BLD20110355.pdfr
STATUS: ISSUED 7/5/2011
Expiration Date: 7/5/2012
Parcel No: 0046 1000100 101
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20110355,
Project Address: ,21616 76TH AVE W #205/2109;
EDlYI_�� 1 DSS
SOUND WOMENS CARE -
STEFAN REHNFELDT
J E DUNN CONSTRUCTION
ASSOCIATES EDMONDS
21601 76TH AVE W
4030 LAKE WASHINGTON BLVD.
C/O MORRIS PIHA MGMT GR
EDMONDS, WA 98026
KIRKLAND, WA 98033
PO BOX 53290
OTHER: N ----- OTHER DESC:
ZONE:
BELLEVUE, WA 98015
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
(425) 640-4211 EXT:
(425) 640-4211 EXT:
( ) - EXT:
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #: JEDUNCC999BC EXP: 1/20/2013
.1013 DESCRIPTION
The project consists of a tenant improvement of an existing medical clinic as a medical clinic.
VALUATION: $100,000.00
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
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
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
SETBACKFRONT
REQUIRED: PROPOSED:REQUIRED: PROPOSED: RE UIRED: 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.
TUe-APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANDAILL FEES ARE PAID,
Signature Print Name Date Released By Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED
BLD20110355
• Separate Permit Required For; Electical,plumbing, mechanical, fire alarm
• 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 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 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 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) 275-4801
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 morning or afternoon.
• B -Ceiling Grid
B -Framing
• B-Sheetrock Nail
B -Building Final
• F -Fire Final
°F E°Moti Inspection
Comments
BLD20110355
71 - Tenant Improvement
Applied: 05/17/2011
Issued: 07/05/2011 Expires:
07/05/2012
Inc. 1 R90
Address: 21616 76TH AVE W#205/210, EDMONDS
,INSPECTION
DATE INSPECTOR
ACTION
1138 - B -Ceiling Grid
09/15/2011 STEINIKE
CMP
Comment:
1142 - B -Framing
07/25/2011 STEINIKE
COM
Comment: Ok pending fire blocking and
electrical approval.
1142 - B -Framing
09/15/2011 STEINIKE
CMP
Comment:
1150 - B-Sheetrock Nail
08/02/2011 STEINIKE
CMP
Comment:
1158 - B -Building Final
09/15/2011 STEINIKE
CMP
Comment:
1905 - Fire Alarm Device test
07/21/2011 WESTFALL
COM
Comment: TI will involve changes to existing
alarm system. One h/s is removed in waiting area, two h/s are added
to procedure rooms, one smoke head is installed in new procedure room of fully detected occupancy.
Final fire approval will require device testing for these appliances, no additional permit required
1905 - Fire Alarm Device test
08/22/2011 SMITHM
CMP
Comment: APPROVED
1985 - F -Fire Final
08/22/2011 SMITHM
CMP
Comment: APPROVED
1/30/2012 9:22:21 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1