ENG20170607.pdfF S
t,,ITY 0 EDMONDi
1 so PHONE: (425) 771-0220 - FAX: (425) 771-0221
1215TH A VENUE NORTH - EDMONDS, WA 98020
!!` (( !l���11l1J!!((f lf1r111l1lr1r 11111�1�iN�111111111111111111111111��Jlllll ��1111 ! Illllo �i �'y, � rn ���, x�� in ru
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STATUS: ISSUED 05iO4i2017 111 ,
BUILDINGPERMIT
Expiration Date: 11°/06/2017
Parcel No: 00592200000600
JOHN MURPHY JOHN MURPHY
A, QUALITY HEATING -
23510 93RD AVE W 23510 93RD AVE W
C/O DAVID ZAHINA
EDMONDS WA 98020 EDMONDS, WA 98020,
1429 AVENUE D, #392
SNOHOMISH, WA 98290
FENCE: ( 0 X 0 FT,)
(206)794-3326
DES(-RiPTj(1)jN
LICENSE#:A,LALHC8C11B9 EXP:01/29/2018
.10B
Replace electric fumace with gas furnace. '
VESTED DATE:
VALUATION: $0.00
LOT #:
PERMIT TYPE. Residential '
PERMIT -GROUP: 40 -Mechanical
GRADING: N CYDS:'A
TYPE OF CONSTRUCTION,
RETAINING WALL ROCKERY:
IOCCUPANT GROUP,
!OCCUPANT LOAD
FENCE: ( 0 X 0 FT,)
CODE: '
OTHER: ------- OTHERDESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT:0 1ST FLOOR: 0 '' 2ND FLOOR: 0
BASEMENT: 0 ISP 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:0
BEDROOMS:0 BATHROOMS:0
PUZMIT 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 RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27,
"I'll11 S APPLIC'A PI 19,'0�OT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID
maturePrint:'Name Dal PeleAbdBy Date
/ 7" ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY, HAS BEEN GRANTED. 'UBC109/ IBC110/ IRCI10.
ONLINE APPLICANT ASSESSOR OTIIDt
City of Edmonds
6tZOO17 --0&07
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5`h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 A Fax 425.771.0221
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
ydwl 2 '�� A-✓ N,
IS THIS WORK ASSOCIATED WITH ANO"111ER
APPLICANT:
Address (Street, City, State, Zip):/` -
PROPERTY OWNER j,
Addre t t, City, St to
3510
LENDING AGENCY: /
Address (Street, City, State, Zip):
CONTRACTOR:*n—/qW�/� ' / � V C -
Address (Street, City, State, Zip): ,
Parcel #:
*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
PLUMBING I Y MECHANICAL I..........II TANK
E -Mail Address:
Phone: l Fax:
M
Phone: Fax:
E -Mail Address:
Phone: Fax:
E -Mail Address:
:Statel"iIlsc #/F x ). 1 at ,
AQUA,
City Business License #/Exp. Date:
DEMOLITION
DETAIL THE SCOPE OF WORK:
I� !'_ ....�1 ,.��k _,..._ __
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: !« :. "' OwnerRAgent/Other ❑ (specify):.._
Signature:
FORM C LABuilding New Folder 2010\130NE & x-ferred to L Building -New driveTorm C 2014.docx Updated: 1/17/2014
PLUMBING
7FixtureType (new and relocated)
FIXTURE COUNT
Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
....� �......_(
7Total#
Pressure Reduction Valve/Pressure Regulator
^ #_Other:
Slnk kitchen, laundrmmmmmlavator bar ey
y, y e wash, etc.)
........_.. _.._.W_._Drinking
Location(s)� � � ...__.-_,
Water Service Line
Air Handler / VAV
Tub/Shower __���m.
#_Other:
Fountain
Location(s)mmmmmmmmmmmmm_,
..............
Dishwasher
(circle selected)
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RBPA, DCDA, AVB)
AC / Compressor /
Boiler / Heat Pump /
Water Heater Tankless? Yes ❑ No E]
#_Other:m,_
Hydronic Heat in: Floor ❑ Wall ❑
100k -500k, 500k-1Mi1
Floor Drain/Floor Sink
Roof Top Unit
Other:
<3,
Refrigerator water supply (for water/ice dispenser)
Other:
(circle selected)
Equipment Type
Appliance/Equipment Information (new and relocated)
Total #
Furnace
Gas #„_I-Ele
^ #_Other:
#, ......... BTUs: <100k_ >100k_
Location(s)� � � ...__.-_,
Air Handler / VAV
Gas #_Elec
#_Other:
#_CFM: <10k_ >10k_
Location(s)mmmmmmmmmmmmm_,
(circle selected)
AC / Compressor /
Boiler / Heat Pump /
Gas #_Elec
#_Other:m,_
_,_ # BTUs: <100k,
100k -500k, 500k-1Mi1
Roof Top Unit
HP:
<3,
3-15, _____ __-15-30 Location(s)
(circle selected)
Hydronic Heating
Gas # _.Elec
#_In
-Floor _Wall Radiant------_, Boiler BTUs
Location_m...-.._
Exhaust Fans (single
Bath #_Kitchen
#_Laundry # —Other: � ...... .
_...._...... _._.
duct)
Fireplace
Gas #_Elec
#_Other:
# Loeati(tgt(a�)_
[Dryer Duct
FORM C LABuilding New Folder 2010\DONE & x-ferred to L -Building -New drive\Form C 2014.docx Updated: 1/17/2014