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20050480.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS WtasHlrvVTo►.t feat' SAulr s U1 MAILING ADDRESS LZ5i k�- CITYZIP TELEPHONE S�at'T_� tWA 9CS10 l Zo& 777 8303 NAME aR>�,ou2UIllC'D p'.f-1 CNGI►^Crj?�.S W E ADDRESS I3 `f5(o 2j 01 1AR.Al <,0ii Zoo a CITY ZIP TELEPHONE ECLL E V V EVJ� 9( D c>5 l 2S (oli l C l "l f �j NAME CBL# o ADDRESS Ill L) ow sok ( Zq z CITY ZIP TELEPHONE M07 I 5'°3 9 7 I-- 9 l STATE LICENSE NUMBER EXPIRATION DATE C7 K D BY U L -* 101 PL I I OS PROPERTY TAX ACCOUNT PARCEL NO. 3� -007 0© I - o© ❑ NEW ❑ RESIDENTIAL ❑ PLUMBING / MECH COMMERCIAL COMPLIANCE OR ❑ ADDITION ❑ CHANGE OF USE ❑ MIXED USE REMODEL ❑ MULTIFAMILY ❑ SIGN REPAIR ❑ GRADING CYDS ❑ FENCE ( X FT. ❑ DEMOLISH TANK ❑ OTHER GARAGE z ❑ CARPORT ❑ ROCKERY FIRE ALARM WALL ❑ FIRE LER (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: u c NUMBER NUMBER OF M ' OF I DWELLING Lv p STORIES UNITS DESCRIBE WORK TO BE DONE wt1cT� S I iD PERMIT EXPIRES PERMIT NUMBER.— JOB SUITE/APT# ADDRESS Z2. 9 M A I O ;r PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE 5 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Required ❑ EXISTING �ROPOSED Inspection Required SWewalk Required REQUIRED DEDICATION FT underground ❑ -- — Wel required ❑ METER SIZE LINE SIZE _ NO. OF FIXTURES PRV REQUIRED / YES 13 N013 O z W REMARKS W OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z W i?..�l)I l t LW -n ENGINEERING REVIEWED BY / DATE I FIRE REVIEWED BY DATE Lu LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION SEPA REO'D COMPLETED I EXEMPT O YES ONO CA# ZONE SIGN AREA HE i WAIVER - - ALLOWED PROPOSED ALLOWEDPROPOSED I sruoY D �� >, am Ifs LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR O j 1)Uel' tJ� k.4" till �r�n Z z Z PARKING LOTAREA PLANNING REVIEWED BY DATE g REQ'D PROVIDED KP_5•�!'ils.inr{ nD�'• ;rL.�/Lac�l{ i�)___rG_�� • TYPE OF ONSTRUC SPECIAL INSe�CTl01 LIIRED �W( REOYES Wil. —,rr �:><L . ,.0UdFl CODE CONSULTANT OCCUPANT GROUP r LOAD BY: w�1T e: GQLt^ 3 S STRUC R D SIG it d BY: ,. U c 5'i� Sv �5 �V �� VALUATION 40A jil AIL t (�, 'i Su►., IJS Fv2 a e PeT Description FEE Description FEE 06 FECQUI�I�- ".e uil .90515 Plan Check ��l �' State Surcharge HEAT SOURCE LOT SLOPE% VESTE DATE /�/� / f L IBuilding Permit 7 V City Surcharge PLAN CHECK NO: I Plumbing Base Fee THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical t BE DONE ON PRIVATE. PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading J SEPARATE PERMISSION. � Engr. Review w PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) a PERMIT LIMIT: SEE ECDC 19.00,005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION Vill Engf. Inspection "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF re EDM NDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # I a ALL CLAIMS FOR DAMAGES OF.WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due Vill = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt# ✓� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APP VAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALL Building Official or his/her Deputy: and Foos are paid, and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION I RANCE AND RCW 18:27, O tS�SIGN UAT SI ATURE (OWNER O ENT): LL UJ 1us DATE SIGNED (425) ,S n � INbUA SQL- (�Z D� 771'0220 RE ED BY v J DATE ATTENTION EXT. 1333 j IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL -FILE •YELLOW - I SPECTOR FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC1091 IBC110 If IRC110, PINK -OWNER • GOLD ASSESSOR 110104 PRESS HARD =YOU. ARE MAKING 4 COPIES Cat omn 6 I IlllA _ c+ IT! M. 0 r M X t _ Z F � CD Z 0 c') M , O 0 M -i mn cm M .0 awl OC 0 _ 9 MM jo DZ r -1 Cat omn 6 I IlllA _ c+ IT! M. 0 r M X t _ Z F � CD Z 0 c') M Everett Office Vol MAYES TESTING ENGINEERS, INC 9,7-,3411,Street SW Suite A-1 sTtp2S"�%Y`.CrC,:"• !;. Everett, WA 98204 ph 425.742.9360 fax 425.745.1737 LABORATORY TEST REPORT Federal Savings Edmonds Project No: E5260 U U I L D I N Project: Will g Site Address: 229 Main St Issued on: 7-21-05 2005 Edmonds,WA Permit # (s): 2005-0486 Client: Washington Federal Savings Original: Q Engineer: Revised: ❑ Z Contractor: Woodburn Construction FIELD DATA n m (ASTM C31 and C172) 4 i Air Temperature: 56 OF Actual Mix Proportions: Weather: Rain Ingredient Weight (per cu.yd) 0 m Product: ConCfete Coarse Aggregate 3/4" 1,571.0 lbs IC Supplier: Rinker Coarse Aggregate 3/8° 195.0 lbs 0 Ticket Number: 21780554 Fine Aggregate 11552.0 lbs, MixDesign ID: 1337673 Water 288.0: lbs MZ Sample Temp. Initial Stor g Entrained Air Fly Ash 85.0 lbs 10 -� (ASTM C1064) Temp. (ASTM C31) . (ASTM C231) Cement—Type I & LI 375.0 lbs D Z 69°F NR % WRA 16.0 Oz r J . Water / Cement Ratio: Slump (ASTM C143) Samples) Recd O M I m 0.626 4 6-23-05Required Strength (Pc): 3000, Psi @ 28 days _ i , M Placement Location and Notes 00 N SET 1 0m South side of building, column bases, 3 locations. Sampled at midload of 2 cubic yards of a total of 2 cubic yards C to K N placed. r z r0 COMPRESSION TEST RESULTS (ASTM ll C1231, and C617 when applicable) X . Date Made, Sample # Lab # Date Tested Age (day) Load (Ibs) Size (in) Dia (in) Surface Area Strength (psi) Failure Code I 6/22/2005 0002 10250 6/29/2005 7 31780 4 x 8 4.00 12.57 2530 NA z 6/22/2005 0002 10251 7/20/2005 28 47250 4'x 8 4.01 12.63 3740 NA i _ 6/22/2005 0002 10252 7/20/2005 28 -=4=4500:]E4 x 8 4.01 12.63 3520 NA Cl) 6/22/2005 0002 10253 7/20/2005 28 45500 4 x 8 4.01 12.63 600 NA 0 -1 Remark: 0 Inspectoll Tom Freeland -- m Tested by: Scott J Johnson Reviewed by: Timothy G. B rte, P.E. Branch Mana r NOTES: Failure descriptions for samples tested with neoprene pads are not required per ASTM Std. NA Not Applicable, S = Shear, C =Cone, CSp =Cone and Split, CSh = Cone and Shear, Col = Column .FC - Field Cure NR = Not Recorded` i Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. MTI Form 11150, Rev 3, 7.0 Everett Office TESTING ENGINEERS, INC. 917 -134th street Sv MAYES.p . e•gvaJlii:.�:.e. l..ti :: ... suite A-1 Everett, WA 98204 ph 425.742.9360 fax 425.745:1737 MTE No.: E5260 racoma Office Project: WASHINGTON FEDERAL SAVINGS,EDMONDS 1oo2ss.Tacoma Way Address: 229 Main Street, Edmonds, WA site a-2 Tacoma, WA 98499 Permit No.: 2005-0486 (City of Edmonds) pn 253.584.3720 fax 253.584.3707 Owner: Washington Federal. Savings Portland Office 7911 NE 33rd Drive D it z Architect -- l,tl suite 190. O Engineer: Armour-Unsderfer Portland, OR 97211 JulContractor: Woodburn Construction 1rJ�jj ph 503.281.7515 m ""�'�' fax 503.281.7579 Page 1 L.N S Date: 6/21/05 m Weather: Cloudy o m Inspection: R/$ Q C ' Sample(s): N/A L = m i- m Inspected reinforcing steel on south side of the building, column bases, at three locations. QMai Reinforcing steel was checked for size, grade, spacing, count, cleanliness and clearance. The Cy west end and center bases appeared to be acceptable; the east end steel needs to be more L I centered in form; and embed to be tied in. Also, loose dirt and debris to be removed from existing : coif brick prior to placement of concrete. Work continues in this area. Reinspection required; prior to f placement of concrete. mm Preliminary Inspection v N INSPECTOR: Tom Freeland C m � to Date: 6/22/06 Z Weather: Rain ;U, Inspection: R/G dL Sample(s): (4) 4x8" L L-� Observed placement of concrete on south side of the building, columns braces, at three locations. :► ..� Prior to placement, final inspection of reinforcing steel was performed and was acceptable per _ : drawing S0.1/0. Issues from report dated 6/21/05 were addressed, resolved and were Z acceptable. Concrete was Rinker mix#1337673, 3000psi at 28 days. Consolidation was O L. achieved by flat shovel and rodding with two #4 rebar, 3' in length. Concrete was placed by L n wheelbarrow and shovel. Embeds were tied in and were acceptable. Cast (4) 4x8" cylinders. A m total of 2 cubic yards were placed. No discrepancies noted. To the best of our knowledge, items inspected this date are in accordance with approved plans and specifications. -L L INSPECTOR: Tom Freeland { REVIEWED BY: Timothy G ckerle, P.E. L , cc: John Yeckel-Washington Federal Savings; Rob Livingston -Woodburn Construction; Bldg Dept -City of Edmonds ; 1. " Everett Office MAYES TESTING ENGINEERS, INC 917.134th Street SW Suite A•1 Everett, WA 98204 ph 425.742.9360 LABORATORY TEST R.EPOR1' fax 425"745.1737 Project: WA Federal.Savings Edmonds Project No: E5260 Site Address: 229 Main St Issued on: 6-30-05 Edmonds,WA Permit # (s): 2005-0486 : Client. Washington Federal Savings original: Engineer: Revised: Q Contractor: Woodburn Construction FIELD DATA `. (ASTM C31 and C172) Z Air Temperature: 56 OF O Actual Mix Proportions: Weather: Rain m Ingredient Weight (per cu:yd) Product: Concrete Coarse Aggregate 3/4" 1,571.0 lbs —t =t Supplier: Rinker Coarse Aggregate 3/8" 195.0 lbs Ticket Number . 21780554Fine Aggregate 1,552.0 lbs p rn MixDesign ID 133767:, Water 288.0 lbs M 00 Sample Tern Initial Storage, Entrained Air Fly Ash 85.0 lbs � 0 (ASTM C1064) Temp. (ASTM C31) (ASTM C231) Cement --Type I & II 375.0 lbs —� C ' 690F NR % WRA 16.0 Oz mZ Q Water /Cement Ration Slump (ASTM C143 ' Sample(s) R do C Z 0.626 4" 6-23-05 lRequired Strength (f ): 3000 Psi @ 28 daysCA r _ Placement Location and Notes p SET 1 South side of building, column bases, 3 locations. Sampled at midload of 2 cubic of a total of 2 cubic yards m m placed. v COMPRESSION' TEST RESULTS O C n (ASTM C39, C1231, and C617 when applicable) L Date Made Sample # Lab # Date Tested Age (day) .Load (Ibs) Size (in) Dia .(in) Surface Area Strength (psi) Failure Code t Z 0 6/22/2005 0002 1025Q 6/29/2005 31780 4 x 8 4.00 12:57 2530 NA '� 6/22/2005 0002 1025 7/20/2005 28 (-6/22/2005 0002'71'0252 7/20/2005 28 6/22/2005— 0002 10253 7/20/2005 28 (- 4 x 8 �� [ 0 NA Z . i --I Remark: _ Inspe :tor(s): Tom Freeland _ N i Tested by, Neal Bastian Reviewed by:. ✓ Timothy G. B erle, P.E. 0 Branch Manager m NOTES: Failure descriptions for samples tested with neoprene pads are not required per ASTM Std. ' NA = Not Applicable, S = Shear, C = Cone, CSp = Cone and Split, CSh = Cone and Shear, Col =Column FC -Field cure NR =Not Rec Information In this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc: KITE Form #150, Rev 3, 7.0