Plumbing PermitType: PLUMBING Subtype: COMMERCIAL PLUMBING I Status: ISSUED
Parcel No: 00580700002500 Site Address: 21601 76TH AVE W FLOOR 1 EDMONDS,WA 98026-
7507
Subdivision: 005012, 005013, 005807, BLA AFN 199909155005 Lot: 0
Fire Sprinklers: Lot Area: Zoning:
Valuation: $0.00 Occupancy Type: Construction Type:
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Scope of Work: SWEDISH HOSPITAL- SURGICAL CENTER- PLUMBING MED GAS
WA State Contractor L & I #: MACDOFS798P9 - Plumbing License #:
Applied: 11/21/2021
Issued:12/7/2021
Final:
Expiration Date:6/5/2022
Issued by: 10K
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL OR LICENSE #
APPLICANT
AMMONE BEMBRY
7717 DETROIT AVE SW, SEATTLE
(206)768-4062
PERMITS@MACMILLER.COM
WA 98106
MACDONALD MILLER
7717 DETROIT AVE SW, SEATTLE
CONTACT
(206)768-4062
permits@macmiller.com
FACILITY SOLUTIONS
WA 98106
7717 DETROIT AVE SW, SEATTLE
PERMITS@MACMILLER.COM
CONTRACTOR
MACDONALD MILLER
(206)768-4278
WA 98106
MACDOFS798P9
PUBLIC HOSPITAL DISTRICT 2
4710 196TH ST SW, LYNNWOOD
OWNER
SNOHOMISH CO
WA 98036-5517
FEE •' •
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
12/7/21
R16291
PERMITS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
12/7/21
R16291
PER PERMIT
MEDICAL GAS PIPING
001.000.322.10.000.00
$110.00
$110.00
12/7/21
R16291
PLUMBING - PLAN REVIEW FEE
001.000.322.10.000.00
$110.00
$110.00
12/7/21
R16291
HOURS
TOTALS: $310.00
$310.00
CONDITION TYPE
STATUS
NOTES
Printed: Tuesday, December 07, 2021 4:21:20 PM 1 of 2
PLUMBING Permit
City of • • • PERMIT NUM
• • • • L1
Sh,
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
ALL BUILDING PERMITS
FOR
result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only
INFORMATION
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. 5 - PLUMBING - Plumbing contractor license laws are regulated by Chapter
18.106 RCW. Property owners who hire an unlicensed plumber may assume the risks and
potential monetary liability for work performed by unlicensed plumbing contractors. For
more information contact L&I Department of Licensing at 1-800-647-0982.
Installation, use and maintenance of equipment and components shall be per
MANUFACTURER SPECS
FOR
manufacturers specifications, installation instructions, and applicable state codes.
INFORMATION
Provide manufactures installation instructions on site for Building Inspector.
Nothing in this permit approval process shall be interpreted as allowing or permitting the
maintenance of any currently existing illegal, nonconforming or unpermitted building,
FOR
structure or site condition which is outside the scope of the permit application, regardless
NONCONFORMING DISCLAIMER
INFORMATION
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.
REQUIRED SPECIAL
FOR
Provide Med Gas inspection reports to the City Inspector at the time of inspection.
INSPECTIONS
INFORMATION
COMPLETED
RESULT
SEQID INSPECTION TYPE
INSPECTOR
DATE
X-0 PLUMBING FINAL"
B-3 PLUMB ROUGH IN
Printed: Tuesday, December 07, 2021 4:21:20 PM 2 of 2