Plumbing PermitType: PLUMBING Subtype: COMMERCIAL PLUMBING I Status: ISSUED
Parcel No: 00580700000401
Subdivision: 005807
Fire Sprinklers:
Valuation: $0.00
Code Edition: 0
Site Address: 21200 72ND AVE W EDMONDS,WA 98026-7700
Lot: 0
Lot Area: Zoning:
Occupancy Type: Construction Type:
No. Stories: 0 # of Dwelling Units: 0
Scope of Work: ANTHOLOGY - PLUMBING
WA State Contractor L & I #: - Plumbing License #:
Applied: 6/2/2021
Issued:5/23/2022
Final:
Expiration Date: 3/9/2023
Issued by: NED
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL OR LICENSE #
APPLICANT
RICHARD GRIMES
38 NW DAVIS ST 300,
(503)952-1563
RICHARDG@ANKROMMOISAN.COM
PORTLAND OR 97209
CONTACT
ANKROM MOISAN
38 NW DAVIS ST 300,
(503)952-1563
richardg@ankrommoisan.com
ARCHITECTS
PORTLAND OR 97209
130 E RANDOLPH ST STE 2100,
osmith@catalystconstructiongrp.com
CONTRACTOR
CATALYST CONSTRUCTION
(312)466-4016
CHICAGO IL 60601
CATALC1991CW
154 LAKE WASHINGTON BLVD E,
OWNER
JAS GROUP LLC
SEATTLE WA 98112
PLUMBING
SJS MECHANICAL
2755 AIRPORT WAY S, SEATTLE
(206)763 0334
WA 98134
•'qNT
CRIPTION
7BASEWE
ACCOUNT AM
PAID
PAID DATE
RECEIPT#
R PLUMBING001.000.322.10.000.00
$50.00
$50.00
5/23/22
R20393
BACKFLOW - 2 INCH
001.000.322.10.000.00
$140.00
$140.00
5/23/22
R20393
BACKFLOW - OVER 2 INCH
001.000.322.10.000.00
$45.00
$45.00
5/23/22
R20393
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/23/22
R20393
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$9,645.00
$9,645.00
5/23/22
R20393
TRAP
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$85.00
$85.00
5/23/22
R20393
NON GREASE WASTE PRE-
TREATMENT INTERCEPTOR FOR OIL
001.000.322.10.000.00
$110.00
$110.00
5/23/22
R20393
OR WATER
PEER REVIEW FEES
001.000.245.965
$2,730.00
$2,730.00
5/23/22
R20393
PLUMBING - PLAN REVIEW FEE
001.000.322.10.000.00
$770.00
$770.00
5/23/22
R20393
HOURS
PLUMBING - PLAN REVIEW FEE
001.000.322.10.000.00
$2,730.00
$2,730.00
5/23/22
R20393
HOURS
WATER HEATER - INCLUDING
001.000.322.10.000.00
$60.00
$60.00
5/23/22
R20393
EXPANSION TANK
Printed: Monday, May 23, 2022 4:00:53 PM 1 of 3
PLUMBING Permit
-
City of • • •
98020 1 1
www.edmondswa.gov •
a.
TOTALS: $16,405.00 $16,405.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
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.
FOR
In addition to the required pressure relief valve an approved listed expansion tank shall
EXPANSION TANK
INFORMATION
be installed on all hot water tanks per UPC 608.
GAS PIPE TEST
FOR
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
NFORMATION
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
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.
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.
Premise Isolation Required with Reduced Pressure Backflow Assembly in hot box at
PREMISE ISOLATION WITH HOT
FOR
meter. Verify meter or backflow assembly type and specifications with City of Edmonds
BOX
INFORMATION
Water Department.
FOR
Pursuant to UPC 608 a pressure regulator valve (PRV) shall be installed near the water
PRV REQUIRED
INFORMATION
shutoff.
The issuance of this permit in no way constitutes approval from any other agencies
REGULATING AGENCIES
FOR
having regulatory authority over the facility and this construction activity. It is the
INFORMATION
responsibility of the property owner to obtain any and all such required approvals.
INSPECTIONS-. •https://Inspection.MVBuildingPermit.com
COMPLETED
SEQID INSPECTION TYPE INSPECTOR
NOTES
DATE
B-3 PLUMB ROUGH IN
Printed: Monday, May 23, 2022 4:00:53 PM 2 of 3
`f e. PLUMBING Permit
PERMIT NUM
j City of Edmonds
121 5th Ave N, Edmonds WA 98020 BLD2021-0755
lk
www.edmondswa.gov / 425.771.0220
A&L
X-0 PLUMBING FINAL"
B-3 GAS PIPING TEST
-
.-3 PLUMB GROUND WK--
-
:-S CROSS CONNECTION--
B-7 BUILDING OTHER INSP--
• .. ROUGH
--
Printed: Monday, May 23, 2022 4:00:53 PM 3 of 3