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20050849.pdfD FPERm IT EXPIRES CITY OF EDMONDS PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION ion SUITE/APT# ADDRESS OWNER NAM&NAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO. LID NO, Lu MAILING ADDRESS LID FEE S z 0 /f2 4-7H PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApproym RW Permit Reginfed 13 0 CITY ZIP TELEPHONE EXISTING PROPOSED Street Use Permit Required Inspection Required C3 E3 < 1_405 REQUIRED DEDICATION FT Shlewalk Requited underground 13 E3 Wiling required [3 NAME 4 4F & METER SIZE ] LINE SIZE NO OF FIXTURES I PRV REQUIRED YES 13 N O/q U ", V W ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE A, I (T -7 -7 (!:Vq 5d CITY STATE LICENSE N PROPERTY TAX A E] NEW RADDITION REMODEL REPAIR DEMOLISH GARAGE CARPORT (TYPE OF USE, BUIZN NUMBER OF L15111 STORIES DESCRIBE WORKTO ZIP TE EPHONE EXPIRATION DATE PARCEL NO. 1:1 RESIDENTIAL VCOMMERCIAL eU'�rMXED USE 1:1 MULTIFAMILY GRADING CYDS TANK RETAINING WALL ROCKERY NUMBER OF DWELLING UNITS CH 0< =LUMBING:AMECH El COMPLIANCE OR CHANGE OF USE SIGN FENCE ( x M OTHER FIRE SPRINKLER FIREALARM A/.,O Lu Lid z a z W 14, ENGINEER G REVIEWED BY DATE 12, E RE WTE tB DATE Lid 81-31 C:�� 0: ARIANCE Oh cu i HORELINE QEQ29#_4/INSPECTION SEPA PY )L REO'D *�s COMPLETED I �� ON 01 CA# ZONE SIGN AREA HE IGHT WAIVE ALLOWED PROPO SED ALLOWED PROPOSED STUDY E3 36 V4�- I -7-r, r LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SIDE REAR 1 0 L__j 7,0 0 C) 3z PARKING LOT AREA I PLANNING REVIEWED BY D4TE 111 REQ'D PRO' III 1 11 FT.) REMARKS SPECIAL INSPECTIO REQUIRED N YES 6 t:-H C LID 5 5— t7x/411�1_ U.I&Ll '�Z�7`EC� �R �PORT_ I BY: STRUCTURALQE$IC By I ZL(4. cl;>A/ z4p;:�_ 42� 6c_f VALUATION Description — Plan Check HEAT SOURCE LOT SLOPE% VESTED DATE Building Permit PLAN CHECK NO: Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOiElIK THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Grading Engr. Review uj CL PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) PERMIT LIMIT. SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection U) Uj _j xi a _j 0 x *APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Fire Review Fire Inspection Landscapelnsp. Recording Fee 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 a a CODE CONSULTANT THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATIOR OF THE LABOR CODjjC1f THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S "Ef(�ATION INSrNC*tND RCW 18:27. SIGN WOR ENT( DATE SIGNED (425) 07/0 771-0220 OCCUPANT GROUP OCCUPANT LOAD , Me - FEE Description State Surcharge City Surcharge Base Fee a z 3Y Is FEE Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPR6VAL This application is not a pornia Until signed by the Building official or his/hur Dopuly and Foos are paid and recoillit is acknowledged in space provided .�s IG FIE DAT E R 11-ASED.By DA I F STRUCTURE UNTIL r ATTENTION EXT. 1333 tl ' IT IS UNLAWFUL TO USE 0" /PY A BUILDING OR �4' z% A A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE 'YF1 I OW 'INSFIC 14 FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRCII`10- PINK - OWNER GOLD A.SSESSOR 10104 PRESS HARD - YOU ARE MAKING 4 COPIES z 0 i 0 ITI —1 -n Vi —4 3: 0 M C M 0 0 0 C -4 C 3: M ITI Z jo -1 C 0 -n n M M 0 0 0 M C Cn 9 Cn. 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I 1k At ALL 001 LAMIN TAWA PIROVOR PIRSULMIN pqmw VAINIA W*44f To OICA" M ALL *LAN POPSE, 6",t 04 APPAOtW GAFff� PLANNIN (01 APPROVED 5v NEI64T CULATIONSs *6 mwvcg A0011XVIAL M�Wv �%" oc" BID" LIMAL CESCPWS�faz CA. O"m C4 All wvvol OH FOL0*46, 0 W�L M OPHTFACTOROUNI&OD. S*4oLL POPOCA UWA~Ctl &TAT11 "MY CALCAATIONO TO " 6JLV@4 OW W�Sff C4C"* MW c; so etwoomect sarctl TAX k"8111 um, 4 bloom. z W�� a KnImco. to&ot WAM WSMIT "cAlottmI* I-W mo CUW =9 SA V,LI, tIAM A, uWMIW4 cq#44 nQ01004 ^fc� #%xP MEW U(LD ING NOV I 2005 OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing CONSTRUCTION IN SPECTION REPORT Report Number; 30851 Description: Structural steel Fabrication Project: Rick Steve's Europe through the Back Door Permit Number: 05-394 Address: 130 0 Avenue N, Edmonds Job Number: 05-701 Client: Rick Steve's Europe through the Back Door, Inc Client Address: PO Box 2009, Edm nds 0 Inspector z and Date Remarks Douglas Graham On site at Dimensional Design to perform special inspection on structural steel fabrication per AWS M 10/11/2005 D1.1, AISC.and approved drawings. a -.6 1y"Veriffecivelder's-WA130 certification: 'Bernado A. Worrell, expires 01 APR 06, W04342 FCAW 31: V` M C 2) Performe'd visual Weld inspection on the following columns: M a 0 1C, 1D and 1E C:i 3: M. :Mz Welds and workmanship fo und to be in c6nfor mance. C Z: > 0 -n MM 0 0 C M O� z X > Z z .0 0 M Copies to: X Client Contractor Architect X Building Dept. Technical Responsibility: Engineer VDavid Lyal, Technical Director sen & Assoc This report applies only to the items tested or reported and is the exclusive property of Otto Ro iates, Inc. Reproduction of this report, except In full, without written permission from our firm is strictly prohibited. Page I of 1 6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221 Fonn No.: ADMIN-63-01 (Rev 05103) I LD OTTO, ROSENAU &ASSOC 1ATESjNC NO Geotechnical Engineering, Construction Inspection & Materials Testing CONSTRUCTION INSPECTION REPORT Report Number: 36801 Description: Structural Steel Erection Project: Rick Steve's Europe through the Back boor Permit Number: 2005-0849 Address: 130 4th Avenue �N, Edmonds Job Number 05-701 Client: Rick Steve's Europe through the Back Door, Inc Client Address: PO Box 2009,Edmonds Z� 01 Inspector and Date Remarks K Douglas Graham On site to perform special inspection on. structural steel erection per AISC and approved drawings. 10/18/2006 1) Verified building permit and approved drawings. -n 2) Visually inspected and verified a minimum of snug tight condition of diameter A325 HSB's a per drawing A-13, detail 4. M C Mal Work found to be in conformance. 0 0 Does Conform M M z 10--1 0 -r M M CO) .0 M C4 M 0 z M. Z: COY z 0 0 M Copies to: X Client Contractor Architect X Building Dept. Technical Responsibility: Engineer avid Lyal, Technical Director �Assoclates, This report applies only to the items tested or reported and is the exclusive property of Ott o Rosenau Inc. Reproduction of this,report, except in full, without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US Fax (206) 723-2221 OTTO ROSENAU & ASSOCIATES, INC. INS 'Geotechnical Engineering, Construction Inspection & Materials Testing CONCRETE REPORT Job Number: 05-701 Report Number: 33228 Permit Number: 05-394 p Project: Rick eve's Europe Through the Back Door Client: Rick Steve's Europe Through the Back Door �Iht lh Address: 130 4 Ave N Edmonds, WA Address: 130 4 Ave N Edmonds, WA Date: 10/07/2005 Inspector: Dusty Johnston Description/Location: Front stem wall. Cylinders only. Z Resteel verified: Yes Resteel grade: 60 Manufacturer: Cascade. 0 Placement Data Design Actua[C] batch Weightsidubic Yard M Supplier: Salmon Bay Cement (lbs./type): 6 SK Mix Number: S3602100 Fine Agg. (lbs): Slump Spec: 5" Coarse Agg. (lbs/size): co W/C Ratio Spec: Coarse Agg. (lbs/size): Agg. 0 7: M, Air Spec: Coarse (lbs/size): C M Total Yards: 4 Fly Ash (lbs): 0 Placed Via: Tailgate Water (Ibs or gal): 3 0 C: Consolidated: Yes Admixtures (specify): MBAE 90 1.0 oz/yd Required Strength (psi):* 3000" M M Z m at Sapiplipgan.cl Testing Data. ...Time ,:.Cubic Water� Slu p Air%.. Conc..Jemp Ambient Truck . TIckL 'No. ASTM C.-172.i Q 31. Made Yards Addbd� C. 1.43 -C 13V 46rnp kd�:, C Z > 51, Cast Samples: 1-4 2:30 4 70' 600 32 Y530723 . . 3: Weather: Overcast Slump Range: Air % Range: 0. -n Date Samples Picked Up: 10/10/2005 Initial Curing Method: Excluding ASTM C31 -12.1.5 Initial Curing Temp: Excluding ASTIVI.C311 -10. 1.2 01111 M M Other Test Methods Standards Used: 0 REINFORCING PLACEMENT: Conforms X Does Not-Confdrm 0 M C CD K 0) COMPRESSIVE TEST RESULTS M 0 Z r-, Specimen Test Field Age Size Area Max Load Strength Type of Fracture Number Date Cure (Days) (In.) (Sq.1n.) Weight iULSI iaaft (other than congel 1 10/14/05 7 6x12 28.20 29.26# 95,010 3370 Z Z Tested in general accordance to: ASTM C39 x ASTM C109 ASTM C617 ASTM C 1231 x 0 Note: Type of fracture does not apply when testing in conformance to ASTM C1231 0 M Final curing in calcium hydroxide Water storage tank at 73* 3' F Copies to: X Client Contractor Architect x Building Dept. Technical Responsibility: Engineer Batch Plant David Lyal, Technical Director This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission. from our firm is strictly prohibited. Page I of 1. 6747 M.L. King Way S., Seattle, Washington 981.18 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221 Form No.: ADMIN-62-02 (Rev 04104) OTTO ROSENAU & ASSOCIATES, INC. NOV Geotechnical Engineering, Construction Inspection & Materials Testing CONCRETE REPORT J,ob.Number: 0-701 Report Number: 33230 Permit Number: 05-394 Project: Rick Steve's Europe Through the, Back Door Client: Rick Steve's Europe Through the Back Door th Address: 1304 Ave N Edmonds, WA Address: 130 4"'Ave N Edmonds, WA Date: 10/12/2005 Inspector- Dusty Johnston Description/Location: Entrance (front) slab. Z Resteel verified: Yes Resteel grade: 60 Manufacturer: Nucor Placement Data Design ED Actual El Batch Weights/Cubic Yard M Supplier: Salmon Bay Cement (lbs./type): 370# Mix Number: 461081 Fine Agg. (lbs): 1412# Slump Spec: Coarse Agg. (lbs/size): 1888# W/C Ratio Spec: Coarse Agg. (lbs/size): Air Spec: Coarse Agg. (lbs/size): M C Total Yards: 61/2 Fly Ash Qbs): 60# M 01 Placed Via: Tailgate Water (lbs or gal): 178# 0 0 Consolidated: Yes Admixtures (specify): 7 oz. Super plasticizer Required Strength (psi): 3000 1 bag stealth fiber M �S n -amplingo. d Testing Data, �.Tlme:: Cubic Water. SluTp.. Air.% Concjemp: lk rpblent: Truck Ticket M Added . C143 G 231. ASTM'C 172, C 31 Ma*de ::-Yards: 'TerniJ No. No. Cast Samples: 1-4 9:15 6 5 gal. 51/2" 66-55' 272 590250 C Weather: Overcast Slump Range: Air % Range: 0 -1111 Date Samples Picked Up: 10/13/2005 Initial Curing Method: Excluding ASTM C31 -12.1.5 Initial Curing Tern Excluding ASTM C31 -10.1.2 p- -4 F� C6rnM6jj& I-— , ..... . . . .. .... .... . - - I — . .1 1 *Excluding slump, which is out of spec. M M Other Test Methods Standards Used: C0 0- r REINFORCING I PLACEMENT: Conforms X* Does Not Conform 0 M C CO) COMPRESSIVE TEST RESULTS. Cl) ir M 0 Z r- Specimen Test Field Age Size Area Max Load Strength Type of Fracture Number Date Cure (Days) (In.) (Sq.1n.) Wei-ght 1!LS1 jp_s ji (other than cone) X 1 10/19/05 7 6x12 28.18 28.81# 54,200 1920 Z M Z Tested in general accordance to: ASTM C39 x ASTM C109 ASTM C617 ASTM C1231 x Note: Type of fracture does not apply when testing in conformance to ASTM C1231 0 Final curing in calcium hydroxide water storage tank at 730 t 3' F M Copies to: X Client Contractor Architect X Building Dept. Technical Responsibility: Engineer X Batch Plant David Lyal, Technical Director this report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page I of 1 6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax'(206) 723-2221 Fonn No.: ADMIN-62-02 (Rev 04104) L OTTO &ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing CONCRETE REPORT Job Number: 05-701. Report Number: Permit Number: 05-394 Project:, Rick Steve's Europe Through the Back Door Client-, Rick'Steve's Europe Through.the Back Door Address: 1304 th Ave N Edmonds, WA Address: 1304 th Ave N Edmonds, WA Date: 10/5/05 Inspector: Brian R. Robertson Des cription/Lo cation: Footing extensions on the west side of the building for new curtain wall. Z Resteel verified: 10/5/05 Resteel grade: 60 Manufacturer: Nu 0 d Placement Data Design Z Actual E] Batch Weight�KCubic Yard Supplier: Salmon Bay 0 rp Cement (lbs./type): 1564# Mix Number:- 602A Fine Agg. (lbs): 1250# Slump Spec: 4" Coarse Agg. (lbs/size): %11 1910ft 0 W/C Ratio Spec: 0.43 Coarse Agg. (lbs/size): ca Air Spec: 5.0% Total Yards: 5 Coarse Agg. (lbs/size): Fly Ash (lbs): .0 M C M Placed Via: Chute Water (Ibs or gal): 242# 000, -1 0 Consolidated: Vibration Admixtures (specify): MBAE 90 1.0 oz/yd' 00 C Required Strength (psi): 3000 Sairn'p Tes !:;C,Ubi0._ . �Cdhia T' rho, "':"Arribient Truck� Ticket .. .... .. .. er� m 6 .... ..... M M Z .. STM:C: C:311; M6db ryai�s,�,;:'Addbd: CJ 064 _T No.,: N' _Z Cast Samples: 1-4 2:45prn 5 0 gal 3Y2" 43% 670 660 68 Y530644 C > CIO Weather: Overcast Slump Range: 4" 1- Air % Range: 5.0% 1.5% 0 DateSarrlples Picked Up: 10/6/2005 Initial Curing Method: Excluding ASTM C31 -12.1.6 Initial Curing Temp: Excluding ASTM C31 -10.1.2 1 -n 0 M Other Test Methods Standards Used: M REINFORCING PLACEMENT: Conforms X Does Not Conform 0 r 0 M C CD COMPRESSIVE TEST RESULTS M C/) M 0, Z r n Test Field Age Size Ppecime . Area Max Load Strength Type of Fracture Number Date Cure (Days) (In.) (ScOn.) Weight 1tal il1s_al Lother than cone) 10/12/05 7 6x12 28.24 28.87# 109,300 3870 Z Tested in general accordance to: ASTM C39 x ASTM C109 ASTM C617 ASTM C1231 x Z 0 Note: Type of fracture does not apply when testing in conformance to ASTM C1 231 Final curing in calcium hydroxide water storage tank at 730 30 F M. d Copies to: �_Technical X Client Contractor Architect X Building Dept. Technical Responsibili b Ziri 5��David Lyal, Engineer Batch Plant David Lyal, Technical Director Di This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm Is strictly prohibited. Page 1 of 1 6747 M.L. King Way S,, Seattle, Washington 98118 - Phone (206) 725-4600 or 1-888-OTTO-4-US - Fax (206) 723-2221 Form No.: ADMIN-62-02 (Rev 04104) OTTO ROSENAU & ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing CONCRETE REPORT Job Number: 05-701 Report Number: 33228 Permit Number: 05-394 Project: Rick Steve's Europe Through the Back Door Client: Rick Steve's Europe Through the Back Door Address: 1304 th Ave N Edmonds, WA Address: 1304 th Ave N Edmonds, WA bate: 10/07/2005 Inspector: Dusty Johnston Description/Location: Front stem wall. Cylinders only. Z Resteel verified: Yes Resteel grade: 60 Manufacturer: Cascade 0 Placement Data Design Z Actual El Batch Weights/Cubic Yard 0 Supplier: Salmon Bay Cement (Ibsdlype): 6 SK Mix Number: S3602100 Fine Agg. (lbs): Slump Spec: 5" Coarse Agg. (lbs/size): W W W/C Ratio Spec: Coarse Agg. (lbs/size): Air Spec: Coarse Agg. (lbs/size): Total Yards: 4 Fly Ash (lbs): C M Placed Via: Tailgate Water.(Ibs or gal): 3 M 0 Consolidated: Yes Admixtures (specify): MBAE 90, 1 .0 oz/yd __10 0 Required Strength (psi): 3000 C S T 1, Me i: :b i i�' ':.'Cubic:-: :�:�:Water.:'�::..Slunlp 6 anhpIlh9:afid.�Tds ing: -Air 0/('- Cbn6i:T .:Tr.uck:.- TickeC M M Z. 1�1:':��Adddd:; �':�:�:C143, C:1064� Joffiip'.. -ASTM:C172::C:31�.: Yiirds-� C:2311::�:: O�: No. Cast Samples: 1-4 2:30 4 5 5.3 70! 60' 32 Y530723 C Z Weather: Overcast Slump Range: Air % Range: Excluding ASTM C31 - Date Samples.Picked Up: 10/10/12005 Initial Curing Method: Excluding ASTM C31 -12. 1.5 Initial Curing Temp: 10.1.2 :Com O..M -n ments Other Test Methods Standards Used: M M REINFORCING PLACEMENT: Conforms X Does Not Conform .0 0 M COMPRESSIVE TEST RESULTS C (n (n Specimen Test Field Age Size Area Max Load Strength Type of Fracture M 0. Z Number Date Cure (Days) (In.) (ScI.In.) Weight (other than cone) 1 10/14/05 7 6x12 28.20 29.26# 95,010 3370 2 11/4/05 28 6x12 28.15 29.16# 113,800 4040 3 11/4/05 28 6x12 28.15 29.46# 131,500 4670 Z 4* *Discarded CO) Tested in general accordance to: ASTM C39 x ASTM C109 ASTM C617 ASTM C1231 x Z 0 Note: Type of fracture does not apply when testing in conformance to ASTM C 1231 Final curing in calcium hydroxide water storage tank at 730 3* F 01 M Copies to: X Client Contractor Architect x Building Dept. Technical Respons ibility: Engineer Batch Plant L�-' David Lyal, Technical Director This report applies only to the items tested or reported and is the exclusive property of Otto Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page 1, of I 6747 M.L. King Way S., Seattle, Washington 98118 - Phone (206) 725-4600 or'l-888-OTTO-4-US - Fax (206) 723-2221 Form No.: ADMIN-62-02 (Rev 04104) OTTO ROSENAU &ASSOCIATES, INC. Geotechnical Engineering, Construction Inspection & Materials Testing 2095 CONCRETE REPORT Job Number: 05-701 Report Number: 38826 Permit Number:. 05-394 Project: Rick Steve's Europe Through the Back Door Client: Rick th Reye's Europe,Through the Back Door th Address: 1304 Ave N Edmonds, WA Address: �Avb N Ed' nds, WA mo Date: 10/5/05 Inspector: Brian R. Robertson Description/Location: Footing extensions on the west side of the building for new curtain wall. Z Resteel verified: 10/5/05 Resteel grade: 60 Manufacturer: Nu 0 __4 Placement Data Design Z . Actual El Baitch Weights/Cubic Yard 0 Supplier: Salmon Bay Cement (lbs./type): 1564# Mix Number: 602A Fine Agg. (lbs): 1250# Slump Spec: 4 Coarse Agg. (lbs/size): 19110# rn W/C Ratio Spec: 0.43 Coarse Agg. (Ibs/iize): Air Spec: 5.0% Total Coarse Agg. (lbs/size): M Yards: 5 Fly Ash (lbs): C M Placed Via: Chute Water (Ibs or gal): 0 Consolidated: Vibration Admixtures (specify): MBAE 90 1 .0 oz/yd 3 0 C Required Strength (psi): 3000 T; . ':S d-.Te6t* 'D It Ti -:�:_Cubi W It ipg . 0 a. me: . cl qmp:; �..Omo �:,�.��Amojqn :!�Jruclk'.: Ticket M M Z ....... :C:2 .:::,:C:106 ASTWC172:C:31 :::Madbl Y6rft' :�::Ad1ded,':'::iC143`:: 1 4` 0. 0 m Ip N" NO. Cast Samples: 1-4 2:45pm 5 0 gal 3 1/2" 4.3% 670 660 68 Y530044 0) Weather: Overcast Slump Range: 1. 4 Air % Range: 5.0% 1.5% 0 -T1 Date.Sa.mples Picked Up: 10/6/2005 Initial Curing Method: Excluding ASTM C31 -12.1.5 Initial -Curing Temp: Excluding ASTM C31 -10.1.2 _n Comments:.'. M Other Test Methods Standards Used: M REINFORCING PLACEMENT: Conforms X Does, Not Conform 0 0 M C 0) COMPRESSIVE TEST RESULTS Z 0) Q 0. Z r— Specimen Test Field Age Size Area Max Load Strength Type of Fracture Number Date Cure. (Days) (in.) (Sg.1n.) Weight Ital Isil (other than cone) 10/12/05 7 6x12 28.24 28 87# 109,300 3870 2 11/2/05 28, 6x12 28.25 28.99# 141,150 5000 3 11/2/05 6x12 28.25 29.10# 139,810 4950 Z A 4* *Discarded 0) Tested in general accordance to' ASTM C39 x ASTM C 109 ASTM C617 ASTM C1231 x Z. 0 Note: Type of fracture does not apply when testing in conformance to ASTM C 1231 d Final curing in calcium hydroxide water storage tank at 73' 3' F 0 M Copies to: X Client Contractor Architect x Building Dept. Technical Responsibility: Engineer Batch Plant (,,-David Lyal, Technical Director This report applies only to the items tested or reported and Is the exclusive property of Otto Ro.senau & Associates, Inc. Reproduction of this report, except in full, without Written permission from our firm is strictly prohibited. Page I of 1 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax (206) 723-2221 Form No.: ADMIN-62-02 (Rev 04104) 0 ROSENAUAASSO TTO GIATES/,�NC. ials Geotechnical Engineering, Construction Inspection & Mater �i CONCRETE REPORT Job Number: 05-701 Report Number: 33230 Permit Number: 05-394 Project: Rick Steve's Europe Through the Back Door Client: :.Rick Steve's Europe Through the Back Door Address: 1304 th Ave N Edmonds, WA Address: th Ave N Edmonds, WA Date: 10/12/2005 Inspector: Dusty Johnston De scriptio n/Lo cation: Entrance (front) slab. Z Resteel verified: Yes Resteel grade: 60 Manufacturer: Nucor Placement Data Design Z Actual F1 Batch Weights/Cubic Yard Supplier: Salmon Bay Cement (lbs./type): 370# Mix Number: 461081 Fine Agg. (lbs): 1412# Slump Spec: 51, Coarse Agg. (lbs/size): 1888# C,) W/C Ratio Spec:, Coarse Agg. (lbs/size): Air Spec: Coarse Agg. (lbs/size): M C M Total Yards: 61/2 Fly Ash (lbs): 60# mi 0 Placed Via: Tailgate Water (Ibs or gal): .178# 0. 0 C Consolidated: Yes Admixtures (specify): 7 oz. Super plasticizer Required Strength (psi)' 3000 1 bag stealth fiber M M Z 'A i r, 9% ',Co.':T Sampling and Testing Data Time Cubic, Via'ter :-..SIump,,,:i, ,!Ic:;..emp7.,�.::�Ambient:::,.- Truck :,:.Ticket- ;N&:�::: No; -��i�Adld6d::� C143,"-C:231,:: ASTWC172,,C:.31 �,Miide::' '.�Yarft� ;:.-C:1064:�:� Z Cast Samples: 1-4 9:15 6 5 gal. 5 1/2'. 66- 55 7i 590250 3: Weather: Overcast Slump Range: Air % Range: 0 -n 10/13/2005 Excluding ASTM C31 -10.1.2 Date Samples Picked Up: Initial Curing Method: Excluding ASTM C31 -12.1.5 Initial Curing Temp: Comments M M *Excluding slump, which is out of spec. Other Test Methods Standards Used: 0 REINFORCING PLACEMENT: Co r nforms X* Does Not Conform 0 M C CO M co COMPRESSIVE TEST RESULTS M Z 0 f Specimen Test Field Age Size Area Max Load Strength Type of Fracture Number Date Cure (Days) (In.) (Sq.1n.) Weight IL—sa (other than cone) 1 10/19/05 7 6x12 28.18 28,81# 54,200 1920 .2 11/9/05 28 6xl 2 2.8.23 28.96# 80,970 2870- Z *Low. Remaining cylinders being held for 56 day breaks. Client notified. Z Tested in general accordance to: ASTM C39 x ASTM C 109 ASTM C617 ASTM C1231 x Note: Type of fracture does not apply when testing in conformance to ASTM C1231 0. Final curing in calcium hydroxide water storage tank at 73* 30 F M. Copies to: X Client Contractor i ility: Architect X Building Dept. Technical Responsib Engineer X Batch Plant David Lyal, Technical Director This report applies only to the items tested or reported and is the exclusive property of Citto.Rosenau & Associates, Inc. Reproduction of this report, except in full, without written permission from our firm is strictly prohibited. Page 1 of 1 6747 M.L. King Way S., Seattle, Washington 98118 — Phone (206) 725-4600 or 1-888-OTTO-4-US — Fax,(206) 723-2221 Form No.: ADMIN-62-02 (Rev 04104) FINAL PROJECT APPROVAL FORM',. TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE KICASE SIGN ENGINEERING DIVISION DATE z 0 PLEASESIGN PLANNING DIVISION DATE M PLEASE SIGN PROJECT 9 L C.,� 9 o C �Q A, V_g Al M 0 .SITEADDRESS PERMIT #U 5 0 FS7��ADB# DATE INSPECTED 0 0 C. M M Z DESCRIPTION OF WORK TO BE INSPECTED T C A field inspection was conducted to determine I compliance with -approved plans. Final approval 5 -n denotes that there are no objections from the above signed Department to the release of 0 -n PERFORMANCE BONDS and the granting of: M M 0 U5 0 GRANT FINAL PROJECT APPROVAL 0 M C C/) Q C-) Z r X GRANT PROJECT APPROVAL WITH CONDITIONS NOTED El Copy of CONDITIONS given to owner/contractor by inspector: z 0 M FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signattire 1:teMP:b1dg:f6.nnS:ocaprv1 3/25/04 FINAL PROJECT APPROVAL FORM FINAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT. DATE PLEASE SIGN DIVISION DATE. 0 -ENGINEERING \J PfEASESIGN M PLANNING DIVISION. DATE PLEASE SIGN VIS M PROJE CT C SITE ADDRESS- mo 0 —10 0 PERMIT ADB# DATEWSPECTED C12 - # C: M Mz DESCRIPTION OF WORK TO BE INSPECTED I�D C r -4 CD A field inspection was conducted to. determine compliance with -approved plans. Final approval 0 -n n -denotes that there are no objections from the above signed Department to the release of PERFORMANCE BONDS and the granting of: M M 0 0 M C Cn. GRANT FINAL PROJECT APPROVAL C/) Q 0 z \GVANT PROJECT APPROVAL WITH CONDITIONS NOTED Copy of CONDITIONS given to owner/contractor by inspector Z f 71 i7 0. FAILED FINAL INSPECTION - OUTSTANDING ISSUES M 0, Copy of CORRECTION NOTICE given to owner./contractor by inpector .2. .3. RE -INSPECTED OUTSTANDING. ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1:ien1p:b1dg:fbnus:ocaprv1 3/25/04