BLD20110213.pdfy OV CDM0 IIII�lIII
. "° CITY OF EDMONDS
1215TH A VENUE NORTH - EDMONDS, WA 98020
SC)()PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 4/14/2011 Permit #: BLD20110213
BUILDING PERMIT
Expiration Date: 4/14/2012 Project Address: 21616 76TH AVE W #102, EDMONDS
Parcel No: 00461000100101
_PROPERTYON%'NER/ /
WA CENTER FOR PAIN MANAGEMENT - CONNELL DESIGN DP INC.
C/O MORRIS PIHA MGMT GR 22002 64TH AVE W STE 2C 19909 BALLINGER WAY NE
PO BOX 53290 MLT, WA 98043- SEATTLE, WA 98155-
BELLEVUE, WA 98015-
(425) 460-4324 Ext. (425) 670-6706 Ext.
EXPANSION INTO SUITE 101 OF AN EXISTINGTENANT IN SUITE 102.
VALUATION: $106,985
(206) 361-2989 Ext.
LICENSE #: DPINCGCO66BU EXP: I/31/2012
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
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
morNslow
LOT #:
1w,
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
��� milli SIR
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTi 1
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWF..D:0 PROPOSED:O
REQUIRED: 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.
THIS APPOCATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER�QEPUTY AND ALL FEES ARE PAID.,
___ V01 L) 1, C\ L_a (5e)A-
re Print Name Date
ATTENTION
IV
IT IS UNLA WFUL TO USE OR OCCUPY ABU I LDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY ITAS BEEN GRANTED. UBC109/ IBC 10/ IRC I 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20110213
CONDITIONS
• Separate Permit Required For: Electrical, mechanical, and fire alarm.
• Obtain Electrical Permit from 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 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 fromtemporary 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 clairns for damages of
whatever nature, arising directly or indirectly fromthe 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.
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 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE TREATMENT 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
reauested. Contact Name and Phone Number. Date Prefereed, and whether you prefer mornine or afternoon.
• B -Isolated Footings/Piers
• B -Mechanical Rough In
• B -Shear Nailing
• B -Ceiling Grid
• B -Fire Stopping
• B -Framing
• B-Sheetrock Nail
• B -Building Final
• F -Fire Final
v -D 2.6 t( P00000*
OV E°M Inspection Comments
0
BLD20110213 71 - Tenant Improvement
Applied: 03/29/2011 Issued: 04/14/2011 Expires: 04/14/2012
C. I R90
Address: 21616 76TH AVE
W#102, EDMONDS
!INSPECTION
DATE
INSPECTOR
1114 - B -Isolated Footings/Piers
05/11/2011
LAWLER
Comment:
1136 - B -Shear Nailing
05/13/2011
LAWLER
Comment:
1138 - B -Ceiling Grid
05/13/2011
LAWLER
Comment:
1142 - B -Framing
04/20/2011
STEINIKE
Comment: Partial Frame OK.
1142 - B -Framing
05/11/2011
LAWLER
Comment:
1150 - B-Sheetrock Nail
05/13/2011
LAWLER
Comment:
1158 - B -Building Final
06/01/2011
STEINIKE
Comment: Ok but need L&I final.
1158 - B -Building Final
06/06/2011
STEINIKE
Comment:
1985 - F -Fire Final
06/01/2011
SMITHM
Comment: APPROVED
ACTION
CMP
CMP
CMP
PAR
CMP
CMP
COM
CMP
CMP
1/30/2012 9:19:34 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1