ISSUED PERMITCONTACTS
NAME TYPE NAME ADDRESS PHONE EMAIL
APPLICANT ALEX BURKHART 727 SOUTH KENYON ST.,
SEATTLE WA 98108 (206)763-1744 ALEXB@EVERGREENHVAC.COM
CONTACT EVERGREEN REFRIGERATION 727 SOUTH KENYON ST.,
SEATTLE WA 98108 (206)763-1744 alexb@evergreenhvac.com
CONTRACTOR EVERGREEN HOME HEATING
&ENGY
727 SOUTH KENYON ST.,
SEATTLE WA 98108 (206)763-1744 alexb@evergreenhvac.com
OWNER K FRIEDMAN HEALTH CARE
REIT INC
4500 DORR ST, TOLEDO OH
43615-4040
CONDITIONS
CONDITION TYPE STATUS NOTES
Type: MECHANICAL Owner/ Business: ALEX BURKHART Status: ISSUED
Subtype: COMMERCIAL MECHANICAL
Parcel No: 00580700002300 Site Address: 21500 72ND AVE W EDMONDS,WA 98026-7707 Applied: 1/12/2021
Subdivision: 005013, 005807 Lot: 0 Issued: 1/29/2021
Fire Sprinklers: Lot Area: Zoning: CG Final:
Valuation: $0.00 Occupancy Type: Construction Type: Expiration Date: 7/28/2021
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0 Issued by: NED
Scope of Work: SUNRISE OF LYNNWOOD-MECHANICAL
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
FEE INFORMATION
DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT #
1 - BASE FEE FOR MECHANICAL
PERMITS 001.000.322.10.000.00 $50.00 $50.00 1/29/21 R10075
AIR CONITIONING SYSTEM OR HEAT
PUMP - 1.75 BTU OR LESS 001.000.322.10.000.00 $500.00 $500.00 1/29/21 R10075
CITY TECHNOLOGY FEE CHARGED
PER PERMIT 001.000.321.99.100.00 $40.00 $40.00 1/29/21 R10075
MECHANICAL PLAN REVIEW FEE 001.000.345.83.000.00 $220.00 $220.00 1/29/21 R10075
MISC MECHANICAL EQUIPMENT
FOR WHICH NO FEE IS INDICATED 001.000.322.10.000.00 $270.00 $270.00 1/29/21 R10075
TOTALS:$1,080.00 $1,080.00
Printed: Friday, January 29, 2021 8:31:44 AM 1 of 2
MECHANICAL Permit
City of Edmonds
121 5th Ave N, Edmonds WA 98020
www.edmondswa.gov / 425.771.0220
PERMIT NUMBER
BLD2021-0037
INSPECTIONS - Schedule Online at: https://Inspection.MyBuildingPermit.com
SEQID INSPECTION TYPE INSPECTOR COMPLETED
DATE
RESULT NOTES
B-3 GAS PIPING TEST
B-3 MECH ROUGH IN
X-0 MECH FINAL**
B-3 MECH EQUIP
ATTACHMENT
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
B-4 FIRESTOPPING
B-4 DRYWALL FASTENING
ALL BUILDING PERMITS FOR
INFORMATION
1- HOLD HARMLESS - 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 of 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. 2
- PERMIT DISCLOSURE - Any request for alternate design, modification, variance or other
administrative deviation from adopted codes ordinances or policies must be specifically
requested in writing and be called out and identified. Processing fees for such requests
shall be established by Council and shall be paid upon submittal and are nonrefundable.
3- SOUND OR NOISE - 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 to 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. 4 -
OCCUPANCY - 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.
ELECTRICAL PERMIT FOR
INFORMATION Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
GAS PIPE TEST FOR
INFORMATION Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
HOLD HARMLESS FOR
INFORMATION
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.
MANUFACTURER SPECS FOR
INFORMATION
Installation, use and maintenance of equipment and components shall be per
manufacturers specifications, installation instructions, and applicable state codes.
Provide manufactures installation instructions on site for Building Inspector.
NONCONFORMING DISCLAIMER FOR
INFORMATION
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
structure or site condition which is outside the scope of the permit application, regardless
of whether such building, structure or condition is shown on the site plan or drawing.
Such building, structure or condition may be the subject of a separate enforcement
action.
Printed: Friday, January 29, 2021 8:31:44 AM 2 of 2
MECHANICAL Permit
City of Edmonds
121 5th Ave N, Edmonds WA 98020
www.edmondswa.gov / 425.771.0220
PERMIT NUMBER
BLD2021-0037