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PERMIT EXPIRES-37�W
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STATE SU CHARG
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PERMIT APPLICATION: 1110 DAYS
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PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
E�G REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF HIS OR HER SPOUSE. FlEIRS. ASSIGNS AND SUCCESORS
OF
ENG, INSPECTION FEE
;APPLICANT
N NTEREST. AGREES TO :NOEMNIlY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
EDMONDS HINGTON. TSOFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND
WAS
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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IF C 11PT/
IHEFEB' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
APPLICATION
APPROVAL
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Keith Bedow PBD, (AlBD. WSABD)
18938, 61" PL N.E.
Kenmore WA 98028
(425) 485-7080
CITY COPY
CITY OF EDMONDS
SPECIAL INSPECTION AND TESTING AGREEMENT
Theprojectat 7-31 DAL-ES4 S1, f0oao issued under building
uire pecial insV�ction and/oF—tcstingser L113C Chapter 17
nu
WC I.I.Slist of specia inspections is attache to this document.
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axid
BEFORE .4 PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall
complete this agreement and the attached structural test(s) and inspections schedule including the
required acknowledgments.
APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the
Building Official prior to perforinin%any duties or in iections. Each special inspector shall submit
statement of Qualifications to the uilding Official lor review. Special inspectors shall display
identification when performingecial inspections on site. Special inspection and testing shall meet
the minimum requirements of C Chapter 17 and the following:
A. Duties and Responsibilities of the Spggial, Inspector
1. Observe Work
The special inspector shall observe the site work for conformance with the appGed
(stamped) plans and specifications and applicable workmanship provisions of the C.
Architect or Engineer reviewed shop drawings may be used only as an aid to inspection.
Special inspections are to be performed on a continuous basis--mcaning that the special
inspector is on site at all times; observing the work requiring special inspection. Periodic
inspections, if any, must have pno! apgoval by the City based on a separate written plan
reviewed and approved by the Building fficial and the engineer or architect of record.
2. Report Non-conformin Items
The special inspector s%all 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 immediatd cause of the special inspector to notify the Building Official of the
plan deviation, error, change or omi.ssion. 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 project engineer or architect, and others as designated shall also be
copied on reports. Weekly reports must include the following:
Descn tion of daily inspections and tests made with applicable locations
List o7alll nonconforming items
==atus of nonconforming items (resolved or unresolvedpity
anges authorized by the Architect, Engineer and if not included in
nonconformance items
5. Furnish Final Construction Report
The special inspector or inspection agency shall submit a final sifned report to the City stating
that all items requiring !secial inspection and testinpz were fulfil ed and reported. And, to the
best of his/her knowle ge the project is in conformance with the approved plans and
W8fications, 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.
B. Contraclu Responsibil
1. Notify the Special Inspector
It is the duty of the contractor to notify the special inspector when work is ready for special
inspection. Note, the items listed on the attached schedule and as noted on the approved
plans and specifications are required to have special inspections. Adequate notice shall be
provided by the contractor so that the special inspector has time to become familiar with the
project.
2. Provide Access to Approved Plans
The contractor is responsible for providing the special inspector access to approved plans at
thejobsite.
3. Retain Special inspection Records
The contractor is responsible to retain at the jobsite all special inspection records submitted
by the special inspector. These records are to be provided to the City building inspector upon
request.
C. City 9[ Edmonds Buildingj2epartment RespQnsibilities
1. Approve sp ecial inspectors or inspection agencies
The build ng department shall approve all special inspectors and special inspection
requirements,
2. Monitor special inspection and approve weekly reports
Work rejuinng special inspection and the ance of special inspectors shall be
monitore by the City Building Inspector. Uirsloh—er approval must be obtained prior to
placement of concrete or other similar activities in addition to that of the special inspector.
3. issue Certificate of occupancy
The Building Official may issue a Certificate of Occupancy after all weekly special inspection
reports including the final report have been submitted and accepted.
p- owner Responsibilkies. en I At
The project owner or the gineer or architect of record acting as the owner's agent sha. I nd
special inspection services.
& Enginegr or Architect of Record RopolsibilitieF
The engineer or architect of record shall include special inspection requirements on the plans and
specifications.
ACKNOWLEDGEMENTS
I have read and agree to co -ply with the terms and conditions ofthis agreement.
Own-- Date ---------------- J ot'sv-v I P
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Special Inspector at�
General Contractor Date
Date
City Building Official--,
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SPECIAL INSPECTION AND TESTING SCHEDULE
TE.Yn�NSPX� AGX� , STW� INSPECTOR
REINFORCED CONCRETE, GUNITE, GROUT AND MORTAR: STRUCTURAL STEELfWELDING:
Concrete Gunite Grow Mrtr
Allirn,Fw Tests
Rcinf—ing Tests
Mat Neil.%
Reinfortinj Piseernent
B.rch F1.1 InIpIction
C.t S—pl"
P* k S— I.,
— Shop M.wirtl Idmifimion
— Welding Impertion OSbDp OField
— Ultntonic Inspection 0 Sbop 0 Field
— High.m.gth Bolting
Inspection 0 Shop 0 Field
0 A323 0 N [IX 0 F
0 A490
— Metal Deck Welding Inspection
— Reinforcing Steel Weldij Inspection
— Metal Stud Welding Impection
PRECASTIPRESTRESSED CONCRETE: — Concre,te Inseti Welding inspection
pag,s Post -Tim P—Tw Ckddirig
Elm-,
FIREPROOFING:
— Placernent Inspection
— Density Tests
Thickness Tc
Inspect B.Ichi.1
INSULATING CONCRETE:
—S—pl—rullf.st
— pla,cerren, Inspection
— Unit Wilhu
— Accept— Test,
MASONRY:
— Piwc=nt Inspection
— Speeill Inspection Sues— Used
— Field Density
— Preliminny Acceptmce Tems (Masonry Units. Wall Prim)
STRUCTURAL WOOD:
— Subsequent Tests (Mow. Grout, Field Wall Pfism)
— Plucinent Inspection of Units
— Shca, Wall Nsili.p In,pcc-io.
— Inspection of Glu-Im Fsb.
— Insp-ion of Truss Join Fab.
ADDITIONAL INSTRUCTIONS OR OTHER TESTS
— Smplc..d Test C.rnponcrts
AND INSPECTIONS:
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FR . W DIV�uca, P.E. Engineer PHONE NO. : 206 546 8442 Sep. 04 2001 04:41PM PI
Dennis M. Bruce, RE.
September 1, 2001
V !V- D
City of Edmonds
c/o S. R. Company, Inc.
17725 NE 65th St., S-135 UEVELO MMf SERV;CES CTR.
T '6F EDMONOS
Redmond, WA 98052 C17Y
Subject: Geotechnical Evaluation and Stabilization Recommendations
Merck Residence at 731 Daley St., Edmonds, Washington
This engineering report presents the results of a geotechnical evaluation of the
Merck residence and property at 731 Daley St., Edmonds, Washington.
The Merck residence consists of a two-story wood -frame residence founded on a
lot adjacent Shell Greek. This engineer understands that the Merck residence has
experienced long-term and ongoing minor foundation settlement on the west
(downslopa / creek side) portion of the house. These ongoing settlem
resulted in approximately two to three inches of differential settlement.
The house Itself and property reveal no evidence of any signific ant geotechnical
distress: no slides, no soil tension cracks, no sloughing, nor any signif cant erosional
degradation.
The cquse of the ongoing Merck residence settlement is most I kely due to
original grading activities in conjunction with house construction. Thislengineer
believes that the original lot developer pushed soil cut material towards the creek edge
and subsequently installed the foundation footing in this fill material. The material itself
is not geotechnical(y detrimental, however, lack of or&iginal compaction efforts combined
with lack of sufficient footing width have resulted in the experienced 5 ttlement to date.
The observed settlement in no way compromises house integrity or livability.
STABILIZATION:
This engineer recommends the proven technique of foNridation undarpinnincl.
A series of pin piles are driven (to refusal depths) and "locked -in" to the existing
concrete foundation. This underpinning and foundation "lock -in" will prevent any
additional foundation settlements.
CITY COPY
SITE DMLOpmrNT . INSPECTION - DRARUGE - DESIGN A PERMIT - LEOAL
SOILS - FOUNDATIONS
P.O. Box 55502 - Shorailne, WaShingion 28155 - (205) 546-9217 - FAX 546-8442
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FROM : D.�BPUca� P.E. Engineer
PHONE NO, : 206 546 8442
S�_p. 04 2001 04:42Ptl P2
4�n
City of Edmonds (7-2)
c/o S. R. Company, Inc.
September 1, 2001
Page 2
Subsequently, the interior wood framing members may be shimmed / cribbed I or
leveled.
See attached underpinning design sketch. A total of eight (8) three inch
diameter pipe piles are proposed. After refusal depths are achieved (under this
engineer's inspection, piles will be attached to the existing concrete stem wall utilizing
a structural bracket assembly.
SUMMA
The Merck residence has experience long-term and ongoing foundation
settlement adjacent the Shell Creek side.
The cause of this settlement is not due to any underlying geotechnical
problems, but rather "less than ideal" original construction techniques.
Foundation stabilization using pin piles is recommended.
After successful Installation of pin piles, the Merck foundation will be
geotechnically stable.
Interior wood -frame leveling / shimming may be undertaken after
foundation stabilization.
On -site inspections by this engineer required.
If there are any other questions, do not hesitate to call.
Dennis M. Bruce, P.E.
Geotachnical / Civil Engineer
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August 29, 2001 copy
Sally Merk Project
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731 Daley Street
Edmonds, WA
Attn: Ann Bullis E C� t�� i v E D
sr:p 1 0 '/"i =1
RE: Scope ofwork
C!Ty
Dear Ann,
settling condition.
The south west comer of this single family residence has a failed and
4 of an inch in the last 45
It is a dynamic situation in that it has settled approximately 3/
days. What was a slowly sinking comer that was built on fill, has been speeded up by the
earthquake in February. FEMA is involved and has concluded that liquefaction during Z i
the quake is responsible for the rapid increase in settling.
We have decided on a plan to stabilize the foundation with 3 inch schedule 80 pilings, 0
driven to refusal and anchored to the foundation wall with brackets and imbeds. We have
verified with a soils engineer that the conditions on this lot are suitable for this approach.
A minimum of excavation is required (2-3 yards.) The spoils are free -draining sandy soil
that will not be necessary to export, but can be put back in. Our work will be no closer
than 35 feet from the classified stream that runs through the property.
Best management practices would include a silt fence for 40 feet along the 25% slope
anticipated
where the foundation comer is located. No damage to native vegetation is
and no work will take place on the slope.
We will be removing the brick planter and fagarle at the front (south) side ofthe house to
Also a set of concrete stairs will need to be removed and
facilitate lifting of the house
replaced. Some interior finishes will need to be removed on the ground floor to
odatejacking. All demolition can be accomplished and staged on the flat area at
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accomm
the front ofthe lot with no impact on slope or native vegetation. Some minor re -sodding
or seeding will be all that is required to restore the front yard.
Sincerely,
Richard Reed
&R.�,Company, Inc.
S.R. COMPANY, INC.
B-9614
17725 N.E. 65th Street, A-1 35, Redmond, WA 98052 - SRCOMI*062CK Phone: (425) 558-9154 FAX: (425) 55
E-MAIL: srdave@halcyon.com L
Dennis M. Bruce, P.E.
M.S.C.E., M.B.A. D.t.rhnle.IIClvi1 Engine.,
November 2, 2001
City of Edmonds
c/o S. R. Company
17725 NE 65I� St., A-135
Redmond, WA 98052
Subject: Inspection Report i Merck Residence Foundation Stabilization
731 Daley St., Edmonds, Washington
This engineering report presents the results of geotechnical inspections with
regard to the foundation stabilization work at the Merck residence 731 Daley St.,
Edmonds, Washington.
REFERENCES:
:,RFECEIVED
• September 1, 2001 geotechnical report by.D.-Bruce,,.P.A, -
• City of Edmonds approved project plans SEP 2- 5 2002
• Photographs DE�VELOPMENT SERVICES CTR.
CITY OF EDMONDS
INSPECTIONS:
As discussed in the September 1, 2001 geotechnical report, the Merck residence
required stabilization to prevent further foundation settlement.
The foundation stabilization design utilized a series of 8 — three-inch diameter
pipe piles. These pipe piles were driven to refusal depths (less than one -inch
penetration per 10 seconds of driving effort with 850 ft./ib. hammer.
Refusal depths varied from 19 /. f eet to a maximum of 47 feet. NOTE: The 47
foot depth was the result of using an open-ended pipe pile. Subsequent pipe piles were
driven using a plug at the 1 0-foot interval.
After pipe piles were driven to refusal depths, the structu . ral bracket was attacha�
to the existing competent concrete foundation stem wall .
Pipe piles were structurally attached to the bracket and 'locked in".
This "lock in" proc . ess involved both mechanical bolting and epoxy grouting bolt
connection between the structural bracket and the existing coricrete stem wall
foundation (see photographs). The Interior concrete stab was partially broken out to
SOILS - FOUNDATIONS - SITE DEVELOPMENT - INSPECTION , DRAINAGE - DESIGN a PERMIT - LEGAL
P.O. Box 55502 * Shoreline, Washington 98155 - (206) 546-9217 - FAX 546-8442
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Nove'��er 2, 2001
Page 2
allow for stem wall underpinning. Replacement of the broken out slab was achieved by
installation of reinforced steel (see photographs).
i
proper sub grade preparation and the
An additional thickness of slab was achieved along the inside of the existing stem
wall. Reinforcing steel was epoxy connected to the existing stem wall (see
photographs).
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CONCLUSIONS I RECOMMEN_DATIONS'
Based on the findings of this engineer's on -site geotechnical inspections and
experience with similar projects, the following are concluded and recommended:
9 All 8 pipe piles were properly driven to refusal and structurally connected to the
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existing concrete stem wall.
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9 The Merck foundation at 731 Daley St. is neotechniggULAIAhLe.
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9 The interior slab replacement work utilized proper sub grade preparation and
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reinforcing steel epoxy bonded to the existing stem wall.
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o "O.K" to place replacement slab concrete.
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* it is understood that interior remodeling work will continue.
NOTE: As previously discussed, it is essential that the existing residence gutter
to any storm water discharge near
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and downspout system be upgraded avoid
foundation footings.
If there are any questions, do not hesitate to call.
RECEIVED
SEP Z 5 iOO2
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DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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Dennis M. Bruce, P.E.
Geotechnical / Civil Engineer
I EXPIRES 12/23/ 100 3
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RECEIV
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SEP 2 5 2002
McDowell NW Pile King, Inc.
CTR.
CEVELOpMEtaT
PILE LQCT
sEfiVICES
CITY OF EDMO140S
pa"a I
Customer Nilme- -S.;:L
projectijob Nanle-1.8.L'UL
'Job Address--2--'�
Date Completed-
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Seconds using. a__yr; hammer__yf—
REMNING WALL$ - AN (PIM PILE I MANTA MY 64RTR ANCHORS - C-.00 VINYL SREF 71tr
: Fax (425) 251
VIA 98032 (425) 251-F535 -5940
SHIP TO: 18905 84th Avenue S. Kent,
S- Kont. WA 98032 (425) 251-85 70
Fax (.425) 251-8626
RF,MIT TO: 10800 $01h F:nce
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...............
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
Gas Test ....................
Gas Piping .................
Equipment
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Commercial Final
IT!
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor I nsulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR C)
OCCUPANCY ..................
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/ I PERMIT EXPIRES
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
ONLY. ANY CONSTRUCTION ON THE PU
BE GONE ON PRIVATE PROPERTY RE BUC
DOMAIN ICURES. SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL QUIRE
t SEPARATE PERMISSION.
GRADINGIFILL
STATE SURCHARGb
PERMIT APPLICATI N; 180 DAYS
PERMIT LIMIT.IYEAP. P
SEE BACK o; PROVIDED WORK IS STARTED WITHIN 190 DAYS
INK PERMIT FOR MORE INFORMATION
I -
ENG. HEVIEW FEES
-AP
in PLICANTONBEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
!q IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 Eo.o DS.WASHI GTO ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND
I IN N G'R
. ALLCLAIMSFORDNIW,GEiOFWHATEVER NATURE. ARISING DIRECTLIOR IN ECTLY
x FROM THE ISSUANCE OF TH S PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
,01 DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY OR--n—
ENG. INSPECTION FEE
LANDSCAPING
CT
INSPE ION FEE
LAN CHECK DEPOSIT
TOTAL AMOUNT DUE
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 EGWNEA I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSYRUC-
H
ITION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PE RSON WILL BE EMPLOYED
N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
_WORKMENSrOPPENEARDNIN URANCEANDRCWiB.27
SIGNED
StGN,6UJk (O.NER 09AGEPT)�(
2rl�lff
APPLICATION APPROVAL
CALL T appl.cat.4 a pa—t �nld Knod by the
h'onill Capit, and Feet on, paid. end
FOR INSPECTION 'ek—l"oed in D pl-id.d.
OFFI �ATE
(425) _�q
771-0220 A T
RELEASE BY
ATTENTIOW EXT 1.333
T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX
PINK lilWHER - GOLD -ASSESSOR