BLD20110816.pdfw
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
�"c. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 1/12/2012 r Permit #: BLD20110816'
BUILDING ll'I"11MIT
Expiration Date: 1/12/2013 Project Address: 21401 72ND AVE W, EDMONDS
Parcel No: 00580700002208
PREMIER ORTHOPEDIC GROUP- EDMONDS FIRST WESTERN DEVELOPMENT SRVS. PENNON CONSTRUCTION CO INC
MEDICAL SCOTT SHANKS 5303 1 St Ave South Ste 100
8129 LAKE BALLINGER WAY 8129 LAKE BALLINGER WAY Seattle, WA 98108
EDMONDS, WA 98026 EDMONDS, WA 98026
(425)329-0848 (425)329-0848 (206)418-0235
LICENSE #: PENNOCC013Q3 EXP:6/3/2012
TENANT IMPROVEMENT FOR A MEDICAL CLINIC. WORK WILL INCLUDE EXAM ROOMS, BUSINESS AREAS, THREE
OPERATING ROOMS, MRI, PHYSICAL THERAPY, AND WAITING AREAS. MECHANICAL AND PLUMBING INCLUDED.
VALUATION: $748,821.44
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: 11-B
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: B
FENCE: N ( 0 X 0 FT.)
OTHER: N -----OTHER DESC:
NUMBER OF STORIES: 0
OCCUPANT LOAD: 286
CODE: 09 nu P
ZONE: CG 2
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
IBASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 26146 GARAGE: 0 DECK: 0 OTHER: 0
13PD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBA
REQUIRED: See Below PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES: Tenant improvement for interior changes only, so no change proposed to setbacks and height approved under BLD201 10815.
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 ALICATI N IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ND ALL FEES ARE PAID.
i — A _ Ian
ame
Released
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 10/ IRC110.
= ONLINE = APPLICANT = ASSESSOR ® OTHER
STATUS: ISSUED
BLD20110816
• If visible from 72nd Ave. W, the rooftop equipment shall be screened from view or painted to match the building in a color
approved by the Planning Division.
• Final Locations of illuminated exit signs & emergency lighting subject to field inspection by the Building Inspector and Fire
Marshal.
• Separate Permit Required For: Shell and Core permit 2011-0815. See separate permits listed under shell permit.
• 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.
• Pursuant to UPC 608 a pressure regulator valve (PRV) shall be installed near the water shutoff.
• 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)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 J
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 you prefer morning or afternoon.
• B -Plumb Ground Work
B -Plumb Rough In
• B -Gas Test/Pipe
• B -Mechanical Rough In
• B -Curb Attachments
• B -Duct Seal
• B -Refrigeration Lines
• B-Hydronics
• B -Ceiling Grid
• B -Fire Stopping
• B -Framing
• B-Sheetrock Nail
• B -Plumbing Final
• B -Mechanical Final
• B -Building Final
• F -Fire Safety and Evacuation Plan
• F -Fire Final
P -Planning Final
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21401 72nd Avenue West
Edmonds. WA 98026
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SCTURAL
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°F E°Moti Inspection Comments
d
V N
BLD20110816 71 - Tenant Improvement
Applied: 09/26/2011 Issued: 01/12/2012
Expires:
01/12/2013
I R90
Address: 21401 72ND AVE W, EDMONDS
INSPECTION DATE
INSPECTOR
ACTION
1120 - B -Plumb Ground Work 02/13/2012
LAWLER
PAR
Comment: Groundwork east trench gridlines 3-(10') past 6
1120 - B -Plumb Ground Work 02/15/2012
LAWLER
PAR
Comment: West trench GL 3-12' past 6
1120 - B -Plumb Ground Work 02/21/2012
LAWLER
PAR
Comment: DWV line 71 C to G
1120 - B -Plumb Ground Work 02/24/2012
LAWLER
COM
Comment: Oil/Water separator
1120 - B -Plumb Ground Work 02/29/2012
LAWLER
PAR
Comment: Partial to sprinkler riser room
1120 - B -Plumb Ground Work 08/15/2012
LAWLER
CMP
Comment:
1124 - 13 -Refrigeration Line Test 11/08/2012
LAWLER
CMP
Comment:
1126 - B -Plumb Rough In 12/13/2011
MCCONNELL
COM
Comment: Inspection includes floor drains with oil/water separator and connection
to sanitary sewer.
1126 - B -Plumb Rough In 07/13/2012
LAWLER
PAR
Comment: Zone 1 and rooms 326,7,8
1126 - B -Plumb Rough In 07/26/2012
LAWLER
PAR
Comment: PT zone level 2 and 3
1126 - B -Plumb Rough In 08/13/2012
LAWLER
COM
Comment: All DWV and water for level III, except recovery and OR zone
1126 - B -Plumb Rough In 10/31/2012
LAWLER
CMP
Comment:
1128 - B -Gas Test/Pipe 08/23/2012
LAWLER
PAR
Comment: Both gas and diesel lines
1128 - B -Gas Test/Pipe 08/29/2012
LAWLER
PAR
Comment: N2O and 02 at 150 psi, vacuum at 60 psi
1128 - B -Gas Test/Pipe 08/30/2012
LAWLER
CMP
Comment: All med gas, vacuum, and air held test
1128 - B -Gas Test/Pipe 10/31/2012
LAWLER
CMP
Comment:
1130 - B -Mechanical Rough In 06/29/2012
LAWLER
PAR
Comment: RTU1 curb attachment per Drawing A-27033-5-1
12/7/2012 9:22:47 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220
Page 1 of 4
INSPECTION A T
DATE
INSPECTOR''._
�=ACTIONS;
1130 - B-Mechanical Rough In
10/31/2012
LAWLER
CMP
Comment:
1132 - B-Curb Attachments
10/31/2012
LAWLER
CMP
Comment:
1133 - B-Duct Seal
07/11/2012
LAWLER
PAR
Comment: Zone 1 exam area
1133 - B-Duct Seal
08/01/2012
LAWLER
PAR
Comment: OR area
1133 - B-Duct Seal
08/10/2012
LAWLER
PAR
Comment: Stair three duct insulation
1133 - B-Duct Seal
08/23/2012
LAWLER
PAR
Comment: OR HEPA ductwork
1133 - B-Duct Seal
10/31/2012
LAWLER
CMP
Comment:
1134 - B-Refrigeration Lines
08/14/2012
LAWLER
PAR
Comment: Split system at Second level server room
1134 - B-Refrigeration Lines
10/31/2012
LAWLER
CMP
Comment:
1136 - B-Hydronics
08/13/2012
LAWLER
PAR
Comment: Level III, chiller 1
1136 - B-Hydronics
10/31/2012
LAWLER
CMP
Comment:
1138 - B-Ceiling Grid
09/04/2012
LAWLER
COR
Comment: Install perimeter wires at all walls, and slack
wires on electrical
fixtures
1138 - B-Ceiling Grid
09/06/2012
LAWLER
COR
Comment: Perimeter wires to structure, not just drywall
1138 - B-Ceiling Grid
09/07/2012
LAWLER
PAR
Comment: Exam zone
1138 - B-Ceiling Grid
09/19/2012
LAWLER
PAR
Comment: PT, lobby, and Entry. Interior furring framing
at MRI room.
1138 - B-Ceiling Grid
09/26/2012
LAWLER
PAR
Comment: Clerestory and stair 1
1138 - B-Ceiling Grid
09/28/2012
LAWLER
PAR
Comment: Stair one entry complete
1138 - B-Ceiling Grid
10/05/2012
LAWLER
COR
Comment: Missing perimeter wires multiple locations
1138 - B-Ceiling Grid
10/09/2012
LAWLER
PAR
Comment: All except third floor lobby and parking level
12/7/2012 9:22:47 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 4
JINSPECTION
DATE
INSPECTOR
ACTION ;
1138 - B -Ceiling Grid
10/30/2012
LAWLER
PAR
Comment: Third floor lobby 4x4 grid
1138 - B -Ceiling Grid
11/08/2012
LAWLER
PAR
Comment: parking strucure
1138 - B -Ceiling Grid
11/16/2012
LAWLER
CMP
Comment: MRI
1141 - B -Fire Stopping
09/27/2012
LAWLER
PAR
Comment: Dropped off maintainable bond requirements from Marie.
1141 - B -Fire Stopping .10/31/2012
LAWLER
CMP
Comment:
1142 - B -Framing
07/09/2012
LAWLER
PAR
Comment: Dropped off approved fueling station plans. Generator SOG approved pending special
inspection.
1142 - B -Framing
07/16/2012
LAWLER
COR
Comment: 1.) fireblock stud cavities with rigid insulation
2.) install top of wall bracing at 8'oc intervals
max spacing
1142 - B -Framing
07/19/2012
LAWLER
COR
Comment: Complete fire blocking with no air spaces
1142 - B -Framing
07/20/2012
LAWLER
PAR
Comment: Exam Zone
1142 - B -Framing
07/30/2012
LAWLER
PAR
Comment: PT/lobby zone cover
1142 - B -Framing
08/29/2012
LAWLER
PAR
Comment: One hour wall firestopping behind furred wall
at GL31
1142 - B -Framing
10/31/2012
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail
07/24/2012
LAWLER
PAR
Comment: Exam rooms
1150 - B-Sheetrock Nail
07/26/2012
LAWLER
PAR
Comment: completion of exam zone
1150 - B-Sheetrock Nail
08/15/2012
LAWLER
PAR
Comment: Lead shielding at X-ray room
1150 - B-Sheetrock Nail
08/17/2012
LAWLER
PAR
Comment: Level III ACC restroom area
1150 - B-Sheetrock Nail
09/18/2012
MILLERC
PAR
Comment: Observed GWB attachment - Stair 1 - ok to cover tape mud - verified fuel station enclosure construction
1150 - B-Sheetrock Nail
10/31/2012
LAWLER
CMP
Comment:
12/7/2012 9:22:47 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 3 of 4
INSPECTION
DATE
INSPECTOR;'
ACTION.
1152 - B -Plumbing Final
11/08/2012
LAWLER
COR
Comment: 1.) Install RPBA at ice maker
2.) Complete sink installations
3.) Listing for solids trap
1152 - B -Plumbing Final
11/26/2012
LAWLER
CMP
Comment:
1156 - B -Mechanical Final
11/14/2012
LAWLER
PAR
Comment: Just an observation
1156 - B -Mechanical Final
11/26/2012
LAWLER
CMP
Comment:
1158 - B -Building Final
12/03/2012
LAWLER
COR
Comment: See correction notice
1158 - B -Building Final
12/04/2012
LAWLER
CMP
Comment:
1950 - F -Fire Safety and Evacuation Plan
12/03/2012
SMITHM
CMP
Comment: APPROVED
1985 - F -Fire Final
12/03/2012
SMITHM
CMP
Comment: APPROVED
2000 - P -Planning Final
12/03/2012
MACHUGA
CMP
Comment: All exterior improvements done under Permit
No. BLD20110815.
No Planning inspection necessary for
the interior improvements under this permit.
Planning Division signs off 12/3/12.
12/7/2012 9:22:47 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 4 of 4