20040385.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
UWNER NAME/NAME OF 13USINESS
()I I%1'Im7,e
LOU' MAILING ADDRESS
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ITY
-IP TELEPHONE
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NAME
ADDRESS
CITY
ZIP
TELEPHONE
CBL a
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ADDRESS
CITY ZIP TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED 13Y
PROPERTY TAX ACCOUNT PARCEL.NO.
0
NEW
RESIDENTIAL
PLUMBING / MECH
ADDITION
COMMERCIAL
El
COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY
SIGN
REPAIR
GRADING
CYDS
FENCE
( X FT
DEMOLISH
TANK
OTHER
GARAGE
CARPORT
RETAINING WALL
FIRE SPRINKLER
ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS
OR A IVITY) EXPLAIN:
f
NUMBER
OF
STORIES
NUMBER OF
DWELLING yi,, -
UNITS A—
CRITICAL
AREAS
NUMBER
DESCRIBE WORK TO BE DONE
r1t,)
� / /J 4j IN 1`7 , --
HEAT SOURCE I GLAZING % I LOT SLOPE %
PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
OIL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(n 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
i3 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECFLYOR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERM11 SHALL NOT BE
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-j DEEMED TO MODIF�� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY's 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. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT!ONQFZliE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN S #OMPqSATION INSURANCE AND RCW 18,27.
SIGNATURE I "WNE. OR AGENT) DATE SIGNED
-< , -- L/ L/
N -+u jw
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PERMIT EXPIRES
USE
111E PERMIT
N U M B E R
Inn
SUITE/APT#
ADDRESS
PLAT NAMEISUBDIVISION N
7
LOT NO.
LID NO,
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IESGP Approved
RW Permit Required
Street Use Permit Req'd
EXISTING — PROPOSED
Inspection Required
Stdn%alk Required
REQUIRED DEDICAITION— FT
Underground
1 Wiring required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES13 NO 13
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGF
ENGINEERING REVIEWED
DATE
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FIRE REVIEWED BY DATE ui
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VARIANCE OR CU SHORELINE OR ADBI I INSPECTION BOND
REQ'D POSTED
DYES ONO S
SEPA REVI� SIGN AREA I HEIGHT
COMPLETE , E WED , PROPOSED ALLOWED , PROPOSED
EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR 0
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PARKING LOT AREA PLANNING REVIEWED BY DATE 15
REO'D I PROVIDED I I IL
REMARKS
CHECKED BY ITYPE
OCCUPANT
GROUP
SPECIAL INSPECTION
OCCUPANT
REQUIRED [] YES
JAREA
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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VALUATION
Plan Check
Building Permit_
Plumbing
Mechanical
rading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE
Description
State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
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 ackn"ledged in space provided.
F;FIMCISIGN DATE
71�(Tl 16 11 1
N Fj1 -, " /, I., /" �-.
ATTENTION EXT 1333
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
09/03 PRESS HARD —YOU ARE MAKING 4 COPIES
D BY
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ORIGINAL-FiLE YELLOW- INSPyrqTC
PINK -OWNER GOLD -ASSESSOR
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1994 Washington Sfate NonlesidenflEil Energy Code Compliance Fqrm,
L.1911U11H %-aU111111C11Y %11JC1%VF%J
Second EdMw - June 1905
Prescriptive Spaces Occupancy El Warehouses, storage area or aircraft storage harVm [3 Other
Qualification Checklist Lighting Fixtures: U Chocit here " at least 95% of fixtures In the space meet all four cdtaft:
Note: If occupancy type In 'Ofte and fixture
wm"r Is checked, the number of fixtures In 1. Fixtures are fluorescerrt, norHensed, with only one or two lamps, and
the &pace Is not Orrifted by Code. Clearly 2. Lamps are T-5, T-6, T-8 or PL, and 3. Lamps are 5-50 Watts, and
kxkate these spaces on plans. If not
quallfieti, do LPA Calculations. 4. Ballasts are electronic ballasts
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Table 15-1 Unit Lighting Power Allowance (LPA) for Interior Lighting
Use,
LPR
(WIfe)
U",
LPA!
Painting, welding, carpentry, machine shops
2.3
Police and fire stational
12
Barber shops, beauty snM!
2
Atria (atriums)
1
Hotel bancluet/conference/exhlbitlon hW?'4
2
Assembtv spacesg, auciftoriums, cynnasle, theaters
1
Leb=10riffi
2
Process plants
I
Aircraft repair hangars
1.5
Restsurantsrbars6
1
Cafeterias, fast food establishmentO
1.5
Retall A"'
I
Factories, workshops, handing areas
1.5.
ReWl &*. Retail baridng
1.5
Gas stations. auto moair shops!
1.6
LwJw ancilor ema facilities
0.8
Institud"
1.5
Warehouses". storage areas
0.5
1-115mr1eag
Nursing homes
1.5
1.5
Aircraft storage hargars
Parking gaTiM
0.4
5" Boom ISM
Wholesale stores (pallet rack shelving)
1.5
Mall concourses
1.4
plane submitted for Common Areas OnIV
Schools buildings, school classrooms, day care centers
1.35
Common area, corridors, lobbies (except mail concourse)
0.8
Laundries
1.3
Toilet facilities and washroom
0.8
office buildings, officaladministrative a in faciUtles of
other use types (including but not lirnited to schools,
Lhctpltals, Institutions,'museuM banks, churches)""'
1.2
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Footnote& for Table 15-1
I in cases in which a use is not mentioned specifically, the Unit Po%wr)illowance shall be determined by the building official. This
determination shall be based upon the most comparable use specified in the table. See Section 1512 fbr exempt areas.
2. Ile 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 heightabove twelve feet.
4. Forallothersp-q such as seating and common areas, use the Unit Light PawerAllowance for assembly.
5. Watts per square foot of room may be increased by two percent per foot of ceiling height above nine flDet.
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 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 am
and rest rooms. Common areas, as herein defined do not include maH 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
squaw foot.
10. For both Retail A and Retail B, light for free-stmding display, building showcase illumination and display window illumination installed
within two feet of the window are exempt.
Retail A allows a Unit lighting Power Allowance of 1.0 watts per square foot. Ceiling mounted adjustable tungsten halogen and HD
mcrchan disc display illuminarics are exempt.
Retail B allows a Lbit lighting Power Allowance of 1.5 watts per square foot, including all ceiling mounted merchandise display
luminaries.
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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1994 Washin-gton State Nonresidential Enorgy Code Compliance Form
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Lighting Summary
1994 WashInoton State Nonresidential Energy Code Complianoe Forms
S000nd Edtdm - June I M
Project Info
Project Address
Data
For Building Department Use
Fly kk
Applicant Name: 7—
Applicant Address:
Applicant Phone:
[Project Description Ll NewBuIlding Ll Addition L] Alteration
Compliance Option Ll Prescdptive U Ughting Power Allowance Systems Analysis
(See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
teraijon Exceptions Ll No changes are being made to the lighting
ch pdate box)
Less than 600/. of the fixtures are new, and Installed lighting wattage Is not being Increased
4"M" Allowed Lighting Wattage (Interior)
Allovmd
bon
4a'.E 0 Wancy Desed on Watts per fe Area In fe Allowed x Area
rlrrw%m no I
From Table 15-1 (over) - document all exceptions taken from footnotes Total Allowed Watts
Proposed Lighting Wattage (Interior) (May not exceed Total Allowed Watts for Interior)
Number of
Location
(floor/room no.)
Fixture Description
Fixtures
Watts/
Fixture
Watts
Proposed-,
A
V
Total Proposed Watts may not exceed Total Allowed Watts for Interior I OtEd Proposed Wattsi
All T !—ILL! __ IAT-S.&--- 1T7%ef9%v4 girl
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Allowed Watts
Area In fe
Allowed Watts
Location
Description
per ft' or per If
(or If for perimeter)
x fe (or x ff)
Covered Parking
0.2 Me
open ParkIng
0.2 Me
outdoor Areas
0.2 W/fe
Bldg, (by facade)
0.25 W1ft'
Bldg. (by perlm)
7.5 W/If
Nntn- for buildino exterior. choose either the facade area or the perimeter method, but not both) Total Allowed Watts
V .. — VA7C___ IRA— �nf nvrc�d Tntal AlInwAd Watts for Exterior)
rKuFuDvz" LAL&MLIAL5
Location
Fixture Description
Number of
Fixtures
Watts/
Fixture
Watts
proposed
Total ProDosed Watts may not exceed Total Allowed Watts for Exterior Total Proposed Wattsi
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ENVIRONMENTAL HEALTH DIVISION
SNOHOMISH
3020 Rucker Avenue, Suite 104
HEALTH
Everett, WA 98201 -3900
DISTRICT
425.339.5250 FAX: 425.339.5254
Deaf/Hard of Hearing: 425.339.5252 (TTY)
Healthy Lifestyles, Healthy Communities
May 19, 2004 E
REC
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Strom Peterson DEVELOPMENT C
CIT y OF EbiobN0Z)
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Olive's Gourmet Foods
107 5th Ave. N #103
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Edmonds, WA 98020
Subject: Addition of seating at Olives Gourmet Foods, 107 51h Ave N. # 103, Edmonds
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Dear Mr. Peterson:
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Your application for adding seating to Olives Gourmet Foods at 107 5th Ave N. #103 in Edmonds has
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been received; however the application cannot be approved as submitted.
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Per the area inspector, Kris Mullen, your facility does not have customer accessible restrooms. The
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current restroorns are accessible only through the kitchen. Prior to approval of the customer seating,
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customer restrooms must be provided. Customers are not permitted to access customer restrooms
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through the food service, preparation, or storage areas.
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Plans and specifications must be submitted for the construction of customer restrooms including how
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the customers will access the restrooms. A pre -operational inspection of the restrooms is require -
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prior to approval of the customer seating.
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If you have any questions, please contact me at 425.339.5250.
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Robert A. H p
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cc: Kris Mullen, R.S., Environmental Health Specialist
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City of Edmonds Building Department
RECEINfLLJ
JUN 0 3 2004
ENVIRONMENTAL HEALTH DIVISION
SNOHOMISH DIEVELOMENT SERVICES CTR- 3020 Rucker Avenue, Suite 104
HEALTH CITY OF Ef)moNDS
Everett, WA 98201-3900
DISTRICT
425.339.5250 FAX: 425.339.5254
Deaf/Hard of Hearing: 425.339.5252 1 Y)
Healthy Lifestyles, Healthy Communities
June 2, 2004
Strom Peterson
Olive's Gourmet Foods
107 5"' Ave. N # 103
Edmonds, WA 98020
Subject: Addition of seating at Olive's Gourmet Foods, 107 5t" Ave. N #103, Edmonds
Dear Mr. Peterson:
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Your floor plans for adding seating to Olive's Gourn-iet Foods at 107 5 Ave. N. #103 in
Edmonds has been received. With the addition of the following, the plans are approved.
1. Prior to approval to add seating to this facility a preoperational inspection is required to
verify that the proposed new hallway, to provide restroorn access to the customers, has been
constructed.
Contact the Food Program office a minimum of one week in advance to schedule an appointment
for the preoperational inspection. If there are any changes or additions to the approved layout or
equipment, the Snohomish Health District must be notified prior to implementation of the
changes.
Please contact me if you have any questions. My office number is 425.33 )9.5250
Sincer��,
Ro ert 0
Envirom-nenta7lHealth Specialist
RAH/dmb
cc: Kris J. Mullen, R.S., Enviroiunental Health Specialist
City of Edmonds Building Department
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FINAL PROJECT APPROVAL FORM
RECEIVED
TO:
JUN 2 2 2004
DEVELOPMENT SERVICES GTR DATE:
CITY OF EDMONDS
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE Y
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ENGINEERING DIVISION DATE—
FLWE SIGN M
PLANNING DIVISION DATE —
PLEASE SIGN
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PROJECT L r1r, -7— C
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PERMIT ADB# INSPECTED 0 --1
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DESCRIPTION OF WORK TO BE INSPECTED
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Id inspection was conducted to determine compliance with -approved plans. Final approval
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A fie
no objections from the above signed Department to the release of a: 9
denotes that there are M M
PERFORMANCE BONDS and the granting of 05
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\/,--GRANT FINAL PROJECT APPROVAL Z r- I
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED CD
0 Copy of CONDITIONS given to owner/contractor by inspector z
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:forms:ocaprv1 3/25/04
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final ......
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HEATING:
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Gas Test ....................
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Gas Piping .................
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Equipment .................
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Commercial Final .......
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
,20*,039,5 /