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BLD2020-0995_City_Application_9.25.2020_11.44.17_AM`° C. 189., BUILDING PERMIT Only APPLICATION Permit Development Services Building Division 121 5th Ave N / Edmonds, WA 98020 425.771.0220 For handouts, submittal requirements go to: www..edmondswa.q_o..v. To apply for permits, schedule inspections, or check application status go to: www.mybuildinayermit.com JOB SITE INFORMATION/LOCATION: (Where the work is taking place) Job Site Address: 22214 HWY 99 Parcel: 201809205002 Lot /Unit/Suite #: Subdivision: BUSINESS OR PROPERTY OWNER: Name: Doug's Lynnwood Mazda Mailing Address: 22130 HWY 99 City/State/Zip: Edmonds, WA 98026 Phone #: 4257743551 Email: mikegami@dougs.com OWNER INSTALLATION: *If yes, read and sign* Will work be performed by the property owner? Yes �✓ 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: Marc lkegami Mailing Address: 22214 HWY 99 City/State/Zip: Edmonds WA 98026 Phone #: 2069924942 E-mail: mikegami@dougs.com GENERAL CONTRACTOR: (If different from applicant) General Contractor: Wilcox Construction Mailing Address: 234 5th Ave S City/State/Zip: Edmonds, Wa 98020 Phone #: 425-774-4185 E-mail.. Mmcisaac@wilcoxconstruction.com STATE UBI #: 319-007-592 CITY OF EDMONDS BUSINESS LICENSE #: BL-006453 WA STATE CONTRACTOR L & I #: (CCB) & EXPIRATION DATE: CC WILCOC*194Q0 12/10/2021 TYPE OF PERMIT (Provide Details on ..- ✓ Accessory Structure/ Addition Detached Garage Demolition Mechanical ❑ New Single Family/Duplex ❑ Plumbing Fire Sprinkler Remodel New Commercial/Mixed Use Re -Roof ❑ Signs ❑ Tank ❑ Tenant Improvement ❑ 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 for the work indicated on this application. Valuation: 15,000 PROPOSED NEW SQUARE Basement sq ft: FOOTAGE FOR THIS APPLICATION Finished Unfinished 1st Floor, sq ft: 2nd Floor, sq ft: Garage/Carport:, sq ft: 800 Deck/Covered Porch/Patio: # of NEW Bedrooms: PROJECTDESCRIPTION CUNS�LucTlyrf # of NEW Bathrooms: OF Y11�T,AL �vjt_D yNV ', rug- WASN 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. r• Print Name: T 0OU . �C&24►I 1 Signature: ���`' Date COMMERCIALGENERAL DATA Occupancy Group(s): S_ 1 Occupant Load(s): 4 Type(s) of Construction: rj-B Fire Sprinklers: Yes ❑ NoR1 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 EQUIPMENTMECHANICAL • .Relocated) BTUs Gas / Elec / Other Qty A/C Unit /Compressor Air Handler /VAV Boiler Dryer Duct Exhaust Fans Fireplace Furnace Heat Pump Unit Hydronic Heating Roof Top Unit (Provide eleva- tions if a Commercial Bldg) Other: COUNTSPLUMBING FIXTURE d 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 2 Water Heater - Tankless? Y or N Hydronic Heat Water Service Line 1 Sinks Other: Toilets Other: CONNECTION COUNTSd or re piped) BTUs Qty BTUs Qty A/C Unit Outdoor BBQ/ Fire pit Boiler Stove/Range/Oven Dryer Water Heater Fireplace/ Insert Other: Furnace Other: COUNTSMEDICAL GAS, AIR VACUUM Relocated or 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 p: Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑ Fil Fill in Place ❑ Fill Material: Removal ❑ Size of Tank (Gallons) Critical Areas Determination: Study Required Conditional Waiver Waiver GRADE/FILL/EXCAVATE Grading: Cut cubic yards Fill cubic yards Cut / Fill in Critical Area: Yes ❑ No ❑ GENERALPROVISIONS APPLICATIONS: Applications are valid for a maximum of 1 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.