21200 72ND AVE W (2) 20 pgs Redacted111111111111
5705
21200 72ND AVE W
L'1`! ;1NEE1iiWG R&
STREET FILE
SUBJECT:
EMENTS 11OR BUILDING PERM
C1TY Ol" E.'! r' 10I,1DS
PUBLIC WORKS D11-:PAR71'-1EN`I'
F�.tb;.T.IIEERIt1r:, 1�1Vf:�IC11
Subdivision .�' �/-�'j''1 I'lat
Multiple �—
Cowiercial
APPLICATIO1
DATE : -•��
PRD
G EIIE:RAL ME'QU IRD-1ENTS
Coordination of the location or anY structure with resnect to utilities, streets, property
lines and g;radc s i the r'uspollsib.'-li.ty of the contractor.
The ccnstraci"or is required to keep the abutting; street cleaned of dirt and debris caused
by the construction 7.30.200 Violatiol"rs - Penalties 7.30.290.
A "Right-Of-lIay Construction Permit" is required from th(_1 Engineering Division of Public
Works for any wort: vii.thin the Public right-of-w y or, public easement. 7.30.010 Violations
Penalties 7.30.290.
SPECIFIC. RE�UI_I1L7IEId�I'S
UNDERGROUI ID P0; ":R
L�yL.>�:der groluid I:ltring Req'd ❑ Idot Req'd
SANITARY HE'I:ER (PEfi ,IIT
mconnect i of to S_ulitar; .:::per Req' d ❑ Back* Uater Valve Reqd on Side Sewer
❑ Septic' `i'_��1: I'rl^rut I�ec�'r}. Desit.n Approval Recild
Appl'o".'ed 1;L . RAr7rrit 1ILLiT per
STORI.1 SE`: r : i SY� ii11 (PER CI71 COPE
�flrain_;s;e P1tQI R(cT d
wk,Bite Dr,una.�,e to be Contained on Site
ROADWAY nliil J'1iil`JI:l-1AY RI.-C)IJIR}:1IE 1PS
Drive Iaot to
Drive:ia.r I'avii R-1-c1'd
tw-ve CuH) req'ci
tr'e�t :avir:; Yeq'd
❑ Drainage Plan Approved Dt.
❑ Site. Drainage to be Cortnected to City System
[Driveway Culvert Req'd Size
i derlalk Reel' d
(proved Desifr)I Req'd
[ Bond i'or Public Improvements [. sUbmit Cost Estimate
Note:
liv.i.:;iur,
+4'"Foundat i on Ade Server ❑ Septic Tank
WWater :er'vice ❑ Fire Protection Drainage
❑ Site 1n1 I ,w. rrr: r,tc
A 211 - howl. (iol. 1 (.c. '1 :; I'i:.'g111 1 ti.';_j for ! �y 1'ngi I"Ieerl ng'.,, cal 1. 775-2525, extension 220.
I�lil•:II Il��i7,B1�:RCi, 1'.R.
TR SEE_—_T FILE Date January 17 197 RECEI
VED
�n i 1II 977
Pub V s PPt.
Memo to: Director of Maintenance Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot 4; Solners 5.Acre Tracts, LESS the
north 216' of the west 100'.
(Proposed'Medical Offices)
Commonlyknown as: 21200.72nd-Ave. W.
Owner: Ernest.J. LaPierre
Z.F.F. Calculation:
( 718.2 ),Z.F.F. x ( )
( 0 ) Lateral x ( 0 )
( * ) .Unit ..'x (- $ 25 ) _
Note= Trunk charge to be based upon
fixture units of.waste per
Uniform Plumbing Code
j 25 x $25 when building
design is known
cc: Ernest J. LaPierre
10238 S.E. 8th
Bellevue, Washington 98004
$ 3,950.10 . Connection Fee
$. 0
Lateral Charge
4 *
Trunk Charge .
$ 0
Permit
$ 3,9.50.10
TOTA
3/.29l
Form 6
CITY of EDMONDS BUS ESS LICENSE APPLICATION
Civic Center • Edmonds, Washington 98 DAT*3 LICENSE NO.
~� City Clerk Phone 775 2525 STREET FIL TYPE OF BUSINESS ANNUAL FEE AFTER FEB. 15
❑ (A) HOME OCCUPATION $ 15.00 $ 22.50
NSTRUCTIONS:
All items must be completed
or application will not be ac-
cepted.
Sign and return application
with fee. Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
JULY 31, 1/2 FEE.
C 9. 310 8 I I i I I❑
�J
(B) BUSINESS WITH $20.00
$ 30.00
RECEIPT NO. DATE PAID
1 TO 3 EMPLOYEES
I g
PRINT'X'
IN SPEC. BOX
C BUSINESS WITH
( ) 4 TO 9 EMPLOYEES $ 22.00
$ 33.00
illp a
FOR ISSUE OF
FEE PAID PENALTY PAID
CORRECTED
❑ (0) BUSINESS WITH 10 $ 75.00
$112.50
LICENSE WITH
OR MORE EMPLOYEES
�C. I
LC' ACTION.
NEW APPLICATION
(LA)
RENEWAL
(LB)
❑ CHANGE
(LC)
(PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD)
NAME OF FIRM
• • 4r�rRAy
MAILING ADDRESS
H, Q, 172%VN A'V`ENUE-W .y
C,�,:�aEDM.ONDAS'!71A�`=98Q20`
BUSINESS PHONE
KC, _')*I--7-71-3311
I NATURE OF BUSINESS
EDFC—At—'MfTfH —
NO. OF EMPLOYEES
4
.9HYSIc1A
BUSINESS ADDRESS �. INDIVIDUAL PARTNERSHIP CORPORATION
SAME AS ABOVE 0 (S) XL JX (P) (C
OWNERS NAME HOME ADDRESS
M8RK CI. RATTRAY, M.D. i 5032 — 37TH S.W. , SEATTLE, I•IA. 98126FEB 9 1983
HOME PHONE DATE OF BIRTH PLACE OF BIRTH SOC' R
�32-2731 01-13-52 53�QP1.�
EMERGENCY NOTIFICATION (1) NAME & TELEPHONE MARK C. RATTRAY, M.D. 771-3311
(PLEASE LIST TWO) (2) NAME & TELEPHONE
WASHINGTON STATE TAX NO.91-1173114 APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE � LAND USE CODE ZONING CODE
('lp APPROVE ❑ DISAPPROVE
SIGNATURE
CONDITIONAL USE PERMIT
COMMENTS m '
BUILDING DEPARTMENT v. 3
DATE 2 ' u ci Building ❑ Hotel/Motel (L)
C-`A'PPROVE ❑ DISAPPROVE SIGNATURE jA . I�erV��s Permit ❑ Apt. Bldg. (A)
❑ Office Bldg. (0)
Occupancy ❑ Restaurant (R)
COMMENTS: Group ❑ Hosp/Nurs Home (H)
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS) ❑ School (S)
FIRE DEPARTMENT DATE q-83 U.F.I.R.
i)( APPROVE ❑ DISAPPROVE SIGNATURE
COMMENTS:
POL DEPARTMENT DATE 'E3 SIGNATURE
tfl APPROVE ❑ DISAPPROVE
COMMENTS:
PUBLIC WORKS DEPARTMENT j
APPROVE ❑ DISAPPROVE DATE SIGNATURE
iOM M ENTS: "
PLEASE RETURN TO CITY CLERK
i
BUILDING DIVISION ZONE R BIE------•""
7ideHea
Fill TREET
FILE PERMIT APPLICATION Lines JOB
NAM/E�IOR�NAMB OF BUSINESS) ADDRESS
LEGAL DESCRIPTION SUBDIVISION L1l SHORT VgUB NGO,�
�j MAI ING ADDRESS YYYY
icOwy
,PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY /� �y TELEPHONE NUMBER
/'�I /e �/� N �/t �� �` — �,.^ EXISTING
AM .V�1T1 l� I�L�� U _
U
W ADDRESS
I-
I
U
R CITY TELEPHONE NUMBER
<
`n N/
N A`,M E,
a v I
A -2k2ov 2 NO U91 W
CITY i— TELEPHONE NUMBER
Z � NV ✓
STA LIC NSE NUMB :]CITY LICENSE NUMBI
Legal Description of Property (Show Below or Attach Four Copies)
-rVA >a 151' FEV-01 TtlP,Li-
z �L NAP- F IVc ACP-GA9-mlA,Ct-S
((CC l!Pi0(, Ju THE PLAT E.vG
IL
P4 12.0 Iti �'r✓Cvrv�c 7 of PLATS
UN PAc c 2.5 RECC) 5 CV- SNL)
o C�L'NTy�
J E-X C G T r< VV &--,T JCO FT 1 t_-kr56V
V
W
J
PROPOSED
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED
❑
DRAINAGE IMPROVEMENTS REQUIRED
❑
DRAINAGE PLAN REQUIRED
❑
UNDERGROUND WIRING REQUIRED
❑
CONNECTION TO SANITARY SEWER
❑
SEPTIC TANK PERMIT REQ'D ❑ NO.
ELEVATION OF PROPERTY CORNERS
❑
& FOOTINGS REQ'D
SEE ENGINEERING MEMO DATED
CHECKED By
SIZE I BUILDING SUPPLY SIZE
SIGN AREA ENV. REVIEW AD NO.
ALLOWED I PROPOSED COMPLETF� EXEMPT
SHORELINE
REMARKS
VARIANCE OR CU (PLANNING REVIEW BY IDATE
YARDS N / n, ILOT COVERAGE
❑ NQW
RESIDENTIAL
GAS
D LINE
FRONT
FIRE ZONE
TV
❑ NON-RESIDENTIAL
❑ SIGN
ADD
❑ DEMOLISH
RETAINING
SPECIAL INSPECTOR
ALTER
EXCAVATE
OR FILL
WALL
❑ FENCE
X FT)
REQUIRED
❑ YES ❑ NO
PLAN CHECKED BY
REPAIR
NSP.
�'�7(
WIM
1 ( POOL
Lei
REMARKS
Z NUMBER OF STORIES
NUMBER OF
0
DWELLING
UNITS
d NATURE OF WORK TO BE DONE
U i W7T'AL k—
I IZ12kC,,/T c I
-V &/,A
W
0
IO
0
PLAN CHECK FEE
PLOT PLAN
BUILDING
PLUMBING
MECHANICAL
FENCE
'^ "Applicant, on behalf of his or her spouse, heirs, assigns and SIGN
N
W successors in interest, agrees to indemnify, defend and hold harmless
J RETAINING WALL
Y.the City of Edmonds, Washington, its officials, employees, and
a agents from any and all claims for damages of whatever nature,
SWIMMING POOL
<
I arising directly or indirectly from the issuance of this permit. Issu-
0 ance of this permit shall not be deemed to modify, waive or reduce
J any requirement of any city ordinance nor limit in any way the
L:l;tu to anf—P env nrftinanre nmvirinn."+
SIDE REAR
F CONSTRUCTION CODE HEIGHT
AREA OCCUPANCY OCCUPAI
GROUP LOAD
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
l10,7c'c,
5 T-K-1z ne S ( > ) rdr i
r-1(S 7r7c e4tM /m PUBLIC WORKS DEPARTMENT CHECKLIST
'99H I PA u L' Y I BUILDING PERMIT REVIEW •
TACO MA w 4178c f
4 54(( j v
Date
.La 00 -72— Address
I
I
Street Right -of -Way Existing
Access Easements Existing
Utility Easement Existing
Lot per Subdivision
Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code
Plat
Amenities Design Board Approzaqld.
Reqd.
Board of Adjustment Approval_
Review By:
Existing Water Main Size
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Detector Check Meter Reqd.
Cross Connection inspectio f 5�_U_::i
Fire Department Conments
Water Meter Charge Reqd.
Review bcc -T-� 3
tic
Septic Tank Permit Reqd.
Sanitary Sewer Availability
Drawing No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
Review By: '
Date:
REQD
REQD
REQDL.
Assessor Map
ADB # Approval
Size
-)>eLj VAL-via (s P-64)7) AT
> I CVST SIAfi �� ��UT� SiT
Date: j —d o
�at
Permit. No.
Pro j .
File No.
i
Date:
DATE.
'IE'10 TO: Bt.iildi.ng Divi-sign
COMMUllity DeveloprienL Department
FROH; Eri ;i.neeri.ng Division
Public t•lorks Department
SUBJECT: Zl 7- �_,. ,al �,,is �� --5A — —
After revi-e%.., of the stlhject building ner.rni.t nppllcltlol"l, t,e have
the follm-.ing comments:
_c.
rrc,nm�, aor:+anv-cttanv—orarne'ni�r lio,ir i tip rs-
CITY OF EDMONDS me '� 00
STREET FILIP78�6LIC WORKS DEPARTMENT, ENGINEERING.DIVISION
APPLICATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
THIS PERMIT.MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A, Permit to be'issued to: LA //
For Work at :(address or vicinity) 72 -tor&I SB. t4 Skj
Type of Work to be done: ,e.4P1 4ecess OF AVffZ/C GtJ
(.attach drawing when applicable)
Time Required -- Start: zlg� �x Finish: /11,617
�
Owner: .S/¢ME
Name
Mailing Address
�vMON,os litJ/S/. 98e10 77,5- = Z' 7 2 a
City State Zip Telephone Number
Contractor: .44P-"XE
Name State License Number
Z��oo �ZNoLv:
Mailing Address
/�12CI0/Y/�s �iy I �020 77 6- 2 3 0
City State Zip Telephone Number
** NO WORK TO BEGIN PRIOR TO PER11IT ISSUANCE **
B. INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments. or employees,
including or not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at which time a debit or credit will be
processed for issuance to the applicant.
Work is subject to inspection, and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times. `%�y"�ic. ��l/
Signature: Date:
Owner of Agent
C, TO BE COMPLETED Y ISSUING AGENCY:
.Date Issued: Permit No. :.%Q Fee:
Security Bond:
Time Authorized:
t
APPROVED BY _ Date:iO
BUSING LICENSE APPLICATION
CITY OF EDMONDS
250 5TH AVENUE NORTH
EDMONDS, WASH. 98020
TELEPHONE (206) 775-2525
KMEJ FILE
INSTRUCTIONS
1. PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID
IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS
! RECEIVED BY CITY CLERK AFTER FEBRUARY 15.
2. NEW BUSINESS: COMPLETE ALL LICENSE APPLICATION BOXES.
LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW �RINT
CORRECTIONS AND ADDITIONS AT RIGHT.
13. SIGN AND RETURN APPLICATION WITH FEE (AND PENALTY).
a. LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIED
I\ TO APPEAR FOR APPLICATION REVIEW.
LICENSE RENEWAL
REVIEW BELOW INFORMATION, PRINT CHANGES AT RIGHT.
PLACE OF BI
HOME ADDRESS
3. BUSINESS IDENTIFICATION
V/ O a r
STAFF ACTION
. REVERSE APPL. NO.: r_� I 63
SIDE DATE: 6/7h
ANNUAL FEES
1
TYPE BUS.
CLASS
FEE
PENALTY
HOME
A
$10.00
S 5.00
SMALL
B
15.00
7.50
'GENERAL
C
50.00
25.00
SOCIAL SECURITY NO.
BUSINESS NAME
NATURE OF BUSINESS BUSINESS PHONE
WASH. STATE TAX NR. EMPLOYEES ORGAN. OCCUPANCY
J
'OVER 10 EMPLOYEES. OR EMPL WORK
OVER 120 MAN MONTHS PER YEAR,
CLASS FEE PAID I PENALTY :AID]
TYPE ORGANIZATION
IF BUSINESS.IS:
TYPE
CAPACITY
C
HOTEL/MOTEL
L
NR OF ROOMSIUNITS
0
C • CORPORATION
APT. BLDG.
A
NR OR APTS
D
L - LTD. PART
OFFICE BLDG.
0
NR OF OFFICES
E
P=PARTNERSHIP
RESTAURANT
R
NR OF SEATS
S
S - SOLE OWNER
HOSP./NURS. HOME
H
NR OF BEDS
SCHOOL
S
NR OF STUDENTS
4. BUSINESS ADDRESSES
BUSINESS ADDRESS e
RESS
5. EMERGENCY NOTIFICATION
NAME
AREA
TELEPHONE
(1)
(2)
OFFICIAL USE ONLY
U.F.I.R. CODE
BLDG.
PERMIT
OCCUP.
C.U. PERMIT
LAND USE
I ZONING
APPLICATION FOR: Q
i1 I BUS. NEW I� RENEW YLIC. L EAER
OFFICIAL SE PAN
LICENSE NUMBER ACTION ( LA • NEW BUS
%(7] J1 LB - RENEWAL
LC - CHANGE
LO - DELETE
1 CLASS�18
YEAR LIC. EFFEC. DATE REASG. LIC. NO. SPEC.
PJ
RECEIPT NO. DAIS PAID 0-
PRINT '
IN SPEC BOX.
FEE PAID PENALTY PAID FOR ISSUE OF
T CORRECTED
i� LICENSE WITH
'LC' ACTION.
LICENSE APPLICATION AND CHANGES
PLEASE PRINT CLEARLY
2. APPLICANT
L/AST NAE, FIRST INITIAL . .
y
1 tI 11 i I ILi i �i *. IALI/�10!'�'
Al
DATE OF BIRTH PLACE OF BIRTH
MO. I DAY JYEAR CIS STATE
d r C L 11 DI(tl�/l%'I 11 I I.Cd �� A�J I
HOME ADDRESS
BLDG. NUMBER
STREET
APT. NO.
CITY
STATE
ZIP CODE
(L
�Fj
3. BUSINESS IDENTIFICATION
BUSINESS NAME (FULL)
41&18 % lei rl rN I IL/elf 10-I - 17211 1�71C`i 1;tl-1 I I I I I
NATURE OF BUSINESS (DRUG STORE. CPA, ETC)
BUSINESS PHONE
CAI
I
WASH. STATE TAX NR, ANTICIPATED TYPE OF OCCUPANCY
(REGISTRATION) NR. EMPLOYEES ORGAN. TYPE CAPACITY
I
a— ENTER APPLICABLE TYPES AND CAPACITY T
�5. EMERGENCY NOTIFICATION (IN EVENT OF FIRE, BURGLARY, ETC.)
LAST N'{A�ME. FIRST INITIAL AREA CODE. TELEPHONE(1) ' I E' iJ TC 1uL�
LAST NAME, FIRST INITIAL AREA CODE TELEPHONE
(2)
5S OFFICIAL USE ONLY I I�
U.F.I.R. PRIM. UNITS I BUS.
CODE g I III;
COND. USE PERMIT l�l 14iLA�JN�DvUvSE�
,4
BLDG. PERMIT
OCCUP. GRP.
ZONING
-
C
CITY CLERK'S APPLICANT'S
SIGNATURE SIGNATURE
APPROVED DISAPPROVED DATE BUS. TITLE
g1RM cr.- I,n-.:.� , ..-T'; .-;i.T ("i': :r r-•, 1- r-)
t
DATE / — 16
CITY OF. EDMONDS
PUBLIC WORKS DEPARTMENT, ENGINEERING DIVISION
APPL I CAT I Off FOR RIGHT -OF -I IAY CONSTRUCTION .PERM I T
THTS PERMIT MUST BE AVAILABLL•' AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
Permit to be issued to:
A ,
For Work at:(address or vicinity)2'"_��%
Type -e of Work to be done: x!.4 A/
- Cam_ _ a
(attach drawing when applicable)
Time Required -- Start: /011
Owner: .5,4Mr—
I;ame
12-
Mailing Address
.City State Zip
Contractor: PIF&QF_Te?%�i�%S,cr
Name 1 / 4 0 o '.2 N� 4/'
Hailing Address
�L'Z L-�5 lt,),y 9 z02 o
City State zip
Finish: le
_-T17s"--- 2 7 2
Telephone Number
State License Number
77 6 - 2 3 0_0
Telephone Number
`E id0 WORT; TO BEGIN PRIOR TO PERMIT ISSUANCE
B INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of. Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever., foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its departments or employees,
including or not limited to the defense of any legal proceedings including defense
costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated 'restoration fee) will be held until
the final street patch is completed, at which time a debit or credit will he
processed for issuance to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A
24-11ou17 notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes aC all times.
0��Signature: Date:
Owner oAgent
C. TO BE COi•IPI.E"I'ED �3Y ISSUING AGENCY:
Date Issued: ���Gj �'7F Permit Iio. :=�Q Fee:?
Security Bond:
Time Authorized:Tlnt—
ri,
Pilo STREET FILE P. 11
CITY Q7' 17MRO t D- 8 HARVE H. HARRISON
MAYOR
CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775-2525.
COMMUNITY DEVELOPMENT DEPARTMENT RECEIVED
FEB 7 1978
Public VVorKs uepc.
February 7, 1978
LaPierre Enterprises
7214-212th Street S.W.
Edmonds, Wa. 98020
SCREEN FENCE - 21200-72ND AVENUE WEST
The City Engineer and City Planner have reviewed and approved
the request to maintain a six foot fence extending to within
eight feet of the back edge of the present sidewalk on 212th
Street S.W.
In accordance with Ordinance #1760 Section 12.14.040 it is
approved by this division as part of permit #770323.
Harry M. hitcutt
Building Official
HMW/ae
cc: City Planner
Public Works Director
liol STREET FILE
DATE: r[�
EI �.-� , r 7 `
fY1E 1O TO: Harry l-!hi tCUtt
Building Official
;
FROX,: Richard H. Allen
Assistant City Engineer
,
SUBJECT: �' -- 2�
P�
F-O U N
L�
I
After revie.r of the subject building
permit application,
we have the following �
co.r: vents
]DI BEW I I kc-2U [r-w
f)� ` PF
FO
1'3L1 L w-m�
h 1S ECk
C�DKI
EEC WS ' fi"�
AV nifts WON 1011120
.L�.
f
Foo 1\) cx� D Q L�e
Mi"MC 1-:OPjS ONTI, LIST
11PILDT."43 1) j 1 1'1' 1�171fj I
1! Street light-of-l%�av 17),isting
Access I':nsemonts Existing (0 ITM)
Utilitv Easement Existillf" I
_121R ZED D
A
li
11 Lot ],or SlmdivisiollS--�22—T'7 mat Assessor 'laij
Site ])]-,In Oicdcd for Accuracy
Y'Cvim.., Dato
f:atc in pomlired
ilvdni!:t Si_7(,,rx"L-tin(,
Per. h
1ti_,tector (liecl: "Ctcr P.cquired
ev:
------
Septic T.,nnl, AT)T)roved.
olwtic tank ll(,nrti,t peouired
S.-Initan71c.Ccr Availal.dTity
Sidc !im.,or Availottillo
sC
anita;,,�T;er Connection Fee Penui
by
44,wz7 Ditch Yxist.ir.-_
Cul.wrt
Nan 1.
I liolc re-(Iuired
_kl -,.,.%c
r0l n "0
File ;o.
Si. ze
to
!),Ito
Pomit "0
Dro
: J
14'(1111 re (I
" Si-
"'o
Indicate
2 �SLI, Ll
,T i I d i. c itcll 01 i s I m I
GIT°p
BUSINE0 LICENSE APPLICATION
CITY OF EDMONDS
250 5TH AVENUE NORTH
REVERSE
SIDE
SAPPL OCTIONC�r��
DATE:
^
EDMONDS, WASH. 98020
TELEPHONE 206 775-2525
D
oT 0EE� FILE
APPLICATION FOR:
NEW ❑ LIC. LICENSE FF _Rl
BUS. RENEW YEARi (If Dig
INSTRUCTIONS .
PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID
IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS
RECEIVED BY CITY CLERK AFTER FEBRUARY 15,
NEW BUSINESS: COMPLETE ALL LICENSE APPLICATION BOXES.
LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW. PRINT
CORRECTIONS AND ADDITIONS AT RIGHT.
SIGN AND RETURN APPLICATION WITH 'FEE (AND PENALTY).
LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIED
10 APPEAR FOR APPLICATION REVIEW.
LICENSE RENEWAL
REVIEW BELOW, INFORMATION, PRINT CHANGES AT RIGHT.'
,ATE OF BIRTH I PLACE OF BIRTH
:TOME ADDRESS
BUSINESS IDENTIFICATION
,�L'SINESS NAME
a,AIURE OF BUSIN
r ANNUAL FEES
TYPE BUS. CLASS
FEE
PENALTY
HOME A
$10.00
$ 5.00
SMALL B
15.00
7.50
*GENERAL C
50.00
25.00
SOCIAL SECURITY NO.
:'.ASH. STATE TAX NR. I EMPLOYEES I ORGAN. OCCUPANCY
'OVER 10 EMPLOYEES, OR EMPL WORK
OVER 120 MAN -MONTHS PER YEAR,
CLASS I FEE PAID I PENALTY PAID
TYPE ORGANIZATION
IF BUSINESS IS:
TYPE
CAPACITY
I
HOTEL/MOTEL
L
NR OF ROOMS/UNITS
C - CORPORATION
APT. BLDG.
A
NR OR APTS
L -'LTD. PART
OFFICE BLDG.
0
NR OF OFFICES
P -PARTNERSHIP
RESTAURANT
R
NR OF SEATS
I S SOLE OWNER
HOSP./NURS. HOME
H
NR OF BEDS
SCHOOL
S
NR OF STUDENTS
I BUSINESS ADDRESSES
-;USINESS ADDRESS
.ICENSE MAILING ADDRESS
V�
EMERGENCY NOTIFICATION
NAME AREA TELEPHONE
In
OFFICIAL USE ONLY
F.I.R. CODE BLDG. PERMIT OCCUR
U.PERMIT LAND USE ZONING
LICENSE NUMBER
ACTIO
( LA - NEW BUS
J
LB - RENEWAL
LC - CHANGE
LD - DELETE
1 CLASS
YEAR
LIC. EFFEC. DATE
REASG. LIC. NO.
SPEC
RECEIPT NO.
DATE PAID
L
PRINT 'X'
IN SPEC. BOX
FOR ISSUE OF
C O R R E C T E D
FEE PAID
PENALTY PAID
LICENSE WITH
'LC' ACTION.
LICENSE, APPLICATION AND CHANGES
PLEASE PRINT CLEARLY
2. APPLICANT
ST NAME, FIRST INITIAL
FF►?RLL
DATE OF BIRTH ' PLACE OF BIRTH
M0. DAY I YEAR CITY STATE
SIL Ai`Tlf'I LI I
HOME ADDRESS
BLDG, NUMBER
c 11 c
STREET
- ". v - AI
APT. NO.
CITY
V c 2 3:.1_
STATE
W
ZIP CODE
`� o
3. BUSINESS IDENTIFICATION
BUSINESS NAME (FULL)
i'vi, - l-- N vT ol I o 2 i
NATURE OF BUSINESS (DRUG STORE, CPA, ETC)
BUSINESS PHONE
WASH. STATE TAX NR. ANTICIPATED TYPE OF OCCUPANCY
(REGIScR/�TI0N)„ NR. EMPLOYEES ORGAN. TYPE CAPACITY
G, C�
-k ENTER APPLICABLE TYPES AND CAPACITY
4. BUSINESS ADDRESS
% - n6+
APT. NO.
BLDG. NUMBER
/ r o
STREET
Q ,3°
APT. NO.
CITY
=D KA Qvi
STATE
ZIP CODE
5.
(2)
EMERGENCY NOTIFICATION (IN EVENT OF
FIRE, BURGLARY,
AREA CODE
ETC.)
TELEPHONE
3 3'
LAST NAME, FIRST INITIAL
LAST NAME, FIRST INITIAL
AREA CODE
TELEPHONE
7 s 5 g .7
5S OFFICIAL USE ONLY
U.F.I.R. PRIM. UNITS BUS, BLDG. PERMIT OCCUP. GRP.
CODE
COND. USE PERMIT AND USE ZONING
L�
(IY CLERK'S
(;NATURE
APPROVED IJ DISAPPROVE[) DAI'E
APPLICANT'S
SIGNATURE
BUS. TITLE
DATE
i
STRE7'T FIDE
Memo to: Director of Maintenance & Operation
Pub] i c Works
From: City.Engin'eer
Subject: Sewer Connection Charges
RECEIVED
Date January 17, 197�,i IS 977
Pub
Legal Description: Lot 4, Solners 5 Acre Tracts, LESS the
north 216' of the west 1001.
(Proposed Medical Offices)
Commonly known as: 21200.72nd Ave. IV. 04ner: Ernest J. LaPierre
Z.F.F. Calculation:
( 718.2 .) Z.F.F. x
( p ) Lateral x ( 0 ) _
( * ) Unit • x ( S 25 )
Note= Trunk charge to be based upon
fixture units of waste per
Uniform Plumbing Code
. 25 x $25 when building
design is known
cc: Ernest J. LaPierre
10238 S.E. 8th
Bellevue, Washington 98004
4 3,950.10 Connection Fee
g 0 Lateral Charge
g * Trunk Charge
5 0 Permit
$ 3,950.10 TOTA
1-'? '? /-
Form 6
'i
STREET'
FILE Date
-- J,unzary 17, 1977
Memo to: Director of r1aintenance Operation
Public Works
From: City Engineer
Subject: Sewer Connection. Charges
Legal Descrii)tion: 1,ot 4, Solners 5 Acre Tracts, Ills the
north 216' of the west 1001.
(Proposed -Medical Offices)
Commonly knatgm as : 21200 .72nd Ave. 1J.
Owner: Ernest J. LaPierre
.Z.F.F. Calculation:
( 718.2',) Z.F.F. x ( ). =
4
3,950..10
. Connection Fee
( 0 ) Lateral x ( 0 ) _
0
Lateral Charge-
( * ) Unit x ( A 25 ) =
4
*
Trunk Charge
S
0
Permit
Note= Trunk charge to be based upon
3,9SC:10
TOTAL
fixture units of..waste per
Uniform Plumbing Code
j 25 x $25'when building'
design is lmown
cc., Ernest J. LaPierre
10238 S.E. 8th
Bellevue, Washington' 98004
Form 6
Date January 17, 1977
Memo to: Director of Maintenance & Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot 4, Solners .5 Acre Tracts, LESS the
north 216' of the west 100'.
�PRo��ttp MQbItM. OI�F��I�i�
Commonly known as: 21200 72nd Ave. W.
Z.F.F. Calculation:
( ?) Z.F.F. X ( $5.50 ) _
( ) Lateral X
( ' ) Unit X ( $25 ) _
kk% Tku"C.""ETl6E6 Eb
U 04J p)xtokG UM -es OF Whsly
Pft VJJJfQd.rq pt,uM 4 uJt cove
+ 25 A's 2S w�wj
OI(NA YAGWIJ .
CC: Ernest J. LaPierre
10238 S.E. 8th
Bellevue, Washington 98004
Owner: Ernest J. LaPierre
$ Connection Fee
$ ®- Lateral Charge
$ Trunk Charge
$ Permit
TOTAL
2108
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GENERAL NOTES
GENERAL NOTES, CONT.
DEFERRED SUBMITTALS
PROJECT DATA
GENERAL NOTE51
I. ALL CONSTRUCTION SHALL COMPLY WITH THE 2012 INTERNATIONAL BUILDING CODE AS ADOPTED BY THE CITY OF
EDMONDS, STATE REGULATIONS FOR BARRIER FREE DESIGN, WASHIN&TON STATE ENERGY GORE, AND ALL
APPLICABLE LOCAL. CODES, ORDINANCES, AND STANDARDS. IN CASE OF ANY CONFLICT WHERE THE METHODS
OR STANDARDS OF INSTALLATION OF THE MATERIALS SPECIFIED DO NO EQUAL OR MEW THE REQUIREMENTS
OF THE LAWS OR ORDINANCES, THE LAWS OR ORDINANCES SHALL GOVERN. NOTIFY THE ARCHITECT OF ALL
CONFLICTS.
2. SECURE RELEVANT CITY AND STATE APPROVALS RELATING TO FIRE, CONSTRUCTION LABOR, HEALTH AND
LICENSING. CONTRACTOR SHALL FURTHER POST ALL BONDS AND SECURE ALL INSURANCES REQUIRED BY LAW OR
CONTRACT, FORWARDING PROOF OF SUCH ACTIONS TO THE BUILDING OWNER PRIOR TO COMMENCEMENT OF
CONSTRUCTION.
3. PROVIDE ALL NECESSARY PERMITS AND FEES, WITH THE EXCEPTION OF THE BUIL.DINess PERMIT, WHICH WILL BE
PROVIDED BY THE BUILDING OWNER
4. WORK NOT INCLUDED IN THE CONTRACT SHALL BE MARKED "KI.C." OR SPECIFICALLY A5516NED TO ANOTHER
PARTY.
S. CONTRACTOR SHALL. VISIT THE SITE, REVIEW THE DRAWINGS A5 SUBMITTED 13Y THE ARCHITECT, AND BECOME
THOROUGHLY FAMILIAR WITH THE SITE CONDITIONS PRIOR TO BIDDING OR CONSTRUCTION.
6. ALL WORK SHALL BE APPLIED IN ACCORDANCE WITH THE MANUFACTURERS LATEST RECOMMENDATIONS OR
WRITTEN DIRECTIONS.
1. SUBMIT A LIST OF PROP05ED PRODUCT SUBMITTAL5 AND SHOP MMIN65 TO THE BUILDIN6 OWNER FOR
APPROVAL PRIOR TO START OF CONSTRUCTION.
6. WHERE CONSTRUCTION DETAILS ARE NOT 5HOWNN OR NOTED FOR ANY PART OF THE WORK, THE DETAILS SHALL BE
THE SAME A5 FOR OTHER 51MILAR WORK.
a. WHERE DEVICES OR ITEMS OR PARTS THEREOF ARE REFERRED TO IN SINGULAR, IT 15 INTENDED THAT SUCH SHALL
APPLY TO AS MANY SUCH DEVICES, ITEMS OR PARTS AS ARE REQUIRED TO PROPERLY COMPLETE THE WORK.
10. VERIFY ALL "BUILDING STANDARDS" WITH BUILDING OWNER PRIOR TO BEGINNING ANY WORK. HOMVER, THERE
514ALL. BE NO DEVIATIONS WHATSOEVER FROM THE CONTRACT DOCUMENTS NI7HOUT THE ARCHITECT'S WRITTEN
APPROVAL THEREOF. THE CONTRACTOR AGREES TO DEFEND, INDEMNIFY, AND HOLD THE ARCHITECT HARMLESS
FROM ANY CLAIMS ARISING AS RESULT OF UNAPPROVED CHANGES.
11. ALL PRODUCTS AND MATERIALS SPECIFIED IN. THE DRAWIN&S (WITH EXCEPTION TO SPECIFIC FINISH COLORS AND
FLOORING) ARE INTENDED TO BE ON AN "OR EQUAL" BASIS. ANY PROPOSED SUBSTITUTION MUST BE SUBMITTED
To THE ARCHITECT IN NRITIN6 FOR APPROVAL WITHOUT DELAY OF SCHEDULE.
12. LOCATE ALL EXISTING UTILITIES WHETHER SHOWN HEREON OR NOT AND TO PROTECT THEM FROM DAMAGE. THE
CONTRACTOR SHALL BEAR ALL EXPENSE OF REPAIR OR REPLACEMENT OF UTILITIES OR OTHER PROPERTY
DAMAGED BY OPERATIONS IN CONJUNCTION WITH THE EXECUTION OF THIS WORK.
13. VERIFY AND CONFORM TO ALL REGULATION OF ALL UTILITY COMPANIES UNLESS OTHERWISE NOTED IN THE PLANS
OR SPECIFICATION.
14. ALL DEBRIS SHALL BE REMOVED FROM PREMISES AND ALL AREAS SHALL BE LEFT IN GLEAN (BROOM) CONDITION
AT ALL TIMES.
15. PROTECT ADJACENT WORK AND REPAIR ANY DAMAGE AT CONTRACTOR'S OWN EXPENSE.
16. THE CONTRACTOR SHALL BE RESPONSIBLE FOR SAFETY IN THE AREA OF NORK IN ACCORDANCE WITH ALL
APPLICABLE SAFETY CODES.
m. THE CONTRACTOR SHALL INDEMNIFY AND HOLD THE BUILDING OWNER/ARECHITECT/ ENGINEER HARMLE55 FOR
INJURY OR DEATH TO PERSONS OR FOR DAMAGE TO PROPERTY CAUSED BY THE NEGLIGENCE OF THE
CONTRACTOR, HIS AGENTS, EMPLOYEES, OR SUBCONTRACTORS.
I& APPROVED PLANS SHALL. BE KEPT IN A PLAN BOX AND SHALL NOT BE USED BY ANY WORKERS. ALL
CONSTRUCTION SETS SHALL REFLECT THE SAME INFORMATION AS WELL AS ALL REVISIONS, ADDENDA, AND
CHANGE ORDERS. THE CONTRACTOR SHALL ALSO MAINTAIN IN 6000 CONDITION, ONE COMPLETE SET OF PLANS
WITH ALL REVISIONS, ADDENDA, AND CHANGE ORDERS, ON THE PREMISES AT ALL TIMES WHICH ARE TO BE UNDER
THE CARE OF THE JOB SUPERINTENDENT.
19. MAINTAIN ALL EXIT PATHWAYS DURING CONSTRUCTION.
20. PROVIDE COMPLETE SECURITY OF THE TENANT SUITE(S) WHILE JOB IS IN PR06RESS AND UNTIL THE JOB 15
COMPLETED.
21. AT COMPLETION OF THE WORK, REMOVE ALL DEBRIS FROM THE SITE, LEAVING SPACE GLEAN, WASH ALL NEW
WINDOWS AND GLASS, POLISH ALL NEW OR REWORKED HARDWARE. REPLACE AND PATCH AREAS OF CEILING
DAMAGED DUE TO LIGHTING INSTALLATION OR MECHANICAL ADJUSTMENT.
22. ALL WORK SHALL BE GUARANTEED FOR A PERIOD OF ONE (1) YEAR AFTER COMPLETION, UNLESS OTHERWISE
SPECIFIED, AND SHALL BE 50 STATED IN CONTRACTOR'S WRITTEN PROP05AL AND AGREEMENT. ALL REPAIR5,
CORRECTION, DISCREPANCIES, ETC., MUST BE MADE WITHOUT ANY ADDITIONAL COST TO THE BUILDING OWNER, AND
NITHIN FIVE 0) DAYS AFTER NOTICE 15 61VEN.
25. MINIMIZE DISRUPTION OF BUILDING OCCUPANTS DUE TO NOISE, ODOR, FUMES, OR VIBRATION. AT THE END OF
CONSTRUCTION THE CONTRACTOR 5HALL COMPLETELY GLEAN ALL AREAS SOILED BY CONSTRUCTION ACTIVITIES
INCLUDING TH05E IN WHICH NO WORK WAS DONE.
24. LATHING, PLASTER AND GPSUM WALL BOARD SYSTEMS SHALL CONFORM TO CHAPTER 25 OF THE 2012 I.B.C.
25. ALL GLASS AND GLAZING SHALL COMPLY WITH CHAPTER 24 OF 2012 I.B.C. AND THE U.S. PRODUCT SAFETY
COMMISSION: SAFETY STANDARDS FOR ARCHITECTURAL GLAZING MATERIALS (42 FIR 1426: 16 GFR PART 1201).
26. VERIFY ALL DOOR AND WINDOW ROUGH OPENING DIMENSIONS WITH DOOR AND WINDOW MANUFACTURERS.
DIMENION:
1. ALL INFORMATION SHOWN ON THE DRAWINGS RELATIVE TO EXISTING CONDITIONS 15 GIVEN AS THE BEST PRESENT
KNOWLEDGE BYT WITHOUT GUARANTEE OF ACCURACY. THE CONTRACTOR SHALL VERIFY EXISTING CONDITIONS ANI
DIMENSIONS AND SHALL NOTIFY THE ARCHITECT OF ANY DISCREPANCIES OR CONDITIONS ADVERSELY AFFECTING
THE OM16N PRIOR TO PROCEEDING AITH THE WORK.
2. DIMENSIONS OF PLANS ARE TYPICAL TO THE CENTER LINE OF COLUMNS AND FINISHED 63AL5. FACE OF PARTITIONS,
UNLESS NOTED OTHERWISE. DOOR AND CASED OPENINGS WITHOUT LOCATION DIMENSIONS ARE TO BE FOR (4)
INs� FROM THE FACE OF THE ADJACENT PARTITION OR CENTERED BETWEEN PARTITIONS.
$. DO NOT 50AL.E DRAWIN65. THE CONTRACTOR SHALL. USE DIMENSIONS SHOWN ON THE DRAWINGS AND ACTUAL
FIELD MEASUREMENTS. NOTIFY THE ARCHITECT IF DISCREPANCIES ARE FOUND. CONTRACTOR SHALL CONSULT
BUILDIN6 OWNER15 REPRESENTATIVE MEN ADDRESSING TION5 OF MATERIAL, METHODS, DETAIL OR
WORKMAN5HIP NOT COVERED IN THE CONTRACT DOCUMENTS.
4. CONSTRUCT WALLS PLUMB AND SQUARE WITH EXISTIN6 STRUCTURE AND NEW CONSTRUCTION UNLESS NOTED
OTHERWISE.
5. COORDINATION: THE GENERAL CONTRACTOR SHALL BE RESPON51BL.E FOR THE VERIFICATION AND COORDINATION
OF THE VV RK OF ALL TRADES TO A55URE COMPLIANCE WITH THE DRAWINGS.
6. ANY DEVIATIONS FROM DIMENSIONED LOCATIONS MUST BE APPROVED BY THE ARCHITECT.
�C�jZUGTION:
I. IWEST16ATE AND VERIFY LOCATIONS OF EXISTING STRUCTURAL, PLUMBING, MECHANICAL, AND ELECTRICAL
ELEMENTS AND OTHER EXISTING CONDITIONS AND NOTIFY THE ARCHITECT OF ANY AND ALL DISCREPANCIES
PRIOR TO PROGEEDIN6 WITH THE AORK.
2. COORDINATE CONSTRUCTION SCHEDULING WITH TENANT AND BUILDING REPRESENTATIVE TO ALLOW ONGOING
OPERATION OF THE FACILITY DURING CONSTRUCTION.
S. THERE SHALL BE NO ExPUSED PIPE, CONDUITS, DUCTS, VENTS, ETC. ALL SUCH LINES SHALL BE CONGEALED OR
FURRED AND FINISHED, UNLESS NOTED AS EXPOSED ON CONSTRUCTION DRAWIN&S.
4. OFFSET STUDS WHERE REQUIRED 50 THAT FINISH WALL SURFACES WILL. BE FLUSH.
5. PATCH AND REPAIR ALL EXISTING SURFACES AND REWIRED BY DEMOLITION AND NEN CONSTRUCTION TO
RECEIVE NEW SCHEDULED FINISHES. ALL SURFACES ARE TO HAVE "LIKE -NEW" APPEARANCE.
PLUM", MECHANICAL I ELCKTRiG&
1. PLUMBIN6, MECHANICAL, 4 ELECTRICAL DRAWIN&5 ARE TO BE SUBMITTED UNDER SEPARATE PERMIT.
2. MECHANICAL 8 ELECTRICAL CONTRACTORS SHALL BE RESPONSIBLE TO MAINTAIN COMPLIANCE INIT'H APPLICABLE
CODES AND STANDARDS AND OBTAIN ALL NECESSARY PERMITS AND APPROVALS.
5. ANY DEVIATIONS FROM DIMENSIONED LOCATIONS MUST BE APPROVED BY THE ARCHITECT.
4. DISCREPANCIES BETWEEN EXISTING CONDITIONS AND CONSTRUCTION DRAWIN66 SHOULD BE GALLED TO THE ATTENTION
OF THE ARCHITECTS.
S. ALL CABLING AND WIRING NOT IN CONDUITS OR FULL SURROUND GABLE TRAYS SHALL HAVE A FLAME SPREAD RATING
OF LE55 THAN 25 AND A SMOKE DEVELOPMENT RANGE OF LESS THAN 50.
CEILING:
1. SALVAGE AND RE -USE REMOVED EXISTING CEILING /&RID MATERIAL THAT ARE IN GOOD CONDITION, MATCH CEILING
TILE STYLES WITHIN A SUITE WHEN POSSIBLE.
2. PROVIDE AND INSTALL NEE CEILING TILES/ GRID AS REQUIRED. STYLE AND COLOR TO MATCH THE EXISTING MAJORITY
3. PROVIDE SEISMIC CEILING SPLINE BRACING AS REQUIRED BY THE ASTM AND DETAIL VA6.0
Qom:
I. ALL DOOR HARDWARE TO MEET REQUIREMENTS OF 2012 150 N/ WASHIN&TON STATE AMENDMENT'S AND oneR'S
BUILDING REQUIREMENTS. LEVER HANDLES ARE REQUIRED IN ALL PUBLIC AREAS.
2. COORDINATE ALL KEYING REQUIREMENTS WITH BUILDING OWNER. CONTRACTOR MALL PROVIDE ALL LOGKSET
CYLINDERS TO MATCH OWNER STANDARD. CONTRACTOR SHALL RE -KEY ALL DOORS TO MEET OWNER'S REQUIRI
SITE PLAN SCALE: 1"=20'-o"
212TH STREET SW
THE FOLLOWING PORTIONS OF THE PROJECT WILL BE APPLIED FOR UNDER SEPARATE PERMITS:
I. ELECTRICAL SYSTEM WORK.
2. #VAC SYSTEM. (DUCTING, D15TR15LMON AND CONTROLS)
3. LIFE SAFETY SYSTEMS. (HORNS, STROBES AND FIRE ALARM IMPROVEMENTS)
4. PLUMBING
NO OCCUPANCY UNDER THIS PERMIT. THE PROPOSED
WORK IS FOR MARKET -READY ONLY.
APPLICABLE CODES
• W45HIN6TON 57AM BUILDING CODES AND AMENDMENTS
• WASHINGTON ADMINISTRATIVE CODE (WAG)
• EDMOND5 DEVELOPMENTAL CODE
• 2012 INTERNATIONAL BUILDING CODE W/ WASHIN&TON STATE AMENDMENTS
• 2102 INTERNATIONAL EXISTING BUILDING CODE
• 2012 INTERNATIONAL FIRE CODE N/ W46HIN6TON STATE AMENDMENTS
• 2012 INTERNATIONAL MECHANICAL CODE N/ WASHIN6TON STATE AMENDMENTS
• 2012 WASHIN &TON STATE ENERGY CODE
SCALE: I"=20'-O"
N
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m
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C
m
f'
PROJECT ADDRE55:
PARCEL N ER-
LEGAL DESCRIPTION:
PROJECT OWNER:
PROJECT ARCHITECT:
AUTHORITY:
ZONING:
OCCUPANCY CLASSIFICATION:
TYPE OF CONSTRUCTION:
TOTAL BUILDING AREA:
AREA OF IMPROVEMENT:
NUMBER OF STORIES:
SCOPE OF WORK:
VALUATION:
21200 12ND AVE N,
EDMONDS, WA a6026
OOWO O0000401
SOLNERS 5 ACRE TRACTS BLK 000 V-01-N 15gFT OF LOT 4 LESS W IOOFT THOF
JAS GROUP LLG
3633 W LAKE SAMMAMISH PKWY SE,
BELLEVUE, WA 960U6
LARRY HO ARCHITECTS
$633 W. LAKE SAMMAMISH PARKWAY SE
BELLEVUE, NA Q6006
TEL: 425.g22.3662
CITY OF EDMONDS
062 ZONE
B (OFFICE)
V-B (NON -SPRINKLE%
6,466 SF
5,162 SF
INTERIOR TENANT IMPROVEMENT FOR MARKET READINESS
$100,000
VICINITY MAP NOT TO SCALE
SITE NOTES
1. NO SITE WORK PROPOSM UNDER THIS PERMIT.
2. EXISTING PARKING STALLS TO REMAIN. NO CHANGE PROPOSED. TOTAL 36 STALLS, INCLUDING 2 ACCESSIBLE
STALLS.
DRAWING INDEX
AO.0 COVER SHEET (PROTECT DATA, GENERAL NOTES, VICINITY MAP, SITE PLAN!)
APPRGVED
AI.O CODE SUMMARY
�J
A3.0 DEMOLITION PLAN, FLOOR PLAN /
A6.0 DETAILS, RESTROOM ELEVATIONS, ENLARGED RESTROOM PLANS, DOOR SCHEDULE, DOOR NOTES
A7.0 DEMOLITION REFLECTED CEILING PLAN, REFLECTED CEILIN& PLAN
A1.1 L16HTINS POKER ALLOWANCE CALCULATION
0%-rREET FILE
OVED NNING
RECEIVED
NOV 0 4 2014
DEVELOPMENT SERVICES
COUNTER
W
LL'
0
LL
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W
0
LPL
W
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Z
REVISIONS:
.1665
pprr[�rr�•�-+er ��pp
AR("I IITECT
LA{�CE
DATE: 10/25/2014
PROJECT NO.: 14116
SHEET NO.: