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21916 93RD PL W.PDF111111.111111 9091 21916 93RD PL W ADDRESS: q'-c,*2f D PL V) TAX ACCOUNT/PARCEL NUMBER: on 61420 Oco BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: C34 —I DETERMINATION: E] Conditional Waiver 0 Study Required ;,�aiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: to�t5IA SEWER LID FEE $: SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: LID #: BLOCK: LATEMP\DSrs\Fomis\Street File Checklist.doc YL)C,.,3 rd p L,3 P& r cx, S-4-ho-oco-,coT-co-ol CvNll� 70e) rZ APPROVED BY PLANNING I Qolq Koo/,,/ loz�� , oy 7- 4.o RECEIVED OCT 15 2004 PERMIT COUNTER w i-1 hff* a: fwmncd — r4m?- 1p VXF.V,fvr,- , > fm &4ArAo4mp r& 193, P�- L,.D, APPLICATION 1, 'UILDING PERMIT Appl. No. "­4r� CITY OF EDMONDS Building Department P,-=*t limit, one year APPLICATION is hereby made for a permit to construct the following work, in accordance with the accom- panying plans ard specifications. Two sets are submitted herewith for approval. alter Off -St .................................... Parking ...................... Work addn repair ...... ....................... -ype Occupancy -------------------------------- Const. t ........................ ------ Use zon( ....... Fi:e zone... tAddress.. ....... .......... Lo ....... ......... Blk ........................ ..... .......... ............ / /I/ "e .7 -X'a , -e' 1) Lot frontage ........ ............................... Area.. X.Zo. 4i6-4.f.- Septic ..................... Bld.g. set,backs — front ....... ............ r. side ....... - ----------- 1. side ..... ........................ rear ...... .............. Z . O'V.'r_ 7'� Fw Addr.,�' 27; ... Tel. No/�. Builder---- --------------------------- 1- ....... Addre& ....... .......................................... .. Tel. No .... ........................ Plansby ------------------------------------------------------------------ Address ---------------------------------------------------- Tel. No ----------------------------- , Remarks-------------------------------------------------------------------------------------- ----------- * --------------------------- * ----- * ------------- * ------------------------ ............. ................... I .............................................................. ................................................................................................ 'ne above is a correct state nd I a. ree to co ply with all applicable Codes and State laws regulating this work. SignedOwner/Agen_ ..... ... ... . . ............................... Address ............................................ Date .......... ......... PERMIT for the above work is hereby approved, subject to the above cond!i5iRns, and to compliance with the ap- proved plans and specifications, and Building Department notations th .. .. . . ............. ermit fee Valuation ...... P ....... Building Department, 13Y... . ........... .... Date --------_----------__-- This Permit does -not cover Plumbing, Sewe r or Electrical installations. PLANNING DATA tgl;[57o q NAME: DATE: SITE ADDRESS: 770 L-,/ PLAN CHK#:- 0 Zf -,tkq PROJECT DESCRIPTION: Z" fra It V'df"- REDUCED SITE PLAN PROVIDED?�Yesp No MAP PAGE: Y CORNER LOT: FLAG LOT: (Yes QNo ZONING: CRITICAL AREAS DETERMINATION #:- 0 —1 ;o LJStudv Reaulred: �6alver UConditional Waiver SEPA DETERMINATION: Fee Checklist 0 Apo list w/ notarized form 0 (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) �96xempt SETBACKS: Street: Le Righ R NO Ig Actual Setbacks: Street: oft Side: ight Side:_ Re,ar- r io reaul ? f Street map cheVcker add6itional setback require*d? (Yes No DNA) DETACHED STRUCTURES: L3 ROCKERIES: 0 FENCES/TR'ELLISES: /V6 L3 BAY WINDOWS / PROJECTING MODULATION: 0 STAIRS/ DECKS: PARKING: Required: \�-A �tuai: LOT AREA: LOT COVEKAUL: /V Calculations: BUILDING HEIGHT: Datum Point: Datum Elevation: 1\ A114- Maximum Allowed: X ____Actual Height: A.D.U. CREATED?: (No / Yes SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yeso OTHER: NewBPP1anningDataFomi.D0C Geotechnical Engineers, Geologists Group Northwest, Inc. & Environmental Scientists September 13, 2004 nEET FILE. Project No. G - 1892 ST m Mr. Joe Gretsch Infinity Homes RECEIVED 3841 156' Ave. SE Bellevue, Washington 98006 OCT 15 2004 Subject: Soils Investigation PERMIT COUNTER Damage Investigation 21916 - 93' Place W Edmonds, Washington Dear Mr. Gretsch: We*visited the subject site on 8/30/04 and conducted a soils investigation as requested to investigate the cause for the house to be sinking on the north side of the house. SITE GEOLOGY According to the local geologic map the subjecf site consists of Quaternary age till from the Frazier Glaciation. Frazier till generally consists of a compact mixture of silt, sand, and, gravel in varying amounts deposited and compacted by overriding glacial ice., The unit is commonly referred to as 'hardpan'. SUBSURFACE CONDITIONS We conducted a subsurface investigation consisting of one hand auger boring located 30-feet west of the NE comer of the garage. The boring was angled back underneath the house slab from 1 -foot off the north wall. The table below gives a summary of the subsurface con, ditions encountered. DEPTH (ft) SOIL DESCRIPTION COMMENTS 0-1.5 Crushed rock and plaster waste (fill) ery dense, dry 1.5 - 2.3 _Gray sil ND with gravel (till fill) ery dense, moist 2.3-3.5 Red/brown SAND with silt and burnt wood waste ediurn dense, wet 3.5-5.0 V6 id Space with wood waste above and very wet SAND below Loose soils, sloughing soils 5.0-6.0 Dark brown organic silt with sand and wood waste Very loose, wet 0.0-7.0 IRed/bro n fine SAND with silt Medium dense, wet �.O - 7.2 JGray silty -SAND with gravel (till) IVery Dense, moist 13240 NE 20th Street, Suite 12 Bellevue, Washington 98005 Phone 425/649-8757 FAX 425/649-8758 September 13, 2004 G - 1892 Infi.nity Homes Damage Investigation Page 2 CONCLUSIONS AND RECOMMENDATIONS The subject home is sinking due to 3.7 feet of voids with loose sands, wood waste and organics that were encountered between 2.3 and 6 feet below the surface under the foundation footing for the north wall. As the wood debris continues to decay subsidence of the ground in this area will continue. We recommend the following. To stabilize the house foundation and slab: Support the North wall with small diameter pipe piles to support the foundation and remove sections of the floor slab that have been effected by the settlement and replace them with structural slabs supported on pipe piles. Two inch diameter schedule 80 pipe piles should be driven to refusal (1 -inch per minute) with a 140 pound pneumatic hammer, to achieve a capacity of 3-tons per pile. If you have any questions, or if we can be of further assistance please call. Sincerely, GEO Group Northwest, Inc. 61 ��� Andy Wade Geologist William Chang P.E. Principal Attachments: Plate I - Vicinity Map GEO Group Northwest, Inc I .­ 4�' � E #P20 CA File No: 'A - Critical Areas Checklist Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 2. Property Tax Account Number: b0C�Z1-7('1-00WC)'5-00 3. Approximate Site Size (acres or square feet): sk4�t— V 4. Is this site currently developed? A yes; — no. If yes; how is site developed? S-1-10rj'r- ro-� 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. XRolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet ,over a horizontal distance of 33 to 66-feet). I Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: NQ Approx. Depth: 7. Site contains areas of seasonal standing water: L9 ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway #'*J 0 floodplain — of a water course. 9. Site contain . s a creek or an area where water flows across the grounds surface? Flows are year-round? . A -,')0 — Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs n-dxed urban landscaped (lawn, shrubs etc) 11. Obvious wetland -is present on site: — M) 1. 2. 3. Plan Check Number, if applicable? Site is Zoned? SCS mapped soil type(s)?. 1�v Z For City Staff Use Only .5,- 4iJer—c,,j vrba,-, ta4 co 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5. Site within designated earth subsidence landslide hazard area? A/0 - Reviewed bv: d- - F C"(0 5 4 DETERMINATION �UIRED X WAIVER Date: jol�16q Critical Areas Checklist/3.25.2004 0 #P20 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 inventories, maps, or soil surveys). Date Received: City Receipt #: Critical Areas File #: Critical Areas Checklist Fee: $135.00 Date Mailed to ADDlicant: ./ 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 conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/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 certify that the information and exhibits herewith submitted are true and correct to the best of my 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 U 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 for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting tte dant to this application. el� SIGNATURE OF OWNER AAQ1AJAn,>Q DATE C,>el? Owner/Applicant: Name 2-19*6 �J- Street Address Ejrv,,C���.t city State Zip Telephone: g2(0 ), A\I— Email address (optional): . Applicant Representative: Name 2-M I - I �;-� Street Address City State Zip Telephone: S 35 R, vJoL[tA),-,8CJe Cpygasj K& Email Address (optional): AM ITION CARD No . ............. for SIDE SEWER PERAW The chy of 56noo& Flur. EASEMENT No. ....... . ..... OUTSIDE 0 INSIDE 0 REPAIRS 0 OwNg ...... U-00e .......... PERMIT It .... -s .. I ,". No 4 STREET _Qy' ... . . ......... .................. .... CONTRACTOR r .. 0. IV) ......... AVENUE LOT No. � ......... V5 .............. ................................... BLOCK No . ..... ........... . .... ... .... ........ ..... ...... .. HOUgE N. . .... ............... t..Z. .14 ........ ?.�� ....... 4j NAME ADD WWI&) .... . Ir ...... I ................... wds I Owl IkPPROY Date Approved: BACKFIELL WORK ORDER ISSUED ...................................... ..... DEPOSIT, .................... .............. I've, Ile SEWERWORK ORDER ISSUED ....... ........................................ DATE ... ------- )� ................... .................... NOTICE: Y. 'O"Wa r-ra nty-. OT -N' The -information shown on the attached for use by the OtY Of map(s) was c(:)m - piled Edmonds/ its Empl.oyees and Consultants. Th,..e City ofEdm.onds does. not. wa rra nt the accuracy of anything set for.th on these Map(s). An . V person or entity -requesting a copy should conduct an -independent orm'ation shown, o inquiry regarding the infi t Fi-�� -M a P (S) / including, but not hmited to, c ion of any seWer stub shown. Suc the lo' at' -not exist and may sewer stubs may or may or may not exist at the location shown. Neltheir the City of Edmonds nor its emp'-o-yee-s 0-r officers -sha-H be 1--ja-b-IFe for thE on this map(5), nor for information g've' presentation provided based any one re upon*said map(s),