BLD20190903ov ED 1-11
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTE -EDMONDS, W A 98020
STATUS: ISSUED 09/05/2019 Penwt#: BLD20190903
BUILDING PERMIT
Expiration Date: 03/05/2020 Project Address: 525 MAIN ST',',EDM0NDS,
Parcel No: 00434202102600
"ROPERTYOWNER APPLICANT CONTRACTO�
MAIZE AND BARLEY
MAIZE AND BARLEY
OXBOW FABRICATIONS
C/O VENUS FORT EZA
CIO VENUS FORTEZA
C/O DAN MORGAN
/
525 MAIN ST
525 MAIN ST
6555 5TH AVE S
EDMONDS� WA 98020
EDMONDS, WA 98020
#102
SEATTLE, WA 98108
(206) 475-8875
(206) 475-8875
(206) 568-5125
LICENSE#: OXBOWF* 8 1 ONG
EXP:O&O,7/2021
INSTALLME]FALRAILINGTO PROVIDE OUTDOOR STANDING SPACE ON PRIVATE PROPERTY.
VALUATION: $500
PERMIT TYPE Commercial
PERMIT GROUP: 04 - Alteration/Remodel
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 2015
JOTHER ------- OTHER DESC:
IZONE BDI
INUMBER OF ORIES: 0
1 VEST ED DATE:
INUMBER OF DWELLING UNITS: 0
ILOT #�
EXISTING ARE%
0 1 ST FLOOR: 0 2ND FLOOR: 0
PRO POSFD ARFA
11 ASEMENT- 0 1 ST FLOOR: 0 2ND FLOOR 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
IBEDROOMS. 0 BATHROOMS 0
BEDROOMS: 0 BATHROOMS: 0
FRONTSETBACK SIDESETBACK RE4,RSErBACK
FJEQU I FED: 0' PROPOSED: QUIRED: 0' PROPOSED: I REQUIRED: 0' PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: 0' PROPOSED�
SETBACK NOTES:
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 HISMER DEPLJTY AND ALL FEES ARE PAID.
Signature Print Name Date
Released By
. � 1(� (�' q1511q
ATTENTION
IT IS 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/ IBCI 10/ IRCI 10
= FIRE = APPLICANT = ASSESSOR M, CrIFY
STATUS: ISSUED BLD20190903
CONDITIONS
• 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") fi-om
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 limits
of ECC Cbapter 5.30 only during the hours of 7:00arnto 6:00pm on weekdays and 10:00arn 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 fi-om 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.
I INSPECTIONS
THIS PERMIT AUTHORIZ_ES 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 BCDC 19.00.005(A) (6)
BUILDING
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: SeNces
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 haw one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
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 afternoon.
0 B-Bu ild in g Fin al
,Ie., I is-, -
BUILDING PERMIT OfficeUseOnly
APPLICATION Permit #:
Develonment Services
Building Division
121 Sth Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: www.edmondswa.gov.
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. if plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call 425-771-0220 to schedule an intake appointmentl
JOB SITE INFORMATtON/LOCATION-. (Where the work !staking placel
Job Site Address: -GZ A�a MO�
Parcel -
Lot /Unit/Suite #: Subdivision:
PROPERTY OWNER:
Name: W C__A
Mailing Address: La vv,----
City/State/Zip: V-AN.,4c-vA,._As \A/ A cm 2-p
Phone #: '�t c)(0 - !Z - e:Lp ("�2 1
Email: S20 9:ny"".CD"
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? El Yes-rS No
I 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:
Name of Applicant:\/ e 0 LAS, —E'Ag 24
Mailing Address: L3 2_5�
City/State/Zip:
Phone#:
E-mail: VR V\XAc- V\-C- k-2- C \or- -C t-0 �J'c ov"\
GENERAL CONTRACTOR: (if different from applicant)
General Contractor: A&P,
Mailing Address: \F_\_1
Ave
City/State/Zip:\ �4%A V\ v-4 C)C_�A_ A vos'_\
Phone #:
E-mail:
STATE UIBI #: D �1
CITY OF EDMONDS BUSINESS LICENSE#,
Z "2� - 29, k
WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE:
TYPE OF PERMIT (Provide Details on Page 2)
• Accessory Structure/ 0 Addition
Detached Garage
• Demolition
0 Mechanical
• New Single Family / Duplex
0 Plumbing
• Fire Sprinkler
El Remodel
• New Commercial/ Mixed Use
0 Re -Roof
• Signs
0 Tank
\IQ Tenant Improvement
0 Other
Remodel Perm# 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 fhe profff for fhe work fndicafed on this appffcaffon.
Valuation: J?S C30, ePb
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished El Unfinished 0
1st Floor, sci ft:
2nd Floor, sci ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft:
PROJECT DESCRIPTION
V-C�A_ k %-A
AWOVt A4 0_
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.
Print Nam L& \^ C1 X�n�72J�
Signature% Date
440L
0-
GENERAL COMMERCIAL DATA
Occupancy Group(s): 49 Occupant Load(s): 3a)
Type(s) of Construction: V Fire Sprinklers: Yes 11 No
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 City
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)
PLUMBING FIXTURE COUNTS (New, Relocated or re -piped)
Qty Qty
Clothes Washer
Tub/ Showers
Dishwasher
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
Other:
Toilets
Other:
GAS/FUEL CONNECTION COUNTS (New, Relocated or re -piped)
BTUs Qty BTUs Cty
A/C Unit
Outdoor BBQ/ Fire pit
Boiler
Stove/Range/Oven
Dryer
Water Heater
Fireplace/ Insert
Other:
Furnace
Other:
SAS, 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:
i Study Required 0 Conditional Waiver El Waiver 0
Fill in Place El Fill Material:
Removal
�Sie of Tank (Gallons)
Critical Areas Determination:
Study Required 0 Conditional Waiver El Waiver 0
GRAD E/FI LL/EXCAVATE
Grading: Cut cubic yards
Fill cubic yards
Cut/ Fill in Critical Area: YesO No El
GENERAL PROVISIONS
APPLICATIONS: Applications are valid for a maximum of 1 year.
ESLHA Appfications, 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.
Johns, Kristin
From: venus forteza <venus@maizebarley.com>
Sent: Monday, July 22, 2019 11:56 AM
To: Johns, Kristin
Subject: [BULK] Fencing CITY CA13Y
vr-
Hi Kristin,
I want to attach this photo from lack of Brigid's from whom we'll be getting our fencing from.
Thank you!
Venus Forteza
Owner
525 Main Street
Edmonds, WA 98020
www.maizebarley.com
MAIZ�*6AOIY
RECEIVED
'JUL 2 2 2013
DEVELOPMENT SERViGES CTR.
C11Y OF EDMONDS
I
"ro
LINE OF
ROOF OVER
A�
P
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J.7
PUBLIC
SIDEWALK
L — — — —
AKZA
4- U.
WROUGHT IRON
RAILING @ +42"
A.F.F.
F4Fx36-
CLEAR
SPACE
F-4-72
il/_:� J 1/7/
Mill/
:'rep Sinki 'Triple Sink Semi -recessed Mop Sink
$5 39" x 24" 35 Gal
_j -cc ro
neof Tl`�o—odover Grease Int
Hand
Sink
D Qfnnrl
v COOLER
L-_+-_�4- 7P 7
36" Pass-thru
v 111\� 11, AL
air
Min 17
space req'd-
POS A"nr'nkRil WapdSinki
Side Counter@ +34" high 16" SS partii
KITCHEN BAR - 292 SF (2 OCC)
) k
32" flip top
NEW OX S-E�IDER IN BAiR SEATING - 30 SF / 7 = 4 OCCUPANTS —
EXIST OPE ING —2f-Front-Ccunter @-+42`hi0—
over
EXISTING ACCESSORY
STORAGE (NOT A PART OF THE
WORK AREA)
Hdr @;T C1 of Edmonds ji ftaftent
Di imp Sink Av 44
EXISTING A E
STORAGE( DIPLO
WORKARE
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\ y �j 60"x48"
L �j �j �, I CLEAR
LIN E_0F3_6�_Rff_Q'l5_E) FIT FASSAG_EVFAY__-" --? :-� I SPACE
PUBLIC SEATING AREA 339 SF
(23 OCC)
INSTALL SIGCOVER DOOR:
"THIS DOOR tO REMAIN
UNLOCKED WHEN 777
BUILDING IS QCCLUPIED'. b_ A
"0" x"', P---g F--q
CLEAF!
SPACE
POST SIGN: "OCCUPANCY 30'
SLOPED
CONCRETE
ENTRY
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<-- PROPERTY
LINE
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CITY ME—F—IDMONDS
BUILE)IM5 PARTMENT
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WORK )(2- RX "NL6
ADDRESS 525- M N t,1 2T
OWNER Mf-�j2jf:j
36"x48" 14
CLEAR I
I SPACE I APPROVED DA I L:.
L — — — J BLDG. 0FF!Cjj:.:
RESTROOM V
PERr,1 IT NUMBER Ut4
B L107-D I q - 0 C) L)3 106,
SEATING AND EQUIPMENT PLAN
SCALE: 1/4"=V-0"
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