2774_001.pdfloc. w)",
BUILDING PERMIT
APPLICATION mit #:
P,' =�BLD201q-019Z9
Developmen, Sery ces
Building Division
121 5th Ave N / Edmonds, WA 98020
425.771.0220
For handouts, submittal requirements, permit status and inspection
scheduling information go to: _wa.1 o .
ck __ L-y.
PLEASE NOTE: Intake appointments are required for New Single Family
Residences, Large Additions, ADU's, New Commercial, and Major Tenant
Improvement application submittals. If plans are prepared by a profession-
al, electronic files are requested in addition to the hard copies. Please bring
electronic files on a flash drive or coordinate for electronic transfer.
Please call 425-771-0220 to schedule an intake appointment!
JOB SITE INFORMATION/LOCATION: (Where the work is taking place)
JobSiteAddress: t�u C
Parcel:
Lot /Unit/Suite #: Subdivision:
PROPERW OWNER:
Name: La
Mailing Address:
City/State/Zip:
Phone #:
Email:
OWNER INSTALLATION: *If yes, read and sign*
Will work be performed by the property owner? L1 Yes EI No
I own, reside in, or will reside in the completed structure. This
installation is being made on property that I own which is not
intended for sale, lease, rent, or exchange according to RCW
18.27.090.
Owner Signature:
APPLICANT/ CONTACT INFORMATION -
Name of Applicant:
Mailing Address: &,.L
City/State/Zip: ni L-) kA
Phone #: Z
E-mail:
GENERAL CONTRACTOR: (if different from applicant)
General Contractor:
Mailing Adclress:_Mv� AJ'0_ I t)i;-
City/State/Zip: IJ4
Phone#:
E-mail: AOC% �tt t�( 1,3 (d t4_
STATE UBI #:
CITY OF EDMONDS BUSINESS LICENSE #:
WA STATE CONTRACTOR L & I M (CCB) & EXPIRATION DATE:
TYPE OF PERMIT (Provide
0 Accessory Structure/
Detached Garage
Details on Page 2)
El Addition
EI Demolition
El Mechanical
El Plumbing
El New Single Family / Duplex
F-1 Firp.Sprinklpr
F-1 Rpmodpl
El New Commercial/ Mixed Use
0 Re -Roof
• Signs
0 Tank
• Tenant Improvement
/Other A_r"0
Remodel Permit fees are based on:
The value of the work performed. Indicate the value (rounded to
the nearest dollar) of all equipment, materials, labor, overhead,
and the profit for the work indicated on this application.
Valuation:
PROPOSED NEW SQUARE FOOTAGE FOR THIS APPLICATION
Basement sq ft: Finished El Unfinished El
1st Floor, sq ft:
2nd Floor, sq ft:
Garage/Carport:, sq ft:
Deck/Covered Porch/Patio:
Other sq ft: /go
PROJECT DESCRIPTION
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I certify that the information I have provided on this form/a ppl i cation is true,
correct and complete, and that I am the property owner or duly authorized
agent of the property owner to submit a permit application to the City of
Edmonds.
Print Name:
Signature: Date
HAWORTH a
Top View
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Bottom View
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TecCrete TM 1250 Bare Panel
Concrete height above steel
trim 0.00" +0.01/-0.00
890 +00-20�
Lightweight High -
strength Concrete
(Bare Finish)
Galvanized
Steel
Lightweight High -strength Concrete
Hot -dipped Galvanized Steel
Panel Size (Nominal): 24" x 24" 1-1/8"
Finished Floor Height: 3" to 91 "
Overall Pedestal Adjustment: ±1" height (FFH>6")
Tolerance: Nominal panel size ±0,015"; flatness & squareness within ±0.015"
Corner Lock Panel
7 Corner Section (Full Insert)
-----------
7
Shear Tab
(Typ.)
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Typical Bare TecCrete
Corner Lock Configuration
Tec-Crete performance ratings
Rolling loads are expressed in pounds per caster; all other data is stated In maximum pounds of load and inches of deflection or permanent set.
Total System Weight = 11.5 lbs./sq. ft. (up to 23" FFH).
Key to performance ratings
Haworth has tested its flooring system to "Recommended Test Procedures for Access Flooring" --Ceiling and Interior Systems Construction
Asoclation (CISCA). Uniform and Impact tests have also been conducted. Stringers are edge supporting. Testing reflects weakest point, top
surface deflection in accordance with CISCA.
1.) Uniform load data is based on maximum deflection of 0.040". Typical slabs under access floors have uniform lad capacities less than the
rating of lowest uniform load capacity of any TecCrete series floor.
2.) Rolling tests used in the CISCA test procedures are performed as follows: 10 passes with a 3" x 1-13/16" caster; 10,000 passes with a 6" x 2"
caster. Worst -case permanent set (inches) is shown for each system.
3.) Impact tests are based on 36" drops onto a 1 inch square indenter without ultimate failure of the system.
Rolling2 Impact3 Concentrated Uniform' Ultimate
Stringerless
Stringeriess
I Stringeriess
I Stringerless
Stringerless
10 passes
10,000 Passes
PSI ��PSF
PSI
1200<.200
1 800<.040
150
1 1250<.10
1_600,<.040 1
1800
RECEIVED
F laworth 2019
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One Haworth Center, MI 49423 1, 1 -'r YBUILDING
Manufacturer reserves the right to change specifications without notice TecCrete 1250 Panel
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Danny,
Leif did a quick look at your plans, and these are incomplete. A full review cannot be completed with
these plans.
We need (but not limited to):
A scaled site plan, showing full property and location of the deck.
Accurate fence information, including height, length, where it will be ending etc.
ADA access info, including where it accesses from, is there railings? Slope? Etc
Height of deck
Stair info
Clean set of plans, if you are going to use previous used plans, all mark-ups/red-lines have to be
removed.
Please supply this info ASAP so we can accurately review the project.
DeVLLse NeISOK'
Permit Coordinator
City of Edmonds
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