20170405094121.pdfOF
EDMONDS
.:
121 5TH AVENUE NORTH
- EDMONDS, WA'98020
"PHONE: (425) 771-0220
- FAX: (425) 771-0221
STATUS: ISSUED 04/05/2017
BUILDING
Expiration Date: 10/05/2017 —]mff` '
'' I
Parcel No: 00434600008101
��� APPLICANT
CONTRACTOR
SCOTT NEWCOM KINGS HEATING, INC
KINGS HEATING, INC
19117 OLYMPIC VIEW DR C/O GARY POLLARD
C/O GARY POLLARD
EDMONDS, WA 98020-25596925 216TH ST SW #C
6925 216TH ST SW # C
LYNNWOOD, WA 99036
LYNNWOOD, WA 98036'
(425)622-5946 (425)275-5153.-
(425)275-5153
LICENSE #:KINGSHJ044JA EXPi
DESCRIPTIONL JOB
Installing a'Crown Boiler and 2 runtal. Includes backflow device.
VALUATION: ,$0.00'
PERMIT TYPE Residential
PERMIT GROUP: 40 - Mechanical (ONLINE)
GRADING N CYDS.' 0
TYPE OF CONSTRUCTION,
RETAINING WALL ROCKERY",
OCCUPANT GROUP;
OCCUPANT LOAD
FENCE ( 0 X 0 FT,.)
CODE
OTHER ------- OTHER DESC
ZONE.
NUMBER OF STORIES 0
VEST ED'DATE
NUMBER OF DWELLING UNITS: 1
ILOT #,
EXISTINGARFA
BASEMENT 0 1 ST FLOOR 0 2ND FLOOR 0
PRO POS [A) AREA
1 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 BATHROOMSO
BEDROOMS 0 BATHROOMS.O
FRONTSETBACK SIDESETBACK REAR SETBACK
REQUIRED: PROPOSED: RE UIRED' PROPOSED. RE UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED0 REQUIRED: PROPOSED:"
SETBACK NOTES.
PERMITAPPROVAL
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 ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID,
kl-ISt1h Joh ns OL05-12017
Signature Print Name Date Released By bate
ATTENTION
ITIS 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, UBC] 09/ 1BC1 10/ 1RC1 10,
ED ONLINE APPLICANT ASSESSOR OTHER
• anal approval on a projector tin al;occupancy approval must be granted by the Building Otticial 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 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 noise limits
of 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 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 orher -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 from the 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.
• Cross -Connection control assemblies, for backflow prevention, are required on the following fixtures. Verify meter/backflow
assembly type and specifications.
• 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.
• Independent certified backflow tester toperform test on backflow assembly and submit report to city.
INSPECTIONS
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 EC DC ;19.00:005(A)(6)
111B1 C" WORKS 42 771-0 35 1 PR&TUATNIMM &25 'tr7 -Mi I larvetIRG 4 275-4801
,allint! for an inspection please`
• E-Cross Connection Fin;
• B-Mechanical Final
of Inspection beil
'ier'noon.
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