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20030207.pdfDATE RECEIVED .- CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Gary Hall MAILING ADDRESS 756 14th Way Sw CITY ZIP TELEPHONE Edmonds 98020 425-672-8286 NAME ADDRESS CITY ZIP I TELEPHONE NAME Day & Nite, Plumbing & Heating, INC ADDRESS 5700 B 188th St SW CIO (il CITY ZIP TELEPHONE Lvnnwood Qqnq7 1425-775-6464 STATE LICENSE NUMBER EXPII ATION DATE DAYNIPHO44CM &1o5 PF60PEJTY TAX ACCOUNT PARCEL NO.. 90100000400 NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL E] APARTMENT C] SIGN REPAIR 0 GRADING CYDS FENCE ( X FT) DEMOLISH 0 TANK C] OTHER o GARAGE CARPORT C] RETAINING WALL 0^f`wf=t3V [3 RENEWAL (TYPE OF USE, BUSINESS OR ACTIVffaft9XRk_AV- NUMBER OF CRITICAL OF DWELLIN AREAS NUMBER I I o STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE At Replace qld furnace with like' Removwe two d1d bot wa tanks and replace with one (N/G) Add log lighte -b r to fireplace an gas piping to -Eire place -Erom existing v&,A6rza _" '%'t ii:A� —4-:74 A. (0 PERMIT EXPIRES USE PERMIT ZONE NUMBER2a,*-UL JOB SUITE/APT# ADDRE ss 75.6 14th Way S lij PLAT NAME/SUBDIVI SION NO. LID NO. Sect. 25 LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW permit paquked Stforit Use Pering Req'd EXISTING - PROPOSED Inspecilon RoquIred Sidewoll Required REQUIRED DEDICATION- FT Underground Wiring requited METER SIZE I LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE FIRE REVIEWED BY UMC 815.1,7 DATE Fro 0 z rc w z z F5 z w w M M VA N CE,nE, VARIANCE(BEF[ BOND E JEfflyltff IhS OgON POSTED I A 0%2 NO SEPA REVIEW I lsllinVIRO DAIMA3 ILL I WU I HEIGHT COMPLETE I EXEMPT A 18 ALL OWED PROPOSED r EXP LOT COVERAGE [PIF: R REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT.- SIDE REAR z z z KI LVX E 15 0. REO'D W or OW or dj dOse eXpansion tanks ttanks are A 4 A R REMA r 0. per CHECKSDBY ITYPEOFCON SPECIAL INSPECTOR AREA REQUIRED [3 YES OCCUPAIJT� GROUP,& OCCUPANT LOAD INSPECTIONS PER UBC 108/FINAL INSPECTION 5 ��L!TSLOPE% PLAN CHECK FEE HEAT SOURCE 31LAZ�ING%%� BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO !Z BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL a M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE I It- SEPARATE PERMISSION. 4kTnURCHARGE cc PERMIT APPLICATION: 190 DAYS Uj PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY R FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' P XLM - --- =wmmmmnmmmmm� TOTAL�AMOUNTDUE 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- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION Or THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27. DATE SIGNED (425) 771-022 10 ATZKNTIOW EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5/98 IPT VALUATION FEE P P 7/1 CATION APPROVAL P This plic ion is not a permit until signed by the t6cl ling tfici or, his/her Depuly: and Foos are paid. and f cot) is cot is acknowledgocfln space Ocivided. qeT 1117;d- fgotA�l wwo nB i 01' ORIGINAL - FILE e YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR (5 z r I RECORD OF INSPECTIONS 'INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: .......... ootng,.,, J.' A, 1 P fei/Porch M. In m 'q%talning Wall Slab Insulation .......... . PLUMBING: Uhde!ground ............. c; Rough -in ................. ......... .. m ` 77-1 PERMIT EXPIRES 0I CITY OF EDMONDS USE PIERMrr ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB $UITE/APT# ADDRESS 7,96 14th Way SW OWNER NAMEINAME OF BUSINESS Gary Hall PLAT NAME/SU BDIVI SION N077 LOT NO. LID NO. Sect. 25 LID FEE $ MAILING ADDRESS 756 14th Way SW TESCP Approved 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required C3 CITY ZIP TELEPHONE Inspection Required 0 EXISTING — PROPOSED Sidewalk Requited 0 Edmonds 98020 425-672-8286 REQUIRED DEDICATION— FT Underground - Wiring requited 0 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED NAME Day & Nite, Plumbing & Heating, INC. ENGINEERING PIPE TEST MUSTIEBEP/DATE CC §5700 A DDRESS B 188th St. SW C&I (0:?- -GAS R�w�wl -A I CITY ZIP TELEPHONE FIRE REVIEWED B)ffI DATE 11111111110 DAMS SHALL Hui W Lynnwood 9 8037 1 . r 'E VARIANCE OR CU VI_ INSPECTION BOND E LICENSE NUMBER EXPIJATIOND�T., J,��Y REO'D POSTED < zg� A PA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT D PROPOSED PROPC�iED EXP 0 NEW. RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS �FT.j ALLOWED PROPOSED FRONT SIDE REAR FRONT, LJRSIDE REAR 0 ADDITION 0 COMMERCIAL 0 COMPLIANCE OR CHANGE OF USE z REMODEL 0 APARTMENT 0 SIGN DATE EL" 0 REPAiR 0 GRADING 0 FENCE CYDS X FT) or WIN e rWon tgn6 on water tanks r-1 GARAGE 0 RETAINING WALL 0 RENEWAL p (TYPE OF USE, BUSINESS OR AOT:5M NUMBER NUMBEROF CRITICAL OF DWELLING AREAS SPECIAL INSPEC4RI OCCUPANT OM STORIES UNITS NUMBER YES DESCRIBE WORK TO BE DONE Q,,ld furnace 11"Replace REMARKS 'With like"I Remove two Ad hot wator tanks and replace. with one (N/G). gas piping to fire place from 9--an ft -1--ft bF existing VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING %' LOT SLOPE % BUILDING I10— PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS . PERMITAUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS . PERMIT ILIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT SHALL NOT BE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECEIPT I TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APP ATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF his i6nlic ion is not a permit until signed by the 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 13 rild, 0 Ific and Foes are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO I no FOR INSPECTION r ai a ack wlodgoWn" ,pace plovided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. AhT Otn" 1# S I FRI DATE SIGNED R �GN �O�� IT IR [JNLAWFtJL TO tJSE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 _nooi A FINAL INSPECTION HAS 13EEN MADE AND CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBCSECTION 1Vo FAX 5/98 L_--'----------'--- —'--------- -------'----'----'--------- ------- ` ORIGINAL 'FILE ^ YELLOW 'INSPECTOR PINK ' OWNER ^ GOLD 'ASSESSOR --'----`-----`------` ` `----