BLD20080846.pdfI
OF E04f
Y CITY OF EDMONDS 1
N
121 5TH AVENUE NORTH - EDMONDSWA 98020
45 i
PHONE: (425) 771-0220 - FAX: (425) 771-0221
7o c, IR90
STATUS: ISSUED 12/9/2008 Permit #: BLD20080846
BUILDING
Expiration Date: 12/9/2009 Project Address: 18809 OLYMPIC VIEW DR,
EDMONDS
No:00434600007302
TOM / VICKI KIRKENDALL / 9
18809 OLYMPIC VIEW DRIVE
EDMONDS. WA 98020
425-775-3569
CHERMAK CONSTRUCTION INC.
855 EDMONDS WAY
EDMONDS, WA 98020
425.776-1367
203 SQ FT ADDITION ON MAIN FLOOR OFF E)CISTINGLIVINGA
BASEMENT)OFF EX)STINGOFFICE AREA.
129 SQ FT A DDITON OFF EXISTING LOWER FLOOR BEDROOM.
160 SQ FT DECK OFF UPPER ADDITION
BATHROOM OFF MAIN FLOOR REMODEL
CA20040149
VALUATION: $63527
CHERMAK CONSTRUCTION INC.
855 EDMONDS WAY
EDMONDS, WA 98020
425-776-1367
LICENSE C CHERMCI I IONU EXP:8f72009
ADDITON ON
PERMIT TYPE. Residential
PERMIT GROUP: 2-Addition
GRADING N CYDS 0
TYPE OF CONSTRUCTION- VB
RETAINING WALL ROCKERY N
OCCUPANT GROUP:
OCCUPANT LOAD
FENCE. N ( 0 X 0 FT)
CODE 2006
OTHER.N -------OTHER DESC.
ZONE, RS-12
NUMBER OF STORIES-. 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
r
EXISTING AREA
BASEMENT: 0 IST FLOOR 0 2ND FLOOR: O
BASEMENT:O 1ST FLOOR: 0 2ND FLOOR:0
3RD FLOOR. 0 GARAGE- 0 DECK:0 OTHER: 0
3RD FLOOR:O GARAGE: 0 DECK: 0 OTHER.O
REQUIRED: 10 PROPOSED: 80 RE UIRED: 10 PROPOSED: IS RE UIRED: 10 PROPOSED: 57
'HEIGHT ALLOWED:25 PROPOSEDA6.75 REQUIRED: 10 PROPOSED: 52
SETBACK NOTES: Distance to top of slope okay per 11.18 08 geotechnical report by Liu& Asmaates (File Number 8A100).
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCT ION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPLITY ANP ALL FEES Aff PAW.
Signature Print Name Date Released By y v Da
ARCHIVE = APPLJCANT ASSESSOR OT JER
ATTENTION
IT IS UNLA WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBCI09/ IBCI 10/ IRCI 10.
STATUS: ISSUED BLD20080846
• Follow recommendations of Liu & Associates geotechnical report dated 11.18.08, file number 8A 100.
• REQUIRED SPECIAL rNSPECfIONS FOR THIS PROJECT:
1) Soil bearing verification
2) Footing drain
3) Final Letter from geotechnical engineer of record
4) Epoxy bolting
• Obtain Electrical Permit from State Department of labor & Industries. 425-290.1309
• Final approval on a project or final occupancy approval nest be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request foraltematedesign, modification, variance or other administrative deviation (hereinafter "variance")from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
ofECC Chapter 5.30 only during the hours of7:00amto 690pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5,30,120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly fromthe issuance fo this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance
provision.
• Call for locates of underground utilhies prior to any excavation.
• Maintain erosion & sedimentation control per city standards.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WALL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(AN9)
BUBALYG (4251771-0220 EXT. 1333 ENGLYEWMG (425)771-0220 EXT. 1326 I N71te:(4"IJ) //1-ULr7 I
PUBUC WORKS 425 771.0235 1 PRBTMTMLNT 425 672-5755 1 RDCVC JNG 425 275-4801
When calling for an inspecnon Pease rear uHc lm—ug..........."•.•......._..._..— -----. -" -
remesled Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
E.Erosion Control/Mobilization
E-Roof Drain/Tightfine
• E-Drywell
• &Footing Drain TL Conveyance
• E-Engineering Final
• B-Footings
• B-Foundation Wall
B-Foundation Drainage
• B-Slab Insulation
• B-Plumb Ground Work
• B-Plumb Rough In
B-E4eriorSheathing
• B-Ranting
• B-WallInsulation/Caulk
B-Ceiling Insulation/Caulk
• B-SheetrockNal
&Building Final
Permit Inspection Details
r =�\
Permit: bId20080846
PERMITTi �+?:
1001 - E-Erosion Control/Mobilization
Complete?
Com P
, Y ,
01/092009 Sibrel
0
TESC adequate for now. Contractor req'd to trench in sift
fence -20 feet along N side of
N
property.
04232009 collinsj
15
Final Approved
Y
Total Time:
15
1013 - E-Roof Drain/Tightline
Complete?
Y
01/092009 Sibrel
10
Vfy'd Connection to Infiltration trench.
Y
Total Time:
10
1018 - E-Drywell
Compete?
Y ,
"Y
01/092009 Sibret
10
Infiltration trench OK.
Total Time:
10
1019 - E-Footing Drain TL Conveyance
Complete?
Y
011/092009 Sibrel
30
Approved: No footing drains installed. Special inspector approved the non -installation.
Y
Special inspector is same as geotech of record. Asst Bldg Official notified and is OK with
situation.
Total Time:
30
1077 - E-Engineering Final
Complete?
Y
04232009 collinsj
15
Final Approved
Y
Total Time:
15
1106 - B-Setbacks
Complete?
_Y_.
01/022009 lawler
15
Y
Total Time:
15
1108 - B-Footings
Complete?
Y
"Y "
01/022009 lawler
15
Total Time:
15
1110 - B-Foundation Wall
Complete?
Y
01/022009 Lawler
15
Y
Total Time:
15
1112 - B-Foundation Drainage
Complete?
Y
04232009 steinike
20
Y
Total Time:
20
1118 - B-Slab Insulation
Complete?
Y
01/122009 steinike
20
Y
Total Time:
20
1120 - B-Plumb Ground Work
Complete?
Y
01/02/2009 lawler
15
Y
Total Time:
15
1126 - B-Plumb Rough In
-
Complete?
Y,y
01/142009 steinike
15
Wrote correction Notice no test.
N
02/052009 steinike
20
Y
Total Time:
35
1132 - B-Exterior Sheathing
Complete?
Y
02/032009 bjorback
40
CORRECTION NOTICE
N
02/052009 steinike
10
Y
Total Time:
50
1142 - B-Framing
Complete?
,Y
02/05/2009 steinike
25
Y
Total Time:
25
424/2009 4:31:48 PM Page 1 of 2
1144 - B-Wall Insulation/Caulk
02M2/2009 steinike 20
1148 - B-Celling Insulation/Caulk
02/12/2009 steinike 10
1150 - B-Sheetrock Nail
02/17/2009 biorback
1158 - B-Building Final
04232009 steinike
0 APPROVED
25
Complete?
Y
Y.
Total Time:
20
Complete?
Y '
Y
Total Time:
10
Complete?
Y
Y
Total Time:
0
Complete?
Y
Y
Total Time:
25
Total Inspections: 21 Total Time:
345
4/24/2009 4:31:48 PM Page 2 of 2
Y °V FOA'
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E+1. 1890
CITY OF EDMONDS
SPECIAL INSPECTION AND TESTING AGREEMENT
PERMIT # 3't-0 "GJ I eAv
DATE: ! / e F
PROJECT SITE ADDRESS: l DUe 9 Dl Gff ie'fe V'(� hY
PROJECT
// / f-Jen
SPECIAL INSPECTION AGENCY_
*One form must be completed by each
Agency or
SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project in accordance
with IBC Chapter 17 or in accordance with IRC R109.2 as applicable. IBC Section 1704.1 requires the
owner or the registered design professional in charge to employ an independent testing/inspection
agency/special inspector to perform required special inspections. The independent agency hired to
perform the duties of special inspection is required to be a registered agency with WABO under the
Special Inspection Registration Program (SIRP). The special inspector shall be a qualified person with
competence for inspection of the particular type of construction or operation requiring special inspection
(SOQ may be required by the Building Official). The owner, registered professional, contractor and
special inspector/agency shall complete the attached form and submit directly to the Building Division.
WORK REQURING SPECIAL INSPECTION: Special inspections will be required for the following
categories of work in accordance with IBC Chapter 17 and IRC R109.2: FOR SPECIFIC
INFORMATION REGARDING REQUIRED SPECIAL INSPECTIONS SEE THE STATEMENT OF
SPECIAL INSPECTION DATTACHED
•'APPROVED PLAN SHEET
❑ Fabrication (1704.2)
❑ Wood Construction (1704.6
0 Steel Construction (1704.3)
❑ Soils (1704.7
❑ Concrete (1704.4)
o Bolts installed in Concrete (1704.13)
❑ Special Moment Resisting Concrete Frames (1704.4)
❑ Reinforcen Steel, Prestressing Steel Tendons (1704.4)
❑ Structural Welding (1704.3.1)
❑ High Strength Bolting (1704.3.3)
❑ Mason (1704.5)
❑ Reinforced Gypsum Concrete (1704.4)
❑ Structural Masonry for Seismic Resistance (1708.1)
❑ Structural Observation (1709)
❑ Insulating Concrete Fill (1704.4)
❑ Spray Applied Fire -Resistive Materials (1704.10
❑ Piling, Drilled Piers, and Caissons (1704.8, 1704.9)
❑ Shoterete (1704.4)
❑ Pier Foundations (1707.5)
❑ Structural Steel (1707.2
❑ Grading. Excavation. Fill, Proof Rollin (1704.7)
❑ Smoke -Control Systems (1704.14)
❑ Exterior Insulation and Finish Systems (1704.12)
❑ Designated Seismic Systems (1707.9)
❑ Mechanical Components (1707.8)
❑ Cold Formed Steel Framing (I707.4
o Storage Racks (1707.6)
❑ Architectural Components (1707.7
❑ Structural Wood (1707.3)
❑ Special Cases (1704.13
o Seismic Isolation System (1707.10)
L? J- u2
❑ Mastic. Intumescent Fire Resistant Coatings (1704.11)
0
c High Load Diaphragms (1704.6.1)
0
BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall
complete this agreement and the attached Special Inspection Information Form, including the required
acknowledgements and return to the Building Division for approval prior to permit issuance.
L: ,TEMP\BUILDING\FORMS\Inspection\SpeciallnspectionAgreementlBC I RE V.doc7/07
9,aPPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Building
Official prior to performing any duties or inspections. The company performing inspections must be
WABO certified as well as the individual completing inspections. When required by the Building
Official, each special inspector shall submit Statement of Qualifications to the City for review. Special
inspectors shall display identification when performing special inspections on the project site. Special
inspection and testing shall meet the minimum requirements of IBC Chapter 17 and the following:
A. Duties and Responsibilities of the Special Inspector
1. OBSERVE WORK
The special inspector shall observe the site work for conformance with the approved (stamped)
plans and specifications and applicable workmanship provisions of the IBC. Architect or
Engineer reviewed shop drawings may be used only as an aid to inspection. Special inspections
are to be performed on a continuous basis —meaning that the special inspector is on site at all
times observing the work requiring special inspection. Periodic inspections are permitted only as
specifically noted in the approved project plans in accordance with IBC Chapter 17, and as
approved by the Building Official.
Continuous Inspection means the same inspector is on site day to day to observe the work
requiring special inspection.
Periodic Inspection means some inspections may be performed on a periodic basis to satisfy the
requirements of continuous inspection, provided these periodic inspections are performed as
outlined in the project plans and specifications, and approved by the Building Official.
2. REPORT NONCONFORMING ITEMS
The special inspector shall bring non -conforming items to the immediate attention of the
contractor and note all such items in the daily field report. Any item not resolved in a timely
manner shall be immediate cause of the special inspector to notify the Building Official by
telephone at (425-771-0220) or in person at City Hall, of the plan deviation, error, change or
omission. It shall also be the duty of the special inspector to promptly notify the engineer or
architect of record.
3. DAILY REPORTS KEPT ON SITE WITH CONTRACTOR
Each special inspector shall complete and sign a daily report for each day's inspections. The daily
reports shall remain at the jobsite with the contractor for review by the City Building Inspector.
4. WEEKLY REPORTS TO CITY
The special inspector or inspection agency shall furnish the City with weekly reports of tests and
inspections. The project engineer or architect, and others as designated shall also be copied on
reports. Weekly reports must include the following:
• Description and date of daily inspections and tests made with applicable locations
• List of all non -conforming items and locations
• Report on status of non -conforming items (how each was resolved or unresolved)
• Field changes authorized by the Architect, Engineer or City Inspector if not included in
non-conformance items.
L JEMPBUILDING FORM S\Inspection\SpeciallnspectionAgreementlBCIREV.doc7/07
ti
5. FINAL CONSTRUCTION REPORT
- The special inspector or inspection agency shall submit a final signed report or Certificate of
Compliance to the City stating that all items requiring special inspection and testing were fulfilled
and reported. And, to the best of his/her knowledge the project is in conformance with the
approved plans and specifications, approved change orders and the applicable workmanship
provisions of the IBC. Items not in conformance, unresolved items or any discrepancies in
inspection coverage (i.e., missed inspections, periodic inspection when continuous inspections were
required, etc.) shall be specifically addressed in this report.
B. Contractor Responsibilities
1. NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS
It is the duty of the contractor to notify the special inspector when work is ready for special
inspection. Note, the items listed on the attached Special Inspection Information Form and as
noted on the approved plans and specifications are required to have special inspections. Adequate
notice shall be provided by the contractor so that the special inspector has time to become familiar
with the project. All work requiring special inspection must be approved prior to concealing or
covering said work.
2. PROVIDE ACCESS TO APPROVED PLANS
The contractor is responsible for providing the special inspector access to approved plans at the
jobsite.
3. RETAIN SPECIAL INSPECTION RECORDS
The contractor is responsible to retain at the jobsite all special inspection records submitted by the
special inspector. These records are to be provided to the City building inspector upon request.
C. City of Edmonds Building Division Responsibilities
1. APPROVE SPECIAL INSPECTION
The Building Division shall approve all Special Inspectors and special inspection requirements.
2. MONITOR SPECIAL INSPECTIONS AND APPROVE WEEKLY REPORTS
Work requiring special inspection and the performance of special inspectors shall be monitored
by the City Building Inspector. Building Inspector approval must be obtained prior to placement
of concrete or other similar activities in addition to that of the special inspector.
3. ISSUE CERTIFICATE OF OCCUPANCY
The Building Official may issue a Certificate of Occupancy after all weekly special inspection
reports including the final report have been submitted and accepted by the City.
D. Owner Responsibilities
1. The project owner or the engineer or architect of record acting as the owner's agent shall fund
special inspection services.
E. Engineer or Architect of Record Responsibilities
1. Prepare Statement of Special Inspections in accordance with IBC Section 1705.
2. Review the special inspection reports and provide corrective action for work that may not
conform to the approved plans.
L:\TEMP\BUILDING\FORMS\Inspection.SpeciallnspectionAgreementlBC I RE V.doc7/07
j"
ACKNOWLEDGEMENTS
I have read and agree to comply with the terms and ditions of this agreement
p
Owner name `� O� �Il �� �� L-•
(p a e kint or typ
Signature ate L /�
General Contractor Copm any/Owner name ti
(please print or type)
Date Z ZOa�
Special Inspector/Agency name
or type)
Date 0P8
Archid
Return the original signed agreement to the Building Division
City of Edmonds Building Division
121 5tn Avenue North, City Hall Second Floor
Edmonds, WA 98020
ACCEPTED BY CITY OF
City Official
$UILDING DIVISION:
Date
M
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