BLD20110444.pdfSTATUS: ISSUED 7/8/2011
Expiration Date: 7/8/2012
Parcel No: 00580700002702
i
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Project Address: 21701 76TH AVE W #300, EDMOND
INTERIOR TI. MODIFICATIONS OF INTERIOR PARTITIONS. NEW FINISHES, CASEWORK. LIGHTING TO RETAINED
AND REUSED. PLUMBING AND MECHANICAL.
VALUATION: $130,000.00
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
COMMUNITY HEALTH CTR OF SNO CO
FREIHEIT & HO ARCHITECTS
J R ABBOTT CONSTRUCTION INC
ROSEN PROPERTIES
NANCY CHANG
3408 1 ST AVE S SUITE 101
PO BOX 5003
5209 LAKE WASHINGTON BLVD.
SEATTLE, WA 98134
BELLEVUE, WA 98009
KIRKLAND, WA 98033
(425) 289-2234 EXT:
(425) 827-2100 EXT:
(206) 467-8500 EXT:
LICENSE #: JRABBC1022JZ EXP:3/1/2012
INTERIOR TI. MODIFICATIONS OF INTERIOR PARTITIONS. NEW FINISHES, CASEWORK. LIGHTING TO RETAINED
AND REUSED. PLUMBING AND MECHANICAL.
VALUATION: $130,000.00
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB o
RETAINING WALL ROCKERY: N
FENCE: N ( 0 X 0 FT.)
OTHER: N -----OTHER DESC:
OCCUPANT GROUP: B
OCCUPANT LOAD: 54 no am
CODE: 09
ZONE: MU
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
1 ST FLOOR: 0 2ND FLOOR: 0
=FLOOR:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
kE UIRED: See Below PROPOSED: I REQUIRED: PROPOSED: REQUIRED: PROPOSED:
4E1GHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
iETBACK NOTES: All work is interior, so no change proposed to existing setbacks, height, etc.
I 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.
THIS APajTKRQN IS NOT A PERM Fr UNTIL SIGNED BY THE BU DI G OFFICIAL OR HIS/HER DEPU Y AND ALL FEES ARE PAID.
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. UBC 109/ IBC 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER
N
STATUS: ISSUED BLD20110444
CONDITIONS
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 1
PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425) 672-5755 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 -Mechanical Rough In
• B -Ceiling Grid
• B -Framing
• B-Sheetrock Nail
• B -Plumbing Final
• B -Mechanical Final
B -Building Final
• F -Fire Final
40110 K //
o1z LI),11 Inspection
Comments
.f
BLD20110444
71 - Tenant Improvement
Applied: 06/10/2011
Issued: 07/08/2011
Expires:
07/08/2012
Address: 21701 76TH AVE W #300, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1126 - B -Plumb Rough In
07/27/2011
STEINIKE
COR
Comment: Gave correction notice.
1126 - B -Plumb Rough In
07/28/2011
STEINIKE
PAR
Comment: Test on east side, test ball in
level 2.
1126 - B -Plumb Rough In
08/04/2011
STEINIKE
CMP
Comment:
1138 - B -Ceiling Grid
09/06/2011
STEINIKE
CMP
Comment:
1142 - B -Framing
08/04/2011
STEINIKE
CMP
Comment:
1150 - B-Sheetrock Nail
08/09/2011
STEINIKE
CMP
Comment:
1152 - B -Plumbing Final
09/16/2011
STEINIKE
CMP
Comment:
1156 - B -Mechanical Final
09/16/2011
STEINIKE
CMP
Comment:
1158 - B -Building Final
09/16/2011
STEINIKE
CMP
Comment:
1985 - F -Fire Final
09/15/2011
SMITHM
CMP
Comment: APPROVED
9/19/2011 10:30:33 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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