BLD20111026.pdfCITY OF EDMONDS
STATUS: ISSUED 12/28/2011
Expiration Date: 12/28/2012
Parcel No: 00580700002500
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit iF:
011'1
IIII�(III
Project Address: 7320'216TH ST.SW #110,EDMO1�fiD
SWEDISH EDMONDS SWEDISH EDMONDS ANDERSEN CONSTRUCTION
1025 25TH AVE SO STEFAN REHNFELDT 228 S MEAD ST
EDMONDS„ WA 98020 21601 76TH AVE W SEATTLE, WA 98108
EDMONDS„ WA 98020
(425)640-4211 (503)283-6712
LICENSE #: ANDERC'907DN EXP:2/15/2012
INTERIOR REMODEL OF EXISTING FIRST FLOOR CLINIC.
VALUATION: $63,246.24
PERMIT TYPE: Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: II -B
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: B
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 #:
7BASEMENT: 0 1ST FLOOR: 2104 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0
FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
LE UIRED: PROPOSED: I REQUIRED: PROPOSED: RE UIRED: PROPOSED:
]EIGHT ALLOWED:O PROPOSED:O I REQUIRED: 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.
THI APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANALL FEES ARE PAID.
UIZZ6, Z -`
Signature Print Name Date Released Wate
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 10/ IRC 110.
ONLINE APPLICANT ASSESSOROTHER J(
STATUS: ISSUED BLD20111026
nozzasum-
• Separate Permit Required For: Plumbing, HVAC alterations, Fire Sprinkler alterations, Fire Alarm alterations
• 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
beinLy reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B -Ceiling Grid
• B -Framing
• B-Sheetrock Nail
• B -Building Final
• F -Fire Final
0 E°M� Inspection
Comments
BLD20111026
04 - Alteration/Remodel
Applied: 12/09/2011
Issued: 12/28/2011
Expires:
12/28/2012
enc. 1 R90
Address: 7320 216TH ST SW #110, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1138 - B -Ceiling Grid
01/30/2012
LAWLER
COR
Comment: Electrical final, perimeter wires within 8" of walls
1138 - B -Ceiling Grid
02/03/2012
LAWLER
COR
Comment: Complete perimeter wires
1138 - B -Ceiling Grid
02/15/2012
LAWLER
CMP
Comment:
1142 - B -Framing
01/11/2012
LAWLER
CMP
Comment:
1150 - B-Sheetrock Nail
02/15/2012
LAWLER
CMP
Comment:
1158 - B -Building Final
02/03/2012
LAWLER
COR
Comment: Complete ceiling grid perimeter wires
1158 - B -Building Final
02/15/2012
LAWLER
CMP
Comment:
1985 - F -Fire Final
02/02/2012
SMITHM
CMP
Comment: APPROVED
2/16/2012 10:44:54 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1
�� OF ED,y�O�
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Friday, December 09, 2011
This Application has been accepted by the City of Edmonds for review. More information and changes may be
required during this process. The review target date is: Tuesday, December 27, 2011
Your City Contact is: LINDA THORNQUIST
Application Number: BLD20111026
Project Address: 21601 76TH AVE W, EDMONDS
SWEDISH EDMONDS SWEDISH EDMONDS
1025 25TH AVE SO STEFAN REHNFELDT
EDMONDS,, WA 98020 21601 76TH AVE W
EDMONDS,, WA 98020
(425)640-4211
Work Description:
INTERIOR REMODEL OF EXISTING CLINIC. WORK INCLUDES DEMO, FRAMING NEW INTERIOR WALLS,
NEW FINISHES AND RELOCATION OF XRAY EQUIPMENT AND NUCLEAR CAMERAS.
Outstanding Items at Time of Submittal:
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION THAT THE INFORMATION GIVEN IS CORRECT
HAT I AM THE PROPERTY OWNER, OR THE DULY AUTHORIZED AGENT OF THE PROPERTY OWNER TO SUBMIT
A BUI ING PERMIT APPLICATION TO THE CITY.
T&A 4-r �0A0 ra 0 JI (I t
TURE (OWNER OR AGENT) PRINT NAME DATE SIGNED
?,AV I t 16'-Y) 5t
To view up to date information about your application please visit the City of Edmonds Development Services
website at http.11www.ci.edmonds.wa.us.