20040562.pdfI
ERMIT EXPIRI
DATE RECEIVED
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PERMIT EXPIRES
USLI PERMIT
CITY OF EDMONDS IOIE NUMBER,2-e,&1-e'�%?i;L
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMEMAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
5a JJ&, LID FEE S
,u MAILING ADDRESS I ESCF Approved
z PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
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LID FEE S
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street use Permit Re(I'd
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inspection Required
EXISTING PROPOSED Sgtowalk Required
CITY ZIP TELEPHONE underground
REQUIRED DEDICATION� FT
V 0? METER SIZE PRV REQUIRED
N YES 0 NO 13
/A47 vi/ REMARKS
ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY ZIP TELEPHONE
Avlje� I L7y-C;
NA7 BL#
), J,., Ic ENGINEERING REVIEWED By IDITE
CITY ZIP TELEPHONE —71ECKED BY
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
PROPEPj_Y TAX A
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NEW
ADDITION
WREMODEL
E] REPAIR
DEMOLISH
GARAGE
CARPORT
(TYPE OF USE. I
NO MI cc)
M RESIDENTIAL
COMMERCIAL
MULTIFAMILY
GRADING CYDS
TANK
RETAINING WALL
ROCKERY
OR ACTIVIM EXPLAIN
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El PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
UNITS NUMBEk
STORIES 2" 1 41Y ��_
DESCRIBE WORK TO BE DONE
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HEAT SOURCE GLAZING % LOT SLOPE %
VESTED DATE
PLAN CHECK NO,
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.
cc PERMIT APPLICATION: 180 DAYS
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CL PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
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ERM IT L 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
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
M ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
D D M To
EEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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9, NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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PROGRESS INSPECTIONS PER UBC 10
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CONSTRUCTION
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F Description FEE
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City Surcharge
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Total Amt. Due
Receipt N
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APPLICATION APPROVAL
This application is not a pennit until signed by the
Building oiiicial or his1her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
FIFICIALS SIGNA DATE
7
I . ELEASED 13Y DA
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A17ENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL� LE YELLOW - INSPECIOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD -ASSESSOR
04!02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
Description
Plan Check
Building Permit
Plumbing e.
Mechanical C
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Gradi E
Engr. Revlewj
Engr. Inspection
:Fir�eReview
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Fire Inspection
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 CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION.Qf THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S RANCE AND RCW 18.27.
DATE[;GNEI,
SIGNATURE OR Lf I
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Recording Fee
CALL
FOR INSPECTION
(425)
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RECEIVED
JUL 13 2004
PERMIT COUNTER
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GARY HAAKENSON
CITY OF EDMONDS, MAYOR
(425) 771-0221
EDMONDS. WA 98020 (425) 771-0220 W
121 5 T1 i AVENUE NOR T 11
- wwwb.edmondsmams
Wet)site
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Enginee(ing
C.
October 1, 2007
Mr. Sean Richards
Post Office Box 685
Ednionds, Washington 98020
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Permit 1120 10 51" Avenue South, E-dinonds.
RE: Fifth Avenue Grillhouse Building 04-0562 @ 6
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Mr. Richards,
Deal
10, 2007 X
ter is to follow -Lip with issues Outlined ill City letter dated June -
Tile purpose of this let m
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(cop), attached Im yoUr convenience)-. M 0
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0 Tile City has completed review or the as -built floor plans prepared by M-r. Allen and we
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tile original plans prepared by Mr.
is made to
have no further issues regarding the revisiol mz.
Mailusos.
0 Fratiling and insulation inspection approval has been granted to theorigin,al ;cooler area' >
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addition (upper and,lower.floors). Please� contact the City Building hispector, to r a
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sheetrock nailing inspection when, this,work is done. 0 -n.
I at the lower: floor is completely vacant and contains no
City officials llave,verifie'.d,,ti
storage iterns or property. This lower.noor is considered 'crawl space' thereby m m
climinating:the requirement 116r Occupancy separations (fire walls) until a future use is
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proposed,and approved by the City. m
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Tile Engineering Division has waived all exterior site improvements as shown oil Sheet C 9 U).
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have all' (lUestions, contact Jeanie McConnel I at 425-771 -
of" tile approved plans; if you y
.0220 extension 1 3) 3) S.
As bUilding,owner it is your continued responsibilit to ensure that the interior, stairwell
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leading to tile lower floor remains fully secured/blocked from access froill. the upper >
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floor.
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The City,Senior Fire Inspector requires that the rearyard,area be kept clean of debri
nibustible itenis and be clear for fire 11 liter access at all tinies.
cardboard and co 9 Z,
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Sincerely, 0
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Building Official
Cc: Ralph Allen, Architect
Duane Bowman, Director. Development Services
Mike Smith, Senior Fire Inspector
Technician
1 11, Engineering
.1. McColil e
Incorporated August 11, 1890
Sister City - Flekinan, Japan
GARY HAAKENSON
CITY OF EDMONDS MAYOR
A -iAVENIJE NORTH EDMONDS. WA98020 (425) 'It .0220 FAX (425)
771-0221
yF�__� 121 511
Website. mww.d.edmondsmams
DE:VELOPMENT SERVICES DEPARTMENT
11, Q) Planning - Building Engineering
!PI.
little 20, 2007
Mr. Scan Ricliards
Post Office Box 685
Edmonds, Washington 98020 Z'.
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illllouse Buildill .11lit 112004-0562 610 5"' Avenue South, 11"(11110"Lls
RE: Fillh Avenue (jr g 0
Mr. Richards,
Deal rn
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'me purpose of this letter is to respond to questions/stateniclitS posed in your lette dated JU11C 15, 2007:
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ma
tely indict te, field
o'%Ning Mr.�Allcn to alter.his floor platis to IcCl.ura 0�
lailusos' letter all
'File City is awaiting Mr. N 0
changes and tile Ilse oi'.,Ill spaces, duc.tio la tel. tilall.luly 6, 2007.1 0 C.
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c rds for tile City indicate no framing or. sheetro k ppr val ranted to tile orio
c a C'' 0
inspection re o lter till it .11.111C
by.no I , a �mz
ed alid inspectioli. s
addition (upper and lower floors). Framing shall be expos -4
C)
20 ext., 13 3 C �2
-771-02 )3.
26, 2007, call 425 arations (fire >
'1110" S
By allowing the vacated lower floor to be considered, 4crawl space.':, tile. need 11or OCCUp, ell,
roved by the City. 3:
inated'unfil 'a future' Ilse is proposedatid app,,
walls) is temporarily elim.
'tied Jul)' 12, 2004
s on�rcquircs that all exterior site improvements as showli oil Sheet C (1, 0 -n
Tile Engineering Divi *i incering _n:
eani McConnell, Eng
all July, 6, 2007.1
ction called for by no later t1i
be completed atid.'inspe c i �edmonds.Wa. Lis.
erson, 425-77 1-0220 exteilsioli 13 3 8 or mccomiel I
Technician is the contact p r m M'
t vell leading to, tile lower floo
oNvilcr it is ),our responsibility to ensure t'llat theinterior s a ir,\
As bUildin.,
0
-oiii ac
cess frolli the upper floor. m
remains fully secured[blocked fi 0
any space withill tile
s or business license 'Pplicati011s I"or C
-,,,it applications, occupan 3, request , 0)
Any future pet c
with bUildim, codes ill effect at that time. :Tlle two N ca r
lower floor area, sliall:require full collipliance m 0;
filding perillit. Your permit expired oil 7/14/06 Z r-
liloratorit.1111 had (lothing to do witil vour expired bl.
downtown
c still in violation of City codes (almost 12) Illoiltils). I�C(garding a tilliely
without tile work colliplete and you ar
s c rrently experiencing staffilig shortages in
res onse by th City to yo ir April request, tile City was and i u
p e I uiri ilill ten business
r future written inq es Wit- >
Development Services. . We will attempt to.,respond to all you 11 ontlis as ?0U
t lid your non-col"Jil iance. ail additional six i z
days. U nfortu 'late 13', tile City is 'lot w"I"119 to ex e
have requested; tile deadlines specified in City letter dated JUne.4, 2007 stan& Lastly, it I is your request to
and
keep the lower floor unused and vacatit; in order for it. to be unused and.Nacatit all existing co i bUstible
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d (including personal possessions). 111spection of a conipletel\
istible materials sliall be.renlove 0
tion-cotilbi
with Mike Stilitil, Senior Fire llispector by no later than July 6, 2007. —
vacant lower floor sli a*ll be schedu led 0
m
Sincerely,
Jeannine L. rar
Building Official
Cc: Ralph Allen, Architect
-vices
Duane Bowman, Director Developrilent,Sci
itj , Senior Fire 111sliectol'
Mike Sill I
J. McConnell, Fligilleerit g Technician
Incorporated August H, 1890
Sister Citv - Flekinan. Japan
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200408060216 3 PGS
CITY CLERK 08 - 06-2004 11:28am $21.00
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CITY OF EDMORDS...**'* SNOHOMISH COUNTY. WASHINGTON M,
121 STH AVENUE N6.
ROWNDS, WA 9=**"* ..........
5th Avenue Grill
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Seaun Richards, Owner
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610 5th Ave M 0
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Edmonds, Wa 98020 -40
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PARKINT -*....SPACE
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Reference, Plan check 03-291 3:
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Grantor Fifth Avenue Development, LLC, 654 5th Ave S Sth' 300, rzdm=4 We 98020 0
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Grantee, Sth Ave Grill, 610 5th Ave S Edmonds, Wa 98020 C 0)
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Legal Description, V,-L -2_( -TWt..,3 2-7t cmot�'3 M
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Assessor's Parcel
Z-703'Zip 001 Coe) 00
FACTUAL RECITALS;
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A 5th Ave Grill leases 2 parking spaces, located at 505 5th Ave S Edmonds, Wal. frcrn*Fifth
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Ave Development, LLC
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B These spaces to be available to 5th Ave Grill on a 24 hour, 7 day a week basis
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C Lease amount shall be $50 00 per month, perspace, for a total of $100 00 per month
D These spaces shall be used by employees and/or customers of 5th Ave Grill 0
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E Hold Harmless Non -Liability of Lessor/Lessee Neither party shall be liable to the other party
or their patrons or employees for an damage, loss or injury to the premises or to any person or
property on the premises
F Termination agraement Either party may terminate this lease by giving 30 days advance
written notice to the other party This notice maybe given with or without cause
G Special Notice Provision (City of Edmonds Requirement) Each party agrees that in the event
this agreement is terminated the 5th Ave Grill will notify the City of Edmonds Planning Dept
H This off-street parking may not be used for any other purpose unless the parking is no longer
required for the use specified
' 6thAvenue Grill '
j
, GeaunRichardm Owner
� G1O5thAve.
� Edmonds, Wa.8002O
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� PARKING SPACE
AGREEMENT
� Reference; Plan check 03-291
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| Grantor; Fifth Avenue Development, LLC, G545thAve. S. 8ha 300. Edmondo.VVa. 98030
| Grantee; 5thAve. Grill, 81D5thAve. S. Ednnondo.VVa. 88020
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| | Legal Description; ��,�~ /~_u^ > . "..'~� �- ( � /«-�/ y���~ �u� -�c~�-^` � '^^
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| Assessor's Parcel Z703~7b 00\ OOE) 00
FACTUAL RECITALS'
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! A. 5thAve. Grill leases parking opooeo. located at5O5 5th. Ave. S. Edmonds, VVn. from Fifth
Ave.eve|opmen�LL�
| � '
i B. These spaces &obaavailable ho5thAve. Grill ona24hour, 7day aweek basis.
| C. Lease amount shall bo$5O.00per month, per space, for ototal of$10].ODper month.
O. These spaces shall beused bv employees and/or customers of5thAve. Grill.
E. HoldHarmless Non -Liability ofLessor/Lesso .'Neitharpartyshal|beliable to the other party
ortheir patrons oremployees for andamage, loss orinjury bodhapnennioeoorhoanyperaonor
` property onthe premises.
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� F. Termination agreement: Either party may terminate this lease bygiving 3Ddays advance
� written notice hothe other party. This notice may bogiven with orwithout cause.
/ G. Special Notice Provision (City of Edmonds quken`omU Each party agrees that inthe event
this agreement ��nnin����5��|w�Un���e�hvofEdmondoP�nn|n0DepL
Ave.. ��^ ''
( H. This off-street parking may not boused for any other purpose unless the parking |onolonger
required for the use specified.
LEGAL DESCRIPTION
Assessor's Tax Account number:
252703-2-076-0002
252703-2-170-0007
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Legal Description:
Thoge portions of Sections 25, Township 27, Range 3 located in Snohomish County
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Washington and being described as follows:
Rt 9 beginning at the NW comer of said section: thence East 220 ft: thence south 99 ft:
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thence west 220 ft: thence North 99 ft to the point of b eginning
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Together with:
The East 61 ft of the West 208 ft of the North 99 ft of the NW quarter of the NW
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quarter of said section 25.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
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PLUMBING:
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Underground .............
Rough -in ...................
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HEATING:
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GasTest ....................
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Gas Piping .................
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EXTERIOR SHEATHING
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NAILING .......................... Cz7#P__
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FRAMING ........................
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FIRST FLOOR FRAMING...
INSULATION a' Z`f
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Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
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FINAL APPROVAL FOR
OCCUPANCY ..................
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