20050121.pdfDATE RECEIVED PERMIT EXPIRES
USE PERMIT
F
CITY OF EDMONDS NUMBEW
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
OWNE ME/NAM;E,0AFI3U INES I S ADDRESS
—:�? PLAT NAME/SUBDIVI 10 LOT NO. LID NO.
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M MAILIN NADDRdS LID FEE $
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TESCP Approved 13
PUBLIC R WAY PER (5fFICIAL STREET MAP AW Permit Required Q
0 34,40F AJ Street use Permit Roq'd [3
CITY ZIP TELEPHONE EXISTING PROPOSED inspection Required E3
Sidewalk Required 13
REQUIRED DEDICATION- FT Underground
Wiring required 0
NAME NO. Pl9,V REQUIRED
METER SIZE LINE SIZE I 1 0
-51el / it YESX, NO E3 9
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AAk GINEERING REVIE VE5 DATE
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SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED PROPOSED ALLOW�� , PROPOSEI�,
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CHANGE OF USE 1,1114 1,5� 1 YVP z
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REPAIR CYDS 1:1 ( x FT) REMARKS )(
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DEMOLISH TANK. . -ft (a_j`leC7- 5',,-r-e4L
z E]GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT El ROCKERY FIRE ALARM
2� (TYPE OF USE, BU OR ACTIVITY) EXPLAIN:
CHECKED lly TYPE OF CONST LICTION CODE OCCUPANT
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NUMBER NUMBER OF CRITICAL&Vy-', Y/
0C OF DWELLING ARE SPECIAL INSPE ION OCCUPA�T
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0 STORIES UNITS NUN REQUIRED YES ]ARE
DESCRIBE WORK TO BE DONE
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE01D
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QUM VALUATION
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Description FEE Description FEE
Plan Check State Surcharge
UAT SOUWE GLAZING % LOT SLOPE % City Surcharge
Building Permit
PLAN CHE7C VESTED DATE Plumbing (��Z2
Y4,2 e�— � I
THIS PERMIT AUT�ORIZIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical 7z)
It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
LU PERMIT APPLICATION: 180 DAYS
PERMIT LIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER . NATURE, ARISING DIRECTLY OR INDIRECTLY
3: FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
'n DEEMED TO hl WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.m
Recording Fee Receipt #
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S C?!4�SATION INSURANCE AND RCW 18.27. A
_OFFa1ALS SIGNfjURE IDATE
SIGNAT t1ER 0 AGEN-0 DATE 7IGNED (425) ( V rz,� &7 LL
1 771-0220 A DfTE
ATTENtION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INISPEKO
CATE OF OCCUPANCY HASPEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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NOTE: THIS SITE
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SHOWS THE 0
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SCHEMATIC
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LOCATION OF
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POWER, WATER,
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LINES AND THEIR
PWR' 428.7 428.6 428.7
CONNECTIONS TO,
430.7
EACH RESIDENTIAL
SWR* UNIT. REFER TO
ss�� Yv. # 6 UNIT # 1
I TH E UTI LITY
4 UNIT iREVERSE I
PLAN TYPE C PLAN TYPE C
y:
TRENCH DETAIL ON -
Oth §T. SW
7545 21 7535 21 Oth ST.1 SW
con, ENTRY FLOOR I ELEV- 432.75 ENTRY FLOOR ELEV: SHEET �A— 1.2 AQ
DRIV.E. .. 'I
0 GARAGE SLAB ELEV: 423.90, GARAGE SLAB E VINGS
N�EV: CIVIL DRAV
AISLE
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-6. .. - LOWEST G ELEV: 422.40 LOWEST FOOTI ELE - �� M
0" FobTll� FOR LOCATIONS
+
32.75 rn
AND INSTALLATIO r,
23.90
INFO ON ALL
- 422.40 31' 5
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UTI LITI ES.
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8 w 429.
429 DRAWINGS FOR
433.1
PAI LOCATION & INF
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ON STORMWATER'
VAULT
..18EE STAIR
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24 OCT
20N
WTR PEC)OLINTER
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:::"431.51
NORTH
..Cascade Cottaaes Lot-- #6, -Site Plan
10 0 CITY COPY
'06
6��.ER LEVEL
LOCATION OF ENTRY LINE OF FLOOR AT v
DOOR WILL VARY AT MAIN LEVEL
TYPE
EACH UNIT
LINE OF BUILDING
FOOTPRINT AT GRADE
b(ISTING, GRADE
a SOUTHEAST CORK
TING GRADE
EXIS ule
a SOUTHWEST Rectall
-ulatl(
C a
It :111 1 jc
B -ijil din or
ttave. OF
fw
ical C 0 ELVATION
AAx ELEVATION AT PROPOSED
RIDGE HEIGHT
OF AVERAGE- "EIGHT (AVERAGE
RIDGE I
-o")
TOTAL
@ EACH GRADE E GRADE PLUS 10 c':5
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T GRADE ELEVATIONS GRADE DIVID. 0
EXIS - _CTANGLE ELEVATIONS (TOTAL c.).
LOT co F BLDG. RE eY 4) 4.55.9 1
RNER 0 HEAST. 'j
(NORTHWEST, NORT EST) 459.0 456.16 6
429.0
SOUTHEAST, SOUIHW 1716.0 460.45 456.41
+ 427.9 + 429.0 430.45
.8 461.72
.0 + 429. 172 456.66
430 + 429 .0 + 429.9 431.72
431.4 + 431,5 1 26.9 460.9
2 431.9 456.66
7 + 433.1 + 430.9 45B.
431.2 + 1723.6 6 456.41
3 + 430.7 + 431.2 �.6
431.2 + 430.5 1714.4 42 459-02 456.16 6RE6
4 8 + 428.3 + 28.2 429.02 f
+ 428. 458.2
5 429 * I + 29.8 7 6.1 455.91
6 + 429-0 + 428.2
6 428.7 + 428 28.2 M2.7 457.6 454.91
.3 + 427.5 + 4 1 10.5, 427.6 457.
7 428.4 + 428 427.2 427.55 - 55 455.16
1. io-2 458.22
8 428.2 + 427 B 4� 427.3 + 427.2 455M
9 427.8 + 4213.4 + 426.8 + 427.7 1 12.9 428.22 458.72 455.65
428.2 + 428.5 + 42B.5 + 1714.9 428.72 458,82
10 429.0 455.66
+ 428.2 + 428,82
428,7 + 4290 17 15..3 459.07 455.41
A 1 428.3
79 5 + 42B.7 + 429.07
12 428.8 + 42 - 1716.3 430.05 460.05 ID SHOW PROPERTY LINE
42B.9 + 430.1 455-16 PERMII REV- I- '"IS S�
+ 428.3 + 1720.2 459.92 Dv5ANCE FROM BUILDING
13 .0 454-91
30�6 + 430 429.92 DIMENSIONS ViA\E HOT
430.6 + 429 �.0 + 1719.7 ---- 456.90 DRAIIIING cwfu
14 -, 429.5 + 429.1 426.90 0
.15 430.9 + 430.2 . "I. LCh L t
.5 + 425.5 �0-r
ons
4 8.8 + %28'8 +
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uh 7'
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180.00*(P.)
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179.91
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15 10 2 cr 12 04 -jTj___ -7- 100
10'
4.0
UNIT 4 UNIT 5 UNIT 12 UNIT 13
tot SCALE I"=20'
AS-BUtLI RDOr PEAK -DUILT POCK PEW AS-BUKI DOOF PEAK
ELAVATION %,455 &a ELEVATION W455 so ELEVATION 045.4 76 AS -BUILT Roof PEAK NNI
ELEVATION m&M93 IF
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40.1 45sp, &V S459, 4? IL MAX 07, vttet.
% ot lot 20t 40,
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50' 3.5 1 m
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UNIT 6 UNIT 11 UNIT 14 ct
UNIT 3 c� Ln
4S�BJLT QW PEAK AS -BUILT QO0F` PEAK AS -BUILT ROOr PEW
AS-DUILT ROOF PEAK ELEVATION w435.82 ELEVATION 0454 61 ELEVATION ,454 54
ELEVATION *,4S56O LAI I
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2.0, IGO*
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UNIT 2
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AS-RMf ROOr PEAK UNIT 7 UNIT 10 UNIT 15
ELEVATION "45323 AS—WLT ROOT PEW AS.BUILI ROOT PtM AS-DUILT POOr RE" On !D
moqx Lpfflo, 415p E4VATION o455.30 ELEVATION -45415 ELEVATION .45402 p al I
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max & q 5g, zz
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UNIT I UNIT 5 UNIT 16 CY TAB& 10* If'
AS -BUILT MOOT PEM AS-WLT ROOr PEAK AS -BUILT ROOr PEAK
ELEVATION1 P435.32 ELEVATION w453,0 ELEVATION m454.33 ELrVATICN �4$4.39
MAY0 45q,o lWe q57, too Moaxw�457, �f Go, 7
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(TYPICAL
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lootool 41---
2.1' I;g 20. so 2�
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0.1 kIll EXPIRES 11 -15-05
s 179.88
180.001(p)
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�UNIT 9
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UILT ROOT PEW
ON
As -built
Lot
Allowed
459.0
455.3
2
460.45
3
481.72
455.6
'4
'460.9
455.9
5
458.6
455.9
6
459.02
456.6
7
458.2.
455 .3
8
457.6
455.5
LIU
ASSOCIATES 4862746
DAILY FIELD REPORT
Job No.
1-ield Kep.
plage
Rr"
LIU & ASSOCIA'FES, INC.
4AO42
J. Liu
1 of 1
2
GetilLchilic"11 Migineving, nginccring gy & C-.anh Selence
U Ines
32
—
Time on site
1:45P
T_
ate
2/28/2005
Mon.
19213 Keiflake Place NE.
Kennnorc, Washington 98028
Phone. (425) 483-9134 Fax: (425) 486-2746
Travel Y—,m9_(Rrs—)
1.25
T—im—eZU "site
2:15P
We—ather
Cloudy
Vehicle Hrs on bite
I-Irs Charged
1.75
Visitor.,
-Ment
rojeCt
Cascade Cottage
rc
ige—n—er-ii- —Contractor
Job Location,
212 Street SW & 76th Ave SW, Lynnwood
General ContractTr s—uperintendent
Blueprint Management
Received Unchecked By
T. E. Brios Construction
Ron Smith
Received hecked Bv
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Foundaljon Contractor
Foundation Contractor �UPL,
At the request by Doug Herman with Blueprint Management, I come on site today to verify footing bearing soils and
stability of cut banks for the Bu ilding Units.1 through 6. The building footprints for these units have already been
excavated down to their footing levels. The cut banks along th e west side of Building Units I through 4 stands at
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about 3 to 8 feet high and ta ering down to about 2.5 to 3.5 feet high to the east sides of Units 1 through 6. The
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soils exposed on the cut banks consist of 2 to 4 feet of brown weathered till of medium -dense, silty fine sand.
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y -dense, gravelly, fine to medium sand with occasional cobble, excep t over the
underlain by gra fresh till of very
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area of.Unit 5 where brown, dense, fine to medium sand.is encountered at the footing I evel. Groundwater is not
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encountered within the footprint excavation and there are no signs of erosion within the site.
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A steel T-bar manually pushed into undisturbed footing bearing soils of gray fresh till (Units I through 4 and 6) and
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brown sand (Unit 5) deposits can penetrate no more than 2 to 3 inches, indicating the undisturbed soils are dense
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to vory dense. There is a thin layer of disturbed soils not.more than 4 to 5 inches, lying here and there in the
excavated footprints. These lo, ose disturbed soils should be removed or compacted to a non -yielding state with a
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vibratory mechanical compactor. Doug says he will have someone cot -npact the loose disturbed soils with a plate
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compactor.
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The cut banks composed of weathered and fresh till have remain stable. it is my opinion that the cut banks will be
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able to remain stable for the duration of footing construction, and it will be safe for works to work within Wilding.
footprint excavation.
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Continuecl
1) Doug Herman/Blueprint Management 2),
on Next
pacle
3) 4)
FINAL F'ROJECT APPROVAL FORM
TO:
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION.
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENG
A i2L\A INEERING DIVISION DATE 1jfA0,6
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PLEASE SIFN
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'PLANNING DIVISION DATE
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F -ASr
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PROfECT
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-SS 777 '5,
SITP ADDRE
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PERN41T nZ00-57- 0/zl ADB/f ------------DATE. WSPECTED- 3
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DESCRIPTION OF woRKTO BE INSPECTED 91'Wt-- A6Lna
A field inspection was conducted to determine compliance with -approved plans. Final app�oval
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denotes that there are no objections from the -above signed Department to the release of
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PERFORMANCE BONDS and the granting of
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
CD
0 Copy of CONDITIONS given to. owner/contra6tor by inspector,
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OUTSTANDING ISS -S
FAILED FINAL INSPECTION UE
0 Copy ofCORIZECTION NOTICE. given. to owner/contractor by inpector
.2.
3.
RE-IN'SPECTED OUTSTANDINGISSUE.S - GRANT FINAL PROJECT APPROVAL
bate, Signature
1:tenip:b1dg:fonns:ocaprv1 3./25/04
R.
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
c5s
Footing . ...................... 3,4
In) 37
Wall ..........................
Pier/Porch .................
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Retaining Wall ........... -1
0
Slab Insulation .......... M
PLUMBING:
Underground ............. x
OM
Rough -in ................... M0
0
Commercial Final ...... 0 C
HEATING: X M
M Z
Gas Test ....................
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GasPiping ......... I ........
C/)
Equipment .................
0 -n
Commercial Final .......
M M
EXTERIOR SHEATHING
O.r
NAILING ..........................
0 M
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FRAMING ......................... K 0
Q 0
FIRST FLOOR FRAMING.... Z
45
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
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SHEETROCK NAILING 0
SPECIAL INSPECTION 0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
Amout Pat,1
If
N7Vaf rMef-
1AX/
000, f4 _/1 ?I e-
Amount
The Initials MT.are MiltOn I.*, 017v !44 .......
PorarY COntract
ThOnlPson, a tern 11, - -,
t
inspector for the City