20040670.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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REMARKS
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ENGINEERING REVI
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PROGRESS INSPECTIONS PER UBC
108/FINAL
INSPECTION REQ'D
VESTED DAT
THIS PERMIT AUT90RIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
W PERMIT APPLICATION: 180DAYS
IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) OAPPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS7
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_j IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALT NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PHOVISION'
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 CONS1RUC-
TION AND IN DOING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
IN V61-ATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18 27
SIGNAT a nwhic �
VALUATION
$ .41a 4
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTION
FEE Description
Z7,7, State Surcharge
City Surcharge
Base Fee
FEE
Plan Chk. Deposit
Receipt #
Total Amt. Due dv 625
Receipt #
APPLICATION APPROVAL
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
11 GENT)
DATE SIGNED
(425)
nia
1
771-0220
--T-DATE
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ATTENTION
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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
ORIGINAL - FILE
YELLOW. SP TOP
09"03
PRESS HARD -YOU ARE
MAKING 4 COPIES
PINK - OWNER
GOLD -ASSESSOR
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NORTH MARINA
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MEMORANDUM
Date: August 6, 2004
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To: File SM-2000-94
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From: Meg Gruwell, Senior Planner ?7114'
Subject: Dock Overlooks for Docks P, R, S and U
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Shoreline Substantial Development Permit file SM-2000-94 involved changes to P, R, S, and U 0
docks to improve tenant safety, among the changes proposed with that project. The Port of 0 C
Edmonds has proposed constructing four dock overlooks on those same docks as part of a project M
being reviewed under Plan Check PC-04-319. The proposal cantilevers an expanded deck in the M Z
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four locations towards the water, which will provide a place for picnic tables, and for people to C
be out of the way of the flow of pedestrian traffic to observe activities in the marina. This
improves public access at the waterfront with a minimum impact to the natural environment. Cn
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Each dock overlook is approximately 6 feet by 16 feet, or 96 square feet. With four dock
overlooks proposed, and an earlier "0" dock overlook of a similar size, the total size is 480
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square feet. This is within the allowable 500 square feet or 10 percent, whichever is less, that is 055
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allowed through a permit revision per WAC 173-27-100. The proposal is w 0 M
intent of the original permit, no height is changed, the proposal meets all the requirements of the C cl)
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Edmonds Shoreline Master Program, no change is proposed to use or landscaping with this M 0
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permit, and no adverse environmental impact will be caused by the project revision.
The proposal for dock overlooks for P, R, S, and U is approved as shown on the attached plans.
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MICROFILM
City of Edmonds cze Community Services
OV EDA,
CITY OF EDMONDS
121 5TH AVENUE NORTH, EDMONDS, WA 98020 (425) 771-0220
ADDENDUM TO EXISTING ENVIRONMENTAL DOCUMENT
Addendum to (check appropriate box) E(DNS El EIS Q Other
Description of current proposal: Add four dock overlooks to docks P. R. S, and U docks. Each dock
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overlook is approximately 6 feet by 16 feet, and is cantilevered from the existing pedestrian walkway.
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Proponent: Port of Edmonds
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Location of proposal, including street address if any: 336 Admiral Way, Edmonds
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Title of document being added to: Determination of Nonsiqnificance
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Agency that prepared document being adopted: Port of Edmonds
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Date document was issued: 23, 2000
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—August
Addendum: The above determination was made for an earlier proposal to reconfiqure N-P,docks and add
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float extensions on G. and P-U docks. The current proposal (City file Plan Check 04-319),is a small
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addition with impacts in essentially the same areas and to considerably lesser degree 3. Because the
current Proeect has limited environmental impacts and the impacts it would have would be not dissimilar to
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the impacts of the larger proiect. the Determination of Nonsignificance is seen as addressing all the
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pertinent environmental impacts on the site.
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Name of agency making addendum: City of Edmonds
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Contact person, if other than
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responsible official: Meg Gruwell. Senior Planner Phone: _1425177-1-0220
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Responsible official: Rob Chave
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Position/Title: Planning Manager Phone: 425.771.0220
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Address: 121 5t Ave. K Edmonds, WA 98020
Date:— /o 4 Signature:
MICROFILM
WAC (4/15/98) CAFILMSEPMAddShorefinc.doc 9/6/04
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C 0 NS U I.T ING
F N G I N F. r. R S
PND No. 044038-03
July 25, 2005
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City of Edmonds 0
Building Department
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121 5 Avenue North
Edmonds, WA 98020
Fax: 425-771-0221
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Subject: P,R,S & U Promenade Overlooks 0
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City of Edmonds Permit No. 2004-0670 0 C
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To Whom It May Concern::
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leted earlier this month.
A fiml inspection of the above referenced project was comp
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ort of
The purpose of this letter is to acknowledge that the work completed by. the P
S & U Promenade Overlooks project meets the plans and
Edmonds for the P,R,
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ped and sealed by the Engineer of Recor
specifications as stam 0)
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Sincerely, C Cl)
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PND Incorporated eatt1c Office Q 0
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RECEIVED
David Pierce, P.E. >
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Vice President JUL 2 8 2005
DEVELOPMENT SERVICES CTR. Cn
CITY OF EDMONDS z
Cc:.Bob Yeager 0
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Port of Edmonds 0
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SUITE 3) o W,\Sl 98104 387 Fax 206.62 MICROFILM
CITY OF EDMONDS
SPECIAL INSPECTION AND TESTING AGREEMENT
The project at. -issued under building
permit number requires specil,61 inspection and/or testing per LJBC Chapter 17
and WAC Amendments 1702. The complete list of special inspections is attached to this document.
BEFORE A 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 performing any duties or inspections. Each special inspector shall submit'
Statement of Qualifications to the Building Official for review. Special inspectors shall display
identification when perfori-ning special inspections on site. Special inspection and testing shall meet
the minimum requirements of LJBC Chapter 17 and the following:
A. Duties and R—esponsibilities of the Special Inspecto
1. Observe Work
The special inspector shall observe the site work for conformance. with the approved
(stamped) plans and specifications and applicable workmanship provisions of the UBC.
Architect or Engineer reviewed shop drawings may be used only as an aid to inspection.
§pecial inspections are to be performed on a continuous basis --meaning that the special
!nspector is on site at all times observing the work requiring special inspection. Pehodic
inspections, if any, must have prior ap oroval by the City.based on a separate written plan
reviewed and approved by the B Mcial and the engineer or architect of record.
2. Report Non -conforming Items
The special inspector shall 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 inunediate cause of the special inspector to notify the Building. Official of the
plan deviation, error, change or omission. 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 s= both the special inspection record and the daily
report form for each day's inspection. Th e 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:
Description of daily inspections and tests made with applicable locations
List of all nonconforming items
Report on status of nonconforming items (resolved or unresolved).
Itemized changes authorized by the Architect, Engineer and City if not included in
nonconformance items
5. Furnish Final Construction Report
The s ec; . all inspector or inspection agency shall submit a final signed report to the City stating
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thataf te s requiring special inspection and testing were fulfilled and reported. And,tothe
best of his/her knowledge the project is in conformance with the approved plans and
specifications, approved change orders and the applicable workmanship provisions of the
UBC. 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.
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JUL-27-2004 09:06
P. 05/06
13, Contractor Responsibilities
1. NotiO the Special Inspector
it is the duty of the contractor to notify the special inspector when work is ready for Weial
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
the jobsite.
3. Retain Special Inspection Records
The contractor is responsible to retain at the I-obsite, all special mspection records submitted
by the special inspector. These records are to be provided to the City building inspector upon
request.
C. -city pepartnigl3t Resnonsibilities
1. Approve special inspectors or inspection agencies
The building department shall approve all special inspectors and special inspection
requirements.
2. Monitor Special inspection and approve weekly reports
. . g special i pection and the performance of special insp
Work requirini, _ectors sW1 be
monitored the City Bnuliding Inspector. His/her approval must be obtained prior to
placement o concrete or other�shimlar activities in addition to that of the special inspector.
3. Issue Certificate of Occupancy
The Building Official ma'Y issue a Certificate of Occupancy after all weekly special inspection
reports including the final report have been submitted and accepted.
The p�qject owner or the engineer or architect of record acting as the owner's agent shall fimd
special inspection services.
EX—JEngineer 0E-&QbftCct-of Record Responsibilities
The engineer or architect of record shall include special inspection requirements on the plans and
specifications.
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
Owner
Specia
General Contractor
City Building
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PIXASE SIGN
ENGINEERING DIVISION DATE
PLEASESIGN
PLANNING DIVISION DATE 8-1,?_1os-
KrA E YG N
PROJECT Pt* cf FA, Pi el 5Y L�_
SITE ADDRESS —
PERMIT# (Z�?A-at-7D _ADB#_ DATEINSPECTED 71�91o,�-
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 release of
PERFORMANCE BONDS and the granting of:
V"� GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
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FAELED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
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2.
3.
RE, -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbrrns:ocaprv1 3/25/04
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
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
OCCUPANCY ..................
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