BLD20110542.pdfG -k OF E —0
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STATUS: ISSUED 8/25/2011
Expiration Date: 8/25/2012
Parcel No: 00580700002500
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
I ST AND 2ND FLOOR MINOR RENOVATION TO INCLUDE MINOR INTERIOR DEMOLITION, NEW DOORS, NEW
FINISHES, SOME NEW PLUMBING FIXTURES AND ONE NEW EXTERIOR WINDOW.
VALUATION: $99,371.00
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
SWEDISH EDMONDS
SWEDISH EDMONDS
ANGELL & CO INC
SWEDISH EDMONDS
STEFAN REHNFELDT
719 123RD AVE SE
21601 76TH AVE W
21601 76TH AVE W
LAKE STEVENS, WA 98258
EDMONDS„ WA 98026
EDMONDS, WA 98026
NUMBER OF DWELLING-UNITSr0
( ) - EXT:
(425) 640-4211 EXT:
(425) 334-1689 EXT:
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
LICENSE #: ANGELC1963KI EXP:5/21/2012
I ST AND 2ND FLOOR MINOR RENOVATION TO INCLUDE MINOR INTERIOR DEMOLITION, NEW DOORS, NEW
FINISHES, SOME NEW PLUMBING FIXTURES AND ONE NEW EXTERIOR WINDOW.
VALUATION: $99,371.00
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: 1 A
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: 1-2
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2009
OTHER: N -----OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING-UNITSr0
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
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: IREQUIRED. 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 M VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
THI ATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTy,7kND ALL FEES ARE PAID.
S _s?
t
ionature Print Name Date Releasedigy z Date
ATTENTION j
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR AjCERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC I10/ IRC I 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
BLD20110542
• Separate Permit Required For: Alterations to Fire Alarm and Fire Sprinkler systems. Alterations to medical gas system if
needed.
• 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 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-Sheetrock Nail
• B -Building Final
• F -Fire Final
E°Nati Inspection
Comments
A
BLD20110542
04 - Alteration/Remodel
Applied: 07/14/2011
Issued: 08/25/2011
Expires:
08/25/2012
Address: 21601 76TH AVE W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1126 - B -Plumb Rough In
01/10/2012
LAWLER
CMP
Comment:
1142 - B -Framing
10/11/2011
STEINIKE
PAR
Comment: See job card for locations.
1142 - B -Framing
10/28/2011
STEINIKE
PAR
Comment: See job card for locations.
1142 - B -Framing
12/09/2011
LAWLER
PAR
Comment: Eye surgery area
1142 - B -Framing
02/01/2012
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail
10/12/2011
STEINIKE
PAR
Comment: See job card.
1150 - B-Sheetrock Nail
02/01/2012
LAWLER
CMP
Comment:
1158 - B -Building Final
10/25/2011
STEINIKE
PAR
Comment: Partial ok.
1158 - B -Building Final
02/01/2012
LAWLER
CMP
Comment:
1985 - F -Fire Final
02/02/2012
SMITHM
CMP
Comment: APPROVED
2/14/2012 1:40:41 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1