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0664_001.pdfO11DA7�) Y 'J CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 o PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 04/02/2019 paw#; BEIM" Expiration Date: 10/02/2019 F'rojrctAdthvss: 23129 76Til AVE W, ED-MO 'DS Parcel No: 00488800400302 DANIEL/MARGARET CURNUTT DANIEL/MARGARET CURNUTT ALL PRO PLUMBING 23129 76TH AVE W 23129 76TH AVE W C/O NOEL CRUSE EDMONDS, WA 98026-8703 EDMONDS, WA 98026-8703 PO BOX 14297 MILL CREEK, WA 98082 (425)299-5961 (425)299-5961 (425)338-1424 LICENSE #: ALLPRPP932BC EXP:01/03/2021 REPLACE ELEC HWT. ALSO DO FINAL ON PREVIOUS PLUMBING PERMIT BLD2016-1522 AND 2016-0623 VALUATION: $0 PERMIT TYPE: Residential PERMIT GROUP: 47 - Plumbing GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: OCCUPANT GROUP OCCUPANT LOAD: FENCE: ( 0 X 0 FT) CODE. OTHER:-------OTHERDESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT # BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS:0 BATHROOMS:0 BEDROOMS:0 BATHROOMS:0 HIONTsF'rRACK REQUIRED: PROPOSEDREQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION 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 WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL -OR HIS/HERA6P6QY AND ALL FEES ARE PAID. Print Name Date f "Released By ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED UBC109/ IBCI 10/ IRC110 FIRE APPLICANT = ASSESSOR CTTY STATUS: ISSUED BLD20190358 • In addition to the required pressure/relief valve, an approved listed expansion tanks hall be installed on all hot water tanks. Per UPC 608. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and frial occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all othertimes the noise originating fi•om construction sites/activities must comply with the noise limits of Chapter 5.30, unless avariance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf ofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the CILy U1 Fdlnlond5, Washington, its officials, en ployees, and agents fi,om any and ail claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance ofthis permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. • Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON -1HE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEFS, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING 1. Go to: www.edmondswa.gov 2. Then: Seances 3. Then: Permits/Development 4. Then: Online Permit Info 5: If you don't have one already, create a login (upper right hand corner) 6: Schedule your inspection TO SCHEDULE INSPECTIONS Building Department Inspections are now scheduled online. If you have difficulties, please call the Building Department front desk for assistance during office hours. (425) 771-0220 ENGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 776-7720 PUBLIC WORKS (425) 771-0235 RECYCLING (425) 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Preferred, and whether you prefer morning or afternoon. • B-Plumbing Final • B-Building Final MMMI fil) BUILDING PERMIT . APPLICATION 111 C . 18') \> Development Services Building Division 121 5th Ave N / Edmonds, WA 98020 425.771.0220 For handouts, submittal requirements, permit status and inspection scheduling information go to: http://www.edmondswa.gov/ JOB SITE INFORMATION/LOCATION: (Where the work is taking place) Job Site Address: Parcel: Lot /Unit/Suite #: Subdivision: PROPERTY OWNER: 1 Name: jo) ,c 1 d ` 1Ll Mailing Address: !�y� 1i� 7 L ` � R �f 5, / City/State/Zip: PA rt�cf7-�-AA-, Gc Sh 15j s Phone #: Email: sir -A t t i Ct75S- (1� H �,1� [ �r i1 OWNER INSTALLATION: *If yes, read and sign* Will work be performed by the property owner? ❑ Yes W 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: Mailing Address: City/State/Zip:Phone #: #: E-mail: .i 1 Q [n_t)+���C?t1� cyf. cr_m GENERAL CONTRACTOR: (If different from applicant) General Contractor Mailing Address: City/State/Zip: Phone #: E-mail WA STATE CONTRACTOR L & I # (CCB) & EXPIRATION DATE: CITY OF EDMONDS BUSINESS LICENSE #: 7PermNt6 : a,, L TYPE OF Details .. ❑ 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: PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION Basement sq ft: Finished ❑ Unfinished ❑ 1st Floor, sq ft: 2nd Floor, sq ft: Garage/Carport:, sq ft: Deck/Covered Porch/Patio: Other sq ft: PROJECT• I 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. Print Name: Signature: Date L11-9� GENERAL • . DATA Occupancy Group(s): Occupant Load(s): Type(s) of Construction: Fire Sprinklers: Yes ❑ No ❑ 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 • BTUs Gas / Elec / Other Qty A/C Unit /Compressor Air Handler /VAV ooller Dryer Duct Exhaust Fans Fireplace Furnace Heat Pump Unit Hydronic Heating Roof Top Unit (Provide eleva- tions if a Commercial Bldg) Other: COUNTSPLUMBING FIXTURE .. .. 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 Water Heater-Tankless? Y r N f Hydronic Heat Water Service Line Ct,:k Sinks Other: Toilets Other: • • COUNTS BTUs Qty BTUs Qty A/C Unit Outdoor BBQ/ Fire pit Boiler Stove/Range/Oven Dryer Water Heater Fireplace/ Insert Other: Furnace Other: L - MEDICALR • or re -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 #: Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑ Fill in Place ❑ Fill Material: Removal ❑ Size of Tank (Gallons) Critical Areas Determination: Study Required ❑ Conditional Waiver ❑ Waiver ❑ •.• 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.