BLD20150447.PDF"gym COMPLETED
OF EUM
CITY OF EDMONDS
121 5TH A VENUE NORTH - EDMONDS, W A 98020
�°c. 1890
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 10/O8/2015,B�LD2,0150.447
Expiration Date: 01/08/2016
/V
Parcel No: 27031300401600
DAVID E HELLENE
PO BOX 25774
SEATTLE, WA 98165
(206)763-8496
Pro,iect'Address 1'8908 OLYMPI1_4
. _ E
MARK TRAVERS ARCHITECT OWNEREXEMPTION
2315 E PIKE ST
SEATTLE, WA 98122
(206)763-8496
LICENSE #: EXP:
UPSTAIRS -CONVERT BEDROOM TO BATHROOM AND CLOSETS - DOWNSTAIRS -ADD DOORS REMOVE WALLS ADD
BATHROOM LAUNDRY KITCHEN AND OTHER WORK FOR PROPOSED ADU - MECHANICAL AND PLUMBING INCLUDED -
USE AS AN ADU ONLY AS ALLOWED UNDER PERMIT PLN20150019
VALUATION: $60,000.00
PERMIT TYPE: Residential
PERMIT GROUP: 81 - Accessory Dwelling Unit
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY:
OCCUPANT GROUP: R-3/U
OCCUPANT LOAD:
FENCE: ( 0 X 0 FT.)
CODE: 2012
OTHER: ------- OTHER DESC:
ZONE: RS-12
NUMBER OF STORIES: 2
.VESTED DATE:
NUMBER OF DWELLING UNITS: 2
LOT #:
BASEMENT: 1317 1ST FLOOR: 1317 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 240 DECK: 704 OTHER: 620
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS: 4 BATHROOMS: 2
BEDROOMS: -1 BATHROOMS: I
FRONT
,EQUIRED: See Below PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
[EIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
ETBACK NOTES: All work is within existing developed footprint. Therefore, no change proposed to existing setbacks, height, lot coverage, etc. The
LDU shall comply With conditions of approval of associated conditional use permit (File No. PLN20150019).
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
Signature Print ame ate Released By Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING ORSTRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
ONLINE APPLICANT ASSESSOR F�l OTHF1t h�
STATUS: ISSUED
BLD20150447
• Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
• Installer shall provide the manufacturer's installation, operating instructions, and a whole house ventilation system operation
description. A label shall be affixed to the whole house timer control that reads "Whole House Ventilation" (see operating
instructions).
• Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309
• 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.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate, provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 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.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
han-rdess the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance forthis 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.
• The ADU shall comply with the conditions of approval of the associated conditional use pemlit (File No. PLN20150019).
• Nothing in this permit approval process shall be interpreted as allowing or permitting the maintenance of any currently existing
illegal, nonconforming or unpermitted building, structure or site condition which is outside the scope of the permit application,
regardless 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 separate enforcement action.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMITTIME LIMIT., SEE ECDC 19.00.005(A)(6)
I BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425) 672-5755 1 RECYCLING 425) 275-4801
When calling for an inspection please Ieaw the following information: Permit Number, Job Site Address, Type of Inspection being
requested Contact Name and Phone Number, Date Prefereed, and whether you Prefer morning or afternoon.
• B-Preconstruction meeting
• B-Isolated Footings/Piers
• B-Plumb Ground Work
• B-Plumb Rough In
• B-Mechanical Rough In
• B-Window Flashing
• B-Framing
• B-Wall Insulation/Caulk
• B-Building Final
�n DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
st. g9° 121 5"' Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 Q Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
18908 OLYMPIC VIEW DR., EDMONDS, WA 98020
Parcel #: 27031300401600
Subdivision/Lot #:
Project Valuation: $ K bob , .
APPLICANT: MARK TRAVERS ARCHITECT
Phone: (206) 763-8496
Fax: (206) 328-3238
Address (Street, City, State, Zip): 2315 E PIKE ST
SEATTLE. WA 98122
E-Mail Address-
mark(cDmarktraversarchitect.com
PROPERTY OWNER: HELLENE, DAVID E
Phone: (206) 349-1665
Fax:
Address (Street, City, State, Zip): 4019 NE 92ND ST.
SEATTLE, WA 98115
E-Mail Address: dhellene@smail.com
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to
doing word in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
City Business License #/Exp. Date:
DETAIL THE SCOPE OF WORK: - REMODEL OF EXISTING HOUSE, PROPOSED ADU AT BASEMENT LEVEL,
CONVERT ONE BEDROOM TO A BATHROOM AT MAIN LEVEL, PER PLAN.
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: 892 s ..ft. ADU
Select Basement Type: Finished I x J Unfinished LJ
_
l" Floor: N/A s . ft.
Garage/Carport: N/A -sq. ft.
2"d Floor: N/A s . ft.
Deck/Cvrd Porch/Patio: N/A s . ft.
Bedrooms #_ 2 _ Full-3/4 Bath #_ 1 _ Half -Bath #
Other: s . ft.
Fire Sprinklers: Yes
No
x
Retainin Wall: Yes
No
x
Grading: Cut cu. yds. Fill cu.yds.
Cut/Fill in Critical Area: Yes U No x
I declare under penalty of perjury laws that the information I have provided on this form/application is true, correct and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit application to
the City of Edmonds. //��
h�/lrYl✓ - Owner ®AQent/Other (specify):
Print Name: — b a
u 0t
Signature: Date:
FORM A L:\Building New Folder 2010\130NE & x-(erred to LrBuilding-New drive\Form A2014.docx Updated: 1/17/2014
Of EDAI
v~�
Fst 1 g90
City of Edmonds
Equipment Type
DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION FORM A
121 5'h Avenue N, Edmonds, WA 98020
Phone 425.771.0220 4 Fax 425.771.0221
Appliance/Equipment Information (new and relocated) Total #
Furnace
Gas #__Elec
#_Other:
#_ BTUs: <100k__>100k__ Location(s)
Air Handler / VAV
(circle selected)
Gas #_Elec
#_Other:
#_CFM: <10k_ >10k_ Location(s)_ _
AC / Compressor /
Boiler / Heat Pump /
Roof Top Unit
(circle selected)
Gas #—Elec
HP:
#_Other:
<3, 3-15,
#_ BTUs: _<100k, __100k-500k, 500k-lMil
15-30 Location(s)
Hydronic Heating
Gas #__Elec
#_In -Flom•
_Wall Radiant_ Boiler BTUs:Location_
Exhaust Fans (single
duct)
Bath #_Kitchen
#_Laundry # __Other: #_
Fireplace
Gas #__Elec
#_Other:
#_ Location(s)
Dryer Duct
Appliance Type
Appliance/Equipment Information (new and relocated)
Total #
AC Unit
BTUs:
Location(s):
Furnace
BTUs:
Location(s):
Water Heater
BTUs:
Location(s):
Boiler
BTUs:
Location(s):
Other:
BTUs:
Location(s):
Fireplace/Insert
BTUs:
Location(s):
Stove/Range/Oven
Dryer
Outdoor BBQ
TOTAL OUTLETS
PLUMBING FIXTURE COUNT
Fixture Type (new and relocated) Total # Fixture Type (new and relocated)
Total #
Water Closet (Toilet)
1
Pressure Reduction Valve/Pressure Regulator
Sink (kitchen, laundry, lavatory, bar, eye wash, etc.)
2
Water Service Line
Tub/Shower
1
Drinking Fountain
Dishwasher
1
Clothes Washer
Hose Bib
Backflow Prevention Device (e.g. RRPA, DCDA, Ave)
Water Heater Tankless? Yes No
Hydronic Heat in: Floor Wall
Floor Drain/Floor Sink
Other:
Refrigerator water supply (for water/ice dispenser)
Other:
FORM A L:\Building New Folder 201000NE & x-ferred to L-Building-New drive\Form A2014.docx Updated: 1/17/2014
EXEMPTION FROM CONTRACTOR
REGISTRATION VERIFICATION
FORM D
The undersigned property owner or authorized person as described below, has applied for a
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
0 Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises
or puts out any signor card or other device which might indicate to the public that lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ Owner who contracts for a project. A property owner contracting with registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(11).
kWork performed personally on own property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property for the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
0 Use of own employees. Property, owner using him/herself or his/her own employees to
perform maintenance, repair, and. alteration work in or upon his/her own property. RCW
18.27.090(13).
❑ Licensed Architect, engineer, electrician or plumber. All work performed under this
permit will be performed by an architect, civil or professional engineer, certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
❑ Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this day of , 20_
PROPERTY OWNER/AUTHORIZED WITNESS
Print Name
Signature
undc,_��n6oi-
Print Name
L:\TEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
111111111111111111111111111111111111111111111111111111111
08/14/2015 11:57amJ72.00
Return Recorded Instrument To:
City of Edmonds —Clerk's Office
121 5 s Ave. N, Edmonds, WA 98020
ACCESSORY DWELLING UNIT COVENANT
Property Address: 18908 Olympic View Dr., Edmonds, Washington
Assessor's Parcel Number: 27031300401600
SEC 13 TWP 27 RGE 03RT-14) BEG SE COR GOVT LOT 3 TH
Legal Description: W 30 FT TH N 845 FT TO TPB TH W 140 FT TH N 85 FT TH E
140 FT TH S 85 FT TO TPB
Grantor: David E. Hellene
Grantee: City of Edmonds
Related Permit Numbers: PLN20150019 and BLD20150447
I, the undersigned, have attained approval for an Accessory Dwelling Unit (ADU) at the property
address above, in accordance with the provisions of Chapter 20.21 (Accessory Dwelling Units) of the
Edmonds Community Development Code (ECDC).
I agree and understand that it is my responsibility to notify all future property owners or long-term
lessors of the existence of the ADU and that its existence is predicated upon the occupancy of either the
ADU or primary dwelling unit by the owner of the property.
Additionally, I will notify all prospective buyers of the limitations on use and maintenance of the ADU
as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Development
Code. An example of the limitations of the ADU per Chapter 20.21 is the property owner is required to
reside in the primary or accessory dwelling unit for 6 months out of every year.
Finally, this covenant shall be recorded in order to notify all current and future property owners that if
any conditions of the ADU approval are violated, the property owner will be required to remove all
improvements which were added to convert the primary dwelling unit into an ADU and restore the site
to a single-family dwelling unit.
On my oath, I certify that I, the owner of 18908 Olympic View Dr., Edmonds, Washington, reside in the
primary or accessory dwelling unit at this address for more than six months of every year.
OWNER/GRANTOR: David Hellene
SIGNATURE:
DATED this day of u� /��, 2015.
On this day personally appeared before me David E. Hellene, to me known to be the individual
described therein and who executed the within and foregoing instrument, and acknowledged that he
signed the same as his free voluntary act and deed, for the use and purposes therein mentioned.
Notary's pressure seal must be smudged.
Dated: ATM
Signature of Notary Public:
�p Residing
NOTARY'
-e— My Appointment Expires:
N PUBLIC
430-2017
fuLi� ST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR -
N
Structural Calculations
Helene Residence AUG 0 3 2015
For
s View Dr. BUILDING DEPARTMENT
18908 Olympic CITY OF EDMONDS
Edmonds WA
VA
Floor Loads
3/4" pw
2.3
Joists 2x10 @16
2.8
5/8" GWB
2.8
Misc
1_0
subtotal
8.9
Live Load
40.0
total
48.9
Footing
B1
B2
Load
4316lb
1957lb
Allowable soil load
2000 lb/sf
2000 lb/sf
Area req
2.16 sf
0.98 sf
Length
17.63 in
11.87 in
width
17.63 in
11.87 in
USE 18x18X12 USE 12x12X12
7/27/2015
MEMBER
MEMBER SIZE
Point load (a)
TRIB WIDTH
LENGTH
WIDTH
DEPTH
WEAK AXIS
PLYWD @W.A
STRESS RATIOS
BENDING
AXIAL COMP
AXIAL TEN
SHEAR
BEND +AX
BEND +TEN1
BEND+TEN2
DEFL-LL/360
fc < FcE
FORCES
COMP
TENSION
W (DL+LL)
W (LL)
P (DL+LL)
P (L.L)
M (FT -lb)
V (Lb)
DEFLECTION
DEFL FACTOR
STRENGTH
Fb
Fc
Ft
Fv
E
STRESS
c'
FcE
Fc"
(1+Fce/Fc*)/2c'
fc
F'c
fb
F'b
fv
F'v
f - tension
F't
,k GLB vol factr
Cd load duration
Cv Vol factr GLB
Cr Repetitive fctr
Cfb size fact bend
Cft size fact ten
Cfc size fact comp
Ct truss
Halas Engineering 7/27/2015
11711 8th Ave. NW
Seattle Wa 98177
206 362-2707
BM1
BM2
Post 2
4x10
PSL 3.5x9.25
4x4
DgFr #1 &btr
PSL 2.2E DgFr #1 &btr
0.00
0.00
0.00
11.50
11.50-
1.00
5.00
11.75 -
8.00
3.50
3.50-
3.50
9.25
9.25-
3.50
3.50
3.50-
3.50
9.25
1.00-
3.50
30%
72%
11%
0%
0%
55%
0%
0%
0%
25%
47%
4%
30%
72%
52%
30%
72%
11%
30%
72%
11%
9%
99%
23%
TRUE
TRUE
TRUE
0
0
4316
0
0
0
571
571
15
460
460
15
0
0
0
0
0
0
1784
9852
120
987
2914
56
0.02
0.39
0.06
77
77
77
DgFr #1 &btr
PSL 2.2E DgFr #1 &btr
1200
2900
1200
1550
2900
1550
800
2025
800
180
290
180
1800000
2200000
1800000
0.80
0.90
0.80
1838
407
718
1550
2900
1783
1.37
0.63
0.88
0.00
0.00
352.35
1157
400
645
429
2369
202
1440
3277
1800
46
135
7
180
290
180
0
0
0
880
2025
1200
1
1.00
1.13
1.00
1.00
1.00
1.00
1.00
1.00
1.00
1.20
1.10
1.00
1.00
1.00
1.00
1.00
1.50
1.50
1.15
1.00
Return Recorded Instrument To:
City of Edmonds — Clerk's Office
121 51h Ave. N, Edmonds, WA 98020
ACCESSORY DWELLING UNIT COVENANT
Property Address: 18908 Olympic View Dr., Edmonds, Washington
Assessor's Parcel Number: 27031300401600
SEC 13 TWP 27 RGE 03RT-14) BEG SE COR GOVT LOT 3 TH
Legal Description: W 30 FT TH N 845 FT TO TPB TH W 140 FT TH N 85 FT TH E
140 FT TH S 85 FT TO TPB
Grantor: David E. Hellene
Grantee: Citv of Edmonds
Related Permit Numbers: PLN20150019 and BLD20150447
I, the undersigned, have attained approval for an Accessory Dwelling Unit (ADU) at the property
address above, in accordance with the provisions of Chapter 20.21 (Accessory Dwelling Units) of the
Edmonds Community Development Code (ECDC).
I agree and understand that it is my responsibility to notify all future property owners or long-term
lessors of the existence of the ADU and that its existence is predicated upon the occupancy of either the
ADU or primary dwelling unit by the owner of the property.
Additionally, I will notify all prospective buyers of the limitations on use and maintenance of the ADU
as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Development
Code. An example of the limitations of the ADU per Chapter 20.21 is the property owner is required to
reside in the primary or accessory dwelling unit for 6 months out of every year.
Finally, this covenant shall be recorded in order to notify all current and future property owners that if
any conditions of the ADU approval are violated, the property owner will be required to remove all
improvements which were added to convert the primary dwelling unit into an ADU and restore the site
to a single-family dwelling unit.
On my oath, I certify that I, the owner of 18908 Olympic View Dr., Edmonds, Washington, reside in the
primary or accessory dwelling unit at this address for more than six months of every year.
OWNER/GRANTOR: David E. Hellene
SIGNATURE:
DATED this day of , 2015.
On this day personally appeared before me David E. Hellene, to me known to be the individual
described therein and who executed the within and foregoing instrument, and acknowledged that he
signed the same as his free voluntary act and deed, for the use and purposes therein mentioned.
Notary's pressure seal must be smudged.
Dated:
Signature of Notary Public:
Residing At:
My Appointment Expires:
- THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR -