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192 SUNSET AVE Siiiiiiiiiiiiii 14490 192 SUNSET AVE S L 'PC. 18913 CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www dedmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering September 14, 2004 Rick Zahalka, R.S. Snohomish Health District, Food & Living Environment 3020 Rucker Avenue, Suite 104 Everett, Washington 98201-3900 GARY HAAKENSON MAYOR RE: Express Water & Nutrition Center @ 119 West Dayton Street, Edmonds, WA Dear Mr. Zahalka: The purpose of this letter is to inform the Snohomish Health District of the nature of business and sales associated with Express Water & Nutrition Center located in Edmonds. The City's involvement in this matter includes the issuance of a remodeling and plumbing permit and City business license. During the permit review process the City required inter- agency approvals to be obtained for this business to operate within our jurisdiction. The business owner was instructed to contact Snohomish Health District for regulations and approval and our Assistant Building Official contacted the State Department of Health and the State Department of Agriculture offices for direction and jurisdiction on this type of business use. As explained by the business owner, Mr. Larry Gormley, to City officials, Express Water pipes City water through a type of filtering system into holding tanks. Customers either purchase a bottle from the proprietor or bring in their own bottles to fill from dispensers piped from the holding tanks. Filtered water can either be bottled by a customer and taken away, or consumed on site. At this time no filtered water is bottled by Mr. Gormley for retail or wholesale sales, nor is filtered water trucked/tanked or transported off site for sales (either retail or wholesale). It is our understanding only City approval is required based on the way the business is structured as described above. However, Mr. Gormley has officially informed the City he intends to truck or transport water (method unknown) off site to vendors/customers in the near future. When specifically asked what inter -agency approvals were required Mr. Gormley's stated if water is sold as retail in any manner or container type —he is exempt from Snohomish Health District, State Department of Health and State Department of Agriculture approval —however, if water is sold wholesale in any manner or container type, the business must receive State Department of Agriculture approval. • Incorporated August 11, 1890 • Sister City - Hekinan, Japan Mr. Zahalka September 14, 2004 Page Two By copy of this letter, all noted agencies are informed about the nature of the subject business use and City understanding at time of occupancy approval. If additional approvals are required by an effected agency please notify the City of what approvals are required. Note, the City has no method to ascertain when Mr. Gormley changes the nature of his current business use. We wish to thank all agencies in advance for their assistance in helping our office to be assured of public health and safety. Lastly, on a separate but related issue, Mr. Gormley will not be serving coffee or tea. Mr. Gormley can be reached at 206-533-9121 if you have additional questions for him regarding his business. Sincerely, Jeannine L. Graf Building Official Cc: WA State Department of Health, Div Environmental Health, POB 47820 Olympia, WA 98504-7820 WA State Department of Agriculture, Food Safety/Food Processing, POB 42560, Olympia, WA 98504-2560 • ENVIRONMENTAL CHECKLIST STJjEET A. BACKGROUND FILE 1. Name of Proponent 2. Address and Phone Number of Proponent 2 Z - l0 3o`I 3. Date Checklist Submitted 4. Agency Requiring Checklist 5. Name of Proposal, if appl i cabl a i;r7 v�p �:; ► f�i'1 U�, GEC r�,` 6. Nature and Brief Description of Proposal (including but not limited to its size, general design elements, and other factors that will give an accurate understanding of its scope and nature: 7. Location of Proposal (describe the physical setting of the proposal, as well as the extent of the land area affected by any environmental im- pacts, including any other information needed to give an accurate under- standing of the environmental setting of the proposal): N YS 8. Estimated Date for Completion of the Proposal l rvp� t — L 9. List of all Permits,'Licenses, or Government Approvals Required for all Proposal (federal, state, and local — including rezones): A0, 6 , f EV 1 mil,1-r-- 10. Do you have any plans for future additions, expansions, or further activity related to or connected with this proposal? If yes, explain. 11.. Do you know of any plans by others which may affect the property covered by your proposal? If yes, explain. 06 12. Attach any other application form that has been completed regarding the proposal; if none has been completed, but is expected to be filed at some future date, describe the nature of such application form: B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required). YES MAYBE NO ,.� 1. Earth. Will the proposal result in: a. Unstable earth conditions or in changes in geologic substructures? b. Disruptions, displacements, compaction or overcovering of the soil? ✓ c. Change in topography or ground surface relief features? d. The destruction, covering or modifica- tion of any unique geologic or physical features? e. Any increase in wind or water erosion of soils, either on or off the site? f. Changes in deposition or erosion of beach sands, or changes in siltation, deposition or erosion which may modify the channel or a river or stream or the bed of the ocean or any bay, inlet or lake? Explanation: 6.2;L.. Lv 11.-L g WJ �►� �GU i�� 2. Air. Will the proposal result in: a. Air emissions or deterioration of ambient air quality? b. The creation of objectionable odors? c. Alteration of air movement, moisture or temperature, or any change in climate, either locally or regionally? Explanation: 3, Water. Will the proposal result in: a. Changes in currents, or the course or direction of water movements, in either marine or fresh waters? t� b. Changes in absorption rates, drainage patterns, or the rate and amount of sur- face water runoff? -2- c. Alterations to the course or flow of flood waters? d. Change in the amount of surface water in any water body? e. Discharge into surface waters, or in any alteration of surface water quality, including but not limited to temperature, dissolved oxygen or turbidity? f. Alteration of the direction or rate of flow of ground waters? g. Change in the quantity of ground waters, either through direct additions or withdrawals, or through interception of an aquifer by cuts or excavations? h. Deterioration in ground water quality, either through direct injection, or through the seepage of leachate, phosphates, deter- gents, waterborne virus or bacteria, or other substances into the ground waters? i. Reduction in the amount of water otherwise available for public water supplies? Explanation: 4. Flora. Will the proposal result in: a. Change in the diversity of species, or numbers of any species of flora (in- cluding trees, shrubs, grass, crops, microflora and aquatic plants)? b. Reduction of the numbers of any unique, rare or endangered species of flora? YES MAYBE NO y c. Introduction of new species of flora into an area, or in a barrier to the normal replenishment of exist- ing species? d. Recution in acreage of any agri- cultural crop? b Explanation: -3- YES MAYBE NO 5. Fauna. WIll the proposal result in: a. Changes in the diversity of species, or numbers of any species of fauna (birds, land animals including reptiles, fish and shellfish, benthic organisms, insects or ` microfauna)? z/ b. Reduction of the numbers of any unique, rare or endangered species of fauna? c. Introduction of new species of fauna into an area, or result in a barrier to the migration or movement / of fauna? ✓ d. Deterioration to existing fish or / wildlife habitat? Explanation: 6. Noise. Will the proposal increase exi t ng noise levels? Explanation: 7. Light and Glare. Will the proposal produce new light or glare? Explanation: 8. Land Use. Will the proposal result in the alteration of the present or planned land use of an area? Explanation: 9. Natural Resources. Will the proposal result in: a. Increase in the rate of use of any / natural resource? b. Depletion of any nonrenewable natural resource? % Explanation: n • 10. Risk of Upset. Does the proposal involve a risk of an explosion or release of hazard- ous substances (including, but not limited to, oil, pesticides, chemicals or radiation) in the event of an accident or upset condi- tions? Explanation: 11. Population. Will the proposal alter the location, distribution, density, or growth rate of the human population of an area? Explanation: 12. H_o�usinq. Will the proposal affect existing ouh sing, or create a demand for additional housing? Explanation: YES MAYBE NO W// 13. Transportation/Circulation. Will the pro- posal result in: a. Generation of additional vehicular / movement? b. Effects on existing parking facili- ties, or demand for new parking? c. Impact upon existing transportation systems? d. Alterations to present patterns of circulation or movement of people and/or goods? e. Alterations to waterborne, rail or air traffic? f. Increase in traffic hazards to motor vehicles, bicyclists or pedestrians? ✓ Explanation: -5- YES MAYBE NO 14. Public Services. Will the proposal have an effect upon, or result in a need for new or altered governmental services in any of the following areas: a. Fire protection? �✓ b. Police protection? c. Schools? A. Parks or other recreational / facilities? ✓ e. Maintenance of public facilities, / including roads? f. Other governmental services? Explanation: 15. Energy. Will the proposal result in: a. Use of substantial amounts of fuel ` or energy? y b. Demand upon existing sources of energy, or require the development of new sources of energy? Explanation: 16. Utilities. Will the proposal result in a nea ne—for new systems or alterations to the following utilities: a. Power or natural gas? ✓ b. Communications systems? c. Water? d. Sewer or septic tanks? e. Storm water drainage? f. Solid waste and disposal? ✓ Explanation: 10 YES MAYBE NO 17. Human Health. Will the proposal result in the creation of any health hazard or potential health hazard (excluding mental health)? Explanation: 18. Aesthetics. Will the proposal result in the obstruction of any scenic vista or view open to the public, or will the proposal result in the creation of an aesthetically offensive site open to / public view? J Explanation: 19. Recreation. Will the proposal result in an impact upon the quality or quan- tity of existing recreational oppor- tunities? Explanation: 20. Archeolo ical Historical. Will the proposal result in an iteration of a significant archeological or his- torical site, structure, object or building? Explanation: C. SIGNATURE I, the undersigned, state that to the best of my knowledge the above information is true and complete. It is understood that the lead agency may withdraw any declaration or non -significance that it might issue in reliance upon this checklist should there be any willful misrepresentation or willful lack of full disclosure on my part. PROPONENT: -7- INTER -OFFICE COMMUNICATIONS DATE April 16, 1984 TO Gary McComas/Fire Marshal FROM Teresa Qui'gley/Planning Secretary. Dan Smith/Engineering Inspector SUBJECT: RETAIL ADDITION 'AT CORNER OF FRONT STREET AND DAYTON STREET, (ADB-26-84) - Please review the attached application and return your. comments to Bruce Finke 6y Apri'l 23, 1984. Hearing date May 2. Thanks!; STREET FILE 0 CITY OF EDMONDS APPLICATION to the ARCHITECTURAL DESIGN BOARD • DATE 4' Ik' 6 I&FILE SITE PLAN SBUILDING PLANS (3): ELEVATIONS LANDSCAPE PLAN r "ks ENVIRONMENTAL DATA ✓ RECEIPT // SIGN EXHIBITS FEE,'Z�kJ u-5 'RECPT // PLAN MODIFICATIONS TO FILE NUMBER: HEARING DATE 57 i -e-A OWNER/REPRESENTATIVE �Z �� U, ,� PHONE ,2i - & ADDRESS ARCHITECT/DESIGNER ZIP CODE P NE 2� 2 PROPERTY ADDRESS 0 r- F261-)T--7 �7t LJ -61_� ZONING LEGAL DESCRIPTIONrtr4,C "j�:i� PLANS SUBMITTED FOR APPROVAL: 1. Building Plans - Preliminary. leFinal Site Plan Landscape Plan V 2. Sign Elevations Site Plan Landscape Plan 3. Modification of previous approval Elevations EXISTING USE OF PROPERTY P,Q,(W/^/G ,Q,e&& /q:�e, �~I%V.- 4�_ DESCRIPTION OF PROPOSAL AP,9 f� 2GC) S�Z, F T, ga7-4/ � c) TZ-j Pa12TZm �1•.�� �D,�Tra� APPROXIMATE DATE WORK WILL BEGIN ON PROJECT Q 5 P, fg-r� ITS � r6 , ESTIMATED TIME FOR COMPLETION OF WORK A Pf CO), /el p'l RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, his heirs and assigns, in consideration for the City processing the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages and/or claims for damages, including reasonable attorneys; fees, arising from any action or inaction of the City whenever such action or inaction is based in whole or in part upon false, misleading or incomplete information furnished by the applicant, his agents or employees. PERMISSION TO, ENTER SUBJECT PROPERTY: The undersigned applicant grants his, her or its per- mission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant to this application. '-��/zz�""G Signature of Applicant) Washington Credit Union February 12, 1991 Mr. Ron Holland Water/Sewer Supervisor City of Edmonds 250 5th Ave N. Edmonds, WA 98020 Dear Mr. Holland: - FILL RECEIVED FEB 141991 PU6LIC V�, We are in receipt of your letter dated February 5, 1991, (copy attached), advising us that our water meter indicates unusually high consumption. We notified Mr. Al Dykes, who is the property manager of 192 Sunset Avenue, of this problem by phone on February 5, 1991. Mr. Dykes advised me at that time that he hired a plumber earlier to take a look at the problem, but had not heard from the plumber yet. Any further correspondence concerning this problem can be sent to: Mr. Al Dykes c/o Edmonds Shopping Center 3131 E. Madison Street, Suite 201 Seattle, WA 98112 (206) 322-2262 Thank you for your cooperation. Sincerely, Robert D. Arbuckle Vice President RDA:SL Lynnwood Branch Administrative Center P.O. Box 97000 Port Angeles Branch Everett Branch Redmond Branch Seattle Branch Edmonds Branch Lynnwood, WA 98046-9700 P.O. Box 1660 P.O. Box 2208 P.O. Box 6604 P.O. Box 61055 P.O. Box 119 (206) 774-3242 Port Angeles, WA 98362-0033 Everett, WA 98203-0208 Bellevue, WA 98008-0604 Seattle, WA 98121 Edmonds, WA 98020-0119 (206) 771.7639 (206) 452-8481 (206) 355-0333 (206) 882-1171 (206) 441-9896 (206) 774.5382 CITY 'OF EDMONDS LARRY S. NAUGHTEN 250 • 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DIRECTOR 890. V99 February 5, 1991 Occupant 192 Sunset Avenue Edmonds, WA 98020 Dear Resident: On February 4, 1991 a door hanger was put on your door regarding a possible water leak in the water system. Our most recent reading of your water meter indicates unusually high consumption and/or a current water leak in the system. Please check for leaking faucets, toilets, pipes etc., as no billing credit is allowed on these items. If you have any questions regarding this, please call Utility Billing at 771-3051 or Water Maintenance, 771-3202, extension 317 or 318. Sincerely, 6un Holland Water/Sewer Supervisor RH/lk FOLLOWUP/TXTWATER A' • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan The City of Edmonds Side Sewer Drawing EASEMENT NO- -------------------------------------------- NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO- ------------------ - ASMT. NO. ------------------ OWNER- j----- C,,T r - - --- ------- ------ --------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. -------------------- JOB ADDRESS 192 ------- SUM'T ------ - - ------ LEGAL DESCRIPTION: LOT NO- ------ ------------------------------- BLOCK NO. ------------- I ---------------------------------- --------------------------------- --------- ---------------------------------------- --------------------------- NAME OF ADDITION.. ----------------------------- PWW4=1 -11/75 (REV. 11178) EE T:? EOD S J'Vj_ 4� TREA I PDLAINT ON SEN)qck JumE-: 23,198G Approved: DATE-------------------------------------------- By --------------------------- CITY OF EDMONDS ASSET INFORMATION SHEET L_J N E W • ❑ ADDITION ❑ RETIREMENT ASSET NO. 0091V97 ADDITION TO ASSET NO. DESCRIPTION / ��%�%'z,�_ �(/�/ � ! otLam, RIAL NO. LOCATION I DEPT. N0. f ?.2 a � -6 4 ✓z . Coo 4�0 **PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. 00 - 6 "�"7 UO • ESTIMATED LIFE �`- STR L 1L INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY LJ DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE A� VERIFIED BY PROCESSED BATCH NO. _ INITIAL by DEPARTMENT FILE PLANNING DATA New Commercial Proiects SITE ADDRESS: i 9 Z ' Sw� i- AK, o 19 z- ZONING: is USE(S).PROPOSED: I¢a-,,- �ca am oKtai tAWAwALLOWED?: %11 -sler"7c. "qt LEGAL NONCONFORMING LAND USE- DETERMINATION ISSUED /V (Y/N) CUP File: NA To Allow What Uses?: ADB FILE #: s ,N. - v-,A-Vt - PARKING: Use: full acsj( = 28-3a - 2AA w-Ajj-b6. No. Spaces Required: I sp-u% X M-30 (floor area, # employees, etc.) Use: No. Spaces Required: X (floor area, # employees, etc.) oe Use: 5 u ux No. Spaces Required: I /400 ° X Z972 ° (floor area, # employees, etc.) _ A. 99 Use: No. Spaces Required: X 2 ' (floor area, # employees, etc.) = 7, .4 3 Total Required: 4O. of Actual Provided: nb � Rtr, .o mil i �e 2, 972 a 1/3o0 SETBACKS: Na Required Setbacks: F a� Front: Left Side: Right Side: Rear: a ; Actual Setbacks: d Front: Left Side: Right Side: Rear: Hi Street map checked for additional setback required? (Yes/No) �1 MAXIMUM FLOOR AREA: No z Maximum Allowed: Actual: a BUILDING HEIGHT: M Maximum Allowed: Actual Height: Modulation Allowed?: Modulation Height: F z Datum Point: Datum Elevation: E ° Elevator Penthouse > 3 feet over height limit? If so,VAR# 0 LANDSCAPING: P. Matches ADB approved: F Bid Provided? Bond Amount (100% bid): w a z `a DATE:_ I A / 2ffao PLAN CHK#: q/e Z a NAME.OF BUILDING PERMIT APPLICANT: Al A�L'ei Continued ... I:\l ibrary\^P landatNewComm.doc PROJECT DESCRIPTION: Ie44,c. ArzA o�- �r,�.r,�, A" ,�r.�6.,1 ADB FILE #: -- OR DATE WAIVED: 1 / 13/ Z-00 PLANS MATCH APPROVED PLAN: SUBDIVISION: CRITICAL AREAS #: NA SEPA DETERMINATION: Nu,. SHORELINE REQUIRED?: N& LOT AGGREGATION REQUIRED?: No , REDUCED SITE PLAN (8.5X11) PROVIDED FOR STREET FILE? YA OTHER: Plan Review By: &ONffdL 4 OF EUM 0 v �G MEMORANDUM Esc. � ano Date: February 5, 2001 To: Berry Neon Co.; (425) 776-8835 Albert Dykes; (206) 533-0678 File ADB-2001-5 From:-Chand"a Earhart YZ Assistant Planner Subject: Architectural Design Board File ADB-2001-5 Administrative Design Approval Your request for design approval is considered complete and has been administratively approved and granted a waiver from formal Architectural Design Board approval. This administrative approval is based on the conclusion that the proposed sign meets all code requirements, does not result in more than two permanent signs for this building, is not an identification structure, and does not require a street use permit (ECDC 20.60.0115.13). Also, the sign is not freestanding, only uses existing illumination, does not use light reflective materials, and is not obtrusive or garish and is consistent with the architectural features of the surrounding neighborhood (ECDC 20.60.115.A.1). The sign also meets the purposes of ECDC 20.10.000 and the criteria of ECDC 20.10.070. No Architectural Design Board hearing will be required. The design is approved as submitted on your application received January 17, 2001. You will need to have your building permit approved before you install the signs. If you have any questions, please call me at (425) 771-0220. I - lUrs . I , T " Foundatio ALL 8 1 /2" OVER 5 15/16" COPY *NOTE: LIGHT BLUE IN -LINE INDICATES EDGE OF RETAINER ONLY PHOTO ELEVATION SCALE: t 3/16" = 11- 0" THESE ORIGINAL DRAWINGS AND SPECIFICATIONS JOB NAME: URSA FOUNDATION CLIENT APPROVAL: 51 ARE PROPRIETARY AND/OR CONFIDENTIAL TO BERRY NEON CO. INC. (BNC), AND SHALL NOT BE SCALE: 3/4" = V- 0" DATE: 11 / 16 / 2000 FILE NAME: URSA. REPRODUCED IN WHOLE OR IN PART, OR USED berr4IN ANY MANNER EXCEPT IN THE COURSE OF "DOING BUSINESS" WITH BNC, WITHOUT PRIOR SPECIFICATIONS: S/F INTERIOR ILLUMINATED SIGN. ALL #230-157 COBALT BLUE, #230-005 IVORY & neon WRITTEN PERMISSION OF BNC. © COPYRIGHT- BLACK VINYL ON WHITE LEXAN FACE. (BLACK USED ON LOGO ONLY). BERRY NEON CO.,INC. REGISTRATION PENDING. 21027 61st AVE. WEST R O. BOX 5269 LYNNWOOD, WA 98046 (425) 776-8835 (800) 488-2430 FAX (425) 774-8221 E-MAIL beryneon@gte.net CITY OF 16863 . EDMONDS - DEVELOPMW SERVICES DATE: ("-1Z-40 Received of: 12>11FRFLY M IF-O NL , Address: pa 12;6m 2 Phone: �7re' 9%35 Project Location: - 9 g U m 5wr Aug S, Check No. Cash Total Received $..2,50, d Water Meter Size: Amount Water Connection Fee Street Cut/Restoration Fee 620 Fund Sewer Permit/Repair Trunk Charge Sewer Connection/LID Fee R/W Constuction Permit free Street Disruption Fee 111 Fund) Engineering Inspection Fee Engineering Specs & Plans Fee Storm Drainage Fee Street Use Permit Building Permit Fee - Type Plan Check Fee # State Surcharge (622 Fund) Zoning Application Fee - Type der 1 S FaeF.ntPC" Landscape Inspection Fee Shoreline Permit Fee SEPA Review Fee Recording Fee Maps/Books Photocopies Traffic Mitigation Fee Sidewalk Contribution iL— Received by: Permit No. J6986�:IIS?' ----- RPRO Y PLANNING obtain Electrical Permit fmr*nt State Labor & Industries RECEIVED JUL 2120 BUILDING DEPARTMENT CITY OF EDMONDS SIGN DETAIL c11-.A1 AQEA CALCULATION HEIGHT WIDTH AR OM 1.11' 12.20' 13.54' )TAL AREA: 13.54' EAST ELEVATION Scale : 9� s==7' ' -F-- "®vg ® X SCALE: i i0 = 12.0" COPYRIGHT 2004 SHORELINE SIGN s ANNIN% INC. This b a re,=V of sn origfnal unpublished design created by Shoreline Slgn d Awning. Inc end as wch b protected under Federal -Copyright Laws. It is aubrnlft 1 /4" 1 " r your p•rsonat use In corwm on wkh a pronj�ect bahw 4lannad for you ShorNhw k Co & urn' � h dnot hd a hr ada(da yourit: nor is 1 /2" sizes or a or mat.riaie or inumination ih%an�noht a�a.r�tha k: ng Vpyrlcft°I°n Oft does not mum coffedtl fh0 drr a•slgn. o pry 251i of Ih• s•Wna pAea of the dbplay ct d Mein to has been fedscad or anbrgM hold ollQ�if !!N Siprl 1. or g, Mc. upon demand ti�eroof if thb dsalyn is used or 0o not scale off of drr"witlxiut colrecOng elm 'r`i"�Wcu'r�¢llr-u ATr IB'ac'. by �Y f'�y other than &wrenn• sW r srA =!rig' Inc FABRICATED ALUMINUM RACEWAY FABRICATED ALUMINUM LETTER ACRYLIC FACE wlTRIMCAP #200 NEON RECEPTACLE NEON TUBE GLASS TUBE BODE-3S3(bAXc WWI I,�vavlir�� Scale: 1 "=1' 2003 EDITION IBC WMACAMMENDMENTS kLL 3/8" x 3' RATED EXPANSION BOLTS INTO CONCRETE WALL 4 INTERVALS ACROSS & BOTTOM of RACEWAY SUPPLY CONDUCTORS IN CONDUIT NEC 600-5,6,21 NEC 210 DISCONNECT NEC 600-2 INDMDUAL ILLUMINATED LETTER DISPLAY SPECIFICATIONS "EXPRESS WATER -LETTERS hIZE: V-4"H x 12'-2.5"W x 5"D CES* .177 White acrylic with #230 $IDES: Navy Blue TRIM CAP: 3/4" Black ILLUMINATION: 12mm / 30ma double -tube white neon Customer Name: Express Water & Nutrition Center Project Address: 115 W Dayton Suite 119 Edmonds WA Approved by: Date: Approved by: Date: ATE RECEIVED ) ZI 10 PERMIT EXPIRES CITY OF EDMONDS4ADD,RESS USE PERMIT U Bi R e .►� / CONSTRUCTION PERMIT APPLICATION ITE/APT* OWNER NAME/NAME OF BUSINESS S �i A/,�� 40�C� /vK/ T NAME/SUBDIVISION N0. LOT NO. ID NO. W MAILING ADDRESS �y/� LID FEE $ Approved Q r/ (�y�A'� r , l ` _L [ v� �/,V � � (�0 ' V LIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required RW Pe Use Permit Re.'d p L CITY ZIP T PH NE TING PROPOSED Street Inspection Required p Sidewalk Required 0 �f. fff ��w ��^ e�� �f.,133 � /tC a� w N Y /�_/✓���% 7 Q S33"�J!UIRED DEDICATION FT underground Wiring required Q NAME � � � I METER SIZE LINE SIZE NO. OF FIXTURES .. PRV REQUIRED YES ❑ NO �/C�L/e r' ���� fir' I '� • y I ✓ � ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z CITY ZIP TELEPH NE NAME _ CBL #Aw ENGINEERING REVIEWED BY DATE 1�� ��((✓ FIRE REVIEWED BY DATE W o CITY ZIP_ TStEPHOCIE _ .._ v , - o ST E LICENSE NUMBER ENIFIRATION DATE CHECKED BY VARIANCE OR Cu SHORELINE OR ADB#' INSPECTION REQ'D BOND POSTED 4: 5 � 0 y ❑YES ❑NO , $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX AC NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED J EXP ❑ NEW ❑ RESIDENTIAL PLUMBING MECH 14 LOT COVERAGE REQUIRED SETBACKS (FT.)- PROPOSED SETBACKS (FT.) FRONT SIDE REAR ALLOWED PROPOSED FRONT SIDE REAR UR (7 ❑ADDITION COMMERCIAL COMPLIANCE OR ❑ CHANGE OF USE l _ z ��❑ PARKING LOT AREA PLANNING REVIEWED-6Y DATE g REMODEL MULTIFAMILY ❑ SIGN REO'D PROVIDED ❑❑ GRADING ❑ FENCE REPAIR CYDS ( X FT) REMARKS ❑ DEMOLISH ❑ TANK 0'*& ` ❑GARAGE RETAINING WALL FIRE SPRINKLER El ❑ FIRE ALARM _ OF CARPORT ROCKERY (TYPE OF USE, BUSI SS OR ACTIVITY) EXPLAIN: f Ns 3 CHECKED BY TYPE OF ONSTRUCTION OCCUPANTJ� V GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION AREA . OCCUPANT O STORIES UNITS REQUIRED ❑YES 5 LOAD DESCRIBE WORK TO BE DONE 1 REMARKS Z PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109 FINAL INSPECTION REO'D 9 M m aWME Pu P *wiz VALUATION s Q $� 1 5 r111, Description FEE Description FEE Plan Check "' State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing " Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading g a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review W PERMIT APPLICATION: ISO DAYS d PERMIT LIMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Deposit Plan Chk. De J IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF� EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY j FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the t TION• AND IN. DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN093tENSATION INSURANCE AND RCW 18.27. DATE (OWNE OR NT) DATE IGNE (425) O ICI S SIGN URE 15 J 71 -0220 • R ED BY D TE TTE ION "hL, 5 dT j 4 WwOV M 1333 IT IS UN FULTO U OR 0 A WING OR STRUCTURE UNTILAFINAL INSPEC ION HAS BEE E AND APPROVALOR A CERTIFICATE OF OCCU ORIGINAL - FILE • YELL 1 PECTOR FANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. PINK - OWNER - GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES DATE RECEIVED . PERMIT EXPIRESqhZz 2 I CITY OF EDMONDS USE PERMIT ZONEn _ NUMBER v CONSTRUCTION PERMIT APPLICATION JOB ,SUITE/AP;TT# ADDRES" • ' OW R NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ t! MAILING CIRESS i PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED 0 RW Pe mit Required RW Permit Required Q Street use Permit Req'd Q Inspection Required p Sidewalk Required 13 CI EL PHONE +r IP4al REQUIRED DEDICATION FT underground Wiring required Q NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED t I f YES ❑ NO ❑ t7 z R C ADDRESS REMARKS z z v OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE a CITY IP TELEPHONE A E CBL # ENGINEERING REVIEWED BY DATE 1 7 ADDRESS 0 FIRE REVIEWED BY DATE lu CITY IP 53 TELEPHONE aU-51 la8 IC57 tj lut U. VARIANCE OR CU SHORELINE OR ADB# ' INSPECTION REqpjl BOND POSTED ' STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY H � � UL OYES NO g ^- BEPA REVIEW .- COMPLETE EXE PT.' SIGN AREA - ALLOWED, PROPOSED HEIGHT , ALLOWED PROPOSE? a PR5 cc A61E61 EXP :a���sl� NEW ❑^ RESIDENTIAL' ❑ PLUMBING/MECH LOT COVERAGE ALLOWED, .PROPOSED REQUIRED SETBACKS (FT.)- FRONT SIDE REAR -PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR �f ❑ ADDITION ^S!I COMMERCIAL ❑ COMPLIANCE OR /u'l CHANGE OF USE --�--�'+�. �+-----•�.. ��� z PARKING ' REO'D PROVIDED ' LOT AREA P N ING REVI WE -$Y TE ❑ REMODEL ~` ❑ MULTIFAMILY I7[I SIGN d ❑ REPAIR 0. GRADING ❑ FENCE REMARKS CYDS X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER WALL ❑ F RE SPRINKLER ❑ ORT ❑ t2 h CAGARAGE ROCKERY FIRE ALARM (TYPE U E, BUSINES$.OHIVTT� EXPLAIN: s CHECKED BY `IvPE CO ST.RU ION ° ' COD OCCUPANT GROUP NUMBER OF NUMBER OF DWELLING' CRITICAL AREAS SPECIAL INSPECTION AREA . OCCUPANT OSTORIES A UNITS •� NUMBER REOUIRED LOAD ❑YES DESCRIBE WORK TO BE DONE REMARKS = ,. PROGRESS INSPECTIONS PER UBC108/IBC109/IRC109FINAL INSPECTION REO'D 9 m ' VALUATION Description ,FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % r Buildirig'Permit � � % City Surcharge PLAN CHECK NO: �n VESTED DATE plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. � Engr. Review PERMIT APPLICATION: 180 DAYS d PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE -- Landscape Insp. 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Total Amt. Due X. NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,' r� Recording Fee Receipt # /J^ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK THO�THED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIO ION OF THE LABOR O E OE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORK E 'S COMPENSAT U NCND RCVY 18.27. OF IALS SI NATURE ATESIGN E (OWNER OR AG DATE SIGNED (425)Ianu&( h 771-0220 ATE 9_RELEhVaY ATT NTION M 1333 IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL FINAL All 1,4,lni INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OFOCCU- PANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRC110. oPINK - O NER YELLOW - S CTR PINK -OWNER GOLD •ASS SSOOR Os/Os PRESS HARD -YOU ARE MAKING 4 COPIES CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS U e 5/4 f ou,t,-444; C A-, MAILING ADDRESS /57- SL,,�s� f vim. S Ov LS CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP I TELEPHONE NAME /&G ¢M ADDRESS y / R R d. Z CITY ZIP TELEPHONE L � $� Y 6 4/z. s• 7;7 3S- ,v v w ��:,� STATE LICENSE NUMBER EXPIRATION DATE CHECKED�-ByY , Q PROPERTY fAX ACCOUNT PARCEL NO. z 3 a'7 o31 0 ifs" �� o NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH ❑ AUDITION COMMERCIAL COMPLIANCE OR OF USE REMODEL APARTMENT ,❑, /CHANGE ►�q SIGN ❑ ❑ GRADING CYDS •/❑� FENCE X FT)REPAIR ❑ DEMOLISH ❑ TANK ❑ OTHER GARAGE _ ❑ CARPORT ❑ RETAINING WALL ❑ RENEWAL ~r r PERMIT EXPIRES X USE PERMIT ZONE _ NUMBER JOB SUITE/APTM ADDRESS+ 1 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CP RW Pe Approved Required 0Permit 0 Street Use Permit Req'd D EXISTING PROPOSED lnspeetion Required 11 Sidewalk Required O REQUIRED DEDICATION FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED C7 YES ❑ NO O Z REMARKS W Z z0 OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 1 z z W ENGINEERING REVIEWED/DATE FIRE REVIEWED BY DATE W LL VARIANCE OR CU SHORELINE OR ADBs INSPECTION I BOND POSTED VYREO'D ES O NO — SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I% 11I I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR t7 2 Z PARKING LOT AREA DATE g % % a REQ'D I PROVIDED IPLMNINGREVIEWEDBY") I / i a(TYPE OF USE, BUST E OrR ACTIVITY) EXPLAIN: ¢ CHECKED BY TPE OF CONSTRUCTION CO E OCCUPANT GROUP w NUMBER NUMBER OF CRITICAL 1 OF DWELLING AREAS SPECIAL INSPECTOR AR OCCUPANT OSTORIES UNITS NUMBER REQUIRED ❑ YES LOAD DESCRIBE WORK TO BE DONE S -14lC HEAT SOURCE I GLAZING % I LOT SLOPE PLAN CHECK NO: 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. j PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: 1 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 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 OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE I NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSAT INSUR A 8.27. SIGNATURE (OWN 9 T DATE SIGNED ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5/AA REMARKS a Z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D o J g ('10 (1•1i� t'. Cr)PC :it' (u, !;tAL1Ar m VALUATION I FEE PLAN CHECK FEE BUILDING "O PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE INcaFrnnr.F.EJ6 �' t .�1'LQ.�. I PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE 7 1 1 U L"V APPLICATION APPROVAL CALL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt is acknowledged in space provided. OFFICIALS SIGNATURE DATE 771 -0220 R ASED BY DATE EXT1333771-0221 FAX ORIGINAL - FILE YELLOW - INSPECTOR , PINK - OWNER GOLD - ASSESSOR ftd) \\�•�l'i:•• � � , i i � I 1 I I � Si � � � , � 'rr, - 112' ^—, i .. _( �� i I.iG a.e�lri� r ITI t I l 1 i i t •r e. C 45 is r C v P 1/ let its (DY 19% 171 19L 17L1 I ja 6-7 AJ 17 `•. i x 9, ' � ,/ - � `moo .. 1 1 � \ , f `� ' \•�v'��' t o"l 1� r R-CF—WED DEVELOPMENT SERVICES CTR. CITY OF EDMONDS !-}bbi?Z-sf A3 W, 0Y l-WS7 C-•,o111owOs, wQ 9�oZo -FitE M�� PLANT e-L-1- lzr T. 12,01 '�o" 4�� Ic ....... ... rl 04 47) .... . .............. IV Ll -.5 t-, Ll<_ 45 'D lid C, [A] 7�N -jai 4z 14 T fM� Do 3, /V -7v.- �,- /� 41 R-ANT, u t 4L L) Lt it ED 7r4-r Ll M.- Ell N7 k E4 10 L3 UY2.r IA I-14 LT, -UC�"PTIW T, -per-, ��7= ir irk J r.>y —r44&.T F'Of2TIOt-4 O�'- '2- 1�4 lck�4 -Z s 4 aZ I -T ZIP f—=x I_T 4os c?�fr�r= t7 L) ,-Not r4 71 4T -4V -4T LCYT I ., - .1 J , � I I - I —1 11 0 - — 40W--, 1. WIUK LA_.� OA L:_� I K6 �4�Dre_,TH 4:�)� T, f-4 f , V_r4 rs 4&V,t2 ITO gr�) oo, 57v I'D A ATE WN I�Mq 2 3 1984 I 0 EDMOND-S.' C T-Y, IF 1