BLD20110329.pdfoti F M�ti
r _ ° CITY OF EDMONDS121 5TH AVENUE NORTH - EDMONDS, WA 98020 (
PHONE: (425) 771-0220 - FAX: 425) 771-0221
STATUS: ISSUED 5/13/2011
Expiration Date: 5/13/2012
Parcel No: 27032300407100
JACK JACOBSON WORK DONE PRIOR TO PERMIT ISSUANCE
JACK & CHARLENE JACOBSEN PO BOX 355
PO BOX 355 EDMONDS, WA 98020
EDMONDS, WA 98020
( ) - EXT: (425) 218-7287 EXT: ( ) - EXT:
LICENSE #: EXP:
TENANT IMPROVEMENT. CONVERT PRIVATE POSTAL SERVICE TO GENERAL OFFICE. NEW CABINET WITH SINK.
ADDITIONAL LIGHTING.
VALUATION: $1,500.00 COMPLETED
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: B
OCCUPANT LOAD: 10
FENCE: N ( 0 X 0 FT.)
CODE: 2009
OTHER: N ------- OTHER DESC:
ZONE: BD2
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
31113 FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
tEQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
-IEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES: No change to exterior. Parking is considered to comply per ECDC 17.50.010.C.
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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
13NPPLICATIOI S NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
-rte— .J —[ S ^ (,!
Print Name Date Released By
—Z if .-
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. UBC1091IBCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR M OTHER
STATUS: ISSUED BLD20110329
• Final approval on a projector 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, a)cluding
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.
BUILDING
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
771-0220 EXT. 1326
PUBLIC WORKS (425)771-0235 1 PRE-TREATMENT 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 -Plumb Rough In
B -Framing
• B -Building Final
• F -Fire Final
Inspection Comments
_
PERMITTR BLD20110329 71 -Tenant Improvement
i�f,
Applied: 05/05/2011 Issued: 05/13/2011
Address: 209 4TH AVE S 101, EDMONDS
sINSPECTION DATE
1126 - B -Plumb Rough In 05/18/2011
Comment:
1158 - B -Building Final 05/18/2011
Comment:
1985 - F -Fire Final 05/19/2011
Comment: MIKE SMITH APPROVED.
5/19/2011 2:26:47 PM
Expires: 05/13/2012
INSPECTOR ACTION
STEINIKE CMP
STEINIKE CMP
HARRISON CMP
Page 1 of 1