20180611131923.pdflrluil
CITY OT H,DMOI\IDS
I2I 5TH AVENUENORTH. EDMONDS, V/A 98020
PHoNE: (42s)771-0220 - FAX: (425)771-0221
q tc. 1È
STATUS: ISSUED 0611112018 Permit #: 8LD20180799
BTIILDING PERMIT
, a^taa l^t.rl()llxprrauon JJatei tLt L Lt.Lv Lo
P arcel No: 00724800220900
PnrjectÄddress: 525 FORSYTH LN #209' EDMONDS
PROPRTYOWNM.APPLICANT CONTRACTOR
JAMESWARNER
525 FORSYTH LANE #209
EDMONDS, WA 98020
(42s) s82-3626
JAMES WARNER
525 FORSYTH LANE #209
EDMONDS, WA 98020
(42s) s82-3626
WALLNER PLUMBING INC
PO BOX 477
BOTHELL, WA 9804I
(42s) 481-3468
LICENSE #: WALLNPC0SSLI{EXP:0412812019
JOB DESCRIPTTON
REPLACEWATERHEATER
VALUATION: $0
PERMTT GIìOUP: 47 - PlunbingPERMTT TYPE.: Comrnercial
TYPE OF CONSTRUCTION:GRADING: N CYDS: O
OCCIJPANT GROUPRETAININGWALL ROCKERY
OCCUPANT LOAD
CODE:2015FF,NCF I OXO FT)
ZONEOTHER: ------- OTHER DESC:
VESTED DATE:NUMBER OF STORIES: O
2ND FLOOR: 0
NI]MBER OF DWELLINGUNITS: O
RASF,MENT.O I ST FLOOR: 0 2ND FI,OOR: OIST FLOOR:0
LOT #
BASEMENT:O
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:03RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
BEDROOMS: 0 BATLIROOMS: 0BEDROOMS:0 BATHROOMS:0
PROPOSED AREAD{TSTING AREA
REQUIRED: PROPOSEDREQUIRED:PROPOSEDREQUIRED: PROPOSED:
PROPOSEDREQUIRED:HEÍGI IT ALLOWED:0 PROPOSED:0
SETBACK NOTES:
REARSETBACKSIDESETBACKFRONTSSTBACK
IAGREE TO COMÈY WITH CTTY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK A
PERSON WLL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RB*ATING TO WORKIVEN'S COIVFEA]SATION
INSURANCE AND RCW 18:27.
BY THE BUILDING OFFICIAL OR HIS/HER DEPUry AND ALL FEES ARE PAID.
UTHORIZ ED THEREBY, NO
UNTIL SIGNEDTHIS AFFLICATION IS NOÏ A
PERMIT APPROVAL
ê l(.IEÞ Ðani¡ø Naßon Juna ll,2ol3
Signature Print Nanæ Date Released By Date
ATTENTION
IT IS UNLAWFUL 1Ð USE OR OCCUPY A BUILDING OR STRUCTURE UNTL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY FIAS BEEN GRAN'IED. UBCI09/ IBCI I ()/ IRCI I O,
FfRE APPLICANT ÄSSESSOR CITY
CONDITIONS
STATUS: ISSUED 8LD20180799
Installation, use and maintenance of equipnrent and components shall be per manufacturer's specifications, installation
insttuctions, and applicable state codes. Provide manufacture's installation instructions on s ite for Building Inspector.
In addition to the required pressure/reliefvalve, an approved listed eryansion tank shall be installed on all hot watertank. Per
UPC 608.
Final approval on a project or final occupancy approval must be granted by the Building Offìcial plior 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 des ign, modification, variance or other administrative deviation (hereinafter "variance") from
adoptedcodes,ordinancesorpoliciesmustbespecifìcalþrequestedinwritingandbecalledontandidentified. 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
specificalty identified, requested and considered by the appropriate city offrcial in accordance with the appropriate provision
ofcity 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 activþ are exempt û'om the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities rrust compþ with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
Applicant, on behalf ofhis or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of &lmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directþ or indirectty fiomthe issuance for this pemit. Issuance ofthis permit shall not be deemed to
modifr, waive or reduce any requirements of any Cify ordinance nor limit in any way the Cþ's abilify to enforce any ordinance
provision.
THIS PERMII- AUTHORZES ONLY THE WORK NOTED. THIS FERMII COVERS WORK TO BE DONE ON FRIVATE FROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRMÉWAYS, MARQUEES, ETC.) WLL REQUIRE SEPARATE PERMISSION. PERMIT
TIME LlMff: SEE ECDC 19.00.005(A)(6)
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fNSPECTIONS
TO SCHEDTILE INS PECTIONS
BUILDING ENGTNEERTNG (425) 771-0220 EXT. 1326
1. Go to: \^M/v.edmondswa.gov
2. Then: Senices
3. Then: Permits/Delelopment
4. Then: Online Permit lnfo
5: lf you don't hale one already, create a
login (upper right hand corner)
6: Schedule Vour inspection
Building Department lnspections
are now scheduled online. lf you
harc diffculties, please call the
Building Department ftont desk for
assistance during offce hours.
(425) 771-0220
F|RE (425) 775-7720
PUBLTC WORKS (42s1 77 1 -0235
RECYCLTNG (4251 27 54e01
When calling for an ln S pect on pl ease ea\€the followi ng inform ation:Perm it Number Job Site Addres S,Type of lns pection
uested Contact Name and P hone Num ber Dat e Preferred and whet her m orni or afremoon
B-Plumbing Final
c' l8
BUITDING PERMIT
APPTICATION
Developmenl Services
Building Division
l2l sth Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: http://www.edmondsw¿.qov/
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: 5ZS
Parcel
Lot/Unit/Suite*2Ø Subdivision
PROPERTY OWNER:
Name: Jo*as
Mailing Address: SZs bL-e
City/State/Zip:d.noo s
Phone #;Ats-sØz-gë*(e
I
Email
OWNER INSTAILATION: *lf yes, read and sign*
Will work be performed by the property owner? D Yes
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 INFORMAT!ON:
Name of Applicant Sa*'re-aS, èv)flÆ
Mailing Address:
City/State/Zip:
Phone #:
E-mail:
GENERAL CONTRACTOR: (lf different from applicant)
General Contractor:
Mailing Address:
City/State/Zip:
Phone #: 4zs -¿481 - 34G?)
Þ0"
E-mail
wAsrATE CONTRACÍOR t & rS (CCB) & EXPTRATTON
,п¡Ad Bc>zegPermil #
! Accessory Structure/
Detached Garage
tr Addition
tr Demolition tr Mechanical
ffelumuing! New Single Family / Duplex
ü Fire Sprinkier LJ Kefn()(ler
tr New Commercial/ Mixed Use tr Re-Roof
n Signs ! Tank
! Tenant lmprovement tr Other
Remodel Permll fees ore bosed on:
The volue of the work performed. lndicote lhe volue (rounded lo
lhe neorest dollor) of oll equipmeni, moteriols, lobor, overheod,
ond lhe profit for the work indicoled on this opplicotion.
Voluotion:
Finished D Unfinished EBasement sq ft:
1st Floor, sq ft:
2nd Floor, sqft:
Garage/Carport:, sq ft
Deck/Covered Porch/Patio
I certify that the information I have provided on this form/application ¡s true,
correct and complete, and that I am the property owner or duly authorized
Other sq ft:
*r^w
Signature Date
TYPE OF PERMIT (Provide Detoils on Poge 2)
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
PROJECT DESCRIPTION
CITY OF EDMONDS BUSINESS LICENSE S:
¡
Occupancy Group(s):Occupant Load(s):
Type(s) of Construction:Fire Sprinklers: Yes E 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
perm¡ts 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 Un¡t
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 - Tankiess? t "@ 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 PSCAA 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 E Conditional Waiver E Waiver E
Grading: Cut cubic yards
cubic yardsFill
Cut / Fill in Critical Area: Yes ! 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 C¡ty of Edmonds Business License.
GAS/FUEL CONNECTTON COUNTS (New, Relocated or re-piped)
GAS, AIR VACUUM COUNTS
, Relocated or re-piped)
MEDICAL
(New
DEMOLITION
TANK
GRAD E/Fr LLlEXCAVATE
GENERAL PROVISIONS