BLD20110599.pdfOV ED41
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STATUS: ISSUED 8/16/2011
CITY OF EDMONDS �/
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD2011050
Expiration Date: 8/16/2012 Project Address: 21616 76TH AVE W #201,_ EDMO
Parcel No: 0046 1000100 101
PACIFIC VASCULAR / AVENA VASCULAR CONNELL DESIGN GATEWAY CONSTRUCTION SERVICES
ASSOCIATES EDMONDS APRIL TASSANI 5602 2ND AVE S
14100 SE 36TH ST SUITE 200 MOUNTLAKE TERRACE, WA 98043 SEATTLE, WA 98043
BELLEVUE, WA 98015
( ) - EXT: (425) 670-6706 EXT: (206) 621-9111 EXT:
LICENSE #: GATEWCS992C3 EXP:3/4/2012
TENANT IMPROVEMENT, INCLUDING 2 SINKS 2 ZPL wwiiiiiIIuiiMN0
VALUATION: $35,000.00
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PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Im rovement
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
FRONT SETBACK SII)E SETBACK REAR SETBACK
RE TIRED: PROPOSED: REQUIRED: PROPOSED: RE TIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY,
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.
IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEJW;'Y AND ALL FEES ARE PAID.
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ftngure Pririt Name Date I I Rele6pSed qy D 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 110/ IRC 110.
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ONLINE APPLICANT ASSESSORE�OTHER--"
STATUS: ISSUED
BLD20110599
• 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 Ground Work
• B -Plumb Rough In
• B -Ceiling Grid
• B -Framing
• B-Sheetrock Nail
• B -Plumbing Final
• B -Building Final
• F -Fire Final
OF EO,V Inspection Comments
BLD20110599 71 - Tenant Improvement
Applied: 07/28/2011 Issued: 08/16/2011 Expires:
08/16/2012
Address: 21616 76TH AVE W #201, EDMONDS
INSPECTION DATE INSPECTOR
ACTION
1126 - B -Plumb Rough In 10/07/2011 STEINIKE
CMP
Comment:
1152 - B -Plumbing Final 10/07/2011 STEINIKE
COM
Comment: Rough ONLY!
1152 - B -Plumbing Final 10/11/2011 STEINIKE
CMP
Comment:
1158 - B -Building Final 09/07/2011 STEINIKE
COR
Comment: Contractor states that "stuor" vents were used but none found
Expose plumbing in walls at sink locations and vent sinks through roof and provide 10'
head test of
water as per "approved plans".
Obtain final Fire department approval.
Please re -call plumbing rough and then Finals.
1158 - B -Building Final 10/11/2011 STEINIKE CMP
Comment:
1985 - F -Fire Final 09/23/2011 WESTFALL COR
Comment: Conducted final fire inspection and found items still requiring completion:
Remove thumb lock from recovery room.
Repair emergency lights
Remove or repair exit lights
existing FE coverage ok.
1985 - F -Fire Final 10/12/2011 WESTFALL CMP
Comment: Complete & approved.
10/13/2011 1:31:47 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1