Building PermitType: COMMERCIAL BLDG Subtype: COM ALTERATION OR REPAIR I Status: ISSUED
Parcel No: 00461000202003
Subdivision: 004610, 004017
Fire Sprinklers:
Valuation: $17,000.00
Code Edition: 0
Site Address: 21906 76TH AVE W EDMONDS,WA 98026-7902
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: TAKAGI MEDICAL OFFICE- NEW CRAWL SPACE INSULATION NO P/M
Applied: 5/11/2023
Issued: 6/2/2023
Final:
Expiration Date: 5/27/2024
Issued by: JOK
I WA State Contractor L & I #: CLEANC1998DG I
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
BRIAN TAKAGI
21906 76TH AVE W, EDMONDS
(206)799-8998
BKTAKAGI@LIVE.COM
WA 98026
21906 76TH AVE W, EDMONDS
BUSINESS
EYE SURGICAL ASSOCIATES
WA 98026
CONTACT
BRIAN K TAKAGI, MD, PLLC
21906 76TH AVE W, EDMONDS
(206)799-8998
BKTAKAGI@LIVE.COM
WA 98026
CONTRACTOR
CLEAN CRAWL INC
3707 124TH ST. NE BUILDING A
(360)651-1765
INFO@CLEANCRAWLS.COM
UNIT 1, MARYSVILLE WA 98271
OWNER
BRIAN TAKAGI
21906 76TH AVE W, EDMONDS
(206)799 8998
WA 98026
•'ki IVA FIN I Is]
DESCRIPTION
ACCOUNT
AMOUNT
PAID
T7$442.00
PAID DATE
RECEIPT#
BLD - COM VALUE BASED FEE
001.000.345.83.000.00
$442.00
6/1/23
R28925
BLD - COM VALUE BASED REVIEW
001.000.345.83.000.00
$375.70
$375.70
5/12/23
R28570
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
5/12/23
R28570
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$25.00
$25.00
6/1/23
R28925
- COM
TOTALS: $887.70
$887.70
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Friday, June 02, 2023 8:46:21 AM 1 of 2
•MERCIAL BLDG PermitCity
• • • • -
•:0iBLD2023-0577
www.edmondswa.gov
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.
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 - Schedule Online at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR COMPLETED RESULT
NOTES
X-3 BUILDING FINAL"
This permit is to inspect the re -insulation of the
crawlspace only.
Printed: Friday, June 02, 2023 8:46:21 AM 2 of 2