BLD20171257.pdf�w
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 9802
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STATUS: ISSUED 09/14/2017 Permit #: BLD20171257
Expiration Date: 03/14/2018 Project Address: 18228 OLYMPIC VIEW DR,
EDMONDS
Parcel No: 00565600201300
NANCY MCDONALD FLOW CONTROL PLUMBING LLC FLOW CONTROL PLUMBING LLC
MCDONALD NANCY N C/O PAUL RENDON C/O PAUL RENDON
18228 OLYMPIC VIEW DR 621 SR 9 NE PMB C2 621 SR 9 NE PMB C2
EDMONDS, WA 98020 LAKE STEVENS, WA 98258 LAKE STEVENS, WA 98258
(425)512-9495 (425)512-9495
LICENSE #: FLOWCCP837LE EXP:06/05/2019
Kitchen remodel, reuse existing plumbing, relocate ice maker
VALUATION: $0
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAIl`'ING WALL ROCKERY:
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE:
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMEiNT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSE])
BASEMENT: 0 1 ST 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
- FRONTSEMACK SIDESETBACK' BACK
:SQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
(EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
ETBACK NOTES:
_PERMIT APPROVAL
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 WORKMENS 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.
Ignature Print Name Date Released RW Date
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/ IBCI 10/ IRCI 10.
= FIRE = APPLICANT = ASSESSOR _CITY
STATUS: ISSUED
BLD20171257
• 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 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.
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
ENGINEERING (425) 771-0220 EXT. 1326
1. Go to: www.edmondswa.gov
Building Department Inspections
2. Then: Services
are now scheduled online. If you
FIRE (425) 775-7720
3. Then: Permits/Development
have difficulties, please call the
4. Then: Online Permit Info
Building Department front desk for
PUBLIC WORKS (425) 771-0235
5: If you don't have one already, create a
assistance during office hours.
login (upper right hand comer)
(425) 771-0220
RECYCLING (425) 275-4801
6: Schedule your inspection
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 Preferred, and whether you prefer morning or afternoon.
• B-Plumbing Final
V
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5`h Avenue N, Edmonds, WA 98020
�St t gqo Phone 425.771.0220 9 Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
a/ L
Associated Permit #:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes ❑ No ❑
APPLICANT:
Phone: F x:
Address (St eet,lCity, State Zip): _ �7�rlf
-Mail Address:
7%0:;��.s
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l9 �!i /!/�
PROPERTY OWNER:
Phone:
Fax:
11 l
Address_: (Street, City, State, Zi ):
E-Mail Address:
Zdk Z
LENDING AGENCY:
Phone:
Fax:
Address. (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
WA State License #/Exp. Date:
*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
City Business License #/Exp. Date:
IPLUMBING b6 MECHANICAL TANK
DEMOLITION
/G �7_24-10- ep.11�1 (0 C�
DETAIL THE SCOPE OF WORK:
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.
��f �n Owner ❑ Agent/Other ❑ L_ fI_
Print Name: ��// li` (specify): Iel
•/�
Signature: �f��/i? Date:
FORM C L:\BUILDING DIVISION FILES\DONE & x-ferred to L-Building-New driveTorm C 2014.docx Updated: 1/17/2014
PLUMBING
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
r
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
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 Handier/ VAV
Gas #
Elec #
Other: #
CFM: <10k >10k—
Location(s)
(circle selected)
—
—
—
AC / Compressor /
Boiler / Heat Pump /
Gas #—Elec
#—Other:
#—
BTUs: <100k,
100k-500k, 500k-1 Mil
Hoof Top Unit
IIP:
<3,
3-15, 15-30
Location(s)
(circle selected)
Hydronic Beating
Gas #—Elec
#—In-Floor—Wall
Radiant Boiler BTUs:
Location
Exhaust Fans (single
Bath #
Kitchen
# Laundry #
#
duct)
_Other:
Fireplace
Gas #
Elec #
Other: #
Location(s)
Dryer Duct
Appliance Type
Appliance/Equipment Information (new and relocated)
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 L:\BUILDING DIVISION FILES\DONE & x-ferred to L-Building-New driveTorm C 2014.doex Updated: 1/17/2014