BLD2021-0318+Supplementals+3.2.2021_3.26.23_PM+2072075Supplemental Name: Authorization Statement - Mechanical
All provisions of laws and ordinances governing this type of work will be complied with. I certify under penalty of perjury that the
information provided on this application is true and correct and, further that I am authorized by the owner of the above premises to
perform the work for which the permit application is made. I further agree to hold harmless the City of Edmonds as to any claim
(including costs, expenses, and attorney’s fees incurred in investigation and defense of such claim), which may be made by any
person, including the undersigned, and filed against the City of Edmonds, but only where such claim arises out of the reliance of the
City, including its officers and employees, upon the accuracy of the information supplied to the City as part of this application.
I hereby authorize the City representatives to inspect my property Monday-Friday between the hours of 8:00 a.m. and 5:00 p.m.
during this permit application process for verifying site conditions.
Yes
Supplemental Name: Electronic Submittals - Mechanical
Electronic documents submitted to the City of Edmonds for plan review and permit issuance must be provided in a format that does
not prevent the City from making code comments on the documents during review or from making the documents ready for permit
issuance. Documents submitted in any manner that prevents the City from completing the review and permit issuance process,
including but not limited to submitting documents that are locked, may result in additional review time, permitting delays, and/or
cancellation of the permit application if the problem is not resolved by the applicant in a timely manner.
Please refer to chapter 18.43 RCW, chapter 18.210 RCW, chapter 196-23 WAC and chapter 196-33 WAC for Washington State laws
governing electronic documents. An interpretative guideline from the Board of Registration for Professional Engineers and Land
Surveyors can be found at http://www.dol.wa.gov/business/engineerslandsurveyors/docs/eDocsInterpretiveGuideline.pdf. These
laws and requirements are subject to change and the submitting parties are responsible for keeping apprised of any such changes.
Please acknowledge that you understand these requirements and have verified the electronic documents being submitted meet the
City of Edmonds submittal requirements by checking the box below. If you have questions, contact permit processing
at onlinepermits@edmondswa.gov or 425-771-0220.
Yes, I acknowledge.
Supplemental Name: Mechanical Equipment Counts
Enter the number of mechanical equipment units being installed or relocated:
Furnace(s) - Forced-air or gravity-type, includes ducts and appliance vents. ENTER QTY
Air handler(s) - Includes ducts (Diffusers, blowers, etc.)
- Up to and including 10,000 cfm (4719 L/s). ENTER QTY
Air handler(s) - Includes ducts (Diffusers, blowers, etc.)
- Over 10,000 cfm (4719 L/s). ENTER QTY
Gas Heater(s) - Suspended, recessed wall or floor-mounted units. ENTER QTY
Hydronic Heating System(s). Enter QTY
Appliance Vent(s) - Type B, BW, L gas vent, etc. ENTER QTY
Incinerator(s). ENTER QTY
Ventilation and Exhaust - Fan(s) connected to single duct (bath, laundry, kitchen exhaust) or each system which is not a portion of
any heating or air-conditioning system. ENTER QTY
3
Hood(s) - Type 1, Type 2 or Fume Hood including ducts. ENTER QTY AND TYPE
Gas Piping - New or relocated. ENTER QTY
Boiler(s) or Compressors(s) -
Up to and including 50 HP (176 KW). ENTER QTY
Jurisdiction:Edmonds
Project Name: 530 Bell St. unit 1
Application ID: 929450
Boiler(s) or Compressors(s) -
Over 50 HP (176 KW). ENTER QTY
Absorption System(s), Air Conditioning System(s) or Heat Pump(s) -
Up to and including 1,750,000 Btu/h (512.9 kW). ENTER QTY
Absorption System(s), Air Conditioning System(s) or Heat Pump(s) -
Over 1,750,000 Btu/h (512.9 kW). ENTER QTY
Roof Mounted HVAC Units are:
Each appliance or piece of equipment regulated by the IMC for which no other item is listed (Fire dampers, ductless mini -split
systems, etc.) ENTER QTY and EQUIPMENT ITEM
Jurisdiction:Edmonds
Project Name: 530 Bell St. unit 1
Application ID: 929450