20050296.pdfr �pn'lm 65;q
e DATE RECEIVED /
/ I L
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING 66DRESS
CITY ZIP TELEPHONE
NAME
ADDRESS
r PERMIT EXPIRES
PERMIT
NUMBER ����.
JOB n SUITE/APT0
ADDRESS ^ �'JI 1� I y) �/�✓ �,
PLAT NAMEISUBDIVISION NO. LOT NO. _r OLID O.
LID FEE 5
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproved O
RW Permit Required 0
Street Use Permit Required 0
EXISTING. _ PROPOSED InspectionRequrred O
T I Siae.valk Required 0
REQUIRED DEDICATION FTUnderground O
-- Wainrequired 0
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES 13 NO I1 Z
w
REMARKS w
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE _
V�
Ir
LASLP
NAME
I RING ENGINEEEVIE/ Y
DATE
ADDRESS
2'p �inn �-
Fr R IE ED BY DATE w
CITYL..1!' ZIP TELEPHONE P LL
STATE LICENSE NUMBER EXPIRATION DATE CHE 8Y rIANCE OR CU I OR DBp INSPECTION SEPA
REQ'D COMP ED EXEMPT
Ln C Cq, - / ?jt� i� YES NO
1 r� j i• CAt! ZONE SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT�j�iCEL NO. G.•' (/ WAIVER
13ALLOWEDPROPOSED ALLOWED PROPOSED
Dt STUDY
❑ NEW RESIDENTIAL - ❑ PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS ( PROPOSED SETBACKS
�r`gJ/IIN�A%E�RJCR/ILf/�J ALLOWED PROPOSED FRONT SIDE REARR FRONT LIR SIDE REAR
0
ADDITION ❑ COMPLIANCE OR
❑ MIXED USE CHANGE OF USE _
PARKING LOTAREA PLANNING REVIEWED BY DAT g
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REO'D PROVIDED IN IL
FENCE 11^/
❑ REPAIR ❑ GRADING CYDS❑ (THER X FT.) REMARKS
❑ DEMOLISH ❑ TANK . �
❑GARAGE RETAINING WALLFIRE SPRINKLER
CARPORT ❑ ROCKERY E:]FIREALARM
(TYPE OF USE, BUSINESS ACTIVITY) EXPLAIN:
TYPE OF CONS6UCTION CjaQ OCCUPANT
f iV/ U GROUP
NUMBER NUMBER OF.
OF DWELLING /�SPECIAL INSPECTION CONSULTANT OCCUPANT
STORIES UNITS / LOAD
REQUIRED D YES
DESCRIBE WORK lt BE DONE'
/^ REMARKS
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
/✓d r /S VALUATION
5ht& „$��j.yf1 fjC Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE .
Building Permit City Surcharge
PLAN CHECK NO: r7 Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO MBChanICBI
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Gradin
E DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g
SEPARATE PERMISSION,
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
> PERMIT LIMIT: SEE ECDC 19.00,005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
•APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit —'
Ju IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Y EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
_ ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
J DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application Is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED receipt is acknowledged m space provided.
IN VIOLATION OF THE LA CODE OF THE STATE Of WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSAT I URANCE AND RCW 18:27, OFFICIALS SIGNATURE DTE
SIGNATURE (OWN OR G DATE SIGNED (425)
fc 5 771-0220 RELEASE Y DA
ATTENTION EXT. 1333 ✓, l l'
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I it
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGI L FILE • YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 I IBC110 / IRC110: PINK OWNER GOLD • ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
i Z
0
m
"i 9
C
M 0
O
0
C
=M
mz
10
CZ
r
mn
ern
L7 O V%
Z r
n ITI
r Zr.
� rn
X
l
D
Z
S
N
O
0
M
FIELD REPORT NO:.50426
gQmKrazM & Associates,. Inc. 1,7
GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DATE: �—� L- 1/0 5 CONTRACTOR: t
PROJECT #: Oq 6 S o S J JURISDICTION: E d. -►10
PROJECT:,,✓a -k'rrCn t Nf J 't v 4- PERMIT #:
LOCATION: A D G �. r', S i" INSPECTOR:_) d red
KRAZAN PROJECT MANAGER: ,�5 M WEATHER: �r � �_ 1 ori 04 TEMP:
ueT S� �� �✓ d z
�T-Of roF�SI& -I 'n n=n
M
ca
cM
M
oc
i mz
Qwool
yz
omn
M"
0�
Q
Z r4M
z
z.
O
n,
M
To the best of my knowledge, the above WAS / WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements.
Superintendent/Representative: Te ic�O
215 West Dakota Ave., Clovis, CA 93612 0 (559) 348.2200 4P 1 Brickell St., Ontario, CA 91761 ^ • (909) 974.4400
.2205 Coy Ave., Bakersfield, CA 93307 (661) 837.9200 1501.15" St. NW Suite 106, Auburn, YoA 98002 10 (253) 939.2500
1025 Lone Palm Ave. #2E, Modesto, CA 95351. (209) 572-2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 • (360) 598.2126
545 Parrott St., San Jose, CA 95112 • (408) 271.2200 19501.144'' Ave. NE 0-300, Woodinville, WA 98072 0 (425) 485.5519
5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 Ret,siono
EtfectitrUate 8/wow
The mfi.muuon wmidcd on this teport is prepared ritr the c%clusne use of the client This rw.tn nut• not tx ieutoduced in ani fnnisu uith,.ut Ilse nrnb•n rw....n<u... ,.t•it 0 06.a. ,..i v-..__ V. 4
,. FIELD REPORT NO: 5 0 6
dIIJKrazan & Associates, Inc.
GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING AND INSPECTION
DATE: q — C%5 CONTRACTOR:
PROJECT #:. JURISDICTION:_
PROJECT, N 1pplfonAT PERMIT #:
LOCATION: RPI. INSPECTOR: �i( UIC YC
KRAZAN PROJECT MANAGER: WEATHER: TEMP:
z
O
l m
Sc� C�
v ( y
am
Ma
INN Ez.. l v C� t G C� � - S' o c
SGS- �-. Q
mz
A�
cZ
CA
O. -n
T�
IFIFIII
.
m
v�
o
IF OF
r Z0
IF
f
z i.
z
O
n
m IF
To the best of my knowledge, the above W OT performed in accordance with the approved plans, sp ific ns, a uloto requirements, j
is
Superintendent/Representative: Technician:
215 West Dakota Ave., Clovis, CA 93612 (559) 348.2200 4221 Brickell St., Ontario, CA 91761 (909) 974.4400
2205 Coy Ave„ Bakersfield, CA 93307 (661) 837.9200 1501-15* St, NW Suite 106, Auburn, WA 98002 • (253) 939.2500
1025 Lone Palm Ave. #2E, Modesto, CA 95351 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Pou!sbo, WA 98370 (360) 598-2126
545 Parrott St., San Jose, CA 95112 (408) 271.2200 19501.144" Ave. NE 0-300, Woodinville, WA 98072 • (425) 485-5519
5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 Revrsiono
liffectivcpaie 806,02
The intiumatinn provided on this repon is ptepmevl for the evclust%c use orthe client Flus retwn nuv not be tenruduced in anv Gnncu willum' th. ,,•,„e.o ....,.,.,..,..e ..ra...a.__.._ ,,.._.... -
I
•ISM
■O■
RENEE■■■
NOON
■■■■■MN■■E
■■■■■■■■\E■■
■■■■■■■■■■■■
E■■■
■■■NE■■■E\\■■
M■■■■■MMM■M■
■■EN
■■■■►EN'M
IXEME
■■■■■■■■■■■M■■■
■■■r�■
■■si■■
NOON■
■s■■■
NOON■
■EMs■
■■NME
■■■►�■
■►�■■■NOON■
NOON■
■■■■e
■Ori■■
■■■o�
■��■■■
NOON■
NOON■
NOON■
■EMM■Rno�■■■r�e■e■NE■■e■eN■E■N■
■■■MEs■■E■■s■■■EEM■■■■■■■E■N■
■■■MUMM
MWa
■■■MMM
■E■■■■■M■■■■■
-
M■■MMMEM■■
ENVE■
■■MM■■■M■■■■E
■■
N■■■■■■■■E■�\■■■■■■■■■■NE■■■
No
■■
NOON■
■��■■■■■
NOON
■■■
■OI
■E
■EM■E
NOON
INN
■MME
MEN
■■■M■M■■M■■■E■■■N■
M■■■■ME■■■■
M■■■■M■M■■■E■N■■■W■■■■■NEEM■.
■■■E■a■■E■■■e■■■
■�■■■■
■■■M■-
_Classification.
.,CK CORRECTEDTEST RESULTS
UNCORRECTEDDESCRIPTION
Maximurn dry
..
-,
,Proje
.._
Location: .
„ ,
Curve No. C
COMPACTION REPORT
..ASSOCIATES,.
500 100 10 1 0.1 0.01 0.00,1,
I I GRAIN SIZE - mm I J
i,
0
0.
m
am
M
o
00.
mZ
az
r=
500 100 10 1 0.1 0.01 0.00,1,
I I GRAIN SIZE - mm I J