Building Permit (2)Type: COMMERCIAL BLDG Subtype: COM ALTERATION OR REPAIR I Status: ISSUED
Parcel No: 00580700002500 Site Address: 21601 76TH AVE W EDMONDS,WA 98026-7507
Subdivision: 005012, 005013, 005807, BLA AFN 199909155005 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: SWEDISH-WEAPONS DETECTION SYSTEM
Applied: 9/14/2023
Issued:10/24/2023
Final:
Expiration Date: 10/18/2024
Issued by: BAC
I WA State Contractor L & I #: CONVETL995N9 I
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
FERNANDO MELENDEZ
1124 COLUMBIA SUITE 210,
(425)295-5424
FERNANDO.MELENDEZ@PROVIDENCE
SEATTLE WA 98104
ORG
CONTACT
PROVIDENCE SWEDISH
1124 COLUMBIA SUITE 210,
(425)295-5424
fernando.melendez@providence.org
SEATTLE WA 98104
CONTRACTOR
CONVERGINT TECHNOLOGIES
450 SHATTUCK AVE S, STE 100,
(425)891-4585
dave.hovater@convergint.com
LLC
RENTON WA 98057
PUBLIC HOSPITAL DISTRICT 2
4710 196TH ST SW, LYNNWOOD
OWNER
SNOHOMISH CO
WA 98036-5517
•' ' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
BLD - COM V ALUEE BASED FEE
001.000.345.83.000.00
$324.40
$324.40
10/24/23
R32207
BLD - COM VALUE BASED REVIEW
001.000.345.83.000.00
$275.74
$275.74
9/28/23
R31601
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
9/28/23
R31601
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$25.00
$25.00
10/24/23
R32207
COM
TOTALS: $670.14
$670.14
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Tuesday, October 24, 2023 12:33:15 PM 1 of 2
•MERCIAL BLDG PermitCity
• • • • -
•:0i 1 ..
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.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
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.
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.
This permit has been approved with the understanding that during an emergency, the
OTHER CONDITION
FOR
ropes and other access limiting devices will be removed to allow occupants to exit the
INFORMATION
building. See attached email.
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.
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
NOTES
X-1 FIRE FINAL
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
Printed: Tuesday, October 24, 2023 12:33:15 PM 2 of 2