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Building Permit 2021pdfType: COMMERCIAL BLDG Subtype: COM ALTERATION OR REPAIR I Status: ISSUED Parcel No: 00580700002500 Site Address: 21605 76TH AVE W EDMONDS,WA 98026-7507 Applied: 8/9/2021 Subdivision: 005012, 005013, 005807, BLA AFN 199909155005 Lot: 0 Issued: 8/13/2021 Fire Sprinklers: Lot Area: Zoning: Final: Valuation: $0.00 Occupancy Type: Construction Type: Expiration Date: 8/8/2022 Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Issued by: JOK Scope of Work: SWEDISH HOSPITAL- NEW CT SCAN MACHINE- STRUCTURAL ONLY WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001 1 CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT CHRIS COOPER 1505 5TH AVE, SEATTLE WA (206)240-7572 CHRISC@ANKROMMOISAN.COM 98101 CONTACT CHRIS COOPER 1505 5TH AVE, SEATTLE WA (206)240-7572 chrisc@ankrommoisan.com 98101 CONTRACTOR DPR CONSTRUCTION A GEN PO BOX 5614, REDWOOD CITY (650)474-1450 chrisc@ankrommoisan.com PRTNRSH CA 94063 PUBLIC HOSPITAL DISTRICT 2 4710 196TH ST SW, LYNNWOOD OWNER SNOHOMISH CO WA 98036-5517 •' • DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # BUILDING INSPECTION FEE -PER 001.000.322.10.000.00 $110.00 $110.00 8/13/21 R13934 INSPECTION BUILDING PLAN REVIEW FEE 001.000.345.83.000.00 $110.00 $110.00 8/13/21 R13934 MANUAL CALC CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 8/9/21 R13809 PER PERMIT COMMERCIAL STATE SURCHARGE 001.000.237.150 $25.00 $25.00 8/13/21 R13934 PLAN REVIEW FEE - COMMERCIAL 001.000.345.83.000.00 $110.00 $110.00 8/9/21 R13809 TOTALS: $395.00 $395.00 7 CONDITION TYPE STATUS NOTES Printed: Friday, August 13, 2021 12:47:10 PM 1 of 2 COMMERCIAL Permit City of • • • PERMIT NUM Edmonds 1 1 • • • • • 1 1 �f�c. 1890 &, 1- HOLD HARMLESS - 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 of 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. 2 - PERMIT DISCLOSURE - Any request for alternate design, modification, variance or other administrative deviation from adopted codes ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such requests shall be established by Council and shall be paid upon submittal and are nonrefundable. 3- SOUND OR NOISE - Sound/Noise originating from temporary construction sites as a ALL BUILDING PERMITS FOR result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only INFORMATION during the hours of 7:00am to 6:00pm on weekdays and 10:00am to 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. 4 - OCCUPANCY - 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. 5 - PLUMBING - Plumbing contractor license laws are regulated by Chapter 18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and potential monetary liability for work performed by unlicensed plumbing contractors. For more information contact L&I Department of Licensing at 1-800-647-0982. ELECTRICAL PERMIT FOR Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309. NFORMATION Installation, use and maintenance of equipment and components shall be per EQUIPMENT USAGE FOR manufacturer's specifications, installation instructions, and applicable state codes. INFORMATION Provide manufacture's installation instructions on site for Building Inspector. The issuance of this permit in no way constitutes approval from any other agencies REGULATING AGENCIES FOR having regulatory authority over the facility and this construction activity. It is the INFORMATION responsibility of the property owner to obtain any and all such required approvals. SPECIAL INSPECTIONS. Eight total retrofit bolts in concrete, either wedge anchors or REQUIRED SPECIAL FOR epoxy. 4 each at Gantry and patient table. Special inspection required, by FOR or WABO INSPECTIONS INFORMATION certified agency. See Structural Calculation packet for installation placement and instructions. Special inspections have been called for on this project and are noted on the approved SPECIAL INSPECTION BUILDING FOR construction plans. It is the owner and or contractors responsibility to ensure that reports DIVISION INFORMATION are provided to the City on a weekly basis. INSPECTIONS - Schedule Online at: https://Inspection.MvBuildingPermit.com COMPLETED RESULT SEQID INSPECTION TYPE INSPECTOR NOTES DATE X-3 BUILDING FINAL" B-3 MECH EQUIP ATTACHMENT Printed: Friday, August 13, 2021 12:47:10 PM 2 of 2