20000413.pdfCITY OF EDMONDS *
CONSTRUCTION PERMIT APPLICATION
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PLAN CHECK NO: IVEITED OATS
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTEO, THIS PERMIT coVIRI WORK To
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GRADINGIFILL
SIDEWALKS, DRIVEWAY , MARQUEES. ETC.) WILL REQUIRE
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SEPARATE PER�ISSION.
STATE SURCHARGE
PE MIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR -PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
aa 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGN SU ES RS
ENG, INSPECTION FEE
IN INTEREST, AGREES TO INDEMNt DEFEND AND HOLD HAP LESS T E CITY F
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DMONDS,WASHI DIALS, EMPLOYEES. AND AGENTS F ANY AND
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INSPECTION FEE
ALL CLAIMSFOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY
BE
RECEIPT
x FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT
DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
0 OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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TOTAL AMOUNT DUE
R cEIPT
THAT I HAVE HEAD THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
IHEREBY ACKNOWLEDGE
GIVEN IS CORRECT. AND T AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THEOW ER. AGREE TO COMPLY WITH CITY AND STATE LAW
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EXT 333
ATTENTION
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771-0221
IT IS UNLAWFULTO
AND APPROVAL OR A CERTIFI-
ORIGINAL, FILE . YELLOW - INSPECTOR
A FINAL INSPECTION HAS BEEN MADE
GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD . ASSESSOR
CATE OF OCCUPANCY HAS BEEN
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ENVIRONMENTAL HEALTH DIVISION
SNOHOMISH 3020 Rucker Avenue, Suite 104
HEALTH Everett, WA 98201-3900
425.339.5250 FAX: 425,339.5254
DISTRICT
Healthy Lifestyles, Healthy Communities
July 7, 2000
JUL
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CHIEK0 BOULANGER
rn
PO BOX 445
EDMONDS WA 98020
Subject: Proposed, Remodel, Fuji Japanese Restaurant, 417 Main Street, Edmonds
Fa
a in
Dear Ms. Boulanger:
Your plans have been reviewed with the Rule d Re lations; of the State.Board o f Health, and with the
-adition of the following, the plans are approved.
Health Distr ict. 7th iie a
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policies of the Snohomish
1. A food preparation sink is required. The sink must be listed by the Nation al Sanitation Foundation
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(NSF), have at least one integral drainboard, and be indirectly drained.
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2. A horizontal separation of at leas t 16 inches or a vertical partition 16 inches in height is required
between the food preparation sink and all other sinks.
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3. Water heaters must be of sufficient size to provide hot water to dishwasher and/or scullery sinks and at
hot to all handwash sinks.
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the same time provide water
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4. All food service equipment must be listed by the National Sanitation Found ation (NSF) for its intended
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use.
5. Storage refrigerators must be listed for the storage of potentially hazardous foods.
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6. Per a telephone conversation with Pat Kearny, on July 5, 2000, the Sanyo under counter refrigerator,
#SR-580, model RNC, and the Zojirushi rice warmer, model #THA-803S, which are domestic,
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model
home style units, will not be used at the restaurant. Replacement equipment must be NSF or equivalent
Manufacturers names and model numbers for replacement equipment must be submitted prior to
listed.
use in the restaurant.
on walls behind sinks and food preparation tables. A 16 inch high
7, Extra wall protection is required d plastic or equal is acceptable. Floor to ceiling
3:�
615
backsplash of plastic laminate, fiberglass reinforce
protection is required on wall behind dishwashers.
must be provided with covers or shatter proof
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8. All light fixt ures in food preparation and storage areas
0
in
bulbs.
9. Plumbing must meet state and local codes.
10. The ventilation system shall be installed and operated to meet applicable bu ilding, mechanical, and fire
codes.
ireoperational inspection is required prior to opening for business. At the time of
A V an equipment must be
must be complete and
inspection the construction of the food service establishment
in place. Incomplete construction may result in a $130.00 reinspection fee. Please contact the Food
to se n appointment, This will
imum of one week in advance
, = ca
Program office a min f
-ations -of the Sta Health for Food Service
ensure compliance with the Rules and Reaul te
Sanitatig
471Z SNOHOMISH
HEALTH
DISTRICT
June 29, 2000
ir
ENVIRONMENTAL HEALTH DIVISION
3020 Rucker Avenue, Suite 104
Everett, WA 98201-3900
425.339.525o FAX: 425�339�5254
Healthy Lifestyles, Healthy Communities 81JI-LD
RECEWED I
JUL 10 20-00 JUL 0 6 ?Goo
OEVELOPMENT SERVICES CTR.
CITY OF EDMO
CHIEKO K BOULANGER NDS
PO BOX 445
EDMONDS WA 98020
Subject: Proposed, Remodel and Sushi Bar at Fuji Japanese Restaurant, 417 Main St., Edmonds
Dear Ms. Boulanger:
Your plans have been received; however the plans cannot be approved as submitted. The following
information is needed prior to further plan review.
I . Submit plan review application and plan review fee.
2. No designated handwash sink is shown in the sushi bar. A handwash sink is required at the
sushi bar.
3. No designated handwash sink is shown at the wait station. A handwash sink is required at the
wait station.
4. No food preparation sink is shown on the floor plan. An indirectly drained food preparation
sink with at least one integral drainboard is required.
5� Submit finish schedule for floors, walls, ceilings, counters and cabinets.
6. The Sanyo under counter refrigerator, model #SR-580, the Hoshizaki refrigerated sushi case,
model RNC, and the Zcjirushi rice warmer, model #THA-803S, were not found in the current
National Sanitation Foundation (NSF) or equivalent listings. Sanyo and Zojirushi brands are
typically for domestic, home use only, This equipment must be replaced with NSF or
equivalent listed units or documentation must be submitted which demonstrates NSF
equivalency.
7, Submit a revised floor plan, drawn to scale, showing location of all equipment, plumbing
fixtures and the like, which includes the required additional sinks and information. The scale of
the drawing should be 1/4 inch equals I foot.
8. Please note that prior to opening of the facility, after the Health District plan review process is
completed and construction is finished a preoperational inspection must be conducted.
Please contact me if you have any questions, My office number is 425.339.5250.
Sincer y�
oberOA. ppa, R.S.
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Environ ental Healt�ASpe Ealist
RWek
Enclosure: Plan review application and fee schedule
cc: City of Edmonds Building Department
Everett office Washington State Liquor control Board
Layne Harper R.S., Environmental Health Specialist
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OCCUPANCY .................. — — —
-----------
DATEI_jD
PERMIT EX'PIRF-§
us PERMIT
CITY OF M�ONDS ZONE, NUMBER :ao()4jL,3,/
ADDRESS SUITE/APT#
CONSTRUCTION PERMIT APPLICATION JOB M
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OWNER NAMV�AME OF BUSINESS PLA LID NO,
LID FEE S
MAILINGA 5SS PU LIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXIBSTING - PROPOSED 0
CITY PHONE
REQUIRED DEDICATION- FT
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NAME YES C3 NO C3
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REMARKS
ADDRESS "I OWNER/CONTSACTOR RESPONSIBLE FOR EROSION CONTROUDRAWAGE
CITY ZIP TELEPHONE
NAME
ENGINEERING REVIEWEDIDATF
ADDRESS
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CITY ZIP TELEPHONE
10 BOND
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T.I..PE.MIT AUTHORIZES ONLY THE WORK NOIEM THIS PERMIT COVERS WORK TO
E DONE ON PIDVAT PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRAOINGIFILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
RIM N: g
IT APPL'I%T DAY& -
XCl 'A -ITHIN 180DAYS FEES
R AT Z G. REVIEW
PERMIT LIMIT. I YPE * PROVIDED
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
END INSPECTION FEE
'APPLICANTON BEHALFOF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO;ND MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 WASHING N. TS OFFICIALS, EMPLOYEES� AND AGENTS FROM ANY AND
eGMONBS To
AQESOFW"ATEVeRN URE.ARISINGGIRECTLY ORINDIRECTLY
ALL CLAIMS FOR DAM I
FROM THE ISSUANCE OF THIS PERMIT, SSUANCE OF THIS PERMIT SHALL NOT .5
DEEMED TO MODIFY, WAIVE OR REC,U,CE ANY REQUIREMENT OF ANY CITY ORDINANCE
H SA LIT TOE14FOPCSANYORDINANCEPROVISiON.'
NOR LIMIT IN ANY WAY T E CITY
LANDSCAPING
INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEOGS THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECTAND TMAT". THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER, , AGREE TO COMPLY WITH CITY AN. STATE LAWS REGULATING GONSTRUC-
Tlo�; AND DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYE 0
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WOFKM5N*S COMPENS:�!�URCE AND RCW I .. 7.
slor :) 1
lz '13—
CALL
FOR INSPECTII
(425)
771-0220
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
EXT 333
771-0221
FAX
S,98
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OF-i", , lh.' D.,Iy: -d F
ORIGINAL - FILE . YELLOW - INSPECTOR
PINK, OWNER - GOLD �ASSESSOR