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OV ED -410
_ ° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 8/29/2012
Parcel No: 00555300 10 1000
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
WOODHAVEN VET CLINIC
WOODHAVEN VET CLINIC
CORSTONE CONTRACTORS LLC
ANN BRUDVIK
ANN BRUDVIK
1910 Bickford Avenue, Ste A
23204 EDMONDS WAY
23204 EDMONDS WAY
PO BOX 2280
EDMONDS, WA 98026
EDMONDS, WA 98026
Snohomish, WA 98290
(206) 546-5164 EXT:
(206) 546-5164 EXT:
(360) 862-8316 EXT:
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
DESCRIPTION
LICENSE #: corstc1984kz EXP:5/9/2012
DEMO VET CLINIC.
.JOB
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 23 - Demolition
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
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: RE UIRED: 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 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 AP NOT APE IT TIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AN ALL FEES ARE PAID.
A _ . • .�A
Print Name
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. UBC 109/ IBC 110/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR W OTHER
STATUS: ISSUED BLD20110658
CONDITIONS
• *Pre -inspection required.
• *Street to be cleaned of debris.
• *Side sewer must be capped at property line.
• *Water Service must be disconnected from Water meter and or hose bib with AVB installed.
• *Dump at approved dump site only.
• *See demolition inspection checklist on back of job card for inspection requirements.
• 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.
• SoundMoise 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 reauested. Contact Name and Phone Number. Date Prefereed, and whether von prefer morning or afternoon.
• E -Pre -Demolition Sewer Cap
• E -Pre -Demo Water Sery Discnct/AVB
• E -Pre -Demo Erosion Control
• E -Engineering Final Demo
• B -Final Demolition
oF ED At Inspection Comments
BLD20110658 23 - Demolition
Applied: 08/17/2011 Issued: 08/29/2011
��c. 1 R90
Address: 23204 EDMONDS WAY, EDMONDS
;INSPECTION DATE
1078 - E -Pre -Demolition Sewer Cap 05/11/2012
Comment: Inspected by Olympic View Water Sewer District.
1079 - E -Pre -Demo Water Sery Discnct/AVB 05/11/2012
Comment: Inspected by Olympic View Water Sewer District.
1080 - E -Pre -Demo Erosion Control 05/11/2012
Comment: Final Approved
1081 - E -Engineering Final Demo 10/14/2011
Comment: Final Approved
1104 - B -Final Demolition 05/15/2012
Comment:
Expires: 08/29/2012
IN ACTION W` ]
LAMBERTJ CMP
LAMBERTJ CMP
LAMBERTJ CMP
LAMBERTJ CMP
LAWLER CMP
5/15/2012 1:21:36 PM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1