20040148 (2).pdfDATE RECE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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PROPERTY TAX ACCOUNT PARCEL NO.
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NEW 13 RESIDENTIAL PLUMBING / MECH
ADDITION _154. COMMERCIAL CHANGE OF USE
REMODEL 11 MULTIFAMILY SIGN
- GRADING FENCE
REPAIR 11 CYDS ( X FT)
DEMOLISH 1:1 TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
[TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN
NUMBER NUMBER OF
OF DWELLING
STORIES I UNITS
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HEAT SOURCE GLAZ , ING %
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VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PE41MIT-60VERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: IBODAYS
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IL PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
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IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
W FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECI LY
x ALL CLAIMS
x FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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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
THEOWNER. I AGREE, 0 COMPLY WIT I I CITY AND STATE LAWS REGULATING CONS1 RLIC -
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 COMPENSATION INSURANCE AND RCW 18 27.
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Fire Review Plan Chk. Deposit
Fire Inspection /_47 Receipt #
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Recording Fee Receipt
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building 011icial or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
OFFIG�A1__&)SIGj I IlkTyRE DATE
E DATE SIGNED
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IT IS UNLAWFUL TO OR OCCUPY BUILDII R STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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11/21/03
City of Edmonds
Plan Review Corrections
CMICR:O:FIL
Building Department
Collision Clinic, Inc.
22327 Hwy 99 X-.0
Edmonds, WA 98026
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Project Address: 'Oe8 2004
V/" COU
7323 224h St SW /V
Attn: Bruce Lingle, President
Ph: 425.775.0333
Fax: 425.775.9771
E-mail: brLicelingle(@,aol.com
Copy
Change of Use Application:
In response to item #1 dated 11/18/03
1 would like to request that our occupancy application be treated as an S-3
classification.
In reviewing the City of Edmonds H4 (welding) requirements, I have
decided not to do any welding in this building. I will be doing auto body
repair and exchange of parts in this facility.
Please advise me if you need any more information or have any further
questions.
Sincerely,
Bruce Lingle,.O,,--
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
MEASE SIGN
�'))' 2 - " V -Z�t4�ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE
PI EA 6 SIGN
P ROJECT Ct
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SITE ADDRESS 2
PERMIT —ADB# DATE INSPECTED
DESCRIPTION OF wORK To BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE 0 Y
MEMO SIGN
ENGINEERING DIVISION DATE
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El Copy of CORRE CTION NOTICE given to owner/contractor by inpector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:fornis:ocaprv1 3/25/04
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:.
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ....................
Commercial Final ......
HEATING:
Gas Test .................... MS
VVS
Gas Piping .................
Nrl-
Equipment .................
7— ornmercial Final .......
EX RIOR SHEATHING
N LING ..........................
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0 FRAMING ........................
Li FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION
vMISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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The initials RSR are Rick S.
Roberts, a temporary contract
jilspector for the City.
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