20180611131948.pdfCITY OF'EDMOJ\TDS
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121 5TH AVENUENORTH. EDMONDS, V/A 98020
PHONE: (425)771-0220 - FAX: (425)771-0221
STATUS: ISSIIED 0611112018
Expiration Date: 12 lll /2018
Parcel No: 00724800120200
Ferrnit #:79
PINE
BTIILDING PERMIT
PROPUìryOWNm CONTRACTORAPPLICANT
MAXINE RIDENOUR
520 PINE ST #202
EDMONDS, WA 98020
(20ó) 3s6-061 I
MAXINE RIDENOUR
520 PINE ST #202
EDMONDS, WA 98020
(206) 356-061 I
WALLNER PLUMBINGINC
PO BOX 477
BOTHELL, WA 9804 I
(425) 48 r -3468
LICENSE #: WALLNPCOS8LH EXP.04l28l20t9
.IOB DESCRIPTION
REPLACEWATERHEATER
VALUATION: S0
PERMIT TYPE: Cornmercial PERMIT GROUP:47 - Plurnbing
GRADING: N CYDS: O TYPE OF CONSTRUCTION
RF,T AINING WALL ROCKERY OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: ( 0X0 FT.)CODE:2015
OTHER: ------- OTHER DESC:ZONE:
NUMBER OF STORIES: O VESTED DATE:
NUMBER OF DWELLINGUNITS: O
RASFMENT:O IST FLOOR:0 2ND FLOOR: 0
LOT #
RASEMF,NT:O IST FLOOR:0 2ND FLOOR: 0
3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0 3RD FLOOR:0 GARAGE:0 DECK:0 OTHER:0
BE,DROOMS: 0 BATHROOMS: 0 BEDROOMS:0 BATHROOMS:0
REOUIRED: PROPOSEDPROPOSEDPROPOSED
PROPOSEDHEIGHT ALLOWED:0 PROPOSED:0
SETBACK NOTES:
REARSETBACKSIDESETBACKFRONTSETBACK
IAGREETO COMPLY WITH CMY AND STATE LAWS REGULATING CONSTRUCTION AND
FERSON WILL BE EMIOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE-ATING TO WORKMEN'S COMPENSATION
INSURANCE AND RCW I 8:27.
IN DOING THEWORK AUTHORZED THEREBY, NO
THIS APPL TION IS NOT A FERMrI UNTIL SIGNED BY THE BULDNG OFFICIAL OR HIS/HER DEPL'TY AND ALL FEES ARE PAID.
PERMIT APPROVAL
L Ðønisø Neßou Jwa tl,2ol8
Signature Print Nane Released By Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTON HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI09/ IBCI IO/ IRCI IO.
FIRE APPLICANT ASSESSOR CITY
CONDITIONS
STATUS: ISSUED 8LD20180796
Installation, use and nraintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Plovide manufacture's installation instluctions on site forBuilding Inspector.
In addition to the required pressure/reliefvalve, an approved listed eryansion tank shall be installed on all hot watertanks. Per
UPC 608.
Final approval on a project or final occupancy approval must be granted by the Building Ofücial prÌor 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 specificalþ 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 plovisions which do not comply with city code and for which a variance has not been
specificalþ identified, requested and considered by the appropriate city offìcial in accordance with the appropriate provision
ofcify code or state law does not approve any items not to code specifìcation.
Sound/Noise originating fiomtemporary construction sites as a result of construction activity are exempt fl'omthe noise limits
of ECC Chapter 5.30 onþ during the hours of 7:00am to 6:00pm on weekdays and l0:00am and 6:00pm on Saturdays, excluding
Sundays and FederalHolidays. At all othertimes the noise originating fromconstruction 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, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of klmonds, Washington, its offìcials, employees, and agents from any and all clairns for damages of
whatever nature, arising directþ or indirectþ fi'om the issuance for this permit. Issuance ofthis permit shall not be deemed to
modi!, waive or reduce any requirements of any City ordinance nor limit in any way the Cify's abilþ to enforce any ordinance
provision.
THIS FERMITAUTHORZES ONLY THEWORK NOTED. THIS FERMT COVERS WORK TO BE DONE ON FRIVATE FROPERTY ONLY. ANY
CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDËWALKS, DRIVEWAYS, MARQUEES, FIC.) WLL REQUIRE SEPARATE PERMISSION. FERMIT
TIME LlMll-: SEE ECDC 19.00.00S(A)(6)
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INSPECTIONS
TO S C] HF]D ULE INS P FI.-TIONS
BUILDING ENG|NEER| NG (425) 77 1-0220 EXT. I 326
1. Go to: \^ilw.edmondswa.gov
2. Then: Services
3. Then: Permits/Delelopment
4. Then: Online Permit lnfo
5: lf you don't hare one already, create a
login (upper right hand corner)
6: Schedule your inspection
Building Department lnspections
are now scheduled online. lf you
hale diffculties, please call the
Building Department font desk for
assistance during offce hours.
(425) 771-0220
FIRE (42s)775-7720
PUBLTC WORKS (4251 77 1 -0235
RECYCLT NG (42s1 27 54801
When calli ng for an nspection please leare the foll OW ng inform ation:Perm it Num ber Job S ite Addres s,Type of lns pection
Contact Name and Phone Number Date P and whether mornt 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 requírements, perm¡t status and inspection
scheduling information go to: http://www.edmondswa.sov./
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
Job Site Address: S Z-O ut-Q,s+
Parcel
Lot /Unit/Suit "o'
?-eZ Subdivision:
PROPERW OWNER:
Name:Mox'¿,n¿- tZ¡¿e,urDor
Mailing Address:sbeì _<-t-&zoz
City/State/Zip:
Phone f:?pa-3Sb - tJ(-l I
Email:bhn
OWNER INSTAIIATION: *lf yes, read and sign*
Will work be performed by the property owner? ! 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 according to
RCW 18.27.090.
K"
Ì
Owner Si
APPLICANT / CONTACT IN
Name of Applicant:Saw.¿a"own-pF
Mailing Address:
City/State/Zip:
Phone #
E-mail:
GENERAT CONTRACTOR: (lf different from applicant)
General Contractor:
Mailing Address:f% ßox '7
City/State/Zip:
Phone #:Az-s^ Lgt Æ-
E-mail \,\t4.
wA STATE CONTRACTOR t & r ü (CCB) & EXPIRATION DATE:
Permir#: brÐæ\gÔ7qu
Jlt¡ce Ltse rJnl\
D Accessory Structure/
Detached Garase
tr Addition
[] Mechanicaltr Demolition
tr New Single Family / Duplex þQlumbins
tr RemodelL-J Fire Sprinkler
! New Commercial/ Mixed Use tr Re-Roof
! TankflSigns
tl Other[] Tenant lmprovement
Remodel Permll fees qre bosed on:
The volue of the work performed. lndicote the volue (rounded to
the neorest dollor) of oll equipment, moteriols, lobor, overheod,
ond lhe profil for the work indicoted on lhis opplicolion.
Voluolion:
Finished tr Unfinished trBasement 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 is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a perm¡t application to the City of
Other sq ft:
?
{OateS¡gnature;
I oLl
Edmonds.
Print Name:
TYPE OF PERMIT (Provide Detoils on Poge 2)
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
PROJECT DESCRIPTION
CITY OF EDMONDS BUSINESS LICENSE #:
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
permits are applied for separately.
Tl / CHANGE OF USE / NEW BLDG: lnclude TRAFFTC tMpACT 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? t @ I
Hydronic Heat Water Service Line
Sinks Other:
foilets 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 - Surgicai Vacuum
Type of structure to be demolished:
Other:
Square footage of structure to be demolished:
AHERA Surveydone? Y/N PSCAA Case #:
Critical Areas Determination:
Study Required E Conditional Waiver E Waiver E
Fill in Place ! Fill Material
Removal E Size of Tank (Gallons)
Critical Areas Determination:
Study Required E Conditional Waiver E Waiver D
Grading: Cut cubic yards
cubic yardsF¡II
Cut / Fill in Critical Area: Yes E No E
APPLICATIONS: Applications are valid for a maximum of 1 year
ESLHA Appl¡cations, 2 years.
LICENSING: All contractors and subcontractors are required to be licensed
w¡th Washington State Department of Labor & lndustries and have a
current City of Edmonds Business License.
GAS/FUEL CONNECTTON COUNTS (New, Relocated or re-piped)
MEDICAL GAS, AIR VACUUM COUNTS
(New, Relocated or re-piped)
DEMOLITION
TANK
GRADE/FILL/EXCAVATE
GENERAL PROVISIONS