20051158.pdfDATE RECEIIED 6�
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME114AME 23US,INESS
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PLAT NAMEISUBDIVI SION NO. LOT NO, LID NO�
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 13
MY Permit Required 13
Street Use Permit Reqwred 13
EXISTING PROPOSED Inspection Requited E3
,90owall Requ,rea [3
REQUIRED DEDICATION FT Underground [3
Wifinq required 13
METER SIZE LINE SIZE NO. OF FIXTURES PRVIREQUIRED
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z
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RESIDENTIAL
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REMARKS
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VALUATION
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Description
Plan Check
HEAT SOURCE LOTSLOPE% VESTED DATE
Building Permit
PLAN CHECK NO: Plumbing
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THIS PERMIT AU7HORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading
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
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FEE
Description
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State Surcharge
City Surcharge
Base Fee
FEE
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
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_1 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
:E EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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 LandscapeInsp. Total Amt. Due
NOR LIMIT IN ANY WAY TOE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording , Be Receipt #
412
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- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/hor 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 50�PEN!!���CE AND RCW 18:27. OFFICIALS SIGNATURE DATE
71�ATUR:E VOW E DATE S17NED (425)
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771-0220 RE I DATE
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 CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 / IRC110. ORIGINAL -FILE IELLOW -I PECTOR
PINK -OWNER GOLD - A' FSSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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OTTO ROSENAU & ASSOCIATES, INC. Z/3/200
Geotechnical Engineering, Construction Inspection & Materials Testing
GEOTECHNICAL INSPECTION REPORT
Report Number: 39020
Description: Grip-Tite Piers
Project: 7804 171"' St SW Residence Foundation Repair Permit Number: 2005-1158
Address: 78o4 171s'St SW, Edmonds Job Number: 05-699
Client: Richard Paschall Client Address: 7804 171s' St SW,,Edmonds
Inspector
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and Dat Remarks
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Brian R. Robertson On site to perform visual verification of pl acement of Grip-Tite Push Piers.
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1/26/2006
Pier 5, West side of house, north corner, 12 feet lifting house at 1,700 psi (pounds per
square inch).
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Pier 4, North side of house, west corner, 7 feet.lifting house at 3, 500 psi.
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Pier 3, North side of house, 1 east from Pile 4, 7 feet, foundation wall cracked relieving
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pressure to 1,800 psi.
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These were the piles inspected.
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The Grip-Tite piers consisted of 34nch diameter black steel pipe. Each pier was hydraulically driven,
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using the mass of the building to react against. The Grip-Tite piers are mechanically attached to
steel, L-shaped brackets that bear directly against the foundation wall.
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Copies to:
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Architect Building Dept. Technical Responsibility:
Engineer AVy Coyne, P.IY
This report applies only to the items tested or reported and Is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except in full,without written permission from our firm is strictly prohibited.
Page 1 of 1
6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 7254600 or 1-888-0170-4-US - Fax (206) 723-2221
Foan No.: ADMIN-100-01 (Rev 01105)
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OTTO ROSENAU ASSOCIATES, INC. Z/FVZOO16
Geotechnical Engineering, Construction Inspection & Materials Testing
GEOTECHNICAL INSPECTION REPORT
Report Number: 39021
Description: Grip-Tite Piers
Project: 7804 171sSt SW Residence Foundation Repair Permit Number: 2005-1158
Address: 7804 171s'St SW, Edmonds Job Number: 05-699
Client: Richard Paschall Client Address: 7804 171 s' St SW, Edmonds
Inspector
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and Date Remarks
Brian R. Robertson On site to perform visual verification of placement of Grip-Tite Push Piers.
1/27/2006
Pier 6, West side of house 2 south from corner, 11 feet lifting house at 1,350 psi (pounds per
square inch).
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Pier 7, West side of house 3 south from corner, 13 feet lifting house at 1,500 psi.
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Pier 8, West side of house 4 south corner, 6 feet lifting house at 1,750 psi.
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Pier 9, West side of house, south corner, 12 Y2 feet, 2,500 psi
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Pier 2, North side of house 3 east f rom corner, 7 feet, 2,700 psi
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Pier 1, North side of house 4 east from corner, 7 feet, 3,000 psi
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Pier 14, South side of house 5 from west corner, 5 feet, 2,700 psi
Pier 13, South side of house 4 from west corner, 6 feet, 2,500 psi
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Piers 3, 4, 5, 6, 7, 8 and 9 were,capped and drawn tight.
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These were the piles inspected.
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The Grip.-Tite piers consisted of 3-inch diameter black steel pipe. Each pier was hydraulically driven,
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using the mass of the building to react -against. The�Grip-Tite piers are mechanically attached to
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steel, L-shaped brackets that bear directly against the foundation wall.
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Copies to:
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Architect Building Dept. Technical Responsibility:
Engineer. A&4y Coyne, P&
This report applies only to the items tested or reported and Is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except In full, without written permission from our firm is strictly prohibited.
Page 1 of 1
6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221
Form No.: ADMIN-100-01 (Rev 01105)
OTTO ROSENAU & ASSOCIATES, INC.. FAXED
Geotechnical Engln*eering, Construction Inspection & Mateilals Testing
GEOTECHNICAL INSPECTION REPORT
Report Number: 39022
Description: Grip-Tite Piers
Project: 7804 171s'St SW Residence Foundation Repair Permit Number: 2005-1158
Address: St SW, Edmonds
7804 171r Job Number: 05-699
Client: Richard Paschall Client Address: 7804 1713'St SW, Edmonds
Inspector
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and Date Remarks
Brian. R. Robertson On site to perform visual verification of placement of Grip-Tite Push Piers.
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1/30/2006
Pier 15, South side of house 6 from West corner 6' at 2,500 psi (pounds per square inch).
Pier 12, South side of house 3 from west corner 7' at 3,500 psi.
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Pier 11, South side of house 2 from west corner 3 Y2' at 2,925 psi.
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Pier 10, South side of house at west corner 13' at 2,500 p sl
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These were the piers inspected.* Remaining piers were capped,
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The Grip-Tite piers consisted of 3-inch diameter black steel pipe. Each pier was hydraulically driven,
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using the mass of the building to react against. The Grip-Tite piers are mechanically attached to
steel, L-shaped brackets that bear directly against the foundation wall.
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Copies to:
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Engineer Aqy, Coyne, P.5V
This report applies only to the items tested or reported and is the exclusive, property of Otto Rosenau & Associates, Inc. Reproduction of this report,
except In full, without written pennission from our firm Is strictly prohibited.
Page 1 of 1
6747 M.L. King Way S., Seattle, Washington, 98118 — Phone (206) 725-4600 or 1-888-OTT04-US — Fax (206) 723-2221
Form No.: ADMIN-100-01 (Rev 01105)
FINAL PROJECTAPPROVAL FORM
TO:
Mi-mo To: PERMI'l"COOR.DINATOR, BUILDING DIVISION
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F. 0 rvl:. _F DE-PARTM ENTDA' I'E
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ENGINEER1 NG D .1 \1 I:S 1 N Di�
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PLANNING DIVISION DA'I.'T
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PROJECT
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PERMIT m Zoo..5, 1159 ADB/1- DATEJNSPECTED
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DESCR-4:1TION OF WORK TO BE INSPE-CTED.
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A field inspection was coitdu,.ctcd to determine, co' mpliance with -'approved. plans'.
Finall apprOal
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den . ot6 that there are. no objections from the above si.gued Dltiq)artmcnt:. to
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PERIF6"lANCE BONDS and the grant,ing of
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FALLED FINAL -INSPECTION - OUTSTANDING ISSUES
El Copy of.CORRECTtON No,r][CE givcil to owner/contractor by inpectol,
R_134NSPECTIED OUTSTANDING ISSUES GRAN'l,'*FI*NA.L,.Pl�-O.IEC'I'API ROVA.11
Date Signatture
hemp:bIdgArm s:ocap rvl 3/25/04.
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FINAL PROJECTAPPROVAL FORM
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DATE.
MEMO TO: PERMIT. COORDINATOR, BUILDINCi DIVISION
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I7NGINE`I`-'RING DtVISION DA'17E
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