20040447.pdfdi
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FDATE �RECEIVED
C1W OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER TME/NAME OF BUSINE
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MAILING ADDRESS
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LICENSE NUMBER
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ZIP TELEPHONE
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ROPERTY TAX ACCOUNT PARCEL NO.
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NEW
RESIDENTIAL
ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
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REPAIR
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GRADING CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY
I[TYPE OF USE, BqQINESS OR ACTIVIrO EXPLAIN:
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE
HEAT SOURCE
GLAZING %
BY
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
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PERMIT EXPIRES
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PERMIT
NUMBER
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SUITVAP #
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LID FEE $
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ESCP Approved
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PUBLIC RIGHT
OF WAY PER OFFICIAL STREET MAP RW permit Required
Street Use palmit Roq'd
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EXISTING
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inspection ReqjIlied
PROPOSED Sirlawilk Required
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f REQUIRED DEDICATION—
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Undeigtotind
FT Wiring forItilted
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METER SIZE
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LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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YES [] NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
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7NGINEERING REVIEWED BY DATE
FIRE REVIEWED BY DATE W
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VARIANCE OR CU SHORELINE OR ADB# INSPECTION I BOND
REO'D POSTED
OYES ONO S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED
EXP I
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
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PARKING LOT AREA LANNING REVIEWED BY DATE 5
REO'D I PROVIDED I rp 0.
REMARKS
CHECKED BY ITYPE OF CONSTRUCTION I CODE OCCUPANI
GROUP
CRITICAL �z ��
AREAS SPECIAL INSPECTION AREA OCCUPANTf
NUMBER REQUIRED [] YES LOAD
REMARKS
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PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D S
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LOT SLOPE %
PLAN CHECK NO..t�/,/))/ VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: 100 DAYS
LL PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
1
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIREC MY OR INDIREC rLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF I HIS PERMIT SHALL NOT BE
_j DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENir OF ANY CITY ORDINANCE
01 NOR LIMIT IN ANY WAY THE CITYS 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 V1i6LATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATIO
'g.-11�RANCE AND RCW 18.27.
SIGNATURE (OWNER 0 GENT) DATE SIGNED
VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
FEE Description FEE
State Surcharge
City Surcharge
Base Fee
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt
APPLICATION APPROVAL
This application is not a Permit until signed by the
Building Official or his/her Deputy, and Fees are paid. and
receipt is acknowledged in space provided.
=FICIM-S SIGNATURE
�1—_ DATE
ATTENTION EXT 1333
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
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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OHIGINAL � FIL YELLOW. INSPE TC
PINK - OWNE GOLD - ASSESSOR
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building Engineering
June 21, 2004
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Collision Clinic
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22327 Highway 99
Edmonds, WA 98026
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Re: Building Permit: 2004-0148 M a
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Site Address: 7323 224" St SW -40
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Expiration Date: 2/20/05 -49
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Dear Bruce Lingle:
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rds the subject project has recently received the sheetrock
According to Building Division reco
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nailing inspection approval. The remaining inspections required are noted on the field job card
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and include final inspections by Fire, Engineering, Planning and lastly Building. Please be -n
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advised, the subject building permit will expire on February 2 , 2005, prior to this date you must
have final project approval from the above noted Departments or you must renew the permit. If M M
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you are certain that the work will not be complete prior to this date you must submit a new 0 r-
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application and remit fees of $213.00 (one half the original building permit fee) before February C CD
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5 1h, 2004. If the permit expires, full fees of $1,133 shall be required in order to complete the M 0
proj ect.
If you are certain the building will be complete before the permit expires be sure that the
following is complete before contacting the Building Inspector for the final occupancy >
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inspection: 1) All required special inspection reports are submitted to the City and 2) All other
City Departments have granted final project approval. Cn
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If you have any questions please feel free to call our office at 425-771-0220.
Sincerely,
Tfi- VereM Umbaugh
Permit Coordinator
L\Temp\Ds'r's\M aster Letters\SrwarriLtrCorn 10/27/00
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 * (425) 771-0220 - FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
117 is 9 11 Planning , ounding Eng nee, N
GARY HAAKENSON
MAYOR
June 23, 2004
Collision Clinic
Bruce Lingle
22327 Hwy 99
Edmonds, WA 98026
RE: Vesting fees for Plan Check 04-218
Dear Bruce Lingle;
We are returning the check that you sent to us concerning vesting your application (Plan Check
04-218) under the current building codes prior to July 1, 2004. The permit had been issued
before receiving the check and the fees are now unnecessary.
Enclosed is your voided check in the amount of $185.00. Know that the return of these fees will
not change the status of your issued permit in any way. These fees have already been paid.
If you have any questions please don't hesitate to contact us at 425-771-0220.
Sincerely;
Theresa M. Umbaugh
Permit Coordinator
encl: "voided" check ($185.00)
Incorporated August 11, 1890 0
Sister Citv - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: A ( - FIRE DEPARTMENT DATE Q�Z-6
PLEASE SIGN
ENGINEERING DIVISION DATE
PLEASESIGN
PLANNING DIVISION DATE
PLEASE SIGN
TROJECT
SITE ADDRESS '7 '2-
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,RMIT #_Jcf�L-L- �ADB# DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED LI(Lt'05,
-approved plans. Final approval
A field inspection was conducted to determine compliance with
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
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRE CTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:forn1s:ocaprv1 3/25/04
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
TL U�?Jffilv ENGINEERING DIVISION DATE
PiTASE SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT i�
SITE ADDRESS- V6 1141L S+ S W
PERMIT # ADB# DATEINSPECTED IL Io
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERIFORIklANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
FAELED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE given to owner/contractor by hipector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si,�npature
1: temp:b Idg: forms: ocaprvi 3/25/04
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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 ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
00- VL
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