20170105120231.pdfParcel No: 00450700500016
DAVID D JR SIZER
MM COMFORT SYSTEMS
MM COMFORT SYSTEMS
REVOC LIVING TRUST
C/O JAY MILLER
C/O JAY MILLER
9820 224TH SW
18103 NE 68TH ST C-200
18103 NE 68TH ST C-200
EDMONDS, WA 98020:
REDMOND WA 98052
REDMOND, WA 98052
(425)776-6641i
(206)850-1207
(206)850-1207
LICENSE #: MMCOMCS85564 EXP:09/24/2017
REPLACE ELECTRIC FURNANCE AND HEAT PUMP WITH NEW"UNITS IN SAME LOCATIONS,
VALUATION: $0.00
PERMIT TYPE: Residential "'
PERMIT GROUP: 40 - Mechanical
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY:
OCCUPANT GROUP(
OCCUPANT LOAD:
FENCE: O X 0 FT.)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #
BASEMENT:0 1ST FLOOR:0 2ND FLOOR: 0
BASEMENT:0 1ST FLOOR:0 2NDFLOOR: 0
3RD FLOOR: 0 GARAGE: 0 s DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 t DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:0
BEDROOMS:0 BATHROOMS0
REQUIRED: PROPOSED: REQUIRED: PROPOSED:: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
PERMIT APPROVAL
I'AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED"
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION (INSURANCE AND RCW '18:27,
CAT ION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL ORHIS/HER DEPUTY AND ALL FEESARE PAID.,
E)1105 2017
Dare "Print Name 01Date Released By Date
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/ 1RC110,
ONLINE APPLICANT ASSESSOR OTHER I vds
.., �IIr h.Y4^Y•A�"
v DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
St• Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #:
9 "' 20 a2444 1 ST S W1 Eambvlds CRO29
ssociated Permit #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ No
APPLICANT: Phone: Fax:
MM COMFORT SYSTEMS
425-881-7920
Address (Street, City, State, Zip): E-Mail Address:
18103 NE 68TH ST, C-200 REDMOND, WA 98052 JWELLS@MMCOMFORTSYSTEMS.COM
PROPERTY OWNER: Phone: Fax:
t>OIV L 8 s1'Ze — �2'�-�liLo-Cofo`H
Address (Street, City, ;State, Zip); E-Mail Address:
9 C32O 2- :2.. -rq $ 02D
LENDING AGENCY: Phone: Fax:
Address (Street, City, State, Zip): E-Mail Address:
CONTRACTOR:* Phone: Fax:
MM COMFORT SYSTEMS 425-881-7920
Address (Street, City, State, Zip): E-Mail Address:
18103 NE 68TH ST, C-200 REDMOND 98052 JWELLS@MMCOMFORTSYSTEMS.COM
"trVVA State License ense #/Exp. Date: 09/24/2017
*Contractor must have a valid Cityo Edmonds business license prior to doing work MMCOM "SS 564
.f P g
in the City. Contact the City Clerk's Office at 425.775.2525 City Business License #/Exp. Date:
NR-022651 12/31116
PERMIT APPLICATION FOR
PLUMBING MECHANICAL TANK DEMOLITION
DETAIL THE SCOPE OF WORK:
I declare under penalty of perjury laws 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:.m,_ _...gy m Owner E]Agew/Officr [ (specify): �P.i'CJd�t+ �OYA'
r m Signature: ". '""����
Date:
FORM C LABuilding New Folder 2010\130NE & x-ferred to LrBuilding-New driveTorm C 2014.docx Updated: 1/17/2014
PLUMBING FIXTURE COUNT IL
Fixture Type (new and relocated) Total # Fixture Type (new and relocated) Total #
Water Closet (Toilet) Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.) Water Service Line
Tub/Shower Drinking Fountain
Dishwasher Clothes Washer
Hose Bib _ Backflow Prevention DevicE(e.g. EDDCDA, AVB)
Water Heater Tankless? Yes ❑ No ❑ Hydronic Heat in: Floor ❑ Wall ❑
Floor Drain/Floor Sink _ Other:
Refrigerator water supply (fornwater/ice dispenser) Other:
Equipment Type
Furnace
Gas #_ Elec #..
MECHANICAL
Appliance/Equipment Information (new and relocated)
..Other:,, .............. _ # BTUs: <100k_ >100k 'l.,ocalion;(s).....
ffTotal
Air Ilatadi / VAV
Gas #,�,lp 9ec #,
# CFM: <10k_ >10k
Location(s)1`1i�0.Sea/Y12X1�
a; rc se ected)
_Other:.
AC / Cor
/ Boilcrawzat Punt /
Gas #_Elec # � Other:
# BTUs: <100k,
100k-500k,
500k-1Mil
Root "fop
HP: �<3,
3-15,
15-30 Location(s)
(circle selected)
4 ^D 3 4,
1
Hydronic Heating
Gas #_Elec #
In -Floor
_Wall Radiant_ Boiler BTUs:
Location.._......__ ............
.........
Exhaust Fans (single
Bath #_Kitchen #_Laundry #
duct)
—Other:#...,m
Fireplace
Gas #_Elec #_Other:
# Location(s),,,_
Dryer Duct
Appliance Type
FUEL GAS
Appliance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs:
Location(s):-_---. ..
�.�_
Furnace
BTUs:
._,...,, Location(s):.
......._.
Water Heater
...... .
BTUs: .,
._.. �U. Location(s):,____.,_.__...._..
Boiler
BTUs:......_...�
............................. Location(s):.. �............
Other . uu..._.
BTUs: ��.
Location(s):__..
Fireplace/Insert
BTUs:
Location(s):. _-,.,,,
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form C 2014.docx Updated: 1/17/2014
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