BLD20110249.pdfSTATUS: ISSUED 4/15/2011
Expiration Date: 4/15/2012
Parcel No: 00649300200100
PROPERTYOWNER
JEAN SIMPSON-SAVA
5194TH AVE S,#C
EDMONDS, WA 98020-4138
(425) 778-8501 Ext,
INSTALL STA I RCHA IR
VALUATION: $2,000
CITY OF EDMONDS XIIV��
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
----- --- --� ---.:Permit.#:BLD20110249
Project Address:.519 4TH AVE_ S,_ EDMONDS;
JEAN SIMPSON-SAVA
5194TH AVE S,#C
EDMONDS, WA 98020- 413
(425) 778-8501 Ext.
RE -ABILITY ENTERPRISES LLC
PO BOX 1643
GIG HARBOR, WA 98335-
(253) 514-0220 Ext.
LICENSE #: REABIEL94OL8 EXP:7/13/2012
PERMIT TYPE: Commercial
PERMIT GROUP: 43 - Miscellaneous
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WAIL 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 #:
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
SIDESEFBACK REARSETBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: . PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
I 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.
SignatVrLr/ Print Name Date
Released By
Date
ATTENTION
ITIS 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/ IRC110,
ONLINE = APPLICANT = ASSESSOR M OTHER
STATUS: ISSUED
BLD20110249
• 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 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 of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon 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 permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor lirnit 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)
CALL FOR INS PECTIONS I
BUILDING 425) 771-0220 EXT. 1333 ENGINEERING 425) 771-0220 EXT. 1326 FIRE 425 775-7720 71
PUBLIC WORKS 425) 771-0235 1 PRE TREATHENT 425 672-5755 1 RECYCLING 425 275-4801
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 -Building Final
i1ellivIlFoo0or
Inspection Comments
BLD20110249 43 - Miscellaneous
Applied: 04111/2011 Issued: 04/15/2011
Address: 519 4TH AVE S, EDMONDS
INSPECTION DATE
1158 - B -Building Final 05/09/2011
Comment:
Expires: 04/15/2012
INSPECTOR ACTION
STEINIKE CMP
5/10/2011 7:46:38 AM Page 1 of 1
Department of Labor and Industries CONVEYANCE
Elevator Section
PO Box 44480 INSTALLATION
Olympia WA 98504-4480 �.,,
�a8 e
Phone: (360) 902-6130 _ s APPROVAL BY
FAX (360) 902-6132 °y°= BUILDING OFFICIAL
ee lees a
www.Lni.wa.gov/TradesLicensing/Elevators
➢ This form brings to your department's attention that the conveyance listed below is
proposed for installation in an existing building within your jurisdiction.
➢ Your approval of this form is required and must accompany the installer's Installation
Application.
➢ Notify the installer if you have any regulations that would prohibit this installation.
Do not approve this form.
*Note To Building Officials: The elevator section will approve LULA (Limited Use
Limited Application Elevators) for existing buildings, on a case by case basis.
A LULA elevator does meet the minimum cab size requirements for new construction
required to be accessible, per WAC 296-96.
If you have any questions, please contact us at the address or telephone number above.
Indicate the equipment being installed.
❑ Inclined Wheelchair Lift
❑ Vertical Wheelchair Lift The travel shall not exceed 12 ft. ASME A18.1 Rule 2.7.1.
❑✓ Inclined Chair Lift
❑ Limited use/limited application (LULA) elevator *Does NOT meet accessibility
requirements for new construction.
All conveyances must be installed per code. Any deviation from the code shall require a
variance from the Department of Labor and Industries Elevator Section prior to a permit being
issued.
Name and License # of Installer of Conveyance
Re Ability Enterprises REABIEL945M4
Telephone Number
253-514-9722
Building name where conveyance is located
Telephone Number/Location Contact
Street Address
City, State, Zip code
519 4th Ave So. Unit C
Edmonds, WA 98020
❑✓ Approved ❑ Not approved
ACKNOWLEDGED BY:
Title
City of Edmonds Building Official
Phone Number
425 771-02RI
Date
6/16/11
Print name of building official
Leonard Yarberr
ature
F621-056-000 conveyance installation approval by building official 08-2005