20040728.pdf0
DATE RECEIVED
C1W OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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CITY ZIP TELEPHONE
NAME
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PROPERTY TAX ACCOUNT PARCEL NO.
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El RESIDENTIAL
ADDITION
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REMODEL
MULTIFAMILY
El REPAIR
13 GRADING CYDS
DEMOLISH
El TANK
EGARAGE
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RETAINING WALL
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ROCKERY
CrYPE OF USE, BUSINESS OR ACTIVIM EXPLAIN:
NUMBER
NUMBER OF
OF
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UNITS
DESCRIBE WORK TO BE DONE
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LOT NO, LID NO,
LID FEE $
TESCP Approved 13
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Fivy Pannii Requited 13
Street use Permit Reni'd [3
EXISTING — PROPOSED
inspection Floquiled 13
sidewalk Requited 11
REQUIRED DEDICATION— Fr
Undeigiound
Wiring required (3
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES NO
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REMARKS
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OWN ER/CON TRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
ENGINEERING REVIEWED BY
DATE
FIRE REVIEWED BY DATE UJI
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VARIANCE OR Cu HORELINEORADBI I INSPECTION BOND
DATE kICHECKED BY REO'D POSTED
SEPA REVIEW SIGN AREA OYES ONO S HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP
PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
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PARKING LOT AREA PrNING RPIEW D 51Y DATE 5
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CHECKEDBY I TYPE. OF CONSTRUCTION DE OCCUPANT
GROUP ID
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AREAS SPECIAL INSPECTION JAREA OCCUPANT
NUMBER�1� REQUIRED [] YES LOAD 47
REMARKS
PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REO'D
VALUATION
$ '&2A /-,
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Description
HEAT SOURCE I GLAZING %
PLAN CHECK NO:
LOT SLOPE %
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
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 10 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENrS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHAJ`FVER NATURE. ARISING DIRECTLYOR INDIRECILY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFN� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
FEE Description FEE
State Surcharge 216v
City Surcharge
Base Fee
PlanChk.Deposit i-t-,
Receipt #
Total Amt. Due
Receipt #
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 APPLICATION APPROVAL
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application is riot a permil unlil signed by the
[PL Y CALL
TION; AND IN DOING THE WORK AUTIIORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or hisirtler Deputy: and Fees are paid, and
IN VIOLATION OF THE LABaB CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSY16N j)�URANCE AND TICW 18 27 OFFICIAL 31GNATLjRF DAI E
SIGNATURE (OWNER LIAGENT)Z DATE SIGNFD (425)
771-0220 E!
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ATTENTION EXT 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
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BY- DATE
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ORIGINAL - FILE YELLON - INSPECTC
PINK - OWNER GOLD - ASSESSOR
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20Q1 Washington State Nonresidential
State Nonresidential Energy Code Compliance Forms
Code COMDliance Form
Revised June 2002 - KJ%i
Project Info
Project Address
Accounting Office Remodel - Digestive Disease Center
Date 7/28/2004
21600 HWY 99, SUITE 220
For Building Department Use
EDMONDS, WA 98026
pplicant Name: Architectural Works, Inc.
Applicant Address: 11335 NE 122nd Way, Suite 140, Kirkland, WA 98034
Applicant Phone: (425) 823-2244
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Project Description El New Building Addition Rd IwQti2k , r e", --
% 7"
Refer to WSEC Section 1513 for controls and commissioning Dw
Compliance Option 0 Prescriptive * Lighting PowerAllowance 0 Systems Analysis
I (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.)
Alteration Exceptions
(check appropriate box)
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No changes are being made to the lighting
12
Less than 60% 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
Watts per ft2
Area In ft?
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.
Provosed Lighting Wattage (Interibt)st all fixtures. For exempt lighting, not exception and leave Watts/Fixture blank.
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 Watts
Maximum Allowed Lighting Wattage (Exterior)
Location
Description
Allowed Watts
per ft2 or per If
Area in ft2
(or if for perimeter)
Allowed Watts
x fl? (or x If)
Covered Parking
(standard paint)
0.2 W/ft2
Covered Parking
(reflective paint)
0.3 W/ft2
Open Parking
0.2 W/ft 2
Outdoor Areas
0.2 W/ft2
Bldg. (by facade)
0.25 W/ft 2
Bldg. (by perim)
7.5 W/If
Note: for building exterior, choose either the facade area or the perimeter method, but not both) Total Allowed Watts
use migr nsieo MaXIMUM HIPUL VVdttdgt:. rui iixtuitib vviiii itaw-witcu udlla�ta Uilly,
Proposed Lighting Wattage (Exterior) the default table in the NREC Technical Reference Manual may also be used.
Location
Fixture Description
Number of
Fixtures
Watts/
Fixture
Watts
Proposed
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Total Proposed Watts may not exceed Total Allowed Watts for Exterior Total Proposed Watts
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2001
2001 Washington State Nonresidential
Prescriptive Spaces
Qualif ication 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.
State Nonresidential E
Compliance Forms
Occupancy:
Fixtures:
Code Comoliance Form
June 2002 - KJM
0 Warehouses, storage areas or aircraft storage hangers *Other
El 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-11, 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
TABLE 15-1 unit LIgnting tiower Aliowa e tLII-A)
Use'
ILPA4
Use'
LW
(W/sf)
(Wlsf)
Paintinq, welding. carpentry, machine shops
2.3
Police and fire stationso
1.5
Barber shops, beauty shops
2.0 -
Atria (atriums)
1.0
3,4
Hotel banquel1conference/exhibition hall
2.0
Assembly spaces", auditoriums, gymnasia9, heaters
1.0
Laboratories
2.0 -
Group R-1 common areas
1.0
Aircraft repair hangars
1.5
Process plants
1.0
Cafeterias, fast food establishmentso
1.5
Restaurants/bars�
1.0
Factories, workshops, handlingareas
1.5
Locker and/or shower facilities
0.8
Gas stations, auto repair shops
1.5
Warehouse ' s", storage areas
0.5
Institutions
1.5 --Aircraft
storage hangars
0.4
Librarieso
1.5
Retall'u, retail banking
1.5
Nursing homes and hotellmotel guest rooms
1.5
Parking garages
See Section
1532
Wholesale stores (pallet rack shelving)
1.5
Mall concourses
1.4
Plans Submitted for Common Areas Only'
Schools buildings (Group E occupancy only),
1.35
Main floor building lobbies' (except mail
1.2
school classrooms. day care centers
concourses)
Laundries
1.3
Common areas, corridors, toilet facilities and
0.8
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) 9,70 11
Footnotes for Table 15-1
1 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 W/ft2 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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DIGESTIVE DISEASE CENTER ROBERT G. CHAFFEE, M.D.
AT KRUGER CLINIC JASON SCHNEIER, M.D.
21600 Hwy 99 Suite 260 GARY N. DINES, M.D.
Edmonds, WA 98026 TIMOTHY E. LITTLE, M.D.
425-774-2650 JINFENG JEFF GUO, M.D.
August 11, 2004
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City of Edmonds
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Edmonds, WA 98026
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TO WHOM IT MAY CONCERN:
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This is to serve as a letter of authorization for Architectura erving as our a
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for submitting the enclosed permits for remodeling in our office.
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If you have any questions, please contact me at 425-774-2672
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Thank you for your help with this matter.
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Sincerely,
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Office Manager
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FINAL PROJECT APPROVAL FORM
TO:
DATE: q3�� �7CO)4
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: XPA (2R_Aq1,Qp_FIRE DEPARTMENT DAT
M��_T
—ENGINEERING DIVISION DATE—
"MSESI(M
PLANNING DIVISION DATE
nZASESIGN
PROJECT
SITE ADDRESS c)-( (� C)o
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PERMIT # 6654 - (0 _AI)Bh� DATE INSPECTED 9 Z
DWERIPTION OF WORK TO BE INSPECTED
10 k olc�
A field inspection was conducted to determind 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:
't GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
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Retaining Wall ........... 0
Slab Insulation .......... 0
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PLUMBING:
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Underground .............
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Rough -In ................... 0 M
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ITI 0
Commercial Final ......
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HEATING: --I
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Gas Test ....................
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Gas Piping ................. >
Equipment .................
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Commercial Final ....... -n
EXTERIOR SHEATHING
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NAILING ..........................
FRAMING ........................ 0 M
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FIRST FLOOR FRAMING ... ITI 0
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INSULATION ................... --I
Floor Insulation .........
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Wall Insulation ...........
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0 Ceiling Insulation ....... M
SHEETROCK NAILING ...
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. onl�
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