BLD20110310.pdfDV
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STATUS: ISSUED 5/4/2011
Expiration Date: 11/4/2011
Parcel No: 0046 1000100 101
CITY OF EDMONDS
1215TH A VENUE NORTH - EDM ONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: ,BLD.20110ho
WA CENTER FOR PAIN MANAGEMENT
EDMONDS ASSOCIATES
C/O MORRIS PIHA MGMT GR
PO BOX 53290
BELLEVUE, WA 98015
Project Address: 21616 76TH AVE W 102, EDMONDS
LOCAL PLUMBING& CONST INC LOCAL PLUMBING& CONST INC
Po Box 1496 Po Box 1496
Maple Valley, WA 98038 Maple Valley, WA 98038
( 1 EXT: (425) 432-6647 EXT: (425) 432-6647 EXT:
LICENSE #: LOCALPC063.19 EXP:8/23/2011
PLUMBING FOR TENANT IMPROVEMENT COMPLETED
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 47 - Plumbing/Water Service Line/Fountain
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: PLUMB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
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
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 CONSTRUCT ION 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 ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEESrARE.PAID.
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Signature Print Name Date
By
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/ IRC I 10.
ONLINE APPLICANT ASSESSOROTHER
STATUS: ISSUED
BLD20110310
• 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
ofcity code or state law does not approve any items not to code specification.
• Sound/Noise originating fromternporary construction sites as a result of construction activity are exempt fromthe 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 behalfof 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 ofthis permit shall not be deemed to
modify, waive or reduce any requirements ofany 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)
CALL FO 11 INS PECTIMS
BUILDING 425 771-0220 EXT. 1333 ENGEYMUNG 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS 425 771-0235 PRETREATMENT(425)672-5755 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 morning or afternoon.
• B -Plumb Ground Work
• B -Plumb Rough In
• B -Plumbing Final
Inspection
Comments
BLD20110310
47 - Plumbin /Water Service Line/Fountain
9
PERnni-r-:f _:-,:,
Applied: 05/02/2011
Issued: 05/04/2011
Expires:
11/04/2011
Address: 21616 76TH AVE W 102, EDMONDS
,INSP,ECjTIQN
_ DATE.
INSPECTOR _
ACTION.
1120 - B -Plumb Ground Work
05/05/2011
STEINIKE
CMP
Comment:
1126 - B -Plumb Rough In
05/05/2011
STEINIKE
CMP
Comment:
1152 - B -Plumbing Final
06/01/2011
STEINIKE
CMP
Comment:
0
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