BLD20131401.PDFOF EUM
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 12/17/2013 Permit #: BLD20131401
BUILDING PERIMIT
Expiration Date: 06/17/2014 LProje Address:,8801 OLYMPIC VIEW DR EDMONDS,
Parcel No: 00594500000501
MAURICE H TUGBY MAURICE H TUGBY FAST WATER HEATER
8801 OLYMPIC VIEW DRIVE 8801 OLYMPIC VIEW DRIVE 11715 NORTH CREEK PKWY #C-106
EDMONDS, WA 98026 EDMONDS, WA 98026 BOTHELL, WA 98011
(425)774-3349 (425)774-3349
LICENSE #: FASTWWH948BC EXP:01/04/2014
REPLACE EXISTING GAS WATER HEATER
VALUATION: $0.00
E
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 12
OTHER: N ------ OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASIMI?N'I': 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
SETBACKFRONT
REQUIRED: PROPOSED: RE UIRED: PROPOSED: I RE Q UIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
1 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 IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
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nature
ame
Released By
ATTENTION
IT IS 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. UBC109/ IBC110/ IRCI 10.
ONLINE 0 APPLICANT ASSESSOR OTHER _j r ��
STATUS: ISSUED
BLD20131401
• In addition to the required pressure/relief valve, an approved listed expansion tank shall be installed on all hot water tanks.
Per UPC 608.
• Final approval on a project or final occupancy approval must be granted by the Building Official 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.
• Provide combustion air per IMC Chapter 7 for commercial and multi -family residential installations, and IRC Chapter 17 for
one and two-family dwellings.
• 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 the noise limits
of ECC 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 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 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.
• 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 TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720
PUBLIC WORKS (425) 771-0235 T PRE-TREATMENT 425) 672-5755 RECYCLING (425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection
being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• B-Plumbing Final
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". 10'
City of Edmonds
DEVELOPMENT SERVICES
PLUMBING & MECHANICAL, TANK & DEMOLITION
PERMIT APPLICATION
121 5"' Avenue N, Edmonds, WA 98020
Phone 425.771.0220 It Fax 425.771.0221
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
�01 o 1-Impir, VJEW 1% R1V&
Parcel #:
APPLICANT:
Phone:
Fax:
Address (Street, City, State, Zip):
�0 OLynnic v10J PRWE EPIVWl9s WAgBa�-b
E-Mail Address:
M 1f,_UG Yp conc+m dk/&T
PROPERTY OWNER:
Yllyu le-ir ,i UGg
Phone:
y '-9
Fax:
Address (Street, City, State, Zip):
L 1C Vlxvf
E-Mail Address:
ry k NCf'r
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*—"—�.
Phone:
Fax:
Address (Street, ity, State, Zip):
E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
City Business License #/Exp. Date:
❑ PLUMBING ❑ MECHANICAL ❑ TANK ❑ DEMOLITION
6=�=
I declare under penalty of perjury 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 property owner to submit a permit application to
the City of Edmonds.
Print Name: _ /Li Aoy i ,-c 13 y Xowner ❑ Agent/Other (specify):
Signature: 'm �Aa�.rk� ��u,a .-'' Date: PA-C (7 2 01 1
FORM C LABuilding New Folder 2010\DONE & x-ferred to L -Building-New drive\Form C.doe Updated: 8/2011
Number
Fixture Type
Number
Fixture Type
Water Closet (Toilet)
Refrigerator water supply (for wateriice dispenser)
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
Water Service Line
Tub/Shower
Drinking Fountain
Dishwasher
Bidet/Urinal
Hose Bib
Pressure Reduction Valve/Pressure Regulator
Ik
Water Heater Tankless? Yes_ No
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
Expansion Tank for Water Heater
Hydronic Heat in: Floor Wall
Floor Drain/Floor Sink
Other:
Clothes Washer
Other:
MEDICAL
Number of Outlets
Type of Gas/Air/Vacuum System. .
Oxygen
Nitrous oxide
Medical Air
Carbon Dioxide
Helium
Medical — Surgical Vacuum
Other:
Other:
TOTAL .OUTLETS
FORM C L:\Building New Folder 20.I OWNE & x-ferred to LrBuilding-New drive\Form C.doc Updated: 8/2011