20180611130100.pdfCTTY OF'EDMONDS
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I2I 5TH AVENUENORTH - EDMONDS, WA 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
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STATUS: ISSUED 0611112018
Expiration Date: LzlIl 12018
Parcel No: 007248001 10100
BTIILDING PBRMIT
PROPüìTYOWNER CONTRACTORAPPLICANT
KEVIN KINSELLA
520 PINE ST NO 1OI
EDMONDS, WA 98020
(206) 334-395'7
KEVIN KINSELLA
520 PINE ST NO IOI
EDMONDS, WA 98020
(206) 334-39s-l
WALLNER PLUMBINGINC
PO BOX 477
BOTHELL, WA 9804I
(425) 48t -3468
LICENSE #: WALLNPCOS 8LH EXP:0412812019
JOB DESCRIPTION
REPLACEWATERHEATER
VALUATION: S0
LI tÐ Dan[sa Nøßon Jma tl,Zott
Signature Print Name Date Released By Date
ATTENTION
ITIS UNLAWFUL TO USL, OR OCCUPY A BUILDING OR STRUCruRE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI09/ IBCI 1O/ IRCI I O,
PERMIT GROUP: 47 - PlunbingERMIT TYPE: Cornmercial
TYPE OF CONSTRUCTION:GRADING: N CYDS: O
OCCUPANT GROUPRETAININGWALL ROCKERY
OCCUPANT LOAD
coDE 20I5FT
ZONE:OTHER, ------- OTHER DESC:
VESTED DATEOF STORIES: 0
LOT #
2ND FLOOR: 0ISTFì,OOR: O
OF DWELLINGUNITS: O
IST FLOOR:
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:03RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
BEDROOMS:0 BATHROOMS:0BEDROOMS.0 BATHROOMS:0
PROP()SEl) AlllilFXTSTIN(; AIIFA
REQUIRED: PROPOSEDREOUIREDPROPOSEDREQUIRED: PROPOSED
PROPOSEDREOUIREDHEIGFIT ALLOWED:0 PROPOSED:0
SETBACK NOTES:
REARSETBACKSIDESETBACKFRONTSEIBACK
PERSON WLL BE EMH.OYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE.ATING TO WORKMEN'S COMFEN¡SATION
INSURANCE AND RCW 1 8:27.
IAGREETO COMPLY WTH CTTY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORZED THEREBY, NO
UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUry AND ALL FEES ARE PAID.IS NOTTHIS
PERMIT APPROVAL
FIRE ÄPPLICANT ASSESSOR F CITY
CONDITIONS
STATUS: ISSUED 8LD20180791
Installation, use and maintenance of equiprnent and components shall be per manufacturer's specifications, installation
insttuctions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
ln addition to the required pressure/reliefvalve, an approved listed erpansion tank shall be installed on all hot water tanls. Per
UPC 608.
Final approval on a project or final occupancy approval must be granted by the Building Ofücial prior to use ol.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 altetnate des ign, modification, variance or other admin istrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifìcally 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
specificalþ identified, requested and considered by the appropriate cify ofücial in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
Sound,4rtroise originating fromtemporaty construction sites as a resnlt of construction activity are exempt ûomthe noise limits
of ECC Chapter 5.30 onþ during the hours of 7:00amto 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating f¡om construction sites/activities must compþ 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, assþns, 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 directþ ol indirectþ fiom the issuance for this permit. Issuance ofthis permit shall not be deemed to
modif,, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS FERMIT AUTHORZES ONLY THE WORK NOTED. THIS FERMT COVERS WORK TO BE DONE ON FRMATE FROPERTY ONLY. ANY
CoNSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVËWAYS, MARQUEES, EtC.) WLL REQUTRE SEPARATE PERM|SS|ON. FERMIT
TIME LlMlf: SEE ECDC 1s.00.00s(A)(6)
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INSPECTIONS
TO SCIIEDULE INS PECTIONS
BUILDING ENGINEER| NG (425) 77't-0220 EXT. 1 326
1. Go to: \^
^il.edmondswa.gov2. Then: Services
3. Then: Permits/Der,dopment
4. Then: Online Permit lnfo
5: lf you don't har,e one already, create a
login (upper right hand corner)
Schedule your inspection
Building Department lnspections
are now scheduled online. lf you
haw dificulties, please call the
Building Department front desk for
assistance during offce hours.
(425) 771-0220
Ff RE (425) 775-7720
PUBL| C WORKS (42s1 77 1 -0235
RECYCLT NG (42s1 27 54801
When call¡ng for an nspecti on pl ease ea\€the foll OW ng information:Perm ¡t Number Job S te Add res s,Ty pe of lns pecti on
Contact Name and P hone Nu m Date P referred and whet her morn or afternoon.
B-Plumbing Final
BUITDING PERMIT
APPTICATION
Developmenl Services
Building Division
l21 sth Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requ¡rements, permit status and inspection
scheduling information go to: http://www.edmondswa.eov/
JOB SITE INFORMATI
Job Site Address:+
taking place)*vIothe work is
s?p
Parcel
Lot/unit/suitet,L Q I subdivision
PROPERTY 'iZ^,¿^ l/¡n=¿-l latName:
Mailing Address:5 a +ol
city/state/zlp:4*"vd's A nøoZæ
Phone #:Zoø - 734- gn57
i*lsc-lla C-ernU,a&,Email:
OWNER INSTALLATION: *lf yes, read and sign*
Will work be performed by the property owner? I Ves f,Uo/\
I own, reside in, or will reside in the completed structure.
This installation is being made on property that I own which is
not intended for sale, lease, rent, or exchange according to
RCW 18.27.090.
Owner Signature
APPTICANT / CONTACT INFORMATION:
Nameof Applrr n ' SaN'- ae, eúnef
Mailing Address:
City/State/Zip:
Phone #:
E-mail:
GENERAT CONTRACTOR: (lf different from applicant)
Itø.General Contractor:
Mailing Address:g.4'7
City/State/Zip:f \¡Ja bÞ I
Phone#: 4zs - 4gl - 34øb
E-mail: \¡rf rt utøLl
wA STATE CONTRACTOR r & | S (CCB) & EXPTRAT¡ON DATE:
Permir#: bl$Offi,l
llfic.. Usc i)nt\
! Accessory Structure/
Detached Garage
E Addition
tr Mechanicaltr Demolition
tJ New Single Family / Duplex ftlumbine
I Fire Sprinkler tr Remodel
n Re-Rooftr New Commercial/ Mixed Use
! Signs tr Tank
! Tenant lmprovement tr Other
Remodel Permll fees qre bosed on:
The volue of the work performed. lndicote the volue {rounded io
the neorest dollor) of oll equipment, moleriols, lobor, overheod,
ond lhe profit for the work indicoted on this opplicotion.
Voluolion:
Finished tr Unfinished !Basement sq ft:
lst Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft
Deck/Covered Porch/Patio
I certi¡/ 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 subm¡t a permit application to the City of
llruì^ [1w=ol L^
Other sq ft:
a,æ_ t¡,,t crr*e-r
3DateS¡gnature:l¿,,> v*,,er'
Print Name:
Edmonds.
TYPE Ot PERMIT (Provide Deloils on Poge 2)
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
PROJECT DESCRIPTION
CITY OF EDMONDS BUSINESS LICENSE S:
Low\,
Occupancy Group(s)Occupant Load(s)
Type(s) of Construction Fire Sprinklers: Yes I No E
WA STATE ENERGY CODE: lf your project affects the building envelope,
mechanicalsystems, and/or lighting, you must complete the
appropriate WSEC forms.
DEFERRED SUBMITTALS: All commercial building permits that will require
associated plumbing, mechanical, fire sprinkler, and/or fire alarm
permits are applied for separately.
Tl / CHANGE OF USE / NEW BLDG: lnclude TRAFFIC IMPACT worksheet
BTUs Gas / Elec / Other Qty
A/C Unit /Compressor
Air Handler /VAV
Boiler
Dryer Duct
Exhaust Fans
Fireplace
Furnace
Heat Pump Unit
Hydronic Heating
Roof Top Unit (Provide eleva-
tions if a Commercial Bldg)
Other:
qtv Qtv
Clothes Washer Tub/ Showers
Dishwasher Backflow Device (RPBA, DCDA, AVB)
Drinking Fountain Pressure Reduction/ Regulator Valve
Floor Drain/Sink Refrigerator Water Supply
Hose Bibs Water Heater - Tankless? , "@ I
Hydronic Heat Water Service Line
Sinks Other:
Toilets Other:
GENERAL COMMERCIAL DATA
MECHANICAL EQUIPMENT COUNTS (New and Relocated)
PLUMBING FIXTURE COUNTS (New, Relocated or re-piped)
BTUs Qty BTUS Qty
A/C Unit Outdoor BBQ / Fire pit
Boiler Stove/Range/Oven
Dryer Water Heater
Fireplace/ lnsert Other:
Furnace Other:
Qtv Qtv
Carbon Dioxide Nitrous Oxide
Helium Oxygen
Medical Air Other:
Medical - Surgical Vacuum Other:
Type of structure to be demolished:
Square footage of structure to be demolished:
AHERA Surveydone? Y/N PSCM Case #:
Critical Areas Determination:
Study Required E Conditional Waiver E Waiver !
Fill in Place E Fill Material:
Removal E Size of Tank (Gallons)
Critical Areas Determination:
Study Required n Conditional Waiver n Waiver tl
Grading: Cut cubic yards
cubic yardsFill
Cut / Fill in Critical Area: Yes E No E
APPLICATIONS: Applications are valid for a maximum of l year
ESLHA Applications, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
with Washington State Department of Labor & lndustries and have a
current City of Edmonds Business License.
GAS/FUEL CONNECTION COUNTS (New, Relocated or re-piped)
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re-piped)
DEMOLITION
TANK
GRADE/FILL/EXCAVATE
GENERAL PROVÍSIONS