20000119.pdfLA
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USE
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CITY OF EDMONDS
ERWi T 20,01,11IJ
NUMBER
CONSTRUCTION PERMIT APPLICATION Go
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OWNER NAME/NANE OF BUSINESS, ADDRESS
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PROGRESS INSPECTIONS
PER USC 108
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(TYPE OF USE. BUSINESS OR sl::Iiw�y
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Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the pub It (curbs,
psidewPIR5.
drivi MarquOISS, etc.) wjl�l=lseparate ermission.
STATE SURCHARGE
Flolmnall Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work IS Started Within 180 Days
"Applican on bohll of his or her Spouse, heir,, assigns and
ENG. INSPE TION FEE
interest indemnily, defiend ,;� hold.
uc..S..rS agrees to 1 J'�a
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Edmonds, Washington,
harmless I, e iy Of
I
M ennp�oyees, and agents from any and Bit Claims for dam.Ges .1
g S CIS
wh ever nature arisin directly or indirectly from the I SLan to
this p ermit Shall not be deemed
ILAN CHECK DEPOSIT
.1 this permit. I;suanDe of .
mod I ly. I or reduce any requirement of any city ordinance
iaive
nor I im 1 � any way the City's ability to enforce any ordinance
I
TOTAL AMOUNT DUE
provision.
I In reby acknowledge that 1 nave read This appliCS110ni that the
a'
ATTENTION
AT'ON APPROVAL
Ap:!
I
information given is correct; and that I am I he owner, or the duly
agent Of he owner. I agree to comply With city and
-S IEA.i'
This color is T or a permit until
U 'h"'zed
atal. laws retiullsling construction; and in doing the work authoriz.
AUTHORIZES
signed Ida, Buldring Official or his/her
d th reby, no person will be employed in violation o[Cl he Labor
ONLY THE
i IT ees paid, and receipt is
a
'S
Codeof the State of Washington relating to Workmen ompensa
acknOwle ge in space provided.
d adI
tion insurance ana RCW 18.27.
-N.TUFE
INSPECTION
DEPARTMENT
DATE
S IOINNER OR AGENTI
CITY OF
OFFICIA 51 1, TU.E
EDMONDS
-
CALL FOR
RE ASSO a, DA
ATTENTION
INSPECTION
--;,
-- Iuo—
IT IS UNLA FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE LO W - InSpector
W MADE AND APPROV 'AL OR ORIGINAL F� e YE
771-02�
UNTIL A FINAL INSPECTION HAS BEEN
A CERTI,F0 I CATE OF OCCUPANCY HAS BEEN GRANTED, UBC ,
PINK - 0-e, GOLD - AS,esscl
SECTION 9
A
aft
RECEIVEDI
LAWMST MOMS AIA
PARCEL A-
T AT PORTION OF GOVERNMENT LOT 2, SECTIO14 7, TOWNSHIP 27
H OWS,
W. M., DESCRIBED AS FOLL
OCT 0 6 1999
NORTH, RANGE 4 EAST,
BEGINNING AT A POINT ON THE EAST LINE OF SECTION 7, TOWNSHIP
DEVELOPMENT SERVICES CTR. i
. . . . . . . . . . . . .
27 NORTH, RANGE 4 EAST, W. M., DISTANT N 1111'45' E, 408.28 FEET
CITY OF EDMONDS
. . . . . . . . .
FROM THE EAST QUARTER CORNER OF SAID SECTION 7i THENCE
WEST 616.28 FEET TO THE TRUE POINT OF BEGINNINGi THENCE
"Em . . . .
N 45?43'10' W, 14.50 FEETj THENCE S 44716'50' W, 100 FEETj THENCE
N 45743'10' W, 110 FEET, THENCE S 44?16'50' W, 78.17 FEETj THENCE
S 45743'10* E, 124.50 FEETj THENCE N 44116'50, E,178.17 FEET TO
. . . . . . . . . .
THE TRUE POINT OF BEGINNING)
jkliki'PAl 'A "'17E&-' ' -
PARCEL B,
EWE
AN EASEMENT FOR DRIVEWAY AND UTILITY PURPOSES OVER THE
. . . . . . . . . . . .
FOLLOWING DESCRIBED TRACT,
BEGINNING AT A POINT ON THE EAST LINE OF SECTION 7, TOWNSHIP
. . . . . . . . . . . . .
27 NORTH, RANGE 4 EAST, W. M, DISTANT N 1111'45' E, 408.28 FEET
THE EAST QUARTER CORNER OF SAID SECTION 71 THENCE
. . . . . . . . . . . .
.............
FROM
WEST 616.28 FEET TO THE MOST EASTERLY CORNER OF THAT
. . . . . . . .
CERTAIN TRACT DEEDED TO L. H. HANSEN AND MARY F. HANSEN
THEIR SUCCESSORS AND ASSIGNS, BY DEED REC13RDED MAY 7,
. . . .
pests,".
1954, UNDER AUDITOR'S FILE NO. W11187, RECORDS OF SNOHOMISH
THENCE N 45?43'10* W. 14.5 FEET TO THE
. . . . .
COUNTY, WASHlNGTONj
TRUE POINT 13F BEGINNING; THENCE CONTINUE N 45143'10' W.
THENCE S 44716'50- E. 100 FEET; THENCE S 45743'10' E-
. . . . kws'6.i
. . . . . .
5 FEET1
5 FEET; THENCE S 44716'50' E. 100 FEET TO THE TRUE POINT OF
. . . . . . . . . . . .
BEGINNINGj ALL AS CREATED By INSTRUMENTS FILED UNDER
. . . . . . .
AUDITOR'S FILE NOS. 1150553 AND 1155995�
..........
I)MY1311OLSON
RESIDENCE
EDGE OF ORIGINAL PAWING PAD SURVEY FOR DREYER AND
OLSON
JOHN HERBERT MILLER, L.
S.
7808 171ST STREET SW
EDMONDS, WASHINGTON
1412 25TH AVENX EAST
SF4TTLF-,WA. 98112-3651
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F4 32
% By. P� DATE, j-NE,24, 199'8
ju - 872
NO. 98
, 91
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PARKING PAE)
RECORD ELEV41L,fylll�
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I--, Pr�-' - ' M I � I SITE
lo'-O" 5ETBACK LINE (Typ) HEIGHT cALCULATION GENE) I I PLAN
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LAORQUIST I MORM8 AIA
PAPCIL A,
THAI P PTIDN OF MVERNMCNT LOT a. SECTION 7. TOWNSHIP 27
OR 4, RANGE 4 EAST. W. N. DES SCRIBED AS FOLLOWS,
N I
BEGINNING AT A POINT ON THE EAST LINE OF SECTION 7. TOWNSHIP 'E�FVIPMENT SIFIVIC., C'n
27 NnPTK RANGE 4 EAST. V, K. DISTANT N 1?11'45' E. 40e.28 FEET
71 THENCE
FROM If E EAST QUARTER CORNER OF SAID SECTION
:620 FEET TO THE TRUE POINT OF FEGINNINGi THEME
THENCE
W"t I
sq . . .
N 45143:10 iN THENCE S 44716-50' W, 100 FEET,
W, 10 FEET, ENC S 44?16'50- W, 78.17 FEET, THENCE
N 4 143 G: W. 14.50 FEETt C
. . . .
B 4 743-10' E. 124.So FEET, THENCE N 44?16'50' E, 178.17 FEET To
. . . . . . . . . . .
THE RUE DINT OF REGIMNINGJ
. . . . . . . . . . . . .
PARCEL III
A EASEMENT FUR DRIVEWAY AND UTILITY PURPOS S OVER THE
. . . . . . . . . . .
F LLO.ING DESCRIBED TRACT,
BE INNING A A POINT ON THE EAST LINE OF SECTION 7, TOWNSHIP
.7rN.R.. RAN., 4 CAST. W. M, DISTANT N 1711-45- E, 408,29 FEET
FROM TH CAST DUARTER CORNER or SAID SECTION 71 THEME
WEST 616,29 FEET TO THE MUST EASTERLY CORNER OF THAT
MARY F. HANSEN
C RTAIN TRACT DEEDED TO L H. HANSEN AND
E
THET SUCCESSORS AND ASSIGNS. BY DEED RECORDED MAY 7.
. . . . . . . .
1954 ' UN ER AUDI-IOR,s FILE NO. 1096987, RECORDS or SNOHOMISH
COUNTY, WASHINGTON11 THENCE N 45743-10- W. 14.5 FEET TO THE
TRUE P13INT OF BEGINNING THENCE CONTINUE N 45?43-10- W,
5 FEET, 7H NCE S 44?16'50' E. 100 FEET, THENCE S 45?43'10' E,
5 F E THENCE S 44716'50' E, 100 FEET TO THE TRUE POINT OF
C 71
. . . . . . . . . .
. . . . ... . .
BEGIN [Mr. ALL AS CREATED BY INSTRUMENTS FILED UNDER
AUD TOR'S FILE MOS. 1150553 AND 1155995.
DREYERIMSON
FARKINGG PAC)
RESIDENCE
EDGE OF ORIGNAL SURVEY FOR DREYER AND OLSON
JOHN HERBERT MILLER, L., S.
780B 171STSTREET SW
1412 25T AVENJE EAST
EDMMS, ASHINGTON
SEATTLE
4206) 322-6736
VAT —C .4 Il-
CH
'W PAWING PAD
RECORD ELEv4TQ3,,t
10'-0" SETBACK LINE (TYF) HEIGHT CALcuLATION 0EGEND
"40VED f�y
�u
Frozen Fund Posted
Fund Expires
Y_,"Z" i. Fund Number -
CITY OF EDMONDS
.0221
-FAX(425)771
EDMONDS, WA 98020 - (425) 771-0220
121 5TH AVENUE NORTH
DEVELOPMENT SERVtCES DEPARTMENT
planning - Building - Engineering
Edmonds Building Permit No.
Project Address a!ab
r
With reference to the above identified proje't, this will certify that this institution. has a savings
account (or loan) for the above -referenced developer/owner for the project so identified. In
consideration of the permitted development of the property, and in lieu of a performance bond, this
institution hereby agrees that it will freeze the sums of money for the indicated site improvements
pendinFr,itten authorization for release of said funds by the City of Edmonds in th t f
I q '7p _. -rWo 1TJ�oj)SAz%D OPE tkUPD(,'9D
The total sum indicated will be withheld by this institution from any disbursements of any kind
until written authorization has been received by the institution from the City of Edmonds to release the
sum of money indicated by the written authorization from the City.
The design, location, materials and other specifications for the indicated site improvements are
those required by the City of Edmonds and appear in the above -referenced Edmonds building permit
file and are in compliance with the Edmonds Community Development Code of said City.
In the event the owner/developer fails to complete the indicated improvements within
weeke/months, (not to exceed 24 months) the City of Edmonds may demand,
and the institution shall make, payment to the City of said funds so that the improvements can be
installed or completed immediately to City standards. The institution shall not be liable to the owner
for any disbursement of said funds to the City of Edmonds.
It is hereby specifically agreed by and between the parties hereto that in the event that any legal
action must be taken to enforce the provisions of this agreement or to collect said frozen fund, that the
prevailing party shall be entitled to collect its cost and reasonable attorneys' fees as a part of the
reasonable costs of securing the obligation hereunder. In the event of settlement or resolution of these
issues, prior to the filing of any suit, the actual costs incurred by the City, including reasonable
attorneys' fees, shall be considered a part of the obligation hereunder secured. Said costs and
reasonable legal fees shall be recoverable by the prevailing party, not only from the proceeds of this
frozen fund account, but also over and above said body as a part of any recovery in any judicial
proceeding, in addition to recovery ofthe funds.
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City of Edmonds Performance Frozen Fund Account
Page Two
Financial institution Owner/Developer
Officer/Title Title
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L-M02-0 Mailing Address
Mailing Address
lint Numb Telephone
Accom , t er
Date
AFcepied by Development Service 1 ecmucian
FINANCIAL INS11TUTION ACKN0—VdXD9YMM
STATE OF WASBINGTON)
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COUNT_y OF
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before me, the
On this -2 dav of
commissioned and swom,
undersigned, a Notary We in and for Ahe State of Washington, duly
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personally appeared me known to be the
oration that executed the foregoing instrument, and
of A�J I e 11 -f- Corp
acknowledged the said ig to be the free and voluntary act and deed of said corporation, for the
d that
uses and purposes therein mentioned, and on oath state
authorizedto execute said instrument and that the seal affixed is the corporate seat of said corporation.
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WIT� fficial seal hereto affixed the day and year first above written.
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KOTARY PU13L4ein and for the
e RIP State of Washington, residing at
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City of Edmonds performance Frozen Fund Account
Page Three
1 -01, Dul A Vei W
STATE OF WASHNGTON )
) ss.
COUNTY OF _5A10k1j'11g - ) , W/ , before me, the under -signed,
-:2
-5 day of
on this ---
a Notary Public in and for the State of Washington, duly commissioned and swom, personally
appeared Z�ef'e 717L—e5eAl to me known to be the - 11115e: es. /' ale'v L-0 f
7 6 t N the that executed the foregoing
instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said
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41awwmip' for the uses and purposes therein mentioned, and on oath stated that
A e- authorized to execute said instrument.
WITNESS my hand and official seal hereto affixed the day and year first above written.
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T P in and for the State of
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-PROPOSAL
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Northshore Paving, Inc.
A p,C)- Box 1813 * Bolhell, Washington 98041
425-488-7725 * 425A81-6598 * Fax 425-402-8732
P.QP0�1. —MITTED TO
Eric Thorsen C
ADDRESS
7001 3rd Aven
Sealftle, WA 91
CONTRACTOWS LICENSE I
PHO�E
USMIT SPEDVICAMNE �" —S""T To ;:� ..... . . . . . . SAN CONOMON3 ASSET 101TI-I O� OOT-I SIMS, AS FOLLO—
Easement Road from property line to street.
Pre-ievei as neoessary Wth asphalt. 1,950.00
Tack and Overlay Wth 1.5" asphalt plus sales tax @ 8.6% 167.
Tota 1 2,1117.70
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER il Q CALC BY:
ADDRESS PHONE: -z'1pq - -7
DATE: L-)' L)
..... DESIGNDATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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UPPER CATCH BASIN ORIFICE C11-Y OF EDMONO,�
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'X2'X6'.DEEP. 4-6- SPALLS OR EGUAL
FROM CONTR13L CR 21X 2,X 3- OEE�,' 314- CRUSHED ROCX .1 TM GRADE
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FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
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NOTES-- �7 q��l
1. Call Eagineering Division (77 I -MO) for a tightline and detention r
ystem inspec
before backfilling and for find irulpections. APPROVED BY
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2, Responsibility for operation and maintenance Of drainage sYft= On Private Property th 0o
d
in the tj he
of the property owner HS :...
responsm - Material accumulated storage Pipe must t fi
out and retneved from the catch basins to allow proper opemtioL The outlet control onifice DATE
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TESTING ENGINEERS, INC.
CONCRETE. LABORATORY TEST REr0R1
Project Olson Residence ProjectNo: E0102 Permit,# (s)-im-�
Client: Thor Construction issued on: 6-14-00 �)'--09-11 WO
Contractor Thor Construction Original: �,�i
Revised;
FIELD
(ASTM C31 and C172)
AirTemperoture: 63 'F I Desi!2j Mix Proportions:
Weather: Clear Ingredient Weight iper cu.yd)
Product: Concrete Coarse Aggregate 7/8!' 1,820.0 lbs
Supplier: Smokey Point Fine Aggregate 1,340.0 lbs
Ticket Number: 099034 Water 245.0 Itis
MixiDesign ID : 1551 Cement -Type 1 517.0 lbs
gj�,�pcfemp. I [ —Slump I[ Entra led Air I A/E Admix
A 3.5 CZ
(ASTMC1064)11(ASTMC143)1
68* F 4-1/4" 4%
V-Ctc—r/CementRafio F.D�ateftceiivedl
............. 5-17-00 3000 psi@ 28 days
0.474
SET I
The southern (4) pile caps.
COMPRESSION TEST RESULTS
(ASTM C39 and GI 231)
Date Made Sample # Lab # Date Tested Age (day) Load (Ibs) Size (in) Dia (in) Surface Area Strength (psi)
F0033� F88740 , —6x12 1=0 I
F-00-3-4 --1 2 8-1. 39=90
5il-6 E20NL-;--6-0-01' F-2781 6x12 3780
5116d6UI5-F7E0 El-] [— F-1 --;�x 1-2 —403-0-1
.0�036 1 [=6/=13/2000 28 _28 3=7
Remark:
FC; - Field Cure inspecior(s): Stuart Carter
Tested by: Yelena Yakhnis Reviewed by:
Information in this mpon applies only to the actual samples tested and shall not be reproduced without the approval of Mayas Testing Engineers, Inc.
917 - 134th St, SW, Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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MAYES
TESTING ENGINEERS, INC.
IlF.CigIVIED
OLSON RESIDENCE MAY 3 0 20
Thor Construction
Page 3 pMIT ()oUNTER
PERMIT NO. 9911142ORP INSPECTION REPORTS PROJECT E0102
5/22/00 Ils in the south half ofthe
Inspected continuous footings for the curb wall and retaining -a e
project. Reinforcing steel checked for grade, size, spacing, placement and number of bars p r
details 6, 7 and 8/S-3. Lap lengths checked per note on S-1.
ans
To the best ofour knowledge, items inspected this date are in accordance with approved pl
and specifications.
INSPECTOR: Stuart Carter
REVIEWED BY:
Galusha, P.E.
I
917 - 134th St. S.W., Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
MAYES
TESTING ENGINEERS, INC.
Thor Construction
6004 — 207'h Avenue SE
Snohomish, WA 98290
PROJECT: OLSON RESIDENCE
Job 4: E0102
Permit 9911142ORP
Owner:
Architect:
RECC,71VED Engineer: RB Engineering
MAY z � 2= Contractor: Thor Construction
KRMIT 00UMMECTION REPORTS
5/15/00
Inspected re -steel for southernmost four pile caps per plans. No problems noted. Clearances to
be verified at time of pour.
To the best of our knowledge, items inspected this date are in accordance with approved plans
and specifications. INSPECTOR: Bob VanderPol II
REVIEWED BY:
JMA.�Iaus �,P.E.
917 - 134th St. S.W., Suite A-1 - Everett, WA 98204 * (425) 742-9360 - FAX (425) 745-1737
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TESTING ENGINEERS, INC.
)LSON RESIDENCE
[hor Construction
'age 2
?ERMIT NO. 9911142ORP INSPECTION REPORTS PROJECT E0102
5/16/00
Monitored concrete placement of the four southernmost pile caps. Placement area checked for clearances
and cleanliness prior to placement. Approximately 7 cubic yards ofSmokey Point 3000 psi mix #1551
placed via pump truck and consolidated with a mechanical vibrator. One set of four 6-xI2" compressive
strength test cylinders cast. See the 5/15/00 report by B. Vander-Pol (MTE) for record ofreinforcing steel
inspection.
To the best of our knowledge, items inspected this date are in accordance with approved plans and
specifications.
INSPECTOR: Stuart Carter
REVIEWED BY-.���
Ma AErCukK P.E.
0 R;
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MAYES
TESTING ENGINEERS, INC.
OLSON RESIDENCE RUCEIVIED
Thor Construction AN 0 2 M
Page 4
P"a 0OU
PERMIT NO. 9911142ORP INSPECTION REPORTS PROJECT E0102
5/22/00 wall and retaining
observed placement of 14 cubic yards ofSmokey Point mix #5301 at curb
wall footings at south halfofproject. Mix was placed by pump and mechanically consolidated,
trength
Re -steel pre -approved by MTE rep Stuart Carter earlier today. Three cylinders cast for s
tests. Slump was 4.5" and temperature was 70'.
ith approved plans
To the best of our knowledge, items inspected this date are in accordance w
and specifications.
INSPECTOR: Carl Reynolds
R 'WED BY-
EVIE
Mark alusha,P.E.
917 - 134th St, SW, Suite A-1 EVerett, WA 98204 (425) 742-9360 FAX (425) 745-1737
MAYES
TESTING ENGINEERS, INC.
OLSON RESIDENCE
Thor Construction
Page 5
PERMIT NO. 9911142ORP INSPECTION REPORTS PROJECT E0102
5/24/00
Performed a preliminary inspection ofre-steel in retaining wall, south halfofhouse. Re -steel
was placed according to details 7/S3, S/S3 and 6/S3. No exceptions were noted. Final
clearances can be checked again prior to concrete placement.
Preliminary inspection INSPECTOR: Paul Myers
5/25/00
Observed placement of 5.5 cubic yards ofSmokey Point mix #5301 at retaining walls, south half
of house. Mix placed by pump and mechanically consolidated. Re -steel pre -approved by MTE
rep Paul Myers. Three cylinders were cast for strength tests. Slump was 4-3/4" and temperature
was 69'.
To the best ofour knowledge, items inspected this date are in accordance with approved plans
and specifications. INSPECTOR: Carl Reynolds
REVIEWED BY '-? r_3
- Ik A. �a' h AaP. E.
917 - 134th St, S.W., Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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TESTING ENGINEERS, INC.
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CONCRETE LABORATORY TESI REPORT
Project: Olson Residence Job #: EO 102 Permit# (s):
client: Thor Construction Date Issued: 6-1-00
Contractor Thor Construction Original: !�e
Revised:
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Size (in) FIELD D
O�
(ASTM C31 and C172)
Air Temp: 63 * F Mix Proportions:
In
Weather: Clear
Ingredient Weight (per u.yd)
-n
A
Product: Concrete Coarse Aggregate 7/8' 1,820.Clbs
Supplier: Smokey Point Fine Aggregate 1,340.Cibs
0
Ticket # 099034 water 245.0 lbs
Mal
0
MixDesign # 1551 Cement. -Type 1 517.0 lbs
_q 0)
0 C'
F'
SampleTemp. 11 lump Entrained Air I AIE Admix 3.5 Oz
C1064) 11(ASTM C143) 11 (AS— C231) I
3:'
in M
(ASTM
.......... d
10
68- F 4-1/4" 4%
C
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�,ved
W.l I —Cement Ratio Fjt7,7ft_,�a'
-----------
1= --I
Xi
0.474 5-17-00 3000 at 28 days
0 -n
Nacement Localion and
ma T
SET 1
R
The southern (4) pile caps.
COMPRFSSION TEST RE S
0
(ASTM C39 and C1231)
M 0
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Date Made Sample# Lab # Date Tested Age (day) Lead (Ibs) Size (in) Dia (in) Surface Area Strength (psi)
7-1
6 =.I 2
�i_287 6 =.I 2
��16/2000
_6x 1-2
6/2000 F0035 28 DD
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061) E-0036] [Ex 1:2:
Remark:
FC - Field Cure Inspector: Stuart Carter
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Tested by: Reviewed by:
in
Al information in this report applies only to the actual -mPIO$ histed and shall not be reproduced Without the approval of Mayes Testing Engineers. Inc.
ik"
917 134th St, S.W., Suite A-1 Everett, WA 98204 (425) 742-9360 FAX (425) 745-1737
L
TESTING ENGINEERS, INC.
CONCRETE LABORATORY TEST REPORT
Project Olson Residence Job #: E0102
Permit # (s):
Client: Thor Construction Date Issued: 6-6-00
99111420
Contractor Thor Construction Original: R
Revised: C]
RECEIVED
Size (in) FIELD
JUN 13
(ASTM 031 and C172)
2000
Air Temp: F Design I Mix Proportions:
Weather: Mostly cloudy
PERMIT COUNTER
Product: Concrete Ingredient Weight (per
cu.yd)
Supplier! Smokey Point Coarse Aggregate 1,859.0lbs
Fine Aggregate 1,351.Olbs
Ticket # 099266 Water 234.0 lbs
MixDesign # 5301 Cement. -Type I & 11 654.0 Ibs
FSamPIeTcmP-_�F
Slump
EnTained Aff
WRA 200 N 19.2 Oz
I(ASTMC1064)
I(ASTMC143)
(ASTMC231)
MBVR 2.6 Oz
70* F 4-1/2"
iWater / Cement Ratio: 1
0.358 5.23-00 1Des12FStrenEthffc): - 1 2500
at 28 days
JPlacement Location and Notes:
Curb and retaining wall footings at south side of project
COMPRESSION TEST RESULTS
(ASTM C39 and C1231)
Date Made Sample #
Lab III Date Tested Age (day) Load (lbs) Size (in)
Dia (in) Surface Area Strength (psi)
4xS
F 0-122 F28
Remark:
FC - Field Cure
Inspector: Carl Reynolds
Tested bv: Y. Yakhnis Reviewedby:
Infamnallon in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc.
917 - 134th St. S,W,, Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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MAYES
TESTING ENGINEERS, INC.
CONCRETE LABORATORY TEST REPORT
Project Olson Residence Job #: E0102
Permit (s):
Client: Thor Construction Date Issued: 6-9-00
991,142ORP
Contractor Thor Construction Original: R1
Revised: C3
JUN
FIELD DAT
(ASTM C31 and C172)
or f',% CIR,
Air Temp: 69 * F ActuaLJ MIX Proportions:
Weather: Clear ingredient
Weight (per cu.yd)
Product: Concrete Coarse Aggregate
1,860.0lbs
Supplier: Smokey Point Fine Aggregate
1,341.01lbs
Ticket # 099387 Water
242.0 tbs
MixDesign # 5301 Cement --Type I & 11
642.0 lbs
—
Sample T
,on,,
�n ta ined I,
200-N
19.5 Oz
(ASTM Lil
(A 143)
'T, C
k — .
MBVA
2.7 Oz
69' F 4 3)4! %
iWater / Cement P—ate Received I
0.377 .5-26-00 'Design Strength (f'c):
3000 at 28 days
placernent Locatio
Retaining wall, south half of house.
coMPPY-91510N TE-ST RESULTS
(ASTM C39 and C1231)
Date Made Sample # Lab # Date Tested Age (day) Load (lbs) Size (in)
0-1 _94
Dia (in) Surface Area Strength (psi)
2-8
F28
Remark:
F-7pe-= car] Reynolds
FC - Field Cuts
rLe7Lc,ihy__J
information in this report applies only to the actual samples tested and shall not be reproduced without the appmal of Mayes Testing Engineers, Inc.
917 - 134th St. SM., Sulte A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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TESTING ENGINEERS, INC.
OLSON RESIDENCE RECEIVED
Thor Construction
Page 6 JUN 2 324000
DEVELOPMPNT Y.M�TR.
PERMIT NO. 9911142ORP INSPECTION REPORTS
6/6/00
Observed 15 cubic yards Smokey Point Concrete mix #5301 placed in north half ofretaining
wall footing per S-3, details 12, 13 and 6. Concrete was placed by pump and vibrated for
consolidation. Added two #5s for continuous footing between detail 12 and 13. Cautioned
contractor to keep wood spreaders out ofbottom footing forms.
To the best of our knowledge, items inspected this date are in accordance with approved plans
and specifications. INSPECTOR: Lisa Pyper
REVIEWED
Mr A,Uldsta, P.E.
917 - 134th St. S.W., Suite A-1 * Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
"YES -
TESTING ENGINEERS, INC.
OLSON RESIDENCE RECEIVED
Thor Construction
Page 6 JUN 2 324000
DEVELOPMPNT Y.M�TR.
PERMIT NO. 9911142ORP INSPECTION REPORTS
6/6/00
Observed 15 cubic yards Smokey Point Concrete mix #5301 placed in north half ofretaining
wall footing per S-3, details 12, 13 and 6. Concrete was placed by pump and vibrated for
consolidation. Added two #5s for continuous footing between detail 12 and 13. Cautioned
contractor to keep wood spreaders out ofbottom footing forms.
To the best of our knowledge, items inspected this date are in accordance with approved plans
and specifications. INSPECTOR: Lisa Pyper
REVIEWED
Mr A,Uldsta, P.E.
917 - 134th St. S.W., Suite A-1 * Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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TESTING ENGINEERS, INC.
CONCRETE.LABORATORY TEST REPO
Project: Olson Residence Project No: E0102 Permit # (s):
Client: Thor Construction issued on: 6-19-00 991142ORP
Contractor Thor Construction Original: i%6
Revised:
FIELD DATA
LCA C'12)
c�' itn�
0
—1
?5
Air Temperature: 61 *F ]D:eisign Mix Proportions'.
Weather: Cloudy
Ingredient Weight fiber cu.ydl
--i -n
Concrete
Product: coarse Aggregate 7/8" 1,863.0 lbs
0 rn
Supplier: Smokey Point Fine Aggregate 1,345.0 lbs
C
Ticket Number : 94247 Water 207.0 lbs
im 0
--I 0
MixDesign ID: 5301 Cement —Type I & 11 624.0 We
C:
�2 ;&
Sample Temp. 11 ffn iunad4w,' I MBVR 2.7 Oz
(ASTM CIO 1 slump
(ASTMC143) (ASTMC231 19.0 Oz
200 N
M
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69* F 2-1/2" 3.8%
Din.R...ive—dl
C
>
ivi-irenoent Ratio: i
0.332 6-7-00 3000 Psi@ 28 days
�Design Stren�
n
0 -n
-n
.. ti.. �.ndftt.-�.
A M
North halt of retaining Wall footing. Sampled at 10 of 16 cubic yards.
0 Vi.
C0MpRr,5tiljtUn TEST RESULTS
0
0
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Date Made Sample # Lab # Date Tested Age (day) Load (Ibs) Size (in) Dia (in) Surface Area Strength (PSI)
—4300-1
mol
C1672--0-0-01��O
/2000 0004
F28
z
Remark:
FC - Field Cum Inspector(s): Lisa Pyper
Z
Tested by: Reviewed by:
Engineers, Inc.
Infornhatlion In life report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing
rn
lk6
A
p
917 - 134th St. S.W., Sulte A-1 Everett, WA 98204 (425) 742-9360 FAX (425) 745-1737
....... reeeeee MAYES RECEIVED
TESTING ENGINEERS, INC.
CONCIRRIE LABORATORY JEST REPORI JUN 3 0 2000
Project No: EO 102 Per 0 Zyj%�fNT SERVICES CTH.
Project Olson Residence mil EDMONDS
Client: Thor Construction issued on: 6-28-00 991142ORP
Contractor Thor Construction original: �vf
Revised:
Air Temperature: 69 `F 1 Actual I mix Proportions:
Weather: Clear Ingredient
Weight (per cu.yd)
Product: Concrete Coarse Aggregate
1,860.0 lbs
Supplier: Smokey Point Fine Aggregate
1,341.0 Ibis
Ticket Number:. 099387 Water
242.0 lbs
W10esign ID: 5301 Cement -Type I & 11
642.0 Ibis
1. Tamp. d A" 200-N
Samp c emp. 1 Slump Entrame
1)
19.5 Oz
(ASTM C1064)1 i ASTMC143) (ASTM 03 MBVA
2.7 0Z
69'F 4 3/4"
Water-/ —Ratio: a 1-Dat. -Rec.liv.d-ii
0.377 5-26-00
3000 p.1 @ 28 day.
placement —Location and
Retaining wall, south half of house.
COMPRESSION TEST RESULTS
iASTM on and C1123 I I
Date Made Sample # Lab # Date Tested Age (day) Load (lbs) Size (in)
'—,_61400
Dia (in) Surface Area Strength (p8i)
12.577 F4890
9j2-00-0 FO_F2/2000 ___J
_6003
0-3
EliiE
5-0 8
6/23/2000 1 2=8 , 70 1
12.57
0003
Remark:
rC . Field Cure Inspector(s): Carl Reynolds
Tested by: Y. Yakhnis Reviewed by:
Infannation in this report applies only to the actual samples tested and shall not be reproduced Without the appmal of Mayes Testing Engineers, Inc
917 - 134th St. S.w., Suite A-1 , Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
Z
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�iMYES
TESTING ENGINEERS, INC.
CONCRETE LABORATORY TEST REPORT
Project Olson Residence Project No: E0102 Permit # (s):
Client: Thor Construction Issued on: 6-28-00 991142ORP
Contractor "[bar Construction Original:
Revised:
Air Temperature: 55 *17 Design Mix Proportions:
Weather: Clear
Ingredient Weight liter cu-vd)
Product: Concrete
Coarse Aggregate 7/8!' 1,820.0 lbs
Supplier: Smokey Point Fine Aggregate 1,332.0 Ilas
Ticket Number: 094597 Water 222.0 lbs
M!xDesign ID : 1551 Cement -Type I & 11 517.0 Ilas
FS-- a �.
.1 Term, mp 17.-ij7 d A A/E Admix MBVR 3.6 lbs
amp C emp. I
I (ASTIVIC11064)JI(ASTMIC143) I (ASTMC231)
i.
661 F 4-1/2" %
J-Waitcr/c-emcnc�—tto I [DateRe—celve-d-i
0.429 6-17-00 iDesign Strength (f'c): 3000 psi@ 28 days
Ion and
The (2) remaining pile caps(southern most 2).
COMPRESSION TEST RESULTS
(ASTIVI C39 and C1231)
Date Made Sample # Lab # Date Tested Age (day) Load (Ibs) Size (in) Ole (in) Surface Area
Strength (psi)
6/1&/2-000� —8 11�00 1
F-3-37-0
F-0-006 E�iil] F2-8-1
_�/j-6/2-00-01
Wj-t-/2-000 0006 F08447 7287
Remark:
FC - Field Cure Inspector(s): Mark McBride.
Tested by: Y. Yakhnis Reviewed by:
Information in this report applies only to the actual samples tested and shall not be reproduced Without the approval of Mayes Testing Engineers, Inc.
917 - 134th St. SW, Suite A-1 - Everett, WA 98204 , �425) 742-9360 - FAX (425) 745-1737
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RECEiVED
TESTING ENGINEERS, INC.
OLSON RESIDENCE
Thor Construction JUN 2 9 2000
Page 7 DEV&OPMENT SERVICES CTR-
CITY OF EDMONDS
PERMIT NO. 9911142ORP INSPECTION REPORTS PROJECT E0102
6/16/00
rived on site as requested for re -steel and Concrete placement inspecitons. Inspected re -steel
-steel was
p or
= to placing concrete for the remaining two pile caps (southernmost two). Re -1/2 sak (3000
inspected to detail 10/S3. Contractor placed Smokey Point concrete mix #1551, 5
psi) by pump and consolidated mechanically. One sample of concrete was taken and three test
cylinders were cast.
To the best ofour knowledge, :items inspected this date are in accordance with approved plans
and specifications. INSPECTOR: Mark McBride
REVIEWED BY-.'�'�
Matk A. G'a us P.E.
Everett, WA 98204 (425) 742-9360 FAX (425) 745-1737
917 - 134th St. S.W., Suite A
2"
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TESTING ENGINEERS, INC.
CONCRETE LABORATORY TEST REPORT
Project Olson Residence Project No: E0102 Permit # (s):
Client: Thor Construction issued on: 6-26-00 99111420
Contractor Thor Construction Original: 0�
Revised:
P_1ELDD TA
( S" C�' !
A d C"2)
Air Temperature: F Mix Proportions:
Weather: Mostly cloudy Ingredient Weight (par ou.yd)
Product: Concrete Coarse Aggregate 1,859.0 lbs
Supplier: Stuckey Point Fine Aggregate 1,351.0 lbs
Ticket Number: 099266 Water 234.0 lbs
MixDesign ID: 5301 Cement —Type 1& 11 654.0 lbs
11 — 19.2 Oz
Entrmained Air WRA 200 N
Sample Imp. P
ump
'u
C2., I)
(ASTM C 1064) 'A:!-TZ11 A�Cli 1311) (AS MBVR 2.6 Oz
70* F 4-1/2"
;Water/Cc�Tent]Ratlo I
5-23-00 Design Strength Wc): 2500 Psi @ 28 days
0.358
cement Location and Notes:
Curb and retaining wall footings at south side of project.
pRESSION TEST RESULT
(ASTM c39 andt.1230
a (in) surface Area Strength (Psi)
Date Made Sample # Lab # Daterested Age(day) Load(lbs) Size (in) 01
— - —.-C— — —Zx— 1 4880
5/2212000 002 F9 I F61300 8 Ej§j]
—8 1:4=.00 1 Es
-�dj/FO-00 W-2 F28 8 2=0
- — ---- —g,
�/22/2900 0002
F0123 F 28 _12.57
Remark:
d
Fc - Field Cure Inspector(s): Carl ReYn01 s
Tested by: Y. Yakhnis Reviewed by>
Infonnarion in this mpon applies only to the actual samples tested and 0all not be reproduced without the approval of mayes Testing Engine.., In..
917 - 134th St. S.W., Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
MAYES BOLDING
TESTING ENGINEERS, INC.
CONCRETE LABORATORY TEST REPORT IUL 1 2 2000
Project : Olson Rcsidence Project No: E0102 Permit # (s):
Client: Thor Construction issued on: 7-6-00 991142ORP
Contractor Thor Construction Original: V
Revised:
F--EIELD DATA 1 P, t- c
I (A9-T—MC31andC172) I JuL I S 20100
Air Temperature: 61 *F 17—peaig—nj Mix Proportions:
Weather: Cloudy WeIggiJELOPMENT SERVICES CTR.
Ingredient PIR�19Y.WPEDMOIDS
Product: Concrete Coarse Aggregate 7/&� 1,863.0 lbs
Supplier: Stookey Point Fine Aggregate 1,345.0 lbs
Ticket Number: 94247 Water 207.0 ibs
M!xDesign ID: 5301 Cement —Type I & 11 624.0 lbs
Sample T I slump l!—Eff.—tmmUe(d1Atr I MBVR 2.7 Oz
T C
(ASTM I(ASTMC143) L(A _ 23J) 200 N 19.0 Oz
69* F 2-1/2"
0.332 b- I-uU pasign gt—renqthff'c� 3000 psi @ 28 days
North half of retaining wall footling. Sampled at 10 of 16 cubic yards.
C0 SION TEST RESULTS
A C39 and C12311)
Date Made Sample # Lab # DateTested Age(day) Lcrad(lbs) Size(in) Dia (in) Surface Area Strength (psi)
-- "
6470 8 01
73� [1— _j.=0 37
12.5=7
r 29 0=0
12.57
616/2000 :1 E7/4/2000 28 4=0 0 1
Remark:
FC - Field Cure Inspector(s): Lisa Pyper
Tested by: 7enaida Revilla Reviewed by:
Information in INS report applies only to the actual samples tested and shall not be reproduced without the approvva!(f5ayesTestingg;� nglneersjnc�.'
917 - 134th St. SW, Suite A-1 - Everett, WA 98204 - (425) 742-9360 - FAX (425) 745-1737
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TESTING ENGINEERS, INC. Ito
ING
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CONCRETE LABORATORY TEST REP
%';.�
Project Olson Residence Project No: EO 102 Permit # (s):
Client: Thor Construction issued on: 7-17-00 991142ORP
Contractor Thor Construction Original: V
Revised:
Z
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r —FIELI)DATA
Jul- 2 '1
g �
C,
�d �Cl 7 2)
(�ST �C�L.
Air Temperature: 55 F Mix Proportions: oe))"Cg"'�""' o'..
M
Weather: Clear
Ingredient Weight (per cu.ydil
=i "n
o) 4
Product: Concrete
Coarse Aggregate 71g, 1,820.0 lbs
=
arn�
, 14'
i N
Supplier: Smokey Point Fine Aggregate 1,332.0 Ilas
C
Ticket 'umber: 094597 Water 222.0 ibs
0
MixDesign ID: 1551 Cement -Type I & 11 517.0 lbs
K
Sample Temp. I
C1064)
St..,
(AS'. C 143)
'—E—n1rai---1Air
1 (ASTM C23 1)
A/E Admix MBVR 3.6 Itas
In
(ASTM
66* F 4-1/2" %
FDat. —Received I
on
0.429 6-17-00 3000 p-i @ 28 days
Placimiint —Location and N�tes.
In Irn
r4'
The (2) remaining pile cops(southern most 2).
U CO
0,
L;OMPRESSION TEST RESULTS
0 M
C 0)
I
(ASTM C39 and C1231)
in
Date Made Sample # Lab # Date Tested Age (day) Load Ubs) Size (in) Dia (in) Surface Area Strength (psi)
z
---- �2.57 3370
4 x
--4510-1
-T672-0 -:EO 7
�/LqzNL.- .0006 F28�-F �O 125
-4-2-40
1 —7/14/2000 F-2-8 12.57
W16F260-0, --TO-06, _30
Remark:
FC - Field Cure Inspectors): Mark McBride
z
i 0
Tested by: Y. Yakhnis Reviewed by:
-.4
in s report applies only to the actual samples tested and shall not be reproduced withotA the appmvel of Mayas Testing Engineers Inc.
M
917 134th St. SM., Suite A-1 Everett, WA 98204 (425) 742-9360 FAX (425) 745-1737
F D PROJECT REVIEW CHECKLIST.
NA6�:
PLAN CHECK
PROJECT
T
RECEIPT DATE:4—
N�� .. . ..........
B
)�By, (nitial/Da
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1ATE
=.TR.E
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EN
Setbacks/Variance/Setback Aulustment
::,2
Conditional use 11
Z
ADB Re uirements
0
Other Zonin Re uirements
0
Under round Wiring Required
rri
Lot Sio a 15%
7
SEPA Env ronment2l Checklist/Hvdraulics Permit
Tree Cuttin Plan
'8,
0�9
Zi5 -i
Plat/Subinvision Requirements
Atv r
C: M
0
—Verification
Le at Descri tion
rn 0
Quit Claim/Street Dedications
0 C
Easements - Public/Private
En ineerm Storm nrain Review Fe
rn M
En ineerin 2.2 Inspection Fee
Draina e Plan On- ite)
>
Setback - To 0 B nk. stream, Water Courses
17:
Setback - Storm Drain Line
18�:
-n
0 on Ditch - Existing
19,
0
-n x
culvert Re uired
201:
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Water Meter Size
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Line Charge Reg
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Reviewed By:
FIRE PLANNING
EN 31NEERING
PUBLIC WUHKZ5
R E C 0 R 0 OF C 0 N T A C T S
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THORSEN CONSTRUCTION
10:50 No.001 P.
TEL:206-?84-5162 Jun 20.00 .02
PERMIT o;-2,acL1L':A—
F.XPIRES:-2:- �-0 I
ISSUED:
Y
City of E dinonds
THis CARD MUST 13E POSTED ON SITE AND AVAILABLE TO THE INSPECTOR
owner:
Ron 111'
site Addresst
Si'ie. '6�
variance Yf:
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FINAL OCCUPANCY APPROVAL
BUILDING INSPECTOR I i
L"MAUILDWA—gi; 11 p P IS NOT TO BE 000�1�
,M)LE! W?gm= - GRANTED A FIDIAL APPROVAI
AREUGARLE.My DEPARTMENTS HAV
Call (425) 771-0220 x 333 for BUILDING INSPECTIONS
WWW [11dimpC.�ADc
FINAL PROJECT APPROVAL FORM
RECEIVED TO:
JAN 21(2001 DATE: IIN 61
IvMMSNTGOI�EERING DIVISION
PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIR DEPARTMENT DATE,—..
EERING DIVISION DATE
VPu&A
PLANNING DIVISION DATI�--
PROJECT
siTEADDREss— i7l-s7- 57-
PERMIT # ')ed -ADBk—DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED 151=71e
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that,
there are no objections from the above signed Department to the granting of:
Final approval ofthe described work
__�_GRANT FINAL PROJECT APPROVAL
--GRANT-PROJECT-APPROVAL--W-IT-H�CONDI-TIONS-NOT-ED-------
L A Mcf6l
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
I .
2.
3.
_____--RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvl.doc.l:temp:bldg:fonns6/98
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