BLD20190080O'� E L) I-vo
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/05/2019
Pennit#: BLD20190080'
BUILDING PERMIT
Expiration Date: 04/05/2020 Project Address: 407 MAIN ST, EDMONDS'
Parcel No: 00434400101202
407 MAIN ST THE 407 COFFEE HOUSE BEST PLUMBING
CIO GREGORY C & DEBORAH J WILSON C/O 130B BRAUN C/O DAVID DERRING
PO BOX 1298 407 MAIN ST 4129 STONE WAY N
EDMONDS, WA 98020 EDMONDS, WA 98020 SEATTLE, WA 98103
(425) 248-3818 (425) 299-4383 (425) 318-9464
LICENSE 4: BESTPGL973CD EXP:02/04/2021
PLUMBING FOR NEW COFFEE SHOP. INCLUDES sLr JJnqip%%.cRoss CONNECTION, MECHANICAL EXHAUST AND
A/C
VALUATION: $0
PERMIT TYPE Commercial
PERMIT GROUP: 47 - PlLunbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY-
OCCUPANT GROUP -
OCCUPANT LOAD -
FENCE: 0 X 0 FT.)
CODE: 2015
JOTHER ------- OTHER DESC:
ZONE
I NUMBER OF ORTES: 0
VESTED DATE
INUMBEROF DWELLINGUNITS: 0
LOT 4-
EXISITNG AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PRO PO S FD AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13 RD FLOOR: 0 GARAGE: 0 DECK. 0 01 HFR_2
BEDROOMS: 0 BATHROOMS: 0
......
JBEDROOMS- 0 BATHROOMS: 0
FRONTSETBACK SIDESETBACK REARSETBACK
REQUIRED: PROPOSED: 7
J7EQUIRED: PROPOSED -QUJRED� PROPOSED.
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACKNOTES:
I 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/HERDEPUTY AND ALL,FEES ARE PAID.
5 P& fi - Eh6lA - + 5. 1 �
Signature Print Name Date Releash By T 1 v Date 0
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/IBC] 10/IRCI 10.
FIRE APPLICANT ASSESSOR FA Crt`v
C�o
1�)
STATUS: ISSUED
BLD20190080
• 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 thejob 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.
• SoundNoise originating from temporary construction sites as a result of construction activity are exempt from the noise Emits
of ECC Cbapter 5.30 only during the hours of 7:00amto 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 penrirtit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHOREES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDB/VALKS, DRIVEWAYS, MARQUEES, ETC.) VIALL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LIMIT: SEE BCDC; 19.00.005(A)(6)
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: Services
are now scheduled online. If you
FIRE (425) 775-7720
3. Then: Perm its/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 2764801
6: Schedule your inspection
I I
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 Preferred, and whether you prefer morning or aftemoon.
• B-Plumb Rough In
• B-Cross Connection Final
• B-Plumbing Final
�'Oc� 1 S41
BUILDING PERMIT
APPLICATION
Development Services
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondswa.gov/
JOB SITE INFO RMATI ON/LOCATION: (Where the work is taking place)
Job Site Address: AS kAA#J 'WOUlw
Parcel
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: (Xie. liiiixuw-a
Mailing Address: Fb %V Into
City/State/Zip: trxftw,* Lao %02L2
ZI I) V%
Phone #: 441, eZA'b 2478-�X&
Email
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? El Yes $NO
1 own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature:
APPLICANT / CONTACT INFORMATION: (AY6
Name of Applicant: -TL%W.- Abi Ckkfo,
Mailing Address: A0*1 LAWO G-k
City/State/Zip: Por"YV75 WIVIN
Phone #: 47-5 CM C, 4q COaS VA 4%5)
E-mail: BeU,6 ` Q1NML.CQ&A-
GENERAL CONTRACTOR: (if different from applicant)
General Contractor:
Mailing Address:_
City/State/Zip:
Phone #:
E-mail:
WA STATE CONTRACTOR L & I # [CCB) & EXPIRATION DATE:
CITY OF EDMONDS BUSINESS LICENSE #:
Office Use Only
TYPE OF PERMIT (Provide
El Accessory Structure/
Detached Garage
Details on Page 2)
El Addition
• Demolition
)(Mechanical
• New Single Family / Duplex
Plumbing
11 Fire Sprinkler
El Remodel
0 New Commercial/ Mixed Use
0 Re -Roof
El Signs
El Tank
El Tenant Improvement
El Other
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished El Unfinished El
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
awaar'
.6 T710KA25 QOL CK50N
f
70"" 14. Q. hi,�g (3yo^J
I certify that the information I have provided on this form/application is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
'�110rint Name: &)&W- VJ '_er&0jP
S ignature: Date?A ik"
;Z
GENERAL COMMERCIAL DATA
Occupancy Group(s): Occupant Load(s):
Type(s) of Construction:
Fire Sprinklers: Yes El No El
WA STATE ENERGY CODE: If your project affects the building envelope,
mechanical systems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
TI / CHANGE OF USE / NEW BLDG: Include TRAFFIC IMPACT worksheet
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
BTUs Gas Elec Other Qty
A/C Unit /Compressor
Air Handier /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
Qty Qty
.Clothes Washer
Tub/ Showers
bishwa'sher,
BackfloW Device (RPBA, DCDA, AVB)
Drinking Fountain
Pressure Reduction/ Regulator Valve
Floor Drain/Sink
Refrigerator Water Supply
Hose Bibs
Water Heater - Tankless? Y or N
Hydronic Heat
Water Service Line
Sinks
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Qty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re -piped)
Qty Qty
Carbon Dioxide
Nitrous Oxide
Helium
Oxygen
Medical Air
Other:
Medical - Surgical Vacuum Other:
DEMOLITION
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Survey done? Y / N
PSCAA Case #:
Critical Areas Determination:
Study Required El Conditional Waiver El Waiver El
Fill in Place El Fill Material:
Removal El
Size of Tank (Gallons)
Critical Areas Determination:
Study Required I d 'Conditio*nal Waiver El Waiver El
GRADE/FILL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut / Fill in Critical Area: Yes 11 No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & Industries and have a
current City of Edmonds Business License.
3 - RPBA's: 0V -(b &.zuk (Ltjv m.4e 5�(44,-.
1 - 314" (unit isolation)
1 - 1/2" (ice machine)
1 - 1/2" (filtered water)
Hand washing sinks direct connect
3/4" PEX water line
o serve 407 on1v
P ROV-ED
*UV
CCS
C' of EdmoshRuNhwDepriment
Fit,
Public Alley
(UNCAANGED)
- OROUND - SE T CONVENSOR FOR NEW 00C TL E
NEW MIN. 129 CFM EXNAU5T FAN VTOS EX13 TIN6 WINOOW5 UNCkAN6ED
EXISTINri ELECTRICAL PANELS r-EXISTIN6 CaRAS BAR
1 7
EXISTINO EXNAUST FAN VTO3
?T 2'-3" DOOR WlTq NEW
1ANT LEVER PAR044ARE EX16TIN6 2'- DOOR Restroorn NEW 36 " 6RAB 15AR 33 " 4 FL
(OUT310E ACCE.53) WIT4 LE VER NARDWARE -
R
ESTROOM R PUSL IC USE A
EXISTIN6 FEATURES
PER .3(2)
SPOWN L I(SNT, TY , P.
C�
EL EC TRIC WATER qEA TER ON
2-A FIRE EXINnU13NER-
SNELF AE30VE MOPSINK WITW
FREEZER
3E13MIC STRAFFINO AND F$TRV
EX13TINO MOF SINK
Kitchen
----MOVABLE
C --14ANOWASN SINK WITq 51DE 6UARO�
X
LU
REFR16ER4T0R-----1
-E33 MINI- I A
,,C UNIT
TOA
BEAN 6RINDER
LAMINATE
COUNTER
e �Tenant Space
VACANT
�E
C,
LQ
LU
COUNTER LENGTR-
10 10 1
- �-.30" x 43" SPACE
PARALLEL APP�
3ELF-SERVICE
COOLER
—�,-3-CCMP4RTMENT3INK4--
Ie,0U*e
E.-ACTINO
d*44t p4v t4,fA4-ffk Dittv, 44--
SqEL vE3 ABOVE
q�n A3q SINK
COUNTER OVEN - - UNDE) D" COU)
ICE M'4CPINk
a
Servioe Area
ESPRESSO MACq1NEm�,,__
UNOER-COUNTER REF
13/4" ball valve for unit isolation I
1-1/2" trap
1-11211 vent
1 /2" hot/cold water
2" trap (continuous waste)
1-1/211 vent
1/2" hot/cold water
1- 1 /2" trap
1-1/219 vent
1/2" hot/cold water
2" indirect funnel drain to receive discharge from:
1. pumped ice maker drain
R LAMINATE COUNTER � 2. espresso machine drain
-rP, 3. pitcher rinser drain
�w FEA TURE5514OWN OAF,<, T
L AMINA TEA�TER
FITCAER RINSER
5EAN6,R1N0E`R----------
0�-
CA341ER
r -,,TArr
f—LAM14TESERVIC:- Separate Tenant Space
I COUNFRMAXNT,3&,, 'MA JE &ALLER)" (M OCCUPANCY
. cq
1- Y-0" L 2'-&" L 3'-3"
APR 0 2 2019
NA TCNING INDICATES EXTENT OF F
ArrF.1;.1; ARFA (2;3.,;nJARF FFFT,
I
red cold water i CITY COPY
CtTY OF EDMONDS
BUILDING DEI'AR 41IM' INT
WORK VA—�X M B1 " G
ADDRESS -+o7 ST
OWNER 2-40-1 -CC�F-FaE LIDLt.�E
APPROVED DATE:
BLDG. OFFICIAL
PERMIT NUMBER Zo15-
DL- U0.0 I q - 00 S-0