BLD20110891.pdfOff'
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STATUS: ISSUED 12/2/2011
Expiration Date: 12/2/2012
Parcel No: 00491100001302
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CITY OF EDMONDS
121 5TH .AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Project Address. 7929 LAJU ,%A L'
PANERA RELIANCE FIRE PROTECTION RELIANCE FIRE PROTECTION
LLC SUZAN MIKE IRISH PO BOX 428
4025 196TH ST SW PO BOX 428 PRESTON, WA 98050
LYNNWOOD, WA 98036 PRESTON, WA 98050
(206)6x2-6636 (206)682-6636
LICENSE #. EXP:
NEW FIRE SPRINKLER
VALVA"LION: $11,000.00
PERMIT TYPF Commercial
GRADING: N CYDS 0
PFRMI'GROUP 30 - Fire Sprinkler
fYPL OF CONSTRUCTION.
_
RETAINING WALL, ROCKERY N
OCCUPANT GROUP
OCCUPANT LOAD
FENCE N ( 0 X 0 F -F)
CODE 09
OTHER N ------- OTHER DESC
ZONE
NUMBER OF STORIES 0
VESTED DATE.
NUMBER OF DWELLING UNITS: 0
1LOL4:
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 SLTBACK SIDL SETBACK REAR SETBACK
,EQUIRED: PROPOSE.[: REQUIRED _ PROPOSED REQUIRED PROPOSED:
IEIGHT ALLOWED:O PROPOSED O REQUIRED PROPOSED.
ETBACK NOTES.
I AGREE. TO COMPLY WITH CITY AND STATE LAWS REGULA'T'ING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSON WILL BE EMPLOYED IN VIOLA'FTON OF TFIL LABOR CODE OF'FI E STATE OF WASHINGTON RELATING TO WORKMEN'S
COMPENSATION INSURANCE AND RCW 18:27.
TF ' APPLICA FION IS NOT ERMTT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND AI,1. FEES AR' PAID.
Signature Print Name Date / Released By Date
ATTENTION
11 IS UNL.AW FUI TO USF_ OR OCCUPY A BUILDING OR STRI ACTURE [IN I IL A I-IN.Al. INSPFCPION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BI.F.N GRANTED UBCI09 IBC'110, IRC110
ONLINE APPLICANT ASSESSOR SM OTHER
.. r 3 • •
STATUS: ISSUED BLD20110891
• 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 I0:00am 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)
CALL FOR INSPECTIONS
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 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.
• F -Fire Sprinkler Insulation
• F -Fire Sprinklerpessure Test
• F -Fire Sprinkler Acceptance
oF. E[JV Inspection
Comments
0
BLD20110891
30 - Fire Sprinkler
Applied: 10/26/2011
Issued: 12/02/2011
Expires:
12/02/2012
enc. I A9�
Address: 7929 LAKE
BALLINGER WAY SW, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1915 - F -Fire Sprinkler Insulation
12/06/2011
SMITHM
CMP
Comment: NR
1925 - F -Fire Sprinkler Pressure Test
12/06/2011
SMITHM
CMP
Comment: APPROVED
1930 - F -Fire Sprinkler Acceptance
12/15/2011
WESTFALL
CMP
Comment: WF test 22 seconds -system accepted.
12/20/2011 9:30:31 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
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