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BLD20181621Of ED& TP CITY OF EDMONDS STATUS: ISSUED 01/04/2019 Expiration Date: 07/04/2019 Parcel No: 27033600115700 121 STH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 et Address: 9715 EDMONDS WAY, EDMONDS 76 ROBERTS ENTERPRISES INC HEATH NORTHWEST HEATH NORTHWEST 9715 EDMONDS WAY 727 S 96TH ST C/fi) WENDYGIBSON EDMONDS, WA 98020 SEATTLE WA 98108 N7�JS96TH sT IN W-LE, WA 98108 (425) 774-9715 (503) 3 78-0012 (503) 378-0012 LICENY_ 4: HEATHN198IJZ EXP:04/09/2020 REPLACE CANOPY SIGNS (2) LIKE FORLIKE. RE -FACE FREE STANDINGSIGN (NO STRUCTURAL CHANGES). VALUATION: $0 PERMIT TYPE: Commercial PERMIT GROUP: 63 - Sign GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: OCCUPANT GROUP: OCCUPANT LOAD: FENCE: 0 X 0 FT.) CODE 2015 IEBC/IBC IOTHER: ------- OTHER DESC: IZONE: BN INUMBER OF STORIES: 0 IVESTED DATE: INUMBER OF DWELLING UNITS: 0 ILOT #: I-AISTING ARIA BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 PROPOSED ARIA IBASEMENT 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR. 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS: 0 BATHROOMS: 0 IBEDROOMS: 0 BATHROOMS: 0 FRONT S ETRACK SIDESEMACK REAR SEIFBACK REQUIRED: PROPOSED: IREQUIRED: PROPOSED: 7_�::fR_EQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED: I SETBACK NOTES: Property contains multiple legal non -conforming signs. Replacing like -for -like Aith no additional sign area proposed. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THEWORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATIO INSURANCE AND RCW 18:27, WIS A/IPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Print Narne / Date Released By Date ATTENTION ITISUNLANAIFULTO USE OR OCCUPY A BUILDING ORSTRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HASBEEN GRANTED. UBC109/ IBCI 10/ IRCI 10. E-1 FIRE = APPLICANT = ASSESSOR *rry STATUS: ISSUED BLD20181621 • Alin ew, extended, re -built or relocated electrical utility and/or service shall be placed underground. • Obtain Electrical Permit fi,om State Department of Labor & Industries. 425-290-1309 • 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. Cbeck thejob card for all required City inspections including final project approval and final occupancy inspections. • Any request foralternate design, modification, variance orother 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 s ites 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 othertimes the noise originating fi-om 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 pen -nit 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. • Nothing in this permit approval process shall be interpreted as allowing or permitting the maintenance of any currently eAsting illegal, nonconforn-fing or unpermitted building, structure or site condition which is outside the scope ofthe pen -nit application, regardless ofwhether such building, structure or condition is shown on the site plan or drawing. Such building, structure or condition may be the subject of a separate enforcement action. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMA IN (CURBS, SIDBNA LKS, DRIV EWAY S, MA RQUEES, ETC.) WILL REQUIRE SEPA RATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 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) 275-4801 6: Schedule your inspection I When calling for an inspection please leave the follovving 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. . B-Building Final 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: htto://www.edmQndswa.gov/ JOB SITE INFORMATION/LOCATION: (Where the work Is taking place) Job Site Address: q -7 6 fVMoND5 k4t� Parcel: Lot /Unit/Suite #: Subdivision: PROPERTY OWNER: Name: -7& lZU0621-4-5 Mailing Address: q'116 f0lAWD5 City/State/Zip: Phone#: q2-5 --774� Email: OWNER INSTALLATION: *If yes, read and sign* Will work be performed by the property owner? 0 Yes 0 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: RgqiI4 -- N05ZT4Wf-5T- Mailing Address:7 27 .9, q(b 4-'N 5-F, City/State/Zip: 5&T-T'�-E i WA q8IDS Phone #: 379 -001-2- E-mail: 5A�� cx!5��g w (-0/A GENERAL CONTRACTOR: (if different from applicant) General Contractor: Mailing Address:_ City/State/Zip: Phone#: E-mail- =cis — P1.11.1,41. -2-1! WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE: NJ 5 0 1 7Z CITY OF EDMONDS BUSINESS LICENSE #:N D2 5 Ll 56 TYPE OF PERWT (Provide Details on Page 2) 0 Accessory Structure/ 0 Addition Detached Garage 0 Demolition 0 Mechanical • New Single Family / Duplex 0 Plumbing • Fire Sprinkler 0 Remodel • New Commercial/ Mixed Use 0 Re -Roof Xigns 0 Tank 0 Tenant Improvement 0 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 Tf r the worK Indicated on this application. Valuctfinn: PROPOSED NEW SQUARE FOOTAGE FOR THI 5 APPLICATION Basement sq ft; Finished 0 Unfinished 11 ist Floor, sq ft: 2nd Floor, scift: Garage/Carport:, sq ft: Deck/Covered Porch/Patio: other sq ft: -CT DESCRIPTION PROJE C"O?Y V1(,tJ5 2- 1�-C& Ll 12-c— I T:2aF--5j7-fA 4 rb If Kj 5�M J 0CTQfZA1- a4v4CO) I cerdfy 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 Name:a�- Signature: _Date "V GENERAL COMMERCIAL DATA Occupancy Group(s): Occupant Load(s): Type(s) of Construction: Fire Sprinklers: Yes 0 No 0 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) 8TUs 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 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 Qty AIC 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 #: Critical Areas Determination: Study Required El Conditional Waiver Waiver 11 Fill in Place n Fill Material: Removal 13 1 Size of Tank (Gallons) Critical Areas Determination: Study Required C3 Conditional Waiver Waiver GRADE/FILL/EXCAVATE Grading: Cut cubic yards Fill cubic yards Cut/ Fill in Critical Area: YesEl No 0 GENERAL PROVISIONS APPLICATIONS: Applications are valid for a maximum of I 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. OROJECT LOCATION: 9715 EDMONDS WAY, EDMONDS, WA 98020 SHIP TOM 802855 PROJECT OVERVIEW: M Site Map Canopy Visuals Dispenser Visuals Main ID Visuals PROJECT MANAGER: Big Red Rooster Flow 2 Northfield Plaza, Suite 250, Northfield, IL 60093 MEL& 06 _AO"A' ;7� ail* SITE - EXISTING SITE - PROPOSED REVISION # DATE TYPE OF CHANGE 10.25.2018 11.02.2018 Canopy and MID Revised approval signature BIG RED ROOSTER FLOW / have reviewed the visuals within this document and I approve 2 Northfield Pla7a, Ste 250, Northfield, IL 60093 the designs and scope of work listed within. P: (84T) "j-1818 F: (847) 592-9564 T�. dt r—m ftm� —.t. —I —fid.,19 b— b—b— It �,m t b� -p�d. okfisheid m dum*vbd in aW � wftu t. ~ -pvmW rA 59 PAd Roo-W P—,,� A1�0t—'.dr--k,d"pm.Kmdmm adoupy"ft (—V [—U�ITE PLAN Marketer/Deale treated by� H. Ferro Scale: N/A Page#: 2 OF Site Name: ROI i SITE PLAN 13 13 unbranded diesel canopy REVISION # DATE TYPE OF CHANGE 10.25.2018 11.02.2018 Canopy and MID Revised .4 181 51, SHIP TO#: 802855 t Cr- Y. %A %L cr_ LLI rA 06 CA CL ts U w 0 j CL 11� Cho r Applicant shall repair/freplace all damage 4.0 Utilities or frontage im provements in (My iright-of-way per City standards that is caused or occurs during the permftted project TNs docurnant reli�ls trade �tz and confidenbal b— Won-nabon. ff may not be wpied, publGhad or dmsetn�aad n any roanrtar without M watlen approval of Ebg Red Rooster Flow, AN r*ts reserved, induding patent. trad—ark and oopynghts M BIG RED ROOSTER FLOW * " V 2 Northfield Plaza, Ste 250. Northfield, P� (847) 441-1818 F: (847) 592-9564 6 *&10 4-0tw" ccw�- Lg�� 1 tc)']c ?44TT ft Nkj;�;v-mw Rol*.Tg;,Tq 1PX7NN?w;-Nm TM 20" .06r X V4' AID HUM V4 W DIA. HOLE 06r x Y4, ALUMINUM COLLAR 33 1h 20- .06r ALUMINUM WONG 7/8' DIA. ELKMCkL HOLE .06r ALUMINUM BACKING FRONT VIEW WEEP HOLES SIDEVIEW .BACKING BACKING — -1 FAG FAWNER,--,, 5. S* (OTY4) A 181h' 33' 33 V41 NVEX um PLASTIC FACE I DECORATED SECOND TOWT FRONTVIEW SURFAa SIDE VIEW FACE FACE REVISION # DATE TYPE OF CHANGE ORIGINAL 10.25.2018 RI 11.02.2018 Canopy and MID Revised PLASTHFACE DECORATED SECOND SUREO LED LAYOUT FACE ATTACHMENT DETAIL AGI-LIGHT APD(LED 6500K 11 LIDS MEAN WELL CLASS 2 MODEL I?V 6012 INFUI 120 VAC - 1.2 ARM OUTPUT I 2VDC - 5 AMPS #8 Xh' HI WSH?. HO. TEK SCREWS (4 REOUIRED) .G&r X V4' ALUMINUM COLLAR 16r ALUMINUM BACKING ALUMINUMTEEPEE WIRI(OVER MEAN WELL CLASS 2 MODEL U`V 6012 #8-24 X Y4' PAN HEAD BOLT INPUT 120 VAC - 1.2 AMPS W/ 10-24 HEX NUT OUTPUT 12VDC - 5 AMPS GROUND WIRE X.L—.06YALUMINUM BACKING W/ EYEET CONNECTOR 'A' CHASE NIPPLE CONNECTION DETAIL w"O'ul SHIP TO#: 802855 TN3 dm�t mflects "& �Is wW omwfidwU lx,*� Woffmim It may wt be copiecl, pAkhM or dwerrdmitul in any � wftul the witWA appmal of* Red Rw rRow. AN 60b mmmed, WAnq paianL "dwark 8W ODMOtL 33" LOGO: 6 SF Paint PMS 165C PMS 287C Text Voltage 120 VAC Circuit ONE Current 5 AMP Design Load 90 MPH a 1. " Ais 5 BIG RED ROOSTER FLOW 2 Northfield Plaza, Ste 250, Northfield, IL 60093 P: (847) 441-1818 F: (847) 592-9564 ( D ty ON -Illuminated Illuminated - 11 to, 17 ELEVATION A: NON -ILLUMINATED 13'6" Canopy learance ELEVATION B: ILLUMINATED CIA, A, 12'r 384' ELEVATION C: ILLUMINATED I I ELEVATION D: ILLUMINATED 53'6' j24-i 384" "Note: LED canopy light bar (or downlighter) is not in the standard Signature image package and is not lit incJuded in the imaging allowance provided by Phillips 66. Any items outside the standard package CANOPY PERSPECTIVE voll be settled with the customer chrectly. REVISION # DATE TYPE OF CHANGE SHIP TO#: 802855 10.25.2018 11,02.2018 Canopy and MID Revised TNs d�t reflects trade reft and corAdwtA b—em w4onraim, It " wt be copted, pLbkW*d � de�wrofqd ii arty rr—ef wdw- tre �than aplxmal of Big Red Ranter Fim AM nghts rese—d. �WN paiant trad—k " ovrghts. BIG RED RooS"MR FLO 2 Northfield Plaza, Ste 250, Northfield, IL 60093 P: (84 7) 441 -1818 F: (847) 592-9W (14D Nm i JL1W F 1 .5 1 9C F NfkXk'%*'x, DO wlmr C W-.3 r; � d by' L F W F Regulatory Decal Credit Card Decal Octane Decals -21T ...... ... I /S7:6 112"CLEAR SPACE FROM EDGES Pump Topper Clean AJr Nozzle Instructions (CA Specific) - California Fuels Sales Tax Decal (CA Specific) Prop 65 Decal (CA Specific) Gasoline Decal(CA Specific) Existing Dispenser Type: Gilbarco Encore S Single Hose with Privacy Keypad REVISION # DATE TYPE OF CHANGE SHIP TOM 802855 ORIGINAL 10.25.2018 R1 11.02.2018 Canopy and MID Revised Ths d�f re%05 VadD s9=13 md ma4mtW k� W=abon. R mW not be wpiecL pub� or ftswnir� m any mww w&�d ft watien appmal of ft RW Rmam Flow Al 6*4s =mod, �� paWt tadm�k md coW*ts. 'a, - I � 1 7-, OF, BIG REE) ROOSTER FLOW 2 Northfield Plaza, Ste 250, Northfield, IL 60093 P: (847) 441-1818 F: (1347) 592-9564 0 r P TIER op TIE 3 A Existing: t Proposed: Regular 11-1110, 101 mommommo� Plus I it I Filil- Premium H, Fit Diesel REVISION # DATE TYPE OF CHANGE SHIP TOM 802855 1025.2018 11.02.2018 Canopy and MID Revised Scale: N/A Page#: 6 OF 6 Atilamb.3 wo Notes: New Cabir*8 New 76 ID Panel New 4 product pricer panel - White and Green LED Upgrade Paint Poles and Cabinets Titanium Gray Thi� domirrientnflecis heole secret eM —ficWhal b,— infornb., R " not be coped, puliksted or disseri in any wanner wiftLA lhe written approval of Big Red Rooslei Flow AN rights reserved, inckleig palent. badernark and copyright. BIG RED ROOSTER 2 Northfield Plaza, Ste 250, Northfield. IL 60093 P: (847) 441-1818 F: (847) %2-9564 T Ckyof Building Department i APP.ROVED PLAN': --w ---------- w- FObtain Electrical PeTmit from S ate Labor & Industries t., A, B P ING q� �- L 14 e , v ;Ion comer-&—Fla&6L Sefa.a�ks g� �qred F-A-ont Sidesl Rear ------- Other -------- CITY OF EDMONDS By L.,DING DEPARTMENT L WORK � n I S' I � ADDRESS OWNER APPROVED DATE: --2-- 3 /, / e) BLDG. OFFICIAL: /7jj. 11 PERMIT NUMBER I bL-Cw19- I I RECEIVED DEC 17 2018 DEVELOPMENT SERVICES COUNTS