20020944.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME
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REMARKS or
PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REaD
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Description
Description
FEE
Description
FEE
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Plan Check
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State Surcharge
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Permit
Building Permit
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City Surchang!
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0—MO: VESTED DATE
IS 'umbmg
Plumbing
Mechanical I
THIS PERMIT AUTHORIZES ONLY THE ORKNOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. AW CONSTRUCTION ON THE PUBUC
Grading
3 a OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPLICATION: INDAYS
PERMIT LIMIT, I YEAR - PROVIDED WORK IS STAITTED WITHIN 1 80 DAYS
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
-PLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chit. Deposit A
IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
EDMOND WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
L CLAIMS' FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
IK�q
FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT $HALL NOT BE
9 DEEMED TO MODIFY, OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp,
Total Amt. Due 4 3?
W�WAIVE
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NOR LIMIT IN ANY HE CITYS ABILITY TO ENFORCE ANY CKIMNANCE PSOVISION,
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNEk OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO C�COMPIY WIT011'CITTY REGULATING CONITFUSG�
CALL
This application is not a permit mall Signed by me
�E. NO
TION; AND IN DOIN N PERSON WILL BE EMPLOYED
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IN VIOLATION LAS a .. OF N F WASHINGTON RELATING TO
U CEAN
\WOAKMEr cc NSAT190444U CEAN .27,
Building Castel rc his/her osprey: and Face .1. Paid, add
FOR INSPECTION . receipt Is acke-tedged in space pmid,d.
ME SIGNED
Slht[Aril E (OIIVN�ft:!��l
(425)
_?,F M�SMGNAIURE - DATE
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771-0220
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H ED GA
ATTENTION'
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN IAACIE AND AIPPRIDIAL It A CEFITIII.
ORIGINAL - FILE - YELLOW NSPECTdR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKINQ 5 COPIES GREEK - ACCOUNTING
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APPROVED AS NOTED
NOV 1, 3 2002 wo-t'�'
BY,�W'INEERI
PERMIT COUNTER
Date: ------
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FOR EROSION CONTROL AND DAMAGE
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11/22/2002 13:07 2067232221
NO�)-22-2002 11433 WESTHILL INC
OTTO ROSENAU ASSOCSS PAGE 01/03
425 487 9444 P.01/03
CITY OF EDMONDS
IMCIAL INSPECTION AND TESTING AGREEMENT
The project $9 8th Avenue s., Ediao dsA A 802 issued under building
_ �JAJAz_ __L—
permit riumv sped inspection ar
uires 'a] id/or testing
a, s,702, The
jer UBC Chapter 17
to 1702. The comp, ete list of special inspeGtious is attach to this document
BEFORE A P,�RNIIT CAN BE ISSUED: The ownes and co"tcK and special ixWeotor sliall
complete ent and the attached structural test(s) and inspections schedule iricluding the
gments.
APPROVAL OF SPECIAL INSPECTORS: Each special impactor sluill, beAproved by the
Building 0 paribtininin duties or imez0ons. Ek% special msp or shall submit
d
Statement 2tv tons to the ui ding Official for reviaw. Spe-dal inspectors shall display
tliol
identification w perfom ocial inspections an site. Special. inspection and testing shall meet
the mininium*qUirtimentam Chapter 17 and thalbIlowlig:
1. Oboam Work
The "is) inspector shell observe the site work fbr conformance with the approved
p I * d d 1 14 a TJBC.
ans an wfi 8" us cab e or Mviii %o 9
ec on.
t ft Special
cial 8
Pemiodic
En"m rev alto me '�:,*d2hRw
?b 7 tk
hon' to n I coo untie 4-
d-4 a a - *a we on t.cparat� V
is 7 'pi i L 7 tten plan
S ara
Ins on t 11 rose
if Y. W have J.or -P rem by the tyin-ed arc .1 ctof ord
d V=m by t. D Iding . W and th� crig ., or
2. Repoin Non -conforming Ittras
The special inspector sliall bring nonconforming items to the, immediate ammflon of the
contiracter and note all such Item in the daily field report Any item not resolved in a timely
Mamar dWI be Imiliedifite C1111110 of The Special inspector to notify the Buildin& Official of the
plan deviation, error, change or emission. It shall also be the duty of the special inspector to
promptly notify the enginoir or architect,
3. Complete Daily Reports
Each Special inspector shall complete and sign both the special inspection record and the daily
report form for each day's i4spection. These records shall remain at the jobsite with the
contractor for review by the Cit� Building Inspector.
4. Furabb Weekly Reports
The special inspector or inspection agency shall fumish the City with weekly reports of tests
and lippections. The * t ' architect and others as designated shall also be
:rjeo engineer or �
copied on orts. W y reports must include the ?011owing:
Be=l tion of d1loy inspections and tats made with aliplicable locations
at,
0 at 0 all nonco hrming items
• Rapprz on status of nonconforming items (resolved or unresolved)
• Itfinized changes authorized by the Archite4 Engineer and City if not included in
nonconformance item
5.'Fu mid Final ConKtruction Ikepart
Ile %-,!� inspector or Inspection agency shell submit a final si ed re aty statin
Rp -port to the z
ec
that I Items requirin ecial inspection and testing were Wfi ed and re -ported. And� to the
er gon
best of hisib w�cg the pr ed is in conformance with the a
_pprovad plans and
specifications approved ahange = and the applicable workman --hip provisions of the
UBC. liams'not In conformamce or unresolved items or any discrepancies in inspection
cOvem9r, (i.e., missed I _ 'ons; iriodic inspection when continuous inspqfflq&
, pL
required. etc.) shall be sp:Vcafly itemized in this report.
W 19 2002
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�q.02 13:0711. 2067232221 OTTO ROSENAU ASSOCSS PAGE 02/03
WE5THILL INC 425 487 9444 P.02/03
1. N edallampector
It of the contractor to'sio* the special inspector when work is ready for 1pecial
in NM the item fisted on the stuiched schedule wd as noted on the approved
P) el ifiction. are required to have special inspections. Adequate notice shall be
171,09, by the contractor so that the special inspector has time to become femiliarwith the
2. Prtiv*�Adcess to Approved Plans
MIM r is responsible for providing the special inspector acceu W approved plans at
th*1=110
3. Retio:
as raillionsible to retain at the lobsite all special Inspection records submitted
I lid
al Inspector. 17hese records an to'be provided to the City building inspector upon
City offiasands Ikulldlogj),spartment Rap2malliffillgis
A�
arlal inspecton or inspection agenda
f
a bun g department shall approve all special inspectors and special inspection
requirements.
1. Moubw special inspection and approve weddy reports
M11ZWrin ocial ' alim and *e ormance of special inspectors shell be
by UpCitly B=g Inspector, Wi6sNer approval must be obLtined prior to
placement of concrete or other sUnilar ktivifies in addition to that ofthe, special inspector.
3. Isiva�C,gritificate of0ccapancy
7he Official me
in . =1 issue a Certificate of occupancy after all weekly special inspection
repo ^!SCN ing the report have been submittecl and accepted.
111ris to am. I t�hii engineer or architect of record acting m the owner's agent "I fund
an
special an services.
'if
."CiIhM —
or ambilect ofr000rd shall include special inspection requirements on the plans and
Spocificadmis.
ACKNOWLEDGMENTS '
read and agree to cqmpk*h the gems and condifiagig of this agreement,
1— 2—?--
01SUCTal Connector
RECEIVED
City Building Official--.—. /I T38te
Nov 19 1002
WSSTHILL, INC.
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11/22 13:07� 2067232221 OTTO ROSENAU ASSOCSS PAGE 03/03
�,21102
WFSTHILL INC
42S 487 9444 P.03/03
Or"MLMMLMON AND TF4"MG SMOULE
CMMI GUMTE, GROUT AND MORTAR,
UcnotAL STSIVWILDING.
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-----------
Daw - -
RECEIVSD
TOTAL P.03
FROM DCUE701L STRUCTURES PHONE NO. 206 742 0661 Dec. 27 2002 05:2-2- M
ENGINEERING INC., P S.
dba DOVETAIL STRUCTURES 12,?21-49 DR. S. F.
C11.7i, & SrRJJC7*1JR.4L ENUVILZRING EVLREY1� W.4. 98208-9621
lylcmAEL A MCCANN SE 0FT'1CL/r.4,Y,- (425)337-5075
ftFXJAXf1JV.J MCCANN E. 7. FMail: m2engineeringinc@,2101,cum
December 27, 2002
Building Official
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City of Edmonds Building Department
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Subject: Gard Residence Addition
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1114 - e Ave. So.
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Edmonds, WA
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Permit # 2002-0944
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On December 26, 2002,MLichael P. McCann of M2 Engineering performed
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an on -site inspection of the addition at the above listed address to ascertain if
the construction to date is in conformance with the approved plan set. Also
present was Mr. Wayne Pippin of Westhill Inc., the contractor for the
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project. An approved plan set was furnished by Mr. Pippin for review on
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site.
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Mr. McCann is a registered civil and structural engineer in the state of
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Washington and nine other states in the continental United States. He is not
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the engineer of record, but was asked by the contractor to provide
inspection services for this project
As installed in the ground, the strip and spreadfooting sizes and reinforcing
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are in con/brmance with the approvedplan set No deficiencies were noted.
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If you have any questions, please call me at the above listed phone number
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Thank you.
P. RF-CE:IVED
A
Sincerely, DEC 3 0 2002
pgV401? ENT SERVICES CTR.
Y OF EDMONDS
133 Ar
Michael P. Mccaim,
#18311
RECF-IVED
EIE __111 —ri Fy- DEC 2 8
WES-TV41LL, INC-
12/17/2002 11:53 FAX 425 821 4334 TERRA ASSOCIATES (6002
TERRA ASSOCIATES, Inc.
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Geotechnical Consultants
401,17N
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12525 Willows Road, Suite 101, Kirkland, Washington 98034
Phone (425) 821-7777 - Fax (425) 821-4334
FOOTING EXCAVATION EXAMINATION REPORT zi
DATE FOOTING$ EXAMINED 14.1 Zoo PROJECTNO. 0
PROJECT NAME: C" Ae- PROJECT LOCATION:
;11 ca n5 REPRESENTATIVE:
CONTRACTOR: ew f!
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DESCRIPTION OFFOOTINOSCOVEREO SYTHISREPORT: M
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FOOTING EXCAVATION
FIELD CONDITIONS NOTED
Fir "PV
4-i n onao,�io Y\ c,,-eck
rp.ct -N-,cP—
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DEVELOPMENT SCFty'CES CTt"
Oily of EDMONDS
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NOTES:
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Ouf representative has examined only the fooling excavations listed above. The results of this examination am only valid
for a period Of 48 hours. It any change in the subgrade conditions Occurs, we should be promptly notified. Any loosened
soils observed In foundatp*n are due to construction activity., Nih,f. should be removed prior to concrete plaCORIO Mr=OEIVED
P- P'4&=Y�
�UGRATUREX_ COPYTO;
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TERRA ASSOCIATES REPRESENTATIVE WESTHILL, INC.
@r--'R% CASCADE TESTING LABORATORY, INC.
TESTING 8, INSPECTION I INOINEERS
12911 N.E. 126TH PLACE
.EVIous —
REPORT N..
N.. 108780
KIRKLAND WASHINGTON 98D34 (425) 823-9800
EVER— (42S) 259-0817
FIELD REPORT
DATE
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RECEIVED
ARCHITECT
ATTN: 22',IQ.3
COAL
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(2) PERMi:F ef) N-TEEM
INSPECTION PERFORMED
-k,./RESTEEIJCONCRETE RESTEEL ONLY
(3)
1��IONOSTPJECTED
F NGS
— FOUNDATIONS
— SLAB —
— AESTEELIMASONRY STRSTfWELDING
— AUGER CAST PILES
— COLUMNS
-ZOTHER
— DRILLED PIERS
— WALLS
-1, BEAMS
(4) Ic
LOCATIO(AR
9)ONCRETEIMASON By
DESIGN STRENGTH (ft) 5Qm:w'
SUPPLIER TZI
TOTAL CU. YD. PLACED /10
4 S
SLUMP (INCHES)
SPECIMENS CAST
AIR CONTENT (%)
SEE CYLINDER REPORT NO.
_ZYES —NO —ITEMS INSPECTEDV�� CONFORMANCEWITH BLDG. DEPT, APPROVED PLANS
—
REMARKS: Tlel�
i1,t'Xfee)f_ "4,6 �,g 11000f PL,22�2,
TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED, THIS REPORT SHALL NOT
INSPECTOR( . NAME(S) Pm "*4"a
BE REPRODUCED EXCEPT lt� FULL,=�
OUT THE "ITTEN APPROVALOrCA
TESTING LABORATOW, INC.
INSPECTOR SIGNATURE
REVISED SM
SIGNED BY
COPIES TO
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ENGINEERING INC., P.S.
dba DOVETAIL STRUCTURES 12821-49"H DR. S.E,
CIVIL & STRUCTURAL ENGINEERING
EVERETT, WA. 98208-9621
MICHAEL P. MCCANIV S.E. OFFICEIFAX: (425)337-5075
BENJAMINJ MCCANN EJ T E-Mail: m2engineeringinc@aol,rom ip,
February 14, 2003
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Building Official F,
City of Edmonds Building Department M
Subject: Gard Residence Addition
1114 — 8"' Ave. So. C
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Edmonds, WA
0
-0944
Permit # 202
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On February 13, 2003, Michael P. McCann of M2 Engineering, Inc., C:
C4
performed an on site inspection of the addition at the above listed address to
ascertain if the construction to date is in conformance with the approved
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plan set. Also present was Mr. Wayne Pippin of Westhill Inc., the contractor
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for the project. An approved plan set was furnished by Mr. Pippin for
review at the jobsite.
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Mr. McCann is a registered civil and structural engineer in the state of
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Washington and nine other states in the continental United States. He is not
the engineer of record, but was asked by the contractor to provide certain
3
structural inspection services for this project,
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As stipulated in the plan set, the floor and roof diaphragms, plus the
associated framing and connections, have been installed according to the
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approved requirements of the plan set. No deficiencies were noted.
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If you have any questions or concerns, please call me at the above listed
phone number. Thank you. RFC:FIVF-D
e, �"V'
Sincerely
FEB J 9 2003
SERVICES CTR'
DEV O"MEN, EDMONDS
ILI", OF
Michael P. McCann, SE
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OTTO ROSENAUA ASSOCIATES, INC.
Gootechnical Engineering, Construction Inspection & Materials Testing
6747 M. L King Way South, Seattle, Washington 98118-3216 USA
Tel: (206) 7254600 - Toll Free'. (888) OTT04-US Fayr, (206) 723-2221
WBE W2F59136B4 - WABO Registered Agency - Welosite: www.ottorosenau.com
CONSTRUCTION INSPECTION REPORT
Report Number: 001
Inspection(s) Performed:
Structural Steel Fabrication
Project
Gard Residence Permit Number:
03-004
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Address:
1114 e AvP S, Edmonds Job Number
-4
Client
Westhill Inc. Architect.
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Contractor
Westhill Inc Engineer:
Inspector
Remarks
and Date
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t to Totem Steel Inc, Woodinville. I have visually welds to pieces listed:
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1-6-03
CoIumnsW8x21 IVIK 1A IS, IC.
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Beams W8x2l MIK 2A, 2B, 2C, 2D.
Appearance of welds is acce ptable per AWS. Inspector not present during welding of CJP and multi pass
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welds. Work is by WABO certified welders.
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Copies to:
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.ponsitillity:
Technical R 4
Architect
F-1- engineer..
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This report applies only to the items tested or reported 3 nd Is the exclusive property of Otto Rosenau & Associates, Inc. Reprod uctl Of this it
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except In full, w0out
written permission from our 11rin is strictly prohibited.
—)
Page I Of 1
FEB 19 2003
Form No.: T-104
Revi"d: owl
DEVELOPMENT SERVICES CTFI.
CITY OF EDMONDS
Foci 0 6
Certified
Inspection Services, Inc.
C13AI3038
1069 S.W. 328th court, Federal Way, WA 98M
Phone (253) 91-7-0626
Fax (253) 661-2984
Ultrasonic Weld Inspection Report
AWS D1.1
Customer: Otto Rosenau &Associates
Date: 1/6fO3
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P.O. No.:
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Prqject: Gard Residence Job No 03-004
Report No.: 21747
Specification: AWSDIA-20022
Table:
JobDescription: Ulftasonic inspection of. complete penemition welds, as listed.
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Remarks: Work was performed at Totem Steel
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Procedure No.: I
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Surface condition: as welded
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Ulft-awnic Equipment
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Instrument. Nffg.. Kraudommer Branson Model: USK 7
Serial Noz 15%
RFECEIVED
Transducers: Mg.: KB Aerotech Frequency: 7-25N*ft
FEB 19 2003
Dinnendown.75x.75' Angle: 70*
DEVELOPMENT SERVICES CTR.
Dimensions: l"dia. Angle: Straight Beam
CITY OF EDMONDS
Level.
Insppected By, E.
Appro BY:
OTTO ROSENAU & ASSOCIATES, INC.
Gootachnical Engineering, Conitruction Inspection & Materials Testing
6747 M. L King Way South, Seattle, Washington 98118-3216 USA
Tel: (206) 7254600 - Toll Free: (888) OTTO-4-US - Fax: (206) 723-2221
WEE W2FS913684 # WABO Registered Agency . Website: vrmvottorosenau.corn
ULTRASONIC WELD TESTING REPORT
Job Number: 03-004 Report Number: 001 P rmit Number: 2002-0944 i
Project: Gard Residence Archit t:
Address: 1114 8" Ave S, Edmonds, Edmonds
Client: Westhill Inc. Contractor WeSthill Inc..
Date., 1-15-03 Technician: D Graham
ITEMINSIPECTED
(Weld Location and Identification)
'X
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ap
0-1
0
Moment frame
1 " level north, south and center frame, top
Bottom ilanges 8welds.
54
X
2" level north, south and center frame, top &4-
Bottorn flanges 8 welc 1 54
X
Governing Code: xAWSOI.1 I I Other
instrument Mfg.: Krautkrarner
Procedure No.: 0 NDT-OP-03-01 I I Other
M.cei 4 USN60 ORA0116
Serial #* 00K18F
transducer Mfg.: Krautkramer
Serial #* 61111-18
Deg,
Size
Frequency
Single I Dual X Straight
0
1.000
2.26.
0 She r
70
.626x75
2.25.
Calibration Bieck Type: 0 IlW x OSC
CouplantType: 0 Water eased 13 Oil R ..d ri Oths6\,
... . ........ Qc I
Coates to: a WAAM
I x I owner I I contractor I
Erchit:: I Building Capt. I Technicai Responsibility: T!
in 8
a report applies only to the hems tested or reported and Is the exclusive prop" of Otto Rosenati & Associates, Itge d oil f this report.
.Acept in full, wHhout written permission from our firm is strictly prohibited. r?2003
Page I of I DEVELOPMENT SERVICES CTR
CITY OF EDMONDS
Rwvised: 01103
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Job Number. �Rport Number.
-Pennit
no' 'r
Project: f74,1
Architectj
Address:
Client:
Eo-ntractdr.
We: U3
Technician:
I
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07TO ROSENAU& ASSOCIATES, INC.
CONSTRUCTION INSPECTION REPORT
Report Number: rmit Number:
Architect:
Address: .4
Engineer:
Client:
Contractor:
Date: inspector: 'D, (7 rA A44A
E
*AA,inI,rrci,WngS1e—el" Shear Wall Nailing �abncolion
Epoxy Grouting
0 1 Diaphragm Nailing
I of.,. S.., Eoclon
ncho I Installation
r "Of
Spray -Applied Fireproofing
Nondestructive Testing
I
Installation of Holdown System
steel LACKing
I Other (specify)
-F -
OA 5 C-elf, 2
14 per ^J5 Q 5
7, ,,P.
Vfri F;r,.,A No, - 61.4 CA k(k
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FIELD
CASCADE TESTING LABORATORY, INrj. REPORT No. lee 2M NO.44632
TESTING & INSPECTION / ENGINEERS
12919 N.E� 1261" PLACE
KIRKLANO. WASHINOTON 96034 1425) 023-9800
EVERETT A25) 259-0817
COMPRESSION REPORT
T.:—VIessAl, P
0o lm(h \,ha 4?)4027-
ATTN:
THE FOLLOWING WAS NOTED:
"I-ATF—, , ,
1
01-,07-0-3
1 :;2� 7 _ 429-
P CT
LO ON
7
BLDG. PERMI, —
TTE
u MER
�
W
MR AT AM
Lluelc-d—
AT Pm
ENGINEER
ARC
CONTRACTOR,,'/), C
TRUCK SAMPLED TRUCKTICKETNO. 710.36 MIX NO/2
MT —AMR
=4gg
DESIGN
WEIGHTS
K—
M IST.
— Ar35ijff—ED —
WEIGHTS
TIME
ASSTLMUCM-P143
% AIR
UNIT
WEIGHT
ASTM C.138
YIELD
CEMENT
FACTOR
TEMP.
ASTM -1064
.... Al.
UtIVItN I
b4yr,
44e
-7 541:
A -0�*
IA.
—
AIRTESTMETHOD: OPRESSUREASTM C-231 OR OVOLUMEASTM C-173 FINEAGG.
EQUIPMENT USED LD,
E [WATELI
SLUMPCON CSLCOO�— THERMOMETER CCOTHO T.T�A
112-4
TYPE OF BREAK: (A) Cone (C) Cons and Shear
(b) Cone and Split (d) Shear (a) Columnar COMPRESSIVE STRENGTH
90 =1
1-1— - - 1-1 ....... EIASTMC-1231
SAMPLE PIIJ DATE El ASTM C-617 SAMPLING IN ACCORDANCE WITH
TEST METHOD APPLICABLE CODES & SPECS.
SUPPLIER CrNIENTTYPE �11-- CU.YAROSPLACED
AEA ADMIX, CAC1 % DESIGN STRENGTH
PLACEMSNTAREA& NOTES e��J'
TEST RESULTS APPLY ONLY TO THE ITEMS
HEREIN TESTED, THIS REPORT SHALL NOT
ECTOR(S), NAME(S) PRINTE
BE REPRODUCED EXCEPT IN FULL. WITH-
OUTTHE WRITTEN AP—OF—CADE
�N
Llil�
TESTING LABORATORY INC.
NSPECTOR SIGNATURE
REVISED SM
SIGNED BY
COPIESTo&yLjc'jw !14'?b
FINAL PROJ ZXT APPROVAL FORM
TO:_
DATE:_
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
77 3
4
*^J�21��ENGINEERING DIVISION DATE O�
PLANNING DMSION DATE -
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PROJECT G A 0, h
SITE ADDRESS 814 6'-Ava S
INSPECTED
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PERMIT
DESCRIPTION OF WORY- To BE INSPECTED---4�����
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A field i nspection was conducted to determine final compliance with approved plans. Final approval
signed Department to the release of
CD
denotes that there are no objections from the above
of:
0 -n
"n
PERFORMANCE BONDS and the granting
GRAN FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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0 Copy of CONDI TIONS given to owner/contractor bY inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
M
0 Copy of CORRECTION NOTICE given to owner/contractor by inspector.
I
2.
3.
RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date--� Sign ------
ocaprvl.doc.l:temp:bldg:formsIO/OI
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
30
SETB�CKS .....................
FOUNDATION:
af
Footing......................
wall ....................
Pier/Porch ..............
Retaining Wall
Stab Insulation
PLUMBING:
Underground
Rough -in ........... vv,)s
Commercial Final
HEATING:
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ........................
FRAMING ................
FIRST FLOOR FRAMING...
INSULATION ..................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR X
OCCUPANCY ..................
00