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20030667.pdfDATE RECEIVED 8/27/03 LPERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER J013 SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS 20719 82nd Ave W OWNER NAME/NAME OF BUSINESS nj n PLAT NZEISUBDIVISION NO. LID NO. U H r, uca MAILING ADDRESS 20719 82nd Ave W CITY ZIP TELEPHONE is Edmonds 980208 42-872-3573 1 NAME ADDRESS CITY ZIP ONE NAME 776 CBL# Day & Ni-ta, 1NC. q CC A RESS 160'14 13"U-h Ave W CITY ZIP TELEPHONE Lynnwood S8037 425-775-3434 STATE LICENSE NUMBER EXPIRAPON DATF, CHECKED BY DAYNIPHO44CM PROPERTY TAX ACCOUNT PARCEL NO. 0 0 U'OC 06143'r. )3902 NEW RESIDENTIAL PLLIMBING/MECH IADDITION COMMERCIAL 3 COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN o FENCE IJ REPAIR 0 GRADING CYDS X FT) 0 DEMOLISH 0 TANK o OTHER GARAGE 0 RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM UWE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: Res, House NUMBER NUMBER OF T—cRrriCAL OF STORIES DWELLING UNITS AREAS NUMBER DESCRIBE WORK TO BE DONE Remove old existing gas furilaca, install ngki 90-1; fuxaarx Sama for same changeoul HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: 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 (CURBS, SIDEWAIUKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK 19 STARTED WffHIN 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 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 VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION INSURANCE AND RCW 18.27. DATE SIGNED 9 / z 7 WI E LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AP '=Od RW Pofn*PR Street Use Parmh Ftsq'd EXISTING — PROPOSED InspwWn Required Sidewallc Required REQUIRED DEDICATION— FT Undwground Wking required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I unbeatilml spacm UN16 8-1-5.1-7 ENGINEET=LVIEWEU�_._._,'_,___ DATE &I � 17 FIRE REVIEWED BY DATE VARIANCE OR SEPA COMPLETE BOND POSTED HEIGHT D - PROPOSED LOT COVERAGE REQUIRED SET13ACKS (FTY PROPOSED SETBACKS (FT) ALLOWED pROPOSro I FRONT SIDE REAR FRONT UR SIDE REAR PARKING LOT AREA I PLANNING REVIEWED By DATE RE0`D I PROVIDED CHECKED BY ITYPE SPECIAL INSPECTION REQUIRED [] YES OCCUPANTV a GROUP OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION RE170 Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee CALL R INSPECTION '(4-95) 771-0220 EXT 1333 FEE Description FEE State Surcharge City Surcharge IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES Plan Chk- Depo Receipt # Total Amt. Due Receipt # CATION APPROVAL �n is not a permit until signed by the r histher Deputy: and Fees are paid, and aCknovAodgad ifispace pjpvIded. %, int: // X I DATE BY I UAI t: ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR GREEN - ACCOUNTING z 0 M M C= M 11 Bit= � r. M S r_ 2 0 n M1 �865 0 0. z 0 4 0 M V RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ...................... . FOUNDATION: 'Fo0i ln6a Wall.......................... Plei/Porch ................. Retaining Wall ........... Slab Insulat on ........... . PLUMBINW Jjhd6rgrQund Roug................... ititial' HEATING: Gas.Test .................... Gas Piping'� ................. Equipment . ................. I)ATE RECEIVED 8/27/03 PERMIT EXPIRES2-1 USE PERMIT CITY.OF EDMONDS ZONE NUMBER e,003 (_0 G -9 CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPlV' ADDRESS 20719 82nd Ave W OWNER NAME/NAME OF BUSINESS Diane Duca PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS I LID FEE 5 20719 82nd Ave W PUBLfd'RIGHT OF WAY PER OFFICIAL STREET MAP TESGP Approved RW Pwn%4 AsCFj1r*d EXISTING - PROPOSED striet Use Perm" " Inspection Plaquirod 51dowaA ReWired CITY ZIP TELEPHONE Edmonds 98026 I 42-672-3573 REQUIRED DEDICATION- FT UnderWound Wkingosquirod NAME METER SIZE LINE SI" NO. OF FIXTURES PRV REQUIRED I YES E3 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I CITY ZIP ITELEPHONE B Type B or L vent connector$ NAME CBL # reqWred on f5el-biirning appliancm in Day & Nite, INC. q SPI50M UI%C ENGINEERI RAMWEPIP10 815.191PE ADDRESS 16614 13th Ave W FIRE REVIEWED BY DATE CITY ZIP TELEPHONE Lynnwood 98037 425-775-6464 VARIANCEORMS T__ORELINEORADSM BOND STATE LICENSE NUMBER EXP CHECKEDBY ofo POSTED E-TE ]RATIONDATE --- so fo I S T M" I DAYNIPHO44CM -.-SEIW 11E HEIGHT `7111 PROPERTY TAX ACCOUNT PARCEL NO. _T COMPLETE 01 'M ED PROPOSED VM S,NALL To I 00614300003902 EXP NO LOT COVERAGE MP (FT) PROPOSED SETBACKS (IT) 3 NEW RESIDENTIAL PLUMBING/MECH ALLOWED PROPOSED INWE HIMEAR FRONT LIRSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE - PARKING LOT AREA PLANNI NG REVIEWED BY DATE In REMODEL 0 MULTIFAMILY SIGN REO`0 I PROVIDED I � CL [:] GRADING FENCE X AV& REPAIR CYDS FT) REMARKS fin 0 DEMOLISH TANK 0 OTHER oGARAGE RETAININGWALL o FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVTM EXPLAIN: Res. House CHECKED BY ITYPE OJXCNSTRUCTION OCCUPANt I e_clpl\ GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECITL INSPECTION JAREA OCCUPANT STORIES UNITS NUMBER REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE Remove old existing REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG?D Ej gasfurnace, install n8W gas furpane Same' -for same changeout -749, 0 -4 Id s. VALUA�ION Is SOURCE I GLAZING % I LOT SLOPE % PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTV ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATIOft 1130 DAYS PERMIT LIMM 1 YEAR - PROVIDED WORK 18 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 INDEMNIFX 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 $HALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THIE CIITTS 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 VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION INSURANCE AND RCW 18.27. DATE SIGNED 01/0' 7107 Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapeinsp. Total Amt. Due I L7S_ Recording Fee Receipt # CALL FOR INSPECTION (1—A-95) 771-0220 EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE Of OCCUPANCY.HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES OPUCATION APPROVAL p Ica n1anotapermituntUsIgnedby the rM r hisiber Deputy: and Feea are paid. and aeknowledgedqspace %wided. rIG RE DATE By DAfE ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING --- ------- 76 � 0 M M C M -4 § 0 C E� K M M z 0 M M a V; 0 0 Fn C (n ;U z z 0 0 M