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20050185.pdfhDATE RECEIVED L CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS d*& f.L.G, Lu MAILING ADDRESS 335 A • 2v5 40 P O CITY ZIP ALEPHONE � 9a'3 3 201x- 5�3 -2101 NAME C ADDRESS 2• 1 F760 0 I 9!�;r• *01 CITY ZIP TELEPHONE '0-050 NAME NV l V CBL N � ¢O ADDRESS TY ZIP TELEPHONE q4x/ &- lb -0 STATE LICENSE NUMBER EXPIRAj10N DATE PROPERTY TAX ACCOUNT PARCEL NO ❑ NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR USE ❑ CHANGE OF USE °� REMODEL ❑ MULTIFAMILY ❑ SIGN C❑� REPAIR ❑ GRADING CYDS ❑ FENCE X m OTHER ❑ DEMOLISH ❑ TANK ❑ GARAGE ❑ CARPORT E]R ROCKERY RETAINING WALL FIRE El ,FRE ALARM [TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER TNUMBER OF CRITICALGVUJ OF . DWELLING AREAS STORIES UNITS NUMBER .DESCRIBE WORK TO BE DONE L exeop 1012 rZewmeaei as(wv .,. FPERMITEXPI ES 1 4O65 E PERMIT NE - NUMBER , JOB SUITE/APT# ADDRESS Lela �3 „ / `J �, 11 PLAT NAME/SUBDIVISION NO. LOT NO. `' LIDGN�iOO LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW pa Approved rmil Required a Street Use Permit Req'd EXISTING PROPOSED inspection Required 13 Sidewalk Required 0 REQUIRED DEDICATIONFT Underground winngrogwrod . O METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED v YES ❑ NO ❑ z W EMARKS z WNER/CON 4RAN aONrSL EROSION�AINAGEO W DAT E BY I /tet/ / 2/; %/ FIA I EDB DATE s a V IANCE OR GO SH ELINE OR ADB# INSPECTION BOND REO'D POSTED .. YES ONO S SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 1 � EXP y ff 1 C Bb LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR t7 z z PARKING LOT AREA PLANNING REVIEWED BY DAIS g REO'D I PROVIDED J : L�Z�/Of CHECKED BY TYPE OF CONSTRUCTION CODE QeCUPANT ROUP SPECIAL INSPECTION AiIEA-,J�22 CCUPANT - f REQUIRED OAD YES REMARKS PROGRESS INSPECTIONS PER UBC 108/18C1109/ IRC109 FINAL INSPECTION REO'D VALUATION $ rWA Description FEE Description FEE . ~ _/1,4rPlan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % i � 3 ez _�. Building Permit City Surcharge PLAN CHECK NO: `T VESTED DATE Plumbing Base Fee 6 �1 0 2z Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS ILIA PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS En gr, Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A •APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review �lie"" Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ! „ I Le I EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection . + Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp.. Total Amt. Due ONOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' _ Recording Fee Receipt # I HEREBY 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos aro paid, and IN VIOLATION OF THELAB R CODE OF TH STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WOR MEN'S COMPENSAT SURANCE AN RCW .27. O4�1SIG T RE AT �.. SIGN (OW NT) DATE SIGN D (425) �771=0220 A/ �/ REL SED BY r AT A TION EXT 1333 1 r;' ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OFOCCU- ORIGINAL -FILE YELLOW PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK • OWNER GOLD - 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES 0 m CIM co � O O n C =m M p -1 DZ r= 0) O mn '11 MM O� r C ITI 9 Cn z r D II Z i. N Z O M is 5. November 1993 Project No: 93-100 John Evans 4' 4441 Fauntleroy SVlI Seattle, WA ; 98126 Z ?; . RE: Underground Storage Tanks (UST) removal and Site Assessment at the Elliot Goodyear Tire; and Service, located at 8129 244th Street SW, Edmonds, WA 98026. rn BACKGROUNDam The scope of the project is removal and. Site Assessment of a single 550 gallon waste oil m o ; z 0 tank, p C, The site is located at the former Elliot Goodyear Tire and Service in Snohomish County, m z WA. The facility was temporarily shut down approximately one year ago due to a p NMI reduction in business. The surrounding area is mostly urban: an apartment complex is y z1 11 to the west; 244th Street SW and the former Frederick and Nelsons is to the south, _ Scotts Bar and Grill is the northeast. This site is currently undergoing a property 00. I transfer. The site is shown relative to it's surroundings on the attached Vicinity Map.mm ; tp TANK REMOVAL a � ra On 28 September, 1993, Glacier Environmental Services, Inc. (GES) was on site to c um�i. remove one waste oil tank. The tank was.located under concrete pavement as .shown m on the attached Site Map, A Construction Permit to remove the UST was obtained from the City of Edmunds, a copy of which is attached. All work on the tanks was performed in accordance with the American Petroleum Institute Recommended Practice 1604. i -+ First the contents of the tanks. were pumped by GES into drums for proper disposal. z The concrete was broken with a hydraulic drop hammer. A rubber tired backhoe was WON! ; used to excavate and remove the tank. The vent line to the tank was also removed. _ �. The tank was rendered inert with dry ice. The tank was then triple rinsed, cut open, and z,. transported. from the site for recycling. m. The soil profile consisted of the following: ' 0 to 0.2 feet below ground surface (BGS) concrete pavement. S 0.2 to 7.0 feet BGS brown sandy silt with some gravel. A concrete anchor slab was encountered at 6.0 feet. Ground waterwiras not encountered in the excavation. s Page No. 2 . Project No, 93-100 FIELD WORK Field screening techniques were use at the site to determine the areas where contamination was most likely to exist. These techniques included use of a MicroTip, or photoionization detector (PID) and -pan sheen testing. The use of the PID to analyze Z field sample head space is summarized as follows. The sample is taken from freshly o , exposed soil. A clean zip lock or baggy is partially filled (one half to one third capacity) _� with the soil sample to be analyzed. The head space vapors are then allowed to m develop and the container is shaken or agitated for at least 15 seconds to assist _ volatilization of the hydrocarbons. The PID sampling probe is inserted into the container, with care to avoid uptake of soil particles or moisture into the instrument. The.Co m highest instrument reading is then taken. A head space reading of soils greater than 20 rn v ppm is. considered to be a contaminated soil sample, o c Pan sheen testing was also employed as a field screening technique, and was mrn performed as follows: This test simply involves placing a small soil sample in a p -+ decontaminated. pan, adding water and visually inspecting the water for a sheen. D Z Samples that generate a sheen are considered to be contaminated. co At this site the suspected contaminate of interest was used motor oil, however other -vn petroleum products may be present depending on what was placed in the tank. The PID will detect petroleum products depending on the type of product present and other m m factors. In addition, this situation is temperature sensitive in that lower temperatures will 0 m reduce volatilization, and consequently PID readings. Therefore, both of the above K N . discussed field screening techniques. were employed with equal regularity. The tank appeared to be in good condition, without obvious holes or leaks. However there was obvious oil staining around the fill spout of the tank: No PID. readings above -� zero were recorded, however a sheen was observed in several of he field tested Z samplesca. Approximately 20 cubic yards of soil was excavated. This soil was placed on top of and o covered with plastic and stockpiled on site, as indicated on the attached Site Map. This soil was tested and the fate of this material is discussed later in this document. M According to the document Guidance for Site Checks and Site Assessments for Underground Storage Tanks (Guidance Manual) soil sample locations are to be selected based on the areas where field screening indicated that contamination was most likely to remain. Samples were taken as follows: one samples from beneath the tank and two from the excavation side walls. Soil samples taken directly from the surface.of an excavated face were obtained from freshly uncovered soil. A minimum of six inches of k soil was removed prior to sample collection. Soil samples taken from excavation E equipment was obtained from the center of the bucket, away from the sides. The samples were obtained with dedicated sampling gloves and decontaminated. or . t Page No. 3 Project No. 93-100 dedicated, sampling tools. The laboratory supplied sample bottles were filled as quickly as possible, sealed with Teflon lined lids and labeled. The containers were immediately preserved in a iced cooler. Sample labeling was accomplished by securely fastening a i laboratory label to the sample bottle with a unique sample identification, date and time of sampling, name of sampler, project and client identification. A chain of custody form was filled out for the samples and a copy is attached to this letter. Refer to the Site Map for sample locations. z o ANALYTICAL RESULTS rn ,. A total of 6 samples were taken at the time of tank removal. These samples were Mn analyzed by method WTPWHCID, or total petroleum hydrocarbon identification. This 65 method is a qualitative procedure, which is used when the contaminate at the site is c M : unknown or when multiple fuel contamination is suspected. While this method provides m o i only a confirmation that a contaminate is either above or below the detection limit, it is p -s If used to determine the need for further testing. For example, further testing is not = M i necessary for those samples which demonstrate non detectable TPH levels, or levels m significantly below the regulatory action levels. The results are presented in Table 1. - Z TABLE 1 LABORATORY RESULTS N 0 -n WTPW WTPH- PCB'sI If _ SAMPLE LOCATION HCID 418.1 M MM GAS DIESEL OIL .(mg/kg) (mg/kg) o N Tank c F E -SWI Excavation, ND ND DETECTED 140 N: r m n. Side Wall Z: Tank E-SW2 Excavation, ND ND ND Side Wall z Tank E -B Excavation, ND ND DETECTED 160ca _ Bottom z Composite . of Stockpile ND DETECTED DETECTED 1,600 Nb M SP11 SP21 See Flag on and Data Results 1 P4 SP3 MTCA Method A 100 200 200 200 10 Clean Up 4. Levels, I m /k I_ Glacier Environmental Services, Inc. 12521 Evergreen Drive, Suite A Mukilteo, Washington 98275 Fax: (206) 290-9186 Phone: (206) 355-2826 Pouch 778 Unalaska, Alaska 99685 Fax: (907) 581-2845 Phone: (907) 581-3973 r•� — /00 .x, T \• 1\� ... irw.. Wais '01rel., • f 1 .. tal , sia.. ,_. \(. ( 1 NII aj_t •• so : EM; 44 w Lake i \ _ .Ni e .11 Ballinger '.�L� \ !! 1\vr �1 • )r lam\ -'i _ wole si, W —,- P� I _ If �IM• so -• ■' /• •... INS to I , III 1 ale L✓� x•:.0..1 UA Glacier Environmental Services, Inc. 12521 Evergreen Drive, Suite A Mukilteo, Washington 98275 Fax: (206) 290-9186 Phone: (206) 355-2826 Pouch 778 Unalaska, Alaska 99685 Fax: (907) 581-2845 Phone: (907) 581-3973 r•� — /00 .x, ISIEMENS III IpIIIIIII III, UST Owner/Operator. Owners Signature: Telephone: ( ) Address: suer P.O. Boa State LP -Code city00 FM W C1e T %I r. c-' UcenseNumbe ervice Provider. �OfJO S°i� L Decommissioning pOQ Lf If 71Scensed Supetvisor. a e,rd 2..f Ucense Number. -- Supervisors Signature: Address: UNDERGROUND STORAGE TANK TEMPORARY/PERMANENT CLOSURE and SITE ASSESSMENT NOTICE See back of form for instructions 1NA A T V°t'. r'to ► Please 0 the appropriate box(es) EE CUL O G Y Please type or print information F Temporary Permanent Change4n- Site Assessment/ ' Tank Closure 5ITank Closure Service Site Check w 4 `„ UNDERGROUND STORAGE TANK Site Check/Site Assessment Checklist When a release has not been confirmed and reported, this Site Check/Site Assessment Checklist must be completed and signed by a person registered with the Department of Ecology. The results of the site check or site assess- ment must be included with this checklist. This form must be submitted to Ecology at the address shown below within 30 days after completion of the site check/site assessment. SM INFORMATION: Include the Ecology site ID number if the tanks are registered with Ecology. This number may be found on the tank owners invoice or tank permit. TANK INFOR�?A�'IQN& Please list all the tanks for which the site check and site assessment is being conducted. Use the tank ID number if available, and indicate tank capacity and substance stored. REASON SON FOR CONDUCTING SITE CHECIVSM ASSESSMENT: Please check the appropriate item. (rHECELM, Please initial each item in the appropriate boa. Underground Storage Tank Section SM ASSESSOR INFORMATION: This form must be signed by the Department of Ecology registered site assessor who is responsible for conducting the site check/ P. O. BOX 47655 site assessment. Olympia, WA 985047655 ILI IVIVIIIIIII 1191113 Site ID Number (on invoice or available from Ecology if the tanks are registered): o o o 0 2 1 Site/Business Name: G M o f -7o > 'w ea r - Site Address:, i i7 y �/ th ice' Telephone: St" city State 21P�afs Check one: Investigate suspected release due to on-site environmental contamination. Investigate suspected release due to off-site environmental contamination. Extend temporary closure of UST system for more than 12 months. UST system undergoing change -in-service. tST system permanently closed -in-place. ST system permanently closed with tank removed. Abandoned tank containing product. Required by Ecology or delegated agency for UST system closed before 12/22/88. Other (describe): I 1 UNDERGROUND STORAGE TANK Site Check/Site Assessment Checklist When a release has not been confirmed and reported, this Site Check/Site Assessment Checklist must be completed and signed by a person registered with the Department of Ecology. The results of the site check or site assess- ment must be included with this checklist. This form must be submitted to Ecology at the address shown below within 30 days after completion of the site check/site assessment. SM INFORMATION: Include the Ecology site ID number if the tanks are registered with Ecology. This number may be found on the tank owners invoice or tank permit. TANK INFOR�?A�'IQN& Please list all the tanks for which the site check and site assessment is being conducted. Use the tank ID number if available, and indicate tank capacity and substance stored. REASON SON FOR CONDUCTING SITE CHECIVSM ASSESSMENT: Please check the appropriate item. (rHECELM, Please initial each item in the appropriate boa. Underground Storage Tank Section SM ASSESSOR INFORMATION: This form must be signed by the Department of Ecology registered site assessor who is responsible for conducting the site check/ P. O. BOX 47655 site assessment. Olympia, WA 985047655 ILI IVIVIIIIIII 1191113 Site ID Number (on invoice or available from Ecology if the tanks are registered): o o o 0 2 1 Site/Business Name: G M o f -7o > 'w ea r - Site Address:, i i7 y �/ th ice' Telephone: St" city State 21P�afs Check one: Investigate suspected release due to on-site environmental contamination. Investigate suspected release due to off-site environmental contamination. Extend temporary closure of UST system for more than 12 months. UST system undergoing change -in-service. tST system permanently closed -in-place. ST system permanently closed with tank removed. Abandoned tank containing product. Required by Ecology or delegated agency for UST system closed before 12/22/88. Other (describe): Each it7of following checklist shall be initialed by the person registered with the Department of Ecology whose sappears below. YES NO 1. The location of the UST site is shown on the vicinity snap. E, k4yoo 2. A brief summary. of information obtained during the site inspection is provided. '3.2 (see Section in the Site Assessment Guidance) 3. A summary of UST system data is provided. (see Section 3.1) ' 4. The soils characteristics at the UST site are described. (see Section 5.2) IWO 5. Is there apparent groundwater in the tank excavation? 6. A brief description of the surrounding land is provided. (see Section 3.1) .7o Information has been provided indicating the number and types of samples collected, methods used to collect and analyze the samples, and the name and address of the p laboratory used to perform the analyses. ' 8. A sketch or sketches showing the following items is provided:~ Fir i - location and ID number for all field samples collected - groundwater samples distinguished from soil samples (if applicable) NA - samples collected from stockpiled excavated soil - tank and piping locations and limits of excavation it adjacent structures and streets D - approximate locations'of any on-site and nearby utilities 41 9. If sampling procedures different from those specified in the guidance were used, has justification for using these alternative sampling proceduresbeen provided? NA (see Section 3.4) 10. A table is provided showing laboratory results for each sample collected including: sample ID number, constituents analyzed for and corresponding concentration, analytical method and detection limit for that method. ! 1.1. Any factors that may have compromised the quality of the data or validity of the results are described 12. The results of this site check/site assessment indicate that a confirmed release of regulated substance has occured - S�r`Vlce i) T:ne. ] LI 6. V1G m. 01CL.1 �'i1CcGJfl✓' �/1V1�'or1Me✓1't-�� PERSON REGISTERED WITH ECOLOGY FIRM AFFFIIUATED WITH BUSINESS ADDRESS: 12S21 EV to ✓' i 70% e r'h TELEPHONE:(?V�o-3S�S (?AUK 14rao w114 9c6Z3 S awe CIT( STATE Z1P+CODE I hereby certify that I have been in responsible charge of performing the site check /site. assessment described above. Persons submitting false inf ation are subject to penalties under Chapter 173-360 WAC* L�- Date signature of Person Registered with Ecology 1=01M UNDERGROUND STORAGE TANK TEMPORARYIPERMANENT CLOSURE and SITE ASSESSMENT NOTICE pop srsrt See back of form for instructions 0 t f & O r a E N r 0 rPlease . 2 the appropriate box(es) E C 0 L 0 G i Please type or print information Temporary Permanent Change -In- Site Assessment/ Tank Closure Tank Closure Service Site Check Site ID Number (on invoice or available from Ecology if the tanks are registered): 0000 2 I Site/Business Name: (i iiii�: Gr�cve:iiig:� T,rr E �JP_i��ltcc, Site Address: S I 2 y y {k 5�. 5 c,J Telephone: ( ) w A Street 8O Z.% ,rno�nc� s [.� A ,ty State LP Cale • • • ,JT Ilk, •01 Tank ID Closure Date Tank Capacity Substance Stored • • SSO 4c�L tn�as}. ;L • • F1 M Yes No I Unknown Check unknown if no obvious contamination was observed and sample results have not yet been received from analylab. tical UST Owner/Operator. Owners Signature: -«''"� Telephone: ( �� q SW Address:eIIIIIIo I Service Provider. r "' t�'�Gle l" C_ ny►r Otw'Y�Pr�'ti. SYC. =•nL • License Number. •5000 J "1 s / (� y f� e �O ��. Decommissioning (� 0o to Ci `/ Y LicensedSupervtsor. C. D License Number. Supervisors Signature: Address: 2 �2 I V� t`Q c•ertfl su" P.O Box t,klt��o �A Gl SZ�S city State ode Telephone: Name of Registered Site Assessor. VG.V 1 J m t C LI Telephone: Address: 12 5 Z 1 Ey a t` t` e r `J t} e- R - -) � Z�- � P O Box Ecv 020-34 , cuy J111 - 1. �• • I '+Jb^`l 1I+I 4• ISji iTANK OWNER AND LOCATION i1{i..i,l• I; I.r 'I II+!.. . • X •Y M I.a I W,,j.;,, 1VI see is, , �es I.I rI UST Owner/Operator: M N L 4..tiS MrM Owners Mailing Address: L{ if l� �� to % ,�'l1 L^ C rn 0 see1 �t<7 elf An—Lar asees stye. m Z Telephone: ( Zoe) �� -Z _ s3 o g Q CZ Site ID Number (on invoice or, available from Ecology if tank is registered): 0 0 Site/Business Name: C L L t O 7-serr (i 4 N �( C �" fZ (-� j' S� /Z V (C Cy � � Site Address: j .Z 2 .�Al 01�(O� l S/101' _ stmetrn t� A4 mJ s n1 g C v 0 s ,, ew Waco" n C u� enrni ' 2. TANK PERMANENT CLOSURE TO BE PERFORMED BY' If known1 j. �' °,•x' a'r,"' `'+"� 'x, �'r,' t "" a� F�'r 1." /�� N . .I f r rat h .7;11 r _ .� 0. lessees Firm: F iy V I RdI� LIOOrs y� Address: Z Z { V �� As,, Aw/ t) 2• t V� suea P.O. Box Z AA CAY so" �. Telephone: { Z Cy,C) Contact Name: M { W/ L C9 � `/ to . O 3. TANK INFORMATION' �. ,. We. 41.. e. n .r •k�- n.t L. �L i..r 1 l.,'1 I'1' I' N, r.• P. M. Tank Identification Approx. Closure Date Tank Capacity Tank Age Last Substance Stored (gallons) (yeera� 1 3 -s`oe sees,l__ a I l 40a FIT NKPW ER/OPERATOR OR AUTHORiZED:REPRESENTATIVE: ^;`•,rT��•'y;+y�L;•.+;w,`r►ti��+` . I I10 CIZIC401 Tft o.� Pee VE FP 6, IryL 4-o f�9Owl 990 City of Edmonds .Critical Areas Checklist z, 0 r The Critical Areas Checklist contained on and submit it to the City: The will - n f this form is to be filled out by any person review the checklist, make a precursory site m preparing a Development Permit visit, and make a determination of the Application for the City of Edmonds prior subsequent steps "necessary to complete, a to his/her submittal of a development development permit application. 0 m permit to the City. e O M ' With a signed copy of this form, the 0 0� y The purpose of the Checklist is to enable applicant should also submit a vicinity map e f =m City staff to determine whether any or plot plan for individual lots of the parcel m potential Critical Areas are or may be with enough detail that City staff can find. C z Ir; present on the subject -property. The and identify the subject parcel(s). In information needed to complete the. addition, the applicant shall include = �0 Checklist should be easily available from other pertinent information (e.g. site O 4; observations of the site or data available at plan, topography map, etc.) or studies in City Hall (Critical Areas inventories, maps, conjunction with this Checklist to assist m m or soil surveys). staff in completing their preliminary ; O N 0 ,. assessment of the site. c N co An applicant, or his/her representative, r m z0 must fill out the checklist, sign and date it, ..�� Critical Area Checklist and attest that the answers provided are I have completed the attached C z factual, to the best of my knowledge (fill out the appropriate column below). c 14 :Owner / Applicant: Applicant Representative: y�rv5 ,IM - Name Name ll,r� �v t,u Ids Li z ��Cn9 e��� Address Street Address Street A ' 355 Z9 2G City, State, ZIP, Phone City State, ZIP Phone 4 Si ...a re Date Signature Date u on CA FILE NO. �on?)— Z- jc1 non Critical Areas Checklist P 'ite Information ( soils/to ography/hydrology/vegetation) �Nr S �o-F 's y r%!l� I. Site Address/Locationo Lll�o' " Grhz P�� Tile i ��rV lc e- $I Lel 2. S 2, Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 36"o 0 0 + 4. Is this site currently developed? ✓yes; no. If yes; how is site developed? Gj0 AYea r 71 r` £ S erg ir�G C-erica=I or Z 5: Describe the general site topography. Check all that.apply. 0 Own ✓ Flat: less than 5 -feet elevation change over entire site. n rn Rolling: slopes on site generally less than 15% (a vertical rise of 10 -feet over ao Mom horizontal distance of 66 -feet). Mai Hilly: slopes present on site of more than 15% and less than 309 ( a vertical rise c m ?: of 10 -feet over a horizontal distance of 33 to 66 -feet). m v �O Steep: grades of greater than 3030 present onsite (a vertical rise of 107feet over a O c horizontal distance of less than 33 -feet). = m `. `• mZ Other (please.; describe): %/ p noon,CZ I Won In: 6. Site contains areas of year-round standing water: Al c % APProx. Depth: - -no 7. Site contains areas of seasonal standing water: L\1.-; Approx. Depth: Ton n i`' What season(s) of the year? N A m M 8. Site is in the floodway No _ floodplain _� of a water course. n m 9. Site contains a creek or an area where water flows across the grounds surface?flows are year Ca round? NoFlows are seasonal? :'�'r v (What time of year? rn n . 109 Site is primarily: forested meadow ; shrubs ; mixed ; : urban landscaped (lawn,shrubs etc) �c v ed w�f� L'er�; ��� £ sFn,;-I•f- f'wr.n�cnf X 1 1. Obvious wetland is present on site: For - City staff use Only • z site:is:.Zonea? (�( no.::_::.:.'` :.>>:: O F-(a�l.�—K — --t 2:r:•SCS map.Pzdtsoila3'P�s)�. m. t !J :�� 3 a .Ws;tla�ndmveato A;map to mOn dtcateswetland;presenC onsite.: ; ' :: •..: :. 7: . no.• 4:•,-;:.on.::Cnf�,caLAreas�myenEocyor:;C A•:•mapmd�cates:Cnhcal::p.rea.onsite,...: 1.7. 1' .. ' no 5 onStte within designated rarthaubs�dence landslide:hazard:area?. on on on:<., :a ;........ no on •..:.... .. : ..:. ori nentall' :Sansitive Areas I4ap?:. d` 6. Site desinat�d.on the Enver Ynoon of' DETERMiNATtON1 on no ! :....';:;:: STUDY'REQUIRED' Cono on no 9 I�iDITIQNAL:.WAIon VER` I _� WAIVER .:;no Rexlewed . do :.:ate Ra 0811". 3 } ( \ yon" �G vKt &L USE PERMIT CITY OF EDMONDS ZONE NUMBER 93059 CONSTRUCTION PERMIT APPLICATIONJOB',II yrioz UITEIAPT• OWNER NAME NAME OF BUSINESS ADDRESS 81 Zcl yLILI�'-` ,I �1�,, I/ i 1111D11.1 J LEGAL DESCRIPTION CHECK SUBDIV1510N NO UD NO .- m MAILING ADDRESS 1..� TE5CP APProree ❑ O 1 (-I L I . C I .� y • �• PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Repwina ❑ CITY .jI ZIP TELcPH2ONE t1UMBEN EXISTING REOUIRED DEDICATION Sueal Usa Pnmil Req'G ❑ eQ 1��C ill �J•��0.� InfMr.I,onRWunea ❑ ¢ PROPOSED 51anwAIY RMUIIaC ❑ .. NAME ' - • METER SIZE LINE SIZE NO. OF F1%TURES PRV REQUIRED � YES No t] W ADDRESS 2 - O LIP TELEPHONE NUMBER AI Q. 1 �' '00A RICITY NAME O" IcAcie r �,VC. IAt IF OWNER ¢ A DRESS - - ENGINEERING MEMO DATED REVIEWED BY - 1 r C � Irn 125Z� 77 C CC LIP TELEPHONE NUMBER REVIEWED BY i ¢ CITY FIRE MEMO DATED e 3s S O EXPIRATION DATE LL J� f 9 STATE LICENSE NUMOER. SIGN ARE sEPA REVIEW ADB NO. N..� GIP, I ALLOWED -PROPOSED. COMPLETE EXEMPT .. j Legal Description Of Properly - Include all easemCn15 SHORELINE a - v rn _• e EXP . '• IRI 0 nVARIANCE OR CU PLANNING REVIEW BY DATE t 0 a _ HEIGHT LOT COVERAGE _ f . c SETBACKS —FEET i _ . i FRONT SIDE REAR m Z . V a Properly /�,J�^ REMARKS i Tax Account II / f/ ooO . 0 Q�S 0 II SEE BACK FOR ADDITIONAL COMMENTS C .i Parcel No. 7 T F ):.. , i , 7. e : :c !' _ Z EINEW El RESIDENTIAL PLUMBING ADDITION I^v COMMERCIAL .MECHANICAL - N 001 D REMODEL APT. BLDG. LJ SIGN - CHECKED BY TYPE OF CONSTRUCTION CODE GROUP I j'•• (.. ❑ GRAOINO ❑ FENCE ' 1 CMOS. FENCE i) .T 1 . i I �— `I . CJ REPAIR LOAD . ITT ITI WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA DEMOLISH ❑ INSERT �. HOT TUB/SPA REQUIRED YES GARA011 GE �11 RETAINING WALL) - O M CARPORT D ROCKERY RENEWAL N MARKS _ _ r _ PROGRESS INSPECTIONS PER UBC 305 o C ,. 0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: _ n NUMBER , NUMOFlI OF 1 , SC 11116 CRITICAL // C U /• �� ,L - - mI f! n D OF I DWELLING ^ NUMDER oAREAS z rf o 'STORIES UNITS V A A)J )7! t. b i `, .. DESCRIBE WORK TO BE DONE IATTACH PLOT PLANI _ D III y S*45 FINAL INSPECTION REQUIRED VALUATION FEE i PLAN CHECK FEE Z U.JT rt t \o�cT LL BUILDING 1 . - IIEAT SOURCE GLAZING - e/e PLUMBING 0) • MECHANICAL Z Plan Check NO. O This Permit covers Work to be done On private properly ONLY. ORAmNaFaL n Any construction on the public domain (curbs, sldewPiks, rn driveways, marquees, ate,) will require separate permission, STATE SURCHARGE Permll Application: 180 Days STOMIA DRAINAGE FEE Permit Limit: 1 Year - Provided Work b Started Within 100 Days ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and N successors in inters 1, agrees to indemnil y, defend and hold W harmless the City of Edmonds, Washington, Its officials, s es Of employees, and agentsfrom any and all claim omrlAu Issuance whatever nature, all direct) or in, PLAN CHECK DEPOSIT = of this permit. Issuance of this permit shall not be deemed to ° modify, waive or reduce any requirement of any city ordinance °x nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE c. provision.,, thereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application is not a permit until i state laws regulating construction; and In doing the work aulhoriz- "ONLY THEs signed by the Building OHlcial or his/her ed (hereby, no parson will be employed In violation of the Labor WORK NOTED Deputy; and fees are paid, and receipt is Coder he Stale of Washington relating to Workmen's Companies• acknowledged in space provided, INSPECTION _. IIOn In raOCD and RCW 18,27. DATE SIGNED DEPARTMENT DATE SIG E IOWNEP OR AG TI OFFICIAL' S1 ATUR . CITY OF I %Z �f�• �il�—�3 EDMONDS /� l 1/N RELEASED OY: DATE CALL FUR ATTENTION INSPECTION IT IS. UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE . UNTIL A FINAL TO USTION'HAS BEEN MADE AND APPROVAL OR 771 @0220, on, —File YELLOW inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC • I' 1. Laboratories Serving the Environmental. Aerospace and Delense Industries J:,CERTIFICATEANAL.Y.SIS ;OF CLIENT:' GLACIER ENVIRONMENTAL SERVICES DATE:, 10/1/93 12521 EVERGREEN DR CCIL JOB #: 309016. s , MUKILTEO, WA 98275 CCIL SAMPLE #: 7 DATE RECEIVED: 9/28/93 Z' r' WDOE ACCREDITATION #: C142 _ CLIENT CONTACT: DAVE PIOLI rn .: CLIENT PROJECT ID: GYE 93-100 CLIENT SAMPLE ID: COMPOSITE OF 93 -100 -SP1, SP2, AND SP3 9/28/93 12:35 r" rl nH 1•,. A' ftp n,K!O• r181tY, M1A 1'•�'•Cr'1' . !:� M, • n r,. o- wl l - 4' '1.•:IIJI' tip. b•. p .:A�, r. - 1111 1:1 0l ,.. Ir :4. .YI'!' I:'4, Nn: !.1 :.0 Irl 1�:J4q�rpl' C `n•,;r. T.T ry 'YI +�' y Ir'1.. '.1 .4" .I -i:: n,l 1 , I I :: 11'SI. L. Ilrn. r{ I r I•{' ql ¢ l 1.1 1: II K1 1 N� .1. N arta ,y.tls 6J'i- ICI:.'nr n, t... Q4.11 ,,}I I, 1' Nd #.I drl:44iqg :�11s, .�.N. '�a r, .I1 , s{•1. .,, 'I'.A. .MI�� 71 .�1'.'j�.11aNr�111t �,d�1�1.�A.1• IN r IF.:I.1p. RESULT ,1!!R.�iJ a1.�'�11!'!11 J11 II,.!n r•�•II,..o1.11ker. al•.7.. r Y..9w,1_J 1..:i5rlt:'.l.0 - i, R. ! 7 - - m ACTION ANALYSIS ANALYSIS o� ANALYTE METHOD RESULTS* UNITS"' LEVEL"' DATE BY m m F. ' HCID WTPH-HCID ND(<20) MG/KG GAS 9/29193 KKG D Z " ! HCID. WTPH-HCID >50 MG/KG DSL 9/29/93 KKG r W HCID TPH-HCID >100 MG/KG OIL 9129193 KKG ,. TPH-HEAVY OIL WTPH-418A MOD 1600 MG/KG 200MG/KG .9/30193 KKG O PCB -1016 EPA -8080 ND(<,5) MG/KG 1011193 KKG PCB -1221 EPA -8080 ND(<.5) MG/KG 10/1/93 KKG ¢ < MG/KG 10/1193 KKG mm 'PCB -1232 EPA -8080 ND(<.S) •p � ,,- PCB -1242 EPA -8080 ND(<.5) MG/KG 10/1/93. KKG r O PCB -1248 EPA -8080 NO(t5) MG/KG 10/1/93 KKG C (Fn/� t` PCB -1254 EPA -8080 ND(<.5) MG/KG 1. 10/1/93 KKGM N PCB -1260 EPA -8080 ND(<15) MG/KG 10/1193 KKG t Z n. �. 1. 1 FRONT OF OIL RANGE PRODUCT ELUTED IN DIESEL RANGE Z 1 N ... Z • 'ND" INDICATES ANALYTE NOT DETECTED. REPORTING LIMB IS GIVEN IN PARENTHESES 0 rn' °• UNITS FOR ALL NON LIQUID SAMPLES ARE REPORTED ON A DRY WEIGHT BASIS ACTIONS LEVELS ARE PROVIDED ONLY WHEN PARAMETER DATA IS USED FOR A GENERALLY 1 CONSISTENT APPLICATION. WHEN PROVIDED, THEY SHOULD BE USED AS GUIDELINES ONLY, THE APPROPRIATE REGULATORY DOCUMENT SHOULD BE CONSULTED BEFORE MAKING ANY 1 DECISIONS BASED ON ANALYTICAL DATA APPROVED BY: rl j 3229 Pine St. Everett, WA 98201 206 258.4548 FAX 206 259 6289' Seattle 206 292.9059 ' Page 1 I , UNDERGROUND STORAGE TANK ,,,,,,® Site Check/Site Assessment Checklist. e"c'o� �`o`c'r 7lhe,na release hasnot been confirmed. and reported, this Site Check/Site Assessment Checklist must be completed ned by a person registered with the Department of Ecology. The results of the site check or site assess - must be included with this checklist This formmust be submitted to Ecology at the address shown below witn 30 days after completion of the site check/site assessment. sr YNFORM&TION: Include the Ecology site ID number if the tanks are registered with Ecology. This number may be. found on the tank owner's invoice or tank permit r TANK INFORMATION: z Please list all the tanks for which the site check and site as is being conducted. 0 Use the tank ID number if available, and indicate tank capacity and substance stored. —� 0 RE ON FOR COl`'DUC'1' NG SITS CHECIVSM ASSESSMENT• Please check the appropriate item. Please initial each item in the appropriate box. SM ASSESSOR INFORMA aQ , This form must be signed by the registered site assessor who is responsible for conducting the site check/ site assessment. f, VM;'�« ,Y aas' ice iTse=�nTy � ; _ r3 �c'ii^7'LLfCs'.� °:> + r cf + 3 • s �Ktrc, r" "w''s t w.y�s"r*4 cR as ,t�tyy�, Do tf � a e s> r, f r s rr3 �♦•.�°Y+t� � Y� ♦ . 9" { waw! 2 i' TT` A ♦. �%. liar ,[F, Y.° Y >L Y i S� }� IY O�nG0L° ° r✓rf° f M1t � t� f.:jt;� .? < f •„sx �,ti> ,';!i.. f; i ?�i�3a:.. ffS� t �:! E): a,. Y..1S r, Jk ��1���• �t,� �r..�,.+ ,7 a��rw4< s�i:t� ifo.n vs w �, x°[!`�r f A �q 7lhe,na release hasnot been confirmed. and reported, this Site Check/Site Assessment Checklist must be completed ned by a person registered with the Department of Ecology. The results of the site check or site assess - must be included with this checklist This formmust be submitted to Ecology at the address shown below witn 30 days after completion of the site check/site assessment. sr YNFORM&TION: Include the Ecology site ID number if the tanks are registered with Ecology. This number may be. found on the tank owner's invoice or tank permit r TANK INFORMATION: z Please list all the tanks for which the site check and site as is being conducted. 0 Use the tank ID number if available, and indicate tank capacity and substance stored. —� 0 RE ON FOR COl`'DUC'1' NG SITS CHECIVSM ASSESSMENT• Please check the appropriate item. Please initial each item in the appropriate box. SM ASSESSOR INFORMA aQ , This form must be signed by the registered site assessor who is responsible for conducting the site check/ site assessment. I C my 0 0 O c i 7lhe,na release hasnot been confirmed. and reported, this Site Check/Site Assessment Checklist must be completed ned by a person registered with the Department of Ecology. The results of the site check or site assess - must be included with this checklist This formmust be submitted to Ecology at the address shown below witn 30 days after completion of the site check/site assessment. sr YNFORM&TION: Include the Ecology site ID number if the tanks are registered with Ecology. This number may be. found on the tank owner's invoice or tank permit r TANK INFORMATION: z Please list all the tanks for which the site check and site as is being conducted. 0 Use the tank ID number if available, and indicate tank capacity and substance stored. —� 0 RE ON FOR COl`'DUC'1' NG SITS CHECIVSM ASSESSMENT• Please check the appropriate item. Please initial each item in the appropriate box. SM ASSESSOR INFORMA aQ , This form must be signed by the registered site assessor who is responsible for conducting the site check/ site assessment. •-ComZ Site ID Number (on invoice or available from Ecology if the tanks are registered): o o o 4 210 Z Site/Business Name: Site Address:. �� I r Telephone: ( ),: j� 0 'Strom f �mr,^rl; ;� �A Gl,C°�' tom- mm �— city Slate LP Godo 0 Tw • • - • • M Check one: Investigate suspected release due to on-site environmental contamination. Investigate suspected release due to off-site environmental contamination. Extend temporary closure of UST system for more than.12 months. UST system undergoing change -in-service. UST system permanently closed -in-place. - ST system permanently closed with tank removed. Abandoned tank containing product. t Required by -Ecology or delegated agency for UST system closed before 12122188. Other (describe) WY MOMIse page t C my 0 0 O c •-ComZ Site ID Number (on invoice or available from Ecology if the tanks are registered): o o o 4 210 Z Site/Business Name: Site Address:. �� I r Telephone: ( ),: j� 0 'Strom f �mr,^rl; ;� �A Gl,C°�' tom- mm �— city Slate LP Godo 0 Tw • • - • • M Check one: Investigate suspected release due to on-site environmental contamination. Investigate suspected release due to off-site environmental contamination. Extend temporary closure of UST system for more than.12 months. UST system undergoing change -in-service. UST system permanently closed -in-place. - ST system permanently closed with tank removed. Abandoned tank containing product. t Required by -Ecology or delegated agency for UST system closed before 12122188. Other (describe) WY MOMIse page t Each item of the following checklist shall be initialed by the person registered with the Department of Ecology I signature appears below. YES NO 1. The location of the UST site is shown on the vicinity map. L, lN•P 2. A brief summary of information obtained during the site inspection is provided. (see Section 3.2 in the Site Assessment Guidance) 3. A summary of UST system data is provided. (see Section 3.1) 4. The soils characteristics at the UST site are described. (see Section 5.2) 1� Z 5. Is there apparent groundwater in the tank excavation? O 6' A brief description of the surrounding land is provided. (see Section 3.1) j rn 7. Information has been provided indicating the number and types of samples collected, methods used to collect and analyze the samples, and the name and address of the Dco laboratory used to. perform the analyses. l o r=n �.�` 1, rn mo A sketch or sketches showing the following items is provided: ,� 0 n 8 c location and ID number for all field samples collected mZ _ groundwater samples distinguished from soil samples (if applicable) Nf-1 c Z samples collected from stockpiled excavated soil i• tank and piping locations and limits of excavation it to - °� adjacent structures and streets ' _ approximate locations of any on-site and nearby utilities D� 4414 mm 9. If sampling procedures different from those specified in the guidance were used, has ; Ca justification for usingthese alternative sampling procedures been provided? NA c vO.im, (see Section 3.4) m 0 Z� 10: A table is provided showing laboratory results for.each sample collected including: sample ID number, constituents analyzed for and corresponding concentration, analytical X method and detection limit for that method_ 11. Any factors that may have compromised the quality of the data or validity of the results are / } n, described. _ 12. The. results of this site checWsite assessment indicate that a confirmed release of � z0 regulated substance has occured —� 0 •� .� M ' �'+ 0.0.y mtoyt-4L/ PERSON REGISTERED WITH ECOLOGY. FIRMAFFIUATEDWITN BUSINESS ADDRESS: /252/ TELEPHONE( CITY STATE 21P+CODE ' I hereby certify that I have been in responsible charge of performing the site cheek/ site assessment �. I described above. Persons submitting false in f ation are subject to penalties under Chapter 173-360 WAC.' a Date • Signature of Person Registered with Ecology page 2 l .51 i .. - Dt} rv✓�Yfj kit,7rh Y v) 7�-yrt GARY HAAKENSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 99020 • (425) 771.0220 • FAX (425) 771.0221. i Website: www.ci.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT j p Planning • Building • Engineering nc.18N Z' ; ` March 8, 2005 O i n i SHDP Associates, LLC m 4 Attn: Jim Wieben ; i 1359 N 2051h St, Suite B Shoreline, WA 98133 to E RE: Deferred Submittal list and requirements for Edmonds Office Building m v Permit 2005-0185 @ 8129 Lake Ballinger Way n' Dear Jim Wieben,'Z I Below is a list of deferrals called out by your architect that include time frames and review D Z i requirements: The owner of the building, general contractor or sub-contractor may apply and � Z sign the permit application for these submittals.'. 0 1. Plumbing, requires 2 sets of plans for review, initial submittal review takes approximately 3 - .n E; weeks. 2. Mechanical, requires two sets di of plans for review, initial submittal review takes rn approximately 3 weeks. v to 3. Fire Alarm, requires three sets of plans and may require outside peer review; Initial n m tf submittal review takes approximately 3 weeks. C ca 4, Sign, requires three sets of plans for review, initial submittal review takes approximately 1 r m I z r 0. week. 5. Electrical, required permit through State Labor and Industries. 6. Irrigation, a separate irrigation and backFlow permit is required from the City's Public Works ( Department. This is a general list tZ. hat does not call out the minimum submittal requirements. Please have t � a : your general contractor or sub-contractor contact me for specific minimum submittal requirements _ prior to applying for the above permits. i Z i If you have any questions please don't hesitate to fcontact me at 425-77.1-0220 x1261 0 Sincerely; Theresa M. Umbaugh J f Permit Coordinator i I i • Incorporated August 11, 1890 • i Sister Citv - Hekinan. Jaoan ILL* 14 4, PENl�T�N �. CON,STRUC'rION COMPANY, INC. March 2, 2005 Mr. Jim Wieben FIRST WESTERN DEVELOPEMNT SERVICES R E c r I V E SuiteB t 1359 N. 205th St. MAR r 3 2005 0ILL PERMIT COUNTER rn Shoreline, WA 98133 n f REI 3ta�emet�t'O>~Reap�W1 ;:,�;.sees Memo Dear Jim, I c mILLy m s In ILLcompliance with IBC Section 1705.3, Pennon Construction Company, Inc. hereby -t n , acknowledges it has received read and intends to conform with the project documents, O e specifically sheet S1.1, "Quality Assurance". m z ,,l ILL Item 1- Awareness of Special requirements contained in the quality assurance plan. y Z Pennon Construction is aware of all special inspection requirements listed in the project plans and acknowledges its -responsibility for compliance and (a responsM ILL ibility for attaining the requirements of the project plans. �,� s f Item 2 Acknowledge that control will be exercised. _ Thorough review of all shop drawings and product submittals, continuous over- fes w site by on-site personnel and frequent inspections by management staff will assure c conformance with the project plans.. t' Z n I Item 3 - Procedures for exercising controls L. sell . Prior to acceptance of any required components, Pennon Construction must submit relevant product data and/or shop drawings to the Architect and Engineer PILL of Record. Only those products and procedures which receive .approval from the z ; Design Team will be installed on the project. Pennon Management meets with its } field supervision staff to review approved documents to ensure that the Project 55ILL I , Team understands the specific requirements of the Project. Copies of original z stamped/approved documents are kept on site in the project office for instant access by Pennon personnel, Subcontractor employees, Special Inspectors, and m Municipal authorities. Pennon Construction management and on-site supervision will oversee all installations by means of pre -installation meeting for critical components, weekly project meetings and periodic inections daily, throughout the construction sp process. a � GENERAL CONTRACTORS i 1287. Wr;STLAXr AVENUE NORTH SEkTTLE,WA 98109 )o6.418-0237 FAX 206-418-0237 i 4_ '� t r � _. �/.._ ' �. . f:'" �.... f .. '` O F; ' \ I � . m _ �` '�� � � s.. `'; vrn _ �a .,.,. _ i . . __ Krazan & Associates, Inc. 19501 -144th Avenue NE W400: �- "-%)odinville, WA 98072, (425) 4854519 Project No. 096-05057. Cyt. Code 19103 Pour Date 5/5 Report No. 02241 3/0 Weather Sunny Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect client First Western Development Services Contractor Pennon Const, Remarks Please refer to Field Report No. 55486. j Reinforcing steel in. place per plans and specifications. inspector Teajalam Gounden elm MENOMONEE Laboratory Data Design Strength 2, @ y 000 28 days .Date Specimens Recd. 5/4/05 Cross Mid Pt. Out of Section Max. Comp. CyL Test Width Height Plumb Area Load Strength Tested Break Code Date Age .(in) (in) (%) (sq.in) (Ibs) (psi). Set# By Type 19103-1 .5/10/05 7 3.291 6.00 0.0 10083 44010 4,060 1 CM 3. 19103-2 5/31/05 28 1 19103-3 5/31/05 28 1 19103-4 H 1 Remarks J) J�f/ Results Reviewed By �(��IhIn Date Reviewed Z3�S Laboratory . Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1019 Other Test Results Conforming Non -Conforming Codes for Break Types: 1: Con 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +1-10.7, ASTM C1019= +/- 14.4% Form 04107 Revision 0 . - Effective Date 12Q=2 The infoutwn provided on this report is prepsred for the exclusive use of the client. This report nuy not be reproduced in Any fomut without the ""ten pe nission of the client ArM Kann 6 AtAocuus. m I' MM vco ,. cFn r m 0 Z74r— inspector Teajalam Gounden elm MENOMONEE Laboratory Data Design Strength 2, @ y 000 28 days .Date Specimens Recd. 5/4/05 Cross Mid Pt. Out of Section Max. Comp. CyL Test Width Height Plumb Area Load Strength Tested Break Code Date Age .(in) (in) (%) (sq.in) (Ibs) (psi). Set# By Type 19103-1 .5/10/05 7 3.291 6.00 0.0 10083 44010 4,060 1 CM 3. 19103-2 5/31/05 28 1 19103-3 5/31/05 28 1 19103-4 H 1 Remarks J) J�f/ Results Reviewed By �(��IhIn Date Reviewed Z3�S Laboratory . Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1019 Other Test Results Conforming Non -Conforming Codes for Break Types: 1: Con 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +1-10.7, ASTM C1019= +/- 14.4% Form 04107 Revision 0 . - Effective Date 12Q=2 The infoutwn provided on this report is prepsred for the exclusive use of the client. This report nuy not be reproduced in Any fomut without the ""ten pe nission of the client ArM Kann 6 AtAocuus. m I' Krazan & Associates, Inc. 19501 -144th Avenue NE #F -3r' "Woodinville, WA 98072, (425) 485-5519 Project No. 096-05057 Cyt. Code 18983 Pour Date 4/15/05 Report No. 08704 Weather Overcast Jurisdiction City of Edmonds Permit No. 2005-01,85 j Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services Contractor Pennon Const. Field Test Methods rn rn Remarks Please refer to Field Report No. 35162. X ASTM C143 ASTM C138 p r 0 m X ASTM C1064 ASTM C173 C N ca f X ASTM C31 Other Z n Inspector Sam Hyatt X - 000. 28 days . Date Specimens Rec'd. 4/18/05 Laboratory Data Design Strength 3, @ y p Cyl. Test Field Max. Comp. Tested Break Code Date Cure Age Dim, Area C.F. Load Str. (psi) Set # By Type 18983-1 4/22/05 7 1989 12.52 11'0 46440 31710 1 JB 1 18983-2 5/13/05 28 3.989 12.50 1.0 73170 51850 1 CM 1 18983-3 5/13/05 28 3.989 12.50 1.0 72860. 51830 1 CM 1 18983-4 H 18983-5 18983-6 18983-7 .18983-8 Remarks Results Reviewed By A111144V . Date Reviewed Laboratory Test Methods ASTM.C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C780 Other Test Results X Conforming Non -Conforming Codes for Break Types: 1: C ne 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C-39 +/- 8% Form 07101 Revision 2 i Effective Date 12102/02 The information provided on this report is prepared for the exclusive use or the client. This report may not be reproduced in any formal without the written permission of the client and Nratan 6 Associates .i Krazan & Associates, Inc. 19501 -144th Avenue NE #F=X' Woodinville, WA 98072, (425) 485-5519 Project No. 096-05057 Cyl, Code 19104 Pour Date 5/2/05 Report No. 2240 Weather cloudy Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services Contractor. Pennon Corist, Remarks Please refer to Field Report No. 55485 Reinforcing steel per plans. Inspector T. Gounden ! _ D� Laboratory Data Design Strength 2,000 @'28 days Date Specimens Rec'd. 5/4/05 Cross Mid Pt. Out of Section Max. Comp. Cyl. Test Width Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (lbs) (psi) Set # By Type 19104=1 5/9/05 7 3.39 6.00 0.0 11.02 28860 21620 1 CM 3. 19104-2 5/30/05 28 1 19104-3 5/30/05 28 1 19104=4 H 1 Remarks %1 % Results Reviewed By ///j�( �r Date Reviewed 3 r>o Laboratory Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1019 Other Test Results Conforming Non -Conforming Krazan & Associates, Inc. 19501 - 144th Avenue NE #F=%* Woodinville, WA 98072, (425) 485.5519 Project No. 096-05057 Cyl. Code 19102 Pour Date 5/2/05 Report No. 3756 Weather Cloudy Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building Engineer Location 8.129 Lake Ballinger Way' Architect Client First Western Development Services Contractor Pennon Const. Remarks Please refer to Field Report No. 50354 load size 40 yds: samples located on south side of stairs along wall Inspector Doug KOstal —I Laboratory Data Design Strength 2,000 @28 days Date Specimens Recd. 4/22/05 } z Cross _ Mid Pt. Out of Section Max. Comp. Cyl. Test Width Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (lbs) (psi) Set # By. Type 19102-1 5/9/05 7 3,.298 6.00 0.0 10.88 28010 2,570 1 CM .4 19102-2 5/30/05 28 1 19102-3 '5/30/05 28 1 191024 H 1 Remarks Results Reviewed By ,� Date Reviewed Ej ?� Laboratory Test Methods ASTM C39 ASTM C109, ASTM C617 ASTM C1019 Other .Test Results Conforming Non -Conforming Krazan & Associates, Inc. 19501 -144th Avenue NE #F-300, •Woodinville, WA 98072, (425) 485-5519 Project No. 096-05057 cyl. Code 19073 Pour Date 4/28/Ud Report No. 3755 Weather sunny Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building engineer Location 8129 Lake Ballinger Way Architect client First Western Development Services contractor Pennon Const: Field Data MORTARIGROUT REPORT Reported Batch Data Supplier Concrete NW Plant No.: 38 Site Mix Design. Actual Initial Weights Weights Flow or Grout Air . Max/Min Mix No. 0370030 Z Slump Temp. Temp. Temp. Cern, lbs, 2632 2632 WOMEN Time Truck# Ticket # % Air (in.) (F) (F) (F) F. Ash lbso f�11 2:00 059. 547814 -- Fluid 68 62 C. agg. lbs. 1 (Pea)3680 3620 C. agg. lbs. 2 —� Grout Box Used X C. agg. lbs. 3 O m Nunrtper of units used to form specimens 4 Sand lbs. 8870 .9060 m 00 4' Water lbs. 110 108 O C Placement Area Air Enc. (os) m Z Location 8" CMU walls @ A11-2; 11A -E and E/1-4 @ elevations(4'-8') . otner(o:) Q —+ GONE& fill other (oz) r Other (oz) _ Other (oz) 0 v Water Added on Job (gals.) 25, �m Remarks Please refer to Field Report No. 50351 samples located along wall @ south side of stairs Inspector. Doug Kostal X -� Laboratory Data. Design Strength 2,000 @ 28 days Date Specimens. Recd. 4/29/05 Cross Mid Pt. Out of Section Max. Comp. Cyl. Test Width . Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (Ibs) . (psi) Set # By. Type 19073-1 5/5/05 7 3.30 6.00 0.0 10.86 31090 2,860 1 CM 4 19073-2 5/26/05 28 1 19073-3 5/26/05 28 1 19073-4 H 1 Remarks Ojil Results Reviewed By ( %,� Date Reviewed Laboratory Test Methods ASTM C39 ASTM C109. ASTM C617 ASTM C1019 Other Test Results Conforming / Non -Conforming Codes for Break Types: 1: Cone ( 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties* ASTM C109= +/-10.7, ASTM C1019=.+/-14.4% Fom 04103 aowobn o Move Dots 1 24=2 This Womrtion pmvmW on this upon s prspeud for the s11dwivs uN of tM drm. This upon my not W npradupd in any Icmul without 1M rrtntsn psrtnissbn of the Gisnl and Nntsn i Mwculu, i i m_ ON CronN m� � Z� Inspector. Doug Kostal X -� Laboratory Data. Design Strength 2,000 @ 28 days Date Specimens. Recd. 4/29/05 Cross Mid Pt. Out of Section Max. Comp. Cyl. Test Width . Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (Ibs) . (psi) Set # By. Type 19073-1 5/5/05 7 3.30 6.00 0.0 10.86 31090 2,860 1 CM 4 19073-2 5/26/05 28 1 19073-3 5/26/05 28 1 19073-4 H 1 Remarks Ojil Results Reviewed By ( %,� Date Reviewed Laboratory Test Methods ASTM C39 ASTM C109. ASTM C617 ASTM C1019 Other Test Results Conforming / Non -Conforming Codes for Break Types: 1: Cone ( 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties* ASTM C109= +/-10.7, ASTM C1019=.+/-14.4% Fom 04103 aowobn o Move Dots 1 24=2 This Womrtion pmvmW on this upon s prspeud for the s11dwivs uN of tM drm. This upon my not W npradupd in any Icmul without 1M rrtntsn psrtnissbn of the Gisnl and Nntsn i Mwculu, i i Krazan & Associates, Inc. 19501 -144th Avenue NE #F -300 --Woodinville, WA 98072, (425) 4854519 Project No. 096-05057 Cyl. Code 19022 Pour Date 4/21 /u5 Report No. 03005 Weather Overcast Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services Contractor Pennon Const. Field Data MORTAR/GROUT REPORT Reported Batch Data i;. Supplier Concrete NW Plant No. Site Mix Design Actual Initial Weights Weights Flow or Grout Air Max/Min Mix No. 0370030 Slump Temp. Temp. Temp. Cam, lbs. Z Time Truck# Ticket # % Air (in.) (F) (F) (F) F. Ash lbs. 4 n rn 1:15 059 547653 -- Fluid 60 65 C. agg. ibs.1 No Batch C. a99, lbs. 2 Weights Grout Box used X Ce agg, lbs. a Provided ca Number of units used to form specimens 4 Sand lbs. C M rn Water lbs. O Placement Area Air Ent. (oz) C Location 8" CMUwalls 1st 4' lift at A/.1-2, 1/A -E, E/1-4.6" CMU walls Other(oz) . m at E/4-8 with planters. Other(oz) >o _ DZ Other(oz) Other (oz) N Water Added on Job (gals.) 15 O =n t Remarks Please refer to Field Report No. 50302 Reinforcing steel per plans. Grout place by line pump and mechanically consolidated. inspector Dale Rierson X Laboratory Data Design Strength. 2,000 @28 days Date Specimens Recd. 4/22/05 Cross Mid Pt Out of Section Max. Comps Cyt. Test Width Height Plumb Area . Load Strength Tested Break Code Date Age (in) (in) (%) (sq.1n) (lbs) (psi) Set # By Type 19022-1 4/28/05 7 3.291 6.00 0.0 10.83 41880 36870 1 CM 3. 19022-2 5/19/05 28 1309 6.00 0.0 10.95 49800 41550 1 PC 4 19022-3 5/19/05 28 3.309 6.00 0.0 10.95 46270 4,230 1 PC 4 190224 H 1 Remarks Results Reviewed By r`/�/�� Date Reviewed y"- Z 2 US Laboratory mm. ASTM C39 O r- ; 0 X CN f. X ► other Zn inspector Dale Rierson X Laboratory Data Design Strength. 2,000 @28 days Date Specimens Recd. 4/22/05 Cross Mid Pt Out of Section Max. Comps Cyt. Test Width Height Plumb Area . Load Strength Tested Break Code Date Age (in) (in) (%) (sq.1n) (lbs) (psi) Set # By Type 19022-1 4/28/05 7 3.291 6.00 0.0 10.83 41880 36870 1 CM 3. 19022-2 5/19/05 28 1309 6.00 0.0 10.95 49800 41550 1 PC 4 19022-3 5/19/05 28 3.309 6.00 0.0 10.95 46270 4,230 1 PC 4 190224 H 1 Remarks Results Reviewed By r`/�/�� Date Reviewed y"- Z 2 US Codes for Break Types: • 1: Cone 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +/-10.7, ASTM C1019= +1-14.4% .. ., Form 04103 Revision 0 . Elbcthe Dela IZWJ01- The In%mution provided on this report is prepared far the exelusive use of the drnl. This report mey not be reproduced in any lormel wdnout IM vmtten permipion of the dish/ and Wsren a Associates. i Laboratory Test Methods ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 other Test Results X Conforming Non•Conforming Codes for Break Types: • 1: Cone 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +/-10.7, ASTM C1019= +1-14.4% .. ., Form 04103 Revision 0 . Elbcthe Dela IZWJ01- The In%mution provided on this report is prepared far the exelusive use of the drnl. This report mey not be reproduced in any lormel wdnout IM vmtten permipion of the dish/ and Wsren a Associates. i Placement Area Location 4" Interior slab on grade, slab infills at plumbing locations #4 slab dowels and WWF, 2" foam insulation at slab. perimeter. Resteel per plan,'concrete placed by boom pump. i Remarks Please refer to Field Report No. 55603. WWF lifted into mid -point of 4th slab. inspector Dale D. Rierson n z T Laboratory Data Design.Strength 3,000 @28 days Date Specimens Rec'd.. 5/11/05 Cyl. Test Field Max. Comp. Tested Break Code Date Cure Age Dim. Area C.F. Load Str. (psi) Set # By Type 19163-1 5/17/05 7 3.989 12:49 1.0 49140 3,930 ` 1 PC 2 19163-2 6/7/05 28 1 19163-3 6/7/05 28 1 19163=4 H 1 19163-5 19163-6 19163-7 19163-8 Remarks Results Reviewed By /`; Date Reviewed 2 -C)5 Laboratory Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM 01231 ASTM C780 Other Test Results Conforming Non -Conforming Krazari 3 Associates, Inc. 19501 -144th Avenue NE Wa300.. Woodinville, WA 98072, (425) 4854519 / Project No. 096-05057 uyl. Code 19163 Pour Date 5/101 %11 Report No. 06511 t/ Weather Overcast Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services contractor Pennon Const. Field Data CYLINDER REPORT Reported Batch Data Concrete Other Design Actual Weights Weights Supplier Glacier Plant No. 260 Site Mix Mix No. 3025 Cam. lbs. 423 427 O r Mix Air Unit F. Ash lbs. 85 86 MINNOW Slump Temp. Temp. Wt. c. agg. lbs. 1 (3/4)1900 1908 m Time. Truck# Ticket # % Air (in.) (F) (F) (Pct) C. agg. lbs. 2 6:45 628 647157 -- 5.75 61 47 -- C. agg. lbs. 3GONE to Sand lbs. 1425 1496 Cm is Water lbs. 250 245 O n 0. Air Ent. (os) Placement Area M `: Location 4" Interior slab on grade, slab infills at plumbing locations W (o:) 15 15 m m #4 slab dowels and WWF, 2" foam insulation at slab Other (o:) p perimeter. Resteel per plan, concrete placed by boom other (o:) � Z 17Uf11p. 000010 other (oz) Water Added on Job (gals.) 20 Mn O Mn MOMMOMMMOMMom i on i. Remarks Please refer to Field, Report No. 55603. WWF lifted into mid=point of 4th slab.1.6 Fn m SIMONS F Z n Inspector Dale D. Rierson .--1 Laboratory Data Design Strength 3,000 @ 28 days Date Specimens Recd. 511.1 /05 M I Cyl. Test Field Max. Comp. Tested Break Code Date Cure Age Dim. Area C.F. Load Str. (psi) Set # By Type 19163-1 5/17/05 7 3.989 12.49. 1.0 49140 3,930 1 PC 2 19163-2 6/7/05 28. 1 19163-3 6/7/05 28 1 19163-4 H 1 19163-5 19163-6 19163-7 19163-8 Remarks Results Reviewed By i .`(i2JDate Reviewed Laboratory Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C780 Other : ENo st Results nforming n•Conforrning 'IELD REPORT NO: 50859 Krazan & ASSOciates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION - . CONTRACTOR: DATE: orn�5PROJECT #: / Ip� : JURISDICTION: PROJECT: �r_�.;1 ,v e),S -'r /l c PERMIT #: LOCATION: d/'e x i 46e.I Ave, INSPECTOR: KRAZAN PROJECT MANAGER:WEATHER: Lc E ���' TEMP:. ✓ %' eee •r/'�' 1, C W04 C. C 11.7 4 �e0— c/ .-�,�,�'✓c' A %r .;� 2 G� / i C r= A� / C A 04 c r_' S �'� h ,�7 w G �s �� G S �, ri hf ryx� n /,�► f •� c T///'E•4�' 7"e ye .4Tc %� ,� �'f ,O�' L (mit/C.r:vEFr� 5 I To the best of my knowledge, the abo\ AS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technics • 559 348-2200 4221 Brickell St., Ontario, CA 91761 (909) 974.4400 215 West Dakota Ave., Clovis, CA 93612 ( ) 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501.15" St. NW Suite 106, Auburn, WA 98002 • (253) 939.2500 Palm Ave. IJ2E, Modesto, CA 95351 • (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 • (360) 5982126 1025 Lone PaSan Jose, CA 95112 • (408) 271.2200 -19501.144" Ave. NE 0.300, Woodinville, WA 98072 (425) 485.5519 545 Parrott al 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564-2200 Revision 0 EfrecUve Daly 81 16J02 The inrinllLltinn NNHt1eI on this rcPtln is Prl'Isul'et for the exclust" use of the client. This rc;x)lt nwY shit Ik IeprOttuccd 10 uns' rnntlal without lilt WIIIit'tl IYITiicC�On ,Ihh� 4-lion, nn.l s'.n••^ o• +••^^•^�-^ "K IELD REPORT NO: 5 5 4 2 4 razan & ASSOciates, Inc. - - GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING / CONSTRUCTION TESTING AND INSPECTION DATE: C2 S- CONTRACTOR:—��2��'7 PROJECT #: g:M6 ���L_% JURISDICTION: PROJECT: C Obi' at2&,.1 PERMIT #: - Q LOCATION: INSPECTOR`. KRAZAN PROJECT MANAGER: WEATHER: TEMP:. V �• iar rA 1� (-ckT Gz/= 4 ZZAS of, r� r�r-ter/ c .-�•� S � - - � 3Z it;0�40plietW/ 40005.p OF :Z 92e a c T � s • 9:21111110 2. 0aa OOOF Or of V gr 9/ �. . To the best of my knowledge, the above l / WAS NOT. performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: T hnician: ?Y 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 422 rickell St., Ontario, CA 91761 (909J 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837-9200 150 1 - 15" St. NW Suite 106, Auburn, WA 98002 (253) 939.2500 1025 Lone Palm Ave. 02E, Modesto, CA 95351 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St., San Jose, CA 95112 • (408) 271.2200 19501-144" Ave. NE 0-300, Woodinville, WA 98072 (425) 485-5519 5808 Price Ave, Bldg, 1016, McClellan, CA 95652 (916) 564.2200 Revision it FiTecnw Date 811(i4)' The ulrmnlatnln pnlstded on this relwn is picpared ror the csclusive use orthc client I his tclnut may um be tl'ptOdneed in any linlult wltltnul the written'nenruCfulli nl 11u•,•Iirm srnl e.•,., its e• Acv...•,•,,.,c i 1 _IELD REPORT NO: 50499 i%A0Krai;1 & Associates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: 1 c.- -� CONTRACTOR: PROJECT #: O 5 - SU JURISDICTION: PROJECT: �L�,,> �.,/.�� Cr PERMIT #: LOCATION:, L �' INSPECTOR: KRAZAN PROJECT MANAGER: WEATHER: c t TEMP: 51E� �nJ : T r fi 1 / v �� E'er `C., r CFS• x _.'� F/ •AJ Gore ci c ,�- P•� a,� ,�,.�/ccC �-, f �,o.a:l yc'C /,!/%�' C�i� i i.��C. L��s'G� ( ,nitJ'rin AC `tl•c �9/' /C CGT/204jf' l' S/Z �r Sl �C.C�/,�/�yt D �'DCFS C��� �.�V�'► �� ::� l ��1.� � 7 ti'c-"'4rJ t T �1 A// T / r7 'i -�� •� � )C ji >�/ f404C .y w � 't' c G' i� E/.J '" ,'� .�y r �'7 ' �'�^ Af'/<'r' n r,/�-�•� %'C- 0.11. S Of To the best ofmy knowledge, the aboe W�/ NAS NOT performed In accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technir� �} 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 4221 Brickell St., Ontario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 0 (661) 837.9200 1501 • IS St. NW Suite 106, Auburn, WA 98002 0 (253) 939.2500 1025 Lone Palm Ave. M2E, Modesto, CA 95351 • (209) 572.2200 20714 State Hwy 305 NE Suite X. Poulsbo, WA 98370 • (360) 598.2126 545 Parrott St, San Jose, CA 95112 • (408) 271.2200 19501.144" Ave. NE 0,300, Woodinville, WA 98072 • (425) 485.5519 5808 Price Ave: Bldg. 1016, •Mcclellon, CA 95652 • (9 16) 564.2200 Koiskin o GRkme Ualr N'IbU: I he mrmtrill kill ptostded on Ihrt tepnt n ptepu,ed fat the ecttustve we of the theist rhn trt>,nt lour nut he ,eteoduced in am Gums, %0h4ini ,h. w,n,.t, ,...,.."..I, ...tne..,..., ,. 4v....... . loom/,� �,. -1ELD REPORT NO: 55598 mKrazal & ASSOCiates, Inc. ; GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: .r5S e5 CONTRACTOR: Al PROJECT #:_ �9G©. `•7 JURISDICTION: PROJECT:`(-���.��� c c PERMIT #: 'INSPECTOR: LOCATION: Z k � L✓ �,wr clic C t` er• s' o r✓ KRAZAN PROJECT MANAGER: fSiLl WEATHER: TEMP: -T---- dy tic-�-s �" _ eeeiit'/ Z. f_ .1 ^ • ` µ { _ 0 /do r` Nlnn e �c� c i� AlT r!-.vV� ti n1616•2✓i A-,t/e.w- !dti'C. ✓moi j`zi�S Pd u re�� 1r '7 t O K .� r'9' S /�if-t•/1� 7�.c' P's �7£7" e s e of Ac �� (� m c �- Al �C�' i�.S. 1�0 �d >os ,�,�.�✓.S' n —T , C �. 2 m e f , T_ 10z 10 cz CQ A16 re leo &0 f LG✓es V� At r 70030 3 3 0 e i1- �� 40 /. %-•c. s rn rn � � M CCO) r Z 0 t z co z awl M To the best of my knowledge, the obov AS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements, Superintendent/Representative: Technics o 00 215 West Dakota Ave., Clovis, CA 93612 0 (559) 348.2200 4221 Brickell St., Ontario, CA 91761 0 (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 & (661) 837.9200 1501.15" St. NW Suite 106, Auburn, WA 98002 a (253) 939.2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 0 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 • (360) 598.2126 545 Parrott St., San Jose, CA 95112 • (408) 271.2200 19501.144" Ave. NE #F•300, Woodinville, WA 98072 0 (425) 485.5519 5808 Price Ave, Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 Rcasuvt o • [he rttitntW rut p ro%ided un this iupoit is prepared for the esclusne use til the client 'rhts main tiwt not he rerruduced in mra fauar wohwit tlir a„Hots ,i,....,,..,..,. .,na. i......._ t t•...._ - azar & Associates, Inc. :I ELD REPORT NO: 55603 GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: 1.e7 ,- 5. CONTRACTOR: odZ Ae y PROJECT #: - JURISDICTION: PROJECT: F�� �_ PERMIT* T� ,ILI LOCATION: /;ZQ z ,t�li�w'a e.r /� INSPECTOR:. 7)AZe �r�-%�4z KRAZAN PROJECT MANAGER: i S .� WEATHER:joist-r`� _r r S TEMP: �y %' oe—_ ��� sf /e .�s Cox- a �s }���A �� CD.e/�r.>�e��r �C�P/: LA12r�'P/�� iy 11 A01 5ia4s r/.�i��_ S�il�� �N�I�.r ,,Li_ TJjIr,LAf�..7 le ca I�e,/�t z ' O m C 0 GA C Lei /M t30 ' o 0 DDD cor � .Z.,. �_ S,�c A C7�•��.�•� _ m t1%mss *e � .%. m z Q -1 Dz ro/l�c►.f�.rt �.vSrc%rc�i o.r/ .� S�.lh n r_r'i AA,�I��_r .�c,vQL.f-� mm IL 40l v� OF cv CCA Z0 I z 2 Slit z O 0 M To the best of my knowledge, the • o e WAS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements, L M. L Superintendent/Representative: Techni 215 West Dakota Ave., Clovis, CA 93612 L (559) 348.2200 4221 Bricke 1St., Ontario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501.15" St, NW Suite 106, Auburn, WA 98002 0 (253) 939.2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 (209) 572-2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 0 (360) 598.2126 545 Parrott St., Son lose, CA 95112 (408) 271.2200 19501.144" Ave. NE 0-300, Woodinville, WA 98072 • (425) 485.5519 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 Recision o .. - �QCCIIC i)JI l• K; IU.II: The m1linnattun Prmidcd on this ream is prepared for the cticlusive use of client. This rclxns nwp not lx rchroduced in any fibril it. nh,Witt rt.» ...,.,»..........•....._ _,.�...•. ... _ - . . I =1ELD REPORT NO: 5 0531 a.Zan & Associates, In.c. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: /Z '0,5r CONTRACTOR: /✓ r4Z PROJECT#: ' --� �`� % JURISDICTION:��Nc.�,i��D� PROJECT: `P VwLjv*46S (21" l C/°'s - PERMIT LOCATION: Q 1r. ASAdi'AT-�l w T INSPECTOR: KRAZAN PROJECT MANAGER:. WEATHER: C Leap TEMP: S( 4Af -::�'ITEW rl� 1=�e))(.a1_rL_ Igrl4 JtG77x111/ z 0 M �ir��+—pA'd�^—�GS�-LLL G �iLc. E li A yza� 2L / _ MV 60 �1 0 O c M z 071 Z. t. 0 mn MM 0 r C M r Z r t •D t z in z 0 0 rn To the best of my knowledge, the abov� / WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technics I' 215 West Dakota Ave., Clovis, CA 93612 9 (559) 348.2200 42 Brickell St., Ontario, CA 91761 • 909) 974.4400 I ': 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501-15" St. NW Suite 106, Auburn, WA 98002 • (253) 939-2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 a (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 0 (360) 598.2126 545 Parrott St., San lose, CA 95112 • (408) 271.2200. 19501.144" Ave. NE 0-300, Woodinville, WA 98072 • (425) 485.5519 5808 Price Ave. Bldg, 1016, McClellan, CA 95652 0 (916) 564.2200 Revision 0 Effective Date 8116i0. The lnron67tion Provided on this report Is prepared, for the c%clume use orthe client. This rel mn may not be reoroduced in unv rnnnat wohnut Ihr wr.nnn .v.-...rr.......r.u. J:..... A �4 4;4"IELD REPORT NO: 4 2 0 2 5vl _ c an & ssociates, Inc. GEOTECHNICAL ENGINEERING ' ENVIRONMENTAL ENGINEERING. CONSTRUCTION TESTING AND INSPECTION DATE: 1�4r CONTRACTOR: PROJECT#: 0Y�, �'�� JURISDICTION: �Ijcc%':•�GtS PROJECT: �"��+ti.�r;,! ty, n ,' `: PERMIT #: LOCATION: L L11,(; Lc;cs INSPECTOR: KRAZAN PROJECT MANAGER: .} L WEATHER:_ C (_e iL TEMP: z<{J — n 1 m I 0.4 i -4r,t1 � 4- �' -fir G� I / / --- v) _ 7 ��r - - OM rn (it 51- i. c� ��ij"' vli t ;1 J -.•Gr G i/`I' / 411111111 O ;2_ : 7�— ! Ivo Y. n Oc = m rnZ o -_t aZ Cn mm o `o C t z 0 M t _ i DZ. Z O 0 rn B ILDING MAY 1 i ?n05 To the best of my knowledge, the abov�y� / WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Tech ician: ! 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 412l Brickell SI„ Ontario, CA 91761 0 (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501.19" St. NW Suite 106, Auburn, WA 98002 0 (253) 939.2500 1025 Lone Palm Ave. 02E, Modesto, CA 95351 • (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St., San Jose, CA 95112 • (408) 271.2200 19501.1440 Ave. NE 0-300, Woodinville, WA 98072 (425) 485.5519 5808 Price Ave. oldg, 1016, McClellan, CA 95652 (916) S64.2200 Iilfccti,cUrtc PID The tnrmnuUon Pn„tded on this teWn is Prcpaicd for the c,chnine use of the Ghent T'hts tatxut nus not Ir trnnuhin.d in int, r..,„., ..•.a...,, ,t..........« ..'.........._ .r.... .�... ELD REPORT NO: 50 351, azan &- .ssociates, Inc. , GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING. CONSTRUCTION TESTING AND INSPECTION DATE: Z�-as CONTRACTOR: ���UQAo1 Q JST PROJECT #:_ f6- 0,r4r ,� JURISDICTION: PROJECT: mil i�C�:QS 4�.n� PERMIT #: �O'0.��d/8,� LOCATION: Z� ��C� A0- Am# 4y INSPECTOR: KRAZAN PROJECT MANAGER: WEATHER: TEMP:. A00 CrGibICems' A040 .fie�Z.✓� Gr 94 6=4 �`�3 �oa3o cm ? aad �•�' %w��l.✓Fa�t�'..lG lir. ,='�CGao�L�.�G c' G11 70 /11 ,�i.� .J.r `,�Pa,�404/b joipCAcdo Aipr 04e,0040 A,Aa g rn MO - mrn yz caO I mrn. O .0 m N. f Q --zi r4 M D. } Z z O 0. M MAY 2005 To the best of my knowledge, the abovq�o/ WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. . /!0� 1 Superintendent/Representative: Technician: . 215 West Dakota Ave., Clovis, CA 93612 (559) 348-2200 4221 Brickell St., O rio, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837.9200 1501.15" St.. NW Suite 106, Auburn, WA 98002 (253) 939.2500 1025 lone Palm Ave. #2E, Modesto, CA 95351 t (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598-2126 545 Parrott St., San lose, CA 95112 • (408) 271-2200 19501.144" Ave. NE #F-300, Woodinville, WA 98072 (425) 485.5519 5808. Price Ave. Bldg. 1016, McClellan, CA 95652 (916) 564.2200 Ructsiun 0 'rhe mfomumon pnnrded on tlus repun u prepared (or the esclusn•c usepfth¢ clicm This retwrt ntay not IL<rem oduced in anv fonmu %k 4111110 1he ,P.in,.O ne.,.o..,,.....r.r,_ ELD REPORT NO: 50354 Krazan & ,.ssociates, Inc. GEOTECHNICAL ENGINEERING • ENVIP.ONMENrAl. ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: S70dZ004S CONTRACTOR:.J�e.✓ PROJECT #: ��-'Q,f�Qi',� JURISDICTION: G�D�Q�1LZS� PROJECT: Z'AA AO' !? ` PERMIT#: -O S LOCATION:-�YZ9l�1s,.�(Gdz" 41Y�J' INSPECTOR: KRAZAN PROJECT MANAGER: WEATHER: TEMP: .S'• v Gly z 0 T Caver — C.lc�tT T"— n 0!:02�Jlwow nes &Yi�x -� —� r .� vm Alga .0� r orr��.¢WWI o c 10 yz 1 �� r MM nm C v) �ca. M ,z r X D t Z Z O n. To the best of my knowledge, the abovw�� WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technician:. �. 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 4221 Brickell St.,o6ntario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501-15" St. NW Suite 106, Auburn, WA 98002 (253) 939-2500 1025 Lone Palm Ave. #2E; Modesto, CA 95351 0 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St., San lose, CA 95112 0 (408) 271.2200 19501.144" Ave. NE #F-300, Woodinville, WA 98072 (425) 485.5519 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 0 (916) 564.2200 Rensiun o tlTccti,cNite 8110,02 ell 6. 'l,e mrunnauon pt on this tcpon is prepated fur tile nc e c%clucuse orthc client This tenon nxn• not Ir rrnn ,Aom. in•r,1 . , c,....., ...,.�..., , ... -....- --.... _.. r ... - _ "-°,ELD REPORT NO: 55485 I Krazan & Y ssociates, Inc.I I. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING 1 CONSTRUCTION TESTING AND INSPECTION DATE: S r O 2. -- 0.d57 CONTRACTOR: PROJECT #: 60s0s 7 JURISDICTION: �i�-Jor�DS PROJECT: ��/17o�*7Z 5 92�f rG�_ � • PERMIT #: S ©/85 LOCATION: ��0?9 �/�E'_ /!/r�G��/ !x/41 INSPECTOR: KRAZAN PROJECT MANAGER:%�''�') WEATHER: TEMP: Air Z ,< G-dGlEdA7T� r f�� almsn M. 4000 N Mast �4+T ���-- 2 . i��} -E c o ' mo. fh✓b/�-�• �0 oC Et/!�r✓een i /%Q-� 4hS e70yz _m z jo o6e j n z wlq o� mm_ 0�7 e r 4 ram ��? 0370 3c>• o Cl) cM ��� mar �c-��zr� �c.�i Grawr� �t�`- o22r, • Z ram a — z TOman. Z .0' rte_ m AY ZU05 To the best of my knowledge, the a v AS WAS NOT performed in accordance.with the approved plans, specifications, and regulatory requirements; Superintendent/Representative: Techniciark 215 West Dakota Ave., Clovis, CA 93612 • (559J 348 2200 4221 Brickell St., tario, CA 9 1 (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 • (661) 837.9200 1501 -1 S' St. NW Suite 106, Auburn, WA 98002 • (253) 939.2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 0 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St,,. San Jose, CA 95112 9 (408) 271.2200 19501.144" Ave. NE #F-300, Woodinville, WA 98072 • (425) 485.5519 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 a (916) 564.2200 Rehsiim n . L•lrcctisepatc 8II612 I . rite mfootutiou prowcd ou this re{wrt is prcpaicd for the cwhisne use of the client 'this rc{wrl nuy nul be rcpnxluccd m anv tiirnt:u auhnw ,hr wnn,•n iu•i uucc•nn firm. ,•None ."A v..-..- Y. 4.... ... . =� "`ELD REPORT NO: 55 4 8 t7 'aZa11 & sociates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION DATE: O S -- m 3 p S CONTRACTOR: PROJECT #: �E'O S� S 7 JURISDICTION: PROJECT: PERMIT #: EJ'S LOCATION:/Z� Lic�t� �rllyr�P Gckze>INSPECTOR: T r�trrCYP� _ KRAZAN PROJECT MANAGER: 7 WEATHER: ���7�%J�- TEMP:�s� z 0.. 0 (j) _ vm 14 m o On C FyJ'71�✓�i�r�2.� IreTIS m Z C - ilDCGf" �, -C2o /l���srt�f�1 fJ cz �moll / �>Z T M �•'z�� r lir .`,�, l C'.ot��- v CO) O.� r Q 0 M z z O 0 M MAY 1 1 2005 To the best of my knowledge, the a e WAS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technician: 215 West Dakota Ave., Clovis, CA 93612 • (S59) 348-2200 4 21 Br' I St., Ontar"106A 761 •. (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837-9200 1501 15* St. NW Suiteurn, WA 98002 (253) 939.2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St., Son Jose, CA 95112 (408) 271.2200 19501.144' Ave. NE 0.300, Woodinville, WA 98072 1425)L485-5519 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 ReU5imn1 . C:ITrvtivrl)mr SlIbO: . Thr udomcuurn punWrd un du5 rrMn(ts prepared f+r the cvclucivr uvr of thr rhrnt 'llus trth+n mtv not Ix tennnlurr,l m anv Yvnc„ •, au..,., ,ti....,,,.......-..:--.._ ..:.4.. _... , ,. i 'ELD REPORT NO: 5044 W Krazan & „ssociates, Inc. GEOTECHNICAL ENGINEERING ENVIRONMENTAL ENGNEERING CONSTRUCTION TESTING AND INSPECTION DATE: s' CONTRACTOR: 00a 4;Ao6 Z PROJECT #: OIG 'Oxwac JURISDICTION: tE moOd.✓A%r PROJECT:PERMIT M. LOCATION: _8/Z9 l/.C�'•LSw/6'>' 6.7/�y INSPECTOR: , KRAZAN PROJECT MANAGER: WEATHER:_TEMP: YS• iii✓ 6.1"'tof O� •S1.'TZ: AS" lC45r=DWzAnfJ .Coe �.✓ E�drJ� zo .w%.r/°EG17lD awl . 0 Mr do ti . -r f - .S -C S to 2ce!4- 3 m! 8 /c - N = SWC411iW Jo-67rw� to f' �- _ m o GL S. '` yo6.�" W Coe Timet- 0 C 0 C. G Z -S SCG orGCT = rn 1.if, zdr y�;r LAMM 7A4o(V— )&* e Ah6-7—maj A.�/D A77 s ../c,1l,✓s�l�riss A �' .✓tDlc�i1P�11 y z r ca /a�oar G/ Z Go Lays o v y,�s-� Ar c �xx. �a WAS kcB'�S"o T��' LJ�.✓ r,�A.✓tc�.rt ��T _ � I. MM aAf sc,� �y �� wr'0 e4t E..J,y A.f'yps N o ����. ?.�rAT Lcr,dt�e� G,4Gc�A.�Lt A,Jchb•P .�oG73 : u1 00 m o S. /o .Z.r.0 z� X t _ z 't � in 0 M To the best of my knowledge, the obovq0/ WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. Superintendent/Representative: Technician:'/0000 1 .�dfiZ�/eS 215 West Dakota Ave., Clovis, CA 93612 (559) 348-2200 4221 Brickell St., Ofitario, CA 91761 (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837.9200 1501-IS'St. NW Suite 106, Auburn, WA 98002 (253) 939.2500 1025 Lone Palm Ave. #2E, Modesto, CA 95351 1209) 572-2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 (360) 598.2126 545 Parrott St., San lose, CA 95112 (408) 271.2200 19501-144 Ave. NE #F-300, Woodinville, WA 98072 (425) 485.5519 5808 Price Ave. Bldg. 1016, McClellan, CA 95652 • (916) 564.2200 Itcssi„n n - . - - 'Ihc it) fill tell ,III Plimile l on this ICIxif I is Plcpatcd lin the eke III I%C use of the client I Im ra'pun n4gp not LY tenieduced in anv fontt.0 scnhnut fill- w, an•„ ,x•r,n1c.eu, .,n,... Ksrazan & ,.ssociates, Inc. ELD REPORT NO: 5 0 2 9 2 GEOTECHNICAL ENGINEERING ENGINEERING ' ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING ANO INSPECTICN DATE: �f -- l y D s CONTRACTOR: %art? PROJECT #: - '� JURISDICTION: PROJECT. 7 I f /� C. '�- PERMIT #: .2 O 0 5 e021 :" 4g;� LOCATION: r�fl Q .CA ke Ad�t� / L✓ INSPECTOR: ` AO KRAZAN PROJECT MANAGER: I S til. WEATHER: %'s�-�- �/4 C/nu.� �TE M _s_,Z� z „. i e ' Gr Aza' ` / Z% S 'i l 0 M c N 0M t r O Ito C. r lt- ��m i 'y 2z oG off"- pz z ro �,2 Sr" ° )44 �. p -- m n 1 � . )1 r o *12 e -r S� 0a C A A✓L AI Ew u 1 . z �► _—�— � s �Z,� s �r u C 7� , m Ae' S t' z Cn z O —I n M To the best of my knowledge, the abo e AS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. . I Superintendent/Representative: Technician 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 4221 Brickell St., Ontario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 0 (661) 837.9200 1501.15* St. NW Suite 106, Auburn, WA 98002 • . (253) 939.2500 1025 lone Palm Ave. #2E, Modesto, CA 95351 a (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 0 (360) 598.2126 545 Parrott St., Son Jose, CA 95112 0 (408) 271.2200 19501.144* Ave. NE 0-300, Woodinville, WA 98072 (425) 485.5519 5808 Price Ave. Bldg: 1016, McClellan, CA 95652 • (916) 564.2200 Recision 0 . - - EfTeciice Date 8,16�02 The urfannatiou prutrded ou this report is peel mrd for the ecclusrre use of the client Tlu% report nrav riot tv retnodueed in am• f mmo wanhond,r w.o.......................vn....r..... ,_ r v..._._ o. 4 --........ -- _! Kroam ELD REPORT NO: 3 516 2 & ,.ssociates, Inc. GEOTECHNICAL ENGINEERING • ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTION • NATURAL RESOURCES / WETUYNDS 0 DATE: �jS -fl CONTRACTOR: /"cw�t,C>w k -s'/. PROJECT #: Od.S'Os' 7 JURISDICTION; c PROJECT.. �?Fi��c PERMIT #: CLIENT: INSPECTOR: KRAZAN PROJECT MANAGER: 5;�7 WEATHER: pL, cAe d TEMP: O'm/C� 4'4p)z � L-�`�/-L.yl/lifc% pis/ �.�,CJ �CE.✓fr�/�Ci!/� j Z T /doe O M �nvi�•'fLc .[ Flis•X ✓ /�o l/�� / �r�' r.•� 1 c �i11�.42C� 7 t r -1 'n O�il.✓Z.�h s /� % L� R 2/� 8 - /� %moo G. 1 Sc.Q �f t.�. s /� L.s c K J00'� /4 ?— .S/ L .... /"l.rl c.r..<y 11� 16 locos t✓z744 tieL � ��i�o Its�sy Ail Cc.4cc000)fd Zc04% .✓s m n C2 Ny /rd w.aS GfsE� 47� 4`cr O.etLl./�' i?.� �.���' -� n r 01 .✓S A. 'r ft c&flo"74 4i w — o / Q r z �o�.y!i1.it �,L. .Q�.4t.� �� C �',.•C,Lif/.` .��-- �o..- f�•%l��s l�.Q.r � .� - ! 7b 8- qr- / 7'o �/ Ls,✓, / - E dad ,¢. / i �/� r, G� L�44-s;c .-yZ� O M m } rnN z� I g } z z o • 0 M To the best of my knowledge; the above AS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. id I SuperintendentlRepreSentative: Technicia 215 West Dakota Avenue Clovis, CA 93612 (559) 348-2200 15 1.11 St. NW Suite 106 Auburn, WA 98002 (253) 939.2500 4231 Foster Ave. Bakersfield, CA 93308 (661) 633-2200 Pf17T4 State Hwy 305 NE Suite 3C Poulsbo, WA 98370 (360) 598.2126 1025 Lone Palm Ave.#8G Modesto, CA 95351 (209) 572-2200 19501 144th.Ave. NE #F-300 Woodinville, WA 98072 (425) 485-5519 545 Parrott St. San Jose, CA 95112 (408) 271.2200 11913 NE 103rd Ave. Vancouver, WA 98662 (360) 254-3200 123 Commerce Circle Sacramento, CA 95815 (916) 564-2200 'ELD REPORT N0: (J 31 Kprazan & ssociates, .Inc. GEOTECHNICAL ENGINEERING • 'FNVIRONPIENTAL ENGINEERING y - CONSTRUCTION TESTING AND INSPECTION DATE: �� CONTRACTOR: PROJECT #: ` `7<r n ci S' % JURISDICTION: PROJECT: PERMIT #: LOCATION: 'Sr/� lK�" ����n�ri2 vl'� INSPECTOR:_ lig✓� /�/� cam' KRAZAN PROJECT MANAGER: WEATHER:<4) •/ TEMP: /�it"Ii-. 1 �iif� /Y���� l �i�,�t'� i /� \i�-�. r- _.../ f .1Z�_ �'' /�� � - �. --� �r .. . N .♦ /�--I fv> c/ s er, m /� 1 ->✓i/ _ —/ s -f Y /sem �4�>/�1r '♦ �/���� �r�.rY�-�- c 2T�3 ! L Ae -ra rte_ IeA� !�-+4�! S rn O O 0 M mz az r = i mn T i mm O to 0 i. M0 Zr D t Z N Z 0 0 M To the best of my knowledge, the abovei WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements. I ` I . Superintendent/Representative: Techniclari 215 West Dakota Ave., Clovis, CA 93612 (559) 348.2200 422 rickell St., Ontario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837.9200 1501-1Y St NW Suite 106, Auburn, WA 98002 (253) 939.2500 1025 Lone Palm Ave. 02E, Modesto, CA 95351 (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370. (360) 598.2126 545 Parrott St., San Jose, CA 95111 (408) 271.2200 19501.144* Ave. NE 0-300, Woodinville, WA 98072. •' (425) 485.5519 5808 Price Ave.. Bldg. 1016, McClellan, CA 95652 (916) 564.2200 - Rl't'ISIUn 0 lilrective Date N;1WD? The utfontt:wou pnivtded un this capon is lit eparcd 6,r the eschtsne use of the client. 'flus report nary nut Ix Ieputduced lit ally tblnut a idgwut the "111101 nenmsslnn of dn• rfi,•m ,n.t v.,.,.. V. to ....... 0.... ... ELD REPORT NO: 5 0 3 0 2 %N.WNKrazaZ & sSociates, Inc. GEOTECHNICAL ENGINEERING • ENVIPON^IENTAI. ENGINEERING CONSTRUCTION TESTING AND INSPECTION - - DATE: "' ;� _16 5` CONTRACTOR: PROJECT #: 1";!F/0 01A [) .�� `% JURISDICTION: C; p� „ �► F PROJECT' EdAACkevPERMIT #:.2©C?_5' — C7�- _ S LOCATION: g'��% �4%C� S.r►�liry a-�~ L✓.�—c�_ INSPECTOR:%c- %�. 1��C�IS O �It/ KRAZAN. PROJECT MANAGER: WEATHER: y C_ .,�s j TEMP: ,`� r • ----_ c�G 9�Fe 9 OIL tg m PJAA1.ile�w le 4/**7 /s _ FrOAA .rte1-&4 V& 1 r*0ePs �yf Co if rte F -a , , v m li Oe. P c AY Cyi !° L C-' r �-R- _ice_ C fTI � 07 ire / iii' S' .� �° G.1 `/J .✓ =40 O C i. A 0001 i0 AIS o"n mm /`67, 7 o N n Fn -c . S Lo e 15 r I& r 62 S a n . r /��' a AA- .. 4414 �P_ /�- r /5 �. r Z r 2 D. t z 1 2 Z 0 M. To the best of my knowledge, the oboy WAS WAS NOT performed in accordance with the approved plans, specifications, and regulatory requirements, t, c ' Superintendent/Representative: Technician: 215 West Dakota Ave., Clovis, CA 93612 • (559) 348.2200 4221 Brickell St., Ontario, CA 91761 • (909) 974.4400 2205 Coy Ave., Bakersfield, CA 93307 (661) 837.9200 1501.15' St. NW Suite 106, Auburn, WA 98002 0 (253) 939.2500 1025 Lone Palm Ave. 112E, Modesto, CA 95351 • (209) 572.2200 20714 State Hwy 305 NE Suite 3C, Poulsbo, WA 98370 • (360) 598.2126 545 Parrott St„ Son Jose, CA 95112 (408) 271-2200 19501.144" Ave. NE 0.300, Woodinville, WA 98072. (425) 485.5519 5808 Price Ave. Bldg. 1016, McClellan; CA 95652 • (916) 564.2200 Rcusion o . Ul'cctive Date 8116:0: 1'he utfonmun nl vrul tiled till this Il'1111I1 I% Ilrl'Ilat ed Ilrr Ills a fill\t\l• the or iii: client rlt6 tl'Ihtlt only not IM tcl)I llduced III an/' IOl tiell W Owl It the A'1'tl b•tl n,vnt,eunn Orth.. ,di..., +..d V..,. V. +---...... Krazan & Associates, Inc. 19501- 144th Avenue NE #F•,300,Woodinville, WA 98072, (425) 485-5519 / Project No. 096-05057 .,Yl. Code 19163 Pour Date 5/%0'3 Report No. 06511 Weather Overcast Jurisdiction .City of Edmonds Permit No. 2005-0185 Project Edmonds Office Building engineer Location 8129 Lake Ballinger Way Architect client First Western Development Services Contractor Pennon Const, Placement Area Inspector Dale D. Rierson , z 0 Laboratory Data Design Strength 3,000 @ 28 days Date Specimens Recd. 5/11/05 Cyle Test Field Max. Comp. Tested Break Code Date Cure Age Dim. Area C.F. Load Str. (psi) Set # By Type 19163-1 5/17/05 7 3.989 12.49 1.0 49140 31930 1 PC 2 19163-2 6/7/05 28 3.989 12.50 1.0 70760 51660 1 PC 1 19163-3 6/7/05 28 3.989 12.50 1.0 67840 51430 1 PC 2 19163-4 H 1 19163-5 19163-6 19163-7 r '� JUN 15 2005 19163-8 1,i i y�ay�1'� 1►=t't Remarks j, I p�:,Ktr PERMIT COUNTER Results Reviewed By /,/��,( 4l jq•Date Reviewed C� Laboratory Test Methods X ASTM C39 ASTM C109. ASTM C617 X ASTM C1231 ASTM C780 Other Test Results X Conforming Non -Conforming i Placement Area Inspector Dale D. Rierson , z 0 Laboratory Data Design Strength 3,000 @ 28 days Date Specimens Recd. 5/11/05 Cyle Test Field Max. Comp. Tested Break Code Date Cure Age Dim. Area C.F. Load Str. (psi) Set # By Type 19163-1 5/17/05 7 3.989 12.49 1.0 49140 31930 1 PC 2 19163-2 6/7/05 28 3.989 12.50 1.0 70760 51660 1 PC 1 19163-3 6/7/05 28 3.989 12.50 1.0 67840 51430 1 PC 2 19163-4 H 1 19163-5 19163-6 19163-7 r '� JUN 15 2005 19163-8 1,i i y�ay�1'� 1►=t't Remarks j, I p�:,Ktr PERMIT COUNTER Results Reviewed By /,/��,( 4l jq•Date Reviewed C� Laboratory Test Methods X ASTM C39 ASTM C109. ASTM C617 X ASTM C1231 ASTM C780 Other Test Results X Conforming Non -Conforming Krazan da Associates, Inc. .y 19501 - 144th Avenue NE W40( Woodinville, WA 980729 (425) 485.5519 Project No. 096-05057 ;.yl. Code 19132 Pour Date 5/5/uj Report No. 00105 Weather Overcast Jurisdiction City of Edmonds Permit No. 2005-0185 ✓ Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services Contractor Pennon Const, Reported Batch Data Grout supplier Concrete NW Plant No Site Mix Time 11:00 . Truck No. 56 Z Ticket No. 547934 O Slump (in) Flowing n M Mix Temp (F) 64 Air Temp (F) 55 CO) Design Weight p M i. Mix No. 0370030 0370030 m Cam. lbs 658 662 O C F. Ash lbs. m m Ce Agg. lbs. 920 923 p —Zi Sand lbs: 2217: 2270 D ZiL Water lbs. 165 ,gal r Admix. (oz) to mn Water Added on Job (gals.) 0 Compression Testing Information Field Test Methods m m Diameter of Spherical Seat 6.5 Compression Machine X ASTM C143 ASTM C173 cn Upper Bearing Plate Thickness 1 Calibration Date 10/05 ASTM C1064 ASTM C138 0M Lower Bearing Plate Thickness 1 ASTM C31 Other 0) Q r Laboratory Data Design Strength 1,500 @ 28 days. Date Specimens Recd. 1/1/02 Cyl. Test Width Height Length Net Max. Comp. HIT Corr. Break Code Date Age (in) (in) (in)Area Load Str. (psi) Ratio C.F. (psi) Type Z 19132-1 6/2/05 28. 7.50 12.00 8.50 63.75 226410 3,550 1.60 0.87 3,090 2 I -i Z 19132-2 6/2/05 28 7.50 12.00 8.50 63.75 231160 3,630 1.60 0.87 31160 2 N 19132-3 6/2/05 28' 7.50 12.00 8.50 63.75 226970 39560 1.60 0.87 3,100 7 Z i O 19132-4 H n 19132-5 m R F1ml End on/ End Front End Sample T Sample 2 Sample 3 Sample 4 Sample 5 Lab Test Method 1: ASTM C1314 X 2: ASTM C109 X 3: ASTM C617 X 4: Other X Conforming Results Reviewed By ; �{ 1�(� Date Reviewed G : (G. ��; 5 Non -Conforming I -I Types 1: Conical 2: Cone &Split 3: Cone & Shear 4: Tension 5: Semi Conical 6: Shear 7: Face Shell Seperation Measurement Uncertainties: Fort 04102 Revision 0 EffeNve oats 17/02(02 The Irdorretion provided an this report is prepared for the exclusive use of the client. This upon may not be reproduced in any forul without the written parnuuon of the {Lent and Krezan i Associates. Krazan & Associates, Inc. 19501 - 144th Avenue NE #F-309,Moodinville, WA.98072, (425) 485-5519 Project No. 096-05057 yi. Code 19103 Pour Date 5/3i Report No. 02241 Weather Sunny Jurisdiction City of Edmonds Permit No. 2005-0185 J Projecc Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect client First Western Development Services . Contractor Pennon Const. to f, Field Test Methods Remarks Please refer to Field Report No. 55486. X ASTM C143 ASTM C138 $ Reinforcing steel in place per plans and specifications. X ASTM C1064 ASTM C173 rn m v.N � ASTM C31 Other 0 r - C N Inspector Teajalam Gounden - ' m CO) n Laboratory Data Design Strength 2,000 @ 28 days Date Specimens Recd. 5/4/05 -f rrTt Cross D Mid -Pt. Out of Section . Max. Comp. Cyle Test Width Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (Ibs) (psi) Set # By Type 19103-1 5/10/05 7 3.291 6.00 0.0 10.83 44010 41060 1 CM 3 19103-2 5/31/05 28 3.313 6.00 0.0 10.98 48220 41390 1 CM 4 19103-3 5/31/05 28 3.313, 6.00 0.0 10.98 49540 41510 1 C M 4 191034 H 1 Remarks Results Reviewed By CovNIJte Reviewed pFRMIT Laboratory Test Methods ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 Other Test Results X Conforming Non -Conforming Krazan & Associates, Inc. 19501 -144th Avenue NE #F-300, Woodinville, WA 98072, (425)485-5519 Project No. 096-05057 , .. Code 19104 Pour Date 5/�.�5 Report No. 02240` ' Weather Cloudy Jurisdiction City Of Edmonds Permit No.. 2005-0185 Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services contractor Pennon Const, Field Data MORTAR/GROUT REPORT Reported Batch Data Supplier Concrete NW Plant No. getutell Site Mix Design Actual Initial Weights Weights ' Flow or Grout Air Max/Min Mix No. 0370030 Z O 4 Slump Temp. Temp, Temp. Cern, lbs, 655 -� n Time Truck# Ticket # % Air (in.) (F) (F) (F) F. Ash lbs. fit 2:15 165 547872 Fluid 67 62 C. agg. lbs.1 pea gravel 915 C. agg. lbs. 2CA_ Grout Box Used X C. agg. lbs. 3 cm 3 Number of units used to form specimens 4 Sand lbs. 2171 n Water lbs. 232 O C Placement Area Air Ent. (oz)m Z Location cmu 8 walls fourth lift at A/1-2, 1/A -E, E/1-4 Other(oz) '�4 DZ Other (oz) Other(oz) _ CO) Other(oz) 0 M Water Added on Job.(gals.) 10 mm. Remarks Please refer to Field Report No. 55485 Reinforcing steel per plans. Inspector T. Gounden All Laboratory Data Design Strength 2,000 Cb 28 days Date Specimens Recd. 5/4/05 Z is " Cross Mid Pt Out of Section Max. Comp. Cyl. Test Width Height Plumb Area . Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) i (lbs) (psi) Set # By Type 19104-1 5/9/05 7 3.319 6.00 0.0 11.02 28860 21620 2 CM 3 19104-2 5/30/05 28 3.317 6.00 0.0 11.00 46340 41210 2 CM 3 19104-3 5/30/05 28 3.317 6.00 0.0 11.00 48110 41370 2 CM 3 19104-4 H 2 Remarks G Results Reviewed By Date Reviewed`0 'G r� Cl ✓l: Laboratory Test Methods. ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 Other Test Results Conforming NonaConforming Codes for Break Types: 1: C ne 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +/- 10.7, ASTM C1019= +/- 14.4% Form W 109 _ Rwlsion 0 Enactive Dale 12/07/02. - the eacluafuo use of the client. This report may not t» reprodueal in any torrtul without the written permisabn of the client and Kieran 6 Auxlates. The informeoon provided on this report is prepared for Location 8129 Lake Ballinger Way Architect client First Western Development Services Contractor Pennon Const. MM t ■ Remarks Please refer to Field Report No. 50354 load size 4 cubic yds. samples located on south side of stairs along wail Al Inspector. Doug Kostal --t Laboratory Data DesignStrength 2,000 @28 days Date Specimens Recd. 5/4/05 Cross Mid Pt. Out of Section Max. Comp. Cyl. Test Width Height Plumb Area Load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (lbs) (psi) Set # By Type 19102-1 5/9/05 7 3.298 6.00 0.0 10.88 28010 2,570 1 CM 4. 19102-2 5/30/05 28 3.296 6.00 0.0 10.86 47650 4,390 1 CM 4 19102w3 5/30/05 28 .3.296 6.00 0.0 10.86 47320 41360 1. CM 3 19102-4 H 1 Remarks l r Results Reviewed By �lC Date Reviewed Codes for Break Types: 1: Co 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +/- 10.7, ASTM C1019= +/=14.4% Form 04100 , Effect," Oats 12,02/02 J The infomution provided on this report is prepared for the exctusiw use of the client. This report may not M repreduced in any formal without Ina written parmus;on of the client and Krasan 6 Associates. 1 Laboratory Test Methods ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 Other Test Results, X Conforming Non -Conforming Codes for Break Types: 1: Co 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C109= +/- 10.7, ASTM C1019= +/=14.4% Form 04100 , Effect," Oats 12,02/02 J The infomution provided on this report is prepared for the exctusiw use of the client. This report may not M repreduced in any formal without Ina written parmus;on of the client and Krasan 6 Associates. 1 Krazan & Associates, Inc. 19501 -144th Avenue NE #F-3000, Woodinville, WA 98072, (425) 485-5519 Project No. 096-05057 .yl. Code 1.9073 Pour Date 4/2L 5 Report No. 3755 / - Weather sunny Jurisdiction City of Edmonds Permit No. 2005-0185, ✓ Project. Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services Contractor Pennon Const. Placement Area Location 8" CMU walls_ Q A/1-2; 1 /A-E and E/1-4 Q elevations(4'-8') Remarks Please refer to Field Report No. 50351 { samples located along wall Q south side of stairs ca O"n Irl ! " M W .' Inspector Doug KOstal C (n ic Co. Laboratory Data Design Strength 2,000 28 days Date Specimens Rec'd. 4/29/05 Z n E: I: Cross Mid Pt out of Section Max. Comp. Cyl. Test Width Height Plumb Area load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (Ibs) (psi) Set # By Type 19073-1 5/5/05 7 .3.296 6.00 0.0 10.86 31090 2,860 1 CM 4 19073-2 5/26/05 28 3.301 6.00 0.0 10.90 46920 4,300 1 CM 4 19073-3 5/26/05 28 3.301. 6.00 0.0 10.90 47630 4,370 1 CM 4 190734. H 1 Remarks ; Results Reviewed By ��( / Date Reviewed ,» •- G' j Laboratory Test Methods ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 Other Test Results. . X Conforming Non -Conforming Z f -'f m �mn c m M o :: O OC mM A az r ca O"n Irl ! " M W .' Inspector Doug KOstal C (n ic Co. Laboratory Data Design Strength 2,000 28 days Date Specimens Rec'd. 4/29/05 Z n E: I: Cross Mid Pt out of Section Max. Comp. Cyl. Test Width Height Plumb Area load Strength Tested Break Code Date Age (in) (in) (%) (sq.in) (Ibs) (psi) Set # By Type 19073-1 5/5/05 7 .3.296 6.00 0.0 10.86 31090 2,860 1 CM 4 19073-2 5/26/05 28 3.301 6.00 0.0 10.90 46920 4,300 1 CM 4 19073-3 5/26/05 28 3.301. 6.00 0.0 10.90 47630 4,370 1 CM 4 190734. H 1 Remarks ; Results Reviewed By ��( / Date Reviewed ,» •- G' j Laboratory Test Methods ASTM C39 ASTM C109 X ASTM C617 X ASTM C1019 Other Test Results. . X Conforming Non -Conforming Krazan & Associates, Inc. 19501 -144th Avenue NE #F-300, Yyoodinville, WA 98072, (425) 485-5519 Project No. 096-05057 c.: Code 18983 Pour.Date 4/1; .15 Report No. 08704 . Weather Overcast Jurisdiction City of Edmonds Permit No. 2005-0185 Project Edmonds.Office Building Engineer Name Location 8129 Lake Ballinger Way Architect Name Client First Western Development Services Contractor Pennon Const, new MIM Field Test Methods pCD X ASTM C143 ASTM C138 n m X ASTM C1064 ASTM C173 C X ASTM C31 Other Z r Inspector Sam Hyatt Al LaboratoryData Design Strength 3,000 @ 28 days. Date Specimens Rec'd. 4/18/05 > Zt. _ Cyl. Test Field Max. comp. Tested Break Code Date Cure Age Dim. Area C.Fe Load Str..(psi) Set # By Type 18983-1 4/22/05 7 3.989 12.52 1.0 46440 31710 1 JB 1 1898372 5/13/05 28 18983-3 5/13/05 28 18983-4 H 18983-5 18983-6 18983-7 18983-8 Remarks Results Reviewed By l.l�G(�^ Date Reviewed/40 3 U5 Laboratory Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C780 Other Test Results Conforming Non -Conforming Codes for Break. Types: 1: Cone 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C-39 +/- 8% Form 07101 _ Revision 2 . Effective Der 17/07!02 The inbrrrrtlon provided on this report ie prepared for the exclusive use of the client. This report rney not be reproduced in any fornat without the wnttan parminion of the client and Nraxen 6 Associates. r, z 0 0 M OWNED c rn rn -I n t 0C rn rn Z Z. "n I new MIM Field Test Methods pCD X ASTM C143 ASTM C138 n m X ASTM C1064 ASTM C173 C X ASTM C31 Other Z r Inspector Sam Hyatt Al LaboratoryData Design Strength 3,000 @ 28 days. Date Specimens Rec'd. 4/18/05 > Zt. _ Cyl. Test Field Max. comp. Tested Break Code Date Cure Age Dim. Area C.Fe Load Str..(psi) Set # By Type 18983-1 4/22/05 7 3.989 12.52 1.0 46440 31710 1 JB 1 1898372 5/13/05 28 18983-3 5/13/05 28 18983-4 H 18983-5 18983-6 18983-7 18983-8 Remarks Results Reviewed By l.l�G(�^ Date Reviewed/40 3 U5 Laboratory Test Methods ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C780 Other Test Results Conforming Non -Conforming Codes for Break. Types: 1: Cone 2: Cone & Split 3: Cone & Shear 4: Shear 5: Columnar (Split) Measurement Uncertainties: ASTM C-39 +/- 8% Form 07101 _ Revision 2 . Effective Der 17/07!02 The inbrrrrtlon provided on this report ie prepared for the exclusive use of the client. This report rney not be reproduced in any fornat without the wnttan parminion of the client and Nraxen 6 Associates. Krazan 8 Associates, Inc. 19501 144th 'Avenue NE #F -30n `Woodinville, WA 980720 (425) 485-5519 ta'`Project No. 096-05057 Code 19022 Pour Date 4/2 .. A Report No. 03005/ { Weather Overcast Jurisdiction City of Edmonds Permit No. 2005=0185 V Project Edmonds Office Building Engineer Location 8129 Lake Ballinger Way Architect Client First Western Development Services contractor Pennon Const, Field Data MORTAR/GROUT REPORT IReported Batch Data Supplier Concrete NW Plant No. Site Mix Design7ActualInitial Weights Flow or Grout Air Max/MinMIx No. 0370030 z Slump Temp. Temp. Temp, Cem, lbs. O r . Time. Truck# Ticket # %° Air (in.) (F) (F) (F) F. Ash lbs. m 1:15 059 547653 -- Fluid 60 65 C. agg. lbs. 1 No Batch C, agg. lbs.,2 Weights N Grout Box used X C. agg. lbs. 3 Provided v. m i Number of units used to form specimens 4 Sand lbs.. M 0 Water lbs. O C ; Placement Area Air Ent. (oz) m �� m z Location 8�� CMU walls 1st 4 lift at A/1-2, 1/A -E, E/1-4. 6 CMU walls Other(oz) p —I at E/4-8 withlanters. z ,. p Other(oz) y t_ rEll- Other(oz) i Other (oz) CO) O �t i Water Added on Job gals.) 15 t Remarks Please refer to Field Report No. 50302 Reinforcing steel per plans. Grout place by line pump and mechanically consolidated. nspector a e Jerson Laboratory Data Design Strength 2,000 C 28 days Date Specimens Recd, 4/22/05 Z Cross Laboratory l -1 Mid Pt. Out of Section Max, Comp. Test Methods N. Cyl., Test Width Height Plumb Area Load Strength Tested Break ASTM C39 Z. Code Date Age (in) (in) (%) (sq.1n) (lbs) (psi) Set # By - Type ASTM C109 m 19022- .1 4/28/05 7 3.291 6,00 .0.0 10.83 41880 31870 1 CM 3 ASTM C617 19022-2 .5/19/05 28 1 ASTM C1019 19022-3 5/19/05 28 1 Other 19022-4 H Test Results ; Remarks Conforming Results' Reviewed ByJ, Date Reviewed � Non -Conforming Ile m • v� i. rn t mN z� -1 �n nspector a e Jerson Laboratory Data Design Strength 2,000 C 28 days Date Specimens Recd, 4/22/05 Z Cross Laboratory l -1 Mid Pt. Out of Section Max, Comp. Test Methods N. Cyl., Test Width Height Plumb Area Load Strength Tested Break ASTM C39 Z. Code Date Age (in) (in) (%) (sq.1n) (lbs) (psi) Set # By - Type ASTM C109 m 19022- .1 4/28/05 7 3.291 6,00 .0.0 10.83 41880 31870 1 CM 3 ASTM C617 19022-2 .5/19/05 28 1 ASTM C1019 19022-3 5/19/05 28 1 Other 19022-4 H Test Results ; Remarks Conforming Results' Reviewed ByJ, Date Reviewed � Non -Conforming FIRST WESTERN r DEVELOPMENT SERVICES, INC. Development & Project Management June 28, 2005 Jeannine L. Graf, Building Official RECEfVD John Westfall, Fire Marshal { JUN 2 8 2005 0 City of Edmonds t R PERMIT COUNTER m r ce PROVECT: Edmonds Office Building, Suite No. 104 v m 8.129 Lake Ballinger Way ma Permit No. 2005-0185 0 0 SUB.7ECT: Request for Temporary Occupancy. M z 10 s; ., t D Z Dear Jeannine and John: 0 As we approach the end of construction on our. remodeled office/retail building, it appears likely that we will require a temporary occupancy permit for a short period of time, The %M.M remodeled building when complete will contain our offices (Suite 104) and from one to o i; three retail tenants (Suites 101403). We do not intend to lease the retail space until after Ccaf we. have occupied our new offices on July 14, 2005 and all remaining exterior work is m 0.N completed. Therefore I am requesting temporary occupancy only for suite 104. I am assured by our Contractor that all fire -life safety components of the project. will be i. -+ completed and inspected prior to July 14 , as will all paving, landscaping and other site b� ): Z related work such as the dumpster enclosure. z am told that due to a conflict with the x scaffolding currently. erected to install our stucco, final decorative stone, exterior trellises + Cn and sidewalk canopies will not yet be complete on July 14 thz 0 The attached site plan illustrates the areas which will be barricaded to prevent pedestrian m access in areas where work is occurring and where the . Contractor's tools will be stored. Parking areas will be barricaded, approximately 5 stalls at a time as overhead work requires the use of a lift. The only Suite requiring public access is Suite 104 and both required exits will be accessible during the period of temporary occupancy. L. 1 i , fwdsmcafwdsinc.co m 1359 N. 205"' Street, Suite #B Telephone (206) 533-2181 I Shoreline, WA 98133 Facsimile (206) 533-2164 08/25/2005 14:28 FAX 425 415 0311 THE RILEY GROUP INC 0002 y The Riley Group Inc. August 25, 2005 Mr. Jim Wieben r First Western Development Services, Inc. 8129 Lake Ballinger Way, Suite 104 RECEIVED Edmonds, WA 98026 AUG 2 5 2005 RE: Final Inspection Report m Lake Ballinger Building DEVELOPMENT SERVICES GTR, CITY OF EDMONDS Edmonds, Washington --t m Riley Project #2005-050 0 co M O Dear Mr. Wieben: As requested, The Riley Group, Inc. (Riley) has provided earthwork observations and testing services _ m q ,e during the construction of .the referenced site on March 282 2005 and April l4, 2005. Our services O included subgrade evaluation, structural fills and compaction testing, utility installation, erosion control, eD z r and other related. earthwork. This letter briefly summarizes the actual services that we have performed. _ The detailed information is shown in daily field reports: to �' 1.. Subgrade M m Riley observed the building subgrade preparation during construction. Our observations indicated that the includes dense silty sand with gravel, which can provide a bearing capacity of 2,500 n { . buildingsubgrade Fn cco psf. r z 2. Structural fill During the construction, Riley verified the fill placed on the site and backfill for utility trenches. The fill is excavated from the native soil -on site and consists of silty sand with gravel. The fill was placed in layers and compacted with a compactor to 95% of the maximum dry density as determined by ASTM D- Z 1557 (Modified Proctor). Z 3. Utility Installation . Riley observed the installation of the utilities. The trenches were excavated in native soil and the n temporary slopes were stable without any caving. The pipes were bedded with pea gravel. and backfilled M with native excavated soil. The compaction met the 95%requirement; 4. Erosion Control Riley didn't observe any erosion or sediment loading to the streets, public stormwater system, or adjacent properties during construction. At the time of preparing this final report, all site grading work and development work has been completed. No further inspection is needed Servine the Pacific Northwest 17522 Bothell Way NE, Suite A, Bothell, WA 98011 - Tel (425) 415-0551 a Fax (425) 415-0311 i s -- 08/25/2005 14:29 FAX 425 415'0311 THE RILEY GROUP INC 10003 THE RILEY GROUPS 11MC11 Geotechnical Environmental Wedand Services 17522 Bothell Way Northeast, Suite A Bothell, Washington 98011 Phone: (425) 415-0551 Fax: (425) 415-0311 The Mr. Jim Weiben From: Johnny Chen Fax: (206) 533-2164 Pages: 2 Z O , Phone: (206) 5334181 Date: 3/29/05 M ,. Subgrade Evaluation Lake Ballinger Building CCD Mr. Ivan Mott (206-0184237) Edmonds, WA m 2 Riley Project ti 2005-050 v rn i.. C M Urgent 0 For Review ❑ Please Comment 0 Please Reply 1] Please Recycle 0 C M =m 7 Comments: m Z IO t CZ Dear Mr. Weiben, 1465 As requested, The Riley Group, Inc. (Riley) has evaluated the footing subgrade of the subject site. j Riley's geotechnical engineer visited the site and discussed with the contractor, on March 28,2005. We � i M m understand that you plan to remodel the existing building (former Goodyear Shop) into a �. O N commercial/office building. Based on our observation, the footing trench was excavated approximately along the rimeter of south addition. The subgrade soil observed was native dense silty c Cnn 4 .. 18 inches deep g pe sand with.gravel. Due to the rain, approximately I inch of wet soil was on the top of the footing r Z 0 subgrade. No accumulated ninoff water was observed in the trench. An environmental remedial �n excavation area was located in the middle east portion of the building. The backfill has not been 4 compacted completely. The soil in front of the building was wet and can be probed approximately 2 to Z. 6 inches by hand probe bar. : In our opinion, the building foundations can be supported on the.native dense soils or compacted m structural fill. Riley recommends that a bearing capacity of 2,500 pounds per square foot (psf) can be ' Z used for fowidation design. If any soft spot is observed, it should be overexcavated and replaced with n crushed rock. The on-site excavated soils'can be used as structural fill if the moisture can be property m controlled. The soil stockpiled on site needs to be covered with plastic sheeting. All structural fill needs maximum dry density (ASTM D-1557). If water is . to be compacted to a minimum 95% of soil's accumulated in the trench, it should be pumped out before pouring concrete. Riley recommends that a geotechnical engineer be present on site to verify the footing subgrade and backfill compaction. AUG 2 5 !Fri The Riley Group, Inc. DEVELOPMENT SERVICES cm, CITY OF EDMONDS . .r 08/25/2005 14:29 FAX 425 415 0311 THE RILEY.GROUP INC Z005 Fri Dail Field Mem© Daily Project 0: 62aWS`-• 050 ' 1" �eaa wa— The. Group., Ing Memo; : ,dn V„U,- Rileyy P� Gsotechnks/ d Environments# Consultants Date: �4-13-05 phone (206) 417-0551 lax.(206) 4t7-0552 Project: _L1s,,tGi�a►1►.u�.tW��w�� Subject: • .� t..� s->< �a �. t ZL Location: $124 lrt. u -� T�i�msh Contractor. �u sraualc�i��' 3 Cr =� m Werther: `�� c� �- u �.a Presort at Site: IvA►a1.knT .. -_� -n a� �sstt,�., « �hj.ti�? V,*nW63MRM-'ID-�W- rn 0 _� Mai O O0 r' m_y'_. c' r � =mmim ►rte �1T Yum �l1U�l�N..�s. mac_ iaf,.tD-�1►��-4�LL. m � p Z 3: '.11rC�pO._b►1D- = ► r t�err_1 _S . s�•� is (ad r ammdM O m r,ti r an vjSup»- �' m m �t,YI,t.. 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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE PLEASE SIGN ENGINEERING DIVISION DATE PLEASE SIGN - : - - - z . 0 ,--�}-r PLANNING DIVISION DATE 0 —�� PLEASE SIGN - rn `PROJECT OM �� � �� � • . ��� � F ' � �...� �1 � I �� -+ � SITE ADDRESS-- 1 m 0 O n l n t DATE INSPECTED `I _ �,- b S 0 C PERMIT #_��)1� 7 �t� ADB# ` I��r'.U��tO Y� 1,bb(1) 41k\ . Oj'Yl r'l� m Z DESCRIPTION OF WORK TO BE INSPECTED'DC �- �� A yz Afield inspection was conducted to determine compliance with approved plans. Final approval _ e are no objections from the above_ signed Department to the release of o T denotes. that they J PERFORMANCE BONDS and the granting of : m MM GRANT FINAL PROJECT APPROVAL O m z0 Z rM WITH CONDITIONS. NOTED z GRANT PROJECT APPROVAL z ❑ Copy of CONDITIONS given to owner/contractor by inspector _ 1. Cnz O FAILED FINAL INSPECTION - OUTSTANDING ISSUES M M ❑ Copy of CORRECTION NOTICE given to owner/contractor by inpector I, . 1. 2. 3. RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature { Ltemp:bldg:fornis:ocaprvl 3/25/04 ...._. -. ...,� ... ..... ... ..�. � .,. ..., � f.�� . .... .-...o, _ � .t ....... .... .?r ..-...., ..�1. t ....gyp. g-.. ..a�-�, �. � __ .� .. - ( �~I� 1 . ... r ir"