKE DR. SE 14838 JAKE DR. SE
PO BOX 53290 MONROE, WA 98272- MONROE, WA 98272-
BELLEVUE, WA 98015-
( ) - Ext. (206) 949-0549 Ext. (206) 949-0549 Ext.
LICENSE k: ADCONCS936BU EXP:1/31/2011
DEMO WALLS AND ENLARC>EDOORS PEP, PLAN. BUILD NEW PARTITION WALLS.
VALUATION: $28,000 -
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: yw
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT 4:
BASEMENT:0 1STFLOOR: 0 2ND FLOOR: 0
BASEMENT:0 1STFLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK. 0 OTHER: 0
13RD FLOOR. 0 GARAGE. 0 DECK: 0 OTHER: 0
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES: Parking for site meets medical office requirements of I space per 200sf gross floor area.
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
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. ,
'A..�, r V,�%1%Y�Ii� L IDo j (tC cru e 1/1,t/(/
Signature Print Name Date Release&by Date
ATTENTION
IT IS 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/ IRCI 10,
= ONLINE = APPLICANT = ASSESSOR OTHER
STATUS: ISSUED BLD20100949
Ism 1111 tolk'f.��
• 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 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.
• Sound/Noise 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 7:00am to 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
harmless 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 perntit 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)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 F[RE(425) 775-7720
PUBLIC WORKS (425)771-0235 1 PRE-TRE4TMEVT (425)672-5755 1 RECYCLING 425 2754801
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 mornine or afternoon.
• B -Framing
• B -Building Final
_ Inspection Comments
BLD20100949 71 -Tenant Improvement
PEFRMJTP?P_�. P
Applied: 12/14/2010 Issued: 01/14/2011
Address: 21616 76TH AVE W#104, EDMONDS
ID DATE INSPECTOR ACTION COMMENT
1142 - B -Framing
Expires: 01/14/2012
01/18/2011 LAWLER COR only need electrical cover approval
01/26/2011 STEINIKE CMP
1158 - B -Building Final
02/24/2011 STEINIKE COR Gave correction notice.
02/25/2011 STEINIKE CMP
2/28/2011 10:47:59 AM Page 1 of 1