19725 83RD PL W.PDF111111111111
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19725 83RD PL W
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0
ADDRESS: A?
TAX ACCOUNTIPARCEL NUMBER:M63�?Ze!�KWZ4�
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required O-Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): C;,�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S) #:-
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEMPOST'sTomiAStreet File Checklist.doc
Critical Areas Checklist
CA File No: 0'3 - 1(0�e
Site Infomiation (soils/ topography/ hydrology/ vegetation)
Site Address/ Location: J112r, 1�7
'2
2.
3.
4.
Property Tax Account Number:
Approximate Site Size (acres or square feet): -7 b0Q 40�
Is this site currently developed? X yes; _ no.
If yes; how is site developed? - S;iM(& famnLiA ree-2���
5. Describe the general site topography. Check all that appl�-
- X- Flat less. th an 5-feet elevation change over entire site.
6.
41-
- -4-%-V
0 Zk, -6
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet). I
Hilly: slopes present on site of more thanA
;%
over a horizontal distance of 33 to 6 e
Steep: grades of greater than 30% present on site
distance of less than 33-feet).
Other (please describe):
I less than 30% a vertical rise of 10-feet
i verticifl rise o efee ove-4. a
I aq it)
Site contains areas of year-round standing water: 0 Approx. Depth:
Site contains areas of seasonal standing water: Y10 ; Approx. Depth:
I
What season(s) of the year?
8. Site is in the floodway h& floodplain
of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Y)D Flows are seasonal? — (What time of year?
10. Site is primarily: forested — ; meadow ;shrubs mixed
urban landscaped (Iawnshrubs etc) Oe-Ae2
11. Obvious wetland is present on site: hy
Critical Areas Checklist.doc/3.19.2001
0
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas invent il
BUB Lolms,
WNWRRW No
Date Received: Z4&=
City Receipt#:
Critical Areas File #: 2-4)0,3 -0 1 G6
Critical Areas Checklist Fee: W' $41111ft
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. , The City will review the checklist, make a
precursory- site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in con unction with this Checklist to assistant staff
in corn . pleting their preliminary assessment of the site.
Gdeirs-ig-n—ed -applicant, anTI71=er its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or. employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of MID
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLIcANT/AGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above -Applicant/Agent to apply for the subject land use application,
and grant my permission forAhe public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of
TURE 7e
ordIsting attendant this application.
SIGNA ER DATE
1 1 /7--';N;d
Owner/Applicant:
L-9 - t rrA I
raf Lr ick Y::11 tilinc/
Name
I qJ 2 t�
Street Address
F"AWVL1k7
city State zip
Telephone: +fr;7 —71-t - -1
k2 —
Email address (optional): - __
Applicant Representative:
Name
Street Address
City State zip
Telephone: 0
Email Address (optional):
Critical Areas Checklist.doc/3.19.2001
DATE RECEIVED
.CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
moll MOM
9, AV -
ZIP r
NAME
- ( t
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1W)
I
FPERMIT
EXPIRES
USE PERMIT
ZONE
NUMBER
JOB
SUITVAPT#
ADDRESS 19IZ55- ?0)19--�)
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP
RW Permm*ft R utred
Street Use Pearift ROO
EXISTING - PROPOSED
Impectio RequInW
Siclewalkn4quired
REQUIRED DEDICATION -"*-' FT
Undergmund
Wiringretitilred 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
YES E3 NOA
z
REMARKS
z
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
I IV If I-- r-cof Jr xvt-;m IL/ IF
#ED BY DATE
MGINEEIRING REVIE1
I
ityryna k- qi �;i 12&3
ADDRESS
ad-",
CITY Zkq TELi0HOAE
edffaAs,
;FIR E,,,111"IEWED BY DATE
M
-110
.VARIANCE OR,CU
SHORELINE OR ADB,�,-;f
INSPECTION
REO'D
OYES 0
OND
POS D
$
STATE LICENSE NUMBER EXPIRATION DATE
IDZ�:
I CHECKED qY
z
$EPA REVIEW.,
'COMPLETE EXEMPT-_,
EXP
-nu A-A i�v 0
ALLOW D
HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCO PARCEL NO.
0 r5?iF A 12 L9 cot t?o
NEW RESIDENTIAL ECH-
COMPLIANCE OR
KADDITION COMMERCIAL
C] CHANGE OF USE
0 EMODEL MULnFAMILY SIGN
E] REPAIR GRADING FENCE
E] CYDS E] ( X� Fr)
LOT COVERAGE
ALLOWED' PROPOSED
35X
'R60UIRED 'SETBACKS (F�r)�
',� FRONT SIDE'� REAR
-PROPOSED SETBACKS (FT.)
FRONT LIRSIDE REAR
'ry 5/7.15 347
ARKING 'LOTAREA
REQ`D, F.PROVIDED
: : V0,4
t
jPLANNINdREVIEW1!Q,E0V 0
REMARKS
DEMOLISH [:] OTHER
TANK
GARAGE -1 RETAININGWALL FIRE SPRINKLER'
CARPORT 13 ROCKERY FIRE ALARM
SE. BUSINESS OR ACTIVITY) EXPLAIN:.::
'CHECKED B YjT'y7
�eE'CONSTAUCTI
K -
OCCUPANT
GROUP
NUMBER NUMBER OF: -�CRMZAL
OF WELLING'�
STORIES UNITS
AREAS
N Umem
SPECIAL INSI24CT�ON,�.
REQUIRED Yds VY
f 4', 11 1
OCCUPANT
LOAD
I
a NEL4'
REMA
PROGRESS INSPECTIONS PER,UBC'108/FINAL, INSPECTION REaO
_aM I
lid Mo Yh
1411
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A. j I/in 17IA,&,.eA
IF 'IF 1. Id
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'..VALUATION'
Description
FEE
Description
FEE
Plan Check If
10ty
State Surcharge
HEAT SOUIRF
041�!
QjA4NG %
aq
%
, 1 �Buildinqoerrn'h— -)7j
1
Surcharge
PLAJ4 CHECK NO-
VESTED aTE
-- n
'�Plumbirigy"
/m
io �2
Mechanical
THI&P ri-R-79:13 ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
13E DONE ON PRIVATE PROPERTY ONLX Amy comsTRucrriom ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPUCATION: ISO DAYS
Engr. Inspection
PERMI[T LIMM I YEAR - PROVIDED WORK 13 STARTED WITHIN 180 DAYS
SEE RACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
60GI
IN INTEREST; AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Fire Inspection
Receipt #
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Landscapeinsp.
Total Amt. Due
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Receipt #
IL HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 118 COIRRECI`� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I
APPLICATION APPROVAL
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 9K THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORfMEN-SAOMPfNSATION INSURANCE AND RCW 18.27.
CALL
FOR INSPECTION
This application Is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
receipt Is acknowiedged In space proAded.
DATE
12110
1425)
771-0220
W 1333
IG
RE E OR AM -TDATE
SIGED
hELAD ;.Y DATLI
4A I , A
%TTENTION]
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I t/ Z
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE YELLOW -
PINK -OWNER GOLD -AV
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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APPROVED BY PLANNINC-3
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ZONE
SETBACKS:
FRONT
SIDE
REAR —
OTHER
HF!CHT
LOT AREA
7.8011 S.F.
IMPERVIOUS SURFACE CALCULATIONS
130
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F- SWIS NO PA110 (MNWM
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so &F.
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BUILDING AREA
COSM RESIDINE 1.110 &F.
FOWOM A00"M 336 &F.
WTAL OVAUD WA 1. 40 &f.
GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST. SYST.
SITE PLAN
1 " = 20'
OWNERICONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
9 N*.V Ir t
on= am law Car_
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I I " \ J 1;
4
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LOT COVERAGE -
WT COXOtAM =� CIF
LOT Cowp" 1,3611 SI)WSF. -�nll S'
HEIGHT CALCULATIONS
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APPROVED AS NOTED
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PROPERTY OWNER & ADDR
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425-774-01CIS
LEGAL DESCRIPTION
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Drawn By: STEPHEN KE . RN PROJECT JOB NO 17 2003 PAGE
Patrick and Tracey Higgens 0304 1 of 1
2126 Westlake Avenue SHEET NO.
SeatUe WA 98121 Addition =21LVINT SERVICES CTR.
p 206 622 11 56 Edmonds, WA F ED DS
f 206 622 1158
c 206 605 5330 DATE
steve@stephenkemarchitect.com November 10, 2003 S'p 1
REVISIONS DRAWNG TITLE
Plot Plan
0 0
PLANNING DATA
NAME: 4+1 a A ti�— DATE: —.XAP41
SITE ADDRESS'r-" 11-1-457— ss�-w rl VV PLAN CHK#: 0:3-.W/ -7
PROJECT DESCRIPTION: X- Aytofn
REDUCED SITE PLAN PROVIDED?C es/ o
MAP PAGE: kt"�(P CORNER LOT: (Yes
FLAG LOT: cxe--�
ZONING: CRITICAL AREAS DETERMINATION #:
U Study Required:
a �Iv or
L�j Conditional Waiver
SEPA DETERMINATION:
El Fee
Ll Checklist
U APO list w/ notarized form
Z Ll eeded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
pl--41flo "0' 1 "X 6*. 0
SETBACKS:
Reguired Setbacks:
Street: 2,5 Left Side: -15 Right Side: '7.5'f Rear:
Actual Setbacks- I -
Street: LD-' LeftSide: -I#E; Right Side: 17. 5 Rear: "—Pr r-rVfVS'1'f
Street map chocked for additional setback required? CYes_/ No / DN
U DETACHED STRUCTURES:
U ROCKERIES:
U FENCESITRELLISES:
U BAY WINDOWS / PROJECTING MODULATION:
cz's woi- w4-kol
PARKING: Required:
LOT AREA: -7,=�Actuai:
BUILDING HEIGHT:
Datum Point: --two &F Vn, bo�( Datum Elevation:
Maximum Allowed: f Actual Height:_
A.D.U. CREATED?: (No / Yes)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED:
OTHER:
Plan Review By.
NewBPPIan:ningDataForrrLD0C
6-M
STREET. FILE
HARVE H, HARRISON
CITY OF EDIVIONDS MAYOR
CIVIC CENTGR �DMONDS, WASHINGTON 98020 - (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
November 6, 1978
L. P. Tiedeman
19725-84th Ave. W.
Edmonds, Wa. 98020
CHANGE OF ADDRESS
In checking the Edmonds Official Street Map
we find it necessary to change your above
address to that of.19725-83rd.Place West.
We will notify our utility billing and it
will be your responsibility to notify any
other interested parties.
Harry M. Whitcuitt
Building Official
HMW/ae
cc : utility billingv---,*"
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Cl'f'Y OF EDMONDS
COMMUNITY SERVICES DEPARTMENT HLE
RIGHT -OF' -WAY CONSTRUCTION PERMIT
A. * Owner: —Washington Natural Gas Company B. 0 Contractor:
Name
815 Mercer Street
NUlaWddress
e e WA 98111
City State
Zip
Permit No. 91— 121
Issue Date 1, — 'at I - �
Name
Mailing Address
City State. Zip
State License Number Telephone Number
e Address or Vicinity of Construction: 19725 83.Place West
Type of Work to be Done: Install NT-1w Service
D. 0 Work in Connection With: 0 Sub or Plat El Single Family El City Proje cts
0 Commercial El Multifamily - - Utility
E. 0 Pavement Cut: [Z Y El N F. 0 Size of Cut: 2 X 4 (2) 1 Gas and Water.
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, couo-qo9f�;5�_--ald fees by reason of granting this permit.
10 1 T'n
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR. FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant. 1 1
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at completiori,
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: M6M04A'&-'1 Date: June 4, 1991
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: RW , PERMIT FEE:
Time Authorized: Void after AL)(;r days. Restoration Fee:
Special Conditions: Receipt No.: —
Fund I I I Fee:
Street Cut Dimensions: x
RELEASED BY: Date INSPECTED BY Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE-
tng. uiv. marcn 1989
FIELD INSPECTION
(Fu�-d I I I - Route copy to Street D t.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES 0 NO
Date:
Eng. Div. July 1985
Addendum to:
City of Edmonds
Permit Application
Engineering Aide Kerry Walsh
Washington Natural Gas
622-6767 x 2588
Cn zt�:�>, t, vJ
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C-1 A
WA11-:12- MAIN 1rC--Pr4
U 014 wiliow f�4
JE %� I S-r I t,4 C=V 2 " C, A. AAqd#
PFbPC)5EC> —
KEY:
-as- sanitary sewer
-s- storms
-w- water
0 water valve
Aviv
CITY OF EDMONDS
SPECIAL INSPECTION AND TESTING AGREEMENT
The project at - . If -issued under building
- requires special i�sp�ction and/or testing per LTBC Chapter 17
and WAC Amendments 1702. The complete list of special inspections is attached to this document.
BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall
complete this agreement and the attached structural test(s) and inspections schedule includingthe
required acknowledgments.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the
Building Official prior to performing any duties or inspections. Each special inspector shall submit
Statement of Qualifications to the Building Official for review. Special inspectors shall display
identification when performing special inspections on site. Special inspection and testing shall meet
the minimum requirements of UBC Chapter 17 and the following:
A. Duties and Responsibilities of the Special Inspecto
1. Observe Work
The special inspector -shall observe -the site work for conformance with the approved
(stamped) plans. and sp�cifications and applicable workmanship provisions of the UBC.
Architect or En�ineer reviewed shop drawings may be used only as an aid to inspection.
�pecial inspections are to be performed on a continuous basis --meaning that the special
!nspector is on site at all times observing the work requirm pe ia inspection. Pehodic
g s c I
inspections, if any, must have prior ap r0val by the City.based on a eparate written plan
reviewed and approved by thi 9fficial and the engineer or architect of record.
2. Report Non -conforming Items
The special inspector shall bring nonconforming items to the immediate attention of the
contractor and note all such items in the daily field report. Any item not resolved in a timely
manner shall be immediate cause of the special inspector to notify the Building Official of the
plan deviation, error, change or omission. It shall also be the duty of the special inspector to
promptly notify the engineer or architect.
3. Complete Daily Reports
Each special inspector shall complete and sign both the special inspection record and the daily
report form for each day's inspection. These records shall remain at the jobsite with the
contractor for review by the City Building Inspector.
4. Furnish Weekly Reports
The special inspector or inspection agency shall furnish the City with weekly reports of tests
and inspections. The troject engineer or architect, and others as designated shall also be
copied on reports. Wee, ly reports must include the followig:
Description of daily inspections and tests made with applicable locations
List of all nonconforming items
Report on status of nonconforming items (resolved or unresolved)
Itemized changes authorized by the Architect, Engineer and City if not included in
nonconformance items
5. Furnish Final Construction Report
The s ecial inspector or inspection agency shall submit a final signed report to the City stating
that af, items requiring special inspection and testing were fulfilred and reported. And, to the
best of his/her knowledge the project is in conformance with the approved plans and
Vfications, approved change orders and the applicable workmanship provisions of the
. Items not in conformance or unresolved items or any discrepancies in inspection
coverage, (i.e., missed inspections, periodic inspection when continuous inspections were
required, etc.) shall be specifically itemized in this report.
SPECIAL INSPECTION AND TESTING SCHEDULE
1% Jt
PROJECr NAME BUILDING PMtMff NO.
1-7 -7, 5- :K5-ap 14 - W,
PROJECr ADDRFM TESTINGIINSPECTION AGENCY or SPECIAL iNspE=R
REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR:
rameretv r.nnhe r.rnnt Mnrtur
Ae2reme Tests
Reinforcing Tests
Mix Designs
Reinforcing Placement
Bitch Plant Inspection
Inspect Piacing—
Cast Samples
Pick-up Samples
Compression Tests
PRECAST/PRESTRESSED CONCRETE:
UUM run-ji=3 ji-re-jens
ggregate Tests
Reinforcing Tests
Tendon Tests
Mix Desiens
Reinforcing Placement
Insert Placement
T.ncretc Batching
Concrete Placement
Installation Insepction
Cast Samnles
Tests
MASONRY
— Special Inspection Stresses Used
— Preliminary Acceptance Tests (Masonry Units. Wall Prisms)
— Subsequent Tests (Monar. Grout. Field Wall Prisms)
— Placement Inspection of Units
ADDITIONAL INSTRUCTIONS OR OTHER TESTS
ANDINSPECTIONS:
Form completed by:
STRUCTURAL STEELIWELDING:
— Sample and Test (list specific members below)
— Shop Material Identification
— Welding Inspection 0 Shop 0 Field
— Ult:rasonic Inspection 0 Shop 0 Field
— High -strength Bolting
Inspection 0 Shop 0 Field
0 A325 0
0 A490
— Metal Deck Welding Inspection
— Reinforcing Steel Welding Inspection
— Metal Stud WcIding Inspection
— Concrete Insert Welding Inspection
FIREPROOFING:
— Placement Inspection
— Density Tests
— Thickness Tests
— Inspect Batching
INSULATING CONCRETE:
— Sample and Test
— Placement Inspection
— Unit Weights
FILL MATERIAL:
— Acceptance Tests
— Placement Inspection
— Field Density,
STRUCTURAL WOOD:
— Shear Wall Nailing Inspection
— Inspection of Glu-Jam Fab.
— Inspection of Truss Joist Fab.
— Sample and Test Components
Title:
Telephone No.: Date:
02/13/2004 13:55 FAX 4257785536 002/002
menovati.ans 425 774 SZ10
P
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1. Malffy tbo Special InspecM
It is the dUty of the CODUMor to no* thl; qMdRI 6UP00W WhOu wo* Is fesdY for special
inspection. Now, the iteann UAW an the aftied sdodule md as noted on dw appmved
plans and speoifications an mpkW tcP have speeial IdViCOMS. AdMquate notice shid) be
pmvided by the cwtiractor so that The special bnpector has time to become fowdUar with to
Pfaiat.
7. PrvM@ Man to Approved PIUI
The contractor is responsible for peoviding the spWal inqoctor accou to appmed plans at
thciabrite.
Retato Specild L" - , " R PAwords
Flu -.—Mflif adal irapwdm nwwde submitted
spmal hapector. These S am toi: piovilrito W City WIft inspector upon
by
MPML
1. ADMOM IPe6WI IN ""Marta"
S
We building depardwMFORA IhQ a an spowel inspectors Ow qMdal inspccdon
an
r4quirernents.
2. Moultor specM iOsPWtbV Ud aPP e vywaW reports
work =4 the VericIMSOM of Ar' in= shall be
4� 6
_9 must be a u1ned prior to
y &PPMV
pimemmit orconcrou or Other 'ties In addition to Mat of am *podal ingpodor.
M W:i
3.1 C rdfleste of OOMP-acy
The BUMM OMCISI AW Issuo, a I
rqwrW mcla-ding the End repcM ha
D.
lit PM,ed "Mor or the 04#MW of
services.
7%0 Msinew or architod of goacm
vocificadow.
i &m rwii and asm to campi�
r W, M
City Building
to of Oceppency after all vmWy $pedal inspection
submitted kd accepted.
of noold acting as the ownees agent dzH Amd
-��Juft RNMiel inep"tim nquiroments an do Plans and
dw tmw and cmdhions ofthir exremont.
0
.4
Jun 07 04 02:42p IMR Renovation5', 425 774 9210 P.1
WL5 V4 �J tk)
r= NC31NEERING
FIELD OBSERVATION
250 4th Ave. South
Suite2l)l)
Edrnonds, WA 98020
Phone: 425.7783500
Fax: 425,778,5536
Project: Higgins Residence Structural
Job No.: 04045.1C
Inspections
Field Rep.: Ryan Koch
Report No.: 1
Date of Observation: May 26, 2004
Date of Report: May 26, 2004
Location: 19725 83rd Place W, Edmonds
Purpose of Site Visit: Special inspection
for anchor bolts
Client/Owner. IMR Renovations
General Contractor: IMR Renovations,
I
Dennis Hopkins
ASSESSMEN T REPORT
On May 26, 2004, we were called to the above address to provide a special
inspection of 16 anchor bolts epoxied into the new and existing foundation walls, 5/8
inch diameter threaded rods were installed into the foundation walls for the ledger.
The holes were cleaned out with compressed air. Simpson Set 22 was the epoxy
system used. The bolts and embedment matched the requirements of the structural
drawings.
DISCLAIMER
This observation was performed an May 26, 2004 and is the professional opinion of CG
Engineering PLLC based on the information available during this assessment or evaluation.
This report does not warrant or guarantee that all conditions were discovered at the time of
the observation or evaluation. This report was prepared subject to the standard of care
applicable to professional services at the time the services were provided.
05/13/2004 08:02 14254812510 NELSON GEOTECHNICAL
PAGE 02/04
NELsor4 GEOTECHNICAL
----N-�GA A.SSMIATES, INC.
GEOTIECHNICAL Et4GINKERS & GEOLOGisTS
17311-135th Ave. NE, X500
WbodirrAla, WA 90072 project: lei-2 gr EL k2sef-
Tel (425) 4WISM
F-MCEIVED Owner:
Location-,
MAY il 2004 Weather:
DEVELOPMENT SERVICES CTR. Purpose
Cgy OF EDMONDS of Visit: F,%ftu4gt8?n SmA-s9tCM
at A V-�a -
-4A
P'JL - m-- qL_-_
Attachments.,
Signed:
FIELD REPORT.
File No. -3 9 ie2Y— —
Date: 51,110 9 —
Report No.- I -
Page: I of --,3--
By: J-aL
-=Jw Ar 11EF-- � ��V- S.M.
Distribution- V- .
05/13/2004 08:02 14254812510 NELSON GEOTECHNICAL
PAGE 03/04
NGA �NELSON GEOTECHNICAL
ASSOCJATES� INC.
GEOTECHNICAL ENGINEERS & GEOLOGISTS
17311 -1 3Mh Ave. NE, A,500
WvWrmue. WAsSO72 Project,
Tel (A2b) 486-1M9
Fax (425) 481-2510 Owner:
Location:
Weather:
Purpose
of Visit:
FIELD REPORT
File No.
Date:
Report No.
Page- of
BY: J70,L
10 - d-
MW � AN MIM -QA7
Attachments:
Distribution:
05/13/2004 08:02 14254812510 NELSON GEOTECHNICAL PAGE 04/04
FILE NO. -3714 5S�t--
By_ D4TF' SHEET- OF
pt
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NELSON GCOTECHNICAL ASSOCIATM INC-
APPROVED BY PLANNING
DATUM
TOP OF M. BOX
EUEV. +IOO.OY
+q&W
AMMAN LOCATIOM
OF UNDERGROLIMID UTLITIES
TM OF SIDE
SM GAS NO WATER
PIPIMG ON PROPERTY PRIOR
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OTHER
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7,1100 SF.
IMPERVIOUS SURFACE CALCULATIONS
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ONVEWAY
iv.
473 S.F.
WAUCS AND PATIO (COMCREIE)
50 S.F.
CARDEM SHED
120 S.F.
E)OSTRIO RESIDEMDE 1,110 &F.
PROPOSED ADDIDOM 3M S.F.
TOTAL (HEATED AREA) 1. 446 S.F.
GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST. SYST.
SITE PLAN
1 " = 20'
OWNER/CCNTI-J�k�', o,lk I'SRESPONSIBLE
FOR EROSION CON7,901 AND DAMAGE
Drawn By: STEPHEN KERN
2126 Westlake Avenue
Seattle WA 98121
p 206 622 1 1 56
f 206 622 11 58
c 206 605 5330
steve@stephenkemarchitect.com
WALK
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(CONC.)
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RETAIMM WALL
+2CLW
LOT COVERAGE
LOT SLOPE
PROPERTY OWNER & ADDR
LOT COVERAGE OF SSF�.- 2.730 Sy.
0 X
PATRIM NO MAW HIGGIMS
"
ACTUAL�� 13M
S.F.X.00
LOT COVERAGE us SW - 2=
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ZONING
EOMOMK WA WO
425-774-911211
HEIGHT CALCULATIONS
A 96.W
RS-8
LEGAL DESCRIPTION
8 IMLOOP
C N-W
EXCAVATION
ROWn E THOMAS ADD OLK ODD D-OO--LOT
0 0&00,
A%IRACE GRADE:12V
FOOTIMOS NO CRAIIILSPACE:- 15 CU. VOS. (ES?IMATED)
TAX ACCOUNT PARCEL NO.
ACTUAL HDGKT O9.5V
MAXIMUM HEIGHT - 06.25' + 25.00' - 121.2V
OOM700071600
APPROVED AS NOTED
BY ENGIN� PING
a
Date:
3ft 0 Ng;tA) IMP94LVIO"
SVjZ*?kCf1 p(T-VA
RECEIVED
NOV 17 2003
IDEVELOMENT SERVICES CTR.
e F F Y PF
PROJECT JOB NO. PAGE
Patrick and Tracey Higgens 0304 1 of 1
Addition SHEET NO.
Edmonds, WA
DATE
November 10, 2003 S P 1
REVISIONS DRAWING TITLE
Plot Plan
DRAWN BY: STEPHEN KERN
2126 Westlake Avenue
Seattle WA 98121
p 206 622 1156
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VICINI"FY MAP-
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VERIFY LOCATION OF SIDE
SEWER, GAS AND WATER
PIPING ON PROPERTY PRIOR
TO BEGINNING OF CONSTRUCTION
NO.
SIZE (SEE NOTE 4.)
TYPE
MATERIAL
U-VALUE
REMARKS
A
PR. 2'-6 3/4" x_5'-O" EA.
DBL. HUNG
VINYL
0.40
B
PR. 2'-6 3/4" x 5-0" EA.
DBL. HUNG
VINYL
0.40
C
2'-4' X 4'-8"
DBL. HUNG
VI NYL
0.40
WINDOW SCHEDULE- NOTES:
1. ALL INSULATED GLAZING UNITS TO BE N.F.R.C. CERTIFIED.
2. PROVIDE 3/4" INSULATED GLAZING UNITS W/ LOW E COATING.
3. PROVIDE TEMPERED GLASS AT INSULATED GLAZING UNITS AS REQUIRED BY CODE.
4. SIZES ARE ROUGH OPENINGS. ASSUME 1/4- SHIM SPACE AT SIDES; 1/2" SHIM SPACE AT TOP.
DOOR SCHEDULE
NO.
SIZE (SEE NOTES 2. AND 3.)
TYPE
MATERIAL
U-VALUE
R.O.
REMARKS
101
4" EA.
PR. 2'-8" X 6'-8" X 1-3/
SWING
VINYL/GLAZED
0.40
5-6n X 6'-9 1/4"
102
PR. 2'-8" X 6'-8" X 1-3/4" EA.
SWING. _
VINYL/GLAZED
0.40
5'-6" X 6'-9 1/4"
103
PR. 1'-8" X 6'-B" X 1 3/8- EA.
61-FOLD
WOOD/LOUVERED
.
104 jPR.
1'-8" X 6- 8" X 1 3/8" EA.
BI-FOLD
WOOD/LOUVERED
-
105 jPR.
V-10" X 6*-8" X 1 3/8" EA,
BI-FOLD
WOOD/LOUVERED
-
106 1(2)
PR. 1'-0" X 6'-B" X 1 3/8" EA.
BI-FOLD
'WOODAOUVERED
-
107
12'-6 " X 6'-8" X 1 3/8'
SWING
WOOD
-
RE -USE EXISTING LAUNDRY RM. DOOR.
108
_
(3) PANELS 2'-5" X 6'-8- X 1-3/8- EA.
SLIDING
WOOD/LOUVERED
-
DOOR SCHEDULE NOTES:.
1. REFER TO WINDOW SCHEDULE NOTES FOR INSULATED GLAZING UNIT REQUIREMENTS.
2. FOR EXTERIOR DOORS, SIZES ARE ROUGH OPENINGS. ASSUME 1/4" SHIM SPACE AT SIDES; 1/2" SHIM SPACE AT TOP.
3. FOR INTERIOR DOORS, SIZES ARE ACTUAL DOOR SIZES (FRAME AND SHIM SPACE NOT INCLUDED.)
+98.00'
0 0-
EXISTING DRIVEWAY
473 S. F.
IMPERVIOUS SURFACE CALCULATIONS
EXISTING RESIDENCE (INCLUDING OVERHANGS) 1,364 S.F.
. PROPOSED ADDITION (INCLUDING OVERHANGS) 346 S.F.
DRIVEWAY 473 S.F.
WALKS AND PATIO (CONCRETE) 549 S.F.
GARDEN SHED 120 S.F.
P-%l III MILIL 10% A rm% r- A
PROPOSED ADDITION
TOTAL (HEATED AREA)
1,110 S.F.
336 S.F.
1,446 S.F.
S 89 0. 36' 12" E
EXISTING CONIC. 120.00, EXISTING CONC. fllockl +92.50'
WALK WAL
D
3.50' - - - - - - - - 1+96.10
_F ._AQDD-SIAI�A6"
120.00'
S 89 0 36' 12" E
EXISTING CONC.
WALK AND
STEPS
+90.50' 1 �/-
0
LOT COVERAGE LOT SLOPE PROPERTY OWNER & ADDRESS:
Fon
ZONE
H
MONUMENT
LOT COVERAGE (ALLOWED): 35% OF 7,800 S.F. = 2,730 S.F. 8 % PATRICK AND TRACEY HIGGINS
LOT COVERAGE (ACTUAL): 1,566 S.F./7,800 S.F. = 20%
EDMONDS, WA 98026
HEIGHT CALCULATIONS ZONING 425-774-9828
RS-8
A = 96.50' LEGAL DESCRIPTION
B = 96.00'
C = 96.50' EXCAVATION ROBERT E THOMAS ADD BLK 000 D-00-LOT 16
D = 96.00'
FOOTINGS AND CRAWLSPACE: 15 CU. YDS. (ESTIMATED)
AVERAGE GRADE = 96.25' TAX ACCOUNT PARCEL NO.
ACTUAL HEIGHT = 109.84'
MAXIMUM HEIGHT = 96.25' + 25.00' = 121.25' 00558700001600
A
SITE PLAN
1/891 = if-O" 1.)
GENERAL NOTES
1. ALL WORK SHALL CONFORM TO CURRENT EDITIONS OF THE UNIFORM
BUILDING CODE, UNIFORM PLUMBING CODE, WASHINGTON STATE
ENERGY CODE, WASHINGTON STATE VENflLATION & INDOOR AIR
QUALITY CODE, AND EDMONDS COMMLNITY DEVELOPMENT CODE.
2. CONTRACTOR TO VERIFY ALL SITE COtJEITIONS AND LOCATIONS OF
EXISTING U11LIlIES PRIOR TO BEGINNIIG WORK.
3. NOTIFY ARCHITECT OF ANY ERRORS, ONISSIONS, OR CONFLICTS IN
THE DRAWINGS OR SPECIFICATIONS AT THE ADDRESS OR TELEPHONE
NUMBER SHOWN.
4. CONTRACTOR TO VERIFY ALL DIMENSICNS IN FIELD.
5. DO NOT SCALE DRAWINGS FOR DIMENSIONS.
6. UNLESS OTHERWISE NOTED, DIMENSIO% FOR CONCRETE ARE TO FACE
OF CONCRETE. DIMENSIONS FOR EXTERIOR WALLS AND PARTITIONS
ARE TO FACE OF STUD.
7. INSTALL DRAFT STOPS IN FLOOR/CEILING ASSEMBILIES IN ORDER THAT
THE FLOOR/CEILING AREA DOES NOT EXCEED 1,000 S.F. INSTALL
FIRE BLOCKING AND FIRE STOPPING PER SBC 708.
ENERGY NOTES.
1. PROVIDE INSULATION AND GLAZING U-FACTORS AS INDICATED ON
DRAWINGS AND CONSISTENT WITH 2001 WSEC CHAPTER 6
QUALIFICATION FORM - ZONE 1 SUBMITTED WITH BUILDING PERMIT
APPLICTION TO CITY OF EDMONDS.
2. SEAL ALL JOINTS AROUND DOOR FRAMES, WINDOWS UNITS A ND
ANY OTHER PENETRATIONS IN THE BUILDING ENVELOPE WITH CAULKING
SEALANT, GASKETS OR WEATHERSTRIPPING TO PREVENT AIR LEAKAGE.
MECHANICAUVENTILATION NOTES
1. PROVIDE ELECTRIC RESISTANCE BASE BOART HEATERS AT FAMILY
ROOM. PROVIDE REMOTE THERMOSTAT FOR CONTROL OF ALL
BASEBOARD HEATERS IN FAMILY RM. VERIFY LOCATION WITH OWNER.
2. EXHAUST FANS WITH MANUAL CONTROLA SHALL BE PROVIDED IN
THE BATHROOMS AND UTILITY RM. (50 CFM MIN.) AND KITCHEN
(100 CFM MIN.) VERIFY MANUFACTURER AND LOCATION OF FAN
WITH ARCHITECT.
3. INSULATE SUPPLY AND EXHAUST AIR DUCTS IN UN -CONDITIONED
SPACES PER WSEC.
4. INSULATE HOT AND COLD DOMESTIC WATER PIPING IN UN-
CONDITIONED SPACES PER WSEC 5-12.
5. PROVIDE MOISTURE CONTROL PER WSEC 502.16.
ELECTRICAL NOTES_
1. ALL NEW WORK SHALL CONFORM TO THE CURRENT EDITIONS OF THE
12" A.F.F. N.E.C. AND U.B.C.
2. LOCATE CONVENIENCE OUTLETS PER CODE. INSTALL OUTLETS AT
UNLESS NOTED OTHERWISE.
3. LOCATE SWITCHES AT SAME HEIGHT A.F.F. AS IN EXISTING RESIDENCE.
4. VERIFY ALL FIXTURE AND OUTLET ROUGH -IN LOCA11ONS PRIOR TO
WIRING.
5. ELECTRICAL SUBCONTRACTOR TO PROVIDE ROUGH -IN BOXES, WIRING,
CONNECTORS, PANELS AND BREAKERS, ACCESSORIES AND TRIM AS
REQ'D. FOR COMPLETE AND OPERATIONAL INSTALLATION.
PROJECT INFORMATION
PROJECT DESCRIPTION:
ADDITON OF FAMILY ROOM TO EAST SIDE OF THE EXISTING RESIDENCE; REMODEL
OF EXISTING KITCHEN, DINING AREA AND UTILITY RM,
OWNER:
PROJECT LOCATION:
PATRICK AND TRACEY HIGGINS
19725 83rd PLACE W.
19725 83rd PLACE W.
EDMONDS, WA 98026
EDMONDS, WA 98026
425-774-9828
425-774-9828
CONTRACTOR:
STRUCTURAL ENGINEER:
IMR RENOVATIONS
SWENSON SAY FAGET
DENNIS HOPKINS
GARY MCKENZIE
P.O. BOX 1896
2124 3RD AVE.
EDMONDS, WA 98020
SEATTLE, WA 98121
425-774-9110
206-443-6212
I
DRAWING INDEX
A-1 PROJECT INFORMATION, SITE PLAN, DOOR AND WINDOW SCHEDULES
A-2 FLOOR PLAN AND ROOF PLAN
A-3 EXTERIOR ELEVATIONS, TYPICAL WALL SECTION
S-1 FOUNDA11ON AND FLOOR FRAMING PLAN, ROOF FRAMING PLAN, DETAILS
S-2 STRUCTUAL NOTES
j U
C'
IMAM
APPROVED BY PLANNING
)N17-- - C;/
E -7.
I ER
APPROVED AS NOTED
BY ENGINEERIN
3' . M
Date: t t'l I M
�3q2- zo IVIFW
jMp"Vj6-R5 5LAV*ACx�-
AV-S*A--
GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST. SYST.
PROJECT
Higgins Residence
Addition
Edmonds, WA
DATE
November 10, 2003
REVISIONS
RSCSI)19D
NOV 117 2003
DEVELOPMENT SERVICES CTR.
mTV OF EDMONDS
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