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CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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ADDRESS
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FLAT NAMEISUBDIVISION LOTNO, 1,111 NO-
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REMARKS
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WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAINAGE
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ENGINEERING REVIEWED By ATE
FIRE REVIEWED BY DATE
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Description
Description
FEE Description
"Im Check
Plan Check
State Surcharge
_FEE
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HEAT SOURCE LOT SLOPE
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Building Permit
uilding Permit 90
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City Surcharge
�TE. DATE
PLAN CHECK NZA - ,
3o i I VESTED DATE
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Plumbing
Mechanical
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
To
HE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
2
Grading
OMAIN (CURBS, SIDEWALKS. DRIVEWAYS MARQUEES. ETC.) WILL REG IRE
WI U
1= SEPARATE PERMiSSION.
—
BE MITAPPLICATION: INDAYS
Engr. Revievi
PERMIT Ul i YIUMI -PROVID 0 WORK IS STARTED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICA ON BEHALF OF HIS OR HER SPOUSE, FEARS, ASSIGNS AND SUCCESORS
Fire RevievY
Plan Chit, Deposit
IN INTEMS-T, AGREES TO INDEMNIFY, DEFEND AND HOLD H RMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE DELANO OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
LandscapeInsp,
Total Annt. Due
DEEMED TO MODIFY. WAIVE 04 REDUCE ANY REQUIREMENT OF NY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE FAOVISION�
Recording Fee
I Receipt # I I C1 (7R)
I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APP ICATION, THAT THE INFORMATION
GIVEN 19 CORRECT. AND THAT I AM THE OWNER, OR THE DULY A THORIZED AGENT OF
APPLICATION APPROVAL
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
r. le tim, emna permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
'A
IN VIOLATION OF THE LABOR C OF THE STATE OF WASHINGTON RELATING TO
wonKMENB COMPENSATI.-451'5 AN. a- i.Z1.
FOR INSPECTION
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OFFIC L SIG TUB
A TE I GREG
SIGn to �EN�
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771 -0220
TITED BY DATE
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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
ORIGINAL -FILE YELLOW INSPECTOR
PINK -OWNER - GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN ACCOUNTING
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d,-l'2/02"1f7:.i7 FAX 425670323 CDARAI�S ATULCTIl."S 0 003; (1114
GREENSHIELD SYSTEMS Greenshield Systems
LIG #GREENS*OIOMI GREENS*OIOM1 360-466-0406
11745 STATE ROUTE 20
MT VE8NON WA 98273-4 7 10 EDMONDS SCHOOL DISTRICT NO. 15
REQUEST FOR QUOTE #001-15 - AMENDED
EDMONDS-WOODWAY HS FOOTBALL/SOCCER PRACTICE FIELD
DUE BY NOON, FRIDAY, JUNE 14,2002
Please provide a quote to meet the speFificatlons detailed below for Practice Field Drainage
DJiSCRVTtON
PRACE
1. Supply And install Approximately 5,620 lineal feet of2" perforated tile lit
$43,700.00
sand trench together with 700 lineal. feet of4" dual wall non-perforale
(forty three thousand
pipe. Total drainage Area ol'upproximately 57,000 square fact, a". ard
seven hundred dollars
tizi, football field. Laterntly trench Aeld on tell foot cente�s,-Tekuunatc
and no cents)
coll�'Clion-rn!T ld into existing catch basins.
2, Cut and rcmuvo sod at a 2W' width over oil trench lines. Repair trench fincN
$9,800.00
(nine thousand eight
by sodding with commercially grown sand based turf to (lie full 2(Twiddi,
Vendor rcspousibic for offsite disposal of All waste,
hundred dollars and
c nts)
__no
3. CmLs/ fees associated with vendor obtaining all required permits.
Subject to city
requirements
Please note Additional specificallons below;
Trenching taust be performeil in siT�b ri�irioidiiit the trench spoi s ire elevated into a means ofconveyance
And rcT9sed1
No excavation spoils Are to coninutlaarounding turf and must be removed from the ficid.
N6 dump trucks are allowed Oil existing turi.
9.,"Equipurent on turf shall not exceed ground pressure (&1-5'p;iJoqd:ed'
4 Owner must approve all equipment prior to commencement of wolk.1-1
Trenches to be a minimum six inches wide for four -Inch drnin pipes and Gvc ulches wide for two-inch
drainpipes.
All trenches must be loft open for inspection prior to tile pipe installation to allow r1lonitotin.g of grade. damages
to the existing irrigation system, andifor debris.
Eight -inch rainimum cover is required on all drainpipes.
Trenches with four-hich pipe must have locator wire installed,
All two-inch drainpipe must he installed mechanically to ensure a precise envelope of rill mcdiurn (to ensure the
pipe is two inches Above tile trench bottom and centered between the trench walls),
ElAckfill modium must be compacted in layers to ensure no settling. Trencbos must be filfcd�o match file
d"
red must be closed the snare working day.
A laser ,aut...lic system must be used it) ensure 0.5% grade% Are maintained on rill dirunpipes.
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ASTM C33 d oncrete ond or owner approved equal must be used for suitable, b4kfill of All trenches,
shall be hand his at known lopatipos ofirrigation line'. Owner to Assist in J�cafing.
pair and flusli, as necessary tiny damage to the irrigation system due to Umchi7operation.
C tractor to be responsible for repair ofan dannago to irtigation systern,stagh g areas, adjacent turf and
'y
resto situ to original conditions.
Conuactu'ri attend pre-canmrucilon meeting to verity irri "a i—Isys(im functionality and site conditions.
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RECEIVED --, FINAL PROJECT APPROVAL FORM
NOV 4 - 2002 TO:
IiNGINEENNG DIVISION DATE:
MEMO TO: PERMIT COORDINATOR, 13UIWING DIVISION
FROM: FIRE DEPARTNIENT DATI�-_
CO t ENGINEERING DIVISION DATE
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PLANNING DIVISION DATE I [tIA0Z
PROJEC
SITEADDRESS�;%/n&
PERMIT B#—DATE INSPECTED -714aMz,
DESCRIPTION OF WORK TO BE INSPECTED-4&V���..
A field inspection was conducted to determine final compliance 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 WrM CONDITIONS NOTED
a Copy ofCONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy ofCORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
ocaprvl.doc.l:temp:bldg:formsIO/OI
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..........
Wall..........................
Pler/Potch .................
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
z Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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