BLD20110602.pdfv]
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 9/14/2012
Parcel No: 00610600300502
SEATTLE GOODWILL
PKJB ARCHITECTS
FOUSHEE & ASSOCIATES
NEW ALBERTSON'S INC
ROBERT KROESE
3260 118TH AVE SE
250 PARKCENTER BLVD
119 SOUTH MAIN ST SUITE 410
BELLEVUE, WA 98005
BOISE, ID 83726
SEATTLE, WA 98104
ZONE:
(208) 395-3617 EXT:
(206) 624-3210 EXT:
(42 5) 746-1000 EXT:
LOT #:
BASEMENT: 0 1 ST FLOOR: 17235 2ND FLOOR: 0
LICENSE #: FOUSHACI580D EXP: 8/12/2013
TENANTIMPROVEMENT
NEW ACCESSIBLE DONATION AREA RAMP AND COVER, COMPACTOR PAD, LOADING DOCK CANOPY, NEW ENTRY
FACADE FACING,PARKING LOT STRIPING AND INTERIOR OFFICE PARTITIONS.
VALUATION: $450,000.00
PERMIT TYPE: Commercial
PERMIT GROUP: 71 - Tenant Improvement
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: 3B
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: M
OCCUPANT LOAD: 392
FENCE: N 0 X 0 FT.)
CODE: 09
OTHER: N ----- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 17235 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK
REQUIRED: PROPOSED:RE UIRED: PROPOSED: I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O RE UIRED: PROPOSED:
SETBACK NOTES:
1AGREE TOC PLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
1PER/SO ILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
7.
THIS PPLLC TION�IS NOT A PERQv1IT UNTR SIGNED BY THE BUILDINf, OFF CIAL OR HIS/HER DEPUTY -AND ALL FEES ARE PAID.
nature
Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
C
= ONLINE = APPLICANT = ASSESSOR OTHER JAW
STATUS: ISSUED BLD20110602
CONDITIONS
• Design for pre-engineered metal canopies shall be submitted for review and approval by City prior to installation. Engineer's
stamp and signature required on design documents.
• SPECIAL INSPECTIONS ARE REQUIRED FOR THE FOLLOWING:
• Epoxy Anchor Installation
• Welding (Welders Must Be WABO Certified)
• Prior to Final Inspection by the Building Division, Final Special Inspection Reports are Required From All Special
Inspectors.
• Submit Special Inspection Field reports on a weekly basis to the City Building Department.
• Separate Permit Required For: Plumbing, HVAC, Fire Sprinkler modifications, fire Alarm, Building signage.
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays,
excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must
comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, 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 for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City """"s ability to enforce any
ordinance provision.
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 TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 • FIRE (425) 775-7720
PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
beine reauested. Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• E -Engineering Final
• B -Footings
B -Foundation Wall
• B -Plumb Ground Work
• B -Plumb Rough In
• B -Ceiling Grid
• B -Framing
• B -Plumbing Final
• B -Building Final
• P -Planning Final 0/00
OV E°M Inspection Comments
O
BLD20110602 71 - Tenant Improvement
Applied: 07/29/2011 Issued: 09/14/2011 Expires: 09/14/2012
Address: 10117 EDMONDS WAY, EDMONDS
INSPECTION
DATE
INSPECTOR
ACTION
1077 - E -Engineering Final
10/28/2011
MCCONNELL
CMP
Comment: Approved.
1108 - B -Footings
09/23/2011
STEINIKE
CMP
Comment:
1108 - B -Footings
09/23/2011
STEINIKE
CMP
Comment:
1120 - B -Plumb Ground Work
09/16/2011
STEINIKE
CMP
Comment:
1126 - B -Plumb Rough In
09/21/2011
LAWLER
CMP
Comment:
1138 - B -Ceiling Grid
10/13/2011
LAWLER
CMP
Comment:
1142 - B -Framing
09/29/2011
LAWLER
PAR
Comment: hvac curb attachment
1142 - B -Framing
09/30/2011
STEINIKE
CMP
Comment:
1144 - B -Wall Insulation/Caulk
09/30/2011
LAWLER
CMP
Comment:
1146 - B-Insulation/Energy
10/21/2011
BJORBACK
COR
Comment: 1)Ceiling insulation at grid needs full coverage even at light fixtures.
1146 - B-Insulation/Energy
11/03/2011
STEINIKE
CMP
Comment:
1152 - B -Plumbing Final
10/21/2011
BJORBACK
COR
Comment: 1)lnstall mixing valves at lays to limit water
temp to 120 degrees.
2)RPBA required at mop sink due to chemical injections.
1152 - B -Plumbing Final
11/03/2011
STEINIKE
CMP
Comment:
1158 - B -Building Final
10/31/2011
STEINIKE
PAR
Comment: Need ADA bench in changing room.
1158 - B -Building Final
11/03/2011
STEINIKE
CMP
Comment:
1985 - F -Fire Final
10/28/2011
WESTFALL
CMP
Comment: TI work accepted, FA permit outstanding.
11/15/2011 7:34:30 AM 121 5th Ave, Edmonds
Washington - Phone: (425) 771-0220
Page 1 of 2
------ -- --- -- -- ---- ---------- —
JINSPECTION DATE INSPECTOR ACTION;
2000 - P -Planning Final 09/08/2011 LIEN COM
Comment: Landscaping and design review.
2000 - P -Planning Final
10/28/2011 LIEN CMP
Comment: Landscaping and exterior per plans. Signed off by planning.
11/15/2011 7:34:30 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 2
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SPECIAL, INSPECTION AND TESTING AGREEMENT
Permit #: BLD2011-0602 Project: Goodwill
Prior to issuance of a permit, this foi'In must be completed in its entll'e/fl tilld I'etu!'ned to the City fbr
approval. The c•onipleted forst mast have signatrn•es of aelcrrowledgnient by till parties.
DUTIES AND RESPONSIBILITIES
Special inspection .Firm and Special Inspectors:
'file Special Inspection firs, of Mayes Testing Engineers, Inc., Lynnwood, WA will perform special
inspection for the following types of work (separate forms must be submitted if more than one firm is to be
employed):
❑
Reinforced Concrete
❑
Bolting in Concrete
❑
Prestressed Concrete
❑
Shotcrete
❑
Structural Masonry
I
Stl'LICtUral Steel/Welding
❑ high Strength Bolting
❑ Spray applied Fireproofing
❑ Smoke Control Systems
❑ Lateral Wood
❑ Structural Observation
❑ Grading/soils
1, Other
❑ Other
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO
certified, a detailed resume of the inspector and fu -nn must be subnlitted. The resume must show tllat the
Inspector and the firm are qualified by education and experience to perform the work and testing required by the
project design and specifications.
'Che work shall be inspected for conformance with the plans and specifications approved by the City. Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection
records shall include:
• A daily -record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution.
• A weekly report: shall be submitted to the City; detailing the inspections and testing performed, listing
any nonconforming work and resolution of nonconforming items.
• A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued. This report will indicate that inspection and testing was completed in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report.
RESUB
L113uilding New Poldei 2010\I"In111s\Speoia1 inspection 1,01IIIAO 0/2011
AUG 25 2011
BUCITY of Cot ARMAENT
Contractor:
The contractorshall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plan and specifications must be made available, at the jobsite for the use of the special
inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by
all parties.
The special inspection functions are considered to be in addition to the normal inspections performed by the City
and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be
poured or other work covered until approval is given by the City inspector,
Building Department:
The building department shall review any revisions and addenda. The City inspector will monitor the special
inspection functions for compliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work to proceed.
Design Professionals:
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process in such a way as to insure that all required City approvals are
obtained, prior to work shown on the revisions being performed in the field.
Owner
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency,
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved
plans and this document, may void this agreement and the Building Official's approval of the special inspector,
In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the
design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
ACIGN0NVLEDC IENTS
I have read and agree to comply with the terms and conditions oft is ee t.
^ ` IOwne►:�-s�ulT�tou�rxt ignature Date �z
Contractor: fCx1SG_Q. � ('. Signature Date:
Arch./Eng: Signature l 904/4"4 --trate:
Special
ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT.
By:/ , t Date: �O /
Lllruitding New Colder 20I0T ormslSpeciai inspection fotm.docg/I6/2011 R E S U B
AUG 25 2011
BUILDING DFpARQUENT
CITY OF EDMONDS