BLD20110855.pdfOF EDM
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
4'",
171890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
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Expiration Date:
Parcel No: 00580700002500
PROPERTy OWNER
APPLICANT
CONTRAC1411
SWEDISH HOSPITAL -
UNIVERSITY MECHANICAL
UNIV MECHANCL CONTRS INC
MEMORIAL HOSPITAL CORP STEVENS
CONSTRUCTION
11611 49Th PI W
1025 25TH AVE SO
MAX 14ARSHMAN
Mukilteo, WA 982754255
EDMONDS_ WA 98020
11611 49TH PL W
BER OF DWELLING UNITS: 0
LOT #:
MUKILTEO, WA 98275
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
(206)660-2490
(206)364-9900
LICENSE #: UNIVMC'343N9 EXP: 10/3/2012
ADDING (5) VAV BOXES TO EXISTING AIR SYSTEM.
VALUATION: $0.00
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
VESTED DATE:
BER OF DWELLING UNITS: 0
LOT #:
EMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
t
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONT SETBACKREAR SETBACK
RE UIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: ' PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES:
I 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/TIER DEPUTY AND ALL FEES ARE PAID.
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Signature Print Name Date Released By Dafe
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.
= ONLINE = APPLICANT = ASSESSOR 'k� OTHE
STATUS: ISSUED
BLD20110855
• 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 FIRE (425) 775-7720
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT(425)672-5755 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Mechanical Rough In
• B -Mechanical Final
B -Duct Seal
�0 V E°Ma Inspection
Comments
BLD20110855
40 - Mechanical/Solar
Applied: 10/10/2011
Issued: 10/24/2011
Expires:
04/24/2012
Address: 21601 76TH AVE W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1130 - B -Mechanical Rough In
11/07/2011
STEINIKE
CMP
Comment:
1156 - B -Mechanical Final
01/26/2012
LAWLER
CMP
Comment:
3000 - B -Duct Seal
10/31/2011
STEINIKE
PAR
Comment: See job card for locations.
3000 - B -Duct Seal
01/27/2012
LAWLER
CMP
Comment:
1/27/2012 7:48:40 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1