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BLD2021-0541+Supplementals+4.14.2021_1.35.47_PM+2145442nF i MyBuildingPermitxom [P �; rcliXcov. ne! Jurisdiction: Edmonds Project Name: McCoy Residence Kitchen Remodel Application ID: 949063 Supplemental Name: Authorization Statement - Building 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 The City of Edmonds makes permit applications available to the public in an effort to make its processes as transparent as possible. By signing or initialing this document, I acknowledge that any and all information submitted as part of this application, is public information. I further acknowledge and agree that this permit application, and any and all documents related thereto, may be disclosed by the City of Edmonds to the public without redaction. Enter your digital signature below. Robin Kearsley Supplemental Name: Electronic Submittals - Building 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/engineersiandsurveyors/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 - Residential Building Permits 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 NA Air handler(s) - Includes ducts (Diffusers, blowers, etc.) - Up to and including 10,000 cfm (4719 L/s). ENTER QTY NA Air handler(s) - Includes ducts (Diffusers, blowers, etc.) - Over 10,000 cfm (4719 Us). ENTER QTY NA Gas Heater(s) - Suspended, recessed wall or floor -mounted units. ENTER QTY NA Hydronic Heating System(s). Enter QTY NA r, 4 � L i Jurisdiction: Edmonds Project Name: McCoy Residence Kitchen Remodel Application ID: 949063 Appliance Vent(s) - Type B, BW, L gas vent, etc. ENTER QTY Relocate existing Range Hood Incinerator(s). ENTER QTY NA f MyBui ldi ngPermi t. cem 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 Replace ventilation fans in 4 bathrooms and 1 laundry room Hood(s) - Type 1, Type 2 or Fume Hood including ducts. ENTER QTY AND TYPE Relocate existing range hood vent, 600 CFM Gas Piping - New or relocated. ENTER QTY NA Boiler(s) or Compressors(s) - Up to and including 50 HP (176 KW). ENTER QTY NA Boiler(s) or Compressors(s) - Over 50 HP (176 KW). ENTER QTY NA 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 NA Absorption System(s), Air Conditioning System(s) or Heat Pump(s) - Over 1,750,000 Btu/h (512.9 kW). ENTER QTY NA Roof Mounted HVAC Units are: Not applicable 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 NA