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BLD2024-0771_Application_6.12.2024_8.03.04_AM_4316236CITY OF EDMONDS M BuildingPermit.com Plumbing Application #1502763 - Bath/laundry addition Applicant First Name Last Name Company Name Curtis Orndorff PRISTINE PLUMBING SYSTEMS Number Street Apartment or Suite Number E-mail Address 4957 lakemont blvd se unit c-4 #249 curtis@pristineplumbingsystems.com City State Zip Phone Number Extension Bellevue WA 98004 (425) 268-0431 Contractor Company Name PRISTINE PLUMBING SYSTEMS Number Street Apartment or Suite Number 4957 LAKEMONT BLVD SE UNIT City State Zip Phone Number Extension BELLEVUE WA 98008 (425) 268-0431 (206) 981-8888 State License Number License Expiration Date UBI # E-mail Address PRISTPS788JE 4/16/2026 BD4RQ114.,1 curtis@pristineplumbingsystems.com Project Location Number Street Floor Number Suite or Room Number 1020 5TH AVE S #2 City Zip Code County Parcel Number EDMONDS 98020 00743000000200 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name James H & Terrie L Treacy Number Street Apartment or Suite Number 1020 5TH AVE S 2 City State Zip EDMONDS WA 98020 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 6/12/2024 Submitted By: Curtis Orndorff Page 1 of 2 CITY OF EDMONDS MyBuitdingPermit.com Plumbing Application #1502763 - Bath/laundry addition Project Contact Company Name: PRISTINE PLUMBING SYSTEMS Name: Curtis Orndorff Email: curtis@pristineplumbingsystems.com Address: 4957 lakemont blvd se unit Phone #: (425) 268-0431 c-4 #249 Bellevue WA 98004 Project Type Single Family Condominium Unit Activity Type Scope of Work New Plumbing Project Name: Bath/laundry addition Description of Work: Turning the pantry/water heater room into a powder bath / laundry room. No walls need moved. No walls need built. Room sits over the crawl space. Project Details Scope of Work Plumbing Fixtures for Building Permit Associated Building Permit? There is or will be a building permit associated with this work at the project location. Additional Project Information Total number of fixtures being added or altered Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 3 No structural needs. Customer wants to add a laundry / powder bath in the room that was their pantry. Adding 1 toilet, 1 lav and 1 clothes washer. The room is already there. No walls and no changes to the room will be made other than the requirements to get the bathroom permitted. Condo is located on the first floor, above the crawl space. Page 2 of 2