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BLD20120008.pdfDAI of E�O�� CITY OF EDMONDS ►► iii 121 5TH AVENUE NORTH - EDMONDS, WA 98020 ►► �! ��c. 1890 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Permit #: BLD201200081, Expiration Date: 1/17/2013 rrowl A(IQreSS: IOU VV LIFil Y 1 Vlr 3 Is Z"1V1V1'NLPa1 Parcel No: 27032300408800 PRO PERTY OWN E It APPLICANT CONTRACTOR HARBOR SQUARE ATHLETIC CLUB WARREN LAFON ARCHITECT WILCOX CONSTRUCTION PORT OF EDMONDS WARREN LAFON 234 STH AVE S 336 ADMIRAL WAY 849 PUGET WAY EDMONDS, WA 98020 EDMONDS, WA 98020-7214 EDMONDS, WA 98020 (425)774-0580 (425)774-4185 LICENSE #: WILCOC• 194QO EXP: 12/10/2013 REPAIR ROTTED BEAMS AT SOUTH WALL VALUATION: $22,900.00 L� PERMIT TYPE: Commercial PERMIT GROUP: 04 - Alteration/Remodel GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N OCCUPANT GROUP: OCCUPANT LOAD: FENCE: N 0 X 0 FT.) CODE: 09 OTHER: N ---- OTHER DESC: ZONE: NUMBER OF STORIES: 0 1 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: 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 11,11ONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O RE UIRED: 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. THIS APAICATION IS NSA P-MMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY ANa ALL FEES ARE PAID. �L 1 A- ,y / - / 7- %V �'/f�i�i l '17 �- Siqnature Print am Date Released By 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/ IBCI 10/ IRCI 10, ONLINE FliM APPLICANT ASSESSOR OTHER L11 _. 0 • STATUS: ISSUED BLD20120008 • SPECIAL INSPECTIONS ARE REQUIRED FOR THE FOLLOWING: • Structural Steel Fabrication and Erection, Including High -Strength Bolting and Welding (Welders Must Be WABO Certified) • Prior to Final Inspection by the Building Division, Final Special Inspection Reports are Required From All Special Inspectors. • Submit Special Inspection Field reports on a weekly basis to the City Building Department. • 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 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 beine requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • B -Exterior Wall Sheathing • B -Framing • B -Stucco • B -Building Final z o""$ o n J�jj ° 1 u,o u x • 0 C sID4 SPECIAL INSPECTION AND TESTING AGREEMENT Permit #: BLD2012-0008 Project: Harbor Square AC Repairs Prior to issuance of a permit, this form must be completed in its entirety and returned to the Cityfor approval. The completed form must have signatures of acknowledgment by all parties: DUTIES AND RESPONSIBILITIES Special Inspection Firm and Special Inspectors: The Special Inspection firm of will perform special inspection for the following types of work (separate forms must be submitted if more than one firm is to be employed): ❑ Reinforced Concrete ❑ Spray applied Fireproofing ❑ Bolting in Concrete ❑ Smoke Control Systems ❑ Prestressed Concrete ❑ Lateral Wood ❑ Shoterete ❑ Structural Observation by design professional ❑ Structural Masonry ❑ Grading/soils XStructural Steel/Welding ❑ Other ❑ High Strength Bolting ❑ Other All individual inspectors to be employed on this project will be WABO certified for the type of work they are to inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO certified, a detailed resume of the inspector and firm must be submitted. The resume must show that the inspector and the firm are qualified by education and experience to perform the work and testing required by the project design and specifications. The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection records shall include: • A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work shall be brought to the immediate attention of the contractor for resolution. • A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing any nonconforming work and resolution of nonconforming items. • A final report shall be submitted to the building department prior to the Certificate of Occupancy being issued. This report will indicate that inspection and testing was completed in conformance with the approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must be detailed in the final report. LABuilding New Folder 2010\Forms\Special inspection form.docI/11/2012 1 0 Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Building Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Desilln Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the terms and conditions of this agreement. l Owner: Signature Contr Arch. Signature Signature Special Insp.��//6/C/ Signature Date Date: Date: L//—/Z— Date: ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT. Date: LABuilding New Folder 2010\Forms\Special inspection form.doc1/11/2012 Z�9- Jan 12 12 07:43p Warren La Fon 425-774-0580 p.3 • Contractor: The contractor shall. provide _he special inspector or agency adequate notification of Lt,ork requiring inspection. The City approvcd plan and speci tcations must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all Bail; inspection-eports. on site, for review by all parties. T'ie special inspection. function: are considered to be in addition to the romial inspections l.xrformed by the C.ty and the contractor is responsible for contacting t: -1e City to scixdule regular inspections. No concrete shall be podr:d Brother *ork covered artil approval is given by the Ciry inspector. Ruildine Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspcction functions for compliance with the agreement and the approved plans. The City irespector shall be responsible for approving various stages of construction to -:)e covered and Lor work to proceed. Design Professionals: The architect andlcr engineer will clearly indicate on the plans and specllications the specific types of speci2l inspection required. and shall .nc.ude a schedt:le for Inspection and testing. Ulte architect andfor engineer will coordinate their revision and addenda process in such a Way as to insu-e that all required City approvals arc obta fined, prior to work shov%m on the revisions being performed in the field. Owner: The prul= "Mer, or the architect or cninneer acting as the 3w ers agent, shall employ the special ins.)ector or _gency. ENFORCEMENT FL failure of tate special inspector or firm to perform i r. Iceepirg with the requirements of the IBC, the approved dans and t'nis document, may void this agreement and the Building Ofrcial's z.)proval of the special inspector. In such a case a nets• special inspector and/or firm wou'.d need tc be proposed for approval. A failure of the desigr and%or construction parties to perform in accordance %-6�th this agrtemer_t may result is a STOP 41 -()RK notice being posted on the project until ncaconforniffig items have been resolved. ACKNOWLEDGMENTS 1 have read and agree to comply with the terms and conditions of this agreement. punier:%.tom i '1Rr-r C . Signature Date Contractor: —Signature Arei .rEr.g: %�i Signature Date: Date: /_ / ?.—/ Z Special insp. a/_ VJ __5 11��'% T/�1 Stgnature / 1� Date: ACCEPT® FOR THE CITY OF EDMONDS BUILDING DEPT. Q. By: A& -k i Date: L[diuilding Mov Forder 2010',Foa•nu''SFeciil inspa:tioi, rwm.docIA 112612 7-ri nnnn_._I MAYES TESTING ENGINEERS, INC. March 16, 2012 City of Edmonds 121 5th Avenue N Edmonds, WA 98020-3146 Attention: Building Department Re: Harbor Square Athletic Club 160 W Dayton Street Edmonds, WA Project No. L11416 Final Letter Permit No. BLDD 2009-0530 BLD 2011-0409 BLD 2012-0008 waft- Office 20225 Cedar VaOey Road Stite 110 Ly w000d, WA 98036 ph 425.742.9360 fax425.745.1737 TacawOfte 10029 S. Tacoma Way SUba E2 Tacoma, WA 98499 ph 253.584.3720 fax 253.584 3707 Pa lard olfioe 7911 NE 33rd Drive Suoe 190 Paftxi OR97211 ph 503281.7515 fax 503281.7579 This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: • Reinforced concrete • Structural steel/ welding • Bolting • Lateral wood/framing • Proprietary anchors To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust this provides you with the information that you require. Should you have any questions please call us at 425/742-9360. Sincerely, Mayes Testing Engineer, Inc. Michael S. Dolder, P.E. Vice President OF EDM Inspection Comments d BLD20120008 04 - Alteration/Remodel Applied: 01/05/2012 Issued: 01/17/2012 Address: 160 WEST DAYTON ST, EDMONDS Expires: 01/17/2013 INSPECTION DATE INSPECTOR 1132 - B -Exterior Wall Sheathing 02/17/2012 LAWLER Comment: Q &A 1132 - B -Exterior Wall Sheathing 04/12/2012 LAWLER Comment: 1142 - B -Framing 02/15/2012 LAWLER Comment: 1152 - B -Stucco 04/12/2012 LAWLER Comment: 1158 - B -Building Final 04/09/2012 LAWLER Comment: need final special inspection letter 1158 - B -Building Final 06/21/2012 LAWLER Comment: ACTION PAR CMP CMP CMP COR CMP 6/21/2012 9:50:19 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1