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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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EXPIRATION DATE
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RESIDENTIAL
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COMMERCIAL
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MULTIFAMILY
REPAIR
GRADING,
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TANK
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RETAINING WALL
CARPORT
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NUMBER NUMBER OF
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DESCRIBE WORK TO BE DONE
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CRITICAL
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NUMBER
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USE PERMIT
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ADDRES
EISU�,�V ION N) LOT NO LID NO.
LID FEE S
I Escp App—rovea
PUBLIC RIGHT O�WAY P14 OF�_ICIAI. STREET MAP Fiw Permit Roquired
s1ruet tise Portnit Hoqd
inspection Floquitird
EXISTING PROPOSED Sidewalk Required
Undotground
REQUIRED DEDICATION FT Witing toquirrid
METER SIZE HNE SIZE NO, OF FI URFS PAV REQUIRED
YEN
,�27/NO
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REMARKS
OWN ERICON TRACTOR RESPONSIBLE FOR EROSION CONTROL./DRAINAGE
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FIRE REVIEWED BY
DATE #
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PROPOSED SETBACKS (FT.)
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REMARKS
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'CHECKED BY ITYPE OF RUCTION DE OCCUPANTk
flu OCCUPANT
SPECIAL INSP5J?TION(RA LOAD
REQUIREO`J;�LYES 16ia
REMARKS
PROGRESS INSPECTIONS PERVPC 108/ IB 09 / IRC409 FINAL INSPECTIqN REQN 0
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PE IT C06RS VW/ORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 160 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
THE CITY OF
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTEY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILTTY 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 CONSTRUC-
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,5�WPENSATION INSURANCE AND RCW 111.27.
- SIGNATUR low OWAGENT)
DATE SIGNED
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ALUATION
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Description FEE Description FEE
Dlan Check
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State Surch e
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3uilding Permit
City Surcharge
:11umbing
Base Fee
Mechanical
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Grading
Engr. Review
—
Engr. Inspection
Fire Review
Plan Chk. Deposit
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Fire Inspection
Receipt #
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Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
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APPLICATION
APPROVAL
CALL
I Ills application is not a perind until
signed by the
Building
Official or hisilier Deptity. and
Fees are paid, and
FOR INSPECTION.
receipt is acknowledged in space
provided
FFQAL.S SIGNA
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DATE
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771-0220
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IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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ORIGINAL FILE
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Height Calculation Worksheet
Date
Permit Number q
Address
Inspector �ry&
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Elevation of transit above Datum (B)
Datum Elevatioii (A)
1/teiiip/buildiiig/foniis/ileigilt workshect
ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2: S
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OWNER/CONTI
FOR EROSION
1AINTAIN PLAT INSTALLED-1
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SDR 35 -k SCALE : 1"=20' 01
OWNER/CONTRACTO CH 110
VIKING PROPERTIES, INI " 12 W E
P.O. BOX 1034 F91110 HANCOR 01 0.
10' 2
LYNNWOOD, WASHINGTON 98046
WATER SEWER f
PHONE : 425-670-2711 PLOT PLAN
1NSPECT'-',-)I*1,!,q REQ-D.
C"ALI. 425-77,,-1j""20 EXT, 1,326 FOR
BENCH MARK Oj')
THE PROJECT BENCH MARK IS THE CONCRETE LOT 23, VIKING HEIGI�T'S`)"-�'s
MONUMENT IN CASE LOCATED AT THE
CENTERLINE OF 238TH STREET S.W. AT
APPROXIMATELY THE MIDPOINT OF THE IN SE1/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY. CITY OF EDMONDS
ELEVATION : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM : ASSUMED
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A PC` I-`1"!V' E D r., ,
NOTED
B ENGINEERING
Date:
L �ffimj Lovell - Saue rland & Associates, Inc.
Engineem/Surveyom/Plaaners/Development Coasultants
e-mal- info@lsaen&eer[ng.com - web: Isaengineering.com
19400 a3rd Ivenue T, Suite 200 Lynnwood, TA 98m - (425)775-L591 (425)M-7998 fax
DRAWN um
JTT I a=m 3.6.03 FIL 4656-0-04
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L.1U P_ A':-�SCICIATES .4 HE E. 2 7 4 6
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DAILY FIELD REPORT
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J)D NO Fie rJ Hep
LIU & ASSOCIATES, INC. 4AO86 J. L.,u I of 7
(j,;nj%:�hnicrif Vngi!,milig. Caill-, Seim: 7_155 7—r—r.—e =niCF)— t�a
2.35A 4/'13/20
19213 Kentake PInce W 7-ra-vt77F)e7ff_r_sT 77,C_bTf_T_rc We3tner
Kenniore. Washington 98028 M517' SLnny tG pOrtly G LOUqy
Phone-.025)483-9134 Fa%:(42i)"'66-2746 Vel-itcle H-s o-TS Ur, chaigGpi visitors
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W's rok. 24 - Sunrise �j�4pe 80xx - 238th Sveet SW, Ednords__ Viking Propeil;:es
I _ 9� ;�_ �i Received Unohec�ed Gy
Coii1ractor GGne(al ro racto:, iperintandoot
ViKii�q Pr�oartles Ted Coleman
Earthwork Cortr=01* SUIA. P�ecvcj C5Tck
Calun Exsavatino
At the request by Ted Coleman with Vi-',It)g Properties, I come on site to verify the fcK)ting beadng soiIs for the
tiouses to be built on the subject lots. At the lime of my site visit the footing trenches on these lots have. all bee n
ex,,.vated out down to tne footing level. No grour.Gwater seepage or standing water is observed within the subjcct
lots. Some loose disturbed soils have fallen into the footing trenches, and ir olaces a thin layer of soils over th(.�
boltot`9 of flie footing trenches is disturoed by the scraping of the backhoe bLic-kat,
The footing trenches are cut down about 2 feei below exisUrg grade into brown to light -brown strUCtUral fill of silty
fine sand viith a trace of gravel. A steel T-bar manually pushed into the footing bearing soils can penetrate no Moee
Inan 4 to S inches into the undisturbed footing beahng soils, indicating the soils are rneftlrn--dense to dense,
I inform Bob. the foreman with Viking Properties, that the loose thin layer of soils disturbed by Oackhoe oucket
-chanical compactor. If the above recommenoations
should be Compacted to a non -yielding state with a vibratory nic I
are followed, it is n)y opinion that the ifooting bearing so;ls will be able to i snder an allowab!e bearing C;apaCity C f at
least 3,000 psf
RECEIVEEL)
APR 2 12005
DEVELOPMENT SERVICES :.TR
CITY OF EDMONDS
1) Ted Colernan/Viking Properties
3)
4)
4�t.3105
on Noxt
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FINAL PROJECT APPROVAL FORM
TO:
DATE,:
MEMOTO: 11 EIZ MITCOORDINATOIZ, 13UILDING DIV IS ION
FROM: FIRE DEPARTMENT DATE
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ENGIKEERING DIVISION DATE 0
PLIKII. SIGN
PLANNING DIVISION DATE
PLEASE SIGN
PROJECT PLt:72
0 m
C 0
44 mo
SITE ADDRESS Q/ 7 rl) --I C)
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PERMITH,Za ADB11 DATEINSPECTED M
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T) E 0, RIPTION OF WORK TO BE INSPE, TE >
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:
Y_ GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL win i CONDITIONS NOTED
0 Copy of CONDMONS given to owner/contractor by inspector
FAMED FINAL INSPECTION - OUTSTANDING ISSUES
El, Copy of CORRECTION NOTICE given to owncr/contractor by inpectoi-
I . . .
� 2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANTFINAL 11ROJEcT APPROVAL
Date Signature
1:tcmP:b1dg:roniu;:oca1)rv1 3/25/011
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...................... A
Wall.......................... 'A
Pier/Porch .................
Retaining Wall ...........
Slab Insulation .......... &77— IS - .0 ,5
PLUMBING:
Underground ............. M7 -6
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Pi ping * ............
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ........... #
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR M5 du
OCCUPANCY ..................
A rn 0 u
Date
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1-ow
The filitilis NIT are Milton ramarA Paid
Thompson, a teiliporary contract
illspectol. fol- tile city.
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