20170130111519.pdfCITY OF
EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED
01/30/2017
BUILDING
PERMIT
ExpirationDate: 07/31/2017
Parcel No: 00431200002901
PROPERTYOWNER
APPLICANT
CONTRACTOR
JOHN A MURPHY
SOUTH COUNTY PLUMBING INC.,
SOUTH COUNTY PLUMBING INC
20204'81 ST AVE W
C/O RICKY MUSTARD
C/O RICKY MUSTARD''
EDMONDS, WA 98026
PO BOX 6157
PO BOX' 6157'
EDMONDS, WA 98026
EDMONDS, WA 98026
(425)`775-7377
(425) 775-73 77
(425)775-7377
LICENSE'#: SOUTHCP19302 EXP:08/30/2018
DESCRIPTIONJOB
REPLACE MAIN WATER SERVICE W/ I"`PEX PIPE FROM METER TO HOUSE. 140'
VALUATION: $0.00
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: 2015
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #
BASEMENT: 0. 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1ST 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:O
JBEDROOM&0 - BAT;HROOMS:0
PERMIT APPROVAL
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 C1CW 18:27
THIS AP LICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR III, u,'R REPUTY AND ALL FEES ARE 'PAID,
- a -
Signature Print Name Date ' Refeaded 13y Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUP Y A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A' CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ IRC 10
ED ONLINE APPLICANT ASSESSOR ® OTHER l 1 l a
STATUS: ISSUED: BLD2017014
• Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as itentersthe building.
• City approved plastic piping may be used in water service piping provided that where metal water service piping is used for
electrical grounding purposes, replacement piping shall be of like materials (UPC 604.8). A state electrical permit and
inspection is required if electrical grounding is altered, removed, improved, or added. Contact State Dept. of Labor,&
Industries Electrical Division at 425-290-1309.
• 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 final
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 plancontaining 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 fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and'10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise' limits of Chapter 5.30, unless a`variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and allclaims for damages of
whatever nature, arising directly or indirectly fromthe issuance for this pemrit. Issuance of this 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.
• Owner/Contractor to provide Water Service Line asbuilt at final inspection. See City Standards for requirements.
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, SIDEWALKS, DRIVEWAYS, MARQUEES,' ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
PUBLIC WORKS 425 `771-0235 1 PRE-TREATMENT 425 672-5755
When calling for an inspection please leave the following information: Permit Number, Job S
requested, Contact Name andPhone Number, DatePrefette!t and whether you c
• E-Water Service Line
ite Address, Type of Inspection being
fet morniog or afternoon.'
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
�PERMIT APPLICATION
121 5`h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 4 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite 11 City State, Zip):
Parcel #:
�0 .0 �zW
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ N
Associated Permit #:
APPLICANTv �tt +� t�(
Phone: Fax:
-] 37 s71 j
Address (Street, City, State, Zip): tli (o p `] ° ° ,.
E-Mail Address:
aarw ;a
PROPERTY OWNER:
Phone: Fax:
Address (Street, City, State, Zip): °" Z o ij $ I ^ e
E-Mail Address:
LENDING AGENCY:
Phone: Fax:
Address (Street, City, State, Zip);
E-Mail Address:
* ' . ,
CONTRACTOR-* c t�.,is"a� 1�'9
Phone.. Fax
4 ZS- 7 7f; 7 3-7
Address Street, City, State, Zi
( Y P)� —%�
E-Mail Address:
�
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to doing work
>oa C 2 7S 02_ '3 0- $
in the City. Contact the City Clerk's Office at 425.775.2525
usiness f� tense #iExp, Date:
CiCM '. `?Y
PLUMBING 1Z MECHANICAL TANK
DEMOLITION LJ
( \\
DETAIL THE SCOPE OF WORK: VgA..n..4.... .... .�. .....« '^V ............__,.
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 �i' ttV� Owner ❑ Agent/Other
(specify):
Date:... _..._.._....._ _ _.
Signature: I m�
FORM C L:\Building New Folder 2010\DONE & x-ferred to LrBuilding-New drive\Form C 2014.docx Updated: 1/17/2014
I'Ll,)MBIN6
Fixture Type (new and relocated)
Total #
FIXTURE COUNT
Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
Pressure Reduction Valve/Pressure Regulator
' ( y, ,bar, eye wash, etc.)
Sink kitchen laundry, lavatory, h,
� � ������
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher �.....
..........
Clothes Washer
........... ._.. _ .._
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? Yes ❑ No ❑
Hydronic Heat in: Floor ❑ Wall ❑
Floor Drain/Floor Sink
Lhe
Refrigerator water supply (for water/ice dispenser)
Equipment Type Appliance/Equipment Information (new and relocated) Total #
Furnace I Gas #Elec #_Other: # BTUs: <100k_ >100k_ Location(s)
Air Handler / VAV
Gas #_Elec C(Other: #CFM: <lOk.____. >lOk_
(circle selected)
------- --------- __ ________w
AC /Compressor /
Boiler /Heat Pump /
Gas #_Elec #_Other:®........... _............ _ #_ BTUs: .................._<100k, 100k-500k,...................................SOOk-1Mi1
Roof Top Unit
HP:............................<3, 3-15, ....... _........ 15-30 Location(s)............�.
(circle selected)
Hydronic Heating
Gas #_Elec #_In -Floor ,......._Wall Radiant_ Boiler BTUs: Location,-.,__
Exhaust Fans (single
Bath #_____Kitchen #_Laundry # _.�OtYitr:_ �..�_.... �... dw_
duct)
Fireplace 1 Gas #_Elec #_Other: #_ Location(s)
Dryer Duct
FORMC L:\Building New Folder 2010\DONE & x-ferred to L-Building-New drive\Form C 2014.docx Updated: 1/17/2014