Building PermitPermitMECHANICAL
PERMIT NU
of Edmonds
EdmondsCity
98020 BLD2021-0576
www.edmondswa.gov
Type: MECHANICAL Owner/ Business: JASON BURGE Status: ISSUED
Subtype: RESIDENTIAL MECHANICAL
Parcel No: 00723500000400 Site Address: 21507 88TH AVE W EDMONDS,WA 98026-7311
Applied: 4/22/2021
Subdivision: 007235, 003736 Lot: 0
Issued: 4/22/2021
Fire Sprinklers: Lot Area: Zoning:
Final:
Valuation: $0.00 Occupancy Type: Construction Type:
Expiration Date: 10/22/2021
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: WAC
Scope of Work: MECHANICAL -GAS FURNACE AND HEAT PUMP
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
JASON BURGE
11001 118TH PL NE, KIRKLAND
(425)814-3944
INFO@BLACKLIONHVAC.COM
WA 98033
CONTACT
BLACK LION HEATING AND
11001 118TH PL NE, KIRKLAND
(425)814-3944
info@blacklionhvac.com
AIR CONDITIONING
WA 98033
CONTRACTOR
BLACK LION HEATING &A/C
11001 118TH PL NE, KIRKLAND
(425)814-3944
info@blacklionhvac.com
LLC
WA 98033
IHLAE R & ROSEN JOSHU
21507 88TH AVE W, EDMONDS
OWNER
KLING
WA 98026
•' •
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
1 -BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
4/22/21
R11853
PERMITS
AIR CONITIONING SYSTEM OR HEAT
001.000.322.10.000.00
$50.00
$50.00
4/22/21
R11853
PUMP - 1.75 BTU OR LESS
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
4/22/21
R11853
PER PERMIT
FURNACE OR FIREPLACE
001.000.322.10.000.00
$30.00
$30.00
4/22/21
R11853
TOTALS: $170.00 $170.00
77
CONDITION TYPE STATUS NOTES
Printed: Thursday, April 22, 2021 10:00:42 AM 1 of 2
PermitMECHANICAL
PERMIT NUM
City of Edmonds
. •:01 1
-.
•. � •
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.
ELECTRICAL PERMIT
FOR
Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309.
NFORMATION
Installation, use and maintenance of equipment and components shall be per
EQUIPMENT USAGE
FOR
manufacturer's specifications, installation instructions, and applicable state codes.
INFORMATION
provide manufacture's installation instructions on site for Building Inspector.
GAS PIPE TEST
FOR
Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted
NFORMATION
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.
FOR
Heat pumps, AC units and similar equipment greater than 36 inches in height are not
SIDE YARD EQUIPMENT
INFORMATION
allowed within required building setbacks.
• • -. •
• •- •ip i . •'- •
COMPLETED IRS
SEQID
INSPECTION TYPE INSPECTOR
DATE
X-0 MECH FINAL**
B-3 GAS PIPING TEST
B-3 MECH ROUGH IN
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