20170404112403.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH -EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/04/2017 11cmiii ki: BLD201 't 0443
11011011 No NO IN �� I
Expiration Date: 10/04/2017 Project Addiv ss: 321 12TH AVE N, EDMONDS
Parcel No: 00507200001900
LANE / HAMILTON MCDONALD PLUMBING LLC MCDONALD PLUMBING LLC
321 12TH AVE N C/O PATRICK MCDONALD C/O PATRICK MCDONALD
EDMONDS, WA 98020-2930 4228 BURKE AVE N 4228 BURKE AVE N
SEATTLE, WA 98103 SEATTLE, WA 98103
(206) 634-2360 (206) 634-2360
LICENSE#: MCDON111.025PT EXP: 10/30/2017
INSTALLATION OF PLUMBING SYSTEMS FOR TWO BATHROOMS, ONE KITCHEN, ONE LAUNDRY AND ONE UTILITY SINK.
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: OXO FT)
CODE: 2015
OTHER: ------- OTHER DESC:
IZONE
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNIT S: 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
3 RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
RE/kit S LFBACK
FRONT SEFBACK SIDESEFBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED:
I REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PE R5ON—WILL BE EMPLOYED INYIIATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
'S(' MPENsAT ION INSURANCE AND RCW 18:27
THIS APP Lik-ATION IS NQ)A P 1-1 1 U�OKI--u, iqN )BY THE BUILDING OFFICIAL OR HISMER DEPUTY AND ALI. FEES ARE PAID
/ VI '/ / 'Y A /,/ 7 g4�� 0, V10, 0 7
Signature Print Narne Date
Released
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED UBC1091IBCIIO/IRCIIO.
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20170AAA
6ZAN6
CONDITIONS
• Final approval on a projector final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure, Cbeck 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 subrnittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for Mich 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.
SoundNoise originating from temporary construction sites as a result of construction activity are exempt from the noise litnits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00prn on weekdays and 10:00arn and 6:00prn on Saturdays, excluding
Sundays and Federal Holidays. At all other times the nois e originating from construction sites/activities must comply with the
noise limits of Cbapter 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 all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance for this permit. 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.
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.
PERMITTIME LIMIT: SEE ECDC 19.00.005(A)(6)
PUBLIC WORKS (425) 771-0235 PR&TREATMENT (425) 672-5755 RECYCLING (425) 275-4801
When calling for an inspection please leave the folloming information: Permit Number, Job Site Address, Type of Inspection being
re(lues te(l, Contact Name and Phone Number, Date 11refereed, and wbether you prefer morning or afternoon.
• B-Plumb Rough In
• B-Plumbing Final
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL� TANK, & DEMOLITION
PERMIT APPLICATION
1215 1h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 ft Fax 425.77 t.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
o !�O -7 2-v o o o 190 o
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes$ No
Associated Permit #:
RL-f) -�,016 1� sib
APPLICANT:
P.�- t"\ 0
Phone:
Fax:
, 0
�Lo& 7on_
Address (Street, City, State, Z' p):
�e
E-Mail Address:
(A t.— A-vt 1.41 UI,
PROPERTY
Phone:
F "a,.
VWNIR:
-0,,
Address (Street, City, State, Zip):
E-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
N
Phone: —
-7 70,
Fax:
C
-S
Address (Street, City, State, Zip):
E-Mail Address:
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to doing work
Ll 0 ox PL 0XS to-r 1W
City Business License #/Exp. Date:
in the City. Contact the City Clerk's Office at 425.775.2525
14 ",� L/ �, -,: � I
PLUMBINGW MECHANICAL TANKI
I DEMOLITION
V�,
d
DETAIL THE SCOPE OF WORK:
L>/\L
I declare underpenalty ofperjury laws that the information I haveprovided on this formlapplication is true, correct and complete,
and that I am theproperty owner or duly authorized agent of theproperty owner to submit apermit application to the City of
Edmonds.
Print Name: LT)O/\av, Owner AgenL/OtherE] (specify):
Signature: Date: 01117
am
/7
FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Fonn C 2014.docx Updated: 1/17/2014
PLUMBING
FIXTURE COUNT
Fixture Type (new and relocated)
Total #
Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
#1
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
-7
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Water Heater Tankless? YesE] Noo
Hydronic Heat in: FloorE] Wall 0
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
MECHANICAL
Equipment Type
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #—Elec
#—Other:--
# BTUs: <100k— >100k.—
Location(s)
Air Handler / VAV
(circle selected)
Gas #—Elec
#—Other:
# CFM: <10k— >10k—
Location(s)
AC / Compressor
Boiler / Heat Pump
Roof Top Unit
(circle selected)
Gas #—Elec
HP:
#—Other:—
<3,
#_ BTUs:—<100k,
_3-15, 15-30 Location(s)
100k-500k, _500k-lMil
Hydronic Heating
Gas #—Eiec
#—In-Floor
—Wall Radiant— Boiler BTUs:
Location
Exhaust Fans (single
duct)
Bath #
Kitchen # Laundry # Other:
—#—
Fireplace
Gas #—Elec
#—Other:—
# Location(s)
Dryer Duct
I
Appliance Type
Appliance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs: Location(s):-
Furnace
BTUs: Location(s):-
Water Heater
BTUs: Location(s):-
Boiler
BTUs: Location(s):
Other:
BTUs: Location(s):
Fireplace/Insert
BTU's: Location(s):-
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New driveTorrn C 2014.docx UpdaLed: 1/17/2014