20020956.pdfDATE RECEIVED
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CITY OF EDMONDS
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PROGRESS INSPECTIONS PER UBC IOS/FINAL INSPECTION REaD
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
PLAN CHEC� VESTED DATE
1
Plumbing
12 —3
Mechanical
THIS PERMIT AUTHORMS ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK To
t BE DONE ON PRIVATE PROPERDY ONLY.ANYCONST UCTIONON THE PUBLIC
2
Grading
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3 OMAIN (CURBS, SIDEWASE, RIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
I= RATEPERMISSION.
Engr, Review
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PE MITAPPLICATION: U10.
PERMIT Laile I YEAR. PROVID D WORK IS STARDREDWITHIN ISODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHAL F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposft "721
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND H LD HARMLESS THE CITY OF
EDMONCMEWAIHINGTON, Its OFFICIALS, EMPLOYEES, AND AGENTS 11011 ANY AND
Fire Inspection
Receipt N
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ALL CLAI FOR DAMAGES OF WHATEVER, NATURE. ARISING DIRECTLY OR INDIRECTLY
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Recording Fee
Receipt #
FORMATION
I HEREBY ACKNOWLED E THAT. HAVe BE. THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
AGENT OF
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
N CONSTBUC_
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSmUC,
CALL
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EMPLOYED
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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IN VIOLATI N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
suit ding Official or lus/ho, Deputy; and Fees are paid, and
FOR INSPECTION ormlid i—ka—loug.cl In speed F—Ided.
W.RKMERG COMPENSATION INSURANCE AND NOW 1817.
OFFICIALS SIGNATURE DATE
'ATE SIGNED
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131 PLOD
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771-0220
EVA~ DAn
ATTEWTION
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IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INS4CTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK,OWNEA - GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN . ACCOUNTING
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PROPERTY OWNER LETTER OF AUTHORIZATION
June 12,2002
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Edmonds
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City of
1215" Ave N
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Edmonds, WA 98020
Re: Design Review Application and Building Permit Application for AT&T Wireless
Services Micro Communications Facility
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I, William Butler, on behalf of Sundstone Condominium Owners Association, hereby
certify that I am the President of the Association and Sundstone Condominium Owners
Association is the agent for the owners of real property located at 1414 9" Avenue N.,
Edmonds, WA 98020. We authorize AT&T Wireless Services Inc, and/or their specified
vendors, consultants or contractors to conduct tests, file applications and apply for any
and all permits needed for the above applications on the subject real property.
William
Butler, President
on behalf of Sundstone Condorninum
Owner Association
RECEIVED
JUN 1 3 2002
BUILDING DEPT.
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41AWrazan ASSOCIATES, INC.
GEOTECHNICAL ENGINEERING - ENVIRONMENTAL ENGINEERING
CONSTRUCTION TESTING & INSPECTION
January 6, 2003 KA No. 096-02332
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Permit No. 2002-0956
Ms. Annemarie Montera'
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WREN CONSTRUCTION INC.
2720 Oakes Avenue
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Everett, Washington 98201
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RE: Compressive Strength Test Results
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1414 - 9t' Avenue North
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Dear Ms. Montera,
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Enclosed are copies of the compressive strength test results regarding the above referenced project. If
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Respectfully submitted,
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KRAZAN & ASSOCIATES, INC.
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Timothy G. BeVerle, P.E.
Engineering Manager RECEIVED
Pacific Northwest Division
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PERMIT COUNTER
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Enclosures
cc; Ciry OF EDMONDS
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Offices Serving The Western United States
19501 - 144" Avenue NE # F-300 Woodinville, Washington 98072 (425) 485-5519 Fax (425) 485-6837
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krazan & Associates, Inc,
19501 - 144th Avenue NE #F-300, Woodinville, WA 98072, (425) 485-5519
4—
Project No. 09602332 Cyl. Code f2407' Pour Date 12/9/02 Report No. 11646
Weather Light Rain Jurisdiction City of Eamonds Permit No. 2002-0956
Project Puget Drive - Cell Tower Engineer
Location 1414 - 9th Avenue North Architect
client Wren Construction Inc. Contractor
Field Data CYLINDER REPORT
Reported Batch Data
Concrete X Mortar Grout* Other
Design Actual
*Note: None masonry grout
Weights Weights
Supplier Cadman Plant No. 30
Site Mix
Mix No. 200032
Cem. lbs.
Mix
Air Unit
F. Ash lbs. No
q —n
Slump Temp.
Temp. Wt.
C. age. tbs. I information
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Time Truck# Ticket # %Air (in.) (F)
(F) (Pcf)
C. age. tbs. 2 given.
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2:00 245 353237 5 5.5 68
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C. age. lbs. 3
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Sand tbs.
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Water lbs.
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Placement Area
Air Ent. (oz)
Location Slab on grade east end of existing building.
Other(oz)
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Other (o.)
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Other (oz)
Other (oz)
Water Added an Job (gals.) 0
0
Field Test Methods
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Remarks Please refer to Field Report No. 20473. Concrete
placed
ASTM C143 ASTM C138
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by pump.
ASTM C1064 ASTM C173
ASTM C31 Other
Inspector Jerry Whigham
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Laboratory Data Design Strength 4,000
@ 28 days
Date Specimens Rec'd. 12/10/02
CyL Test Field
Max. Comp.
Tested Break
Laboratory
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Code Date Cure Age Dim. Area C.F.
Load Str. (psi)
Set# By Type
Test Methods
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12407-1 12116/02 7 4x8 12.49 0.0
50320 4,030
1 TT 4
X ASTM C39
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12407-2 1/6/03 28 48 12.62
69470 5,510
1 CH 3
ASTM C1 09
12407-3 1/6/03 28 48 12.62
68690 5,440
1 CH 2
ASTM C617
12407-4 H
X ASTIVI C1231
12407-5
ASTM C780
12407-6
RFcF-IVF-D
Other
12407-7
12407-7
Remarks
Results Reviewed By
jAN 9 2003
pERMIT COUNTER
Date Reviewed 3
Test Results
X Conforming
Non -Conforming
Codes for Break Typeos' 2:Cone&Split
Cone
3: Cone & Shear
4: Shear 5: Columnar (Split)
4dKrazari & ASSOCIATES, INC.
GEOTECHNICAL ENGI NEERING ENVIRONMENTAL ENGINEERING
coNSTRU CTION TESTING & INSPECTION
KA No. 096-02332
December 31, 2002
Permit No. 2002-0956
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Ms, Annemarie Montera
INC.
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WREN CONSTRUCTION
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2720 Oakes Avenue
Everett WaShin&tOn 98201
RE. Compressive Strength Test Results
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Puget Drive - Cell Tower
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1414 - 9' Avenue North
Edmonds, Washington
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Dear Ms. Montera,
Enclosed are copies ofthe compressive streng th test results regarding the above referenced project. if
do not hesitate to contact our office.
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you have any questions or if we Can be of further assistance, please
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Respectfully submit ted,
KRAZAN & ASSOCIATES, INC.
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Timothy G. Beckerle, P.E.
Engineering Manager
pacific Northwest Division
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Enclosures
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cc: CITY OF EDMONDS
Offices Serving The Western United States
195 01 - 140 Avcnuc NE III F-300 Woodin ville, WaShington 98072 (425) 485-5519 Fax (425) 485 -6837
.02)31 Wk
Krazan & Associates 19501 - 144th Avenue NE #F-300, Woodinville, WA 98072, (425) 485-5519
Inc.
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Project No. 0960233 Cyl, Code 12407 Pour Date 12/9/02 Report No. 46
JWeather
Light Rain Jurisdiction City of Edmonds
Permit No. 2002-0956
Project Puget Drive - Cell Tower Engineer
Location 1414 - 9th Avenue North Architect
client Wren Construction Inc. Contractor
Field Data CYLINDER REPORT
Reported Batch Data
Concrete X Mortar Grout* Other
Design Actual
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None masonry grout
Weights Weights
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Supplier Cadman Plant No. 30 Site Mix
mix No. 200032
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Cem. tbs.
Mix Air Unit
F. Ash tbs. No
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Slump Temp. Temp. Wt.
C. agg. tbs. I information
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Time Truck# Ticket # % Air (in.) (F) (F) (Pcf)
C. age. tbs. 2 given.
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2:00 245 353237 5 5.5 68 42
C. age. tbs. 3
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Sand tbs.
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Water tbs.
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10-4
Placement Area
Air Ent, (oz)
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Location Slab on grade east end of existing building.
Other (oz)
Other (oz)
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Other (oz)
Other (oz)
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Water Added on Job (gals.) 0
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Field Test Methods
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Remarks Please refer to Field Report No. 20473. Concrete placed
ASTM C143 ASTM C138
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by pump.
ASTM C1064 ASTMC173
ASTM C31 Other
Inspector Jerry Whigham
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Laboratory Data Design Strength 4,000 @ 28 days
Date Specimens Rec'd. 12/10/02
Cyl. Test Field Max. Comp.
Tested Break
Laboratory
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Code Date Cure Age Dim. Area C.F. Load Str.(psi)
Set# By Type
Test Methods
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12407-1 12116102 7 48 12.49 0.0 50320 4,030
1 TT 4
X ASTM C39
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12407-2 1/6103 28
ASTM C109
12407-3 1/6/03 28
ASTM C617
12407-4 #VALUE! H
X ASTM C1231
12407-5 12/9/02
ASTM C780
12407-6 12/9/02
Other
12407-7 1219102
12407-7 12/9/02
FTes, Results
Remarks
co.for.,.,
Results Reviewed By Date Reviewed
12�-'76 C77-
Codes for Break Types: 1: Cone 2: Cone & Split 3: Cone & Shear
4: Shear 5: Columnar (Split)
FIELD
;-"-��Kr=ai& Associates, jnc. REPORTNO.: 20473
GEOTECHNICAL ENGINEERING - ENVIRONMENTAL ENGINiERING
CONSTRUCTION TESTING AND INSPECTION
DATE:
CONTRACTOR: L,(
PROJECT #: PERMIT NO:
PROJECT
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LOCATION: )Y/ St-ztv�— —�a —I--- JURISDICTION: "Zo,
KRAZAN PROJECT MANAGER: WEATHER: TEMP:
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Affti a�,EZI
RECEIVED
DEC 2 6 2002
CITY OF EDMONDS
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To the best of my knowledge, the above WAS I WAS NOT performed in accordance with the apfor ved Plans a Ificatio a and regulatory requirements.
Superintendent/Representative:
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226 N. Sherman. Ste, A, Corona, (A 9288Z (909) $49-1188
215 West Dakota Avenue, Clovis, Ca 93612
(559)348-Z200
4231 Foster Ave., Bakersfield, CA 93308
(66T) 633-2200
1501 15th Street NW, #106, Auburn, WA 980OZ (253)939-2500
1025 Lone Pal. Ave, Ste. 2E, Mdeste, CA 95351
(209) 5721200
20714 State Hwy 305 NZ, Ste. X Poulsba, VIA 98370 (360)598.ZIZ6
545 Parrott St., San Jose, CA 951 IZ
(408) M-ZZ00
19501 144thAvenue NE # F-300, Wootinville, WA 98072 (425) 485-5519
,Z3 Commerce Circle, Sacramarto, CA 95815
(916) 564 2200
IZ816 N. E. 95th Sr, Ste. S-100, Vacouver, WA 98682 (360) 254-3200
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
IGINEERING DIVISION DATE
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PLANNING DIVISION DATE-444al—
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PERmrr # ADB#2 �DATE INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL wrrH CONDITIONS NOTED
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u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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a Copy of CORRECTION NOTICE given to owner/contractor by inspector r,
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date-_ Sign_
ocaprv1.doc.1:temp:b1dg:fbmis 10/01
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .. ................. WJA
Wall..........................
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Pier/Porch .................
Retaining Wall ...........
Slab Insulation
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FRAMING ........................
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FIRST FLOOR FRAMING
INSULATION ............
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILAG
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................