Building Permit 2020'S IDENTIAL
BLDG Permit
PERMIT NUM
City of Edmonds
—
121 5th Ave N,
Edmonds WA
98020
ww.edmondswa.gov
Type: RESIDENTIAL BLDG
Owner/ Business: LEIF HELLEREN
Status: ISSUED
Subtype: NEW SINGLE FAMILY
Site Address: 10729 226TH ST SW LOT 2 EDMONDS,WA 98020
Parcel No: 27032500310300
Applied: 9/17/2020
6132
Subdivision: LLA LL-04-50, 003847, SP S-2003-155
Lot: 0
Issued: 2/8/2021
Fire Sprinklers: Yes Lot
Area:
Zoning:
Final:
Valuation: $602,110.76 Occupancy Type:
Construction
Type: VB
Expiration Date: 2/8/2022
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
STEVENS1043@COMCAST.NET
98020
5005 200TH ST SW SUITE 101-B,
lee.michaelis@pugetsoundplanning.c
CONTACT
PUGET SOUND PLANNING
(425)830-1046
LYNNWOOD
WA 98036
om
CONTRACTOR
LEIF HELLEREN
PO BOX 1764, EDMONDS WA
(206)533-8200
tevensl043@comcast.net
CONSTRUCTION INC
98020
KARI J JOHANNESSEN /
10727 226TH ST SW, EDMONDS
OWNER
HELLEREN
WA 98020-6132
FEE
INFORMATION
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
1 - BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
2/8/21
R10318
PERMITS
1 - BASE FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
2/8/21
R10318
PERMITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
2/8/21
R10318
PERMITS
2020 TRANSPORTATION IMPACT
112.502.345.86.000.00
$6,249.14
$6,249.14
2/8/21
R10317
FEE
APPLIANCE VENTS
001.000.322.10.000.00
$30.00
$30.00
2/8/21
R10318
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
2/8/21
R10318
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$285.00
$285.00
2/8/21
R10318
TRAP
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$770.00
$770.00
2/8/21
R10317
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$90.00
$90.00
2/8/21
R10318
FURNACE OR FIREPLACE
001.000.322.10.000.00
$60.00
$60.00
2/8/21
R10318
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$35.00
$35.00
2/8/21
R10318
PARK IMPACT - ADMIN FEE RES
001.000.322.10.000.00
$50.00
$50.00
2/8/21
R10317
PARK IMPACT FEE - SINGLE FAMILY
332.100.345.85.000.00
$2,734.05
$2,734.05
2/8/21
R10317
PERMIT FEE -RESIDENTIAL
001.000.322.10.000.00
$4,015.00
$4,015.00
2/8/21
R10318
Printed: Monday, February 08, 2021 2:28:24 PM 1 of 4
DESCRIPTION
ACCOUNT AMOUNT
PAID PAID DATE
RECEIPT #
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$3,412.75
$3,412.75
10/1/20
R7848
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
2/8/21
R10318
STORMWATER ENGINEER REVIEW
001.000.341.82.000.00
$130.00
$130.00
2/8/21
R10317
FEE
STORMWATER ENGINEER REVIEW
001.000.341.82.000.00
$130.00
$130.00
2/8/21
R10317
FEE
STORMWATER GENERAL FACILITY
422.000.379.00.000.00
$799.00
$799.00
2/8/21
R10317
CHARGE SFR UNDER 5000
TRANSPORTATION IMPACT ADMIN
001.000.341.82.000.00
$50.00
$50.00
2/8/21
R10317
FEE - SFR
WATER HEATER - TANKLESS
001.000.322.10.000.00
$15.00
$15.00
2/8/21
R10318
TOTALS: $19,051.44 $19,051.44
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
FIRE FINAL INSPECTION
FOR
Request final Fire Department Inspection 425-775-0215.
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.
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SIDENTIAL BLDG Permit
PERMIT NUM
City of Edmonds
JiF
www.edmondswa.gov
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GAS PIPE TEST
FOR
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
INSP PRIOR TO BACKFILL
FOR
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
MAXIMUM HEIGHT
FOR
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.
New and existing buildings shall have approved address numbers, building numbers or
approved building identification placed in a position that is plainly visible from the street
POST ADDRESS
FOR
or road fronting the property. Address numbers shall be Arabic numerals or alphabet
INFORMATION
letters Numbers shall be legible from the public way, at least 4 inches high with a half
inch min stroke width on a contrasting background.
FOR
Pursuant to UPC 608 a pressure regulator valve (PRV) shall be installed near the water
PRV REQUIRED
INFORMATION
shutoff.
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.
STORM COVENANT
FOR
A stormwater covenant shall be approved for recording prior to project final approval.
NFORMATION
FOR
All utilities shall be located prior to any excavation. New locates shall be called for if at
UTILITY LOCATES
INFORMATION
time of excavation, original locates are no longer identifiable.
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
WHOLE HOUSE FAN
FOR
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
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' BLDG Permit
City PERMIT
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A-1 BUILDING PRECON
B-1 SETBACKS
B-2 FOOTINGS
B-2 FOUNDATION WALL
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-4 HEIGHT VERIFICATION
B-5 INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
B-4 SHOWER PAN
A-1 TESC AND MOBILIZE
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
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