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THIS PERMIT AUTHORIZES 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 APPLICATION: IGO DAYS
PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANi, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTERESI, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALI CL AIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIREC FLY On INDIRECI IY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. Oil THE DULY AUTHORIZED AGLNT OF
THE OWNER. I AG13EE TO COMPLY W1111 CITY AND STATE LAWS REGULAI ING CONSTRUC
TION, 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
Sl rURE (OWNER DATE SIGNED
JOB
ADDRESS
PLAT NAMEISUDDIVISION NO LOT NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREE1 MAP
EXISTING - PROPOSED
REQUIRE[) DEDICATION- FI
METER SIZE I LINE SIZE I NO. OF FIXTURES
1(2�
SUITE/APT#
LID NO,
LID FEE $
TESCP Approved
HW Permit Required
Street Use Permit Hort'd
Inspection Required
Sidewalk Required
underground
Wiring required
PRV REQUIRED
YES13 NO 13
REMARKS
OWNER/CON1RACTOR RESPONSIBLE FOR EROSION CONTROLYDRAINAGE
ENGINEERING REVIEWED BY
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Description
FEE
Description
FEE
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State Surcharge
Building Permit
City Surcharge
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APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space rilrovided.
FFICI' VGF DATE
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PFIC'f:
1"n A S F 1) 11 Y DATE
ATTENTION tx I 1;jjjj -1 11 1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09,03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - IPSPECTC
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2001 W h' t Ir
20011 Washington State Nonresidential tinet9y Code Compliance Forms '
Revised June 2002 - KXA
Project Info
Project Address
Date
1,7,01/.
'2
,3(o&2 �
For Building Department Use
Y-ex o ei VJ A A
Applicant Name:
Applicant Address:
Applicant Phone:
—1
Project Description
New Building Addition Alteration Plans included
Refer to WSEC Section 1513 for controls and commissioning requirements.
Compliance Option
rescriptive 0 Lighting Power Allowance 0 Systems Analysis
FtPe Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
Alteration Exceptions
(check appropriate box)
E] No changes are being made to the lighting
JKLess than 60% of the fixtures are new, and installed lighting wattage is not being in reased
11
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IVJLU,Xl I I I U I I It-% I
Location
(floor/room no.)
U IV ULA _A�IAALLI A I A T I ,I
occupancy Description
Allowed
Watts per ft2
Area in ft2
Allowed x Area
From Table 15-1 (over) - document all exceptions on form LTG-LPA Total Allowed Watts
Notes:
1. Use manufacturer's listed maximum input wattage. For hard -wired ballasts only, the
default table in the NREC Technical Reference Manual may also be used
2. Include exit lights unless less than 5 watts per fixture.
i ict nit riytiirps, ForexemDt liahtina. not exception and leave Watts/Fixture blank.
Proposeaughtnit,
Location
(floor/room no.)
Fixture Description
Number of
Fixtures
Watts/
Fixture
Watts
Proposed
Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Waqs
Iviaximum 1101Vt;U
JU glit jig IT 4R.L446�
Allowed Watts
Area In fl?
Allowed Watts
Location
Description
per ft2 or per If
(or If for perimeter)
x fl? (or x If)
Covered Parking
0.2 W/ft2
(standard paint)
Covered Parking
0.3 W/ft'
(reflective paint)
Open Parking
0.2 W1fI?
Outdoor Areas
0.2 W/fe
Bldg. (by facade)
0.25 Wift 2
P-9--ft perim)
mnta- fnr hifliflinn Pytprior. choose either the facade area or the perimeter method, but not both) Total Allowed Watts
Use mfgr listed maximum input wattage. For fixtures with hard -wired ballasts only,
,1C ence ma
Proposed Li hting Watt: gre (Exterior) the default table in the NREC Technical Refer Manual also be used.
Number of Watts/ Watts
Fixtures Fixture Proposed
Location Fixture Descdptlon i I �
Total Proposed Watts may not exceed Total Allowad Watts for Exterior Total Proposed
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2001 Washington State
Prescriptive Spaces
Energy Code Compliance Forms
Qualificatimi Checklist
Note: If occupancy type is 'Other' and fixture
answer is checked, the number of fixtures in
the space is not limited by Code. Clearly
Indicate these spaces on plans. If not
qualified, do LPA Calculations.
Occupancy:
Lighting Fixtures:
n
Revised June 2002 - KPA
0 warehouses, storage areas or aircraft storage hangers *Other
N Check here if at least 95% of fixtures in the space meet all four criteria:
1. Fixtures are fluorescent, non -lensed, with only one or two lamps, and
2. Lamps are T-1, T-2, T-4, T-5, T-6, T-8 3. Lamps are 5-50 Watts, and
4. Ballasts are electronic ballasts 5. Exit lights < 5 watts/fixture
6. Screw -in compact fluorescent fixtures do not qualify-
M__ Ail� ... 11 DAI
11MOL-L-_ lu-i 111L
- %-. . -1
LPA4
Use'
LPA"
Use'
(WISO
(Wlsf)
Painting, welding, carpentry, machine shops
2.3
Police and fire stations"
1.5
Barber shops, beauty shops
2.0
2.0
Atria (atriums)
Assembly s paces', auditoriums, gymnasia , heaters
1.0
1.0
Hotel banquet/conference/exhibition hall
- ' -a
1.0
Laboratories
2.0
*0
Group R-1 common areas
Aircraft repair hangars
,
1.5
Process plants
1.0
1.0
IS
Cafeterias, fast food establishmients
1 5
1.5
E2
Restaurants/bars
Factories, workshops, handling areas
1 .
1.5
Locker and/or shower facilities
0.8
s
Gas stations, auto repair shopsb
1.5
Wa�rehouses , storage areas
0.5
Institutions
1.5 --Retail"',
Aircraft storage hangars
0.4
Librarieso
1.5
retail banking
1.5
Nursing homes and hotel/motel guest rooms
1.5
Parking garages
See Section
1532
Wholesale stores (pallet rack shelving)
1.5
1.4
------------ r-
Plans Submitted for Common Ar as Only
Mail concourses -
Schools buildings (Group E occupancy )nly),
1.35
Main floor building IobbiesJ (except mail
1.2
school classrooms, day care centers
1.3
concourses) ...
Common areas, corridors, toilet facilities and
0.8
Laundries
washrooms, elevator lobbies
Office buildings, office/administrative areas in
1.2
facilities of other use types (including but not limited
to schools hospitals, institutions, museums, banks,
churches) 9,7,11
Footnotes for Table 15-1
I In cases in which a general use and a specific use are listed, the specific use shall apply. In cases in which a use is not
mentioned specifically, the Unit Power Allowance shall be determined by the building official. This determination shall be based
upon the most comparable use specified in the table. See Section 1512 for exempt areas.
2) The watts per square foot may be increased, by two percent per foot of ceiling height above twenty feet, unless specifically
directed otherwise by subsequent footnotes.
3) Watts per square foot of room may be increased by two percent per foot of ceiling height above twelve feet.
4) For all other spaces, such as seating and common areas, use the Unit Light Power Allowance for assembly.
5) Watts per square foot of room may be increased by two percent per foot of ceiling height above nine feet.
6) Includes pump area under canopy.
7) In cases in which a lighting plan is submitted for only a portion of a floor, a Unit Lighting Power Allowance of 1.35 may be used
for usable office floor area and 0.80 watts per square foot shall be used for the common areas, which may include elevator
space, lobby area and rest rooms. Common areas, as herein defined do not include mall concourses.
8) For the fire engine room, the Unit Lighting Power Allowance is 1.0 watts per square foot.
9) For indoor sport tournament Courts with adjacent spectator seating, the Unit Lighting Power Allowance for the court area is 2.6
watts per square foot.
10) Display window illumination installed within 2 feet of the window, lighting for free-standing display where the lighting moves with
the display, and building showcase illumination where the lighting is enclosed within the showcase are exempt.
An additional 1.5 w1W of merchandise display luminaires are exempt provided that they comply with all three of the following:
a) located on ceiling -mounted track or directly on or recessed into the ceiling itself (not on the wall).
b) adjustable in both the horizontal and vertical axes (vertical axis only is acceptable for fluorescent and other fixtures with
two points of track attachment).
c) fitted with tungsten halogen, fluorescent, or high intensity discharge lamps.
This additional lighting power is allowed only if the lighting is actually installed.
11) Provided that a floor plan, indicating rack location and height, is submitted, the square footage for a warehouse may be
defined, for computing the interior Unit Lighting Power Allowance, as the floor area not covered by racks plus the vertical face
area (access side only) of the racks. The height allowance defined in footnote 2 applies only to the floor area not covered by
racks.
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2001 Washing n State Nonresidential Energy Code Qomr)liance Form ---
20071 Rashington State Nonresidential Endrgy Code Compliance Forms Revised June 2002 - KJM
w
F rro Date
Irojec t Address 23 Edenood-s, WA
The following informaUon is necessary to check a lighting permit application for compliance with the lighting requirements in the
1994 Washington State Nonresidenflal Energy Code.
Location Building Department
Applicability Cod 'TInformation
(yes, no, n.a.) SectiojnComponent Required on Plans Notes
LIGHTING CONTROLS (Section 15U)
1513.1
Local control/access Schedule with type, indicate locations AM
Ye- 5
1513.2
EMcat
Area controls Maximum limit per switch
Ye— s
1513.3
Daylight zone control Schedule with type and features, Indicate locations
vertical glazing Indicate vertical glazing on plans
overhead glazing
Indicate overhead glazing on plans
1513.4
Display/exhib/special
Indicate separate controls
1513.5
Exterior shut-off
Schedule with type and features, indicate location
(a) timer w1backup
Indicate location
(b) photocell.
Indicate location
1513.6
Inter. auto shut-off
Indicate location
1513. .1
(a) occup. sensors
Schedule with type and locations
1513.6.2
(b) auto. switches
Schedule with type and features (back-up, override capability);
Indicate size of zone on plans
4 1513.7
Al
Commissioning
Indicate requirements for lighting controls commissioning
n. a.
Lighting Sum. Vorm
. Completed and attached.
Aq, I
I
Schedule with fixture types,
lamps, ballasts, watts per fixture
I
Elec motor efficiency
I MECH-MOT or Equipment Schedule with hp, rpm, efficien Y
In AAi
If "no" is circled for any question, provide explanation:
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Washinglon
�n�rgy Code compliance Forms
Lighting - General Requirements
1513 Lighting Controls. Lighting, including exempt lighting in
Section 1512, shall comply with this section. Where occupancy
sensors are cited, they shall have the features listed in Section
1513.6.1. Where automatic time switches are cited, they shall
have the features listed in Section 1513.6.2.
1513.1 Local Control and Accessibility: Each space,
enclosed by walls or ceiling -height partitions, shall be provided
with lighting controls located within that space. The lighting
controls, whether one or more, shall be capable of turning off
all lights within the space. The controls shall be readily
accessible, at the point of entry/exit, to personnel occupying or
using the space.
EXCEPTIONS: The following lighting controls may be
centralized in remote locations:
1. Lighting controls for spaces which must be used
as a whole.
2. Automatic controls.
3. Controls requiring trained operators.
4. Controls for safety hazards and security.
1513.2 Area Controls: The maximum lighting power that may
be controlled from a single switch or automatic control shall not
exceed that which is provided by a twenty ampere circuit
loaded to not more than eighty percent. A master control may
be installed provided the individual switches retain their
capability to function independently. Circuit breakers may not
be used as the sole means of switching.
EXCEPTIONS:
I . Industrial or manufacturing process areas, as
may be required for production.
2. Areas less than five percent of footprint for
footprints over 100,000 square feet.
1513.3 Daylight Zone Control: All daylighted zones, as
defined in Chapter 2, both under overhead glazing and
adjacent to vertical glazing, shall be provided with individual
controls, or daylight -or occupant -sensing automatic controls,
which control the lights independent of general area lighting.
Contiguous daylight zones adjacent to vertical glazing are
allowed to be controlled by a single controlling device provided
that they do not include zones facing more than two adjacent
cardinal orientations (i.e. north, east, south, west). Daylight
zones under overhead glazing more than 15 feet from the
perimeter shall be controlled separately from daylight zones
adjacent to vertical glazing.
EXCEPTION:
Daylight spaces enclosed by walls or ceiling
height partitions and containing 2 or fewer light
fixtures are not required to have a separate switch for
general area lighting.
1513.4 Display, Exhibition, and Specialty Lighting
Controls: All display, exhibition, or specialty lighting shall be
controlled independently of general area lighting.
June 2002 -
1513.5 Automatic Shut -Off Controls, Exterior: Exterior
lighting not intended for 24-hour continuous use shall be
automatically switched by timer, photocell, or a combination of
timer and photocell. Automatic time switches must also have
program back-up capabilities, which prevent the loss of
program and time settings for at least 10 hours, if power is
interrupted.
1513.6 Automatic Shut -Off Controls, Interior: Office
buildings greater than 5,000 sq. ft. and all school classrooms
shall be equipped with separate automatic controls to shut off
the lighting during unoccupied hours. Automatic controls may
be an occupancy sensor, time switch, or other device capable
of automatically shutting off lighting.
EXCEPTIONS:
1 . Areas that must be continuously illuminated, or
illuminated in a manner requiring manual
operation of the lighting.
2. Emergency lighting systems.
3. Switching for industrial or manufacturing process
facilities as may be required for production.
1513.6.1 Occupancy Sensors: occupancy sensors shall be
capable of automatically turning off all the lights in an area, no
more than 30 minutes after the area has been vacated.
1513.6.2 Automatic Time Switches: Automatic time switches
shall have a minimum 7 day clock and be capable of being set
for 7 different day types per week and incorporate an autornatic
holiday "shut-off' feature, which turns off all loads for at least
24 hours and then resumes normally scheduled operations.
Automatic time switches shall also have program back-up
capabilities, which prevent the loss of program and time
settings for at least 10 hours, if power is interrupted.
Automatic time switches shall incorporate an over -ride
switching device which:
a) is readily accessible;
b) is located so that a person using the device can see the
lights or the areas controlled by the switch, or so that the
area being illuminated is annunciated; and
c) is manually operated;
d) allows the lighting to remain on for no more than two hours
when an over -ride is initiated; and
e) controls an area not exceeding 5,000 square feet or 5
percent of footprint for footprints over 100,000 square feet,
whichever is greater.
1513.7 Commissioning Requirements: For lighting controls
which include daylight or occupant sensing automatic controls,
automatic shut-off controls, occupancy sensors, or automatic
time switches, the lighting controls shall be tested to ensure
that control devices, components, equipment and systems are
calibrated, adjusted and operate in accordance with approved
plans and specifications. Sequences of operation shall be
functionally tested to ensure they operate in accordance with
approved plans and specifications. A complete report of test
procedures and results shall be prepared and filed with the
owner. Drawing notes shall require commissioning in
accordance with this paragraph.
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2001 Washington State
Project Info
2001 Wash
Energy Code Compliance Forms
Project Description
Briefly describe mechanical
system type and features.
F� includesplans
Project Address
Applicant Name:
Applicant Address:
Applicant Phone:
S!ate Nonresidential Energy Code Compliance Form
June 2002 - KYA
BECU/Safeway Store #1297 Date 1/6/2004
23632 Highway 99 For Building Dept. Use
Edmonds, WA
A 2 ton split system with electric resistance heat.
Drawings must contain notes requireing compliance with commissioning requirements - Section 1416
Compliance Option * simple System 0 Complex System 0 Systems Analysis
I (See Decision Flowchart (over) for qualifications. Use separate MECH-SUM for simple & complex systems.)
Equipment Schedules The following information is required to be incorporated with the mechanical equipment scrieclutes on ine
For pro
plans. jects without plans, fill in the required information below.
Cooli g Equipment Schedule
Equip. Capacity, OSA CFM SEER
ID Brand Name' Model No.' Btu/h Total CFM or Econo? or EER IPLV' Location
CU-1
Carrier
38CKCO24-3
23600
800
80
10.00
N/A
roof
Heati g Equipment Schedule
Equip. Capacity UbA CTM 4
ID Brand Name' Model No.' Btu/h — Total CFM or Econo? Input Btuh Output Btuh Efficiency
FC-1 Carrier KFCEH 25598 800 80 25538 1.000
r—
Fan uipment Schedule
Equip. HP/BHP Flow Controls Location of Service
ID Brand Name' Model No.' CFM SP,
FC-1
Carrier
FH4BNF001
800
0.35
0.25
cv
Plenem
'If available. ' As tested according to Table 14-1 A through 14-1 G. ' if required. ' COP, HSPF, Combustion Eniciency. or At- u t, as
applicable. 5 Flow control types: variable air volume(VAV), constant volume (CV), or variable speed (VS).
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2001 Washington State Nonresidential Energy Code Com
Form
System Description
See Section 1421 for full description
of Simple System qualifications.
I
If Heating/Cooling Constant vol?
or Cooling Only: F±] Split system?
F-�/ Air cooled? E] Packaged sys? 0, <54,000 Btuh
or 1900 cfm?
Economizer included?
If Heating Only:
--
<5000 cfrn?
<70% outside air?
E]
Decision Flowchart Use this flowchart to determine if project qualifies for Simple System Option. If not, either the
Complex System or Systems Analysis Options must be used.
-Heating/Cooling_ 470% OSA — Nc
or Cooling Only
Yes
Heating Only
I
<5000
Y s
cfm?
Air
Reference Cooled?
S 1
C; ection 142 D
No Yes <—
I I
gle
<70% OSA Yes 0- g
Yes--<Packa a —No
1 Unit? >
< 000 Btuh Split
S lit
0��900 crm?
No or 1'900 cfm? ZSy s 7tpe rn ?>
No
I
Complex Systems
y
I
Yes
Yes
Reference
ZEcono
Yes-110 C;S#ection 1423)
>84,000 Btuh
Included?
Simple System
N 0 <—
Allowed 14—
r c
FReference
action 1420�
S S cto
Use Complex �Refeence
r c
r
S
T Systems ection 1 43�0
Refer to MECH-COMP Mechanical Complex Systems for assistance in determining which
Complex Systems requirements are applicable to this project.
2001 Washington State Nonresidential Energy Code Compliance Forni I
2001 Washington Sla:9 Nonresidential Energy Code Compliance Forms' June 2CY02 - KJlA
P F reject Address BECU/Safeway Store #1297
Date 1/6/2004
The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the
Washington State Nonresidential Energy Code. -[—Location
Applicability.
(yes, no, n.a )
Cc e
Section_
Component I Information
Required I
on Plans
Building Department
Notes
_[
HVAC REQUIREMENTS
-
(Sections 1401-1,424)
1411
Equipment performance
.a.
1411.4
Pkg. elec. htg.& cIg.
List heat pumps on schedule
yes
1411.1
Minimum efficiency
Equipment schedule with type, capacity, efficiency
M1.1
.a.
1411.1
Combustion h1g.
Indicate intermittent ignition, flue/draft damper & jacket loss
HVAC controls
1412
yes
1412.1
Temperature zones
Indicate locations on plans
yes
1412.2
Deadband control
Indicate 5 degree deadband minimum
M1.1
.a.
1412.3
Humidity control
Indicate humidistat
yes
1412.4
Automatic setback
Indicate thermostat with night setback and 7 diff. day types
M1.1
yes
1412.4.1
Dampers
indicate damper location and auto. controls & max. leakage
M1.1
.a.
1412.4.2
Optimum Start
Indicate optimum start controls
.a.
1412.5
Heat pump control
Indicat icroprocessor on thermostat schedule
n.a.
1412.6
Combustion htg.
indicate modulating or staged control
yes
1412.7
Balancing
Indicate balancing features on plans
M1 .3.
n.a.
1422
Thermostat interlock
indicate thermostat interlock on plans
n.a.
1423
Economizers
Equipment schedule
economizers
_T4_13'�ir
.a.
1413.1
Air Econo Operation
Indicate 100% capability on schedule
n.a.
1413.1
Wtr Econo Operation
InKate 100% capacity at 45 degF db & 40 deg F wb
.a.
1413.2
Water Econo Doc
Indicate cIg load & water econoe & cig tower performance
n.a.
1413.3
Integrated operation
Indicate capability for partial cooling
ri. a.
1413
1:9 .4
Humidification Indicate direct evap or fog atomization wit air economizer
1414
Ducting systems
yes
1414.1
Duct sealing
ndicate sealing necessary
M1.1
yes
1414.2
Duct insulation
Indicate R-value of insulation on duct
M1.1
.a.
1415.1
Piping insulation
Indicate R-value of insulation on piping
1 1416
1L;omp eflon Requirements
yes
1416.1&2
Drawings & Manuals
Indic I requirement for record drawings and operation docs.
M1.1
yes
1416.3.2
Air Balancing
Indicate air system balance requirements
M1.1
.a.
1416.3.3
Hydronic Balancing
Indicate hydronic system balance requirements
yes
1416.4
Commissioning
Indicate requirements for commissioning and prelim. Report
Mi. 1
rl.a.
1424
Separate air Sys.
Indicate separa�tesyslems on plans
yes
L
Mecl�
on719eTte5 and attached. Equipment schedule with types,
put/output efficiency, cfm, ho, economizer
— —is _UOMC11
(Sections T474U4454)_
SERVFCE WAI
ER HEA-1 INU A HEAT )LS
Service water htg.
n.a.
I'l 1
1,141
Elec. water heater
Indicate R-10 insulation tinder tank
n.a.
P1440
1442
Shut-off controls
Indicate automatic shut-off
n.a.
1443
1
Pipe Insulation
Indicate R-value of insulation on piping
n.a.
1452
Heat Pump COP
Indicate minimum COP of 4.0
n.a.
1452
Heater Efficiency
Indicate pool heater efficiency
n.a.
_74-53
Pool heater controls
Indicate switch and 65 degree control
a.
1454
Pool covers
Indicate vapor retardant cover
a.
Is �90+ de�grees
In I di , cate R-12 pool cover
It "no" is circieCl Tor any quebtiulij, PIUVIUU t:AV1Q11U,-�...
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
February 11, 2004
Elite Commercial Contracting
804 W Meeker
Kent, WA 98032
GARY HAAKENSON
MAYOR
Re: Building Permit: 2004-0102
Site Address: 23632 Hwy 99
Expiration Date: 2/4/05 1 A
eived the sheetrock
recentl
According to Building Division records the subject project has recentl rec
nailing inspection approval. The remaining inspections required are n ted on the field job card
and include final inspections by Fire, Engineering, Planning and las05 uilding. Please be
6 . or to this date you must
advised, the subject building permit will expire on February 4, 2v 04,, rt
have final project approval from the above noted Departments or y must renew the permit. If
you are certain that the work will not be complete prior to this date you must submit a new
application and permit fees of $407 (one half the original building permit fee) before February 4,
2005. If the permit expires, full fees of $814 shall be required in order to complete the project.
If you are certain the building will be complete before the permit expires be sure that the all other
City Departments have granted final project approval before contacting the Building Inspector
for the final occupancy inspection.
If you have any questions please feel free to call our office at 425-771-0220.
Sincerely,
i Mu
J nny Read in
ru
enmit Coordinator
L\Te1-np\DST's\Mastcr Letters\SrwamLtrCom 10/27/00
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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02/16/2eO4 08:20 2536933101 PAGE 01/02
FAX
g04 West meeker S"et Kent WA M32
PhOM253'eM.3100 Fzx2o.M.3101
ELITE
Date: Fobruary J6, 2004
company: City of Edmonds Projoct: BEM
Attn-. Jenny Readvvin
Project
cc: Phone: 425.771.022()
Fax: 425.771.0221
RE; Permit 20D4-0102 Pages; 2
confused by the expiration date. assume that
We received this, letter on Friday. However, I am a little
-0. Could you please confirm that for us?
the 02J04104 is just a type
Thanks,
Ali
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02/16/2004 06: 20 25-36933101 PAGE 02/02
ENSON
GARY HAAK
CITY OF EDMONDS MAYOR
121 57 H AVENUE NORTH EDMONDS. WA 98020 , (425) 771-02;.)C FAX (425) 771-022 1
Website: v—vd CdMcndS,\vA-uS
DEVELOPMENT SERVICES DEPARTMENT
Plannina - BuildIng Engineering
C.. C)"
February 11, 2004. z
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Elite Commercial Contracting
804 W Meeker
Kent, WA 98032 CD --q
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Re: Building Permit:. 2004-0102 0 C
Site Address: 2363zap, 99
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o Building Division records the subject project as recently received the sheetrock
According t
nailing inspection approval. 'The remaining inspections re 'red are noted on the Field job card 0 -n
uilding. Please be -n
and includc final inspections by Fire, Engineering, P1
to this date you must
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a6iised, tht diiIJi-ect building permit will expire ebr'uai* 4 0 4;- n
I ia"v** e, I final �roj�ct approval from the above note artments or 'ou renew the permit. If
you are certain that the Work will not be complet priortotiis ateyoumustsubmitanew of—
orn
application and permit fees of $407 (one half the original building permit fee) before February 4, C Cn
complete the proj cot. 9 co
2005. If the permit expires, fall fees of $814 shall be required in order to M 0
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-nit expires be sure that the all other
If you are certain the building will be complete before the pen X
oval before contacting the Building Inspector
City Departments have granted final project appr
for-flie final occuparicy� inspection. z
If you have any qucstions please feel free to call our office at 425-771-0220.
z
FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -o-z' - - FIRE DEPARTMENT DATE.
PI EA E SIGN
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT
RI�CEIVED
FEB 2 6 20M
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
SITE ADDRESS-3::��3&
PERMIT —ADB#-.DATE INSPECTED-2 —0 L--t-
DESCRIPTION OF WORK TO BE INSPECTED I
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE.BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
1 -
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
I -
PA
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprv1.doc-1:temp:b1dg:fbnnS 10/0 1
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ................. ........
Pier/Porch .................
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Retaining Wall ........... 0
0
Slab Insulation .......... ITI
PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final ......
HEATING: M
M z
Gas Test .................... C) I
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Gas Piping .................
3:
Equipment ................. co
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Commercial Final .......
EXTERIOR SHEATHING M M
NAILING .......................... (n
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FRAMING ........................ C W
9 Cn
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FIRST FLOOR FRAMING ...
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...........
INSULATION ........
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
SPECIAL INSPECTION ... 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................