9535 BOWDOIN WAY.PDFiiiiiiiiiiiiii10422I
9535 & 9537 BOWDOIN WAY
0 •
BUILDING PERMIT (NEW STRUCTURE): �� 1rZDlZ�tZ,��! CT�RPAN.
COVENANTS (RECORDED) FOR:
CRITICAL AREAS :cA' Lga3 .tcH DETERMINATION: Vconditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S: �OO� Ci�� �UV� 5 'Q� ,aiZT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
( RoAodd )
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
I gT2D12R(w) tq7ffirF44(4uecl� ) 7rn2,oGa t-
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\DSTs\Forms\Street File Checklist.doc
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POSTED ON KROLL MAP NO.: PERMIT 7-�G�•JZ2'
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BUILDING, •. DEPARTMENT_-
Applicant Fut NIJMBSIt ., s ,'• r��x rwa y ,,
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Inside Heavy LiDoe Jon ADDRESS
' PEiiMIT. APPLICATION
.. . 8; .:.I:s (OR NAME Y-(
P }y�
/`� I �J O i'� . 1 a JO a IDS SIDi YARD SETBACK I STREET SETBACK I REAR YAR= TnACK
C p Y JBESS i'� (• i/%1 /r .'I• r 4-. d.� � �,�i�e�`.Zr7t
04 x G j 1 / / �' `EN (�� USE ZONE LOT Altgw VACANT SITE IE+ t _.'�,i Y f - If JpAi.
C ° CITY -/ TELEPHONE NUMBER ?L-13Li C_I I ❑ YES _ ❑ NO
776 NAME HEIGHT BUILDING AP.EA I VARIANCE NUMBER
Y t I
iP�ID'M1T%DLE70� ,QSSoc'
PLOT PLAN APPROVED
F ADDRESS i�r fes" 1J'`,• �d:l r 1.�
3 KAIIJ sT STREET GO
4 4V DggICIENCY TMS PROPERTY
O TELEYHO:IE NUMAER EXISTING STREET R/W 1rT. !-� 'r
e: CITY
< r�J'�,,I 3�( 1) �% 1 COMP. PLAN ST. R
Gi Y%,ONVJ / I REMARKS
' NAME
cOe
S i to ADDREES r moi:. .'1'�;i•; �,t� nh:�
X
to a ,
CC I CBECKSD
' C CITY TELEPHONE NUMBER
�� to B�L�Ev1l� I s� -74150 kir n�
O METER tllLE I SERVICE SIZE (CLEARANCE I CHECKED
' I STATE LICENSE NUMBER CITY CENSE NUMDEI:
REMARKS g {_- ' .; dlI , L `. W'•
kgel Ue.erlDtlon o[ Property Itlhow Below or AtLLeh Pou`r.C,
)bv
MAY— VQPM�y TYPE --g�y — of �MoNDS CtiECT10N II D.BY
PERMIT NUMBERfz G1y PERC. T a
,y
REMARKS �5
1 R y 1
F'rws ZONE I TYPEOF CONSTRUCTION I STREET 3MPROVED ,� i;;{;'y).S •4\1�
�I�.ESCIzVol R lCYES❑'No#z�s •Y
SPECIAL INSPECTOR REQUIRED OCCUPANCY OUP j ,y ti �l.tr+�'y„'�'.:• �'!
GA9 ❑
k ESIDENTIAL LINELAN CHECKEDBYIEel ON-AFSID£NTUL ❑ bR sv�: �i1bl GpsToiJ Zzg ,f'�Y7
SIGN J �.(yr'�.lA,}M1L
❑ ADD ❑ RETAINING REMARKS1J -)S LOCATED!1Nl THE 4<.q'n ' .r �}•� �'
DEMOLISH WALL t air
❑ CITY. OF EDMONDS. LOCAL SALES
❑ ALTER EXCAVATE ❑ FENCE Z;
❑ OR FILL (_.-...s.._...Ft.l JAAA 6HOULD BE C�R,jDED'31:04
❑ REPAIR ❑ PRE-MOVE SWIM/7A�La-` / Iu(�JD�S `• `J' �S" t z•4 I "•
INSP. POOL /7
NUMBE�R(( OF STORIES NUMBER OF ❑ GOUIZTS DTII 1- 0
ONIy DWELI.IN6 Nf A
UNITS /!'[
NATURE OF WORK TO B�E� {D�O\NE�yJ - •. V.1-11-_ :'Fee-' •ReeelptNo
.�I)iUStQdC%-f i�/?:-Z6TZ STO/Z106 Er 'Plan Cheek
6- BURRING ( 00 d IV OAJC
' L •PROPOSED USE
PLUMBING -- _A'
WAZ� SyoK.R6�
O PLOT PLAN (valerate Buflamg s<tDaelu, ebut[In6 Street.) HEAT A GAB LINE .• ` "y
SGt PLAT J -1YA--N•E� r
° -FENCE I :.y
SIGN I - -„•
RETAINING WALL } 1.
I N a. !
. I BMMITNG PJOLDXMOLITION
PRF.MOVE INSPECTION��}
EXCAVATION OR FIIS. __ d € i, �'G`.•�.,,Y�,� F
TOTAL AMOIINT DLL _ /�u� _ i; ' •h.^?°'Y .� .cae�G_
.t hereby acknowledge that f have reed thio aDDllcatlon; that the fa• /tr �• , •.;tM. . }
. tormn:lon peen V correct: rand that I am the �-,r, or :he duly outhon I•'» 'Lei a+ 'i4 Y.� - l•
ned agent of Me oerner. y aVoe to comply ertu elt, and .t.t. la.. regu- ATT'EN-non APPLICATION 'APPROVAL.
1.U" woetrupand u wort ton: adoing the t authoAIeed thereby. Do pareon ', >• a-`(e y.� R
"ll be employed m "otatl n of the uhor Coda or the etaLL of w.anlnaton rive PLRIDT This applieaUOII 1a not a permit until
ml.Ung to Workmen'. Compene.tlon Ineurenne. AUTHosvtTdDep-
RK
signed by the Building Official or Iris Dep- >,„� - ;�-:z •,�:.
NOTE: Permit Limit One Year (E> Dt n"oLmovs vhlo \soon NOT-nD uty; and foes are paid, and receipt Is ac-
nun eo ptae m nm y
days: o BDILDIxas hall be Imowledged in space provided.
INSPECTION
DATE BlGNED ',:�,;•., , i,f}.�•�.e;.;z.I';' `•s: �SC`i
B RE ''kl•,�l, :R#w I f••,y\• _
DEPARTMENT-77
} �e"��r1 •h
CITY OF 7 r'p•;:' ..i • • ","-'-',%� Y};
F.D\fONDS DATE
NOTE: Applicant Subject to Plan Check Fee PR 6.1107 '
Th., Permit a work b be aoea oe prleate Reopen, ONLY.
Any w-truetlon m tee Pottle duestn (cur , .ldewnike. drtveweJ.. • l
LE
ryuee., els.) will Mwre eeperat. we'l..lon.
eu+
tae-.
"�# Bks•
it f'- _ '. � .._...-�, . � -�• _--.•-•-v '--••a'--•s ",;,•='•`-'+t,�,�' �,�
POSTED ON KROLL MAP NO.: 1 PERMIT-' 7`J0 I
s4 - D,UILD.:NG. DEPARTMENT APPUcantFill ' I � L /y R
,A-
PERMIT
ted° Hsu\9 L'°p JOB ADDREtl9 �II /� Pn
NAME (OR NAME OF BUeINE88) 5 Du) C,] . / t'� S 1 W K�^ •,t �'"E 'd ?
—E Y RU SETBACK STREET SETBACK RE.
-lam. l/" �C3• YI L�ii Vel ..
J i
- � I ISAIIING w n a v1_ La: ARF -1
uB_ zoN)c
�i �L�JjJ / t {�
e O. CITY. a 5 �TELEPKONE F3i�[7—Till —� V� S' I I'�LYEB NO < .,1'•
RUILGIN. AREA I VwRUNCE NUMBER - y '. °I } i 4,..� y a
I L ! 11L•IGHI <� �It4
NAME ) t 1
t ^LJ'r FLAN APPROVED �� t" t• yti-o
i� bi yl .L�Ce rr rC x -d r r hl
a7—AD '15NESES`D"r
AGO,aTaEi+ niw _ a PROPERTY j
III U q a 5 irQC-(1i ✓YlA �' Exis"NG STREET RfW _ .rr. DEFICIII.CY
a; cin re PhONi ..Peenu /
IIS ` I
_3-1 6 D 1 COMP. PLAY ST. R/W _ ..Fl.
m0.
—REMARKS
NAME O.K. to connect into sanitary sexers
ij
but
P -t -a C�1/1�1YJAc'f►(�-n CO. -,;'
tggCq. ADDS a /f�•t .�/ j(�� / �%J r'�s,; trtS
PyI J D 7V </ G 1 CHECKEdD BY
C1TY � I T PH Nis NUMBER
C?r F .sem Q� �j �j 111...JJll jt il"x
a 5 / - ✓ �V ME'1'EA eiZk: BE BIZb; I CIwARANCE C1iECKiD iii •S jf �,4 �A 1,�tyr (' "r.
/ V 91 ATElf L3CCE-NSE NUMBEli C1TN8E N M EFti'PlUr7
i
Legal D<aer 4tton OL Yropert7 lBaaw Blow or At ach Four Copice. C �LC Sj f1/ 1.1 Y [ 4.ir
TYPE CONNECTION I VER1P' Y -I •`1 i t if �1•.� `Y^4h�:.x-7
u y ;47:r't
PERG TEST I PSRMIT,N MBER
• 3 2} vjjVrt
1 REMARKS m - ,�: Y F FiyVy•',��n�.i,S! �•a.C•�Y"Ai, .F t. 1
FIRE ZONE I TYPE OF CON' "'UCTION , arRSbT, IMPROVED I \ 3" �-S•lh
_
((']iYFS - NO
i
SPECIAL 6PECIG11:.tEVUIRED I OCCUPANCYGROUP I _ 1ti'rtp �Y �.•}{IBJ ,g N`
❑ � RESIDENTIAL LINE
YES
NEWFLAN G13E D BY 1 „f+%# t•
' t J}iNON-R8I8rDENTIAL .� /C/,Y,�ES%A `1 THIS SITE !S rATI:
BIGTJ / L
❑ ADD E]wLISH KING REMARKS CITY OF EDMONDS. LOCAL SALES _ • .' �'"'` ` ` � °�
ExCDEMOFILL VArE FENCE TAX SHOULD AF tLILlcD3: 9h �
ALTER E].+
i OR 00
I..
E]RPRE-MOVE Hyl HWIM �/L J�SW.�Ci / '�'." /�V / -{ r�t'�P...B)ir�
EPAIR ❑ INSP. 1_C-3 POOL ,}t `"�
1JU\Ib611 0101• B'fO7L1Etl I NU R OF
DNELL.INO ... • � h:%; : �• � '•r,+_�, .' 7iI.
i - NAT�U�(GfE/•�CFLWORK 70 BE DO�N Valvallm Fee Receipt •No.•
t ^�/ l/ -,-r I lr7 • \�.� L.��`� ✓ f 1 / 11 I plan Cheek NO -7
OI -i �. BUILDING S,✓e�V,"
i R t1 PLUMBING .of
L PFt l�P09�� U Ems— �
PLOT AN (Doleale Building aetbaeke, abutting et Rete) HEAT h GAS LINE _
FENCE
BION _ I ��'� ;•, r%"0
1 1 _ RETAINTtIO WALL
" I SWIMMIP)G POC", {
DEMOLITION ���„ r� y{ .Pr r•
- PRE•MOVF. INBPECaTON
EXCAVATION OR F1Li.
TOTAL AMOUNT DUE I ON
I hereby aeknOwle.lge that I Daae read tele epplitaton; that the In- 'r„
.•-'�• ', -t �'�'�h
roMatlon glten la correct; and that 1 em the owner, or the duly author- - - - ”" ' {v' •t , ,A^ i uq +
heed agent of the owner. I agree 10 comply with- city 'tad .tate lave ngu- A'tTENTI01`T APPLICATIAN_ APPROVAL• �i� LTJ -•a :+,:: w.. .'+41� .
latluL mnatrueton: and L• doing the work auM.rtttd th—by. on Pereon - -
Will be xmplayed In vlolniIon of tla Labor Code of tba State of Weabington TMS PERMIT This application is not 8.'pezMlt until
. relatag to Oyed nro cpmpen,anm In,uren«. ADTHORIIIES signed by the Bulld!ng ouicial or. his Dep-
ONLY Tom
NOTE: Permit Limit One Year tE=Se
pt DEMOLITIONS whim WORN NOTED cty; and fees are, and receipt is at r•• "1 t '1'{' �)) hiki
.hall be completed In ata-ly gay.; MovcD-IN atlnm:��cs .)w: be nem- IcaoWledged in bpace PTdvlded. ' , 8
Pleled to at. months.)
INSPEC^ION
t tl G (OR OH 'NT) DATE SIGNED, D)�An2'l[IrTi'r CZ'O 'e BIONA VRE " .K t �. �. J<�l
Ij
I Z7� 7 CITY OF
ED14OND3 Dw 1
NOTE: Applicant ubject to Plan Check Fre Pa 6-1107
L.
be don., rtnit wren work :0 m Prlveb Dlu0ertl ONLY.
rale Peaa
Aay analrortlon m Ne pante dmhalu (Varve• per d .lo Qrl•»yrnye. FILE a • • -
marauen. Me.) wit reactt seDa+ate perudeeim.
)
• ��= is i
t
S
y�
:E OF PREMISES -
p",
VICE ADDRESS
CITY OF EDMONDS —PUBLIC WORKS DEPART TREET FILE
BACKFLOW DEVICE TEST REPORT
\% o s 7- Poo L_
DOINwy,
(-� pp. /Z coo
ATION OF DEVICE --(gyp, (Zyy►Z cal u1`4 Cr -
I C E : J4 9qS a.V t3t=l_C0 / �. 3��1- 13 7c1
Manufacturer Model Size Serial No.
'E PRESSURE AT TIME OF TEST
SSURE DROP ACROSS FIRST CHECK VALVE
LBS.
LBS.
.AR
KS: Q c -.C,J - 90 �7 �
i
TRUE—ABOVE REPORT IS CERTIFIED TO BE
TIAL TEST PERFORMED BY C4"f,/Xa�OF eaV5 DATE 6JIlk
(-':-'---.RED BY DATE
TEST PERFORMED BY OF DATE I
CHECK VALVE NO.
1
CHECK VALVE NO.
2
DIFFERENTIAL PRESSURE RELIEF VALVE
TIAL
v
1. LEAKED
❑
1. LEAKED
❑
1. OPENED AT'`°. LBS.
.ST
2. CLOSED TIGHT
j�
2. CLOSED TIGHT
,�
REDUCED PRESSURE
2 DID NOT OPEN
❑
CLEANED
❑
CLEANED
❑
CLEANED
p
REPLACED:
REPLACED:
REPLACED:
DISC -------------
❑
DISC -------------
❑
DISC.UPPER----------------------
❑
K
SPRING -----------
❑
SPRING-----------
❑
DISC.LOWER----------------------
❑
E
GUIDE ------------
❑
GUIDE ------------
❑
SPRING ------------- -------------
❑
P
PIN RETAINER -----
❑
PIN RETAINER-----
❑.
DIAPHRAGM, LARGE
'
A
HINGE PIN --------
❑
HINGE PIN --------
❑
UPPER -------------------------
❑
SEAT. -
❑
SEAT
❑
LOWER
R
DIAPHRAGM --------.❑
DIAPHRAGM7,; --------
DIAPHRAGM, SMALL
i
S
OTHER, DESCRIBE --
❑
OTHER, DESCRIBE --
❑
UPPER -------------------------
❑
LOWER---------------
❑
SPACER, LOWER
OTHER, DESCRIBE
NAL
OPENED AT LBS.
.ST
CLOSED TIGHT-----
❑
CLOSED TIGHT-----
❑
REDUCED PRESSURE
.AR
KS: Q c -.C,J - 90 �7 �
i
TRUE—ABOVE REPORT IS CERTIFIED TO BE
TIAL TEST PERFORMED BY C4"f,/Xa�OF eaV5 DATE 6JIlk
(-':-'---.RED BY DATE
TEST PERFORMED BY OF DATE I
I:V6711:7�i.`i.`II
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS 9F2- DalI DETERMINATION: Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA'
Q
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):_L)OOZ Ola I C e",Ct kkm. ) (q12 -b(? „Q y,0ave0)1 61&4' rH,u�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA'
OTHER:
LATEMP\DSTs\Fonns\Street File Checklist.doc
1 % t�✓ �n�s fi tc
ENVIRON AL HEALTH DIVISION
SNOHOMISH 3020 Rucker venue, Suite 104
HEALTH Everett, WA 98201-3900
DISTRICT 425.339.5250 FAX: 425.339.5254
Deaf/Hard of Hearing: 425.339.5252 (TTY)
April 27, 2009
Ron HechtD
Master Pools of Washington AP� 1
6608 220°i Street SW 1)EVa0PMF1VT SLCR
Mountlake Terrace, WA 98043 CITYOF'DMO'CIF CTR.
1VDSSubject: Plans Approved: Proposed Modification of Swimming Pool and Spa Pool
Yost Memorial Park, 9537 Bowdon 'Way Edmonds, WA 98020
Dear Mr. Hecht:
After reviewing the plans submitted April 6, 2009, and the additional information given to us April 16, the
plans appear to meet the provisions of the Rules and Regulations of the State Board of Health, Water
Recreation Facilities (WAC 246-260) and are hereby approved. From our understanding of the Vida
Graeme Baker Pool and Spa Safety (VGB) the modifications proposed will meet the intent of that Act.
The following steps that must be taken before the pool can be used:
1. Snohomish Health District will provide one construction inspection for the builder, prior to -the
placement of concrete. The contractor should call for an inspection one week before scheduled
placement.
2. After construction is completed, your pool designer will provide us with a completed engineer's
construction report form (enclosed), which must include an original stamp and signature from the
engineer or architect.
3. Prior to the use of the pool, the owner shall contact this office to arrange a pre -occupancy inspection.
At the time of inspection the construction of the pool and surrounding structures must be complete, all
pool -related equipment must be in place, and the pool must be operational. Incomplete construction
may result in a $100.00/hr follow-up inspection fee.
4. Obtain an operators permit from the Snohomish Health District. An application and fee schedule are
enclosed.
Any significant changes or additions to the plans, including facility layout, fencing and equipment must be
approved by the Snohomish Health District.
I can be reached at 425.339.5250 if you need to discuss these matters further.
Sincerely,
ng, , R.S., Senior Sanitarian
�ike�Y
vig Env' nment Section
MY:ek
c: Joe Dominczyk
City of Edmonds Parks
40 STREET FILE
'
CITY of EDMONDS PUBLIC WORKS DLPARTMENT
Routing of Building Permit Applications
q.:ro�"osed -Property Address of Application: Yost Park 9537-Bowdoin Wav
\"'--5EPA-RTMENT
COMMENTS'
DATE
W A 'T E 'R
E E T
L W F. R
�
D T fl,
-L')AF7Mi.NT COMMENTS
9/1/71