BLD20180499A of EDAI 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, W A 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit BLD20180499
Expiration Date:
Parcel No: 00461000100101
T i I
HEALTHCARE REALTY ALL STAR HEATING & A/C INC
C/O ACQUISITION I CORPORATION HR C/O PATRICK CONVERSE ACCO ENGINEERED SYSTEMS 1N`C
3310 WESTEND AVE STE 700 PO BOX 70 5300 DENVER AVE S
NASHVILLE, TN 37203 FALL CITY, WA 980240070 SEATTLE. WA 98108
(425) 222-7652
JOB DESCRIPTION
Rework e)dsting duct work for new offices, replace e)dsting bathroom fan. F I PNA L
VALUATION: $0
PERMIT TYPE: Commercial
PERMIT GROUP: 40 - Mechanical
GRADING: N CYDS: 0
T YP E OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE:
OTHER: ------- OT HER DESC:
ZONE:
NUMBER OF STORIES: 0
VEST ED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
EXISTING ARF,%
I ST FLOOR: 0 2ND FLOOR: 0
PROPOSfl) AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBACK SIDESETBACK REAR SETBACK
REQUIRED: PROPOSED: '11T"ED: PROPOSED: IREQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTFS:
IAGREETO COMPLY WITH CITY AND STATELAWS 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.
THI�j,�ICAJJW�_NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALL FEES ARE PAID.
Signature
N a rmme Date
Released
ATfENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN11L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI 09/ IBCI 10/ IRCI 10.
= FIRE = APPLICANT = ASSESSOR = CITY
to
("40
STATUS: ISSUED
BLD20180499
• Final approval on a projector final occupancy approval must be grunted 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
occupancyinspections.
• 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 7:00amto 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, aris ing 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 PERMITAUTHOREES 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)
TO SCHEDULE INSPECTIONS
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: Ser\Aces
are now scheduled online. If you
FIRE (425) 775-7720
3. Then: Permits/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance during office hours.
login (upper dght hand comer)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beina reauested. Contact Name and Phone Number. Date Preferred. and whether vou mefer momina or aftemoon.
• B-Mechanical Rough In
• B-Building Final
• B-Other
DEVELOPMENT SERVICES
COMMERCIAL & MULTI -FAMILY BUILDING
PERMIT APPLICATION
IT t 1 WS9 1� 1215" Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 2 Fax 425.771.0221
,?Q I
PLEASE REFER TO THE COMMERCIAL & MULTI-FAMILYBUILDING CHECKLISTFOR SUBMITTAL REQUIREMENTS
PROJECT ADD%SS (Street, Suite #, City State, Zip):
)61G 6 -f h
Parcel #:
OoGlo 001 00( 010(3
Subdivision/Lot #:
Project Valuation: $
APPLICANT:
P-6 —tv i ck ccK)
Phone: _7X:
1,)3 7 6 G 1'7 11
Address (Street, City, State, Zip):
P () - aw _? 0 1PA11 cq� %0�
E-Mail Ad�zess:
PATKI(X 15' To U h c, (-,OA
PROPERTY OWNER:
9(SAQ1HCfAA_(2 19AReh(J4 TR
Phone:
R4�D32
Fax:
Address (Street, City, State, Zip): I
501 R4(k.A) Aue SQ HOO
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
ANSTAQ NeIM14
Phone:
Fax:
Address (StrptCity, State, Zip):
UD
F,-Ma,],Add
-TAC
fjb_lp nlSSA I s Z-NOcJom
*Contractor must have a valid City ofEdmonds business license prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State LiTense 441r�xp. Date:
Ai,1--oT4A049
City Business License #/Exp. Date:
I / r. /MoalW6 6 3
DETAIL THE SCOPE OF WORJ'� Q!emr� 6< itsi
Rcj?lhus E<,Ekv1 daft, Acozn Ejad
Dvc� A)C,,LJ
PROPOSED NEW SQUARE FOOTAGE FOR THIS
PROJECT:
I st Floor: sq. ft.
2 nd Floor:
sq. ft.
3dFloor: sq. ft.
Basement: scl. ft.
Garage:
sq. ft.
Deck/Cvrd Porch: sq. ft.
Other: sq. ft.
Retaining Wali7-7es
Nol I
Fire Sprinklers: Yes F-1 No LJ
Occupancy Group(s):
Occupant Load(s):
Type(s) of Construction:
Grading: Cut cu.yds. Fill cu.yds.
I Cut/Fill in Critical Area: Yes L] No L
I declare underpenally ofperjury laws that the information I haveprovided on thisformlapplication is true, correct and
complete, and thatIam theproperty owner or duly authorized agent of theproperty owner to submitapermit application to
the City of Edmonds.
Print Name: Lk—coj Le 03 Owner [:] Agent/Other 0 (specif�):CPu I r A (_Ao 0
Signature: Date:
L_ L4-
FORM E LABUILDING DIVISION FILES\DONE & x-ferred to L-Building-New driveTorm E 2014.docx Updated: 1/17/2014
MECHANICAL
Equipment Type
Appliance[Equipment Information (new and relocated)
Total #
Furnace
Gas #—Elec
#—Other:
# BTUs: <100k— >100k— Location(s)
Air Handler / VAV
(circle selected)
Gas #
Elec # Other:
# CFM: <10k >10k Location(s)
AC / Compressor
Boiler / Heat Pump
Roof Top Unit
(circle selected)
Gas #—Elec
HP:
#—Other:—
—<3,-3-15,
#— BTUs:—<100k, _100k-500k, __.500k-IMil
_15-30 Location(s) —
I
Hydronic Heating
Gas #—Elec
#—In-Floor
—Wall Radiant— Boiler BTUs: Location
Exhaust Fans (single
uc
Bath#
Kitchen# Laundry # _Other: #
Fireplace
Gas #—Elec
#—Other:
# Location(s)
D v-o�
Appliance Type
FUEL GAS
Apptiance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs:
Location(s):
Furnace
BTUs:
Location(s):
Water Heater
BTUs:
Location(s):
Boiler
BTUs:
Location(s):
Other:
BTUs:
Location(s):
Fireplace/Insert
BTUs:
Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
PLUMBING FIXTURE COUNT
Fixture Type (new and relocated) Total # Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. "PA, DCDA, AVB)
Water Heater Tankless? YesE]
No E]
Hydronic Heat in: Floor E] WaHE]
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
FORME LABUILDING DIVISION FILES\DONE & x-feffedto L-Building-NewdriveTorm E2014.docx Updated: 1/17/2014
i I"
HEALTHCARE REALTY TRUST
EDMONDS PLAZA SPEC CLINIC 201
21616 76TH AVENUE WEST, EDMONDS, WA 98026
PROJECT SITE
Af
VICINITY MAP
114- - V-0- TRUE PROJECT
216TH STREET SOUTHWEST
AREA OF WORK. LEVEL 2
APPROVED
PLANS MUST -,'BE
ON JOB SITE'
CITY OF EDMONDS
BUILDING
nja.j�.,�EPART�ENT
WORK aA I'l-Ci
ADDRESS QjLgj�g -7U±
OWNER %4 Ptl 1414 - � mr,
APPROVED DATE:
BLDG. OFFICIAL:
PERMIT NUMBER
218TH STREET SOUTHWEST
R ESIDENTAL NEIGHBORHOOD
5FW
LEVEL 2 KEY PLAN to
V - 30'�* PROJECT
PROIECT TEAM
BUILDING ADDRESS DM NOS MEDICAL PLAZA
ALL WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE
S.EET .
.EETN.E
DESCRIPTION OF WORK
S UT TENANT SPACE IN70 TWO SMALLER SUM, DEMOLISH AND SALVAGE EXJST i�NG AS NOTED, BUILD OUT
SUITE 201, LEAVE SUITE 20D AS OPEN OFRCE SPACE READ, To PECEME FLOORING BY FUTURE TENANT.
MOVE GRILL AND DUCT WORK AS NEEDED FOR NEW OFFICE
RECEIV -
APR 05 2018
cvv COIN BUILDING
1616 76TH AVENUE WEST,
EDMONDS. WA 98026
OWNER/LANDLORD HEALTHCARE REALTY I LIST
901 BOREN AVENUE STE I 100
SEATTLE, WA 98104
CONTACT: MIA MCCLEARY
PHONE: (425) 894-2238
EMAIL MCCLEARY@HEALTHCAREREALTY.COM
ARCHITECT ANKROM MOMAN ARCHITECTS, INC.
I SOS STH AVE.. SUITE S.
SEATTLE, WA 98101
CONTACT: MOUY WOLF
PHONE: (206) 87 -3018
EMAIL —"@ankrom=iwmcom
CONTRACTOR BN B.Nd
CONTACT: JOSH McGAFFEY
PHONE: (206)382-3443
EMAIL J.h "Kg.ff�y@b.bu,Id.,.m
ALL STAR HEATING
PO BOX 70 FALL CrrV
WA 98024 425-222-7652
BUILDING/ CODE INFORMATION
HIRT EDMONDS SPEC SUITE 201
004610 001 001 0100
TRACT2 M03,�D;HESOUTHIOOFE AND THE NORTH 71.18 OF MCI 1. BLOCK 1, HADLEYS ACRES,
ACCORD S 0 OMI H
COU�ITYING TOIPI_AT rH EROF RECORDED IN VOLUME 8 OF PLAT. PAGE 30. RECORDS OF N H S
WASH N ON.
ALSO THE NORTH 65 FEET OF THE SOUTH 165 FEET. TRACT 1. BLOCK 1. HADLEYS ACRES ACCORDING TO PLAT
THEREOF RECORDED IN VOLUME 8 OF PLATS. PAGE 3M RECORDS Of SNOHOMISH COUNTY. WASHINGTON,
ALSO. EAST 60 FEET OF LOT 4, BLOCK 1. HADLEYSACIFIESACCORDING TO PLAT THE EOFRECORDEDIN
VOLUMES OF PLATS, PAGE 30. RECORDS OF SNOHOMISH COUNTY WASHINGTON.
AS WENDED BY EDMONDS COMMUNITY DEVELOPMENTCODE(ECDCI:
20
20�: INT RNATIONAL BUILDING CODE %YWASHLNGTON AMENDMENTS
NTER ATIONAL MECHAP41CAL CODE
2015 INTERNATION FIRE CODE
20�5:NTER TIONAL EXISTING BUILDING CODE
20 5 NTERNATIONALPROPERTYMAINTENANCE CODE
20
20�5 ICC PERFORMANCE CODE
5 WASHINGTON STATE ENERGY CODE
201 5 UNIFORM PLUMBING CODE
201 4 NATIONAL ELECTRICAL CODE
CONSTRUCTION TYPE: TYPE V - A. NON-SPRINKLERED
BU:LLO NIS HEIGHT: 2 FLOORS
SU DINGOCCUPANCY; BOMEDICALOFRCE)-NOCHANGE
TENANT MPROVEMENT SQUARE FOOTAGE: 4,9 USF
It
OCCUPANT LOAD FOR TENANT IMPROVEMENT: 25 (REFER TO EGRESS P
,:`0
am
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REVISION
DATE
REASON FOR ISSUE
SOO APPROVAL STAMP
COVER SHEET
PERMIT SET
DATE
NUMBER
M-1
LEVEL 2 REFLECTED CEILING PLAN 0
1 PROJECr
ALL WORK, ALL PARTS TO BE
INSTALLED, ALL REPORTS, WILL
BE IN COMPLINCE WITH ALL
CODE BELOW
2015 IMC
2015 WSEC
ALL GRILL AND FANS WILL HAVE
CEILING RADIATION DAMPERS
INSTALLED ON THEM
ALL WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE.
REFLECTED CEILING PLAN SYMBOLS
0 RETURN AIR GRILL
SUPPLY AIR GRILL
BATH ROOM FAN, NUTONE / XN 110/ RADIATION DAMPER
RDM-1 / 110 CFM 1/12 HP I WITH DACK DRAFT DAMPER
10- GRILL SIZE
ISO CFM
140 DUCT SIZE
0%. HAND DAMPER
M MOVE EXISMING
E EMSTING
N NEW
EXISTING UNIT
f
m DROPS
R E C E I V EIED
APR 05 2018
BUILDING
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REMSION
DATE
REASON FOR I UE
REFLECTED CEILING
PLAN
PERMIT SET
DATE
�WBER
4/V201 8
SOX5
M-2