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19990348.pdf"'"T CITY OF EDMONDS 'Z� CONSTRUCTION PERMIT APPLICATION A OWNER NAMEINAME OF BUSINESS : . : (-v- MAILING ADDRESS -4,00 612�NwooC) AVO CITY ZIP T1110111INI � -6A7-rL-e nsq NAME ADDRESS 6517 FRAW35. A/ If 031TILI'll CITY 4i �e,Ak 62-%, 1L33-14D3�- ME DWAI F- A a- 6t�IIYlll (UlQTv40uR- ADDRESS CITY zip TELEPHONE STATE LICENSE NUMBER EXPIRTION DATE CHECKED By LEGAL DESCRIPTION OF PROPERTY INCLUDE ALL EASEMENTS < PROPERTY TAX ACCOUNT FAR 5 c7,1511-0002 2.52�7 NE. (;� RESIDENTIAL PLUMBING I MECH - [:3 ADDITION E3 COMMERMAL o MPLIANCEOR - CHANGE OF USE REMODEL 0 APARTMENT SIGN REPAIR 9 m Y.. I X, FT) DEMOLISH F1 TANK OTHER GARAGE r-I RETAINING WALL RENEWAL CARPORT - RoCKERY ;TYPE OF USE BUSINESS OR A TIVITY1 EXPLAIN s, I MEIEROI NUMBER U CRITICAL o OF DWELLING 6WC- STORIES UNITS R AS A E NUMBER DESKIg ;RK (TO DONE -F 67,00 Y16 ' !I I IN 1 GLAZING I LOAL2 6,, PLAN CHECK NO: c DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO a E ONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CUFHBS�SIDEWALKS. DRIVEWAYS. MARQUEES.ETC.) WILL REQUIRE SEPARATE PERMISSION, PERMIT APPLICATI N: 180 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS -AIRLICANT. 0. BE.ALP 01 HIS OR HER SPOUSE HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES: AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGESOF W AT5VER NATURE. ARISING DIFECTLYOR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE 0 DEEMEDTDMODIPY. WAIVEOR REDUCE ANY REQUIREMENTOF ANYCITYORDINANC E NOR LIMIT INANY WAYTHE CITY S ABILITY TGENFORCE ANY ORDINANCE PROVISION, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T I AGREE TO COMPLI WITH CITY AND STATE LAWS REGULATING CONST.UC T:IEOWNER ON. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN S COMPENSATION INSURANCE AND RCVV t8.21 o �.;,7 ------ IV gR ATTENTION gv IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PERMIT EXPIR 4"/�,j,) ES SE 0/t- PERMIT 1 2— NUMBER %CA v2- SUJlE/APT. DURESS IJ I —7-DIVISION VWAL DESCRIPTION-, NO, LID NO Is - z 4- - b 4-- e i zso&/ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP YEr-A11111.1 C3 EXISTING REQUIRED DEDICATION 00 PROPOSED NgSIZE NO OF FIXTURES � -7 1 P V REQUIRED YES CK No 0 750d IHPE-X-VACAIS DE516W44 4GINEERING MEMO DATED REVIEWED BY &/,,/,s ;, '? e W RE MEMO DATED REVIEWED By VARIANCE OR CU ADBI SHORELINE -7ETA REVIEW SIGN AREA HEIGHT OMPLETE EXEMPT ALLOWED PROPOSED ALLOWED ROPI P I W9 Ad LOT COVERAGE REQUIRED SETBACKS (FT.� �ROPOSED SETBACKS LLOWED FR02;0 FRONT SIDE REAR FRONT UPSIDE RE ?2!� 0-1;- /-,o ;4!�- I �7 &g- !� LOT AREA U��lsvfby HECREDBY IT" F CONSTRf'-' P ECIAL NSFE iEOUIRED IEMAPKS f 3RnGRESS INSPECTIONS PER UBC 108 ILAN CHECK FEE WILDING 0ECHANIGAL 3RADINGIFILL 3TATE SURCHARGE 5TORM DRAINAGE FEES ENG. INSPECTION FEE ILAN CHECK DEPOSIT TOTAL AMOUNT DUE CALL -OR INSPECTR (425) 771-0220 VALUATION I FEE APPLICATION APPROVAL Th,s -1111110m 11 �IX A P- I-N 1.pod PV tho nwl-! ON.r.l.. D­.!y ��l 11-1 E:EASED �F E b 1 : ORIGINAL FILE YELLOW - INSPECTOR PINK. OWNER ROLD ASSESSOR = 11110111 z 0 j 0 C: m m a -40 00 c M M z 0-4 a > o -n 3: m Mg 065 0 o C D) K (D rn 0 Z ;a z -4 a; ri) z 0 -j 0 m ve WPM. rffl 2. 21' W.Y� 4! A 52!.d. Pfl. A07 yi-f �'hs 1p ;o. "For- I'M W—PIA-f IWI" PIT Fff- Ngw =M-- N -eA VillyrA, FLA(:a PLAAIC AeMoAM PLAO By*;/ OR m IZ MM =1 ID MM 0 OF.., ic (j) NOTICE: IF T14E DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. CITY COPY �fAL-cLj Levowe 4 VIAQ C-OPE-� lt4ffO 'Zo HIN (IAAy p loo M5 RA�,PMSI-47+ 1-5,34 �-`!Al t� FLz Z42-,! 'S'F 1-0 6q 4o HM FL9 A s e-oIApoNaI,.r - F-OAe-1-4 . MP-1104HAN68- APP -rAg,5qe7r 49 4d 1#! 1 & . I pe-opo�F-L; 6AA = 6io. 6 rFqa46,�r-( (0e DeTT -ro M "15p. E! . r-) WHOLg H0�4,96 ic 0"r' Cr_ro aN,4gZ,,r -r , -Ip Ir-ILB7r Pm C7 eprA V pl.-ONLAI� 10'ero A �e 4e,- -ro jig, 5* 507. 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FOP- 1!�F-r-VTINA F, HAI�net-lglSr- T Dean B. Griswold, P.E. Geotechnical Engineer 9745 College Way North Seattle, Washington 206/627-3370 May9,1999 Mr. Rick Hagemeier 7600 Greenwood Avenue North, #202 Seattle, Washington 98102 hnv -J C RE: 912 Sea Vista Place, Edmonds, Washington Geotechnical Engineering Study Dear Mr. Hagemeier: I am pleased to present this geotechnical engineering study for your proposed residence in Edmonds, Washington. This study was performed to assess the soil conditions on the site for use in design and construction of the project. The attached report contains the results of the limited subsurface exploration and recommendations for foundation and retaining wall construction, subsurface drainage provision, temporary excavation slopes, erosion control, and other pertinent site development issues. Feel free to contact me if you have questions or need further geotechnical information. G R iS Dean B. Griswold, P.E. Geotechnical Engineer t'2: E �Z.r,C,JV jVVE D 19 1999 pEVFLOPMENT SFRVICES CTR. CITY OF EDMONDS z 0 C: M M 0 11 -q 0 00 C: M M C 0) o -n n � I ' M M a Ui 0,- 0 M a C/) 9 C/) M C) z -A z z 0 M GEOTECHNICAL ENGINEERING STUDY HAGEMEIER RESIDENCE 912 SEA VISTA PI.ACE EDMONDS, WASHINGTON EDMONDS PROJECT #99-90 This project presents the findings and recommendations of our geotechnical engineering study for the proposed Hagemeier residence, to be constructed in the nine hundred block of Sea Vista Place, Edmonds, Washington. The general location of the subject property is shown on the vicinity map, Figure 1. We were provided with the Sheets 1 through 7 of the plans prepared by Cindy Hoover, Architect, dated April 14, 1999 (Sheet 7 is a framing plan from Trus d discussions with the owner, Joist MacMillan). Based on these plans, an residence will consist one story with a daylight basement and a split level for the basement entrance. A reinforced cautilevered retaining wall is planned entry on the north side. Short rockeries are planned to facilitate the driveway grades and a small amount of level backyard adjacent to the east side of the residence. SITE CONDITIONS SURFACE CONDITIONS The irregularly shaped parcel is approximately 83 feet wide along Sea Vista Place. The north and south property lines are approximately 147 feet and 117 feet, respectively. A rockery ranging from about 2 feet in height at the southwest property comer to almost 5 feet near the northwest corner exists along the right-of-way. A concrete slab from a former shed structure is located in the northeast portion of the parcel. The topography slopes moderately up to the east at inclinations roughly 30 to 35 percent with a topographic relief of about 35 to 40 feet until the site levels off. The slope is generally uniform with the exception of short steep section is present near the top of the slope. No evidence of earth movement or distress was observed. A short rockery exists approximately 30 feet east of the top of slope. The site was vegetated with various grasses and low gound cover. Pagel z C M M 0 -40 0 0 C: �g M M z 0 -n 'n M M 0 0 C Cn 90) Q 0 Z 3: z -1 z 0 1 0 M No evidence of emergent groundwater seepage was present. SUBSURFACE CONDITIONS The subsurface soil conditions were assessed with a series of shallow hand excavated test pits. The approximate locations of the test pits are shown on Figure 2, which also shows the proposed site development and topography (basis of Figure 2 is Sheet I of 7 of the plans developed by Cindy Hoover, Architect). The exploration logs are provided at the end of this report. The conditions encountered in the explorations consisted, in general, of three to lo inches of topsoil over silty sand with gravel and occasional cobbles some zones of sandy silt. The silty sand was loose to medium dense, with increasing density with depth, and was moist to wet. In Exploration H-5, glacially consolidated soil was encountered at a depth of one foot beneath the ground surface. This soil was also silty sand with gravel, and appeared to be weathered till, and was in a dense to very dense condition. The shallow explorations were left open for two days prior to backfilling. No sloughing of the sides of the explorations were observed. The density of the exploration bottoms were assessed with the use of a one half inch steel probe. The bottoms of the explorations were found to be medium dense except in Exploration H-5, which was dense to very dense. GROUNDWATER SEEPAGE No free groundwater was observed in the hand -excavated test pits prior to backfilling. Groundwater seepage can vary seasonally. During construction, it is possible that zones of seepage may be encountered. CONCLUSIONS AND RECONMENDATIONS GENERAL Medium dense to dense silty sand was encountered beneath the loose surficial soil. The foundations and slabs for the residence can be supported on the medium dense to dense soil or structural fill placed above these soils. The location of the structure, including associated retaining walls and rockeries, will allow adequate space for sloped temporary excavations without encroaching upon neighboring properties. The on -site soil appears to be suitable for general backfilling purposes. However, Page 2 Z 0 am C rn 00 80 C � C M M Z 0-4 0 -n n M M 1�1 0 0 Fn a (J) C 0) Q 0. M Z U) Z 0 q 0 M it will be difficult to compact as structural fill if it is over the optimum moisture content. Imported sand and gravel may be used if project scheduling does not permit moisture conditioning of the on -site soil. SITE STABIIJTY No evidence of earth movement was observed during site reconnaissance. No tension cracks were observed. No emergent groundwater seepage was observed. No vegetation was apparent which requires wet soil conditions for survival. Provided the project as shown on the referenced plans is designed and constructed in accordance with recommendations contained in this report, the risk of damage to the proposed development due to earth movement appears to be minimal. FOUNDATIONS The proposed residence can be supported with continuous or spread footings founded on the medium to very dense native soils or on structural fill placed on those soils. Continuous footings should be at least 16 inches wide. All footings should be embedded a minimum of 12 inches beneath the adjacent finish ground surface for frost protection. The bearing surface for foundations should be cleaned of all loose or disturbed soil prior to pouring concrete. A smooth backhoe bucket should be used to minimize disturbance of the bearing surface. Recompaction of loosened soil should be avoided. Foundations constructed in accordance to the above recommendations may be designed for an allowable bearing pressure of 2,000 pounds per square foot. This -term loads due to value may be increased by one-third when considering short wind or seismic forces. Total settlement of footings founded as recommended in this report is expected to be no more than three quarters of an inch, with differential settlement of about one half inch. Lateral forces from wind or seismic loading can be resisted by friction between the base of the foundation and the underlying soil and passive earth pressure acting on the embedded portion of the foundation. For design purposes, we recommend using a coefficient of friction of 0.4, and passive earth pressure equivalent to a fluid weighing no more than 300 pounds per cubic foot, For the recommended passive earth pressure, the footing should be poured directly against the native undisturbed soil or compacted structural fill. SLABS ON GRADE Slabs on grade may be constructed on competent native soils in a firm, non - Page 3 I Z 9 0 M C M M 0 0 80 C: -4 K = M M Z 10-1 om n -4 X rcn M U C/) 0 Fn rJ) C 0) M 0 Z Z Z 9 0 M yielding condition. A capillary break material consisting of 4 to 6 inches of clean, well drained sand or gravel should be placed above the subgrade soil. A vapor barrier, consisting of 6-mil plastic sheeting should be placed above the capillary break material. A thin layer of finishing sand should be placed above the vapor barrier to reduce the risk of damage to the plastic sheeting. FOUNDATION AND RETAINING WALLS Retaining walls must be designed to resist the lateral earth pressures from the retained soil. For retaining walls which can deflect approximately 0.1 percent of the total height of the wall, the active lateral earth pressure is recommended to be equivalent to a fluid with a density of 35 pounds per cubic foot. For sloping backfill, an equivalent active fluid weight of 55 pounds per cubic foot is recommended. This value is for the case of level backfill. For restrained walls which are not free to deflect, the recommended at -rest pressure for design is equivalent to a fluid with a density of 55 pounds per cubic foot. The structural engineer should account for any slope surcharges in the design of restrained walls. The coefficient of friction may be taken as 0.4 and passive earth pressure equivalent to a fluid weighing 300 pounds per cubic foot. Appro priate factors of safety should be incorporated into wall design in accordance with local building codes and engineering practice. Heavy construction equipment should not be operated behind retaining walls unless the walls are specifically designed to accommodate the associated surcharges. Compaction of backfill for retaining walls should be attempted only with hand - operated equipment to avoid inducing excessive lateral pressures. Compaction of retaining wall backfill should be limited to that necessary to limit settlement of the ground surface and rockery elements that will be founded in the backfill area. Retaining walls should be provided with subsurface drainage to prevent the buildup of hydrostatic pressures. Recommendations for subsurface drainage are contained in the subsequent section on drainage provisions. DRAINAGE PROVISIONS Subsurface drains should be placed at the exterior of all footings. The subsurface Page 4 E z 0 rn C M M __10 00 C M M E: o"n n -4 M 0 0 Fn M 0 z 71 X --I z (j) z 0 M drains consist of 4-inch perforated pipe surrounded by at least 6 inches of washed gravel, and wrapped in a non -woven geotextile fabric (such as Mirafi 140N or equivalent). The perforations should be placed level with the bottom of the base of footings and must be sloped to drain. Subsurface drains must be tight lined separately from the storm drainage system and should be connected to the storm water system downstream of the detention system. The subsurface drain system for the restrained wall on the east side of the residence should include placement of 12 inches of washed gravel for the full height of the exterior wall minus about one foot. The final foot of backfill adjacent to the wall should be relatively impervious native soil. The washed gravel should be separated from general backfill with geotextile fabric. The recommended subsurface drainage provisions will not ensure that the below grade spaces in the residence are waterproof. Consideration should be given to other moisture prevention methods and waterproofing systems. STRUCTURAL FILL Structural fill beneath foundation elements should consist of clean, well graded pit run material or crushed rock compacted to a density of at least 95 percent of the maximum dry density based on ASTM D-1557 (Modified Proctor). Lift thicknesses of structural fill should be limited to 12 inches loose. If the on -site soil is to be used as structural fill, it must be moisture conditioned so that it is placed close to the optimum moisture content. EXCAVATIONS n The contractor should adhere to all local, state, and natio al governmental safety regulations. For this project, temporary excavations deeper than 4 feet should be inclined no steeper than IH:1V (100 percent). In the event that seepage or marginal soil conditions are encountered during construction, flatter slopes may be warranted. Temporary excavations within the unweathered glacial till unit can be steepened to 3/411: IV (133 percent). If encountered, the contractor may have difficulty excavating through this geologic unit. During wet weather, excavation slopes should be protected with anchored geotextile fabric. If plastic sheeting is used, concentrated runoff from the sheeting must be carefully controlled. Temporary excavations should be backfilled as soon as possible to reestablish rough grade. Page 5 Z 0 0 M rn 0 0 80 C M M z C 0 -n n M M a 0 0 Fn C (4 0 0 r T ;D z z 0 d 0 M Permanent cut or fill slopes should be no steeper than 2H: IV (50 percent) unless local regulations require flatter permanent slopes. ROCKERIES Rockeries planned for the development of this parcel should be constructed in accordance with the Association of Rockery Contractors guidelines, or local requirements. in general, rockeries should consist of 3 and 4 man rocks, with the lowest course of rocks embedded 12 to 18 inches. The face of the rockery should be battered at least 15 degrees. At least 12 inches of drainage material should be placed behind the rockery, to within one foot of the surface. Relatively impermeable soil should be placed in the upper foot to cover the drainage material. A 4-inch perforated pipe should be placed behind the lower course of rocks, and routed to an approved discharge point. The slope above the rockeries should be limited to iuclinations of 8H:3V or flatter. Consideration should be given to the use of a modular block and geogrid system in place of the rockery planned to the east of the residence. Two layers of geogrid reinforcement should be used, with lengths equal to the height of the wall. The geogrid should be separated by at least 12 inches of compacted fill and connected to the modular blocks. The subgrade for the wall should be compacted to at least 90 percent of the maximum dry density in accordance with ASTM D-1557 (modified Proctor). EROSION AND SEDIMENATION CONTROL Erosion and sedimention control measures are required to contain sediment within the construction activity area. Recommended measures include provision of a controlled access area, construction and maintenance of a silt fence, and proper staging of grading activities. The controlled access area should be constructed in accordance with local regulations, and should include a geotextile fabric beneath the spalls or gravel to maintain separation with the underlying soil. The silt fence may be a filter fabric fence or staw bale fence. Both systems must be properly embedded or trenched into the surface soil to ensure that runoff will be filtered. Proper staking and support are necessary to minimize maintenance requirements. Temporary drainge control will be facilitated if the storm system is connected during the early stages of construction. Concentrated runoff prior to installation of gutters and downspouts should be avoided. Page 6 Z 9 0 M M, rn 00 80 -4 X M 0 -n M rn 0 0 0 a M 0 M -4 Z Z 9 0 M 7 Measures should be used, to protect exposed soil surfaces, especially during rainy periods. LIMITATIONS AND ADDITIONAL SERVICES The analyses, conclusions, and recommendations contained in this report are based on the conditions observed during site visits, soils encountered in the explorations, and our understanding of the proposed construction. This study included limited subsurface exploration. If subsurface conditions encountered during construction are significantly different from that exposed in the explorations for this study, we should be notified immediately so that we can reconsider our recommendations as necessary. This report has been prepared for the use of Kristina and Rick Hagemeier and their representatives for this project. The conclusions and recommendations contained in this report are professional opinions derived in a manner consistent with the current state of engineering practice. No warranty is expressed or implied. We should be retained to provide geotechnical consultation and observation services during the construction phase of this project to confirm that the subsurface conditions are consistent with those encountered during our site investigation. Page 7 ..77 z V M C — k M Z5 40 0 C A M 0 -n n M M DO—) 0 0 M 0 z 0) z 9 0 M C-) LD CL 2 =1 2M a LL D CD IL C) cli < CF) z 0 Uwe -T SA-0. (Fk5" -5HF-v). lid le" a 26 New g��P--f . .......................... 4 -66,95 Z - - - - - - - - - - - - - ca 'Z rAno t4 1&1;9 6F FoLvT F p I"i I 1-7 -ib, OF J3 12! matT m p id PIT, MA)( ZO'/- MA',C. 14 14 aee -YrAr li eIN vie --z Z, ol 0 rl: 0 80, IM m 2; ID z E: � � ra i 0 -n n m M a- 00) 0 Fn' C 0) c W M 0 z z 0) z m 7j SUBSURFACE EXPLORATIONS '2. Location: Hagemeier Residence; 9xx Sea Vista Place, Edmonds, WA Date: May 6,1999 Exploration H-1 77 122= Descriplion z 0 to 10 inches TOPSOIL, silty sand with organics, with gravel, roots, 0 loose, moist, dark brown 10 inches to 2.5 feet SILTY SAND (SM) with gravel and occasional cobbles and -1 -n — roots, loose to medium dense, moist, reddish brown -4 C N" M 0 0 Exploration H-2 M Descriplion > -j 0 to 3 inches TOPSOIL/DUFF, silty sand with organics, loose, moist, dark brown 0" n LU 3 inches to 3 feet SILTY SAND (SM), loose to medium dense, to sandy sift, M M S to firm, with gravel, moist to wet, reddish brown oft 0 0 6 Fn C co C co Q 0 Exploration H-3 QescNpdon 0 to 8 inches TOPSOIL, silty sand with organics, roots, loose, moist to wet, z dark brown U) 8 inches to 1 1/4 feet SILTY SAND (SM) with gravel and occasional cobbles, z occasional roots, loose to medium dense, moist, reddish brown 0 1 1 /4 feet to 3 feet SILTY SAND (SM) with gravel, medium dense, moist, light grayish brown )1 "K. Exploration H-4 Descripbon 0 to 8 inches TOPSOIL, silty sand with gravel, organics, roots, loose, moist, dark brown 6 inches to 2 feet SILTY SAND (SM) with gravel, loose to medium dense, z moist, reddish brown 2 feet to 3 feet SILTY SAND (SM) wit h gravel, medium dense, moist, light brown K, Exploration H-5 0 -40 C: M Z 0 to 3 inches TOPSOIL, silly sand with gravel and organics, roots, loose, C: 2 > dark brown < 3 inches to 1 foot SILTY SAND (SM) with gravel and occasional cobbles, loose 03 to medium dense, moist, brown 1 foot to 1 114 foot SILTY SAND, dense to very dense, moist, reddish brown M 0 [7 n 0) M01 r X z 0 FINAL C1 AMOVAL IEORM TO: DATE: MEMO TO: PERIVHT COORDINATOR, BUILDING DIVISION FROM: FIR DEPARTINIENT DATE ____ENGiNEERiNGDmsioNDATE_!�: �i-2_ PLANNING DIVISION DATE PROJPCT--!!L plmlm'�'c SITE ADDRESS 0C-+rJL PERXUT# q4J-�2240 _ADB#_DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED_I�E��-- A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: inal approval of the described work P rmance Bonds associated with the project may be released GRANT FINAL PROJECT APPROVAL V"I GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED 1. zgl�_'JA WM_ N v0s ___FAILED FINAL INSPECTION - OUTSTANDING ISSUES 1 2. 3. —RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:temp:bldg:forms6/98 9 z 0 1 0 R1 4 'fi C M C, 0 0 C: ­4 M 3: M M z jo -q C 2 o -n n M M 055 0 r- 0 M M 0 Z z --I M U) z 0 M FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE ENGINEERING DIVISION DATE 7-11-rl PLANNING DIVISION DATI�-- PROJECT SITE ADDRESS- 2,4 V1-(11V zlp� PERMIT #-� �qO3�.ADB#--?!!�/14f—DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECTED-­�� A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: Final approval of the described work ___GRANT FINAL PROJECT APPROVAL ____GRANT PROJECT APPROVAL WITH CONDITIONS NOTED AILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. —RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doe.l:temp:bldg:fomis6/98 z 0 1 0 rp =i U5 M m 0 ­4 0 0 0 :C m m z 1C) --I C 2 0 -n m M 0 U") 0 r- 0 M C c) K V) M 0 Z r- .IT X z C1) z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... Z FOUNDATION: Footing ...................... C Wall.......................... -------- PierlPorch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in .............. Commercial Final HEATING: GasTest .................... . . . Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ INSULATION ................... Floor Insulation Wall Insulation Ceiling Insulation SHEETROCK NAILING w SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 0 0 OCCUPANCY .................. z 0 171 0 80 a -4 K x ITI ITI 0 -n n M M 0 6 Fn cm K 0) M 0 z -4 z 171