Building PermitType: COMMERCIAL BLDG Subtype: COM ALTERATION OR REPAIR I Status: ISSUED
Parcel No: 00461000100101 Site Address: 21616 76TH AVE W #111 EDMONDS,WA 98026-
7512
Subdivision: 005295, 004610, 008167, 010330 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $120,000.00 Occupancy Type: B Construction Type: VA
Code Edition: 2021 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: LIFECENTER NW -REMODEL
WA State Contractor L & I #: HSTCOC1920KA
Applied: 5/2/2024
Issued:10/4/2024
Final:
Expiration Date: 10/4/2026
Issued by: BAC
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
21911 76TH AVE W SUITE 210,
APROMISLOFF@TGBARCHITECTS.CO
APPLICANT
AMANDA PROMISLOFF
(425)778-1530
EDMONDS WA 98026
M
21911 76TH AVE W SUITE 210,
CONTACT
TGB ARCHITECTS
(425)778-1530
apromisloff@tgbarchitects.com
EDMONDS WA 98026
CONTRACTOR
HST CONSTRUCTION INC
11512 NE 20TH STREET,
(425)455-1212
acharoenset@hstconstruction.com
BELLEVUE WA 98004
LIFECENTER NW-HR
PO BOX 92129, SOUTHLAKE TX
OWNER
ACQUISITION I
76092
CORPORATION
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
BLD - COM - PERMIT - VALUATION
001.000.345.83.000.00
$1,444.00
$1,444.00
10/4/24
R40489
BASED
BLD - COM - PLAN REVIEW
001.000.345.83.000.00
$1,227.40
$1,227.40
5/3/24
R36861
CITY TECHNOLOGY FEE - PER
001.000.321.99.100.00
$45.00
$45.00
5/3/24
R36861
PERMIT
STATE BUILDING CODE SURCHARGE
001.000.237.150
$25.00
$25.00
10/4/24
R40489
-COM
TOTALS: $2,741.40
$2,741.40
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Friday, October 04, 2024 1:05:02 PM 1 of 2
•MERCIAL BLDG PermitCity
• • • • -
•:0iBLD2024-0584
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:OOam to 6:OOpm on weekdays and 10:OOam to 6:OOpm 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.
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.
• -- • • •-
• • • •• •
INSPECTIONTYPE INSPECTOR COMPLETED RESULT
NOTES
X-1 FIRE FINAL
X-3 BUILDING FINAL"
Printed: Friday, October 04, 2024 1:05:02 PM 2 of 2