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110 JAMES ST STE 104 (2)_RedactedIIII�lIII ito FIRE PREVENTION Serving Brier, Edmonds, and 12425 Meridian Ave S INSPECTION REPORT EDMOMountlake Terrace Everett, WA 98208 ❑ ❑BRIER S RIER Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED www.FireDistrictl.org Fax (425) 551-1272 FREQUENCY STATION 1, SHIFT LOCATION: BUSINESS NAME: PHONE: SCHEDULED ► DATE DUE MAILING UFIR ► ADDRESS: BUSINESS OWNER: HOME PHONE: .EMERGENCY-1: HOME PHONE: CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS ❑ EMAIL: LICENSE PERSON CONTACTED: L I A INITIAL INSPECTION DATE NAME OF INSPECTOR: Z -2, �_' / 6 V % �.A) O ZQ 2 HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1° N 0 j r: 1 rN 0A) b0 w A)r�v v✓AL-1_5 2 riT �. •2 2 4 _ . _._ _ _... ti.r� .J _ S l - YJ _�%5. _ 5 4 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X In our continuing effort to promote fire safety and prevention within the community, your fire department conducts regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities covered by Snohomish County Fire District 1. You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you will find the item(s) that were noted during. our inspection which require attention to bring them into compliance with the minimum standards adopted by the above jurisdictions. Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation. If you require additional information or to schedule a re -inspection for Edmonds, call (425) 775-7720; for Mountlake Terrace or Brier, call (425) 744-6231. 1 /4 'Tigm rS S's ST aft" CITY OF EDMONDS IU BUSINESS LICENSE APPLICATION — COMMERCIAL ❑ Building ❑ Engineering FEE: $125.00 ❑ Fire r.10 CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION ❑ Planning O Police 121 5TH AVENUE NORTH, EDMONDS, WA 98020 PHONE 425.775.2525 OFFICE USE ONLY BL# Customer # ti(iffiLilot SIC Year Class SHD Date Paid 1-71ZTI TR# '55LI'ocog Fee !Z� Mailed Deleted INSTRUCTIONS: Please complete the application In full and attach the required floor plan. Middle Initial or name required of all parties concened If no middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required If business closes. License expires December 31" each year. Renewal must be submitted prior to January 31t' to avoid �laatte fees. BUSINESS NAME i` 1 �� YCr 1��p� c1 BUSINESS ADDRESS 1Q S(I�VVlO4 S� L�- JC �Oq Eln, �S. L,.)A hCi�i) Street Suite# City, State, Zip Code MAILING ADDRESS_ - '� c)� Street or PO Box # Suite # BUSINESS PHONE( � 1 jolty// (� "ITT WA STATE TAX ID # (UBI) TS BUSINESS E-MAIL (i I) cor' Y_2•'[�1 BUSINESS WEBSITE BUSINESS OWNER / MAIN CONTACT N 1 1 ECG xrt- Y-II l e-I V1 I gyt0 1 (0iu 17 Name Number PROPERTYOWNER ( 1 Name Phone Number EMERGENCY NOTIFICATION (For Premise Access in Emergency): 1 Last Name First Name MI Phone Number 1 Last Name First Name MI Phone Number NATURE OF BUSINESS (Provide a Detailed Description of Business Activities, Products & Services): C t 1 1 CV'--Q- / WO L i CQ_(� 1,1c, Cr:.L��.t•2 S S t'1-�t.i. � . C.-'�:c..vL� � %l Y'P SC'-U i C]_�-1 � J SPACE ALTERATIONS TO BE MADE: YES_NO4 DESCR PREVIOUS BUSINESS AT THIS ADDRESS NUMBER OF EMPLOYEES SQUARE FOOTAGE OF BUSINESS SPACE TYPE OF BUSINESS - PLEASE CHECK APPROPRIATE CATEGORY: In CONSTRUCTION ❑ FINANCE, INSURANCE, REAL ESTATE ❑ LANDSCAPE, HORTICULTURAL ❑ MANUFACTURING ❑ NON-PROFIT ❑ RETAIL ❑ SECONDHAND DEALER W SERVICES ❑ WHOLESALE ❑ OTHER PROPOSED OPENING DATE: BUSINESS HOURS: 02-yT\60 VAS DAYS OPEN: ❑ SUNDAY >CWEDNESDAY ❑ MONDAY ❑ THURSDAY ❑ TUESDAY ❑ FRIDAY ❑ SATURDAY AMUSEMENT DEVICES ON PREMISES? YES NO-16--IF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES? YES NO GAMBLING? YES_ NO—�--- CIGARETTES SOLD ON PREMISES? YES NO) FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED? YES NO— _ IF YES, PLEASE PROVIDE A LIST OF MATERIALS AND QUANTITIES: PARKING SPACES ON SITE: TOTAL SPACES ACCESSIBLE SPACES FOR HANDICAP PARKING DES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? YESNO APPLICANT l NAME C • J }v�iA 110V, ' �• % {1�� `�� Sit �� ')/•'',ii\�� Printed Name c - I t Signature ; y , �..��T TITLE '1 LS^t[ f ( Li�3-i:k-�?.:.1':C�L�1�l.� � ` 1(� 't'�l('}'L 1� DATE T kt1_ r,r� �r1�� 1 PARTNERSHIP —PARTNER 1 NAME LPST FIRST YOIXEINRIPl Apq E% 911tEET SVITEMPfNMTp CrtY9fATE21PCWE 1 ME I DRNERSIICEN%ORIDp65TATP MTEI BRTH CR WATEC OW WUiIRY6 RRTH PARTNERSHIP— PARTNER 2 NAM LAST FDaBf MIDpLE p+rtIAi ACORE85 STREET BUREIAPFAINRp CRV/STATE2PGODE Whflz IO I IYaIVER'BLGENSECRDN68TATP MTEDF9IRTH ffv Td ECFSIRTH O]1M Walm CORPORATIOW LLCar PLLC MIEOFCORPOMTION Ipq,. IJ Lc-- CORP.AMWW I0033 V!;r ALID N <� ��EMMLTAID6r_^ /_lwryl 79).tJ (;total &L/ L! 17gq � 8trat SYApt. MIS CIV.SMeeaw EpC q M, PpuY WU CORPORATE OFFICERS: umt NNR Mgt' FMNam A+ MI TIIY LOCALCIXJIACf� �..�w� IBN NaIm F6Y WIm MI TM MmIBM OR.e181kB IXONn mY/Slate FTom NYmIXF ulT use ONLT: w"m DmT. m APPRWE O DISAFPROVE DATE SIONATURF OCCLPAMLM EIIILOINOPERMR oCCLPANCY P. eNDINeeMXa Q APPROVE O dsAPPRDVE mm DEPT. =1 APPROVE 0 OISPPPNOYE PMNNINa OFPT. Q APPROVE 0 DISAPPROVE MTE SOMTURE EONINDCCOE CCNDRpNAL U6E RRNR COMNENIB Pause DDrT. = APPRDVE = DIEAPPRDYE Credet�tli Last Firs: Naive N.F-me AP310G0712"T, Klein Allegra CAI Crecenflal Type Advanced Registered Nurse Practitioner License Credentia6 Year of CE Due Enforcement staius Birth Date Action ACTIVE 1952 03/04/2019 No t.. DEMOLITION PLAN . -- -� _ I i RECEPTION Attegra Klein, ARNP Psychiatric Ptarse Practitioner 4205 148th Ave NE Suite 103 Bellevue, WA 98007 Ph- A25-968-5946 Fox:425-385-0978 Sound Mind Psychiatric A$CDCintes NE'N PARTTION ===_== DEMOLITION DEMOLITION KEYNOTES Dt REMOVE ODOR AND REUSE IF POSSBLE. DZ I CUT OPEN,NG IN EMTING PARTITION FOP, E/5 DDOP., Oa I EXISTING GAHINETR'i TO REMAIN. D4 , REMOVE PARTITION AND SIVIEVYL RETURN SVELI l TO BUILDING STCCY. w FYNnTFR �1 INFTLI. TO MATCH A.D�ACE4T COKSTRUCTCN. O PROVIDE 3L1 RLN1 TO EnISTttiC CLERESTORY/SICET_IGH7S & DOORS. 0 ALIGN NEW PARTITION TJITH W/ E:ihTIrTO SOFFI7 LINE, 0 PROVIDE SHEET VINYL dl 3UBBER BASE. EID /, T. VCT RUa?ER BASE IN EXAM ROOMS & STAFF LCU.VCE/LAB. SE'EC:.AP.MSTR0IIG TIIJERELIAI SHEET MNTt. SPEC: ARMSTRCtiG IMPE2IAL EXSELON VC! FS NEW '-LAM 4'-I)'Yi EXAM BASE CABINET u'/SINK, S-WV COUNTER TC? OPEN BELO'A' WITH 'ROUNDED CORNER. b NE'N 3/3 DOOR, FRAME A.4:) r1ARD'�rAr:E. SCALE- li&'=1'-0. - SCALE: 1/8 ' 1-0O �7 NEly �—LAM RECEPTION DESK 'IYITH :i—D"Yr HC COURTER AND P—LAM TRANSACTION TOP, FXSTING LOW'HEUGHT WALL 151f11 CAP TO REU.AIN. EQUIPFAENT PROVIDED BY TENANT PROVIDE RECUIRED ELECTRICAL 10 VERIFY AND "rRQV40E ALL REQUIRED ELE4IRICAL V¢ITN W4ANT. VD, =1'-O' ' ( I ! � I 11 PRONTO° $/$ CARPET IN RECEPTION, 12 PAICH AND PAINT WALLS TH2OL,GII0LIT SUITE. SPEC: TOD, O a' 3' 16' 3 2' —51 CARPET fi RUBBER BASE TG REMAIN. BREAK RM/ L4F PPICIRM FLAN EDVVID5 HEALTH CLINIC EDM4NOS_RNA4CIAL CENTER NOTE: TAUS PRE L:M I I"; RY SPACE PLAN REFR ESENTE OUR VSDEP;IANDING OF THE SPACE P",^P AM RFf UlREIArVTS AND :10_J ALIES_STAEET _EDVIDr1D5,-YJP i'IctUOPS0UR I NTERPPe TATI7MS DF LOCAL BUILDING CODE REPU I REM ENTI THE F9WALCOUSTRUETT0400CUUE4TS ARE SLIPJECT TO REUSE W AND CDMFAENTt 7AQM TVE LAUDLORD AS WELL AS LOCAL .GVERN rf ENTAL A6ENCr E$. CHAN LEST THE PUN MAC DE REOUrP.SO TO ADDRESS COMMENTS AFTER REVIEW OF THE .^LANc THRGLIGH THE PLA!J CHEcx PRUCESS. ALL SUUA�L FUUTAGE5 NOTED AAE FAELIMLNARY AND AISD MAY CHANGE W HEN TKE SPACE PLAIT IL FINALIZED. WAM MAL.COAM SF o-uue co SPEI 47' CITY O EDMONDSp Buildin�BUSINESS LICENSE APPLICATION - COMMERCIAL ❑ Engineering FEE: $125.00 ❑ Fire ❑ Planning CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION p Police ' 121 5TH AVENUE NORTH, EDMONDS, WA 98020 PHONE 425.775.2525 BL# Customer # Year Class JSHO Data Paid TR# tee Malted ueiewo rrn -37109 SIC -7 at U 8 a' o� A of l v 1 3539 - unj 1 1.26 NSTRUCTIONS: Please complete the application In full and attach the required floor plan. Middle Initial or name required of all parties concerned. If m nlddle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change In status. New license required I luslness changes location or ownership. Notification to City of Edmonds required If business closes. License expires December 31"each year. Renews nest be submitted prior to January 316'to avoid late fees. tUSINESS 2 6 ;USINESS ADDRESS l / 0 so-pneS Q- � l () 7 5 /Y71kdS 022 92P01:� y Street Sulte # City, State, Zip Code (AILING ADDRESS P0 avx di6 7 14,6; chal Alrf �? Street or Box # Suite # --City, State, Zip Code ;USINESS PHONES 6 I s-u- /PJO / O 7/��_L WA STATE TAX ID # (UBI) (� 3 S 6 pZ 5 ✓ IIa ;USINESS E-MAIL /1 uuh S /'hGI SNGH• (��t�s/ . nFf BUSINESS WEBSITE W h% Y1%. 1i1�G 104w r.�l,Gf tnSf: n�f_ ;USINESS OWNER/MAIN CONTACT C �n ��I+R 19 • C hC1 �'rIJ \J ( �(� 15/d -y/Pyfo Name ' Phone Number �^ 'ROPERTYOWNER L F4 /! J I- {yl'1) 6 OG�� Name Phone Number :MERGENCY NOTIFICATION (For Premise Access in Emergency): )-l' Ulrt1-eS C /(172GS i l"�� t 2 ast Nalne First Name Mi Phone Number �f a(riffs Ul9-H4 i S z t o0(9 ) 60 y- 5 ast Naive First Name MI Phone Number IATURE OF BUSINESS (Provide a Detailed Description of Business Activities, Products & Services): Ad 6ae f :'ce-Au0,'SDec,a�h� PACE ALTERATIONS TO BE MADE: 'REVIOUS BUSINESS AT THIS (UMBER OF EMPLOYEESSQUARE FOOTAGE OF BUSINESS YPE OF BUSINESS - PLEASE CHECK APPROPRIATE CATEGORY: ❑ CONSTRUCTION ❑ FINANCE, INSURANCE, REAL ESTATE ❑ LANDSCAPE, HORTICULTURAL ❑ MANUFACTURING ❑ NON-PROFIT ❑ RETAIL ❑ SECONDHAND DEALER" ❑ SERVICES • WHOLESALE X OTHER PROPOSED OPENING DATE:_T - BUSINESS HOURS: F - S DAYS OPEN: ❑ SUNDAY k WEDNESDAY lit-MONDAY PFfHURSDAY brTUESDAY &FRIDAY ❑ SATURDAY .MUSEMENT DEVICES ON PREMISES? YES NO ,�C IF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES? YES NO )AMBLING? YES_ NO_,C CIGARETTES SOLD ON PREMISES? YES NO� LAMMABLE OR HAZARDOUS MATERIALS USED OR STORED? YES NO_- IF YES, PLEASE PROVIDE A LIST OF MATERIALS AND QUANTITIES: ARKING SPACES ON SITE: TOTAL SPACES_ ACCESSIBLE SPACES FOR HANDICAP PARKING TOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? YES_ C- NO APPLICANT Chi sfi/1;1 14. A _ Printed Name DATE d 'Y FA' IO NAME LAST FIRST PIDDLE INITWL ADORES STREET SURF/APTNNITF CITYISTATIMDPCODE HOME PHONEe I DRIVEMUCENSEORIDe11, DATEOFBIRTM CITfWATE OF WRIH COUNTRYOFORTRR PARTNERSHIP -PARTNER T NAME LAST FIRST MIDDLE WRYL ADDRESS STREET SUREIAPTIUNITO CITYISTATERTP CODE HOME PHOHEI I DRIVERS LICENSE OR ID P S STATE DATE OF BIRTH CRYISTATE OF BIRTH COUNTRY OF SINTM PARTNERSHIP- PARTNER 2 xA K LAST FIRST MIDDLE WTfNL ADDRESS STREET SURE/APTNNRY CRYSTATEGIF CODE HOME PHONE( I DRIVER'S LICENSE OR 100 S STAT DATEOFBIRTH CITYWATEOFBRRTH COUNRY OF BIRTH NAME TA%O% wRPADGREss HO JwmPa St H Lid A/A t 25o SVeeI SuIM,APt UMIR CIO, SMReadMIR(We Fbwre Number e7eve D WNerM RNR Nome MI TOO DxeWRM ItUID-tE619 29bSN ( 3T,Yo I Sa-yfi5 / Drivers LifArbe or Otller Di/Stab Phone Number OIT'FUSEONLY: INIILUING DEPT 0 APPROVE O DISAPPROVE OCCUPANTLOAO BUILOINGPERMR OCCUPANCYGROUP ENGINEERING Q APPROVE 0 DISAPPROVE FEE DEPT. 0 APPROVE 0 DISAPPROVE PLANNING DEFT. 0 APPROVE O DISAPPROVE DDNWG CODE CONDITIONALUSEPER POLICE DEFT. Q APPROVE [= DISAPPROVE DATE SIGNATURE EXISTING LAYOUT SUITES 104 & 106 COMBINED 110 JAMESnSNREEDS TIp EDMIAL CENTER ONDS WA I •r21Llta lrit"il�VO1ViD SEAR 5i504-00 SHEET SP-1 11 v � of E Moen CITY OF EDMONDS 121 5TH AVENUENORTH - EDMONDS, WA 98020 o PHONE: (425) 771-0220 - FAX: (425) 771-0221 �c. 189 STATUS: ISSUED 03/28/2016 Expiration Date: 09/28/2016 Parcel No: 00864100010000 SPERO CONSULTING FIRE PROTECTION INC C/O LLC EFCA PO BOX 12642 110 JAMES ST STE 104 MILL CREEK, WA 98082 EDMONDS, WA 98020 (425)290-9600 FIRE PROTECTION INC PO BOX 12642 MILL CREEK, WA 98082 (425)290-9600 LICENSE #: FIREPI*021ML EXP:07/13/2016 INSTALL 2 HORNSTROBES TO TI SPACE ON EXISTING LOW VOLTAGE FIRE ALRAM SYSTEM VALUATION: $0.00 PERMIT TYPE: Residential PERMIT GROUP: 79 - Fire Alarm GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: OCCUPANT GROUP: OCCUPANT LOAD: FENCE: ( 0 X 0 FT.) CODE: 2012 OTHER: ------- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 ILOT #: BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 SEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 E3RDFLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS:0 BATHROOMS:O BEDROOMS:0 BATHROOMS:0 FRONTSL-FBACK SIDESEYBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: APPROVALPERMIT 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. �r'hola 7homqulJt Mann 2-21 Za�6 Signature Print Name Date Released By 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. ONLINE APPLICANT ASSESSOR OTHER STATUS: ISSUED BLD20160375 • 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 altemate 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. INSPECTIONS 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) CALL FOR INSPFCTIONS BUILDING 425 771-0220 EFT. 1333 ENGINEERING 425 771-021-0 EXT. 1326 FIRE 425 775-7720 PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425 672-5755 RECYCLING 425 2754801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. . F-Fire A larm System Acceptance V�OF E� OWN CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 o PHONE: (425) 771-0220 - FAX: (425) 771-0221 �c. 189 ISSUED 03/28/2016 Expiration Date: 09/28/2016 Parcel No: 00864100010000 SPERO CONSULTING FIRE PROTECTION INC FIRE PROTECTION INC C/O LLC EFCA PO BOX 12642 PO BOX 12642 110 JAMES ST STE 104 MILL CREEK, WA 98082 MILL CREEK, WA 98082 EDMONDS, WA 98020 (425)290-9600 (425)290-9600 LICENSE #: FIREPI*021ML EXP:07/13/2016 1' DESCRIPTION INSTALL 2 HORNSTROBES TO Tl SPACE ON EXISTING LOW VOLTAGE FIRE ALRAM SYSTEM VALUATION: $0.00 PERMIT TYPE: Residential PERMIT GROUP: 79 - Fire Alarm GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: OCCUPANT GROUP: OCCUPANT LOAD: FENCE: ( 0 X 0 FT.) CODE: 2012 OTHER: ------- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLINGUNITS: 0 ILOT #: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 SEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER 0 E3RDFLOOR 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS:0 BATHROOMS:O 1 BEDROOMS:0 BATHROOMS:0 FRONTSFrBACK SIDESEFBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: APPROVALPERMIT I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. LI M a 7�ioYngr��st Ma�cl� 2�, Zal6 Signature Print Name Date Released By Date ATTENTION ITIS 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. = ONLINE = APPLICANT = ASSESSOR = OTHER STATUS: ISSUED BLD20160375 • Final approval on a projector 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 ofthis pen -tit 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. INSPECTION'S 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) CALL FOR INS PIECTIONS BUILDING 425 771-0220 EXT. 1333 FNGINEERING 425 771-0220 EXT. 1326 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 being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. F-Fire A larm System Acceptance MAR/23/2016/WED 12:03 is FPI Seattle ,FAX No,4252909600 P. 005 rs I ;a 9 a a a YNTEM �4 SENSOR Indoor Selectable - Output Strobes and Horn Strobes for Ceiling Applications SpectrAlel-R Advance audible visible notification products are rich with features guaranteed to cut installation times and maximize profits. ! Features • Plug-in design with minimal intrusion Into the back box • Tamper -resistant construction • Automatic selection of 12- or 24-volt operation at 15 and 15/75 candela • Fleld-selectable candela settings on ceiling units: 15, 15/75, 30, 75, 95, 110, 115, 1$5, 160, 177. and 185 • Horn rated at 88+ d8A at 16 volts • Rotary switch for horn lone and three volume selections • Universal mounting plate for ceiling units • Mounting plate shorting spring feature checks wiring contlnuity before device insWlatlon • Electrically CompatiblOwith legacy SpectrAlert devices • Compatible with MDO sync module • Listed for telling or wall mounting Agency Ustings! SIGNN,ING <F> MEA LISTED wroawm approved n26.166340169 ondao, Wt•bgv) r125I66a OI N from Wabol, 54011 (em a•, h" Wab•a. Mani) aoZW2 MEA4624&E W12 fatrab•DI 7173.167a ai8B (hOma-Crimea) 6 SPECT•RAiert A"1 V A 0 C E D The SpectrAlert Advance series offers the most versatile and easy -to -use line of horns, strobes, and horn strobes in the industry. With white and red plastic housings, wall and ceiling mounting options, and plain and FIRE -printed devices, SpeotrAlert Advance can meet virtually any application requirement. Lll�s the entire SpectrNert Advance product line, ceiling -mount strobes and horn strobes include a variety of features that increase their application versatlllty while simplifying installation. All devices feature a plug4n design with minimal intrusion intp the back box, making installations fast and foolproof while virtually eliminating costly and time-consuming ground faults. To furth*r simplify installation, SpectrAlert Advance utilizes a universal mounting plate so you can mount them to a wide array of back boxes. With an onboard shorting spring, Installers can test wirng continuity before the device is installed. Installers can also easily adapt devices to a suit a wide range of application requirements using fleld-seleotable candela settings, automatic selection of 12- or 24-volt operation, and a rotary switch for horn tones with three volume selections. It 0 tY � V RA�Q� MAR �V�® o-3 ?41s CpMp �rR�j�CFS w 0 4 4 MAR/23/2016/WED 12:03 PM FPI Seattle FAX No;4252909600 P.006 SpectrAlert Advance Specifications Architect/Engineer Specifications General SpectrAlert Advance strobes and horn strobes shall mount to a standard 4 x 4 x 11/.-inch back box, 4-inch octagon back box, or double - gang back box. Two -wire products shall also mount to a single -gang 2 x 4 x 17/9-inch back box. A universal mounting plats shall be used for mounting ceiling and wall products. The notification appliance circuit wiring shall terminate at the universal mounting plate. Also, SpectrAlert Advance products, when used with the Sync -Circuit" Module accessory, shall be powered from a non -coded notificaton appliance circuit output and shall operatebn a nominal 12 or 24 volts. When used with the Sync.Clrcuit Module, 12-volt-rated notification appliance circuit outputs shall operate between 8.5 and 17,5 volts; 24-volt-rated notification appliance circuit outputs shall operate between 16.5 and 33 volts. Indoor SpectrAlert Advance products shall operate between 32 and 120 degrees Fahrenheit from a regulated DC or full -wave rectified unfiltered power supply. Strobes and horn strobes shall have fleld-selectable candela settings including 15, 15/75, 30, 75, 95, 110, 115, 135, 150, 177, and 185. Strobe The strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and shall be approved for fire protective service. The strobe shall be wired as a primary -signaling notification appliance and comply with the Americans with Disabilities Act requirements for visible signaling appliances, flashing at 1 Hz over the strobe' entire operating v61tage range. The strobe light shell consist of a xenon flash tube and associated lens/reflector system. Morn Strobe Combination The horn strobe shall be a System Sensor SpectrAlert Advance Model listed to UL 1971 and UL A64 and shall be approved for fire protective service. The horn strobe shall be wired as a primary -signaling notification appliance and comply with the Americans with Oisabilities Act requirements for visible signaling appliances, flashing at 1 Hz over the strobe's entire operating voltage range. The strobe light shall consist of a xenon flash tube and associated lans%reflector system. The hom shall have three audibility options and an option to switch between a temporal three pattern and a non -temporal (continuous) pattern. These options are set by a multiple position switch, On four -wire products, the strobe shall be powered independently of the sounder. The horn on horn strobe models shall operate on a coded or non -coded power supply. Synchronization Module The module shall be a Stem Sensor Sync•Clrcuit model MDL3 listed to UL 464 and shall be approved for fire protective service. The module shall synchronize SpectrAlert strobes at 1 Hz and horns at temporal three. Also, while operating the strobes, the module shall silence the horns on horn strobe models over a single pair of wires, The module shall mount to a 4 11/16 x 4 11/16 x 21/8-inch back box. The module shall also control two Style Y (class B) clrcults or one Style Z (Gass A) circuit The module shall synchronize multiple zones. Daley chaining two or more synchronization modules together will synchronize all the zones they control, The module shall not operate on a coded power supply. Standard Oparating Temperature 32OF to 1200E (0°C to 49°C) Humidity Range 10 to 93% non -condensing Strobe Flash Rate 1 flash per second Nominal Voltage Regulated 12 DC/FWR or regulated 24 DC/FWf91 Operating Voltage Range' 8 W 17.5 V (12 V nominal) or 16 to 33 V (24 V nominal) Operating Voltage Range (MDL3) 8.5 to 17.5V (12 V nominal) or 16.5 to 33 V (24V nominal) Input Terminal Wire Gauge 12 to 18 AWG Gelling -Mount Dimensions (including lens) 6.8- diameter x 2.5" high (173 mm diameter x 64.mm high) Calling -Mount Surface Mount Back Box Skirt Dimensions 6.W diameter x 3.4^ high (175 mm diameter x 86 mm high) (SBBCR, SBBCW) Notes, 1. Full Wave Rectified (FWR) voltage is a non -regulated, Ume-varying power source that is used on some power supply and panel outputs. 2. P, S, PC, and SC products will operate at 12 V nominal only for 15 and 15(75 cad. AVW0101 MAR/23/2016/WED 12:04 PIS FPI Seattle i e 1 • UL Current Dravl.Data 8-17.5 Volts 16-33 Volts Candela DC FWR DC FWR FFAX No,4252909600 P. 007 Standard Candela Range 15 123 128 66 71 15175 142 148 77 81 30 NA NA 94 96 75 NA NA 158 153 95 NA NA 181 176 +y 110 NA NA 202 195 a 115 NA , NA 210 205 High 135 NA NA 228 207 $ Candela Range 150 NA NA 246 220 177 NA NA 261 251 185 NA NA 286 258 UL Max. Current Draw (mA RMS), 2-Wirc Hnrn 8-17.6 Volts Sh6be, Slandird 16-33 Volts Camdela Range (1-5-115 cd) DC Input 15 15l75 1s 15l75 r30 7S 95 110 115 Temporal Hlgh 137 147 79 90 107 176 194 212 218 �► Temporal Medium s 132 144 69 80 97 157 182 201 210 Temporal Low 132 143 66 77 W 154 179 198 207 Non -Temporal High 141 152 91 100 116 176 201 221 229 Non -Temporal Medium 133 145 75 85 102 163 187 207 216 Non -Temporal Low 131 144 68 79 96 156 162 20 210 FWR Input Temporal Hlgh 136 156 88 97 112 168 190 210 218 Temporal Medium 129 152 78 88 103 160 184 202 206 Temporal Low 129 151 76 86 101 160 184 194 201 '>p A Non -Temporal High 142 181 103 112 126 181 203 221 229 Non -Temporal Medium 134 155 85 95 r 110 166 169 208 216 Non -Temporal Low 132 154 80 90 105 161 184 202 211 UIL May. -Current Oraw (mA R6t), 2-Wiie Horn 16-33 Volts Strobc. High Candela Range (135-185 cd) 16-33 Volts DC Input 135 150 177 185 FWR Input 135 /50 177 185 Temporal High 245 259 290 297 Temporal High 215 231 258 265 Temporal Medium 235 253 288 297 Temporal Medium 209 224 250 258 Temporal Low 232 251 282 292 Temporal Low 207 221 248 256 Non -Temporal High 255 270 303 309 Non -Temporal High 233 248 275 281 Non -Temporal Medlum a 242 259 293 299 NQn-Temporal Medium 219 232 262 267 Non -Temporal Low 238 254 291 296 Non -Temporal Low 214 229 256 262 $ Horn Strobe Tones and Sound Output Data Horn Strobe Output (dBA) 8-17.6 16-33 24-Volt Nominal Switch Volts volts Reverberant Anecholc Position Sound Pattern dB DC FWR DC , FWR DC FWR DC FWR 1 Temporal High 78 78 84 84 88 88 99 98 a► 2 Temporal * Medium 74 74 80 80 86 86 96 96 3 Temporal Low 71 73 76 76 83 80 94 89 4 Non -Temporal High 62 82 88 88 93 92 100 100 5 Non -Temporal Medium 78 78 85 65 90 90 98 98 6 Non -Temporal Low 75 75 81 81 88 84 96 92 7t Coded High 82 82 88 88 93 92 101 101 87 Coded Medium 78 78 85 a5 90 90 97 98 9t Coded Low 75 75 81 81 88 85 96 92 7Settings 7, 8, and 9 are not available on 2-wire horn strobes. v 81 a nvDS+ofw 'V i i MAR/23/2016/WED 12:04 PSI FPl Seattle iFAX No,4252909600 P,008 0 a 19 SpectrAlert Advance Dimensions • Ceiling -mount hom strobes a i 0 - ---- ►— zs —1 Ceiling beck box surface mount back box V It It SpectrAlert Advance Ordering Information .. • Ceiling Horn Strobes • Calling Strobes PUR 2-Wire Horn Strobe, Standard cd, Red S 1 Strobe, Standard cd, Red PC2R-P 2-Wire Horn Strobe, Standard cd, Red, Plain SCRH Strobe, High cd, Red (no "FIRE") marlbng SCW Strobe, Standard od, White PC2RH 2-Wire Horn Strobe, High od, Red SCW-P Strobe, Standard od, White, Plain (no "Fire") marking PC2W 2-Wire Horn Strobe, Standard cd, White SCWH Strobe, High cd, White PC2W-P 2-Wire Horn Strobe, Standard cd, White, Plain Accessories (no "FIRE") marking SBBCR Surface Mount Back Box, Ceiling, Red PC2WSP 2-Wire Horn Strobe, Standard cd, White, "Fuego" SBBCVd Surface Mount Back Box, Ceiling. White marking PC2WH 2-Wlre Hornt6trobe, High cd, White PC2WH-P 2-Wire Horn Strobe, High cd, White, Plain (no "FIRE) marking PC2WH-SP 2-Wlra Horn Strobe, High cd, White, "Fuego" PC4R 4-Wire Horn Strobe, Standard cd, Red PC4RH 4-Wire Horn Strobe, High cd, Red PCaW 4-Wire Horn Strobe, Standard cd, White Notes: All -P models have a plain housing (no "FIRE" marlt(ng on cover) All -SP models have "FUEG00marking on cover "Standard od" refers to strobes that Includs 15, 15/15, 30, 75, 95, 11o, and 115 candela settings. "High cd" refers to strobes that Include 135. 150, 177, and 185 candela settin`ggE. �. ✓ / S/ EM Ohio Avenue • St. Charles, O2toc SngeV Sensor. IL 6017a SENSOR• 3825 vror of lIvaallons"umo0oocAa�➢e Ow .knoUoc. hmofIM.nu.o.hgA Phone: 800-SENSOR2 • Fax: 630-377-6495 10fWAtNROO anarm.uAVOR1 14le-.nuen�ecnnamiaa.usti".s AVD910102 " 0>IflS 0 1* 0 A 0 a a 4 2 <'c i