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ATE RECEIVED (•- ( '— I -7
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CITY OF EDMONDS ZO"E r S ^j2� NUMBER /CJ
CONSTRUCTION PERMIT APPLICATION JOB \ SITE APT
ADDRESS I C/ I `� .. I � ` G. (/•�
OWNER NAMEINAME OF BUSINESS
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- —" LID FEE S
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METER SIZE LINE SIZE NO.OF FIXTURES PRV REQUIRED
NAME
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ADDRESS REMARKS
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RED" D
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR -PROVIDED WORK IS STARTED WITHIN 180 DAYS
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
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•APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
3 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
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IF ALLCIAIMSFOR DAMAGESOFWHATEVERNATURE. ARISING DIRECTLY OR INDIRECTLY
ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
RECEIPT ;��� /
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FROM THE .
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REGUIREMENT OF ANY CITY ORDINANCE
ENFORCE ANYORDINANCE PROVISION..-
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o_ NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO
TOTAL AMOUNT DUE
] HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZE" AGENT OF
WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
Thia applicalipn is ao1 a permit u 11 OIL— by Ina
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THEOWNER. IAGREETOCOMPLY
AND INN THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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TION;
IN VIOLATION O 1'HE LABOR CODE OF THE STATE OF WASHINGTCN RELATING TO
pOR INSPECTION
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WORKMENOC SAT ION INSURANCE AND R 10.2T.
OFFICIALS SIGNATURE 'DATE
SIGNAAT 1R AGENT \ /� DlAT,EyS/1GNjED
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RELEASE BY DA E
EXT 333
ATTENTION
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IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL-
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW -INSPE TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 100
FAX
PINK -OWNER GOLD -ASSESSOR
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TERRA ASSOCIATES, Inc.
Consultants in Geotechnical Engineering, Geology
and
Environmental Earth Sciences
FZFC;E1VE:D
AUG 15 2001 August 10, 2001
No. P-2513
PERMIT COU"'ER
Mr. Steve Anderson
Group Four, Inc.
16030 Juanita -Woodinville Way NE
Bothell, Washington 98011
Subject: Final Report
observation of Retaining Wall Construction
Ruggiero Residence
16010-75th Place West
Edmonds, Washington
Dear Mr. Anderson:
As requested, we observed construction of a lock -block retaining wall at the Ruggiero Residence in Edmonds.
The retaining wall was constructed as a replacement for a rockery along the north side of the property. We earlier
made an evaluation of conditions in this area and presented our findings and recommendations in a letter dated
May 22, 2000. Subsequently, we worked with your firm in developing the designs. These designs were
presented on drawings prepared by Group Four, Inc., dated July 5, 2000 (Your Job No. 97-8004).
Construction of the wall was performed during the week of September 11, 2000. Initially, the contractor removed
the existing rockery which existed at this location. After removal of the rockery, we examined the subgrade
conditions and found that the soils exposed at the bearing level were firm native soils, which were suitable for
providing support to the proposed lock -block wall. The lock -block wall was then constructed to the configuration
shown on the project drawings. While the wall was constructed, it was concurrently backfilled in accordance with
the design drawings.
Based on our observations during construction of the wall and after completion of the wall, it is our opinion that
the lock -block wall has been constructed in accordance with the recommendations presented in our May 22, 2000
letter and the project drawings.
12525 Willows Road, Suite 101, KirKiano, vvasmngawn low+
Phone (425) 821-7777 • Fax (425) 821-4334 •terra®terra-associates.com
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CJI GROUPFOUA Inc.
16030 Juanita-WOOf1lMN9 Way NE
Bothell, Washington 98011 G U r L D I N G
FAX (206) 362-3819
(425) 775-0581 • (206) 362-4244
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j Jeannine Graft
Building Official
City of Edmonds
121 5th Avenue N.
Edmonds, Washington, 99020
To Whom It May Concern;
This letter is in response of your request for the South wall on A] Ansari property, at
9304 Olympic View Drive, Edmonds, Washington. On September 14, 2001 Group Four,
Inc. surveyed the wall in question, and found that it did not encroach on the property to
the South of Mr. Ansari.
S' cerely yours,
John C. Knapp, P.L.S.
LS No. 30435
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W:w4PROn01.3030Vurdmonds 100401.d-
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SURVEYING ENGINEERING PLANNING - MANAGEMENT
TERRA ASSOCIATES, Inc.
Consultants in Geotechnical Engineering, Geology
and
Environmental Earth Sciences
VZEGEIV ED
AUG 15 2001 August 10, 2001
No. P-2513
PERN111 CouliTER
Mr. Steve Anderson
Group Four, Inc.
16030 Juanita -Woodinville Way NE
Bothell, Washington 98011
Subject: Final Report
Observation of Retaining Wall Construction
Ruggiero Residence
16010 — 75th Place West
Edmonds, Washington
Dear Mr. Anderson:
As requested, we observed construction of a lock -block retaining wall at the Ruggiero Residence in Edmonds.
The retaining wall was constructed as a replacement for a rockery along the north side of the property. We earlier
made an evaluation of conditions in this area and presented our findings and recommendations in a letter dated
May 22, 2000.. Subsequently, we worked with your firm in developing the designs. These designs were
presented on drawings prepared by Group Four, Inc., dated July 5, 2000 (Your Job No. 97-8004).
Construction of the wall was performed during the week of September 11, 2000. Initially, the contractor removed
the existing rockery which existed at this location. After removal of the rockery, we examined the subgrade
conditions and found that the soils exposed at the bearing level were firm native soils, which were suitable for
providing support to the proposed lock -block wall. The lock -block wall was then constructed to the configuration
shown on the project drawings. While the wall was constructed, it was concurrently backfilled in accordance with
the design drawings.
Based on our observations during construction of the wall and after completion of the wall, it is our opinion that
® the lock -block wall has been constructed in accordance with the recommendations presented in our May 22, 2000
letter and the project drawings.
12525 Willows Road, Suite 101, Kirkland, Washington vovs,+
Phone (425) 821-7777 • Fax (425) 821-4334 • terra@terra-associates.com
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August 10, 2001
We trust the information presented is sufficient for your. current needs. If you have any questions or require
additional information, please call.
i Sine
TE ASSOCIATES;4NC.
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No. P-2513
Page
FINAL PROJECT APPROVAL. FORM
TO:
�
DATE:"9A
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE 7/Z3/—
x.eseyora
PLANNING DIVISION DATE
SITE ADDRESS
PERMIT # �Q/9/J4: 22 _ADB# DATE INSPECTED_
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final complia cc with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
✓ GRANT FINAL PROJECT APPROVAL
#######################################################################################
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
❑ Copy of CORRECTION NOTICE given to owner/contractor by inspector
i.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign__
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Fooling ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...............
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping ..... ..........
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ........................
FRAMING
--
FIRST FLOOR FRAMING...
INSULATION ..................
Floor Insulation .........
Wall Insulation ...........
'
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
__-----
FINAL APPROVAL FOR
,.�' Q /^�/
OCCUPANCY ..................
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