BLD20110523.pdfSTATUS: ISSUED 7/18/2011
Expiration Date: 7/18/2012
Parcel No: 00451900100401
• IIII�lili
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
. Permit #: BLD20110523
I rajecfAddress: 23632 HIGHWAY ", EDMONDS
SAFEWAY INC. BILL RANDALL TRICON ENTERPRISES LLC
1121 124TH AVE NE 1203 PORTER WAY 1203 PORTER WAY
BELLEVUE, WA 98005 MILTON, WA 98354 MILTON, WA 98354
(425) 201-6420 EXT: (360) 969-4323 EXT: (360) 9694323 EXT:
LICENSE #: TRICOEL90209 EXP:9/29/2012
.JOB DESCRIPTION
TENANT IMPROVEMENT TO EXPAND EXISTING RX, ADD ADA RESTROOM AND CONSULT ROOM. DEFERRED
SUBMITTALS: PLUMBING, MECHANICAL, FIRE SPRINKLER, FIRE ALARM.
VALUATION: $70,000.00
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
1 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
SETBACKFRONT
REQUIRED: PROPOSED:REQUIRED: PROPOSED: RE UiRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
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 APPLICATION�/A ���//T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY 41) ALL FEES ARE
AREPAID. /
MW
nature Print
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/ IBC110/ IRC 110.
= ONLINE = APPLICANT = ASSESSOR as OTHER
STATUS: ISSUED
BLD20110523
• Separate Permit Required For:Electrical, Plumbing, Fire Sprinkler, Fire Alarm, HVAC
• 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 requested, 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
/o2- z o-- I
12/21/2011 11:11:23 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
OV E°M Inspection
otia
Comments
-�
r
,
BLD20110523
71 - Tenant Improvement
Applied: 07/07/2011
Issued: 07/18/2011
Expires:
07/18/2012
Address: 23632 HIGHWAY 99, EDMONDS
'INSPECTION
DATE
INSPECTOR
ACTION
1138 - B -Ceiling Grid
12/20/2011
LAWLER
CMP
Comment:
1142 - B -Framing
08/15/2011
STEINIKE
COR
Comment: Gave correction notice.
1142 - B -Framing
08/17/2011
STEINIKE
CMP
Comment:
1150 - B-Sheetrock Nail
12/20/2011
LAWLER
CMP
Comment:
1158 - B -Building Final
12/20/2011
LAWLER
CMP
Comment:
1985 - F -Fire Final
09/22/2011
SMITHM
CMP
Comment: APPROVED
12/21/2011 11:11:23 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1