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950239.pdfw 1 CITY OF EDMONDS CONSTRUCTION ZONE /� r -� PERMIT 95023� PERMIT APPLICATION OWNER NAAIE%NAME OF BUSINESS JOB ADDRESS .� SUITE/APT Uh'svC SCflLU7�r2 ¢ MAILING ADDRESS LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO o L l7U 8© Tt/- 41,' 6%l�_ ZI a CITY ZIP TELEPHONE NUMBER PUBLIC RIG/HjTTOOjF WAY PER OFFICIAL STREET MAP. TES Approved ❑ (J EXISTING y REOUIREDDEDICATION., 0 RWPermitRegwretl Street Use Permll NAME I PROPOSED — �� Req'd ❑ Inspection Required Sieewel4 Required ❑ ( P l� r REMARKS t w A DRESS / . w c CITY ZIP TELEPHONE NUMBER N,� r,� NI,� ��► 121 i0e­i0Ai_#. TV Wit Blodgett Construction ENGINEERING MEMO DATED REVIEW By V Associates Inc. OIZC- 1051 Westview Drive METER 2E � BUILDINGS, {1PPLY SIZE NO.OF / FIXTURES , ll f Wenatchee, WA 98801 / w < flEMAR I V a - _ Legal De_scription of Property - include all easements ,may SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPL EXEMPT ADS O. p �(ff �rgps� //T /. EX l� SHORE//LINEM N�•�'! c fsY ,./E Jt� VARIANCE OR CU P ING REVIEW BY /J' rE /1 �/��,I�s /l ////V% 'HEIG,rH'T' u /1/�✓u"V .Lvs P PropenY SE- A KS —FEET 'j7��' FRONT '� SIDE ' AR LOT COVERAGE ? o S/�jrl��X�j1— ©�O ^ �OIREMARKSI- Parcel No. NEW NEW ADDITION E1 RESIDENTIAL COMMERCIAL lAI PLUMBING ® MECHANICAL — •" — �Ci S' - 3 ✓ GW5 5 ElREMODEL APT. BLDG, SIGN —L_ �,� I�I G AD N FENCE REPAIR ����t _ GYDS. X—F� C13ECKED ggY TYPE OF CONSTflUGTION CODE ' HT HEIGHT / _ DEMOLISH WOODSTOVE SWIM PODL INSERT El HGT TUB/SPA 7 / �L \ SPEGTOR A OCCUPAN Y OCCUPANT GARAGE ❑ RETAINING WALL/ CARPORT ROCKERY RENEWAL REQUIRED YES GROUP LOAD Z REMARKS �I (rvPEOFUSE, BUSINESS oRAcnvrcY)EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 0 a S/PU(a•GF �f%f'I/� ffDf-lE ' p m m0 NUMBER OF STORIES NUMBER OF DWELLING r /�75' s tON a- CtJ L: f UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) S FINAL INSPECTION REQUIRED Q �'i _ VALUATION FEE 3 11_ I' ' / I • ,r.,�� , /] >�� iQ(� L• PLAN CHECK FEE ' HEATSOURCE GLAZING A( % BUILDING , PLUMBING Plan Check No. '� —L., MECHANICAL ( This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewPiks, GRADINGIFILL �L T I - driveways, marquees, etc) will require separate permission. Permit Application: 180 Days STATE SURCHARGE Permit Limit: 1 Year • Provided WOrk le Slatted Within 180 Days STORM DRAINAGE FEE t: V "Applicant, On behalf of his or her spouse, heirs, assigns and Successors in interest, ENO. INSPECTION FEE \1 ' u, w agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, m employees, and agents from any and all claims for damages of `%D I- iwhatever nature, arising directly or Indirectly from the Issuance o of this permit. Issuance of this permit shell not be deemed to PLAN CHECK DEPOSIT o modify, waive or reduce any requirement of any city ordinance s nor limit In any way the Cily's ability to enlorce any ordinance provision," TOTAL AMOUNT DUE I hereby acknowledge that I have read this appllcatlon; that the Information given Is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and ATTENTION APPLICATION APPROVAL ' slate laws regulating construction; and In doing the work authoriz• ed thereby, no person will be employed In violation of the Labor THIS PERMIT AUTHORIzes ONLY THE This application IS not a permit until signed by the Building Official or his/her Code of the State Of Washington relating to Workmen's Compensa• lion Insurance WORK NOTED Deputy; and fees are paid, and receipt Is -- INSPECTION acknowledged in space provided, SIGNA RE (OWNER pR AGENT) DATE SIGNED DEPARTMENT Y lei (L� OF C L' SIGN TUBE DATE CITY OF EDMONDS ATTENTION CALL FOR D DATE �7 CSINSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE - UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER J. PINK — 0�%,— Cl01 n — Assessor _�__ -' - - - 1 B.N. RNLRoaD fl/vl eRy ;�r�� f m .. E•To.r• n.r»'w•_ R•ean.eo FYT r�T 1 £� d==� si�i S Y� H= E5g �1xti Ayip m `e e'Scz y Rkg NO ;^F 2D,°eDa>�j esso R $¢ �: FN R'• � �� - — � i ' €F F�'l r>i rl• � Ply' � � 6 Z Ear I •�.��/ ¢ iE CV� � ji Il ? C �F ¢ zYx U / ir b� --- � rae'n•e �a< �- � i • � vnw.T ow. FF¢p¢p¢ E ICWITe!••W�Y.)• S .— �,Y�3�� QU _ NCW F[liDeNCG M1 �, ' ��or�ios wbGHLUti[R AIHCIn1TN1er�C.N,k A.N..RbNiT ACC lT Y' .5 1Nlti �� �l0'16 TON CITY COPY CITY Copy — SHANNON EsWILSON INC. ESEATTLE ERETT GEOTECHNICAL AND ENVIRONMENTAL CONSULTANTS fARBaNKS ICK ANCHORAGE SAINT LOUIS January 29, 1993 Ms. Ursula Schluter 2701 80th Avenue West, #4 Edmonds, Washington 98020 RE: GEOTECHNICAL DECLARATION AND STATEMENT OF RISK, PROPOSED RESIDENCE AT 15620 75TH PLACE WEST, EDMONDS, WASHINGTON Dear Ms. Schluter: We have reviewed the plans for the proposed residence at 15620 75th Place West in Edmonds, Washington, and our comments were presented in a letter dated July 17, 1992. I our opinion, the plans and specifications conform to the recommendations in our geotechnical report. In our opinion, the risk of damage to the proposed development or to adjacent properties from soil instability will be minimal, subject to the conditions set forth in the report. As a result of the drains to be installed, the proposed development will result in a net increase in stability of the site; therefore, the proposed development will not increase the potential for soil movement. There is no way to accurately determine the statistical probability of earth movement; however, once the proposed development is completed in accordance with our recommendations, we believe the risk of significant earth movement at the site will be very small. We appreciate the opportunity to be of service. Sincerely, SHANNON & WILSON. INC. Ralph N. Boirum, P.E. Senior Associate RNB/jnd W5385.02.LTR/W5385-02-Ikd/jnd 400 NORTH 34TH STREET -SUITE 100 P.O. BOX 300303 SEATTLE, WASHINGTON 98103 206.632.8020 FAX206.633.6777 iE /� .s SW rS014f ��f ,,W1 2G19¢ ,043U W-5385-02 Ms. Ursula Schluter SHANNON6WILSON.INC. ' January 26, 1994 Page 5 shown in Figure 1. Subdrains would consist of a 6-inch (minimum) diameter slotted plastic pipe bedded in 3/8-inch pea gravel in the bottom of a sand -filled trench. The location of the trench subdrain will depend on design of the house, and should be determined after the layout of the house has been established in the field. We recommend that no additional fill be placed on the site, as the additional weight could treduce the stability of the site. Much of the soil excavated from trench subdrains should be removed form the site, although some may be used as backfill in the upper 4 or 5 feet of the trench. We should review any plans for placement of fill on this site so that unstable conditions are not created. ' It is our opinion that the proposed structure, supported on augercast concrete piles, will not experience significant lateral deflections or settlement. With regard to utility connections, we do not foresee the need for flexible utility connections for the proposed structure. Site Stability The results of our studies indicate that the property can be developed and the proposed residence constructed in such a way as to increase the stability of the site. We expect that construction of a trench drain across the property will lower the ground water level and increase the stability of the site. In our opinion, once this site is developed in accordance ' with our recommendations, the probability of substantial loss due to future sliding will be less than 30 percent in a 25-year period. Excavation for the recommended trench subdrain will result in an increased possibility of local sliding in the immediate vicinity of the trench. This risk of sliding would be limited to ' within about 30 feet of the excavation and would not endanger the street or neighboring properties. The use of a trench box and immediately backfilling the completed trench to minimize the length of excavation open at any one time will minimize the potential for sliding during construction. Completed portions of the trench will immediately begin to drain the site, and the stability of the site should increase as the work proceeds. Concrete Piles ' Augercast piles are installed by rotating a continuous -flight hollow -stem auger to a pre- determined depth. When the depth is reached, a high strength sand -cement grout is pumped, } W-5385-02 May 13,1996 HWA Project No.: 95113 Ms. Ursula Schluter 15620 75th Place W. Edmonds, Washington Re: Final Inspection Report Schluter Residence 15620 75th Place W. Edmonds, Washington HWA Project No.: 95113 Dear Ms. Schluter: BUILDING MAY 13 1996 Permit No: 950239 YIM flONGWEST & ASSOCIATES, INC. Geotechnical Engineering Hydrogeology Geoenvironmental Services Testing & Inspection Hong West & Associates, Inc., (HWA) representatives performed construction quality control inspection and material testing services as scheduled by the contractor. Inspection was performed for following construction tasks: • Auger Cast Pile Installation • Reinforced Concrete -Grade Beam and Garage Pad • High Strength Bolting • Hand Rail Welds The tasks requiring special inspection that were observed by HWA were, to the best of our knowledge, in conformance with the City approved plans and specifications. A separate letter summarizing the installation and grouting of the auger cast pile foundation was submitted on 7- 27-95 and is attached for completeness. Sincerely, .'�q Steven E. Greene Manager, Laboratory Services y �K3//sl�G 19730-64th Avenue West Lynnwood, WA 98036-5904 Tel. 206-774-0106 Fax. 206-776-7506 i, II 4U "ii f� qG� 45k t�p^�E�n Jf Ifi5'�3 1,'�h(pq v: CITY OF EDMONDS 505 BELL STREET EDMONDS, WA 98020 (C(ap� COVENANT OF NOTIFICATION AND INDEMNIFICATION/SOLD HARMLESS u y Under the review procedures established Pursuant to the State, Building Code, incorporating amendments promulgated by the City Cfl of Edmonds, and as'a prerequisite to the issuance of a building , 4" permit for the construction of a residential structure p� and attendant facilities, the undersigned OWNERS property do" .of hereby covenant, stipulate and promise as follows: 5 "' C� I. esa ia��c: 2f uba ct rropert 7. ' 4` This erant of notification and indemnification/hold harmless a relates to a tract of land at the street address of �✓�(p ��� y% j �[ 1 - ICJ 4 r t (insert + street address), Edmonds, Snohomish County, Washington and legally described as: F` ITS � / °� � �LO�•K a�i �i/�=l�,ex��,PfFLc t� .,: y + ,�; � N CV it �! i NO EXCISEX �Tp.A �• e NCM v � � }I� . - -� � o �- � ir",i $it'ii�S, Snaheraisw (ounly treasurer ' t ' rn N o G :•+,It�sGE EOEVERS 2• Notification and Covenant of Notification. The above E4� referenced site (hereinafter ',subject site" lies within j I S , S an area which, has been identified by the City of Edmonds as having a potential for earth subsidence or landslide hazard. The risks associated with development of the site have been evaluated by technical consultants and engineers t£ engaged by the applicant as a part of the process to obtain a building permit for the subject site. The results of the consultant's reports and evaluations of WSS52079A/0006.040.034 WSS/klt 02/08/90 BUILDING E1K 3U 3 I PG 15 0 0 FEB 9- 1190 the risks associated with development are contained in building permit file number �rZ (insert number) on file with the City of Edmonds Building Department. Conditions, limitations, or prohibitions on development may have been imposed in accordance with the recommendations of the consultants in the course of permit issuance. The conditions, limitations, or prohibitions may require ongoing maintenance on the part of any owner or lessee or may require modifications to the structures and earth stabilization matters in order to address future or anticipated changes in soil or other site conditions. The statements and conditions proposed by the OWNERS' geotechnical engineer, geologist, architect and/or structural engineer are hereby incorporated by reference from the contents of the file as -fully f�# M as if herein set forth. An future , y purchaser, lessee lender or �'`>•'`�•+ , any other person acquiring or seeking to acquire an interest: in the property is p p y put on notice of the existence of the content of the file and the City urges review of its contents. The file may kk %Jk 4 be reviewed during normal business hours or copies obtained at the Planning Department, City of Edmonds, 505 Bell Street, x f , �s Edmonds, Washington 98020. 3�1 3. Indemnification and Hold Harmless. The undersigned OWNERS hereby waive any and all liability associated with H•3 5,i K development, stating that they have fully informed themselves of . `13> all risks associated with development of the property and do' i therefore waive and relinquish any and all causes of action against the City of Edmonds, its officers, agents and employees WSS52O79A/0006.04O.034 -2- WSS/klt 02/08/90 95 05 If2>0203 63 6X3031 FG 150 1 / x t arising from and out of such development. In addition, the OWNERS on behalf of themselves, their successors in interest, heirs and assignees, do hereby promise to indemnify and hold harmless the City of Edmonds, its officers, agents and employees from any loss, claim, liability or damage of any kind or nature to persons or property either on or off the site resulting from or out of earth subsidence or landslide hazard, arising from or out of the issuance of any permit(s) authorizing development of the site, or occurring or arising out of any false, misleading, or inaccurate information provided by the OWNERS, their employees, or professional consultants in the course of issuance of the building permit. 4. Insurance Requirement. In addition to any bonding which may be required during the course of development, the Community Services Director haste (strike one) specifically required the maintenance of an .insurance policy for public liability coverage in the amount and for the time set forth below in order to provide for the financial responsibilities established through the indemnification and hold harmless agreement above: [insert insurance requirements and time period, if any --if no insurance required, so state.] WSS52079A/0006.040.034 •-3- WSS/klt 02/08/90 950522036 6K3031PGi5302 S. Covenant to Touch and Concern the Land. This covenant of notification and indemnification/hold harmless touches and ^ayfx concerns the subject tract and shall run with the land, binding, obligating and/or inuring to the benefit of future owners, heirs, successors interests and or any other person or entity acquiring . an interest in property, as their interest may appear. This ' provision shall not be interpreted to re P quire a mortgagor or �;�}�+.i�;�Lf.w lender to indemnify the City except to the extent of their loss �-1,11 GNP nor to obligate such persons to maintain the insurance above required. DONE this day of 199 { OWNER(S) pp� By: ✓" is �2 wtiF i S,,��L" •�.' .I. By:j CS i h8f^6k' t}- ITT j4 ._ ..• '�t By: G47ir��.i 1 Y t} �J si o++Qr STATE OF WASHINGTON ss: COUNTY OF Smc`i m,.�� F�tk y��6ti. I certify that I know or have satisfactory evidence r;f that --SLI�� signed this instrument and acknowledged' z�ta y y fit , �kk s,9 r >r� WSS52079A/0006.040.O34 -4- C` WSS/klt 02/08/90 950522036 CC-, �0 03 t s tr �+•, it to be (his/her) free and voluntary act for the Purposes ll�� Yri L 'y 1 y A is mentioned in this instrument. DATED thisa'r (,day ,µF�gY k of •a 19 .' re +1Yf�n I r !! NOTARY PUBLI My commission expires: STATE OF WASHINGTON COUNTY )w: r OF S �? jftja I certify that I know or have satisfactory evidence �: ryS��un�ti that signed this instrument and acknowledged i ,ri j; it to be (his/her) free and voluntary act for the purposes fsx t4'' mentioned in this instrument.•+> DATED this day of 1991rc4 NOTARY PUBLIC�Or My commission expires: STATE OF WASHINGTON ) ss: COUNTY OF I certify that I know or have satisfactory evidence tl �Z Sal Y{k�! that signed this instrument, on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as Fr! 1fp ' .the (title) ty i of (name of party on behalf of whom instrument A �saza was executed) to be the free and voluntary act of such party for 0+ FT�,i, RA�il the uses and purposes mentioned in this instrument. M + r.,�rrvi DATED this day of NOTARY PUBLIC My commission expires Aq WSS52079A/0006.040.034 -5- WSS/klt 02/08/90 ?++ 9505M1303 ' E.l 0 3 1 t 1 5 0 4 ..,,• FRq11 ]ROGERS AND NORI1MN,1NC. TO 1 2067710221 1996,08-28 11 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SU9JEOT TO THE OONDITTON9 9FfOWN ON THG REVERSE 26 —MPAW 4 5.82aco Insurance Co. ROOMIRS a Noplcx, Iffe, DATE 600 Stewart Eltzeint - Ste #1919 IME Seattle WA 98101.1219 x AM xdm Wa=en 00 26/9 12:01 PM X PER 081THISIND ,,,,7ISjI 0 DMID COVERAC TEA OtWO.'"ON Or INSURED worm Ursula Sabr2ter 25620 75tih P1 W ZdMondo TM 20026 rYMOPINSURANCIE PR*pc)%*N COVERAGWORMS A11,11111 CA USESOFLOSS C=P- Personal Liabil 500 0 BROAD E] GPM ORNMAL L1Aa14TTy COMMERCIAL GENERAL LIABILITY CLAIMS MADE F7OCCUR GENERALAGG [PERSONAL4A OWNIUM & =frRAC7WS PROT LEAW. 00CURR [FIRE DAMAGE I RZOIC OATC FCR CLAIMS, MAOp-; Aumeavamp LiAeury AIIYAUTO BOOILYINIURY ALL...". 1"' G.DILYINJURY GOA '7UL ""0' G PROPERrf PROPERTY DAN 'DAI CS ED�-�LPAYM YM f-S5AV1rQS N N _ ON-OV940 AL—nWS PIMSONAL AWL UNIN-�UREEMO IED MC AUTO PHYSICAL OAN(A05 DEWC71BLE ALLvEHcLrs SCHEDULED V.-H[CLES, -1 LUSIOR' AVNIA c . L OYH_R 71JAN COL' OTATLMX OTWWR GARAGE LIABILITY ANYAUTO ALMO ONLY. CA Offll�11THANl LIABILITY EXCESS UMBRELLA FORM EACH gomwWR". OTHER THAN UMBRELLA FORM I RtjrROOATRFDpCLAI�jSMADF-- A CIRMT&I 63 ILINSVRED R -NSATIC114 WDRKW% COMPP 111. T 43TAWTOR EMPL AND QYIER'S LIABILITY RACH =arrr Q1d�--AW.PDUc 011EAUR - EACH .95 0239. WA qB026 . pexmit ffSP IAL Desidence premises: Ism Jt-CA PS. Tf., EdISOmmila, �13131 21 110-L INSURED WOO PAY= LOANN City ofEdmonds 2150 I -,91,ri" Dept. AU Fa!iPR Stu Edmonds PM 92020 IV I", I ,f '44. rFa , � / ` ` ``�c``'�' ' ' '� ' ' /��' ` ` '� ' ,� ' ' ' ` `` 3[. CITY Copy LANDSLIDE ACKNOWLEDGEMENT DECLARATION: I, Ursula Schluter, the undersigned and property owner of Lot 1 and 2, block 28 Medowdale Beach 15620 75th Pl. W Edmonds Wa 98026 a Accept the risk of developing in an area with potential unstable soils and will advise , in writing any prospective purchasers of the site, or any prospective lessees of structures or portions of a structure on the site of the slide potential of the area. b).That the accuracy of all permit submittal information is warranted by me,and relieves the City and its staff from any liability associated with reliance on such permit application submittals.All conclusions shall be those of Ursula SChluter/owner and my design professionals. Owner/Applicant:���1y�_��� Date: a Subscribed and sworn to before me on thisa3 day of Drceq,"w- 1992 N! tX%A'AAWic in an d for the State of Washington 10 %, U), " pUBL1G ""WA CI'Ty COPY ��3 43 - r M Wy CITY COPY *ekkc f 4cckrp-hw✓ v19C � a HAVE F-fs4o -r44r- seoTecHN16AU P-r--PdR-T oN LD-T5 I �2 15Loc-K Sb, MEAa,")WQAL41S EpMONPSI WIC f�,q,5HAWOQ I WtLSOIJ QAjr-0 MA244 21, 11110. Z NAVP- ALSO STUOIFO 1-D+�A6 PtiI�-ALSufLV� � PAY Ganuf !^QU►2 i tJG ��? •rJ '?y -2 �10 j: UNOPSA-5 t,4No TH6 9t6pAmE4JPAT10N5 W714E {LF-OorLr' f THE S���t `i � NavE I,ucoa_�on-�T�n Fgo'j, b I, � (Lo� JAN k 6 ib5J PERMIT COUNTER d4Yi 113193 iva ;jT, j; {,g 4 - r d yy�tN�U1, �e'17 4�ry�'ar�mZa�i Ki Si IS n nt" — - ..m �-- - �' krtrrxa •. � e ;, ' r fah ir���. 4'm.*�;t�; ' 4�`t4'csu�ynFi§ j: TO: Permit Coordinator Building Division FROM: FIRE DEPARTMENT"rya�u1� _ (LENGINEERING DIVISION PLANNING DIVISION OWNER SCk4tter 15620 1C t" ri' ADDRESS i 5,�b � �' W PERMIT# 950Z39 ADB# INSPECTED ON e L, 1 99 6 A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections to the granting of: v Occupancy for the building Performance Bonds may be released Maintenance Bonds may be released Landscaping is approved Other inspectedYGj.;% C' - t [/ PASSED FIRST INSPECTION - CONDITIONS NOTED 1 try a n 2. `* FAILED INSPECTION - OUTSTANDING REQUIREMENTS - RECALL FOR INSPECTION t �v� iy i 2. r i . �12' 3lYk}jJ`. r'y' , Yw- 3. � �rl 4. a 1/ OCCUPANCY APPROVAL DATE 6 / u [ 9 FAILED FIRST INSPECTION DATE BY ' :..pan+'•� �F. RE -INSPECTED - APPROVED DATE BY ,T1t m43 € k RE-INSPECTED - FAILED DATE BY RE -INSPECTED APPROVED DATE FEES RECEIPT# OCCAPRVL/TXTRECEP/October 13, 1993 `rr r�rSh�1 . RECORD OF.INSPECTIONS • INSPECTOR DATE APPROVED SETBACKS ............. —�!" tom_ S Z I• Z G FOUNDATION: Foots Wall ................... �� Li Rid /QC � � ?wi.:'� Pier/Porch ............. —�_ Retaining Wall.......... PLUMBING: Underground .......... Rough -In ............. a CF .,..`. I. ....... r' d . 2 • si p G5 HEATING: Gas Test............� Gas Piping ............. Equipment ............. CF.................... Ave4c C FRAMING ......... SHEETROCK NAILING ... e.✓atiZ_ a SPECIAL INSPECTION • • • Z. 2 Z •44 '� ;jr FINAL APPROVAL FOR OCCUPANCY ,__ c(Soa3q,1 1