20170417112754.pdf01: 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/17/2017 Pe ii nit 4.- B LD 2 Of 7 0 515
Expiration Date: 10/17/2017 Project 10--50 7T H AVE S4 K]INION D S
Parcel No: 00619400500401
DREW C & CAREY DINA A CADY PLUMBING MASTERS NW LLC PLUMBING MASTERS NW LLC
1050 7TH AVE S C/O ROBERT THOMAS CIO ROBERT THOMAS
EDMONDS, WA 98020-4015 3508 105TH PLACE SE 3508 105TH PLACE SE
EVERETT, WA 98208 EVERETT, WA 98208
(206) 794-5844 (425) 948-7705 (425) 948-7705
LICENSE #: ulumb=843aa EXP: 11/18/2018
REPLACE WATER HEATER W/ RINNAI TANKLESS WATER HEATER, VENTINGAND ISOLATION KIT.
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:
IZONE
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #
BASEMENT: 0 1 Sr FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE- 0 DECK: 0 OTHER: 0
I BEDROOMS: 0 BATHROOMS: 0
BEDROOMS: 0 BATHROOMS: 0
FRONT S FTB ACK SIDESEFRACK RLAR SEFBACK
REQUIRED: PROPOSED: REQUIRED: PROPOSED: FRE—QUIRED: PROPOSED:
HEIGHT ALLOWED,O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
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
TWS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I IISI H;R DEPUTY AND ALL FEES ARE PAID
IV" 4ii;;;;� — Xoxa-111 00-T4a+1 q � I/ Z1211:�,- Y�j []I
�naturg Print Name Date Releaged By 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. UBC109/ IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR [RE] OTHER
STATUS: ISSUED BLD20170515
• Final approval on a projector finaloccupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Cbeckthejob 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.
• SoundNoise 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 10:00arn 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 all 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 THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT T1ME LIMIT: SEE ECDC 19.00.005(A)(6)
CALL FOR INS PECTIONS
BUILDING (425) 771-0220 EXT. 1333 ENGUNFERING (425) 771-0220 EXIF. 1326 F-FIRE(425) 775-7720
I PUBLIC WORKS (425) 771-0235 1 PR&TREATMENT (425) 672-5755 1 RECYCLING (425) 275-486�
When calling for an inspection please leave the folloming information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed. and mbether vou nrefer morniniz or afternoon.
. B-Plumbing Final
Af
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJ ECT ADDRESS (Street, Suite #, City, State, Zip
1050 - r- 0
7-tL
Parcel #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YesE] No Cg
Associated Permit #:
APPLICANT
MO-5 V-S A)W LC(- 1*
,Phone:
s) 911f - 77,951
Fax:
1 .0 An C"t -S
Address (Street, City, State p):
a_C4
3� 9 10 S " 1, A r-1-91, , W
E-Mail Addres's
VA
iA76� /aplij
__F
PROPERTY OWNER- dl
'N �- .9 tA -7 CCt
Phoqe:
��001�1 q - 5 AN
Fax:
Address (Street, Cit , State, Zip):
/0 50 -7 ilz A t/ -1 S. 6 071151 1,V n qja,�a
"r-Mail Address:
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip): V
E-Mail Address:
CONTRACTOR:*
04041h!OIMASI�41'5 Nu)
Phone:
��Sjqlls_ 7?0_4
_Fax:
Address (Street City, State . p): X
10,4
E-Mail Add qss,
*Contractor
WA S�a-t(! License #/EX`p. Date:
3 tZ
must have a valid City of Edmonds business license prior to doing work
P L Q 11h 13 fil 10 5 q
Cit B mess Li�nsq #/Exp. Date:
p/3
in the City. Contact the City Clerk's Office at 425.775.2525
PLUMBING MECHANICAL TANKI
I DEMOLITION Ll
DETAIL THE SCOPE OF WORK: le-ponpoe 6A I C" olfy�_
A -S lek �41
so t6J
4(4 1'0y)
I declare under penalty ofperjury laws that the information I have provided on this formlapplication is true, correct and complete,
and that I am the property owner or duly authorized agent of the propeny owner to submit a permit application to the City of
Edmonds.
Print Name: eo)ra ki a _e S — -Owne AgenL/Other (specify):
X
Signature: Date:
13
FORM C 1-Muilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form C 2014.docx Updated: 1/17/2014
I PLUMBING
FIXTURE COUNT
Ei
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. RBPA, DCDA, AVB)
Water Heater rankless? Yes%-.Ao
11
Hydronic Heat in: Floor Wall
Floor Drain/F1'dvfflnk---_�
Other:
Refrigerator water supply (ror water/ice dispenser)
Other:
MEAMANICAL
Equipment Type
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #—Elec
#—Other:
—
#_ BTUs: <100k— >100k—
Location(s)
Air Handler / VAV
Gas #—Elec
#—Other:--
#—CFM: <10k— >10k—
Location(s)
(circle selected)
AC / Compressor
Boiler / Heat Pump
Gas #—Elec
#—Other:—
# BTUs: <100k,
100k-500k, 500k-lMil
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 #
—Other:
duct)
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
BTUs: Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
FORM C LABuilding New Folder 201 MONE & x-ferred to LBuilding-New drive\Form C 2014.docx Updated: 1/17/2014