Building Permit•M MERCIAL BLDG PermitCity
1[7
• • • •
PERMITNUM
98020BLD2021-0647
www.edmondswa.gov
Type: COMMERCIAL BLDG
Owner/ Business: KELLY NEWBOLD
Status: ISSUED
Subtype: COM ALTERATION OR REPAIR
Site Address: 7631 212TH ST SW SUITE 109C EDMONDS,WA
Parcel No: 00614300001701
Applied: 5/10/2021
98026-7565
Subdivision: 006143
Lot: 0
Issued: 6/16/2021
Fire Sprinklers: No Lot
Area: Zoning:
Final:
Valuation: $65,000.00 Occupancy Type: B Construction Type: VB
Expiration Date: 6/11/2022
Code Edition: 2018 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: DR BABIN DDS- DENTAL OFFICE INTERIOR ALTERATION P&M NOT INCL
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE NAME
ADDRESS
PHONE
EMAIL
APPLICANT
KELLY NEWBOLD
605 19128 112TH AVE NE # 605,
(206)999-3457
KELLY@DAVIDCOMPANYLLC.COM
BOTHELL WA 98011
CONTACT
DAVID COMPANY LLC
605 19128 112TH AVE NE # 605,
(206)999-3457
kelly@davidcompanyllc.com
BOTHELL WA 98011
CONTRACTOR
DAVID COMPANY LLC
19128 112TH AVE NE, BOTHELL
(206)999-3457
kelly@davidcompanyllc.com
WA 98011
OWNER
SAMIR OASIS INC
15516 129TH AVE NE,
WOODINVILLE WA 98072
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE RECEIPT#
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00 $40.00
5/10/21
R12243
PER PERMIT
COMMERCIAL STATE SURCHARGE
001.000.237.150
$25.00 $25.00
6/16/21
R12891
PERMIT FEE - COMMERCIAL
001.000.322.10.000.00
$1,006.00 $1,006.00
6/16/21
R12891
PLAN REVIEW FEE - COMMERCIAL
001.000.345.83.000.00
$855.10 1$855.10
5/10/21
R12243
TOTALS: $1,926.10 $1,926.10
CONDITIONS
CONDITION TYPE
STATUS NOTES
Printed: Wednesday, June 16, 2021 3:07:15 PM 1 of 2
• Permit
PERMIT NU
of Edmonds
EdmondsCity
•:� iJIL 1 1 .
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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.
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
INSPECTIONS•• •nline
at: https://Inspection.MyBuildingPermit.co
COMPLETED RESULT
SEQID
INSPECTION TYPE INSPECTOR
NOTES
DATE
A-1 BUILDING PRECON
B-4 FRAMING
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
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