BLD20111023.pdfSTATUS: ISSUED 1/3/2012
Expiration Date: 1/3/2013
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #:. BLD20111023
Address: 21701 76TH;AVE W #2069 EDMO
Parcel No: 00580700002702
PROPERTVOWNER APPLICANT CONTRACTOR
STEVENS HEALTH CENTER FREIHEIT & HO ARCHITECTS, INC. P.S. B & G PROPERTY MAINTENANCE LLC
ROSEN HARBOTTLE BRIDGET TORSON 533A 6Th St S
PO BOX 5003 5209 LAKE WASHINGTON BLVE NE #200 Kirkland, WA 98033
BELLEVUE, WA 98004 KIRKLAND, WA 98033
(425)289-2234 (425)827-2100 (425)822-9487
LICENSE #: BGPROGP90648 EXP:8/1/2012
O:
COMBINE SUTIES 206 & 210. NEW SUSPENDED CEILING TO BE INSTALLED IN A PORTION. NEW FINISHES IN A
PORTION AS WELL.
VALUATION: $20,000.00
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY. N
FENCE: N ( 0 X 0 FT.)
OTHER: N ----OTHER DESC:
OCCUPANT GROUP: B F.
OCCUPANT LOAD: 35
CODE: 09
ZONE: D�a M111 11-7
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
ILOT#7
PROPOSED AREA
EXISTING AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 1585
1137SEMENTA I ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACKREAR SETBACK
REQUIRED: PROPOSED: RE UIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:0 PROPOSED:O I REQUIRED: PROPOSED:
SETBACK NOTES:
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,
IS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY A,?M ALL fl' ES ARE PAID.
'S
n
Signature Print Name
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 OTHER
STATUS: ISSUED BLD20111023
CONDITIONS I
• Separate Permit Required For: HVAC alterations; Alterations to Life Safety Systems; Electrical
• 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 1 FIRE (425) 775-7720 1
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 -Ceiling Grid
• B -Framing
• B -Building Final
• F -Fire Final
°V-E°.Mo Inspection Comments
BLD20111023 04 - Alteration/Remodel
Applied: 12/09/2011 Issued: 01/03/2012 Expires: 01/03/2013
Address: 21701 76TH AVE W #206, EDMONDS
INSPECTION DATE
INSPECTOR
ACTION
1138 - B -Ceiling Grid 02/21/2012
LAWLER
COR
Comment: Add slack wires to light fixtures on opposing corners.
Add perimeter wires to all mains and cross tees within 8" of walls
1138 - B -Ceiling Grid 02/23/2012
LAWLER
CMP
Comment: Scope of work revised to:
Provide six foot opening without doors in existing wall.
No electrical or ceiling grid work performed.
1142 - B -Framing 02/21/2012
LAWLER
CMP
Comment:
1158 - B -Building Final 02/29/2012
LAWLER
CMP
Comment:
1985 - F -Fire Final 02/28/2012
SMITHM
CMP
Comment: APPROVED
2/29/2012 11:17:01 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1