20050007.pdfI
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DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
0 NAME/NAME OF BUSINESS
Lynnk.,00cl onde,/Nol-on Motors
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F3o,,: 1.1.77
CITY ZIP TELEPHONE
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'Idmon(RQ _._020 (425)� -1600
NAME
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W III
t: ADDRESS
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CITY ZIP TELEPHONE
NAME 3L
Plumb Sions, Inc. 1c,
ADDRESS
900. S. 2Eth St.
CITY ZIP TELEPHONE
Tacoma
( 2 5 23 ) 4 7 3 - 3 13 2 3
STATE LICENSE NUMBER EXPIRATION DATE I C"ECKED BY
PLUMBS1077QS 11/10/05 0%4Z)
PROPERTY TAX ACCOUNT PARCEL NO
270,112900303900=
1:1 NEW
E] RESIDENTIAL
PLUMBIIJG/MECH
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
MULTIFAMILY
G N
REPAIR
GRADING
El CYDS
FENCE
11 ( X FT)
E] DEMOLISH
1:1 TANK
OTHER
GARAGE
RETAININGWALL
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
Now/Used
Csar Sales
NUMBER
NUMBER OF
CRITICAL
OF
DWELLING
I
AREAS
I
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE Install
(4) new wall
HEAT SOURCE I GLAZING % I LOT SLOPE %
PLAN CHECK VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, 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 OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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 AMTHE OWNER, OR THE DULY AUTHORIZED AGENT OF
USE
ZONE
JOB
ADDRESS
PLAT NAME/SUBDIVISION NO
PERMITEXPIRES
PERMIT
NUMBER,___,,�/O_,!�
LOT NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING - PROPOSED
REQUIRED DEDICATION- FT
METER SIZE LINE SIZE NO. OF FIXTURES
I
SUITE/APT#
LID NO.
LID FEE $
TESCP Approved
RW Permit Required
Street Use Permit Roq'd
Inspection Required
Sidewalk Required
Underground
wiring required
PRV REQUIRED
YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
ENGINEERING REVIEWED BY
FIRE REVIEWED BY
VARIANCE OR CU
SEPA REVIEW
COMPLETE EXEMPT
EXP I x
LOT COVERAGE
ALLOWED PROPOSED
PARKING
REQ'D I PROVIDED
FITA114
DATE w
a:
IM
SHORELINE OR ADB#
I INSPECTION
. REO'D
YES ONO
-BOND
POSTED
IS
SIGN AREA
HEIGHT
ALLOWED
ALLOWED PROPOSED
4POPeSED
C7 -
-I.,) 1"� I
11__� 4-1
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT.)
FRONT SIDE REAR
FRONT L/R SIDE REAR
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LOT AREA
I PLANNING REVIEWED BY DATEI
c.A'. - A-,- - � %LLj[/,J
12
,�Lc, Tj
CHECKED BY jTYPE_QF CON
SPECIAL INSPECTION JAREA
REQUIRED C] N
OCCUPANT
GROUP
OCCUPANT
LOAD
REMARKS a
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D I �
VALUATION
$
Description
FEE
Description
FEE
Plan Check
,�21
YO
State Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
4)650T) 7
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS I RU;3- CALL I his application is not a permt, unt I s gned by u io
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/tier Deputy; and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF T14E STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COM PEN SAT�9NAN SU RANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE
SIGNATURE (OWN RAG - T) DATE SIGNED (425)
7_7 /A//eA/s
— - 771-0220' RELASED BY, DATE
ATTENTiON J_ .�, E)ff 1333 VA,
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
0,11/02 PRESS HARD -YOU ARE MAKING 5 COPIES
NW,W"F"A=
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ORIGINAL - FILE YELLOW - INSPECTC
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Tes I ....................
Gas Piping .................
Equipment ..........
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
'7-
OCCUPANCY ..................
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