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20030564.pdfI DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OFAIUSIN99S MAILING ADDRESS V I a CITY ZIP TELEPHONE 7 79 NAME; Aid ADDRESS ,�: I z �- J� (11TV _ _ /I I A —,v- ZIP ITELEPHONE NAME f CBL# 0 /.1) 0 /) 1 1:5 ADDRESS CITY ZIP STATE LICENSE NUMBER TAX [PERMIT EXPIRES USE PERMIT C;2 BER eoc sUITEIAPTF JOB ADDRESs,0 211�A AL� e PLAT NAMEISUBDIVISION NO. - LOT NO. I LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IIESCIP APPI W 44 R wed Street use pgfmil R"'d Inspoctio I;aquked EXISTING — PROPOSED sidewalk Rawk0d REQUIRED DEDICATION— FT — undww"Id !t�� METER SIZE 40. OF FIXTURES PRV REQUIRED NO -WEMARKS OWNERMONTRACTOR RESPONSIBLE FOR EROSION CONTR21�� a I BY AZI is z i 7� 4C W-) DATE FIRE REVIEWED BY TELEPHONE r6 .& .1 -7 iL 4, BOND I 0 NEW RESIDENTIAL 13 ADDITION 21 COMMERCIAL REMODEL MULTIFAMILY 13 REPAIR GRADING CYDS [3 DEMOLISH 0 TANK GARAGE 0 CARPORT RETAINING WALL ROCKERY (TYPE OF U ISINESS OR ACT" EXPLAIN: NUMBER OF NUMBER OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE IONDATE CKEPDY VARIANCE OR CU tiHORELINEORAumm I IN ;�O'D POSTEO . I to . 0,:jWyEs -------- 13NO $ W,O,*P- 6V MiFI& - SEPA REVIEW COMPLETE EXEMPT _nz�o. SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I -�< PLUMBINGIMECH EXP LOT COVERAGE 8690iffE9,SETBACKS (FT.) PROPOSED qp�WDI�pM. PROPOSED SETBACKS (FT) FRONT UR SIDE REAR ALLOWED 0 COMPLIANCE OR CHANGE OF USE PARKING AREA JIPL�NNIN? REVIEWED BY DATE SIGN REO'D PROVIDED rLOT FENCE X FT) REMARKS 7 0 OTHER FIRE SPRINKLER FIRE ALARM CRITICAL AREAS NUMBER LOT SLOPE % T SOURCE GLAZING % — F __,j VESTED DATE P CHEC�� THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PER= APPLICATION: 100 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREiT, 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 OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION INSURANCE AND RCW 18.27. I DATEPIGNED SIGPIRE rNEWO? ENT) / 77 C CHECKED BY TYPE OF I hul.; I lull GROUP HE D B VA CKE Y TYPE OF SPECIAL INSPECTION AREA --- UPANT LOAD C REQUIRED YES ERS4 lU EMARK PROGRESS INSPECTnIONS PEER UBC lialli/FINAL INSPECTION AA — $ z - I lk I - Description FEE Description FEE Plan Check state Surcharge !1.6-eq Building Permit City Surcharge IIJ5.140 - Plumbing 'low IIIIAl Mechanical Grading Engr. Review Engr. Inspection qL Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due L, 14 L4 Recording Fee Receipt # Id 1,CATION APPROVAL P! Th! plj� Ion Is not a permit until signed by the CALL Building oincial or his/her Deputy: and Fees are paid. and FOR INSPECTION receipt Is acknowledged in space provided. OFFI S IGN E DATE VIA05) 91) --j 714 771-0220 REL BY DATE PVT I AfA ATTENTION STRUCTURE UNTIL 4&eZ1,11 -y IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR AL OR A CERTIFI- ORIGINAL -FILE YELLOW-IN6PECTOR/ A FINAL INSPECTION HAS BEEN MADE AND APPROV PINK -OWNER GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN ACCOUNTING 04102 PRESS HARD -YOU ARE MAKING 5 COPIES Z 0 171 M C M 0 0 C M 0 _n .n M M 0 C.) C Ic 0 z CO) z 0 M . ff� 4 I ENGINEERING TWOf PS9 AnDOVErA&SMUCIVIMS 128214P DR SE CIVIL A VrXM U&M ENGJNEMW EIVMW, WA 020M21 MICRAELAMCCANN SE OFFIMPO: (425) JW075 BENJAWNIJeA"AAfAr riall't &MWI. kc�OOOLC= 1416�. G of Edmonds ity I r I I I mI 4 1 1 I If f If 4 I If 4 4 IS b ects Oagnpbell Nelson Nissan I f 1 4 1 1 1 1 1. 1 1 1 I I I f I d 0 1 1 1 1 1 t I I I I I.I� I I I I I Bvildj*nv Remodel If �,�i k I I I :r I I' ,,I P Comm*% Defta Strengt1i Change 'I k I I: I. 1 1 .4 1 1 rL� 1 0 1 1 L I. I I I f '-I I r I I I, It I I I I t I I fI I I 1 0 r I of the 30M psi It is structurally acceptable to use 2500 psi concrete instead I I I I I I I 1 4 Hence *e concMe I F II in I Ign strengt1i specified the structm! calculations. des' V T I I I I I I 1 r % I I 4 t I I I I I -I' r.' f:1 0.' 1 1 1 d 4 P wo�k is unin I I I fI -k lz d I I I'I FI 01 1 1 f', I I I I I I I I I I I I. I r.11 - I I I - I' � -r I' 1 .0 ,7 ; I.- f.% , . I I I I I I 1 1 4 1 1 1 . . I I I I I IV I I I IIJIt I I V I I I I I I t :Z, -., I I' j I I Iv� I A . r . I I I I I 'I , I I '; . I I. . I I I Lr I I 1 4 1 711 A If' I I I 'r, I I I I I I I I I I f I I-,—. off.. I� I �j C� If IN 1 1, .1 O.r I II I 1 0 1 1 1 I I k I� I I I I I I I I 7 f I f I L I I I If YOU have any qwWoons, please, call. Tbank you. If 'ell S in 4 ^5 Ir -d I ...I 1 .1 � PI 14 If I I 11114. k a Ott I I I r�. L I If 'p. q -, If I I If f If If I, Id ,I fj I wr . fI. If If I I I, P I I d r- 4 1 ; I I ��j If I I L f , 4 1 1 If ;f'' =%XPIAF 3 I I r I I 1 .1 1 1 1 1 1 1 Michael McCann, SE C Y: City of Edmonds, Building Division Attention: Mr. Mike Snook Fax No.: 425-771-0221 Phone No.: 425-771-0220 Numberof Pages: 2 (including cover sheet) ORIGINAL TO FOLLOW BY MAIL Yes No EO Permit #2003-0564, Campbell Nelson VW Remodel w special Inspection Reports Dear Mr. Snook: Attached is the 28 day compressive strength test result on the grout (OK). R Z�, It is my understanding from Drico Con struction that there are no further inspections required on this For your reference, you should have received a total of five field reports project. FR-001 to FR-005, in addition to the attached grout tes t report. Please call me 0.4 n umbered should have any additional requirements for this project. you �4' Best Regards, Richard McKinley HWA GeoSciences J. (425)774 -0106 office (206)794 -3316 cell W llie information in this rax messilge is confidential and intended only for the use orlhe rocipiLtit named above. If you ....... receive this rax ill crwr, you are hemby notified that any dissemination, distribution, or copying of this communication Geotechnical Engineering H drogeology is $is icily plollihited. ir you lxxcive this llicssage ill crwr, plwsc notify us by (clullhon a immedlatcly wid return tile y Geoenvironmentat Services 1 41rigilull Illessage to us at the above address via tile U.S. Postal Scrvicc. Testing It Inspection S, A 0. OCT-08-2003 WED 02:32 PM HWA GEOSCIENCES FIELD AND LABORATORY GROUT TEST REPORT (2*x 2" Cubes - ASTM C 1091109M) (2x 2'Cubes - UBC 21-14) (3"x3'x6"SpccImons - UBC 211-118) FAX NO. 42b (4 2 (14 r, ue ffir *z WIM14 V HWAGEOSCIENCES INC CLIENT: Campbell Nelson Volkswagon c/b Drico Construction TESTISET # 1 A PROJECT: Campb�h Nelson Volkswagqp.ReTp�el A PROJECT NO: 2003-118-23 DATF- GAS]: 917UIXUUJ UA It KtU'U: 911212OU3 DECRIPTION OF GROUT PLACEMENT REPRESENTED BY THIS TEST: Solid grouting of cells of CMU block wall along the north side of the remodel area, of the CMU infill of the former door in the east wall, and of the short sections of CMU shear wall located at either end of the west wall. Also, grouting of the cells containing the anchor bolts for the ledger board on the east wall of the remodel area. COMPRESSIVE STRENGTH TEST DATA SAMPLE I.D. NUMBER AGE) (days TEST DATE (mrrdddlyy) TIME TESTED (24 hr clock) 1ST DIMENSION (inches) 2ND DIMENSION (inches) X-SECT. AREA (sq. in.) MAX. LOAD (lbs) COMPR. STRENGTH (psi) TECH. 2003-118-17 7 9117103 16:20 5.93 3.10 18.38 37523 2040 EJB 2003-118-IB 28 1018103 13:30 6.33 3.10 19.62 46256 2360 BPM 2003-118-IC 28 1018103 13:45 6.10 3.10 18.91 47485 2510 BPM Specified- Minimum Compressive Strength:1 200 psi SITE MIXED GROUT Product Manufacturer Proportions: Sand: Product Code: Portland Cement: Mixer Type; Masonry Cement: Time Batched: Water. Mixing Time:'- Other: 16- PLANT PRODUCED GROUT Supplier Name: Glacier Northwaost Max: Agg. Size:.3/8" Time Batched: 9:59 Plant Number: 260 Cement Type:— ArrivalTime: 110:i�'- Mix Code/ No.:'39-60(7��-3/8-Gr.) Load Volume (yd 3): 7.5 StartUnloading: 10A.1-'. Truck Number 32 Cum. Volume (yd 3): 7..5.. End Unloading:. Ticket Number, 442945 Admixtures: FIELD TEST DATA Slump: 9 112" Time Sampled: 1,0:55 Mix Temp. (F):. 7 ' 5, Time Cast: 11:00 Air Temp fl: 75 Cast By: HWAIP.J.P Mold Type: CMU Blocks MISCELLANEOUS INFORMATION I COMMENTS Contractor / SubContractor Drico Construction lEverson Masoi7ry Field test results reported to (Contractor Representative an Site) Field test results reported to (Client/Owners Rep. on Site) Comments: Reviewed By: This report applies only to the ilcms tested, and may be reproduced In full, with written approval of FIWA GEOSCIENCES INC. r. ui/uj Attached are field reports FRO01 (inspections Thursday on epox y anchors) and FRO02 yesterday for welding). Please call me should you have any additional requ irements. Best. Regards, Richard McKinley HWA GeoSciences (426) 774-0106 office (206)794 -3316 cell RECEIVED, SEP PERMIT COUNTEH i od abo 11io inkinivition in this Nix message is confidential and intcadod only for the use of the TcciPicut nit n ve. If you GeotechnicaL Engineering gof this conimuni i recciw Ilik (ax in crior, you atu hctvby notified that any disscinjnrition, distribution, or copyin cation Hydrogeology jivirictlyprolsibitcd. I r you receive this tricssago in error, please notify us by telcrihorte inutiodiately and rclum the Geoenvironmental. Services orintinal illessa"c to us at the above oddi-css via the US. Postal Service. Testing Et Inspection Uelui Shp-M-21JUJ TUE 11:bb HN HWH UhU6IU1hN1Jhb tHA NU. 4Zb ((4 e(14 r. 119730-64th Avenue Wast, Suite 200 Field Report No.: FR-001 Lynnwood, WA 98036 Date (mmIddlyft 91412003 Tel. 425-774-0105 HWA Project No.: 2003-118-23 HWAGEOSCIENCES I NC. Fax. 425-774-2714 HWA Task No.: 1100 Project Name Location or Address of Project Permitt4o. Carriebell Nelson Remodel Edmonds, WA 200-0564 Client Client Representative weather Campbell Nelson VW do Dr1co Constr. Galen Dries of Drico Construction CloudyLCool Design Authority (engineer or architect of record) Design Authority Representative A ProjW Manager M2 Engineering Inc. Mike NcCann Richard McKinley General Contmclor General Contractor Representative HWA Field Representative Drico Construction Dwight (site foreman) Pat Pierce, Richard McKinley FIELD REPORT SUMMARY OF TIME SPENT ON PROJECT TODAY: rt ra I First Site Visit: Start Travel: 1100 krived at Site: 1110 Depa edSite:11 0 EndT ve:1200 Second MsIt Stail Travel: 1430 Arrived at Site: WO Departed Site: 1520 End Travel: 1530 ITEM BEING INSPECTED: installation of Epoxy Anchors DETAILED LOCATION: Anchors for the future CMU block shear wall at the north end of the new west wall. TYPE OF INSPECTION: Periodic STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL At the time of our inspection, horizontal anchor hole 9 had been drilled Into the east end of the north wall and vertical anchor holes had been drilled Into the concrete foundation at the north end of the east wall. irm that the anchor holes HWA INSPECTION ACTIVITIES RELATED TOTIHIS ITEM: HWA ca rried out visual observaUon and measurements to conr were drilled to the required depth (6"' per phone call to Design Authority Representative), that the holes were thoroughly cleaned out prior to placement of epoxy, and that the full co ntact was obtained during epoxy placement. CONFORMANCE OF THIS ITEM: To the best of the inspector's knowledge, the Item Inspected was to und to be in conformance with approved plans,,specificafions and RFIs. with the exception of the following Items. Item I Several of the anchor holes were found to be too shallow. The contractor redrilled the holes deeper, which resolved the Issue. OTHER MISCELLANEOUS ACTIVITIES, OBSERVATIONS ANWOR COMMENTS: SIgnod: ReViewed' Pro I Engineer Reviewer HWA Field Aepresentativ0000' HWA a SUMMARY OF ISSUES REQUIRING FU TURE RESOLUTION Report# Item# Status na na No non -conforming Items at this time. This repoit shoLld only be reproduced In its entirely. Report is not final until signed by HWA field representative ard HWA reviewer. Page I of I SEP-09-2003 TUE 11:56 AM HWA GEOSCIENCES FIX NU. 4?-b (4 114 r. UJ/UJ 19730-64th Avenue West, Sulle 200 Field Report No.: FR-002 Lynnwood. WA 98036 Date (mmiddlyy): 91812003 ff -774-0106 HWA Project No.: 2003-118-23 Tel. 42S HWAGEOSCIENCES INC. Fax. 425-774-2714 HWA Task No.: 1100 Proled Name Location or Address of Project Permit No. Campbell Nelson Remodel Edmonds, WA 2003-0564 Client Client Representative Weather Campbell Nelson VW C/o Drico Constr. Galen Dries of Drico Construction CloudylCool Design Authority (engineer or architect of record) Design Authority Representative HWA Project Manager M2 Engineering Inc. Mike NcGann Richard McKinley _G�nerai Contractor General Contractor Representative HWA Field Representative ITony Drico Cons1ruction I Dwight (site foreman) Martin FIELD REPORT SUMMARY OF TIME SPENT ON PROJECT TOD": Site Visit Start Travel: 1430 Arrived at Site: 1445 Dep anted Site: 1600 End Travel: 1630 MATERIAL BEING INSPECTED/TESTED: Fillet Welding ITEM BEING CONSTRUCTED: Structural Steel DETAILED LOCATION: Fillet welding of 11Z'studs to W14, fillet welding of #4 rebar to 112"x6*x10" plate, and fillet welding of base plate to 4 0 TS column. TYPE OF INSPECTION: Periodic -STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL: At the timeof our inspection, filletwelding fortheabovewas complete. HWA INSPECTION ACTIVITIES RELATED TO THIS ITEM: HWA carried out visual observation and measurements to confirm fillet weld sizes, and correct placement per Detail 2 on Drawing 1 B (stud welding) and per Drawing '19 (#4 rebar welding to plates). The welders WABO Certification was confirmed by reviewing his wa0et card and identificafion. CONFORMANCE OF THIS ITEM: To the best of the Inspector's knowledge. ft item Inspected was found to be in conformance with approved plans, specifications and RFIs. With the exception of the followIng items. Item 11 - The fillet welds for the 1/20 studs to the W14 beam were found to be undersize relative to requirements In the AWS D1.1 Code, This was brought to Uie attention of the welder and the oonVactor. The fillet welds were increased In size to meet the requirements of AWS. which resolved this Issue. Item 2 - A base plate had been fillet welded to a 4"x4' TS column with no drawing requirements. OTHER MISCELLANEOUS ACTIVITIES, OBSERVATIONS AND/OR COMMENTS: SIGNATURES: 12_;� R Signed: -V" eviewed- ve Pr Review& HWA FieldfRepresentati HWA eject EW�Ineer oi'T SUMMARY OF ISSUES REQUIRING FUTURE RESOLUTION Report# Item# Status 2 Unresolved. The contractor Is to contact the structural engineer and request a drawing showing the required detail for the fillet welding of the 4"x4" TS column and base plate. This repoil should only be reproduced in its entirety. Report Is riot final until signed by HWA field representative and HWA revie w6r. Page 1 of 1 SEP-09-2003 TUE IU:4'( AM HWA ULUSUIENUEb FAXHITTAL Date: September 9, 2003 From: Richard McKinley, Manager, M Pr,QJect 2003-118-23 Sent To.... Company: City of Edmonds, Building Dii Attention: Mr. Mike Snook Fax No.: 425-771-0221 Phone No.: 1 425-771-0220 Number of Pages: I (including cover sheet) PHA NU, 4eb f14 e114 r. ui Uff LT a", I HWAGEOSCIENCES lf� 19730-64th AVE W STE 200 Lynnwood, WA 98036-5904 Tel. 425-774-0106 Fax. 425-774-2714 aterials and Construction Services Group I ORIGINAL TO FOLLOW BY MAIL [:] Yes El No I Permit #2003-0564, Campbell Nelson VW Remodel Special Inspection Dear Mr. Snook: We have been requested by Drico Construction to provide special inspection for this project per your list of inspections written an the plans at the site. At the time of contact, the new CMU block walls and door Infills were already in place and the new footing was already poured along the east side of the building, so we have not inspected these parts of.the project, but I understand from Dwight (foreman) that you have inspected these. Per your list, we will be inspecting... Concrete — None. No more concrete expected to be placed. Welding — Visual Inspection of fillet welds for Nelson studs and anchor plates. Bolts in Concrete — None. No more concrete to be placed. Epoxy Anchors — Visual inspection to confirm depth of embeddment, cleanliness of hole, etc Masonry Reinforcement — Visual inspection to confirm bar size, quantity, placement. Grout — Visual Inspection of cell cleanout and grout consolidation, and take compressive strength samples Please call me should you have any modifications or additional requirements. We will fax you inspection reports weekly as requested Best Regards, Richard McKinley HWA GeoSclences (425) 774-0106 office (206) 794-3316 cell The inrortualion in this rux message is conlidenlial and inteMed ottly for the use of (he recipient named above. tryou mccivc thiq Cix In cmir, you are hereby nulified that any dissemination, distribution, or copying of this communication i9strictiyProi,ibi(eci. i r ytiu receive this mcssngc in a rm r, plea ge notify us by idephane immcd i8tely and retu M the orighud owisnLw to its ai ilia nluive addivss via the U.S. Postal Scrvicc. GeotechnicaL Engineering Hydrogeology Geoenvironmentat Sery1ces Testing ri inspection Company: _ Attention: City of Edmonds, Building Division Mr. Mike Snook 'Fax No.: 425-771-0221 Phone No.: 425-771-0220 Number of Pages: 2 (including cover sheet) Permit #2003-0564, Campbell Nelson VW Remodel Special Inspection Reports Dear Mr. Snook: ated with W14 beam). Attached is field report FRO05 (inspections on welding associ b Please call me should you have any additional requirements. Best Regards q Richard McKinley HWA GeaSciences (425) 774-0106.office -3316 cell (206)794 '11%c inromialkin in jbis fax m%*suge is confidentU and ItilciultA only forthe use orthe recipient narned above. If you Geotechnicat Engineering or copying orails communication receive this Nx in cirur, you are lierd)y m9ificd that any dissemination, dishibution, -n Hydrogeology is sirictly prohibited. If you receive this inessage in emr. Please notify us by tcicplione imnicdialcly and rvtui (lie Geoenvironmentat Services ariginal wessape to ui at (lie above address via die U.S. Postal Scivice. Testing Et Inspection SEP-Ib-20M MON U1:b( FM HWA ULUSUIENUEb �HA NU. Ub ((4 e114 Ue 19730-641h Avenue West, Sulte 200 Field Report No., FR-005 IFWA Lynnwood, WA 90036 Date (mmIddlyft 911212003 Tel. 425-774-0106 HWA Project No.: 2003-118-23 HWAGEOSCIENCES INC. Fax. 425-774-2714 HWA Tasic No.. 1100 Project Name Location or Address of Project Permit No. Campbell Nelson Remodel Edmonds, WA 2003-0564 C I i e nt Client Representative Weather Campbell Nelson VW c/o Drico Constr. Galen Dreis of DrIco Construction Cloudy/Warm Design Authority (engineer or architect of record) Design Authority Representative HWA Project Manager M2 Engineering Inc. Mike McCann Richard McKinlev Goncral Contractor General Convector Representative HWA Field Representative ITony Drico Construction - - I DmAght (site foreman) Matin FIELD REPORT SUMMARY OF TIME SPENT ON PROJECT TODAY: el t: Start Travel: 1530 Arrived at Site. 11600 Departed Site: 1615 EndTravel:1630 Site Vi MATERIAL BEING INSPECTED/TESTED: Fillet Welding ITEM BEING CONSTRUCTED: W14 beam and 4"0"TIS Column DETAILED LOCATION, W14 beam welds to the embed 1/2" plates grouted Into the CMU wall packets at each end. The 4"x 4"TIS Column weldeds to the bottom flange of the W14 beam. 4 TYPE OF INSPECTION: Periodic STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL, At the time of our Inspection, welding was complete. HWA carried out visual welding Inspection irm weld quality and that fillet weld sizes INSPECTION ACTIVITIES RELATED TO THIS ITEM. to confi conform to drawing requirements. CONFORMANCE OF THIS ITEM: To the best of the Inspectoes knowledge, the item inspected was found to be in conformance with approved ..plans, specifications and RFIs. OTHER MISCEIAANEOUS ACTIVITIES, OBSERVATIONS AND/OR COMMENTS: The drawing showing the required detail for the fillet welding of the 4";kil' TS column and base plate is now available. resolving the outstanding issue from field report FR002.. �ZNATdiiE��. k'y" -A-7 RBvle ed,4 Signed. W pro . ..... HWA Fiiel?/fiep�e �enta 7e' H A Engineeror e�vler A SUMMARY OF ISSUES REQUIRING FUTURE RESOLUTION Reportft Iternh! Status U1 t a drawing showing the required detail for FRO03 I nresolved. The contractor Is to contact the structural engineer and reques the ledger board anchor system. A�. SEP-18-2003 THU 04:55 PM HWA GEOSCIENCES FAX NO. 425 774 2714 F. 02 FIELD AND LABORATORY GROUT TEST REPORT WE AM U a, Irk 2" Cu"s - ASTM C 1091109M) 11WAGEoSci ENCES INC 1210'Cubami-1.18C21-14) (3'4741 SPOCIalons - U13C 21-18) CLIENT- C"pbeff Nelson Volkswa TESTISET # 1... goo c/o Drico COnstruction PROJECT- Cam all Nelson Volkswanon Romodel .. . Pm. . . .. . - PROJ15.CT NO: WW,2.44A_21 DATE CAST: 911012003 IjAtE REC'E):_jijj��j DECRU-MON OF GROUT PD%C_E_MENT REPRERNTED BY THIS TEST* Solid Urouting of cells of CMU block wall along the noith side of the remodel area, of the CMU infill of tho formef door In (he east wall, and of the short sections of CMU shear wall located at eN)er end of the wesf wall. Also, gmuting of the cells containing the anchor bolts for the ledger board on the east wall of tho mmodel area. COMPRESSIVE STRENG T H TEST DATA SAMPLE I.D. NUMSFR AGE (days) TEST DATE (2!M!ggW) TIME TESTED (24 hr datk) -T IS ;MENSION DIMENSION (inches) (I es) 2ND DIMENSION (ff whe5) -SEC X-SECT. T. ARE AREA in.) (sq. In.) A] MAX. LOAD t 31 COMPR. STRENGTH (O&A TECH. 2003-1 18-IA 7 W1 7103 16:20 5.9; 5.93 3.10 18.38 37523 2040 EJ8 2003-118-IB 28 IaW3 2003-118-IC 28 1WM3 V rinimum CZ;;;p7R_sr'4e Strenqth:L'.L0.00 psi, SITE MIXED GROUT Product Manufacturer Proportions- Sand: Product Code: Portland Cement: Mixer Type: Masonry Cement: 'Time Balched:. Water.— Mixing Tone: Other PLANT PRODUCED GROUT SuppliorName: ofacierNorffivnicst Mnx, Agg. Size: 318" Time Belched: 9,59 Plan! Number. 2clo Cement Type: Arrival Time: 10:30 Mix Code I No.: 3960 (7 SK Or.) Truck Number 32 Load Volume (yd): 7.5 Cum. Volume (yd): 7.5' Start Unloading: I OA I End Unloading: Ticket Number. ti�;ii)4!i Admixtures. - FIELD TEST DATA slump. 9 14,11 Time Sampled: 10:55 Mix Temp. (F). 75 Time Cast* I 1:oo Air Temp (F): 75 Cast By: mow YIPO: ka Bloc MISCELLANEOUS INFORMATION I COMMENTS Contractor I SubContraclon Ddoo Construction lEverson Masonry Field lost rosults reported to (Contractor Representative an Site) Field test resulls reported to (Client/OwnersRcp.on Silo) Cnniments- Reviewed By: Af ThIll r*W4j4ik-4 only 10 ft Ildnis $M100. 0ek! May ba mptodo"d Ift (ulL wilh wrillen aWavrol of I IWA GEOSCIENCES INC. SAN, ..CV 21. SEP-18-2003 THU 05:00 PM HWA GEOSCIENCES M NU. 4?b (14 �(14 r, uelue- FIELD AND LABORATORY GROUT TEST REPORT -ASIM C 1001100M) UL (2% 2" Culics. - UGC 21-14) 11WAGFOSCIENCES INC (1-4-ov Spovirnuns - UBC 21 -`19) CLIENT: Campbell Nelson Volkswagpq.S�q prico Construction TEST/SET I PROJFCT: Campp�!l Nelson Volk w. gon Remodel :s. a ROjEOF NO: 2003-118-23 LJA I t .917 VIZUUJ UA It KtL;-U: 911212003 5ECRIPTION 5P GROUT PLACEMENT REPRESENTED BY THIS TEST: �olid grouting of cells of CMU block wall along the norlh sldc of the remodel area, of the CMU infill of the fomier foor in iho oast wall, and of the shott sections of CMU shear wall located at either end of the west wall. Also, youting of the cells containing the anchor bolts for the ledger board on tho east wall or tho remodel area. COMPRESSIVE STRENGTH TEST DATA SAMPLE I.D. NUMr:,r--:R AGE (days) TEST DATE (rnrn/ddtyy) TIME TESTED (24hrclock) 1ST DIMENSION (inches) 2NO DIMIENSION (inches) X-SECT. AREA (sq. in.) MAX. LOAD (lbs) COMPR. STRCNGTH (.Dsi) TECH. 2003-116- 1A 7 9117103 16:20 5.93 3.10 18.38 37523 2040 EJB 2003-118-18 28 1018103 1 2003-118-lC 26 1016103 Specified Minimum Compress iveS trength: 2000 SITE MIXED GROUT Product ManUfActurer...... Proportions: Sand: Product Codo Portland Cement: Mixer Type: Masonry Cement; Time Batchod: Water: Mixing Time: Other: PLANT PRODUCED GROUT Supplinr Name: Glacier Northwoest. Max: Agg. Size: 3/8" Time Batchcd:.9.:5..9.. Plont Number. 260 Cement Type: Arrival Time: 10:30 Mix Code i No., P960 (7 SK.318 Or.) Load Volume (yd*)- i.s Start Unloading: 10:41 Truck Number. 32 Cum. Volume (yd3)-. 7.5 End Unloading: Ticket Numbor: 4 4 Admixtures: FIELD TEST DATA Slump: 9 1/2" Time Sampled: 10:55 MixTomp (F): 7.5 Time Cast: 11:00 AirTemp(F): Cast By:.HWA�P.J.�* Mold Type: &U, Blocks MISCELLANEOUS INFORMATION COMMENTS Cuntractor / SubContractor: Ofico Consiructfon Everson Mssonr Firld test results reported to (Contriactor Representative on Site) Field lest results relported to (ClienVOwners Rep. on Site) Comments: Reviewed By: I Mr. ropurtappliescnlylo Me How leslod, and mny Iv rcproduced In hill, will imiltan appmwil of HWAGEOSCIENCES INC. 0f 4 s J: 0� Z, a!ly- C i Comp tv of Ednionds, Building Division on: Mr. Mike Snook Attcnti F 25-771-0221 ax No.: 4 -771-0220 Plionc No.: 425 Number of Pages: 4 (including cover sheet) Permit #2003-0564, Campbell Nelson VW Remodel S ecial Inspection Reports p Dear Mr. Snook: hor bolts for ledger board) and FR004. Attached are field reports FRO03 (inspections on anc ""A ing and for CMU grouting). (inspections yesterday for masonry reinforc Please call me should you have any additional requirements. Best Regards Richard McKinley H ... .... WA GeoSciences (425) 774-0106'office (206) 794-3316 cell The inl1ormation in Ill is fax wessagi: is conl idential and intended only for (lie use. of the recipient nained above. Ifyou ering reopying of this willillu llical loll Geotechnical Engine -ccivc Illis fox ill Ullor, you'lli; hereby notified that nny disseininalicin, distribution, o Hydrogeotogy issilidlytillibillilet]. 11' you it-ecive this 111css;joe in el-mr, please notif� us by telephone immediately and return the 0 GeoenvironmentaL Services original Inessneg tti is lit the above addre.is via tile U.S. Postal Sci ice. Testing a Inspection . . . . . . . . . . . SEP-12-2UU3 �Nl U2:23 PH HWA UEUSUIENGES M NU. 42b ((4 2(14 P. U2 -64th Avenue West, Suite 200 -003 151730 Field Report No.: FR Lyniwood, WA 9BD36 Date (mm/cIdlyry): 91812003 Tel. 425-774-0106 HWA Project No.: 2003-118-23\/ HWAGEOSUENCES INC. Fax. 425-774-2714 HWA Task No.: 1100 Project Name Location or Address of Project Permit No. Campbell Nelson Remodel Edmonds, WA 2003-0564 Client Client Representative Weather Campbell Nelson VW c/o Drico Constr. Galen Dries of Drico Construction Mostly Sunny / 65* Design Authority (engineer or architect of record) Design Authority Representative HWA Project Manager M2 Engineering Inc. Mike McCann Richard McKinley General Contractor General Contractor Representative FMA Field Representative Drico Construction Dwight (site foreman) Pat Pierce FIELD REPORT SUMMARY OF TIME SPENT ON PROJECT TODAY: Site Visit: Start Travel: 1010 Arrived at Site; 1020 Departed Site: 1030 End Travel: 1040 MATERIAL BEING INSPECTEDITESTED. Anchor Bolts ITEM BEING CONSTRUCTED: Anchor Bolts for, Root Ledger Board DETAILED LOCATION: Interior or East Wall TYPE OF INSPECTION: Periodic STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL: At the time of our inspection, knock -outs for J-Bolts in ungrouted cells and drilled holes forwedge,type bolts in grouted cells were completed. Anchor bolts were not in place at the time of our visit. HWA INSPECTION ACTIVITIES RELATED TO THIS ITEM: HWA carried out visual observation and measurements to confirm adequate cover. CONFORMANCE OF THIS ITEM: To the best of the Inspector's knovAedge, the item Inspected was found to be In conformance with approved plans. specifications and RF19. with the exception of the following non -conformance issues. These issues were brought to the attention of the general contractor. Item I - Structural details showing bolt location, number, and sizes of anchor bolts was not provided in the plans. OTHER MISCELLANEOUS ACTIVITIES, OBSERVATIONS AND/OR COMMENTS: SIGNATURES: Signed: Reviewed: HWA Project Engiii er r ReAAer" HWA Fie 3ineer r Re we I/e preseni�ii�4_/__ TI SSUES REQUIRING FUTURE RESOLUTION Report# Item# Status It FR002 2 Unresolved. The contractor Is to contact the structural engineer and request a drawing showing the required detail for the fillet welding of the 4"xil" TS column and base plate. FRO03 i Unresolved. The contractor is to contact the structural engineer and request a drawing showing the required detail for the ledger board anchor system. This report should only be (eproduced in its entirely. Reporl Is not final until signed by HWA field representative and HWA reviewer. Page 1 of I TI I btr-le-ZULIJ M UZ;Z4 ri'l HWH U11UbUItNlJl1b 19730-64111 Avenue West, Suite 200 Lynnwood, WA 98036 Tel. 425-774-0106 HWAG'r-.oSC1ENCES INC. Fax. 425-714-2714 Project Name Location or Address of Project CarriDbell Nelson Remodel Edmonds WA a r HA 11U. i4e_0 f (4 e- 1 14 Field Report No.: Date (mm/dclilyft HWA Project No.: HWA Task No.: r. ui FR-004 9110/2003 2003-118-23 1100 Permit No. 2003-0564 Clien! Client Representative Weather Carnp�ell Nelson VW c/o Drico Constr. Galen Dreis of Drico Construction Mostly Sunny / 65* Design Authority (engineer or architect of record) Design Authority Representative HWA Project Manager M2 Engineering Inc. Mike McCann Richard McKinley General Cotilractor lGeneral Contractor Representative HWA Field Representative Drico Construction I Dwight (site foreman) Pat Pierce. R. McKinley FIELD REPORT SUMMARY OF TIME SPENT ON PROJECT TODAY: Site Visit: Start Travel: 930 Arrived at Site: 940 Departed Site: 1120 End Travel: 1130 MATERIAL. BEING INSPECTED/TESTED: Reinforcing Steel - placement ITEM BEING CONSTRUCTED: CMU block walls DETAILED LOCATION, New CMU block %vall along the north side of the remodel area, and the short sections of CMU shear wall located at either end of (lie west wall. TYPE OF INSPECTION: Periodic STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL: At the time of our Inspection, the rebar placement was complete. HWA INSPECTION ACTIVITIES RELATED TO THIS ITEM: HWA carried out visual observation and measurements to confirrii bar sizes, number of bars, correct placement, and adequate cover. Since the walls and reinforcing were already in place, inspection was limited to what could be observed by looking down into the wall from the top of wall using a flashlight. CONFORMANCE OF THIS ITEM: To the best of the inspectors knowledge, the item inspected was found to be in conformance with approved plans, speci9cations and RFIs. with the exception of the following non-conformance Issues. Item I - There were no bar positioners In place to support the tops of the vertical bars, consequently numerous bars were noted to be touching the sides of the coils at the top of the wall (UBC requires a minimum of 1/2" separation of bar and block to allow pea gravel grout to flow around and encapsulate the rebar. The subcontractor and contractor were nobfied. No bar positioners were available on site, however, the. subcontractor indicated that lie would center the top of each bar by hand during the grouting process. i�Aiii�liC�iIW6'T��PE�E�EDITESTED: Grout ITEM BEING CONSTRUCTED: CMU block walls DETAILED LOCATION: Solid grouting of cells of CMU block wall along the north side of the remodel area, of the CMU infill of the former door in the e3st wall. and of the short sections of CMU shear wall located at either end of the west wall. Also, groufing of the cells containing the anchor bolts for the ledger board on the east wall of the remodel area. TYPE OF INSPECTION: Periodic STATUS AND DETAILS OF PLACEMENT OF THIS MATERIAL: At the time of our Inspection, all CMU block had been placed, the reinforcing steel was In place, and all anchor bolts were in place. Grouting of the north wall and of the shear wall an the north end of the west wall was carried out durinq our site visit. HWA INSPECTION ACTIVITIES RELATED TO THIS ITEM: HWA carried out visual observation and measurements to confirm that cells are unobstructed, to confirm the presence and use of adequate cleanouts, and to confirm proper placement and consolidation techniques. Field testing included measuring the slump of the grout, and casting of grout compressive strength specimens. Test results are summarized on HWNs 'Field and Laboratory Concrete Test Report' for Set 1. CONFORMANCE OF THIS ITEM: To the best of the inspectors knowledge, the Item Inspected was found to be in conformance with approved plans, specifications and RFIs, with the exception of the following non-conformance issues. Item 2 - No cleanouls were present for the reinforced cells of the new CMU wall. The subcontractor was informed and created cleanouts and removed an debris present at the bottom of the cells, which resolved the issue. Item 3 - The subcontractors qrout vibrator was not long enough to penetrate the full height of the wall. A full length vibrator was provided by the contractor for the subcontractor's use , which resolved the issue. i5fiiEh 1�666C[KqE66S ACTI ITIES. OBSERVATIONS AND/OR COMMENTS: SIGNW - _S: Signed:_._. HWA Fiel epr �i� nlal'�e (continued on Page 2) Reviewed: , 1 HWA ProjectVAY16'eer or Reviewer This relicul should only be reproduced In its entirely. Rwil is not final until signed by HWA field representaWe and HWA reviewer. Page 1 of 2 A loll' �T X �4- p P SEP-12-2UU3 HI 024 FM HWA GEUSUIENGES HX NU. 4?b (14 2114 19730-64th Avenue West, Suite 206 Field Report No.: FR-004 T" Lynnwood, WA 98036 Date (mm/ddlyy): 911012003 HWAGEOSCIENCES INC. Tel. 425-774-0106 HWA Project No.: 2003-118-23 Fax. 425-774-2714 HWA Task No.: 1100 Project Name Location or Address of Project Permit No. CarnpAi�11_Nclson Remodel Edmonds, WA 2003-0564 Client Client Representative Weather Carripbel Nelson VW c/o Drico Constr. Galen Drois of Drica Construction Mostly Sunny / 65" Otasign Aui,%orfly (engineer or architect of record) Design Authority Representative HWA Pf0ject Manager Engineering Inc. Mike McCann Richard McKinley IM2 General Contractor General Contract or Representative HWA Field Representallve Drico Construction Dwight (site foreman) Pat Pierce, R. McKinley SUMMARY OF ISSUES REQUIRING FUTURE RESOLUTION Reportg Iterng Status .. ... ....... FRO02 2 Unresolved. The contractor is to contact the structural engineer and request a drawing showing the required detail for the fillet welding of the 4"x4" TS column and base plate. FRO03 1 Unresolved. The contractor Is to contact the structural engineer and request a drawing showing the required detail for the ledger board anchor system, 2 .... ...... JI U. i-271 ......... . . ..... -z" Tnis rcpod should only be reproduced in its entirety. Report is not final until signed by HWA field representative and HWA reviewer. Page 2 of 2 FINAL ROJECT APPROVAL FO*k.-ol TO: z 9 0 m =i 9 m c ma 0 80 c �c m mz 10 co o -n n m M 055 0 r- 0 M C m c co M 0 Z 7-4 M z z 9 0 m 'AT; 1. 1 A I', V'I '' I A A A A IT I I A L A 1 1 1 1 1 1 1 A I A A A TV A I I I I A A A LT I I Lt I A 'IT I A I I I It A , L A - L 0 1 A - A I T A A I A I I I I L I I I I VL A A A I L A IT A I L L A CCA//t/l, L A L. I I''.I I'll A A A I'�'l t' It " I" j L. I, I T L' A At. 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MAILING ADDRESS LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW PermA Required CITY ZIP TELEPHONE - EXISTING — PROPOSED Sum Use Permit RoWd InspactionRequired Sidewalk Required eygold L9_2 -2: M :ZZ :2 REQUIRED DEDICATION— FT Underground 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 No ADDRESS REMARKS OWNERICONTRACTOn RESPONSIBLE FOR EROSION CONTROL/DRAINAGE zip zA,4, Olt, 4L4 z r= A`rr:5tEFIRONE IAI� el�& 1,a'jq ItA "56 111 VV)+ W CZ2:4 NAME JCB L N ;�'— / q - (4 ENGINEERING REVIEWED BY 9ATE ADDRESS Z 0 FIRE REVIEWED BY CITY ZIP TELEPHONE W Ir --2 Q_9_4W� 0 STATE LICENSE NUMBER EXPIRATION DATE CKED Y, VARIANCE OR CU SHORELINEORADB# INSPE71ON REQD BOND POSTED M _u —1t c XY�S 13NOj$ e=;" SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCIFLNO. -71 COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROP M 0 000 EXP x C: M 1:3 NEW 1:1 RESIDEN�A PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED WIREf SETBACKS (FT.) PROPOSED R T_� r,4P,'.-.'�LDF,,,A.EA,`L SETBACKS (k) FRONT LIR SIDE REAR 0 0 ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE NMI --- - - _:Z� (P 5 1 -*t 20 REMODEL TIFAMILY MUL 1:1 SIGN PARKING REO'D PROVIDED �=Ih,�J� AlIED By �L�NNING REVIEWED BY DATE M 10 1 GRADING 0 FENCE X ReFdR CYDS FT) I - REMARKS 71 0 OTHER DEMOLISH 0 TANK An 11 W In! [AA111101 ED GARAGE RETAININGWALL o FIRE SPRINKLER CARPORT El ROCKERY FIRE ALARM 0 "n 11"�' %F%Ml 7 - ft I Map x 1 I BUSINESS OR ACTI'Viry) EXPLAIN: N T qw- n" CHECKED BY ITYPMRUCTION cook— 02 C2 cu F& T_Zx GROUP _5 M M NUMBER .OF =":&I NUMBER OF DWELLING j CRrIlCAL,,,," AREAS q / 0 SPECIAL INSPECTION JAREA OCCUPANT LOAD STORIES UNITS NUMBE R -If REQUIRED ES DESCRIBE WORK TO BE DONE K CA REIRKS I GRESS INSPECTIONS.EER UBC 108/FINAL INSPECT16N RECVD I fTI 0 ALI &AJ 92 VALUATION Z $ &_ N A g: V I DescrIption Descriptlon FEE Z Plan Check State Surcharge 46,49 0 0 RCE J % LOT SLOPE % Building Permit City Surcharge M It A CHECKNO: VESTED DATE Plumbing 1--J lc2 !2 5b� / ... . Mechanical t: THIS PERMIT AUTHORIZES ONLY THE WOR9 NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY OULM ANY CONSTRUCTION ON THE PU11ILJC DOMN (CURBS, SIDEWALKS, DRIVEWAYS, MAMUEES, ETC.) W LL REQUIRE Grading t: SEPA!!WERMISSION. Review 31 PERMIT APPLjcX7i69-. 111iig 2gr. PERMIT LIMM I YEAR - PROVIDED WORK Is �111THIN 180 DAYS Engr. Inspection SEE VACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 0APPLICANT, ON BEHALF OF HIS On HER UPOL15c, HEIRU, P% IGNS MCI SUMESORS IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # 1- ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY --- FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMCD TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE fM L13AIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Fee Receipt I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 CORREC71 AND THAT I AM THE OWNER, ORTHE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until Signed by the TIGN; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and roes are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEFtS COMPENSATION INSURANCE AND RCW 18.27. 0 DATE FFVIIG SIG ER 0 ENT), NED 1425) ME( 771-0220 ra /DATE L E'At VO B Y ATTENTION M 1333 rRE -7 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 - YrISOW-INS(ECTOR/ CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES -