The URL can be used to link to this page

BLD20151295.PDFUSA Off' E DM��,n CITY OF EDMONDS 121 5TH AVENUENORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 890 STATUS: ISSUED 10/05/2015 ! Permit #: BLD201°51295 Expiration Date: 04/05/2016 Project; Address:1310.5 75-TH PLWq,.EDM0NDSii Parcel No: 00488800200417 PROP ERTY OWNER APPLICANT 01INTRACTOA CAMERON MILLER SEWER FRIENDLY SEWER FRIENDLY 23105 75TH PL W PO BOX 3915 PO BOX 3915 EDMONDS, WA 98026 LYNNWOOD, WA 98046 LYNNWOOD, WA 98046 (206)890-7478 (206)890-7478 LICENSE #: SEWERFL916MS EXP:07/31/2016 REPLACE PORTION OF ERODED WASTE LINE AND INSTALL NEW TOILET FLANGE AND TOILET' "`3•' ` ` r �^ �� VALUATION: $0.00 M1'11 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: 2012 OTHER: ------- OTHER DESC: ZONE: NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 IST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 BEDROOMS:0 BATHROOMS:O BEDROOMS:0 BATHROOMS:0 REARSLTBACK REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED: SETBACK NOTES: I 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. 6Y-Ao"'. Lw-rhor"igi- oavber S, 2-015 Signature Print Name 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. a ONLINE APPLICANT ASSESSOR OTHER jq_ STATUS: ISSUED BLD20151295 • Final approval on a projector 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. • 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 a)ompt 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, e)Cluding 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 pen -nit 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. 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) CALL FOR INS PECTIONS BUILDING 425 771-0220 EXT. 1333 FNGMEERING 425 771-0220 EXT. 1326 FIRE 425 775-7720 PUBLIC WORKS 425) 771-0235 1 PRF TRFATM©VT 425) 672-5755 RECYCLING 425) 2754801 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 Prefereedl, and whether you prefer morning or afternoon. B-Plumb Ground Work • B-Plumbing Final City of Edmonds DEVELOPMENT SERVICES PLUMBING, MECHANICAL, TANK, & DEMOLITION PERMIT APPLICATION 121 5`h Avenue N, Edmonds, WA 98020 Phone 425.771.0220 2 Fax 425.771.0221 PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS (Street, Suite #, City State, Zip): Parcel #: 7-&09_ 7!9+"1 PL w J � R8� IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ No Associated Permit #: APPLICANT: Phone: Z40(o 8110 Fax: ja ?C171j �ddress Street, City, State, Zi) O �� 3r-G � 4e 0 . E-Mail Address: ' u t s rro-P-nd t . c.a m PROPERTY OWNER: CamK 111-gy- Phone: Fax: Address (Set, City, State, Zi �W �Imo � W qR VU E-Mail Address:�ti LENDING AGENCY: Phone: Fax: Address (Street, City, State, Zip):. E-Mail Address: CONTRACTOR:* 4!�Qmt �S /L �' �^,^ /'i �W 1 Phone: Fax: Address (Street, City, State, Zip): E-Mail Address: WA State ce a #/Exp. Date: *Contractor must have a valid City of Edmonds business license prior to doing work W l (p KS 7 31 * in the City. Contact the City Clerk's Office at 425.775.2525 City Busine Lice se VExp t�:�^1� (DIY CJ APPLICATIONPERMIT • PLUMBING MECHANICAL I TANK I DEMOLITION DETAIL THE SCOPEOFWORK: R %6x0� IOC)r4-t O� . 4 I declare under penalty of perjury laws 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 permit application to the City of Edmonds. Print Name: Q Y\�Ony\n -e�� Owner ❑ Agent/Other,15X(specify): Signature: Date: :771 FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New drive\Form C 2014.docx Updated: 1/17/2014 PLUMBING FIXTURE COUNT 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, Ave) Water Heater Tankless? Yes ❑ No ❑ Hydronic Heat in: Floor ❑ Wall ❑ Floor Drain/Floor Sink Other: Refrigerator water supply (for water/ice dispenser) Other: MECHANICAL Equipment Type Appliance/Equipment Information (new and relocated) Total # Furnace Gas # Elec #—Other: # BTUs: <100k—>100k Location(s) Air Handler / VAV (circle selected) Gas # — Elec #—Other: #_CFM: <10k >10k — — Location(s) AC / Compressor / Boiler / Heat Pump / Roof Top Unit (circle selected) Gas #_Elec HP: #—Other: <3, #_ BTUs: <100k, 3-15, 15-30 Location(s) 100k-500k, 500k-1Mil Hydronic Heating Gas # Elec #—In-Floor Wall Radiant Boiler BTUs: Location Exhaust Fans (single duct) Bath #_Kitchen # Laundry # _Other: # Fireplace Gas # Elec #—Other: #_ Location(s) Dryer Duct FUEL GAS Appliance Type Appliance/Equipment Information (new and relocated) IR 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 2010\DONE & x-ferred to L-Building-New drive\Fonn C 2014.docx Updated: 1/17/2014