20050214.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEiNAME OF BUSINESS
Project 210th LLC
MAILING ADDRESS
405 - 3rd Avenue N.
CITY ZIP TELEPHONE
Edmonds 98020 425-776-1245
NAME
Carl J. Colson
ADDRESS
23623 - 20th Avenue W
CITY ZIP TELEPHONE
Bothell 98021 426-806-3703
NAME I CBL#
Blueprint Management, Inc.
ADDRESS
405 - 3rd Avenue N
CITY ZIP TELEPHONE
Edmonds 98020 425-776-1245
STATE LICENSE NUMBER EXPIRATION DATE
BLUEPM1982KW 5/16/06
PROPERTY TAX ACCOUNT PARCEL NO. /
See attached 5V,,L
NEW
L&
RESIDENTIAL
PLUMBING if MECH
EADDITION
]
COMMERCIAL
COMPLIANCE OR
MIXED USE
CHANGE OF USE
REMODEL
E]
MULTIFAMILY
SIGN
REPAIR
%
cyos
Ei
FENCE X
FT.)
DEMOLISH
TANK
m
OTHER
4GARAGE
RETAINING WALL
1:1
FIRE SPRINKLER
CARPORT
ROCKERY
FIRE ALARM
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN;
Single Fam
NUMBER UMBER OF
OF WELLING
STORIES 3 "NITS
DESCRIBE WORK TO BE DONE
" 4r % .
PERMIT
NUMBER
PERMIT EXPIRES
JOB
SUITE/Ar—"
ADDRESS.
t64-L sA
NAIADSU 11
LOT NO,
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFI
AL STREET MAP
TESCPAppruved L3
RW Permit Required [3
Street Use Permil Required 13
13
EXISTING PROPOSED
Inspection Required
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Sidewalk Required
C3
REQUIRED DEDICATION
FT
Underground
W,finq required 13
METEU14E
NO. FIXTURES
V REQUIRED
IF
YE) NOO
P
REMARKS
OWNERICONTRACTOR RESPONSIBLE
FOR EROSION CONTROL/DRAINAGE
EERING REVIEWED
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RE REVIEWED BY
DATE
DATE
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VARIANCE OR CU SHORELINE OR ADB# I INSPECTION S A
-1 REQ'D COMPLETED EXEMPT
1�4ES ONO *1 —4-0
Q ZONE SIGN AREA HEIGHT
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WAIV�R� ALLOWED PROPOSED ALLOWED PROPOSED
STUDY 13
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
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ALLOWED PROPOSED FIR? FRI,�j LOISIDE
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PARKING LOTAREA PLANNING REVIEWED 13Y DA;jr) %( 5
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TYPE
SPECIAL
YES
CONSULTANT
OCCUPANT
GROUP
OCCUPANT
LOAD
REMARKS
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GEOTECH REPORT
BY:
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STRUCTURAL DESIGt*;V�M,�*
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BY:
08 46
VALUATION
$
Description
FEE
Description
FE7
Plan Check
State Surcharge
HEAT SOURCH�7
LOTSLOPE%
VESTED DATE
Building Permit
City Surcharge
PLAN CHECK, NO:
Plumbing
_60
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Revie
Lu PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
116 PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
in 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
Ir ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
BE
I
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
01 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee
Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
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_
CALL
Building
This application is not a permit until signed by the
Official or his/her Deputy: and Fees are paid. and
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
FOR INSPECTION
receipt is acknowledged in space provided
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
OF
URE DATE
(425)
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SIGN=R A G E N'T)Y:.)
DATE SIGNED
I 1�7
771 -0220
PIALSSIG,,N
S Y
SED BY
/ �'o ii�
ATTEWION MAL 10%),3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEIRTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 1 IBC1 10./ IRC1 10.
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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ORIGINAL - FILE - YELLOW INSPEATOR
PINK - OWNER - GOLD - ASSESSOR
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LIU& ASSOCIATES 4862746 P.01
DAILY FIELD REPORT
LIU & ASSOCIAl'ES,, INC.
Job No. hela Hop' Fage it 110.
4AO42
Gcolechnic . at Engineering, Filgiticcring Geology & Etirth Suicticc
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Miles
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19213 Kenlake Place NE
32
I ravel Time (qFST
3:35P
Time Ite
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Ken'more, Washington 98028
1.25
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Sunny
Phone: (425) 483-9134 Fax: (425) 486-2746
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Visitors
Project Job Location
1 .75
1.75
Client
Buildi
Litillair9s 15 and 16 - CaSq�!��.
212 Street SW 76th Ave SW, Lynnwood
M a n a cLe ni e t
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General iffoRractor
T. E. Briggs Construction
General Contractor Superintendent
Ron Smith
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Received Unchecked By
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Foundation tractor
Foundation Contract& SuPt.-
Recelvea.Ch
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At the request by Doug Herman with Blueprint Management, I come on site today to verify footing bearing soils
for Buildings 15 and 16. The footing trenches for these units have already been excavated down about 2 to 5 feet
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deep to their footing levels prior to my site visit. Footing bearing soils of both lots are cut into a brown weathered
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till of mediLlm-dense to dense silty fine sand and light -gray fresh till of silty fine to medium sand with a trace to
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some gravel. Groundwater or standing surface water is not encountered by the footing trenches. Loose soils
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disturbed by backhoe during excavation and falling into the footprint excavation from cut banks after excavati011
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were quite prevalent over bottom of excavation on both lots,
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A steel T-bar manually Pushed into undisturbed footing bearing soils can penetrate no more than 2 to 3 inches,
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indicating the soils are dense to very dense. It is my opinion that the undisturbed footing bearing soils will be able
to r6nder an allowable bearing capacity of at least 2,500 psf, The loose disturbed soils in the footing trenches
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should be thoroughly removed down to firm undisturbed native soils or to be thoroughly compacted to a non -yielding
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state prior to pouring concrete for the footings.
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Coo� to:
Contint.led
1) I?oug Herman/Blueprint Management 2)
on Next
4) Page
FIN- PROJECT APPROVAL i,JRM
TO:
DATE:
..MEMO TO: PER -MIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PIXASR SIGN
ENGINEERING.DIVISION DATE
S., S 1'. N
111-CASE. SIGN
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PLANNING DIVISION DA TE
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PIXASESICR
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SITE ADDRESS
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PERMIT # ADB# DATEINSPECTED
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'TO BE INSPECTEIT�
DESCRIPTION OF WORK F40 b
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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 th e release 0 f
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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
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El Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy of CORRECTION NOTICE. given to owiier/contractor by inpector
2.
3.
RE-fNSPECTED OUTSTANDING ISSUE S - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:foni1s:ocaprv1 3/25/04
&
RECORD OF INSPECTIONS
]NSPECTOR DATE APPROVED
SETBACKS .....................
FOU14DATION:
12
Footing ......................
O!S
Wall............................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground.............
Rough -in ....................
Commercial Final ......
HEATING:
Gas Test ............. ......
Gas Piping ..................
Equipment .................
Commercial Final .......
EXTERIOR SHEATHING 5
NAILING ..........................
FRAMING ........ ................
FIRST FLOOR FRAMING...
INSULATION ....................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
-SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINALAPPROVAL FOR
OCCUPANCY ..................
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AniountPal
DatePurchnsed
ROW#
Arnount Paid $---.Receipt 41
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