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Building Permit'S IDENTIAL BLDG Permit PERMIT NUM of Edmonds EdmondsCity 98020BLD2020--10133 wwm www.edmondswa.gov Type: RESIDENTIAL BLDG Owner/ Business: LEIF HELLEREN Status: ISSUED Subtype: NEW SINGLE FAMILY Site Address: 10731226TH ST SW LOT 1 EDMONDS,WA 98020 Parcel No: 27032500310300 Applied: 10/1/2020 6132 Subdivision: LLA LL-04-50, 003847, SP S-2003-155 Lot: 0 Issued: 4/14/2021 Fire Sprinklers: Yes Lot Area: 16,140 net Zoning: RS-MP Final: Valuation: $238,472.68 Occupancy Type: R-3 Construction Type: VB Expiration Date: 4/14/2022 Code Edition: 2015 No. Stories: 2 # of Dwelling Units: 1 Issued by: WAC Scope of Work: HELLEREN-NEW SFR P&M INCLUDED WA State Contractor L & I #: LEIFHC10380T City of Edmonds Business License #: 602454996-001-0001 CONTACTS NAME TYPE NAME ADDRESS PHONE EMAIL APPLICANT LEIF HELLEREN P.O. BOX 1764, EDMONDS WA (206)533-8200 LEE. MICHAELIS@PUGETSOUNDPLANN 98020 ING.COM CONTACT PUGET SOUND PLANNING, 5005 200TH ST SW SUITE 101-13, (425)830-1046 lee.a.michaelis@gmail.com LLC LYNNWOOD WA 98036 CONTRACTOR LEIF HELLEREN PO BOX 1764, EDMONDS WA (206)533-8200 lee.michaelis@pugetsoundplanning.c CONSTRUCTION INC 98020 om KARI J JOHANNESSEN / 10727 226TH ST SW, EDMONDS OWNER HELLEREN WA 98020-6132 •' • DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT# 1 - BASE FEE FOR MECHANICAL 001.000.322.10.000.00 $50.00 $50.00 4/14/21 R11648 PERMITS 1 - BASE FEE FOR PLUMBING 001.000.322.10.000.00 $50.00 $50.00 4/14/21 R11648 PERMITS 2020 TRANSPORTATION IMPACT 112.502.345.86.000.00 $6,249.14 $6,249.14 4/14/21 R11648 FEE AIR CONITIONING SYSTEM OR HEAT 001.000.322.10.000.00 $50.00 $50.00 4/14/21 R11648 PUMP - 1.75 BTU OR LESS APPLIANCE VENTS 001.000.322.10.000.00 $30.00 $30.00 4/14/21 R11648 CITY TECHNOLOGY FEE CHARGED 001.000.321.99.100.00 $40.00 $40.00 4/14/21 R11648 PER PERMIT EACH PLUMBING FIXTURE ON ONE 001.000.322.10.000.00 $120.00 $120.00 4/14/21 R11648 TRAP ENGINEERING INSPECTION FEE 001.000.341.82.000.00 $770.00 $770.00 4/14/21 R11648 FAN CONNECTED TO SINGLE DUCT 001.000.322.10.000.00 $45.00 $45.00 4/14/21 R11648 GAS PIPING - NEW OR LOCATED 001.000.322.10.000.00 $30.00 $30.00 4/14/21 R11648 PARK IMPACT - ADMIN FEE RES 001.000.322.10.000.00 $50.00 $50.00 4/14/21 R11648 PARK IMPACT FEE - SINGLE FAMILY 332.100.345.85.000.00 $2,734.05 $2,734.05 4/14/21 R11648 PERMIT FEE - RESIDENTIAL 001.000.322.10.000.00 $1,934.00 $1,934.00 4/14/21 R11648 PLAN REVIEW FEE - RESIDENTIAL 001.000.345.83.000.00 $1,643.90 $1,643.90 10/8/20 R7936 Printed: Wednesday, April 14, 2021 3:25:19 PM 1 of 4 DESCRIPTION ACCOUNT AMOUNT PAID PAID DATE RECEIPT # RESIDENTIAL STATE SURCHARGE 001.000.237.150 $6.50 $6.50 4/14/21 R11648 STORMWATER ENGINEER REVIEW 001.000.341.82.000.00 $130.00 $130.00 4/14/21 R11648 FEE STORMWATER ENGINEER REVIEW 001.000.341.82.000.00 $130.00 $130.00 4/14/21 R11648 FEE STORMWATER GENERAL FACILITY 422.000.379.00.000.00 $799.00 $799.00 4/14/21 R11648 CHARGE SFR UNDER 5000 TRANSPORTATION IMPACT ADMIN 001.000.341.82.000.00 $50.00 $50.00 4/14/21 R11648 FEE - SFR WATER HEATER - TANKLESS 001.000.322.10.000.00 $15.00 $15.00 4/14/21 R11648 TOTALS: $14,926.59 $14,926.59 CONDITIONS CONDITION TYPE STATUS NOTES 48 HRS NOTICE-ENGR FINAL FOR 48 Working hours notice is required when requesting your FINAL engineering inspection. NFORMATION 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 FOR shall be established by Council and shall be paid upon submittal and are nonrefundable. ALL BUILDING PERMITS INFORMATION 3- SOUND OR NOISE - 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 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. FOR CARBON MONOXIDE SYSTEMS INFORMATION It is the owner's responsibility to repair/replace all damage of utilities or frontage DAMAGE TO FRONTAGE FOR improvements in City right of Ways or Easements to City Standards caused by or IMPROVEMENTS INFORMATION occurring during the permitted project. ELECTRICAL PERMIT FOR Obtain Electrical Permit from State Department of Labor and Industries 425-290-1309. NFORMATION FOR Maintain erosion and sedimentation control per City and SWMMW standard ESC REQ INFORMATION requirements. FIRE FINAL INSPECTION FOR Request final Fire Department Inspection 425-775-7720. NFORMATION Approval of this foundation design is conditional subject to inspection of existing site soil FOR conditions. Retaining walls must be designed and constructed to resist the lateral FOUNDATION BEARING INFORMATION pressure of the retained material. Provisions must be made for the control and drainage of surface water around buildings. Printed: Wednesday, April 14, 2021 3:25:19 PM 2 of 4 SIDENTIAL BLDG Permit PERMIT NUM City of Edmonds JiF . ••0i 1 1 133 wwm www.edmondswa.gov FOR GAS PIPE TEST Gas pipe test must be observed by City Building Inspector, affidavits shall not be accepted NFORMATION 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, FOR employees, and agents from any and all claims for damages of whatever nature, arising HOLD HARMLESS INFORMATION 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. HOSE BIBBS FOR Hose Bibbs are required to have a permanently affixed anti -siphon device installed. NFORMATION FOR INSP PRIOR TO BACKFILL Call for all required inspections. All work shall be inspected prior to backfill. NFORMATION LOT LINES STAKED FOR Lot line stakes must be in place at the time of foundation setback inspection. 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. Maximum Height 25 feet. The agent or contractor shall set up the equipment; establish the datum point and the point of average grade. Call for inspections to verify. These FOR MAXIMUM HEIGHT items must be consistent with the approved plan. If the proposed height of a building is INFORMATION within 12 inches of the maximum height permitted for the zone an elevation survey is required. PLANNING CONDITION FOR Vested to tree code in ECDC 18.45 NFORMATION FOR Pursuant to UPC 608 a pressure regulator valve (PRV) shall be installed near the water PRV REQUIRED INFORMATION shutoff. 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. 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 FOR 7:00am to 6:00pm on weekdays and 10:00am to 6:00pm on Saturdays, excluding Sundays SOUND OR NOISE INFORMATION 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. FOR STORM COVENANT A stormwater covenant shall be approved for recording prior to project final approval. NFORMATION City approved plastic piping may be used in water service piping provided that where FOR metal water service piping is used for electrical grounding purposes, replacement piping WATER SERVICE PIPING INFORMATION shall be of like materials (UPC 604.8) a state electrical permit and inspection is required if electrical grounding is altered or removed. FOR Pursuant to UPC 605.2 a water service shutoff shall be installed on the water line as it WATER SERVICE SHUTOFF INFORMATION enters the building. Installer shall provide the manufacturer installation, operating instructions, and a whole FOR WHOLE HOUSE FAN house ventilation system operation description. A label shall be affixed to the whole INFORMATION house timer control that reads "Whole house ventilation, see operating instructions". COMPLETED SEQID INSPECTION TYPE INSPECTOR RESULT NOTES DATE B-4 HEIGHT VERIFICATION B-2 FND DAM PPROOFING Printed: Wednesday, April 14, 2021 3:25:19 PM 3 of 4 BLDG Permit City of • • • PERMITNUM ' 11[ -•:� i 1 1 1 wm . •. A-1 BUILDING PRECON B-2 FOOTINGS B-2 FOUNDATION WALL B-2 SLAB INSULATION B-3 EXT WALL SHEATHING B-3 GAS PIPING TEST B-3 MECH ROUGH IN B-3 PLUMB ROUGH IN B-3 ROOF SHEATHING B-3 UNDERFLR FRAMING B-4 DRYWALL FASTENING B-4 FRAMING B-5 INSULATION ENERGY B-7 BUILDING OTHER INSP X-3 BUILDING FINAL" A-1 TESC AND MOBILIZE E-3 STRM COVENANT E-3 STRM FOOTING DRAIN E-3 STRM MGMT FACILITY E-3 STRM TIGHTLINE E-4 WATER SERVICE LINE E-5 DRIVEWAY SLOPE E-9 COMPOST AMEND X-2 ENGINEERING FINAL Printed: Wednesday, April 14, 2021 3:25:19 PM 4 of 4