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STATUS: ISSUED 3/21/2011
Expiration Date: 9/21/2011
Parcel No: 00556000200900
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Permit #: BLD20110156.
Project Address: 515 OLYMPIC AVE, EDMONDS'
LINDSEY WRIGHT SLIDERULE ENGINEERING WORKS EXCAVATORS NORTHWEST
515 OLYMPIC AVE 227 E ST SE 7540 DIBBLE AVE NW
EDMONDS, WA 98020-2957 AUBURN, WA 98002 SEATTLE, WA 98117-
( ) - Ext. ( ) - Ext. (206) 784-0529 Ext.
LICENSE #: EXCAVN*90807 EXP:3/26/2012
DESCRIPTIONJOB
FOUNDATION REPAIR
as
VALUATION: $30,275 COPLE7EB
PERMIT TYPE: Residential
PERMIT GROUP: 53 - Repair Structural
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 09
OTHER: N ----- -- OTHER DESC:
IZONE. RS -6
NUMBER OF STORIES: 0
IVESrED DATE:
NUMBER OF DWELLING UNITS: 0
1 LOT #:
BASEMENT: 0 ISI FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 IST FLOOR:0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
tEQUIRED: N/E 25 PROPOSED: 24.6/10.3 REQUIRED: S/W 5 PROPOSED: 10/16.3 REQUIRED: PROPOSED:
`1E1GHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
;ETBACK NOTES: No change to existing setbacks or height - east setback is nonconforming
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THISAPPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUIL ING OFFICIAL OR HIS/HER PUTY AND ALL FEES ARE PAID.
Print Name
Released By
ATTENTION
ITIS UNLA WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
= ONLINE
= APPLICANT
r . —,
ASSESSOR
1
I
STATUS: ISSUED
BLD20110156
• REQUIRED SPECIAL INSPECTIONS FOR THIS PROJECT:
1) Soil bearing verification
2) Wedge Anchors
3) Footing drain
4)Ternporary Erosion Control
5) Field Welding.
6) Pin Pile installation.
7) Final letter from geotechnical engineer of record
• Signatures on Special Inspection forms to be completed at pre -con meeting.
Special inspections have been called for on this project and are noted on the approved construction plans and building permit.
It is the owner and/or contractors responsibility to assure that reports are provided to the City on a weekly basis. Be advised—
if special inspection reports are not forthcoming, the Building Official may issue a "Stop Work" and no City inspections will be
provided until such time as the reporting agency has complied and reports are reviewed and approved by the City.
• Submit all special inspection reports to the City Building Inspector on a weekly basis.
• Final approval on a project or final occupancy approval must 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 for alternate design, 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
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities 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 from the issuance for this permit, Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT10N ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 1
PUBLIC WORKS (425)771-0235 1 PR&TREATMENT 425) 672-5755 1 RECYCLING 425 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• &Erosion Control/Mobilization
• G•Engineering Final
B -Pin Pile Installation
• B -Foundation Drainage
• B -Building Final
2.oii-ots�o "
Inspection Comments
~
BLD20110156 53 - Repair Structural
PERMITTR�aX .
Applied: 03/08/2011 Issued: 03/21/2011 Expires:
09/21/2011
Address: 515 OLYMPIC AVE, EDMONDS
INSPECTION DATE INSPECTOR
ACTION
1001 - E-Erosion Control/Mobilization 03/22/2011 SIBREL
CMP
Comment: Excavation is minor, so TESC is accomplished via natural vegetation. Reminded contractor to not let
soils leave the site.
1077 - E-Engineering Final 04/22/2011 MCCONNELL
CMP
Comment: Approved.
1101 - PreCon/Sp. Insp. Test agreement 03/22/2011 LAWLER
CMP
Comment: left correction notice need to get special inspector to sign soils agreement
1110 - B-Pin Pile Installation 04/15/2011 STEINIKE
CMP
Comment:
1158 - B-Building Final 04/15/2011 STEINIKE
PAR
Comment: Ok but need engineering approval .
9 9 PP
1158 - B-Building Final 08/15/2011 BJORBACK
CMP
Comment: Engineering has been signed off.
8/25/2011 9:22:54 AM Page 1 of 1
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SPECIAL INSPECTION AND TESTING AGREEMENT
Permit #: //- O/S7& Project: W r!c, (,L
test. 1890
Prior to issuance of a permit, this form must be completed in its entirety and returned to the Cityfor
approval. The completed form must have signatures of acknowledgment by all parties.
DUTIES AND RESPONSIBILITIES
Special Inspection )harm and Special Inspectors:
The Special Inspection firm of _�v�eAvr' �-e will perform special
inspection for the following types of work (separate forms must be submitted if more than one firm is to be
employed):
❑
Reinforced Concrete
❑
Bolting in Concrete
❑
Prestressed Concrete
❑
Shotcrete -
❑
Structural Masonry
A
Structural Steel/Welding .
❑ High Strength Bolting
❑ Spray applied Fireproofing
❑ Smoke Control Systems
❑ Lateral Wood
❑ Structural Observation
❑ Grading/soils
❑ Other
❑ Other
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO
certified, a detailed resume of the inspector and firm must be submitted. The resume must show that the
inspector and the firm are qualified by education and experience to perform the work and testing required by the
project design and specifications.
The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection
records shall include:
A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution.
A weeldy report shall be submitted to the City; detailing the inspections and testing performed, listing
any nonconforming work and resolution of nonconforming items.
A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued. This report will indicate that inspection and testing was completed in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report. RECEIVED
CY COy 111112011
-DEVELOPMENT SERVICES
COUNTER
.a
Contractor:
The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plan and specifications must be made available, at the jobsite for the use of the special
inspector and -the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by
all parties.
The special inspection functions are considered to be in addition to the normal inspections performed by the City
and the contractor is,responsible for contacting the City to schedule regular inspections. No concrete shall be
poured or other woik covered until approval is given by the City inspector.
Building Department:
The building department shall review any revisions and addenda. The City inspector will monitor the special
inspection functions for compliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work to proceed.
Design Professionals:
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process in such a way as to insure that all required City approvals are
obtained, prior to work shown on the revisions being performed in the field.
Owner:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency.
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requirements of the UBC, the approved
plans and this document, may void this agreement and the Building Official's approval of the special inspector.
In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the
design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
II
b.*M4( / w-tu�(
) Sign r C�(��J�
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Contractor: Signature,7-�M AWADate:
Arch./Eng• Signature `'lGr�" ���zy Date: %
Special Ins Signature�"' LLcDate:
ACCEPTE9 FOR THE CITY OF EDMONDS BUILDING DEPT.
By: Date: 31 Z
o, r Mho
SPECIAL INSPECTION AND TESTING AGREEMENT
N
t. f
o Permit #: J( -� �,� Project:
Prior to issuance of a permit, this form must be completed in its entirety and retrurned to the City for
approval. The completed form must have signatl[res of acknowledgment by all parties.
DUTIES AND RESPONSIBILITIES
Snecial Inspection Firm and Special Insaectors:
The Special Inspection firm of t '�X / 1 ' will perform special
inspection for the following types of work (separate forms must be submitted if more than one firm is to be
employed):
❑
Reinforced Concrete
❑
Bolting in Concrete
❑
Prestressed Concrete
❑
Shotcrete
❑
Structural Masonry
�(
Structural Steel/Welding
❑ High Strength Bolting
❑ Spray applied Fireproofing
❑
Smoke Control Systems
❑
Lateral Wood
❑
Structural Observation
Grading/soils
❑
Other
❑ Other
All individual inspectors to be employed on this project will be WABO certified for the type of work they are to
inspect. If inspection is for work that is not covered by the WABO categories, or the inspector is not WABO
certified, a detailed resume of the inspector and firm must be submitted. The resume must show that the
inspector and the firm are qualified by education and experience to perform the work and testing required by the
project design and specifications.
The work shall be inspected for conformance with the plans and specifications approved by the City. Revisions
and addenda sheets will not be used for inspection, unless they have been approved by the City. Inspection
records shall include:
A daily record to be maintained on site, itemizing the inspections performed. Any nonconforming work
shall be brought to the immediate attention of the contractor for resolution.
A weekly report shall be submitted to the City; detailing the inspections and testing performed, listing
any nonconforming work and resolution of nonconforming items.
A final report shall be submitted to the building department prior to the Certificate of Occupancy being
issued. This report will indicate that inspection and testing was completed in conformance with the
approved plans, specifications and approved revisions or addenda. Any unresolved discrepancies must
be detailed in the final report.
RECEly=�
Cy C Ory MAR 18 1011
DEVELOPMENT SERVICES
COUNTER
Contractor:
The contractor shall provide the special inspector or agency adequate notification of work requiring inspection.
The City approved plan and specifications must be made available, at the jobsite for the use of the special
inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by
all parties.
The special inspection functions are considered to be in addition to the normal inspections performed by the City
and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be
poured or other work covered until approval is given by the City inspector.
Building Department:
The building department shall review any revisions and addenda. The City inspector will monitor the special
inspection functions for compliance with the agreement and the approved plans. The City inspector shall be
responsible for approving various stages of construction to be covered and for work to proceed.
Design Professionals:
The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special
inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will
coordinate their revision and addenda process in such a way as to insure that all required City approvals are
obtained, prior to work shown on the revisions being performed in the field.
Owner:
The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or
agency.
ENFORCEMENT
A failure of the special inspector or firm to perform in keeping with the requirements of the UBC, the approved
plans and this document, may void this agreement and the Building Official's approval of the special inspector.
In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the
design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK
notice being posted on the project until nonconforming items have been resolved.
ACKNOWLEDGMENTS
I have read and agree to comply with the terms and conditions of this agreement.
c
Owner: Signature
Contractor: li Gt Vl s �-C Signature
Arch./Eng: �V CA!K4 Signature
Special Insp. Signature
ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT.
By: Date:--✓/c--�—��
Date
Date: 'Z /
Date:
Date: ,/ZZ `(�
FIELD REPORT
Associated tarth Sciences, lite.
911 Fifth Avenue, Suite 100
Kirkland. Washington 98033
425-827-7701 FAX 827-5424
TO:
Ms. Lindsey Wright
515 Olympic Avenue
Edmonds, WA 98020
ATTN:
AS REQUESTED BY Ms. Lindsey Wright
THE FOLLOWING WAS NOTED:
Pae 1 of 2
Date I
Project Name
Project No.
03-28-11
right Residence
M00293A
Location
Weather
515 Olympic Avenue Edmonds, WA
P.C., 50's
Municipality
Report Number
Edmonds
1
Engineer/Architect
8
Slide Rule En eerin Works, LLC, Andrew Herrick
Client/Owner
12.5
Undsey Wright
7
General Contractor/Superintendent
1
Excavators NW
Yes
Grading Contractor/Superintendent
14
We arrived at the site to observe the installation of 2 -inch diameter driven pipe piles.
Driven Pipe Piles
Prior to our arrival, the contractor had installed 2 piles (Pile numbers 6 and 9) to a depth of approximately 12 feet below existing
site grades using a pneumatic hammer. While on site, we observed the contactor drive 7 piles (Piles 1, 2, 3, 4, 5, 7, and 8 as
referenced on the attached plan sheet) to refusal, and observed re -taps on the previously installed piles. Piles 1 through 9 were .
observed to have met the refusal criteria, defined as less than 1 -inch of displacement over 60 seconds of sustained, continuous
driving with a 90 -pound pneumatic hammer. The observed piles, were completed to the following depths, listed in the order of
installation.
Pile Number Total Length of 2 -inch Amount of Pipe Cut Pile Length, Below Refusal Criteria Metz
Diameter Pipe Off Above Bracket ft Bracket ft
6* 15. 2.5 12.5 Yes
*Piles 6 and 9 installed prior to AESI's arrival
AESI observed the piles referenced above be driven to the established refusal criteria. -It should be noted that the horizontal
distances for piles 1 through 5 were per the plans and specifications, but that the horizontal distance between piles 6 and 9 were
not. At the time of our arrival, the foundation brackets had already been mounted to the foundations and foundation areas had
been prepared for the piles. The distance between piles 6 and 7 was observed to be about 4 feet, the distance between piles 7 and 8
was approximately 9 feet, and the distance between piles 8 and 9 was observed to be 7 feet. AESI recommends that the Structural
Engineer be notified of the discrepancy so that he (the Structural) can determine acceptability of the piles with respect to the
approved plans and specifications.
AESI notified the Structural Engineer, who will schedule a site visit to observe the placement of the piles.
COPIES TO: PIELD REP.: Ed Garcia
DATE
MAILED:
PRINCIPAL / PM: Matt
Miller f�/
9'"
15
3
12
Yes
8
14
1.3
12.5
Yes
7
14
1
13
Yes
1
14
2
12
Yes
5
14
3
11
Yes
2
13.5
2.5
11
Yes
4
14
2.5
11.5
Yes
3
14
2.5
11.5
Yes
COPIES TO: PIELD REP.: Ed Garcia
DATE
MAILED:
PRINCIPAL / PM: Matt
Miller f�/