BLD20110306.pdfOt
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STATUS: ISSUED 5/12/2011
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CITY OF EDMONDS
1215TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 11/12/2011 %�ProjectAddress: 7935 216TH ST.SW A, EDM,OND.S
Parcel No: 00671400000100
PROPE-110'YONVNI-11 APPLICANT CONTRACTOR
STEVENS WEST MEDICAL DENTAL SUNDANCE ENERGY SERVICES INC SUNDANCE ENERGY SERVICES INC
CENTER 10228 Main St 10228 Main St
LLC SIBIU Bothell, WA 980113428 Bothell, WA 980113428 `
7935 216TH ST SW UNIT A
EDMONDS, WA 98026-7941
( ) - EXT: (425) 481-9660 EXT: (425) 481-9660 EXT:
LICENSE #: SUNDAES063.19 EXP:9/11/2011
ROOF TOP MECH CHANC£OUT
VALUATION: $0.00 COMPLETEU
PERMIT TYPE: Commercial
PERMIT GROUP: 40 - Mechanical/Solar
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: MECH
RETAININGWALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
JOT HER: N ------- OTHER DESC:
ZONE:
FUMMBER OF STORIES: 0
VESTED DATE:
BER OF DWELLING UNITS: 0
LOT #:
BASEMENT:O 1ST FLOOR:0 2ND FLOOR: O
BASEMENT:0 1ST FLOOR: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:
1 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.
SIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS✓HER DEPUTY AND ALL FEES ARE PAID.
Y*" Curd s Lb U J -!Z -Z01 f ` 11A "')/()ll (
Signature Print Name Date Relea ed B ate
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/ IBC 10/ IRC I 10.
FIONLINE APPLICANT ASSESSOR Al"OTHER
STATUS: ISSUED BLD20110306`
MEMURM
i
• 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 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 ITIGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT (425)672-5755 1 RECYCLING 425 27511801
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
0 V E°"'�ti Inspection Comments
U� v �
BLD20110306 40 - Mechanical/Solar
Applied: 04/29/2011 Issued: 05/12/2011 Expires: 12/02/2011
Address: 7935 216TH ST SW #A, EDMONDS
INSPECTION DATE INSPECTOR ACTION
1156 - B -Mechanical Final 06/30/2011 STEINIKE COR
Comment: Gave Correction Notice!
1156 - B -Mechanical Final 12/01/2011 LAWLER CMP
Comment:
12/1/2011 2:04:49 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1