20040516.pdf0
DATE RECEIVED
CITY Of EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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CITY ZIP TELEPHONE
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STATE LICENSE NUMBER
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PROPERTY TAX ACCOUNT PARCEL NO.
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NUMBER
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ADDRESS
IJ /' I 00100�
PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
LID FEE $
TESCP Approved [3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use Permit Req'd [3
EXISTING - PROPOSED inspection Requited %
Sfriewalk Required
Underground
REQUIRED DEDICATION- FT Wiring requited
METER SVE LIN�
7,SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO IJ
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
.j SEPARATE PERMISSION.
cc PERMIT APPLICATION: 180 DAYS
W
PERMIT LIMIr I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
OAPPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
X FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFN� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
TION; 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 RCW IB.27,
SIGNATURE (OWNER OR! AGEN DATE SIGNED
VALUATION
$ cv/).
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp..
Recording Fee
CALL
J,
JV`71,
FEE
Description
FEE
State Surcharge
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city surcharge
Base Fee
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FOR INSPECTION
(425)
-..771-0220
PlanChk.Deposit *7t 1116
6
Receipt #
Total Amt. Due -7 (Al (15
Receipt #
.APPLICATION A- NO I
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
OFFICIALS SIGNATURE f DATV j
ATTENTION
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 1.09
09/03 PRERR 14ARD _V011 ARE MAKING a r-OPIF.5;
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ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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BUILDING ROOF OUTLINE 3050 SCL FT.
PORCH 70 SO. Fr.
STAIRS 172 SO. FT.
DRIVEWAY 750 SO, Fr.
SCALE. 1
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POINT ORIGINAL ELEV.
CURRENT ELEV.
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STORAGE = 300 SCL Fr.
GARAGE = 730 SCL FT.
DECK = 250 SO. FT.
PORCH = ra Scl FT.
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PAGE I
BASEMENT FLOOR PLAN
PAGE 2
MAIN FLOOR FRAMING PLAN
PAGE 3
MAJN FLOOR PLAN
PAGE 4
LIPPER FLOOR FRAMING PLAN
PAGE 5
UPPER FLOOR PLAN
PAGE 6
ROOF PLAN
PAGE 7
WEST & EAST ELEVATIONS
PAGE 8
NORTH 7 SOUTH ELEVATIONS
PAGE 9
BLDG. CROSS SE(JION
PAGE lo WALL SECTION DETAILS & STAIR DETAIL
ELM Sr_
MAP
OWNER
WM AND PEOGY HANCHETT
8516 231ST SWEET SE
EDMONDS. WA. 9BOW
PIL- (425) 670-2157
1 4 2 0 1 a,
ENGRVER
SITE CIVIL'
LOVELL-SAUBa-AM & ASSOaATM DWI
19400 33RD AVENUIE K, SUITE 200
LYWNWOOD. WA. 980M
CONTACT. ROBERT LOW. P.E.
PH-- (425)TIS-1591 FAX. (425)672-7998
GEOTECKWAL'
P40BERT IL PRM INQ
13203 HOLMES POINT DRIVE NE
KIRIQAND, WA. 98034
PH.: (425)814-3970
gz-; UVI AA fUlt G��N
SURVEY INFORMATION PROVIDED By-
DAVID B. WEST JL & ASSOCIATES
18605- 117TH AMR" SE
SNOHOMtSK VA 9&M
F4L- (36OW8-9919
k-q;.;A I rLe
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MICROFILM
APPROVED FOR CONSTRUC11ON
CITY OF EDMONDS
DATE.
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Height Calculation Worksheet
Address:
Date:
Inspector(s): M%
1. Datum Point:
2. Datum Point Elevation: <�9
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Conclusion:
(actual) is gireater (e--ss---t—h-a-4D Cie) d (allowed); therefore the house is/
is not over the height requirement —p—erECDC 16.20.30 requirements
Sep 28 04 U4:20p ROHERI M PRIDE INC 425 814 5672
1
Consulting
Robett-M.- Pride; Inc. Engineer
Septeniber28,2004
Mr. and Mrs. David Cooper
15007 61"t Place NE
Kenmore, WA 98028
Re: Dry Weather Extension
Proposed Cooper Residence
1-117 Daley Place
Edmonds, Washington
Project No. 03-i86-oi
Dear Mr. and Mrs. Cooper,
This report addresses the City requirements for wet weather construction activities on
your residential construction site on Daley Place in Edmonds. We have been providing
site inspection services during slope excavation, foundation installation and backfilling
as this work was in progress to date. At this time the steep slope areas have been
stabilized with the existing retaining wall system, and the exposed final slope surfaces
above the garage level will be protected with plastic sheeLing during the winter months.
The follo%ing construdion schedule has been developed for completion of the
remaining foundation and earthwork items that will provide for final site stabilization
and erosion protection during the winter months:
P. 1
* October 4-8: Garage foundation and middlu level footing will be poured to be
followed by the pouring of the rear retaining walls at both levels; this will
complete the struc=e retaining walls that will provide permanent latcral
support to the Lemporary slope excavations.
* October 11-1,9: Wall backfill Arill be placed behind the recently poured retaining
walls; all foundation subdrains will be in place and connected to the lower
subdrain.system around the garage level; the crawl space rat slab will be poured
along with the basement and garage slabs; final site excavation at the front of the
garage will be completed, and this soil will be placed as backfill; temporary
erosion control fencing will be established at the front of the site, and storm
water rwioff will continue to be directed into the storin drain at the street.
Octoberi8-22: Exterior foundation wallbackfills willbe completed on the north
and south sides of the howse Wid garage; framing of the house and gaxage%ill
begin by the end of this week or the start of next; affitieswill be brought into the
site.
Field inspections will continue to be made during foundation pours, subdrain
- 13203 Holmes Point Unv NE Krkland. WA 98034 Fax: 425-814-5672
Phone: 425-814-3970
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Sep 23 04 04:20P ROHERV M PRIDE INC 425 814 5672 F.2
September 28, 2004
Mr. and Mrs. Cooper
Page 2
installations, and wall backfilling; these inspections will not be necessary beyond
the final placement of backfill and the installation of the protective fencing at the
front of the site. Z
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on of the rockery walls along
Complete winterization of the site will also entail completi
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the side property lines, and maintenance of the quarry spall entry drive into the site.
Please call me if there are any questions concerning this interim report.
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Robert M. Pride, P. E.
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH EDMONDS, WA96020 (425) 771-0220 FAX (425) 771-0221
Website: wwwdedmonds,wa.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Julie 13,2005
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Group Health Credit Union
T. C. Ranard, Assit. Br. Mgr.
11023 8t" Avene NEA
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Seattle, WA 98125 0 :E
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Re: Performance Frozen Fund Account #114385, Cooper at 1117 Daley Place.,
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Edmonds WA M
Dear Sir or Madam:
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The City of Edmonds hereby authorizes the release $1,320.
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Performance Frozen Fund. All interestedCity departments have approved the release of
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Senior Permit Coordinator
Cc: Applicant
File
Incorporated August 11, 1890
Sister City - Hekinan, Japan
Consulting
Robert M. Pride, Inc. Engineer .
May 3, 2003
Mr. and Mrs. David Cooper A. JIL
15007 61st Place NE Y,
Kenmore, WA 98028 JAN 2 !k�
Re: Preliminary Geotechnical Report P"'Mrr couwc-R
Proposed Residence
Lot #5 on Daley Place
Edmonds, Washington
RMP Project No. 03-186-ol
Dear Mr. and Mrs. Cooper,
This preliminary report presents the results of our initial site visit and geotechnical
evaluation of the property known as Lot #5 in the Harbor Hills subdivision located at
the end of the Daley Place cul-de-sac in Edmonds. It is understood that you are
planning a single family residence on this parcel this includes a steep intermediate slope
on the central portion of the site. As part of our site evaluation we have reviewed the
Meadowdale Checklist and Geotechnical Report Guidelines provided by the City of
Edmonds, and a site inspection was made to confirm existing slope and drainage
conditions. A topographic survey and structure siting plan was used as the basis for the
following comments and recommendations on this residential project.
The property extends northeasterly from Daley Place cul-de-sac, and is bounded on the
sides and end by existing developed residences. A cut slope ranging in height from 12 to
30 feet transects the parcel as shown on the attached Drawing No. 1. Ground surface
elevations show that this steep slope is about i H: 1V, and the lower and upper portions of
the property have more gradual gradients Of 15% to 30%.
As we discussed, your plans are to site the residence within the allowable setback
distances from the front and side property lines. Retaining walls will be required at the
rear of the structure to permit construction of the three level house that will encroach
into the steep slope. A lower four foot high wall will be located at the lower garage level,
and a six to eight foot high wall is shown to be built at the rear of the second level. A low
keystone type wall about 2 to 4 feet high will be constructed at the third floor level for
exterior access along the easterly side of the house.
The steep slope exposes stiff fine-grained soils that are presently stable at the 1H: 1V
gradient. Slope stability analyses would probably show that is has a safety factor of less
than 1.5, but since it was graded as part of the Harbor Hills development it appears to
have performed satisfactorily.
13203 Holmes Point Drive NE Kirkland, WA 98034
Phone: 425-814-3970 Fax: 425-814-56tz
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May 3, 2003
Mr. and Mrs. Cooper
Page 2
Conclusions and Recommendations
On the basis of our site inspection and geotechnical evaluation, it is our opinion that the
proposed residence can be constructed as planned. There is no evidence of either
shallow or deep-seated landsliding on this property that would prevent its development
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for residential use. Shallow depths to suitable bearing soils are anticipated, and actual
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foundation conditions will be verified by field exploration that will be performed as part
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of the final study.
construction of the rear retaining walls of the residence will enhance slope stability, and
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We expect that conventional bearing wall footings will be adequate for structure support
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best accomplished using soldier piles under the easterly house foundation wall to avoid
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excessive excavation into the central portion of the steep slope. Recommended design
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criteria will be provided for foundations and retaining walls in our final report.
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13203 Holmes Point Drive NE Kirkland, WA 98034
Phone: 425-814-3970 Fax: 425-814-5672
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Ref-- Topographic Sun,ey for Lk L #5 of Harbor Hills subdivision
SITE PLAN
Proposed Cooper Resic
Daley Place — Lot #5
Edmonds, Washington
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Inc.
Rober-t M.
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Project No. 03-i86-ol
Drawixq, No. 1
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Consulting
Robert M. Pride, Inc. Env-ineer
January 15, 2004
Mr. and Mrs. David Cooper
15007 61st Place NE
Kenmore, WA 98028
Re: Supplemental Geotechnical Report
Proposed Residence
1117 Daley Place
Edmonds, Washington
RMP Project No. 03-186-ol
Dear Mr. and Mrs. Cooper,
JA N 2 r,04
PERMIT
COL//Vr,CR
This supplemental report summarizes the results of my review of the final building
plans for the proposed residence on Daley Place in Edmonds. Since our geotechnical
report was submitted on May 16th there have been a number of revisions to the original
design concept that will be addressed in this letter.
It is understood that the property will be developed for a single family residence having
three levels above the garage at the front of the house. Refer to the revised Drawing
No. i- that shows the current house footprint, and Drawing No. 2 With the cross section
through the house.
Excavations will be required to construct the retaining walls that will extend into the
existing native slope. The upper retaining wall will be supported by tieback anchors
having a design capacity of 2 kips per foot extending beyond the no-load zone. Titan
anchors will be drilled into the native outwash soils, and will be proof -tested after
installation. All of the anchors will be loaded to 130% of the design loads, and one will
be tested to 200%.
Upon reviewing the foundation and site plans, it is my opinion that they meet the intent
of our geotechnical report and the recommendations contained therein. Please call me
if there are any questions. I -- X3
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Robert M. Pride, P. E.
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Principal Geotechnical Engineer
dist: (2) addressee
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13203 Holmes Point Drive NE Kirkland, WA 98034 'PIIV* Aor--R1A-r,672
Phone: 425-814-3970
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Refi Topographic Survey for Lot #5 of Harbor Hills subdivision
SITE PLAN
1 01 14 2 G /
Proposed Cooper Residence Project No. 03-186-01
Daley Place - Lot #5 Drawing No. 1
Edmonds, Washington
Robert M. Fride, Inc. Consulting Engineer
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
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Consulting
Robert M. Pride, Inc. Engine
January 22, 2004
Mr. and Mrs. David Cooper
15007 61st Place NE
Kenmore, WA 98028
Re: Supplemental Geotechnical Report
Proposed Residence
1117 Daley Place
Edmonds, Washington
RMP Project No. 03-186-01
Dear Mr. and Mrs. Cooper,
CITY COPY
RECEIVED
JAN 2 8 2004
PERMIT COUNTER
This supplemental report summarizes the results of my review of the final building
plans for the proposed residence on Daley Place in Edmonds. Since our geotechnical
report was submitted on May 16th there have been a number of revisions to the original
design concept that will be addressed in this letter.
It is understood that the property will be developed for a single family residence having
three levels above the garage at the front of the house. Refer to the revised Drawing
No. i that shows the current house footprint, and Drawing No. ?- with the cross section
through the house.
Excavations will be required to construct the retaining walls that will extend into the
existing native slope. The upper retaining wall will be supported by tieback anchors
having a design capacity of 2 kips per foot extending beyond the no-load zone. Titan
anchors will be drilled into the native outwash soils, and will be proof -tested after
installation. All of the anchors will be loaded to 130% of the design loads, and one will
be tested to 200%.
Pipe piles may be installed along the northwesterly side of the garage and house due to
the depth of fill and soft soils on that side of the property. The final grade of the garage
slab with respect to the depth to soil bearing may allow the footing excavations to be
extended 2 to 5 feet without the need for piles. It is recommended that this decision be
made in the field at the time the footing excavations are made. A structural engineering
design will be provided along with appropriate recommendations for pile capacities and
installation requirements. This information will be submitted for review if the depth to
bearing soils justifies the use of the pipe piles.
Upon reviewing the foundation and site plans, it is my opinion that they conform to the
recommendations of our geotechnical report. The risk of damage to the proposed
project site, or to adjacent properties, from soil instability will be minimal, subject to the
13203 Holmes Point Drive NE Kirkland, W 9 034
Phone: 425-814-3970 rax: 425-014-5072-
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January 22, 2004
Mr. and Mrs. Cooper
Page 2
conditions set forth in the report, and that the proposed development will not increase
the potential for soil movement.
In my opinion there is a low probability of earth movement on this residential site due
to construction of the onsite improvements. Because the house includes two retaining
walls that will provide additional support to the steep slope area, the potential for slope
failure has been reduced to less than 5% over a 25 year period. There has been no
evidence of slope movement or failure since the steep slope excavation was made nearly
2o years ago when the Harbor Hills development was initially graded. it is my opinion
ed residential
that the site stability will be significantly improved by this propos
construction.
Please call me if there are any questions.
Respectfully,
OV. WAS
ko
A M. Pride, P. E.
Principal Geotechnical Engineer
diSt: (2) addressee 'I C271
AM. .�O
encl: Drawings i and 2,
Figure No. 1
rmp: CooperResid3
13203 Holmes Point Drive NE Kirkland, WA 98034 0 r,
Phone: 425-814-3970 Fax: rvo- -Lr+-D /z
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Consulting
Robert M. Pride, Inc. Engineer
January 28, 2004
Mr. and Mrs. David Cooper
15007 61s' Place NE
Kenmore, WA 98028
Re: Final Plan Review
Proposed Residence
1117 Daley Place
Edmonds, Washington
RMP Project No. 03-186-oi.
Dear Mr. and Mrs. Cooper,
CITY q0C&%_)11J7rr"Y
R, Er,,- E I V E D
-JAN 22 3 2004
PERMIT COUNTER
This letter represents my final review of the design drawings for your residence to be
constructed on Daley Place in Edmonds. As requested by the City the proposed
Keystone block wall at the rear of the proposed residence was evaluated for stability
based on the assigned soil parameters for active and passive earth pressure. A
calculation sheet for this wall with a ma)dmum height of six feet is attached. The
calculations and Sheet i of the plans are stamped to indicate my approval of the original
design section. In my opinion the six foot high block wall has a factor of safety Of 2.0.
I have also reviewed the foundation and structural details to confirm that they meet the
intent of my geotechnical recommendations. All aspects of the site grading and
foundation installations will be inspected in accordance with the City of Edmonds
requirements.
Please call me if there are any questions.
R ectfully,
1p
Robert M. Pride, P. E.
Principal Geotechnical Engineer
dist: (2) addressee
encl: Figure No. 1
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13203 Holmes Point Drive NE Kirkland, WA 98034 0 A n
Phone: 425-814-3970 rax: 4.4o- i,+-a /
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TURN ADDRESS:
Oty..of Edmonds, City Clerk
20040714050 5
PGS
It 2 1_�!� -Avenue North 07-14-2004 01:46pm $23.00
��&4,..W.A98020 SNOHOMISH COUNTY.
WASHINGTON
. .........
.........-"COVENANT OF NOTIFICATION
AND--M- ENEWICATIONMOLD HARMILESS
Reference #:
Grantor(s): (I
Additional on pg.
Grantee(s): City okEd'* ids
Legal Description (abbr�Aaie`d)*-.' '.Twu Rng 1._Qt
ow... Lof —Block Plat
Assessor's Tax Parcel EM(s): (I) C)C)
(2)
se so-r;s'Tpx Pa*r;:el [D# not yet assigned
Crff 6F.EDK6"S`-.
APPROVED FOR 4CORDINd
B "'0 /1 DATE-fy&'*---P;tGKL.OiV
Under the review procedures established pursuaiit,16* `the * State.-H uilding Code,
incorporating amendments promulgated by the Cit� of—Eiftpotids, and as a
prerequisite to the issuance of a building permit for the con§.tnic*fion o :.f
structure and attendant facilities, the undersigned OWNERS'n p 6'hereby
rop6q..
covenant, stipulate and promise as follows:
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1. 1)escdptib-n of Subiect Propertv.
A�P�:V2D FOR RECORDING
lazat
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PAA
E:
This covenant of notification and
indemitific2tionMIdjiurmless relates to a tract of land at the street address of
, , , el.- - " /-N ... -Y. *..,--, ,- I.). / /-- 17
(insert street
' . '-' ` " ' :-41, 1 - I (
address),JEdmQu-ds-Sn,ohomish County, Washington and legally described as:
t�,*-*"'P/.-47--/- J�a Y1, el r /,M
2. Notification and Covenant of Notification.:." -The above referenced site
(hereinafter "subject site") lies within an ari�a, which-*Ixog'b6m identified by the City
of Edmonds as having a potential for earth suWaen� . e q . e landslide hazard. The
risks associated with development of the site hkve'�'e'en oai*luoted by technical
............
consultants and engineers engaged by the applicant a§*. a,.pa"rt--4`the process to
obtain a building permit for the subject site. The resulti-of. the p6iisul6at's reports
and evaluations of the risks associated with development aireiixd*ntairi�d in `.building
permit file number 90- (insert number) on rile yath the,: City of
Edmonds Building Department Conditions, limitations, or*,` robibitiO
7 s---Q.n
development may have been imposed in accordance with the recorii1fietidati669; of,
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the.,e6n Ultmfs.--fif'the course of permit issuance. The conditions, limitations, or
probit�itioni yi4@ke ongoing maintenance on the part of any owner or lessee or
may re�quife modiric-ations to the structures and earth stabilization matters in order
to address." futtire-' or .... anticipated changes in soil or other site conditions. The
statements and :&nditioft*s pr6posed by the OVVIWRSI geotechnical engineer,
geologist, arel�itec"t"a**ud/or"s"tr.'P'et..u'raI engineer are hereby incorporated by reference
from the contents of'the--efie:.�i-fu.11y as if herein set forth. Any future purchaser,
...... ... .
lessee, lender or any otfier.p' eking to acquire an interest in the
�rsdu gcquinW or se
rty is put on notiee,o
prope ilie.-exis content of the rile and the City urges
review of its contents. Thdfile' may"be revie during normal business hours or
copies obtained at the Buildhig Departw6t, Cfty of Edmonds, 121 5th Avenue
North, Edmonds, Washington 9802Q.--"
3. Indemnification and Hold H�rmIdi�**-"`T'h**e"` undersigned OWNERS
hereby waive any and all liability associnfed: W*** ith-'* dq�:,elopment, stating that they
have fully informed themselves of all risks.-Imoc1�6a"'with development of the
property and do therefore waive and relinquish a 4y ;ffid all c:uses of action against
the City of Edmonds, its officers, agents and empl6yees *ri�w' frdm and out of such
development. In addition, the OWNERS on behalf of th6nsel*v`es4-their successors in
the
interest, heirs and assignees, do hereby promise to indemnify 9,pd.,
City of Edmonds, its officers, agents and employees from any*.16ss,...eM.I.m, liability or
damage of any kind or nature to persons or property eitMr...6h 9.r-**dff the site
resulting from or out of earth subsidence or landslide hazard, ariA4.g-fio!R: nout.- of
the issuance of any permit(s) authorizing development of the site, b.ir'. oeicuri-l'i"
.pg oi%
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A PR VE F R RECOMING
P OF
. .... ... BV DATE Tzloj
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aris�jnt misleading, or inaccurate information provided by the
OW
,np-5,,their 4�� yFes, or professional consultants in the course of issuance of
the buOding *p** eriffl-i"t".,""....
4. In`sut�ncel�rjulrement. In addition to any bonding which may be
required duriRg We c6ud�,.6f`aevelopment, the Community Services Director
has/has not (strike onO spe6ficany required the maintenance of an insurance policy
for public liabWty cbierage in. ihe 'amount and for the time set forth below in order
ication
to provide for the financial �spptils4biil tablished through the indemnifi
and hold harmless agreement;ahbve.-.--'
...........
5. Covenant to Touch and Concern the Land-.* ::This covenant of
notification and indemnification/hold harmtc�.J" d oncerns the subject
�kd aift c
tract and shall run with the land, binding, obligatihg afid/g.r i#uring to the benefit of
future owners, heirs, successors and interests .9tier..*.-.person or entity
acquiring an interest in property, as their interest may a
pp"r. is.provision shall
not be interpreted to require a mortgagor or lender to find mn `ihe*i�ity except to
the extent of their loss nor to obligate such persons to maint2itid4h.e.h4ura6ce above
required.
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APPR VE FOR RECORDIbIG
B DATE 7/2/al
PA OF !�3�
C4
........... 16. 01 K I day of_ 3199-
OWNER(S)
B
y:
By:
STATE OF WASHINGTON
ss:
COUNTY OF
I certify that I know or have sdtisfa .y- deuce that �-tt'C+N�
--sl e� this instrument and
acknowledged it to be (his/her) free and vollintAry'act. the purposes mentioned in
..........
this instrument
DATED this day of A,& Q& A-1
NOTARY PUBLIC
My commission c , X p*';
ires.
Notory Publid'
StAtO Of W*Sh1n9tDfl-
L-\TEMP\BUILDING\MEADOW\COVF.NAN-r
CHELEA M. WARINNER
My Appoinhment Expims Feb 98
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01/15/1996 12:23 4254820533
UNIQUEHOMES
(f OE�)M_P_
PAGE 02
Consulting
Robert M. Pride, Inc. Engineer
April,5,200,5
Mr. and Mrs. Dave Cooper
1.5007 6x6t Place NE
Y,enmore, WA 98028
Re: Final Inspection Report
Cooper Residence
1117 Daley Place
Edmonds, Washington
RMP Project No. 03-186-01
Dear Mr. and Mrs- Cooper, final site inspection of your residexice on DaleY Place
At your request I have co. nducted a etion of the
Impletion. It is understood that upon ca.mpl
in Edmonds that is nearing co that you will be moving into the
ktehe-n and miscellaneous minor items in the house
residence within a week areas that I was involved in providing inspection
This report covers the geotechnical
services such as the site excavation, temporary shoring, subdrainage i�astallations,
retaining w;3dl construction and foundatiou installations. All of those activities were
inspected and reported as having been successfully completed -
The remaining work on the site rel a-tes to landscape improvements, rock and railroad tie
walls, pouring the driveway slab) and installing the area drains in the front of the
property. Plastic sheeting is to remain on the upper slope and the side yard slopes until
the low walls and plant material has been placed during the landscap(! improvernents.
on the basis of my site inspection it is my opinion that the site improvements have been
ed and the house is ready for occupancy.
substantially complet
Please call me if there are any questions,
Respectfully, ED
4�' 14 .1 NV
J�
1'cn RSCE:'V
'2 APR J 2005
N�ini
obert M. P
e& PERMIT COUNTEP
Principal Geotecbnic E n
dist: (2) addressee
rmp: cooperResidj-4
3s Point Drive NE KirK an WA 98034 Fax: 425-814-5672
Phone: 425-814-3970
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CITY OF EDMONDS
SPECIAL INSPECTION A*iNrD TESTING AGREEMENT
' - T project at Lai issued undf-7
be
PLmnit number rec�uires special ir�sp�ction and/or testing per LTBC , �i ,
and WAC Amei��el�ts_1702. The complete list of special inspections is attached to diis
BEFORE A PERMIT CAN BE ISSUED: The owner and contractor'and special ins-c.—
corripletc this agreement and the attached structurat test(s) and inspections sch ule
reqwred acknowledgments.
APPROVAL OF SPECIAL INSPECTORS; Each special inspector shall be apprc-.,-,-!-,
Building official prior to perforining any duties or.inspections. Each special inspeector
Statement of Qualifications. to the Building Official for review. Special inspectors sh�,Ji
identification when performing special inspec6ons on site. Special inspection and testLrar,�
6e 1.1nimum requh,ements of UBC Chapter 17 and the following:
qJ2nnsibgjLW_ of &e.&WSial 1AR=1
1. Obsen,e Work
fhe special inspector shall observe the site work for conformance. N�'ith tbn i'�
, !jl,
(stamped) plans and specifications and applicable workmanship provisions u�'
Aichite,ct or Eulpnecr reviewed shop draN migs may be used only as an aid.to hispec�o.,
�pecial Lnspections are to be performe-d on a continuous basis--meariing that
p1spector is on site at all times obsenring the work requiring s ec
P ial inspectio-i'.
inspections, if any, must have prior approval by the City.based on a separate
reviewed and approved by the Biiilding Official and the engineer or arcluitect of reco-
2. Repor-t Non -conforming Items
f-he special inspector shall bring nonconforming items to the immediate atten; '
tor and note all such items in the daily field report. Any item not resolver,'.
contrac
mariner shall be immediate cause of the special inspector to notify the Building 0.,
plan deviation, error, change or omission. It shall also be the duty of -the speciall
promptly notify the engineer or arcliitect.
3. Complete Daily Reports
Each special inspector shall complete and both the special inspection record
Ispection. Vse records shall remain at the jobst".-
report form for each day's ir
r,olitractor for review by the City Building Inspector.
4. Furnisb Weekly Reports
The special inspector or in.spection agency shall furnish the City with weeM- Y ref.) -
and inspecdons. The project en&eer.or arcl�tect, and others as dc.signatil,cl
copied on r eports, Weekly reports must include the fol.lowing:
Desrl tion of daily inspect -ions and tests madeArith applicable locabons
c I
List Wall nonconfon'nin, iftom4ii, q�solved or unresolved)
Report on status of noncon I i tems
Iteinized changes authorize-d by the Architect, Engineer and Cit-, if no'
nonconformance items
5. Furoish Final Construction Report
I inspector or inspection agency shall submit a final signed report to t�c�
31
that : r1itlems requiring special inspec.tion and testing were fulfilled and reportcd.
best of li�isfheT knowledge the project is in conformance with the approve.!,.:.
fications, apKoved change orders and the applicable workmanship prov;:-�-, :
noci. C-) M
U C IteTU-5 110t in conformance or unresolved items or any disp-:panci
Coverage, (i.e., rn�issed inspections, periodic inspection when contmuous irispF.�-ik.
requirecL etc.) sMl be specifically iternized in this mport.
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1. Notify the Special Inspector
it is the duty of the contractor to notify the special inspector when work is ready for
inspection. Note, the itenis listed on the attached schedule wd as noted on the appre.,
plans and specifications are required to have special inspections. Adequate notice sil-in,11. 4�".
provided by the contractor so that the special inspector has time to become familiar Wit',11
project.
2. provide Access to Approved Plans
The contractor is responsible for providing -the special inspector. access to approved p I
the jobsite.
3. Retain Special Inspection Records
The contractor is responsible to retain at the jobsite all special ins. ection records
p
by the special inspector. These records are to be provided' to the City building inspectoi- i qpo
request.
C. nt RespollsWitio
1. Approve special inspectors or inspection agencies
The building department shall approve all special inspectors and special
requirements.
2. Monitor special inspection and approve weekly reports
Work r sp I in ection and the perfortriance of special inspectors she
monitorelubn Wie City Bui ding InsPect0r. His/bef approval must be obtained p-10",
placement of concrete or other similar activities in addition to that of the special inspect;-Y'.
3. Issue Certificate of Occupancy
The Building Official may issue a Certificate of Occupancy after all weekly special ins,'r.— ri
reports including the final report have been subm�itted and accepted.
D.
ne project owner or the engineer or architect of record acting as the owners agent
special inspection services.
EIWD-eer-or Architect of Record Responsibilities
The engineer or architect of record shall include special inspection requirements on the pl�?o-" ;,ry
specifications.
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner. L21.2 2P_� - - - - -D
Special Inspector
General Contractor
City Building
at
( J . 47)�
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ate � (11 Vila + -.--
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JUN-
REMORCED CONCRETE, GUNITE, GROUT AND MORTAJU
PRECASTfPR]ESTRESSED CONCRETE:
Puts
Mal. M110
I—
-rest"
—A&012,�
ReinfMvinE Tau
701400 Tests
M iz De3iFM
Reinforcing Flac=ent
insm Placernent
Cc=etr RaTchinj
corcme Pl==at
INWIstion ITLSCPCU*on
CASA s4mple5
jp4-up$&rnPlCS
MASONRY:
special Inspection Stmsts Used
prefirningry Accepuace Tests (MASOMY U"il$, %" Pr'srru)
Subsqwl Tests (Mo=. Grout. Field Wall Prisms)
piweawat Inspection of Uaiu
T1MGM"Xn0N AGENCY . SFKJAL
STRUCTURAL STEEL/Wf;j.frjj7! I C�,
_s,LmpleodTcu(iigrpccirtcmtTnh-,T--'L.-:1�.
Shop Mowrial ldentifi=ioa
Wielding Inspection C)Shop
Ulmscaic Inspcction OSI�vp
Mgb-strength Bolung
inspection 0 Shop
0 A325 0 N E) X C317
[:) A490
Me* Dock Welding Inspection
Reinfoming St"I Welding Insp=uon
Metal Stud Weldins Wpection
Cgnmte lucil Welding Iropwict,
FmEffMFING:
plarenwrit lnspcction
Density TeRs
Thickness Tests
inspect Baiching
INSULATING CONCRETf-:
SampIc aDd Test
Placement Inspertion
Ijuit Wright$
FILL MATERIAL-
- Acccpwce Tests
— Fluvrnew Inspection
— Field Density
STRUCTURAL WOOD:
Sheu Wall NailinS Inspection
Inspe-crion of Glu-Jarn Rb-
Intpevion of Truss Joist Nb-
Simple and Test Compo=u
ADDITIONAL INSTRUCTIONS OR OTHER TESTS
AND INSPEC11ONS.-
r1lic:
Fom completcJ by*
DIEC:
Telephone NO.:
T OFF
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FINAL - AOJECT APPROVAL F0b, It
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
0 Ir
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
KFASES"
PROJECT- Lta:12!h2
SITE ADDRESS
PERMIT #,ZQO-Y�-5�1.ADB# DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED 9)-7-a, A,.,j
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 WITH CONDITIONS NOTED
cl Copy of CONDITIONS given to owner/contractor by inspector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
c3 Copy of CORRECTION NOTICE given to owner/contractor by inspector
PA
3.
?,E-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
:)ate Sign_
w-aprv1.doc.1:tenip:b1dg:fomis 10/0 1
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SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
f
Lb
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING S7
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING... yy%
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR C)
OCCUPANCY ..................
Amoutpajd$ ?79 Recel-it
Date
DatcPc
ROW#
AM0WAFWd$...RCa1Pt
ed
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