20040235.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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MULTIFAMILY
REPAIR
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DEMOLISH
TANK
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CARPORT
ROCKERY
(TYPE OF USE, BUSINESS
OR ACTIVITY) EXPLAIN:
NUMBER
NUM13EII OF
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UNITS I
DESCRIBE WORK TO BE DONE
XPIRATION DATE I CHECKED BY
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NUMBER
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ADDRESS
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PLAT NAME/SUBDIVISION NO.
LOT NO
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App7_0 �d �13
RW permit Required 13
. urts, Use permit Roq'd 0
9
EXISTING — PROPOSED
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inspection Required 13
Sidewalk Required 0
REOUIRED DEDICATION—
Fl
Underground
Wiring required 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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� YES M NO 13
REMARKS
OWNER/CON TRACI OR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY
FIRE REVIEWED BY DATE
VARIANCE OR CU
SEPA REVIEW
COMPLETE EXEMPT
EXP I
LOT COVERAGE
ALLOWED PROPOSED
PVLINE orl AOI3# I INSPECTP1`1 I BOND
R'16 POSTED
XeHflrjO)�F� ONOIS
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ALLOWED . PWPOSED I ALLOWED , PROPOSED
PARKING LOT AREA
REO'D I PROVIDED I
REMARKS
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
1\ ) (-7 (:�LO,tI4 1 9/2— 0
HEAT SC)URCE GLAZIPIG % LOT 91-JOPE %
A111 1 141.4 1 11C411)-
PLAN CflECK NO: , I — I VESTED
THIS PERMIT AUTHORIZES ONLY THE'�IORK 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: 180DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. 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 REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.0
I -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE "I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; ANV DOING THE WOPK'AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOL�T OF THE LAB04 PODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN 66MPENSATION INBURANCE AND RCW 18.27.
SIGN
_JR1 R,PA ENI..
D
DATE SIGNED
VALUATION
$ 1A
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
FEE Dedcription FEE
ji g -�
State Surcharge
R-4 City Surcharge / 7
J
Plan Chk. Deposit
Recei fit
Total Amt. Due
Receipt #
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 provided
�Flct4j RE
DATE
7IG
RELEASE
A171WIDN \ " v t:A I I jjj
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
CALL
FOR INSPECTION
(425)
771-0220
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
0,
RIGINAU-- FILE YELLOW �INSPECTOR
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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.1994 Washington State Nonresidential Energy Code Compliance Forrn
lighting "Summary LTG -SUM
1 9D4 Washington State Nonresidential Energy Code Compliance Forms Second Edrdon - June 1995
Project Info
Project Address.,��>�-JoVp
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*
Dale
For Building Department Use
n4T)�—
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Applicant Name: I-
Applicant Address:
Applicant Phone:
Project Description U New Building L3 Addition A Alteration
Compliance Option L] Prescrio" L3 Ughtlng Power Aflowanoe Systems Analysis
(See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
I I
Alteration Exceptions 0 changes are being made to the lighting
(check appropriate box) 1 13 Less than 600/6 of the fixtures are new, and Installed lighting wattage Is not being Increased
Maximum Allowed Lighting Wattage (Interior)
Location
(floor/room no.)
Occupancy Description
Allowed
Wafts per ft2
Area In fe
Allowed x Area
From Table 15-1 (over) - document all exceptions taken from footnotes Total Allowed Watts
Provosed Lighting Wattage (Interior) (May not exceed Total Allowed Watts for Interior)
Location
(floor/room no.)
Fixture Description
Number of
Fixtures
Watts/
Fixture
Wafts
Proposed
Total Proposed Watts may not exceed Total Allowed Watts for Interior
Total Proposed Watts
Maximum Allowed Lighting Wattage (Exterior)
Location
Description
Allowed Watts
per fe or per If
Area In fe
(or If for perimeter),
Allowed Watts
x fe (or x U)
Covered Parking
0.2 We
Open Parking
0.2 We
Outdoor Areas
0.2 We
Bldg. (by facade)
0.25 Me
'61dg. (by perim)
7.5 WAf
Note: for building exterior, choose either the facade area or the perimeter method, but not both) Total Aflowed Watts
Prot)osed Liahtine Wattaize (Exterior) (May not exceed Total Aflowed Watts for Exterior)
Location
Fixture Description
Number of
Fixtures
Watts/
Fixture
Watts
Proposed
Total Proposed Watts may not exceed Total Allowed Watts for-Exterlor Total Proposed Watts
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1994 Washington State Nonresidential Energy Code Compliance form
1994 WashhVon State Nwresidentlal Energy Code compUnce Forno �M=W�I-Qwm �V
lPrPeirAinfivp Rnarp.q loccupancy U Warehouses, storage areas or aircraft storage hangers (3 other I
Qualification CheCkliSt Lighting Fixtures: L3 Check here If at least 95% of fixtures In the space meet all four criteria:
Note: If occupaM " Is 60ftrm and fixliurs
answer is checked, the minter of fixtures In 1. Fixtures are fluorescent non -lensed, with only one or two lamps, and
the space in not lImUd by Code. Cleeirly 2. Lamps are T-5, T-6, T-8 or PL, and 3. Lamps are 5-50 Watts, and
Imlicate theso spaces on plans. If not
qualified, do LPA Calculatloins. 4. Ballasts are electronic ballasts
Table 15-1 Unit Lighting Power Allowance (LPA) for Interior Lighting
tin,
ILPA!
(Wfill
use,
ILPA!
(Willt")
Painting, welding, carpentry, machine shops
2.3
Police and fire StEltiOnSO
1.2
Barber shops, beauty shops
2
Atria (striume)
1
Hotel bancluet/confenancalexhlbttion halp.4
2
Asserhl* spaoese, auditoriums, Clymnasle, teeters
1
Laborabries
2
Process plants
I
Aircraft repair hangars
1.5
Restaurants/bars
1
Cafeterias, fast food stablishmente
1.5
Relall AO
I
Factories wofthcps handling areas
1.5
Retail e, Retail barkft
1.5
Gas stab", auto repair shoW
1.5
Locker ardor shower facilities
0.8
Institutions
1.5
Warehouses". storage areas
0.5
Llbrarleas
Nursing homes
1.6
1.5
Aircraft storage hangars
PaltinggaMes
0.4
60066COMIM
Wholesale stores (pallet rack shelving)
1.5
Mall concourses
1.4
Plans Submitted for Common Ames OnIY7
Schools buildings, school classrooms, day care centers
1.35
Common area, corridors, lobbies (except mall conoDurse)
0.8
Laundries
1.3
Toilet facilities and washrooms
0.8
office buildings, offloaladministrathre areas In facilities of
other use types (Including but not ll�mftad to schools,
,hospitals, Institu I dons, museums, banks, churChW)6.7'11
1.2
Footnote* for Table 15-1
1. In cases in which a use is not mentioned specifically, the Unit Power ABowance shall be determined by the building official. This
determination shall be based upon the most comparable use spedfied 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 fect, unless specifically directed
otherwise by subsequent fbotnotes.
3. Watts per square foot of room maybe 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 Ldgk PowerAllowance for assembly.
5. Watts per square fixit of room may be increased by two percent per foot of ceiling height abovenine feet.
6. Includes pump area under canopy.
7. In cases in which a lighting plan is submitted fbr only a portion of a floor, a Unit Lighting Power Allowance of 1.35 may be used fbr
usable office floor area and 0.80 watts per square foot sball be used fur 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 fboL
9. For indoor sport tournament couits with adjacent spectator seating, the Lbit Lighting Power Allowance for the court area is 2.6 watts per
square foot.
10. For both Retail A and RetaU B, light for free-standing display, buflding showcase illumination and display window illumination installed
within two feet of the window are exempt.
Retail A allows a Lbit Ugbting Power Allowance of 1.0 watts per square fboL Ceiling mounted adjustable tungsten haJogen and RD
merchandise display i1luminaries arc exempL
Retail B allows a Lbit Lighting Power Allowance of 1.5 watts per square foot, including all ceiling mounted merchandise display
luminarim
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 Ugbdng 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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R E C E I r LIA]b KIM" r'%' I Fxrr1N%J V I-ViLl r "JNIVJL
AUG 13 20', TO:
DATE:
DEVELOPMEN
"'T'l OF
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE cl
ENGINEERING DIVISION DATE
PLEASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT A�_
SITE ADDRESS 0 0 1"11( 2—
PERMIT )e2 3-5�' —ADB#_______pATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
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 BOND and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprvl.doc.l:temp:bldg:fornisIO/OI
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ...........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
GasTest ....................
Gas Piping ................. Vkl)
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING........................ IN) .......
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. NA
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