BLD20110580.pdfv � of E Moen
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
1w
Expiration Date: 2/8/2012
Parcel No: 00451900100401
PROPER"I'YOWNER APPLICANT MA
SAFEWAY REFRIGERATION UNLIMITED REFRIGERATION UNLIMITED
WA AURORA MARKETPLACE LLC FW BEN PARKER BEN PARKER
PO BOX 790830 5440 S PROCTOR 5440 S PROCTOR
SAN ANTONIO, TX 78279-0830 TACOMA, WA 98409 TACOMA, WA 98409
( ) - EXT: (253) 474-3100 EXT: (253) 474-3100 EXT:
LICENSE#: REFRIUIOIIKS EXP: 10/20/2012
JOB DESCRIPTION
NEW ROOF TOP UNIT 'ft ga EmT'uD
VALUATION: $0.00 UoWiPLE t
PERMIT TYPE: Commercial
PERMIT GROUP: 40 - Mechanical/Solar
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
ILOT #:
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
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED REQUIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED (rHEREBY, 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 APPLICATIOKISNNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANDALL FEES ARE PAID.
Il
Print Name Date
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. UBC 109/ IBC I 10/ IRC I 10.
0 ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED
BLD20110580
• Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309
• 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.
• Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
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)
CALL IOR INSPECTIONS
BUILDING 425) 771-0220 EXT. 1333 ENGINEERING 425) 771-0220 EXT. 1326 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 -Gas Test/Pipe
B -Mechanical Rough In
• B -Mechanical Final
°V ED"' Inspection
Comments
A BLD20110580
40 - Mechanical/Solar
Applied: 07/25/2011
Issued: 08/08/2011
Expires:
02/08/2012
Address: 23632 HIGHWAY 99, EDMONDS
INSPECTION_-^
DATE
INSPECTOR
ACTION
1130 - B -Mechanical Rough In
08/17/201.1
STEINIKE
PAR
Comment: Ductwork only! No access to
roof top unit.
1130 - B -Mechanical Rough In
11/07/2011
STEINIKE
CMP
Comment:
1156 - B -Mechanical Final
12/20/2011
LAWLER
CMP
Comment:
12/21/2011 11:20:46 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page.1 of 1