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20030624.pdf4 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Nancy McDonald mAILING ADDRESS 7505 178th Place S.W. CITY ZIP TELEPHONE Edmonds 98026 1 206-200-6767 NAME ADDRESS CITY ZIP I TELEPHONE NAME CBLN All Climate Heating & A/C 1C ADDRESS 14715 N.E. 95th UNit B CITY ZIP I TELEPHONE Redmond 98052 425-746-3077 STATE LICENSE NUMBER EXPIRATION DATE ALLCLHAOOOCB 2-24-04 MOPERTY TAX ACCOUNT PARCEL NO. 00748100000300 0 NEW RESIDENTIAL ED PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE 0 REMODEL MULTIFAMILY SIGN 12 REPAIR GRADING CYDS FENCE X FT) DEMOLISH 0 TANK 0 OTHER GARAGE CARPORT RETAININGWALL ROCKERY F RE SPRINKLER 1:1 FIRE ALARM (ME OF USE, BUSINESS OR ACTIVffVj~: NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES U NUMBER DESCRIBE WORK TO BE DONE replace existing gas furnace with new gas fiirnar-e -- hviwn-ew-�- Od rim HEAT SOURCE GLAZING % LOT SLOPE % Gas 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 ILCURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT UMIr I 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 N 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 SHALL NOT BE DEEMED TO MODIFX 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 1* JkJORIZE THEREBY. NO PERSON WILL BE EMPLOYED WORK IN VIOLATION OF THE Loffli%COD E -QF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMP,9RCTION INSURANCI AND RCW 18.27. � SlGi�TURE (OW R OR AGE DATE SIGNED I 1 1 8-14-03 PERMIT EXPIRES 1UE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 7505 178th Place S.W. PLAT NAME/SUBDIVISION N=. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP APP(O"d RW Permit Required Street Use Permit RKd EXISTING — PROPOSED lnspftWn Required Sidewalk Required REQUIRED DEDICATION FT Undagr-ind Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 z REMARKS OWNER/CONTRACTOR RESPON;* Wf.ff!%f_2 NTROL/DRAINAGE 0%&9% nalialL Is. DATE DATE Me B or L vent connectorms rafralfedIbn f+N5?..9JfflfirfiV Ilm"Ifi BOND POSTED unheated sones, QvIC sil YS ONO !EY SEPA REVIEW SIGN AREA HEIGHT D PROPOSED r-eWM4aT— XP I LOT COVERAGE REQUIRED SETBACKS (FT]l PROPOSED SETBACKS (Fr.) NLLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR z W1N1r1*VVXftI5y$y$f9 OAT& PA RIG REO'D 6OW1 or plem-f 06 Close ev "rwaion fanks ref.64--d -_ ME A 11 1111 f- are PFI., REmAR nifV t,,,4. 0 - Tanks per CHECKED BY ITYPE 0 R N c OCCUPANT GROUP SPECIAL INSPECTIOTA OCCUPANT REQUIRED [:] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-D, Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscape Insp. Recording Fee CALL FOR INSPECTIO (425) 771-0220 EXT 1333 FEE Description State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due Receipt # L4gl. C .1CATION APPROVAL ation Is not a permit until signed by the it or his/her Deputy: and Fees are paid, and Is acknowledged In a .pace prov". �.�D BY U, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING RECEIVED CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS Nancy McDondld MMLING ADDRESS 7505 178th Place S.W. CITY ZIP TELEPHONE Edmonds 98026 1 206-200-6767 NAME ADDRESS CITY ZIP [TELEPHONE NAME CBL N 04 All Climate Heating & A/C f 12- 2, ADDRESS 14715 N.E. 95th UNit B CITY ZIP TELEPHONE Redmond 980521 425-746-3077 STATE LICENSE NUMBER EXPIRATION DATE X C ECK ALLCLHA000CB 2-24-04 C lax PROPERTY TAX ACCOUNT PARCEL NO. 90748100000300 NEW RESIDENTIAL PLUM13ING / MECH ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE REMODEL [3 MULTIFAMILY SIGN .41\13 REPAIR GRADING CYDS FENCE X F-F) DEMOLISH TANK OTHER 0 GARAGE RETAINING WALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME. OF USE, BUSINESS OR ACTIVW NUMBER _8 U 0 F UM CRITICAL OF —STORIES ; LE11 W D L D L 1 FN WE LING UNITS AREAS NUMBER DESCRIBE WO K TO BE DQNE replaceRoxisting gas furnace with new gas I furnace - lw�eln -en �- HTSOURCE GLAZING % LOT SLOPE % as I PLM CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION. 180 DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE SACK 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 CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORREC"P 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 - AU140RIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE_LA8a1NCODE`qF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPQMTION INSURANC9 AND RCW 18,27. OFi AGEN DATE SIGNED 1 8-14-03 jco [PERMIT EXPIRES UTE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 7505 178th Place S.W. PLAT NAME/SUBDIVISION NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AP RW Parrnri=ed Street Use l3affrift Retfd EXISTING — PROPOSED InarAction Required Sidewalk Required REQUIRED DEDICATION— FT UndKWOUnd Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES0 NO 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE AFFIDAV93 SHAI I NOT E G — I NGINEERING REVIEWED BYjE At DATE OIL FIRE REVIEWED By DATE cc H V V l NE ORfDB# INIPECTION BOND I T uril 119 PP POSTED IjkfqE HNO S vinhea U)"r- i I I jAxalPA REVIEW WAFMA HE GHT ma ALLOWED L PROPOSED qpn 1, LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR ItbMtft" IT' AN DATE RE# dosed, ransion tanks are CHECKED BY ITYPE OF OSTRUCIION OCCUPANT GROUP M(Cll 1CV SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REaD VALUATION Description Plan Check Bull-dilig Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee _T CALL. . FEE Description State Surcharge City Surcharge Plan Chk. Deposit Receipt # Total Amt. Due Receipt # FEE JCATION APPROVAL ation Is not a permit until signed by the I or his/her Deputy: and Fees are paid, and IsacknaMedgedingpaceprov.10 - �L�D BY . V ATTENTION I . Off 133 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 1A25) %-FK- 771-0220 z M M C M 0 C M M z 01 "n ITIM 0 0 r_ M 0 z 0 4 0 M