Building Permit'S IDENTIAL BLDG Permit
PERMIT NU
of Edmonds
EdmondsCity
98020BLD2021-031715
wwm
www.edmondswa.gov
Type: RESIDENTIAL BLDG
Owner/ Business: HEIDI HELGESON
Status: ISSUED
Subtype: ADDITION
Parcel No: 00473700003800 Site Address: 17916 73RD AVE W EDMONDS,WA 98026-5515
Applied: 1/29/2021
Subdivision: 005131, 004737
Lot: 0
Issued: 5/19/2021
Fire Sprinklers: Lot Area: Zoning: RS-8
Final:
Valuation: $175,000.00 Occupancy Type: Construction Type:
Expiration Date: 5/14/2022
Code Edition: 0 No. Stories: 0 # of Dwelling Units: 0
Issued by: NED
Scope of Work: KOSZAREK- KITCHEN REMODEL AND ADDITION OF ADU P&M INCL
WA State Contractor L & I #: City of Edmonds Business License #: 602454996-001-0001
CONTACTS
NAME TYPE
NAME
ADDRESS
PHONE
EMAIL
APPLICANT
HEIDI HELGESON
23020 EDMONDS WAY 113,
(206)542-3734
HEIDI@H2DARCHITECTS.COM
EDMONDS WA 98020
CONTACT
H2D ARCHITECTURE
+ DESIGN
23020 EDMONDS WAY 113,
(206)542-3734
heidi@h2darchitects.com
EDMONDS WA 98020
LAUREN & SIMMONS CHRI
17916 73RD AVE W, EDMONDS
CONTRACTOR
KOSZAREK
WA 98026
LAUREN & SIMMONS CHRI
17916 73RD AVE W, EDMONDS
OWNER
KOSZAREK
WA 98026
•: •
DESCRIPTION
7PERM
ACCOUNT
AMOUNT
PAID
PAID DATE
RECEIPT #
E FEE FOR MECHANICAL
001.000.322.10.000.00
$50.00
$50.00
5/14/21
R12326
ITS
1 - BASE FEE FOR PLUMBING
001.000.322.10.000.00
$50.00
$50.00
5/14/21
R12326
PERMITS
AIR CONITIONING SYSTEM OR HEAT
001.000.322.10.000.00
$50.00
$50.00
5/14/21
R12326
PUMP - 1.75 BTU OR LESS
APPLIANCE VENTS
001.000.322.10.000.00
$30.00
$30.00
5/14/21
R12326
CITY TECHNOLOGY FEE CHARGED
001.000.321.99.100.00
$40.00
$40.00
5/14/21
R12326
PER PERMIT
EACH PLUMBING FIXTURE ON ONE
001.000.322.10.000.00
$150.00
$150.00
5/14/21
R12326
TRAP
ENGINEERING INSPECTION FEE
001.000.341.82.000.00
$220.00
$220.00
5/14/21
R12326
FAN CONNECTED TO SINGLE DUCT
001.000.322.10.000.00
$60.00
$60.00
5/14/21
R12326
GAS PIPING - NEW OR LOCATED
001.000.322.10.000.00
$30.00
$30.00
5/14/21
R12326
PERMIT FEE - RESIDENTIAL
001.000.322.10.000.00
$1,550.00
$1,550.00
5/14/21
R12326
PLAN REVIEW FEE - RESIDENTIAL
001.000.345.83.000.00
$1,317.50
$1,317.50
2/2/21
R10218
RESIDENTIAL STATE SURCHARGE
001.000.237.150
$6.50
$6.50
5/14/21
R12326
WATER HEATER - INCLUDING
001.000.322.10.000.00
$15.00
$15.00
5/14/21
R12326
EXPANSION TANK
TOTALS: $3,569.00 $3,569.00
Printed: Wednesday, May 19, 2021 6:52:35 AM 1 of 3
MIDENTIAL BLDG PermitCity
• • • • PERMITNUM
•:0i 1 1
www.edmondswa.gov
CONDITIONS
NOTES
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.
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.
Pre -inspection required. Street to be cleaned of debris. Side sewer must be capped at
DEMOLITION REQUIREMENTS
FOR
property line. Water Service must be disconnected from Water Meter and or hose bib
INFORMATION
with AVB installed. Dump at approved dump site only.
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.
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
FOR
officials, employees, and agents from any and all claims for damages of whatever nature,
HOLD HARMLESS
INFORMATION
arising directly or indirectly from the issuance for 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
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.
Printed: Wednesday, May 19, 2021 6:52:35 AM 2 of 3
'IDENTIAL BLDG Permit
City of Edmonds PERMIT NU
121 . •:� i 1 1
-. •. •
WHOLE HOUSE FAN
FOR INFORMATION
Installer shall provide the manufacturer 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".
SEQID
• •
INSPECTION TYPE
-. - •
INSPECTOR
COMPLETED
DATE
• •- •
i • •'- •
A-1 BUILDING PRECON
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-4 SHOWER PAN
B-S INSULATION ENERGY
B-7 BUILDING OTHER INSP
X-3 BUILDING FINAL"
A-1 TESC AND MOBILIZE
X-2 ENGINEERING FINAL
Printed: Wednesday, May 19, 2021 6:52:35 AM 3 of 3