20060135.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
joa, SUTTEIAPTS
ADDRESS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
FLAT NAMEISUBDIVISION NO.
TL'o'—,
LID NO
(11
let
LID FEE S
MAILING A DRESS
9 -rt,
PULL IC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING ___- PROPOSED
lf3
3
CITY zip
JTEIEPHOMI
Ebm o /v 1) 020
REQUIRED DEDICATION IT
NAME
MI)a_1:Lv5 TIENY-vul IfS IG Al
METER SIZE j
"."
LINE SIZE
,/
I No 11 FIXTURES
P41 REQUIRED
YSE 0 No 13
t
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR E DEIGN CONTROUDRAINAGE
CITY ZIP
IONI
Mj�.,_TEO JA 98n5
_�) -7 133
!"�E*TE
NAME
I - I
ZIP
V�A vo
TEIL7
FIRE REVIEWED BY
I y
VARIANCE OR OU SHORELINEORADEPr INSPECTION EEPA
D
STATE LICENSE NUMBER EXPIRATION A
1�17V-1 ;t -4 1)q,� � �_ 6 �
W-11
_
REO 0
I 13 YEE 9
C01PLETED I 151"T
NO
-7A;
ZONE
ANERA
HEIGHT
PRO ERTY TAX ACCOUNT PARCEL NO J/
WAIVER'K
s7uoy
_SIGN
A
ALU—
v3
NEW
jj__RS=E.T1N_
-.. AT
5'MMERGI
APLUM,,,NG MECH
O.PL AN, EOR
LOT COVERAGE
ALLOWED PROPOSED
3570 1 -3q,q 16
R111 IR OSETBACKS(FT) PROPOSED
FR NT SIDE aMR FROf
1
I M
SETBACKS ET)
URSIDE FEAR
04.1fe IJ 0
X ADDITION
MIXED use
CHANGE USE
1
5
REMODEL
0
MULTIFAMILY
El SIGN
IRKING
RECTFA I PROVIDED I LOTARE
7,
PLA INNING REVIEWED BY DATE
E] REPAIR GRADING cy., [3 PENCE
X FT.)
_
4RK
REM
HER
OR_
DEMOLISH TANK 1-1
-
CARAGE RETAINING WALL F ER
FIRE SPRINKL
El GARPORT ROCKERY REALARM
!Lav' neinvit
ITYPE
,�ZE.GUSI�ZORACHWT(FXIILAIN,
TYPE OF 111ARUCTION
O�E
BE 1UPANT
OCCUPANT
GROUP
GROUP
NUMBER NUMBER
OF DWELLIN
STORIES UNITS
or
G
SPECIAL) TION
NZY
C
C U
OCCU
LOAD PANT
-
ec. I- ri, It w s
REQUIRED ES
REMARKS
ILI
BED ECH REPORT
=VALUATION
)e 2- - -J 6A/zz
BY:
STRUC G
GE�n4e )rn:L..
$
FEE Description FEE
myl
- [Vill (011`Tp fQ ='L.Tr-
Plan Check
-I �4. State Surcharge
dEl
ilj�IOURCI LOTSL PE% ISIED "AT'
Building Permit
R
'By Surcharge
PLAN CHECK NO:
Plumbing
LGrading
Base Fee
Mechanical
THI PERMB`AUTHORI
PERMIT COVERS WORK TO
EE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
racing
�ONMAM (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
__
PERMIT APPLICATION: SEE ECDC 19.00.005(AI(5)
Engr. RevieW
PERMIT LIMM. SEE ECDC 19BILODS(k)(GI
Engrr Inspection
1100
See a ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. DepoKit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARML SS THE CITY OF
EDMOND WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANEAND
Fire inspection
L CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDI
A� R LY
FROM THE ISSUANCE OF THIS PER." ISSUANCE OF THIS PERMIT SHALL or 11
Landscape Insp.
Total Amt. Due
06CMEO T=FY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
..It LIMIT WAY THE CITY'S ABILITY TO ENFORCE AN' ORDINANCE PROVISION,
—
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
b, -
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
r,r� B� Al , h,Vh,, Dty a,d F ... ... p.d. ,M
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
THE ST WASHINGTON RELATING TO
FOR INSPECTION
1111,pt,l 11-MIdg,d soce Provided
IN VIO LABOR DE Of
WORK C!�IAPENS ION S RANCEANDRCW18:27.
IR 1.11111 IRE JDATE I
A NT)-j_
SIGNIND
(425)
A�BWNERO
771-022
R s1c.Y
7"
ATTENTION
EXT. 1333
91
(5d
L
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FIGINAL FIL
YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. USC109 / IBC110 I IRC110.
PINK -OWN
- Got D -ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
J,
Z
0
rn
C/)
In
0
80
C
-4 K
M
Z
>Z
E:-4
� 0
0
iTi
0
0.
C in
Cf)
M 0
3:
0)
Z
0
q
0
M
a �
..... ..... .....
GUTTERS/DOWN P T
TO CONNECT Tq I
4F-
z
4- o
cf w
ALLsq o w(.\c*
-vo ve;f Rveo
2D, ffu K BACIC
of Q01 WTLA(�
-J4
APFIKTI/Er)
AS NOTED
JEERMIG IV
Air-
Dato:
12
qill sNvF—,s,
7 '7
REsUB
cyry COPY
SEP p- C) 2005
APARWBY PLANNING
13UILDING DEPARTMENT
ol-fy OF EDMONDS
M-iL�
c: m
M 0
-40
0 0
c
-49
m
0
ca
0 -n
m m
0
o
C ca
c rw
>
z
ri)
z
9
0
m
Everett Office
MAYESTESTINO ENGINEERS, INC. 917,1341h Street SW
Suite A-1
------ Eve reft, WA 98204
ph 425� 742.9360
tax 425.745.1737
Tacorto Office
MTE No.: E6079 10029 S. Tacoma Way
Project: MacFARLANE-FERNANDEZ RESIDENCE Suite E-2
0
Address: 516 - 9th Avenue S, Edmonds, WA Tac ma, WA 98499
ph 2S3.584.3720
Permit No.: 2006-0135 (City of Edmonds) tax 253.584.3707
Portland Office
Owner: MacFarlane -Fernandez Residence 7911 NE 33rd Drive
Suite 19D
Architect: Marcus Jenkins, Architect Portland, OR 97211
Engineer: ph 503.281.7515
Z
Contractor: deBriere Development tax 503.281,7579
0
Page 1
0
m
Date: 3/16106
Weather: Rain
Inspection: Concrete
M
Sample(s): (4) 48" concrete cylinders
0
80
Monitored and tested the placement of 10 cubic yards of Cadman mix #200034 (4000-psi) at site
C
X TIT
footings for improvements. Concrete was placed by pump and mechanically consolidated.
Im Z
Reinforcing steel was checked prior to placement and was also inspected by the city of Edmonds
C:
on 3-15-06. No exceptions noted.
Four 48" concrete cylinders were cast for compression strength tests. Slump was 4-1/2" at a
o"n
temperature of 620F.
To the best of our knowledge, items inspected this date are in accordance with approved plans
m Im
0 6 ,
and specifications.
0,
0
'_
INSPECTOR: Carl Reynolds
C:
m 0
Z
3:
Z
Z
0
0
m
REVIEWED BY:
T-1mothyl- Beckerle, P.E.
cc: Burke deariere - debriere Development; Bldg Dept -City of Edmonds
RE:CE:IV;rD
MA,'(2 7 2606
DEVELOPMENT SERVICES CTH.
CITY OF EDMONDS
7
MAYESTESTING ENGINEERS, INC
Everett
917-134thSteetSW V/
Suite A -I
E.tt WA 98204
ph 425.742.9360
CONCRETE LABORATORY TEST REPORT
tax 425.745.1737
Project Name:
MacFarlane -Fernandez Residence
Project NO:
E6079
Issued on:
03124/06
Site Address:
516 - 9th Ave South
Sample Set ID: 27020
Edmonds, WA
Permit#(s):
2006-0135
Client:
deBriere Development
Original: SO
Z
Engineer:
Revised: 0
0
Contractor:
deBriere Development
ASTIVI C31 and C172
Air Temperature:
48'F
Actual
mix Proportions:
Weather:
Rain
Ingredient
Weight (per cu.yd)
Product:
Concrete
Supplier:
Cadman
Coarse Aggregate
1,742.0
lbs
Ticket Number:
06622609
Fine Aggregate
Water
1,522.0
266.0
Ibs
lbs
MixDesign ID:
200034
Cement --Type I & 11
548.0
Has
Sample Temp.
Initial Storage Temp. I
-Entrained Air I
Glen 3030
16.5
oz
(ASTMC1064)
1[__�ASTMC31)
I[ (ASTM C231)
62*F NR
NR
Water/Cement Rn [SI �p(ASTM �C143)
F__Saimpte(s) Ree�d
0,485 4-1/2"
03/17/06 Required Strength ft):
I Place nent Locatfo::n �andNotes.
4000 psi @ 28 days
Set 1 10 gallons wate added on site.
Footings for site improvements.
COMPRESSION TEST RESULTS
(ASTM C39, C1231, and C617 when applicable)
Date Made Samole # Lob # Date Tested Age Size (in) Load Obs) Die (in) Surface Strength (psi) Failure Code
Remarks:
Inspector(s): Reynolds, C.
Tested by: Fisher, A.
Reviewed by:
Timothy . ckerle, P.E.
Branch Manager
NOTES: Failure descriptions for samples tested with neoprene pads are not required per ASTM Sid.
* NA = Not Applicable, S = Shear, C = Cons, CSp z Cone and Split, CSh = Cone and Shear, Cot = Columnar, FC - Field Cure, NR = Not Records
All testing performed In accordance with applicable ASTM's except C-31, 10.1 �2 � 'recording field temperature
Information In this report applies only to the actual samples tested and shall not be mproduced without the appmal of Mayes Testing Engineers, Inc.
MTEFo.#160.R.,3,?,0
--I -n
C!
a m
M a
0
80
C
M
M Z
04
C
r- -4
� Z.
0 _T1
3:9
Im Im
U (J)
0 r-
0 9i
C
C to
In 0
Z
71
Z
to
Z
9
0
IT
rvereft office V/
MAYESTESTING ENGINEERS, INC. 917-134th Street SW
27M.M.MP" tMy WTI, Suite A-1
&erett, WA 98204
ph 425, 42.9360
MTE No.: E6079 fax 425.745.1737
Project: MacFARLANE-FERNANDEZ RESIDENCE T. me Office
10029 S. Tacoma Way
Address: 516 - 9th Avenue S, Edmonds, WA Suit. E-2
Permit No.: 2006-0135 (City of Edmonds) Tacoma, VIA 98499
ph 2535B4.3720
fax 253.584.3707
Owner: MacFarlane -Fernandez Residence
Fortiand Office
Architect: Marcus Jenkins, Architect 7911 NE 33rd OrWe
Engineer: Suite 190
Po It ral, OR 97211
Contractor: deBriere Development ph'5aO3.281.7515
Z
Page 2 lax 503,281 .7579
0
Date: 6116/06
Weather: Sunny
Inspection: Hold-down Epoxy
C m
Sample(s): NIA
m 0
-4
Onsite to observe the installation of Simpson PHD6-SDS3 (2 total), PHD2-SDS3 (2 total), and
0
0 C:
-i C
HQ8-SDS3 (4 total) hold-downs. Holes were checked for depth, cleanliness and location, prior to
3: m
m
the application of Simpson "SET-22" epoxy adhesive, and the insertion of the 7/8" diameter all-
thread rods. Contractor used 7/8" diameter rods for all the hold-downs. No exceptions noted.
C:
>
To the best of our knowledge, items inspected this date are in accordance with approved plans
r- -4
_V5
and specifications.
0 -n
-n La
INSPECTOR: Yavita Kotomaimoce
-4
X
m M
0,
m.
.0
MO
17"
>
Z
3:
Z
0
m
REVIEWED BY:..6,.
Timothy G. Beckerle, P.E.
cc: Burke deBriere - deBriere Development; Bldg Dept - City of Edmonds
MAYESTESTING ENGINEERS, INC.
Everett Office
917-134th Street SW
Suit A-1
El.'rell, WA 98204
ph 425.742.9360
lax 425.745.1737
September 5, 2006
RE:CE:IvEr
Ta a Office
10029 S. Tacarra Way
Suite E-2
Tac—, VIA 98499
City of Edmonds Building Department
ph 253.584.3720
121 5th Avenue N DEMOPMENT SERVICES CTR,
fax 253,584.3707
Edmonds, WA 98020-3146 CITY OF EDMONDS
Portland Office
7911 NE 33rd Drive
Attn.: Jeannine Graff
suite 190
Portland, OR 97211
Z
ph 503.281.7515
fax 503.281.7579
Re: MacFarlane — Fernandez Residence FINAL LETTER
rg
516-9" Avenue South Permit ft 2006-0135
Edmonds, WA
-4 -n
MTE Project No. E6079
65 -4
X
M
Ms. Graf,
0
0 C
This is to inform you that registered special inspections have been completed for this project as
m
per our reports, copies of which have been sent to you.
M Z
to
C
Special inspection was provided for:
E: =1
Vi
Epoxy Grouted Anchors
0 _n
Reinforced Concrete
*n 2D
M M
To the best of our knowledge, all work inspected was either performed
in accordance with, or
0
corrected to conform to, the city approved drawings, or engineer approved changes.
01,
0 M
We trust that this provides you with the information, which you require.
Should you have any
C 10
0,
questions give us a call.
Sincerely,
MAYES TESTING ENGINEERS, INC.
>
Z
7t
-4
3:
ca
Timothy "eckerle, P.E.
Z
Branch Manager
0
rn
Cc: Burke deBriere — deBriere Development
Marcus Jenkins — Marcus Jenkins, Architect
Cheryl Fernandez — MacFarlane -Fernandez Residence
Ken Williams — deBriere Development
04 Permit Inspection Details
-NI Permit: BLD20060135
PERMITil
1077 - E-Enigineering Final
Cornolate?
Y'�,
0211412007 Hawkins 20 Engr final granted,
y
Total Time:
20
1108 - B-Footings
Complete?
03115/2006 MS 20 FOOTINGS APPROVED
y
Total Time:
20
1110 - B-Foundatin.Wall
coin leta?,
P
�y�ll
z
03/1512006 ME 20 FOUNDATION APPROVED
y
Total Time:
20
0
rn
1114 - B-Isolated Footings/PierS,
om
03/15/2006 MS 20 PIER PADS APPROVED
y
Total Time:
20
1122 - B-First Floor Ora ming,
orriple ?
ITI
C
0311512006 MS 20 SUBFLOOR IN THE GARAGE APPROVED
y
MO
0
Total Time:
20
0
1126- B-Plumb R6ugh In,
TP late 1_�
C
3: frill
06129/2606 MS 20 ROUGH IN PLUMBING APPROVED
y
ITI z
Total Tim.:
20
to
1128 - B-Gas Test/Pipe
colivletq?.�;,
'y I
>
06M0/2006 MS 20 GAS TEST AND GAS PIPING APPROVED
y
Total Time:
20
0 -n
11130, B-E ejot-Mech,
quiplin
cbmip'lete?
1 � �.. I". 1
-n
-4
� 1. 1
07/19/2006 MS 20 EXHAUST FANS APPROVED
y
:C
Total Time:
20
lin M
W
1132 . 13-Exterlor Sheathlng.:,:,�
-'Co
0
05/19/2006 ME 20 EXTERIOR SHEATHING APPROVED
C 0)
Total Tim.:
20
20
1136 . B-Shear Nailing
'6HEAR
Y,
r
05/19/2006 MS 20 APPROVED
Total Time:
y
20
1142 - B-Frarning
-ccipplei
07/1912006 MS 20 FRAMING APPROVED
y
z
Total Time:
20
3:
1144 - S-Wall Insulation/Catulk
07/19/2006 MIS 20 WALL INSULATION APPROVED
y
z
0
Total Time:
20
1146 - B-Floor InsulationiCatilk
contillete?
0
ITI
0311512006 MS 2G FLOOR INSULATION AT GARAGE APPROVED
y
Total Time:
20
1148 - B-Cialling Insulation/Caulk. -
compie'tiez
Y�
07/1912006 MIS 2 0 CEILING I N SULATION APPRO VED
Total Time:
20
I ISO - B-Sheetrock Nall
Completa?
02115/2007 Snook 20 APOROVED
y
Total Time:
20
1158 - B-Building Final
Complete?
02/1512007 Snook 25 APPROVED
y
6/22/2009 11:10:10AM
Page I of 2
NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
E
E
E
� I
RECORD OF INSPECtIONS
INSPECTOR DATE APPROVED
SETBACK$ .............
FOUNDATION:
Footing ......................
Wall .......................... 4A
Pier/Porch ................. vv)s
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground ............. 6 -4
3:
fvi M
Rough -in ................... C: 0
ITI 0
Commercial Final 0
C
HEATING: x IT
ITIZ
Gas Test .................... 10
Gas Piping ................. .
Equipment .. ...............
0 -n
n
Commercial Final
3:
EXTERIOR SHEATHING ITIM
NAILING ...................... a 6
0 r- ! �
FRAMING ................. 0 M
C 0)
FIRST FLOOR FRAMING
Q 0
Z
INSULATION .......... . .
;U
Floor Insulation -4
3:
Wall Insulation � .......... z
Ceiling Insulation 3:
SHEETROCK NAILING z
SPECIAL INSPECTION
0
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR W) 3
OCCUPANCY ..................
Copp