Building Permit (3)Type: PLUMBING Subtype: COMMERCIAL PLUMBING I Status: ISSUED
Parcel No: 00545500200100 Site Address: 21911 76TH AVE W 210 EDMONDS,WA 98026
Subdivision: SP AFN 200307295008, 006140, 007057, 005807, 005455 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: TRANSFORM WEIGHT LOSS- MED GAS AND PLUMB UPGRADES PER DOH
Applied: 3/28/2022
Issued:8/22/2022
Final:
Expiration Date: 2/18/2023
Issued by: NED
I WA State Contractor L & I #: FERRIGCO37N1 I
CONTACTS
NAME TYPE
NAME
A
PHONE
EMAIL
APPLICANT
KENT GREGORY
21911 76TH AVE W 210,
(425)599-4469
KGREGORY@TGBARCHITECTS.COM
EDMONDS WA 98020
CONTACT
TGB
21911 76TH AVE W 210,
(425)599-4469
kgregory@tgbarchitects.com
EDMONDS WA 98020
FERRIS/TURNEY GEN CONTRS
118 NORTH 35TH STREET,
CONTRACTOR
(206)793-5500
rodf@ferris-turney.com
INC
SEATTLE WA 98103
21911 76TH AVE W 100,
OWNER
MASTGECH LLC
EDMONDS WA 98026
PLUMBING
JEFF KILCZEWSKI
FEE INFORMATION
DESCRIPTION
ACCOUNT AMOUNT
PAID
PAID DATE
RECEIPT #
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
8/22/22
R22587
PERMITS
BACKFLOW - 2 INCH
001.000.322.10.000.00
$140.00
$140.00
8/22/22
R22587
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
8/22/22
R22587
PER PERMIT
MEDICAL GAS PIPING
001.000.322.10.000.00
$110.00
$110.00
8/22/22
R22587
PLUMBING - PLAN REVIEW FEE
001.000.322.10.000.00
$165.00
$165.00
8/22/22
R22587
HOURS
PLUMBING - PLAN REVIEW FEE
001.000.322.10.000.00
$110.00
$110.00
8/22/22
R22587
HOURS
PLUMBING FEE FOR WHICH NO FEE
001.000.322.10.000.00
$30.00
$30.00
8/22/22
R22587
IS INDICATED
TOTALS: $645.00
$645.00
CONDITIONS
CONDITION TYPE
STATUS
NOTES
Printed: Monday, August 22, 2022 2:40:39 PM 1 of 2
PLUMBING
Permit
City of Edmonds PERMIT NUM
www.edmondswa.gov
•
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.
\r\n2 - 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.\r\n3- SOUND OR NOISE - Sound/Noise originating from temporary
FOR
construction sites as a result of construction activity are exempt from the noise limits of
ALL BUILDING PERMITS
INFORMATION
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.\r\n4 -
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. \r\n5 - 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.
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.
REQUIRED SPECIAL
FOR
Special Inspection Reports for Medical Gas Installation
INSPECTIONS
INFORMATION
SPECIAL INSPECTION REPORTS
O
Submit all special inspection reports to the City Building Official on a weekly basis.
ORMATION
INSPECTIONS
- Schedule Online
at https://inspection.mybuildingpermit.com
INSPECTIONTYPE INSPECTOR
COMPLETED
RESULT
NOTES
X-0 PLUMBING FINAL"
B-3 PLUMB ROUGH IN
B-5 BLDG SPECIAL
INSPECTION
B-5 CROSS CONNECTION
X-1 FIRE FINAL
Printed: Monday, August 22, 2022 2:40:39 PM 2 of 2