BLD20110936.pdfG`y OF EU
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STATUS: ISSUED 12/9/2011
Expiration Date: 12/9/2012
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Parcel No: 00580700002500
PROPERTY(ANINER APPLICANT CONTRACTOR
SWEDISH EDMONDS SWEDISH EDMONDS SKANSKA USA BUILDING, INC.
1025 25TH AVE SO 21601 76TH AVE W 221 YALE AVE N
EDMONDS„ WA 98020 EDMONDS, WA 98026 SEATTLE, WA 98109
LICENSE #: SKANSUB985RT EXP:I/12/2013
INTERIOR REMODEL OF MRI ROOM
is
VALUATION: $39,635.82 ("BAMPLETED
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: 1-A
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: 1-2
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 IST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST 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
ZE UIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
IEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED:
iETBACK NOTES:
I 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.
TH{SIAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPKFY AND ALL FEES ARF PAIp.
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 I 10/ IRCI 10.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
BLD20110936
• Separate Permit Required For: WS Dept of Health.
• 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 5.3.0 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
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 -Wall Insulation/Caulk
• B-Sheetrock Nail
• B -Building Final
• F -Fire Final
OF E04f Inspection
Comments
O
N BLD20110936
04 - Alteration/Remodel
Applied: 11/09/2011
Issued: 12/09/2011
Expires:
12/09/2012
Address: 21601 76TH AVE W, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1126 - B -Plumb Rough In
01/13/2012
LAWLER
COR
Comment: lost test on med vac piping
interior framing med MRI room
approved
1126 - B -Plumb Rough In
01/17/2012
LAWLER
COM
Comment: oxygen held over weekend @160psi, vacuum is set @82psi and observed at 10:30 AM
1126 - B -Plumb Rough In
01/19/2012
LAWLER
CMP
Comment:
1138 - B -Ceiling Grid
01/17/2012
LAWLER
COR
Comment: On one side rivet, the opposite side add berc clips at edge angle metal, add perimeter wires at 8" from
wall
1138 - B -Ceiling Grid
01/30/2012
LAWLER
CMP
Comment:
1142 - B -Framing
12/30/2011
LAWLER
PAR
Comment: partial less walls removed for moving MRI machine
1142 - B -Framing
01/11/2012
LAWLER
COR
Comment: Not ready
1142 - B -Framing
01/17/2012
LAWLER
CMP
Comment:
1144 - B -Wall Insulation/Caulk
12/30/2011
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail
12/30/2011
LAWLER
CMP
Comment:
1158 - B -Building Final
01/30/2012
LAWLER
COR
Comment: Fire approval, and med gas special inspection final letter
1158 - B -Building Final
02/14/2012
LAWLER
CMP
Comment:
1985 - F -Fire Final
02/02/2012
SMITHM
CMP
Comment: APPROVED
2/15/2012 8:36:56 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1