BLD20140075.PDFCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 08/13/2014
Parcel No: 27041800202800
STEPHEN KISSINGER STEPHEN KISSINGER OWNER EXEMPTION
9007 OLYMPIC VIEW DR 9007 OLYMPIC VIEW DR
EDMONDS, WA 98026 EDMONDS, WA 98026
(425)778-7783 (425)778-7783
LICENSE #: EXP:
FILL IN POOL, COVERED ENCLOSURE TO REMAIN. comoft
VALUATION: $0.00 FLETED
PERMIT TYPE: Residential
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY:
OCCUPANT GROUP: R-3 DET U
OCCUPANT LOAD:
FENCE: 0 X 0 FT.)
CODE: 12
OTHER: ------- OTHER DESC:
ZONE:
NUMBER OF STORIES: 2
VESTED DATE.
NUMBER OF DWELLING UNITS: 1
LOT #:
BASEMENT: 1512 1 ST FLOOR: 2979 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 672 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
REQUIRED PROPOSED: RE UIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED.
SETBACK NOTES:
1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO
PERSaN WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S
1/ COMPENSATION INSURANCE AND RCW 18:27.
IS A LIVATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HEPyDEPUTY AND ALL FEES ARE PAID.
Signature Print Name Date ele a By c> Date
ATTENTION
IT IS UNLAWFUL 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. UBC 109/ IBCI 10/ IRCI10
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20140075
CONDITIONS
• Pump from pool shall discharge to planter, cistern/rain.barrel or the like. Direct connection to sanitary sewer or storm not
permitted.
• 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 from temporary construction sites as a result of construction activity are exempt from the 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 CONSTRUCTION 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
PUBLIC WORKS (425) 771-0235 1 PRE-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
beine requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
• E-Confine pump system outfall
• E-Pre-Demo Erosion Control
• E-Engineering Final Demo
• B-Final Demolition
J.
,j
OF ED4
O
.. NO
v U' DEVELOPMENT SERVICES
RESIDENTIAL BUILDING PERMIT
APPLICATION
�sr 1 g90 121 5 b Avenue N, Edmonds, WA 98020
City of Edmonds Phone 425.771.0220 2 Fax 425.771.0221
PLEASE REFER TO THE RESIDENTIAL BUILDING CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJt reWSS (Street, Suite #, City State, Zip):
Parcel #:
Subdivision/Lot #:
Project Valuation: S
APPLICANT:
Phone:
Fax:
Address (Street, City, State, Zip):
{00-;p ova qvc UV" rat, z4z" &CDs
E-Mail Address:
PROPERTY OWNER:
4 s14UA SYManno$
Phone:
L.12S' --m_77$3
Fax:
Address (Street, City, State, Zip):
oaf C)"WIC, vw oe; fo�a�raS �.s�s �,��Zd„
E-Mail Address:
Qs ova �--1Clss.a6vz c. +1
LENDING AGENCY: �)
Phone:
Fax:
Address (Street, City, State, Zip): N11,
E-Mail Address:
CONTRACTOR:* u 4
Phone:
Fax:
Address (Street, City, State, Zip): �)
E-Mail Address:
*Contractor must have a valid City of Edmonds business license prior to
doing work in the City. Contact the City Clerk's Office at 425.775.2525
WA State License #/Exp. Date:
City Business License #/Exp. Date:
DETAIL SCOPE OF WORK: � G � '" � �� % y\ P O IJ 1 0_04°e
PROPOSED NEW SQUARE FOOTAGE
FOR THIS PROJECT:
Basement: s . ft.
Select Basement Type: 0 Finished ❑ Unfinished
1" Floor: s . ft.
Garage/Carport: s .ft.
2°d Floor: s . ft.
Deck/Patio: s . ft.
Retaining_ Wall: ❑ Yes ❑ No
Other:
s .ft
I declare under penalty of perjury laws that the information I have provided on this fornVapplication 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: s7 lCi 1 SS t� 'Owner ❑ Agent/Other (specify):
Signature: � Date: t l Z3) 2,019
^M44L
Ce,N1
FORM A LABuilding New Folder 201000NE & x-ferred to L-Building-New driveTorm A.doc
Updated: 6/20/2013
EXEMPTION FROM CONTRACTOR EAR;:'
REGISTRATION VERIFICATION
FORM D JAN 2 3 2014
DEVELOPMEN]
The undersigned property owner or authorized person as described below, has applied 9 EF
UNT
building permit from the City of Edmonds and claims that he/she/it is exempt from providing
contractor registration in accordance with the provisions of RCW 18.27. The property owner or
authorized person, by their signature below, hereby verifies to the City of Edmonds that:
❑ Value of work under $500.00. The aggregate contract price of labor and materials and all
other items required for the project is less than $500.00 and is not part of a larger operation
to be undertaken on the property. This exemption does not apply to a person who advertises.
or puts out any sign or card or other device which might indicate to the public that lie/she is
a contractor, or that he/she is qualified to engage in the business of contractor. RCW
18.27.090(9).
❑ Owner who contracts for a project. A property owner contracting with 'registered
contractors for the project, and who him/herself is not performing any activity of a
contractor for the purpose of leasing or selling improved property that he/she has owned for
less than twelve months. RCW 18.27.090(11).
`Work performed personally on own. property. Anyone personally working on property
he/she owns, or at which he/she resides, as long as the property owner, or resident, does not
perform any activity of a contractor on his/her property Jor the purpose of selling,
demolishing, or leasing the property. RCW 18.27.090(12).
❑ Use of own employees. Property owner using him/herself or his/her own employees to
perform maintenance, repair, and. alteration work in or upon his/her own property. RCW
18.27.090(13).
❑ Licensed Architect, engineer, electrician or plumber. All work performed under this
permit will be performed by an architect, civil or professional engineer,'certified electrician
or certified plumber operating within the scope of his/her certification. RCW 18.72.090(14).
❑ Other. Specify which provision of RCW 18.27.090 applies:
THE UNDERSIGNED PROPERTY OWNER OR AUTHORIZED PERSON HEREBY VERIFIES
THAT ALL INFORMATION PROVIDED ON THIS FORM IS TRUE AND ACCURATE TO THE
BEST OF HIS OR HER KNOWLEDGE AND ACKNOWLEDGES THAT,Q`IF ANY OF THE
INFORMATION PROVIDED ON THIS FORM IS FALSE HE OR SHE UNDERSTANDS THAT THE
BUILDING PERMIT WILL BE IMMEDIATELY REVOKED AND ALL FEES PAID FORFEITED.
DATED this 2-� day of ,�
PE Y O AUTHORIZED
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Print Name
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WITNESS
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Print Name
LATEMP\BUILDING\HANDOUTS REVISED IN 2009\PREVIOUS HANDOUTS\FORMS\CONTRACTOR EXEMPTION FORM
D.DOCREVISED 7/07
DIAGRAM 2: Side View Proposed Conversion
Drain from
pump through
pool outflow to
�mn-dram
tti 01J �S CC�i
171za II
RA1N �ff�
r
Removable Cap — Access to Drain/Pump
Vertical Perf Drain
Wrapped in Filter
Fabric
— tilfl�@i'C `-
�ON NtcG'[�orl �o
qL qXM NOT fgftmw
yejMM
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DECEIVE :
JAN 2 3 2014
DEVELOPMENT SERVf0ES
COUNTER
POOL DECK
SAND FILL
APPR' VEU AS NOTED
BY FNGINEERI G
Date:
:Q
C1 li Q.(C )2)y
CfTY OF EDMONDS
BUBLDIN ' DEPARTMENT
WORo�
ADDRESS°I�
7,LDG. OFFICIAL:., - -
PROJECT ADDRESS: 9007 Olympic View Drive, Edmonds, WA 98026
Applicant: Steve Kissinger
9007 Olympic View Drive, Edmonds, WA 98026
n
SCOPE OF WORK
JAN 2 3 2014
DEVELOPMENT SERVICE!
COUNTER
The above address includes an in ground pool situated in an aluminum/glass enclosure. This project has
the following goals:
1) Fill in pool so that the enclosed pool area can be used as a green -house.
2) Allow the pool conversion to be 'reversible' — so that any potential future buyer can remove the
fill. (compressed sand) and restore the pool if they so choose.
3) Install above ground flower/vegetable growing areas. These growing areas will be in raised beds
io facilitate access.
Current Stage:
1) Pool has not filled this year— so there is no water in pool.
2) .Vinyl liner has been removed and disposed of.
3) There is no drain installed in the pool. Historically, draining the pool involved using a
submersible pump to pump the water via hose to the storm drain system.
4) Filling the pool is done via hose from a faucet attached to the nearby garage. There are no
utility connected water lines or water service in or out of the pool enclosure.
5) The pool utilizes a separate propane tank that is filled on demand (usually once a year).
6) The pump, heater, and filter system circulate water from the pool intake/outflow valves via
underground 2" pipes to a 'pool utility' room located in the nearby garage.
7) There is an additional water pipe from the pool pump/filter for backwashing the pool filter. The
outflow from this backflow operation ends at the storm sewer.
PROPOSED WORK:
1) Call the propane company and have them remove propane tank and cap off line going to pool
heater.
2) Cap off inflow from pool to prevent'sand fill from entering water inflow line.
3) Install vertical 18" drain pipe in deepest part of pool. Pipe will be wrapped with filter fabric to
insure that the pipe remains clear of sand fill.
4) Install sump -pump in bottom of vertical drain. Outflow from pump will be sent to the pool
outflow and routed through the backwash piping to MI--61°YS f&.Av4-nkJ4 n 1
5) Power off existing pool heater/filter/pump systems. CIsl / "Al BML 01Z
6) Reroute the back flow piping to bypass the current pool pump. $�`(,�` ,may omGlr &90*090M
7) Test the sump -pump and outflow system. -fo 77 Sim fTAt ,/ 1(0 ®r—
s�amsqrw N#T
or:--mrTm .
JAN 2 3 2014
8) Fill the in -ground pool to the deck surface with sand — compressing the sand every foot jjVELOPMENT SERVICE
depth. The pool depth (measured from deck surface to bottom of pool) ranges from 4 6 o COUNTER
almost 8'. It is estimated that it will take 180 cubic yards of sand fill.
9) When final sand level is compressed — add 3" to 6" of crushed rock and/or pavers to provide a
level and comfortable walking surface that is flush with the existing pool deck.
_f
NOTES:
We do not expect much if any rain -water to enter the enclosed structure as the roof provides a
weather-proof enclosure, but some garden water runoff from above ground planters and potentially
an occasional indoor washing will result in water entering the sand. The existing gunite surface of
the pool is sloped, and any water should find its way easily to the vertical drain system installed at
the deep end of the pool for pump -extraction.
The water will be pumped up through the vertical drain and exit the pool enclosure through the
existing filter outflow. The outflow tubing will then bypass the existing pump and go through the
backwash piping to the storm drain.
DIAGRAM 1: Existing pool enclosure and pool area
25' 9" Width
Deep
Area of
Pool
Pool Area
Length of 40'
Width ranges
from
18'5" to 21T'
shallow
Area of
Pool
29' 11" Width
49' 2"
Length
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