20040658.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
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PERMIT
NUMBER
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ADDRESS
SUITEIAPT#
PIAT NAMEISUBDIVISION NO
LOT NO
LID NO.
LID FEE $
PUBLIC RICHI OF WAY PER OFFICIAL STREET MAP
IESCP Approved
RW Pofrna Required
Siteet use Ponnit Ron'd
EXISTING PROPOSED
inspection floquired
Sidewalk Requited
REQUIRED DEDICATION FT
underground
Wiringforpsifed
METER SI?E
LINE SIZE
NO. OF FIXTURES
PFIV REQUIRED
YE NO 13
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REMARKS
OWNER/CONTRACiOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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FIRE REVIEWED BY
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VARIANCE OR CU SHOFIEL:NE OR ADB# INSPECTION BOND
REOR. POSTED
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SEPA REVIEW SIGN AREA HEIGHT
COMPLETE EXEPOPT ALLOWED PROPOSED ALLOWED PROPOSED
EXP I X, 1
LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS LET)
ALLOWED PROPOSED FRONT SIDE REAR FRONT iWR SID� REAR/
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PARKING LOT AREA Pj� �NING REVIEWEP 13Y DATE J
REQ'D I PRQVIDED 71, q 113.
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REMARKS
CHECKED BY ITYPE OPC71�
CRITICAW, :51) 14.0 il
AR —0 SPECIAL INSPECTION JAREA
NUMBER REQUIRED [] YES
LOT SLOPE %
PLAN CHECK NO: I VESI ED JfTE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED- THIS PFIRIMIT C6ERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: 180 DAYS
13. PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
En 'APPLICANr. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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UJI IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON, I rS 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 10 MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF TI)E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMR64SATION INSURANCE AND RCW 113.27.
33
OCCUPANT
GROUP
OCCUPANT
LOAD
LREMARKS
PROGRESS INSPECTIONS PER ILIBC 108/FINAL INSPECTION REQ'D
1-7/
VALUATION
$
Description FE
Plan Check b
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
A17ENTION / E)ff 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL.
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
09/03 PRESS HARD -YOU ARE MAKING 4 CC
DATE SIGNED
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Description
State Surcharge
City Surcharge
Base Fee
FEE
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Receipt #
Total Amt. Due C:
Receipt III
APPLICATION AFP'ROVAL
I his application is not a permit until signed by tire
Building Olficial or his/her Deputy! and Fees are paid, and
receipt is acI%nowIcd9Cd it) Space provided.
OFFICIALS SIGNATURE DAI F
S Y DATE
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ORIGINAL - FILE - YELLOW - INSPECTA
1`� IES PINK - OWNER - GOLD - ASSESSOR
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SETBACKS:.29t
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1 RECEIVED
TOTAL- IM16'
JUN 10 2004
4 - Sqq.45'-AV(S- SRADE
PRE,-,ONS7KLv-TION BLIP0. HT. FROM
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EXIST. 6RAPE TO HISHEST RIV6E HT.
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AVERA6E 6RADE. aqcl.45
ALLOKAELE 131-06. 1-06HT (259. 424.45'
- 20.156
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Lr=6AL OF-SCRIFTION ADDRESS
5EE AE30\/E 20620-MAPLEP4000 MR. EDMONDS, KA% 180201
FLAT
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HELLEREN HOMES, Inc. SIDE FER-FLAN FLAT
P.0 BOX 554 EDMONDS, M "18020 RETAININ& ^�LL. IFFATIO —0RPrr-K APPROVE12 BY
(42�j -1-75 - 2631 0(2-05-04 17ATE
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Height Calculation Worksheet
Address: 0 'S. U3 Dr
Date: i t- %�j -OLk
Inspector(s): M *� � k-,,,,,, V-� ?,5 0
1. Datum Point: 40-0, O-Z?
2. Datum Point Elevation: 40 -,2 0
3. Average Grade:
Allowed: '�.--�etlil��a�'eriagbgi-ade):+ . 25""=
.4. Maximum Elevation Q
5. Reference Point Elevation Shot to House:
1-�02, 0� (datum elevation) + (grade to transit level Une'shot to house)
6. Measurements from line shot onto house to roof ridge:'
Total :
7. Actual Elevation: q O'�, (reference point elevation) + 4,(measuremeints
from #6) = 4L61j..�7
Conclusion:
s than (allowed); therefore the house is/
(actual) is greater (le)!
Q� !no ov'er' the height requirement per ECDC 16.20.30 requirements
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GARY HAAKENSON
MAYOR
CITY OF EDMONDS
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-1 EDMONDS. WA 98020 (425) 771-0220 FAX (425) 771-0221
121 5TH AVENUE NORTI Website: www.dedmondsma,us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
December 16, 2004
Helleren Homes, Inc.
Attn: Jan lielleren
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PO Box 584
Edmonds, WA 98020 M
Building Permit: 2004-0658
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aplewood Dr
Site Address: 20620 M
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Expiration Date: 8/5/05 M 0
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Dear Jan Helleren:
ining inspection on Your M Z
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The purpose of this letter is to inforni you that the last rema here are no Z
project is a final inspection(s). The final inspection(s) determines that t C
-i-nit file
outstanding. li fe-safety issues and approval allows the City to close your pei
t important inspections 0 -n
e of the mos
The City considers the final inspection to be on in must be c I oml I )lete: -n
trial approval the follow 9
conducted on a project. In order to, grant F
ardrails, handrails, self -close doors between garage M M
smoke detectors, house numbers, gu
eather-stripping, any Cn
and residence, egress from sleeping rooms, safety glazing, w 0 r
nt requirements etc. Of course not all of these things may 0 M
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Engineering departme ut it does give You an idea about the kinds of things 9 Cn
specifically apply to your project b M 0
alled such as: Z -
that must be complete as well as some items that do not need to be inst r
be advised permits expire one year from T
paint, carpet, moldings, wallpaper, etc. Please W
If you will need more time to com lete the work, permits can be
p
the date of issuance.
iration for one half fees. If the permit expires without a, final, >
renewed prior to exp w Z
approval granted by the Building Inspector, full fees are required in order to rene the
I to check your
pen -nit. This can be very costly to you and we strongly encourage YOL
ore than Cn
e and call for the required,final inspection(s). Note: If m
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perrait expiration dat ct, this is noted on your Job Card.
one department is required to final your proje 0 1
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-eel free to contact me at 425-771-0220 if you have any questions.
Please f
Sincerely,
Pennit Coordinator
Incorporated August 11, 1890
Sister CRY - Hekinan, Japan
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CITY OF EDMONDS
. . . . . . 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.dedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
10, Planning - Building - Engineering
June 16, 2004
GARY HAAKENSON
MAYOR
Helleren Homes Inc.
Jan Helleren
PO Box 584
Edmonds, WA 98020
FAX: 425-775-2631
RE: Vesting current plan reviei"04��2 21_�'i.fli der the current building codes
Dear Jan Helleren:
We are writing to remind you of the City adoption of the International Building Codes effective
on July 1, 2004.
With the code change -over fast approaching full permit and plan check fees are required before
July 1, 2004 to vest your application under current codes. The amount to vest your application is
$2,650.00.
If the noted fees in the amount listed above are not received BEFORE July 1, 2004 your plans
must be returned to you and any fees paid to date must be forfeited.
If you have any questions please don't hesitate to contact the permit coordinator assigned to your
project at 425-771-0220.
Sincerely;
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
RMASE SIGN
A, /i L( — ENGINEERING DIVISION DATE:��3�_�
nXASE SIGN
PLANNING DIVISION DATE
rtY-ASP SIGN
PROJECT /�c
srrEADDRESS__2Z.k2__a
PERMIT`#..� �1�4- �_', _��ADB# 'DATEINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
V, GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
I .
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..................... �M_ �� S "t Cq
FOUNDATION: S, (
Footing ...................... e4y
Wall ..........................
Pier/Porch .................
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Retaining Wall ........... I
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Slab Insulation .......... M
PLUMBING:
Underground .............
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Rough -In ................... C
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Commercial Final ...... 0 C
HEATING: M
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Gas Test .................... r)
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Gas Piping ................. --I
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Equipment ................. V5
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Commercial Final .......
EXTERIOR SHEATHING M M
NAILING .......................... It, 0 5)
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FRAMING ........................ C Cn
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FIRST FLOOR FRAMING... Q 0
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INSULATION ...................
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Floor Insulation ......... J/
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Wall Insulation ...........
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Ceiling Insulation .......
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SHEETROCK NAILING ... z
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SPECIAL INSPECTION ... 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR 05
OCCUPANCY ..................
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