BLD20110977.pdfy OV ED41 IIIIIIIII
"° CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
FS,411
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 12/20/2011
Expiration Date: 12/20/2012 Project Address: 21110 76TH AVE'W_#%E6$"
Parcel No: 0061430.0001607
ALL STATE INSURANCE LINK -DOUGLAS CONSTRUCTION LINN-DOUGLAS CONSTRUCTION
PORTERFIELD DEVELOPMENT PO BOX 8019 PO BOX 8019
811 1 ST AVE #422 COVINGTON, WA 98042 COVINGTON, WA 98042
SEATTLE, WA 98104
(253) 939-5190 (253) 939-5190
LICENSE #: LINNDCLOOOPC EXP:9/27/2013
Tenant improvement for new Insurance office. Divide existing space and add ADA restrooms.
VALUATION: $14,563.50 AVD619 2 TvATh rz)om TjAr S `'L -11,12- COMFmLETEI' .
PERMIT
5,12-
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: B
OCCUPANT LOAD:
FENCE: N 0 X 0 FT.
CODE: 09
OTHER: N ----- OTHER DESC:
ZONE: BN
NUMBER OF STORIES: 0
1 VESTED DATE:
NUMBER OF DWELLING UNITS: 0
1 LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 665 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
tE UIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
iEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
>ETBACK 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.
THIS APPLICAT1 N IS NPZ A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND &M FEES A E PAID.
.: ...at2_ �f'/1;�-�ta�l �✓r
/2-20-4 i&' 1,R"-11)
Sig
Print
Date
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. UBC109/ BCI 10/ IRCI 10.
= ONLINE = APPLICANT = ASSESSOR = OTHER
STATUS: ISSUED
BLD20110977
• 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.
INSPECTIONS
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 -Framing
• B -Building Final
• F -Fire Final
of E°M Inspection Comments
BLD20110977 71 - Tenant Improvement
Applied: 11/22/2011 Issued: 12/20/2011 Expires: 12/20/2012
Address: 21110 76TH AVE W #B, EDMONDS
INSPECTION
DATE
INSPECTOR
-ACTIONS ' :J
1126 - B -Plumb Rough In
02/03/2012
LAWLER
COM
Comment: Cancelled, will recall
1126 - B -Plumb Rough In
02/07/2012
LAWLER
CMP
Comment:
1130 - B -Mechanical Rough in
02/16/2012
LAWLER
CMP
Comment:
1138 - B -Ceiling Grid
03/01/2012
LAWLER
COR
Comment: Slack wires required at opposing corners of
light fixtures.
1138 - B -Ceiling Grid
03/02/2012
LAWLER
CMP
Comment:
1142 - B -Framing
02/14/2012
LAWLER
CMP
Comment: Shell only, new contractor and permit for TI
1150 - B-Sheetrock Nail
02/16/2012
LAWLER
CMP
Comment:
1152 - B -Plumbing Final
03/02/2012
LAWLER
CMP
Comment:
1158 - B -Building Final
03/16/2012
LAWLER
CMP
Comment:
1985 - F -Fire Final
03/16/2012
WESTFALL
CMP
Comment: Final shell inspection on suite #B; split in two sub -spaces. New address posting when businesses
obtain TI permit or license.
3/19/2012 9:42:16 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1