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BLD20100657.pdfi • III I�! III Off' E041 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED 3/2/2011 i'V Permit #: BLD20100657 Expiration Date: 3/2/2012 Project Address: 8115 :LAI(E BALLINGER WAY,; I EDMONDS Parcel No: 00491100001505 PAOPERTYOWNEA SCOTT'S BAR & GRILL CRAIG HANWAY COMPREHENSIVE TJ NISBET CONSTRUCTION 2010 79TH AVE NE ARCHITECTURE PO BOX 40 MEDINA, WA 98039- 1905 10TH AVE W #101 CLACKAMAS, OR 97015 - SEATTLE, WA 98119- ( ) - Ext. (206) 282-1905 Ext. (503) 257-0308 Ext. LICENSE #: TJNISCIO44DN EXP:6/17/2011 ADD 1025SF EXTERIOR DINING SHELTER, RETAINING WALL AND EXPAND PARKING LOT VALUATION: $320,000 C0zM'wPL1tN11rE0 PERMIT TYPE: Commercial PERMIT GROUP: 02 - Addition GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: Y OCCUPANT GROUP: A2 OCCUPANT LOAD: 68 FENCE: N ( 0 X 0 FT.) CODE: 2009 OTHER: N ------- OTHER DESC: ZONE: CG NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 BASEMENT:0 IST FLOOR: 1025 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 '/REARSFFBACK REQUIRED:4 PROPOSED: 35 REQUIRED:0 PROPOSED: 65 REQUIRED:4 PROPOSED: 45 HEIGHT ALLOWED:60 PROPOSED:23 REQUIRED: 0 PROPOSED: 100 SETBACK NOTES: 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. 19APPLICATION ISNOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEESARE PAID. Name Date ATTENTION ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC I0/IRC 110. ONLINE APPLICANT ASSESSOR X Mws OTHER STATUS: ISSUED BLD20100657 I CONDITIONS Conditional use permit for outdoors eating area was approved with conditions under file number PLN20100066. (1) Number of outdoors eats shall never exceed 64, and (2) Hours of operation for outdoor dining area shall be from 7:00 am- 10:00 pm SPECIAL INSPECTIONS ARE REQUIRED FOR THE FOLLOWING: • Excavation, Grading, and Site Preparation • Placement of Structural Fill and Compaction • Soil Bearing Verification • Foundation Drainage Installation • Concrete Construction, Including Reinforcement • Prior to Final Inspection by the Building Division, Final Special Inspection Reports are Required From All Special Inspectors. Submit Special Inspection Field reports on a weekly basis to the City Building Department. • Separate Permit Required For: Fire Sprinkler; Cas piping for outdoor fireplaces; Electrical. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision ofcity code or state law does not approve any items not to code specification. • Sound/Noise originating fromtemporary construction sites as a result of construction activity are e»mpt fromthe noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. • Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claim for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this pennit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING (425) 771-0220 EXT. 1333 1 ENGINEEMG (425) 771-0220 EXT. 1326 1 F[RE(425) 775-7720 1 PUBLIC WORKS 425) 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING 425 2754801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • E Pre -Con • E.Erosion Control/Mobilization • Tree Protection Fencing • ErStortnTightline • B -Storm Detention System F,Footing Drain Connection • &Pavement Striping • IrRetaining Wall Drainage • X -Rockery Drainage • I1Fngineering Final B-Preconstruction meeting B -Setbacks • B -Footings B -Foundation Wall B -Foundation Drainage B -Retaining Wall • B -Mechanical Rough In • B -Roof Sheathing B -Framing B -Building Final F -Fire Final P -Planning Final B- Roof Sheathing 0 �aOV EIJ_4 Inspection Comments BLD20100657 02 - Addition Applied: 09/14/2010 Issued: 03/02/2011 Expires: 03/05/2012 enc. I g90 Address: 8115 LAKE BALLINGER WAY, EDMONDS (INSPECTION_ _.--__ - - - - - -- --v - - - - -- -- DATE------_. - INSPECTOR . ACTION 1000 - E -Pre -Con 03/04/2011 MCCONNELL COM Comment: Spoke with contractor. Inspection set up for 1 pm on 3/7/11. Currently installing silt fence, tree protection & filter socks. Acknowledges he's not supposed to demo anything until inspection has taken place. 1000 - E -Pre -Con 03/08/2011 SIBREL CMP Comment: Preconstruction Conference 3/7/11 at 1 pm. See Precon agenda and minutes attachment. 1001 - E -Erosion Control/Mobilization 03/11/2011 MCCONNELL COM Comment: TESC adequate at this time. Contractor to cover exposed slopes after working, will keep sediment within construction area and out of storm system. Monitoring of measures and performance required throughout project. 1001 - E -Erosion Control/Mobilization 05/05/2011 LAMBERTJ COM Comment: Will final once planning has signed off 1001 - E -Erosion Control/Mobilization 05/12/2011 LAMBERTJ CMP Comment: Final approved 1002 - Tree Protection Fencing 04/29/2011 LAMBERTJ CMP Comment: J.McConnell on site - Final Approved 1013 - E -Storm Tightline 04/29/2011 LAMBERTJ CMP Comment: J.McConnell on site - Final Approved 1013 - E -Storm Tightline 05/27/2011 ZULAUF COM Comment: Partial t/I ok to bury -see civils 1015 - E -Storm Detention System 04/15/2011 MCCONNELL COM Comment: Partial ok to backfill. See plans. 1015 - E -Storm Detention System 04/19/2011 LAMBERT) PAR Comment: Verified Mudding for SD#6, SD#1, and SD#3 1015 - E -Storm Detention System 04/29/2011 LAMBERTJ COR Comment: J.McConnell on site - Need to mud and clean CB's, shear gate handle needs to attach to ladder 1015 - E -Storm Detention System 05/05/2011 LAMBERTJ CMP Comment: Verified mudding and CB's are cleaned - Shear gate handle attaches to ladder 1017 - E -Footing Drain Connection 04/29/2011 LAMBERTJ CMP Comment: J.McConnell on site - Final Approved - Not connected to detention 1051 - E -Pavement Striping 04/29/2011 LAMBERTJ CMP Comment: J.McConnell on site - Final Approved 1054 - E -Retaining Wall Drainage 04/29/2011 LAMBERTJ COM Comment: J.McConnell on site - need to verify where drainage outfalls to 5/21/2012 11:26:04 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 3 INSPECTION DATE INSPECTOR ACTION 1054 - E-Retaining Wall Drainage 05/05/2011 LAMBERTJ COM Comment: West wall drains to detention system - need approval from civil engineer that storm system can handle the additional water. 1054 - E-Retaining Wall Drainage 05/11/2011 LAMBERTJ CMP Comment: Jerry Shuster reviewed and approved 1057 - X-Rockery Drainage 04/29/2011 LAMBERTJ CMP Comment: J.McConnell on site - Final Approved 1077 - E-Engineering Final 04/29/2011 LAMBERTJ COR Comment: J.McConnell on site - Correction Notice given 1077 - E-Engineering Final 05/05/2011 LAMBERTJ COR Comment: Need approval for retaining wall drainage to drain to storm system & need planning approval 1077 - E-Engineering Final 05/12/2011 COCCIA COM Comment: Ummmmm... Looks like several evergreens within the ROW north of the site are missing. You can see clear across the highway now - oops. Do we need to contact DOT or public works? How to handle? Thanks. 1077 - E-Engineering Final 06/07/2011 LAMBERTJ CMP Comment: Final approved - site restoration complete, see attached memo regarding retaining wall drainage. 1101 - B-Preconstruction meeting 03/07/2011 STEINIKE CMP Comment: 1108 - B-Footings 03/14/2011 STEINIKE COM Comment: Not ready! 1108 - B-Footings 03/21/2011 STEINIKE CMP Comment: 1110 - B-Foundation Wall 03/30/2011 STEINIKE CMP Comment: 1112 - B-Foundation Drainage 03/28/2011 STEINIKE COM Comment: Concrete portion only. 1112 - B-Foundation Drainage 04/28/2011 STEINIKE COM Comment: Waiting on special inspection report. 1112 - B-Foundation Drainage 06/09/2011 STEINIKE CMP Comment: 1116 - B-Retaining Wall 03/23/2011 LAWLER COM Comment: walls Partial. 1116 - B-Retaining Wall 04/01/2011 STEINIKE CMP Comment: 1130 - B-Mechanical Rough In 04/12/2011 STEINIKE COM Comment: Gas test ok! 1130 - B-Mechanical Rough In 04/28/2011 STEINIKE CMP Comment: 5/21/2012 11:26:04 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 2 of 3 rNSPECTION DATE INSPECTOR'ACTION' _ 1142 - B -Framing 04/21/2011 STEINIKE CMP Comment: 1158 - B -Building Final 04/28/2011 STEINIKE COM Comment: Not ready, need other approvals. 1158 - B -Building Final 05/06/2011 STEINIKE COR Comment: Gave correction notice. 1158 - B -Building Final 06/09/2011 STEINIKE COM Comment: Need final special inspection letter, and bond. 1158 - B -Building Final 03/02/2012 LAWLER CMP Comment: 1985 - F -Fire Final 05/14/2012 SMITHM CMP Comment: APPROVED 2000 - P -Planning Final 05/12/2011 COCCIA CMP Comment: 54 chairs + sofa area = 64 seats. Landscaping within the property lines looks reasonably good. 3000 - B- Roof Sheathing 03/23/2011 LAWLER CMP Comment: 5/21/2012 11:26:04 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 3 of 3 CITY OF EDMONDS SPECIAL INSPECTION AND TESTING AGREEMENT FOR SOILS est. 1g90 PERMIT # DATE; PROJECT SITE ADDRE SS; 0 / PROJECT NAME: �5 6ow" �� — SPECIAL INSPECTION AGENCY— lja,YIM &V7 form. must be completed by each Special InspectionA ency-or-Inspector. g 'SPECIAL INSPECTIONS REQU-MED: Special inspections are required for this project in accordance C u with IBC ' Chapter 17:or in accordance R109.2 -as applicable. IBC Section 1704.1 requires the owner -or the registered :design prof-essi I onal in charge to employ an independent testing/inspection agen-cy/special inspector to per -form required -special nspections. 'The 'independent agency hired to perform the duties of special inspection is required to be a. -registered. agency with WABO, under the 'Special, Inspection Registration Program The special inspector shall be a qualified person with pompetenicejor inspection of the particular type of construction :or- operation ;requlring special inspection (SOQ may be required 'by the Building 2 Official). The owner, registered professional, contractor and speciAl inspector/agency shall completetheattathed form and submitidirectly to the Building Division. woRic REQURING SPECIAL INSPECTION.: :Special inspections: will be required for the following .categories of work. k. -in accordance with IBC !Chapter 17 and 1RC .IU09.2: FOR SPECIFIC INFORMATION REGARDING REQUIRED SPECIAL INSPECTIONS SEE THE -STATEMENT OF SPECIAL INSPECTION DATTACHED OAPPROVED PLAN SHEET KS -oils (1704.7) .9.-Soil,Bearing Verification ,%,Structural.Fill and Compaction g,Fo,undation.and Site Drains. KGenerdl Site Monitoring during Wet Weather -,Construction Temporary Er-os'loli:ControI XFugal Erosion Control �0 Temporary Shoring o Permanent Shoring o Piling, Drilled Piers, .and Caissons (1704.8, 1704.9) o Pier Fo-undations'(1707.5) Site retaining wah/ rockery construction ,Final letter from geotechnical engineer of record 0 ❑ L-.\TEMP\BUILDING\FORMS\Inspection\SpeciaI Inspection Agreement Soils;doc12/09 • • BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector shall complete this agreement and the attached Special Inspection Information Form, including the required acknowledgements and return to the Building Division for approval prior to permit issuance. APPROVAL OF SPECIAL INSPECTORS: Each special inspector shall be approved by the Building Official prior to performing any duties or inspections. The company performing inspections must be WABO certified as well as the individual completing inspections. When required by the Building Official, each special inspector shall submit Statement of Qualifications to the City for review. Special inspectors shall display identification when performing special inspections on the project site. Special inspection and testing shall meet the minimum requirements of IBC Chapter 17 and the following: .. A. Duties and Responsibilities of the Special Inspector 1. OBSERVE WORK The special inspector shall observe the site work for conformance with the .approved (stamped) plans .and. specifications and applicable workmanship provisions of the IBC. Architect or Engineer reviewed shop drawings may be used only as an aid to inspection. Special inspections are to be performed on a continuous basis—meaning that the special ,inspector is on site at .all times observing the work requiring special inspection. Periodic inspections are permitted only as specifically noted in the approved project plans in accordance with IBC Chapter 17, and as approved by the Building Official. -Continuous Inspection means the same inspector is on site day to day to observe the work requiring special inspection. Periodic Inspection means some inspections may be performed on a periodic basis to satisfy the requirements of continuous inspection, provided these periodic inspections are performed .as outlined in the project plans and specifications, -and approved by the Building Official. 2. REPORT NONCONFORMING ITEMS The special inspector shall bring non -conforming items to the immediate attention of the contractor and note,all such items in the daily field report. Any item not resolved in :a timely manner shall be immediate ' cause of the special inspector to notify the Building Official by telephone at (425-771-0220) or in person at City Hall, of the plan deviation, error, change or omission. It shall also be the duty of the special inspector to promptly notify the engineer or architect of record. 3. DAILY REPORTS KEPT ON SITE WITH CONTRACTOR Each special inspector shall complete and sign a daily report for each day's inspections. The daily reports shall remain at the jobsite with the contractor for review by the City Building Inspector.. 4. WEEKLY REPORTS TO CITY The special inspector or inspection agency shall furnish the City with weekly reports of tests and inspections. The project engineer or architect, and others as designated shall also be copied on reports. Weekly reports must include the following: • Description and date of daily inspections and tests made with applicable locations List of all non -conforming items and locations Report on status of non -conforming items (how each was resolved or unresolved) • Field changes authorized by the Architect, Engineer or City Inspector if not included in non-conformance items. L:\TEMP\BUILDING\FORMS\Inspection\Special Inspection Agreement Soils.docl2/09 • 0 5. FINAL CONSTRUCTION REPORT The special inspector or inspection agency shall submit a final signed report or Certificate of Compliance to the City stating that all items requiring special inspection and testing were fulfilled. and reported. And, to the best of his/her knowledge the project is in. conformance with the approved plans and specifications, approved change orders and the applicable workmanship provisions of the IBC. Items not in conformance, unresolved items or any discrepancies in inspection coverage (i.e., missed inspections, periodic inspection when continuous inspections were required, etc.) shall be specifically addressed in this report. B. Contractor Responsibilities I- NOTIFY THE SPECIAL INSPECTOR OF ALL REQUIRED SPECIAL INSPECTIONS It is the duty of the contractor to notify the special inspector when work is ready for special inspection. Note, the items listed on the .attached Special Inspection Information Form and as noted on the approved plans and specifications are required to have special inspections. Adequate notice shall be provided by the contractor. so that.the special inspector has time. to.hecome familiar with the project. All work requiring special inspection must be approved.prior to concealing or covering said work. 2. PROVIDE ACCESS TO APPROVED PLANS The contractor is responsible for providing the special inspector access -to .approved plans at the. j obsite. 3. RETAIN SPECIAL INSPECTION RECORDS The contractor is responsible to retain at the jobsite all special inspection records submitted by the special inspector. These records are to be provided to the City building inspector upon request. C. City of Edmonds Building Division Responsibilities 1. APPROVE SPECIAL INSPECTION The Building Division shall approve all Special Inspectors and -special inspection requirements. 2. MONITOR SPECIAL INSPECTIONS AND APPROVE WEEKLY REPORTS Work requiring special inspection and.the performance of special inspectors shall be monitored .by the City Building Inspector. Building Inspector approval must be obtained prior to placement. of concrete or other similar activities in addition to that of the special inspector. 3. ISSUE CERTIFICATE OF OCCUPANCY The Building Official may issue a Certificate of Occupancy after all weekly special inspection reports including the final report have been submitted and accepted by the City. D. Owner Responsibilities 1. The project owner or the engineer or architect of record acting as the owner's agent shall fund special inspection services. E. Engineer or Architect of Record Responsibilities 1. Prepare Statement of Special Inspections in accordance with IBC Section 1705. 2. Review the special inspection reports and provide corrective action for work that may not conform to the approved plans. L:\TEMP\BUIIJDING\FORMS\Inspection\Special Inspection Agreement Soils.docl2/09 ACKNOWLEDGEMENTS 1 have read and agree to comply with the terms and conditions of this agreement. Cesar CasasBeaux, Restaurants Unlimited, Inc. Owner name �reo�.� print or type) SignatuDate of/o7/il General. Contractor Company/Owner name (please print or type) Signature Date Special Inspq Signa Architect/Engineer Signa CraigiHanway, CA&DS, Inc. I or type) Return the original signed agreement to the Building Division City of Edmonds Building Division 121 S'h Avenue North, City Hall Second Floor Edmonds, WA 98020 ACCEPTED BY CITY OF City Official Signa Title: BUILDING DIVISION: Date 01/07/11 r JAN 112011 WILDINd DEPAATMEN I 01TY OF RMONDS W:WuildinglHANDOUT ICODESIFORMS\SPECIAL INSPECTION AGREEMENT FORM.do0/07 A CKNOWLEDGEME, NTS I have -read and.agree to comply with the terms and conditions of this agreement, Cesar CasasBeaux,,Restaprants Unumited, Inc. -Owuer name (please. print or "e). Signa Date 01/07/11 Oeneral•.Coutrac paelyn name T Nisbet, T.J. Nisbet -Construction, Inc. (please -print or type) Signature!. .4 Date 03101/11 Special Impector/Agcncy name 17-VIIrWe_IA (please prjdt or type) . Signature Z2,�]Date lez� -eiL / Craig Hanway CA&DS Inc: Architectffilngine,er On J,Kppord 01/�07/11 iyltr type) ate .'' .. . ' . - I '� 0 Return, the original signed agreement to the Building Division. :City.of Edmonds Bididing Dkvision 12.1.51h Avenue North, City lIsILSuvond Floor E dynonds, WA '98020 ACCEPTED BY -CITY OF EDMONDS BUILDING'.DMSION: -city Offidal Signaiure Title- RESSU: JAN. 1.1.2011. WABuUding\HAND0UT )CODESTORMMSPECTAL INSPECTION AGREEMENT FORMA.oc7/07 May 10, 2011 Restaurants Unlimited 1818 Northlake Way Seattle, Washington 98103 Irerracon RECEIVED AUG 10 2011 Attention: Mr. Cesar CasasBeaux DEVELOPMENT SERVICES CTR. CITY OF EDMONDS Subject Summary of Construction Phase Geotechnical Services Scott's Bar and Grill Parking Lot Expansion (Permit No. BLD20090065) 8115244 th Street S.W. Edmonds, Washington Terracon Project No. 81085226A Dear Mr. CasasBeaux: Terracon Consultants, Inc. (Terracon) provided limited on-call geotechnical construction observation services for the Scott's Bar & Grill Parking Lot Expansion Project located at 8115 244th Street SW in Edmonds, Washington. Our site observations and recommendations have been summarized in daily field reports which have been transmitted to you over the course of construction. Copies of the daily field reports are also enclosed with this letter. A summary of our geotechnical observations is presented below. • Patio Footing and Slab Subgrade Conditions — In general, the subgrade consisted of dense silty sand with gravel interpreted as glacial till overlain by crushed rock. In our opinion, the observed subgrade was adequate to support the planned site improvements. • Retaining Wall Subgrade Conditions — In general, cast -in-place retaining wall subgrades consisted of medium dense silty sand with gravel or 2- to 4 -inch quarry spall fill placed over medium dense silty sand with gravel. In our opinion, the observed subgrade was adequate to support the design wall loads. • Stormwater Detention Pipe Backfill Compaction — Backfill consisted of 5/8 -inch crushed rock (crushed rock generally without sand and fines) to about 1 foot above the crown of the pipe. On-site soils consisting of silty sand with gravel were placed and compacted above the 5/8 -inch crushed rock. In-situ nuclear density tests completed on the silty sand with gravel met or exceeded the minimum specified compaction value of 95 percent of the modified Proctor maximum dry density. Terracon Consultants, Inc. 21905 641h Avenue West, Suite 100 Mountlake Terrace, WA 98043 ` P [425] 771 3304 F [425] 771 3549 terracon.com Summary of Construction Phase Geotechnical Services Irerracon Scott's Bar & Grill Parking Lot Expansion ® Edmonds, Washington May 10, 2011 a Terracon Project No.: 81085226A • Asphalt Pavement .Subgrade Conditions — We observed the contractor proof roll the parking lot subgrade with a Dynapac smooth drum vibratory roller. In general, the subgrade was observed to be firm and non -yielding and was considered adequate for pavement support with the exception of two stormwater detention pipe trench backfill areas. The stormwater detention pipe trench backfill was in an over optimum moisture condition and yielded slightly under proof roll loads. Terracon discussed the yielding trench backfill with the general contractor. We indicated that the slightly yielding subgrade should provide adequate support for the design asphalt pavement section, provided that a potential reduced pavement design life was considered acceptable. It is our understanding that the potential for a reduction in the pavement design life was considered acceptable and no additional action was taken by the contractor relative to the condition of the stormwater trench backfill. We hope this letter meets your current needs. Please do not hesitate to contact us should you have any questions. Respectfully submitted, Terracon Consultants, Inc. James P. Georgis, L.E.G. Project Geologist Thomas A Jones, P.E. Geotechnical Department Manager Enclosure: Daily Field Reports (DFR No. 1 through DFR No.6) 2 • 1 rerrakon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # DATE J 5 PAGE OFL— PROJECT:�f v ��kS t� �� ` TERRACON JOB NO: CLIENT:' VC"n�^ tit '!'�CONTRACTOR: TERRACON FIELD REP: f 1 L „ DSS LOCATIONZ IS 401/2 r�ll ice" thd�N, ARR./DEP. TIME: V�It / �� PERMIT NUMBER: WEATHER: U Q4SN ppin "I'�G�,t� . EQUIPMENT USED: s i � �, � � i C`'" t7'G�G�.1-t b �_ �L.tJ'Si�S�- G1� C'.�.o/` � i {�'- �, S. • �. (4- 7,c rte- y CA AJ z) �c�� gan, ll�nev`. �t�cra.de�/l. 1�►��t(� e�F �-t�-- �-,C d -sem V Yi1 ja_ -tLJ �- ���9 G1� �G� SE,e�,9 CIjGiCs�. Sr �%L°. ✓C°.LOMN�4'lr.�G� . _4 s 5� t Ilop Ir eon. . L001e S611 -.,,sem . 6&-O-\ />r A - Ld 11 L-\ GfrCnStya //CG''i✓°� �4/64 O -0 �aP_ )��, tCC1�4S1�� t�� '1� S'`��-! eX/� 1 f REVIEWED BY: This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Form #1 Irerracon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # DATE__ I I% / f` I PAGE OFA PROJECT: J: fi °- G �' �' TERRACON JOB NO:,?:/ CLIENT: I )t0V-6U,,L<-,W _ _, M4ir CONTRACTOR: i TERRACON FIELD REP: 1 LSI x5 LOCATION: I �J L4�e– (�YA I I kv*, ARR./DEP. TIME: I 'u L l �� PERMIT NUMBER: WEATHER:0" (A 2S EQUIPMENT USED:Wp-TZe, I:1w�C1t��P� C�� �5� VI��-� �:i- Atl '414 CLL I S"<- i&eX- �LtC-J ���,r�f/�., N ✓�J t�►/4 �r � � C� ���',l/� / ���1,/' t� ' 7c.�<� t'► -til — C�� ivy:,-/ Pr� vy\ tLkti "lel� 1 L -s REVIEWED BY: This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Forrn # I Irerracon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # J DATE 3L21411PAGE OF_L_ PROJECT: !& L TERRACON JOB NO: 5 � k S I, CLIENT: zf )-61awM % VII\, I�_ \���\4 - CONTRACTOR: �j c TERRACON FIELD REP:—& �Lv \� S'� L�� LOCATION: S V ARR./DEP, TIME: �� 3&_�1> PERMIT NUMBER: WEATHER: EQUIPMENT USED: tat,Ir1, t ,f t yr v a s= + 'J k'uk moi- 44xL "4 UA'f- tX AU . (7Gn +vu.c 61 'iv fP,� 'A\ )C4 err— S Jb �u�tk, 11J2��` r ntA.,J pC U 04W. \NW;C',n s4c— 4t\p- Wv4e'14yfineta. US W a'w 61)1.)- 1 �u 2 Pce+ cid I(Nr se. r.l.}e �- mad-exra�� �rnv,r� -,KA z _ C�6-44' N uc,t � Ll SU6C1 VtJQ- av,tl. L:z (ac d w 4l,\ " cru ,al." A S0,1116 JA Z u4s, eoiek 14 V"41 kx)Actmeu C41n�L (/ . % Inaya IMLtQ _0 Ute+ MA -Ay nu v1 c� u.>nu �� �n U cv,,. e).�ii A•, �^� CiP,I W tnaA�c S,nc, nU� a,,l l,-y� �1k5e} �n,�w� rMp M ,�mer� ,�s d1n�_ l�sul,l vix REVIEWED BY.- This Y:This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Form Ml 1 rerraco, n Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # >> DATE C PAGE OF PROJECT: S �c�5 bas + Gtr TERRACON JOB NO: CLIENT: CONTRACTOR: 3C Inc. TERRACON FIELD REP: f2-. St✓ Li, LOCATION: L (s lei 8011669a w ARR./DEP. TIME: ��. V I Z i�ra PERMIT NUMBER: WEATHER: C3Je ft ,A I LA �ti P-PnM�I O� EQUIPMENT USED: PXAcs '� b. cri t r& s `O G 0A S 4\L 'LIR ` 1 U We r5� oC % d - �kuv SM 2 Ct tnla OL Q >^ J '+ f G �iD .�p���J�Y�11�`f 1 d1S fG l �C.A �Vl 1�n1�-` (1� aI.�((;, f 4\,A J1X.kR M W U��S, .� CWyi(r i g-AW'NU A U\ A� V Q A A VD 6LCJE 1 I :A P+ -,i, (A -UA 'j4 G`NSVe YIx:k q'lU1 brn, S,l su!Y.A QP 4U g(aVC1kc0r. Ink 41AIL asA-&L*us 41n,& -buN ra &c e xc.v juk-s-i SuA\ pLn4ed Q,- M VS�L Win of as'�t c. REVIEWED BY: This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering: We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative.' The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Form N 1 0 I rer, racon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # DATE II PAGE_ OF -2, PROJECT: TERRACON JOB NO: 910,; A CLIENT[»-�A<ardttisL(N.Q.I Wu� CONTRACTOR: �� t`, in cQ TERRACON FIELD REP:' -4R d cS4 ta.� LOCATION: � 1 C '�F Kms- fEJa�LL'Jy�ev . �¢y ARR./DEP. TIME: L%� -- GL PERMIT NUMBER: WEATHER, A' POS EQUIPMENT USED: ee L o�oZ`5�c eu i =6 �Pr�JYK2tin U1�, r "JA W 1�ae. A Ga 4av [� an la fJbL /l Imo . Imo_ �iF�nn�s�¢ ('1— (i!/� 1Qi o a� cu .� it .O d�u.kt�� ► 1/l�ed.r�- �� -Z alb nv u��� -du Iwu2�,�u.fi, Nla�(it:s-t , j 4L4- 11 W�IAiv� REVIEWED BY.- This Y:This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Foran #1 • • Irerracon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # DATEtIA PAGE ?— OF PROJECT: cab � I1 TERRACON JOB NO: 13 � Q zzia- A TahlP Cnmmary of FiAd D, -"city Tact Raanite Test No. Test Date General Location Elev. (ft) Feet to Grade Mat'1, Type Field Dry Density (ef) % Field Moist. % Comp. Field Pass / Fail LI it A -Z, l 62� I / 5- P Percent Compaction Based on: ❑ Standard Proctor, ASTM D 698 Modified Proctor ASTM D 1557 ❑ Other LEGEND DT = Densisty Test RT = Retest ST METHOD N =Nuclear (ASTM D 2922) ❑ SC = Sand Cone (ASTM D 1556) ❑ DC = Drive Cylinder (ASTM D 2937) Fmm #z Specification: ❑ 90% ❑ 95% D 698 D 698 ❑ 90% 83195% D 1557 D 1557 ❑ Other Material Type Reference Sample # Material Description Max. Dry Density (pef) Optimum Moisture (%) 57 Irerracan Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # SA DATE PAGE_ OF PROJECT: ! ,C ,r cum Cervi TERRACON JOB NO:A1DASZ-Z-(,eA CLIENT: CONTRACTOR: ek- -Zhc., TERRACON FIELD REP: , LOCATION: S//S I-dL z2. ARR./DEP. TIME:»�- d� �SOrn PERMIT NUMBER: WEATHER: 1�GC�It 'I -S �S�° _ EQUIPMENT USED`::� �/7eear� i fZL/il2i fi./�iJZefi �/ i e�9e� c� )o Cio.r w�vz+ Lt S a ViSi •i— t)A 60'kl.e T CF 40- Olcs::;',p.'p 6674441 ivc &M."4 G sr u.. IJM�ael I� nand /h-SrY/ic Q�iYII�i,K,5,� %r/1 LL 7rt�cY— %%A//�l,i✓ •l c"' - z- �' ar"' Sai4 &Mn PuAirc., /EreA SGS : l/ ✓P�r�2n]�o ��/,�t�.f II/iJ��'-tn2%� /'.ire% Iy_-�%lrc� finGL� %I�a✓„/�� .t✓Jv.�2C�-�`iw I;IZ.��k:Yl'TzJ�' alea�t- >r►�,t7 3 ./ �1�, , n�►i�r r,�.►z 0 l ��►,�� ✓ c ✓ / Gr � •�191/yte �llec� !' JZ4 2 (tk"c ry// G✓ V/0 REVIEWED BY: This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Ten•acoh field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Form #1 i • Irerracon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT #�A DATE Z PAGES OF_�/ PROJECT: c aus r nub �'rri L� TERRACON JOB NO: A/QP, SZz(o,4 CLIENT: CONTRACTOR: uGif:Yur— TERRACON FIELD REP: LOCATION: g X15�i rr.¢r �a 30 «y J tis 2 G o ARR./DEP. TIME: 8-' b A2, 1 o►n - cJ An, PERMIT NUMBER: WEATHER: EQUIPMENT USED: IDigla.. ni p I/e �d�rr�.vv - Sunr. n t `60 - SS DOA- re- 31 C ;S 1�- atlj.t.ce. 1 P jallf 6J (SW gQ-�e- [y, b8-�a-F Sr—JL r-. ke,4-b n S0"-' ri�tci-i^Msu /�' `�ta�/Jcyrer�o Ll ��1� � io��.�;l,t ,� �-Qa_ .�hr.rw�R a.�o.re �.t�..e.,P � ` • Loa(n �� , (.CJ ii10G�'fLtit1, 1 ih C\)Lj(t.(•L -Gi �'Q . �/�,� CUrP.��n (1r DdUnId 1—� Qrt{ti..r��7 ^� •�' .(• - !i � A� U� 1�/ 1`l .0 O Wo Y 1"/./NYVIrY�C.LA-FS(..11 `�'l Ml Y' J0, to W' JA /r( �J L4 sod � ,/ � AI A Q /�� (rYvt�nwu,p�,� ll- gb�'i --UV?A `— 1Ll5L[^- GS ./i 1 / l%iY1 t45�fi?ISG Q" f/dda:;a '4!j ��pp tt u r �9 �_�» G ✓!r �2 I�t. Lln� Q tfilVt., �� -ill to cL �� CS 1 �. a 2rA1k etrret�lc�. , I.(.l� DA C mfvitiyy.N.,..- cd' 44 REVIEWED BY: This report presents opinions formed as a result of our observations of the contractors activities relating to geotechnical engineering. We rely on the contractor to comply with the plans and specifications throughout the duration of the project irrespective of the presence of the Terracon field representative. The presence of our field representative will be for the purpose of providing observation and field testing services. Our work does not include supervision or direction of the actual work of the contractor, its employees, or agents. Neither the presence of the Terracon field representative nor the observation and testing by Terracon shall excuse the contractor in any way for defects discovered in its work. Terracon will not be responsible of job site safety on this project. Forth HI Irerracon- Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # D DATI PROJECT: Sc_6*� <?cw 2Z PAGE Z OF--� TERRACON JOB NO: 8 Coo SLZ to ,4 prr MrM N] 0 Irerracon Geotechnical Engineers and Environmental Consultants 21905 64th Avenue West, Suite 100, Mountlake Terrace, WA 98043 (425) 771-3304 / FAX (425) 771-3549 DAILY FIELD REPORT # 19 DATE 4/ZZ/11 PAGE_ OF__�Z PROJECT: E l'_csi car Cvv�� (xi I TERRACON JOB NO: A (QS S 7-2-r;& Tahle Cnmmary of Field Dpn. itv TPet Rvcnitc Test No. Test Date General Location Elev. (ft) Feet to Grade Mat'l Type Field Dry Density (ef) % Field Moist. % Comp. Field Pass / Fail `� 22 0 1 Mo I ( (v 1 1 a --�- 14 Percent Compaction Based on: ❑ Standard Proctor, ASTM D 698 0 Modified Proctor ASTM D 1557 ❑ Other LEGEND DT = Densisty Test RT = Retest TEST METHOD N = Nuclear (ASTM D 2922) SC = Sand Cone (ASTM D 1556) ❑ DC = Drive Cylinder (ASTM D 2937) Form #2 Specification: ❑ 90% ❑ 95% D 698 D 698 ❑ 90% 995% D 1557 D 1557 ❑ Other Material Type Reference Material Sample # Description Max. Dry Density (pef) Optimum Moisture (%) P^ L �014 k rl k is -. 1.i ' ;5d ty" 0 0 rp SPECIAL.E16PECTION AND TESTING AGREEMENT o Permit #: aWO'!ffg57Proj,ect:. s Prior to issuance of aperinit, this form.must '.betoinpieted in .its entfivy and.reativied. to -fite City approval. The. cont ignatures:qf a6knowledginent by all parties. pletedfiorni must'Itave s DUTIES AND RE' SPONSIBILITIE S Special Inspection Firin.and Spedial Inspectors: &f 2r 7_1Z G - fl 'e Mf The Special Inspection -firm Of. (Swill, perform spediat inspection for:the-followiAgiy.pesofwotle(sepEir.atefiom*ismust:besubniitte-d,ifm-ore..t atione firmigeto'be employed); W Reinforced Concrete U Bolting in Concrete U Prestressed. Concrete 11 Shotcrete -Structural Masonry .0 structural Steel/Welding -.El High:Strength Bolting 0 Sprayapplied Fireproofing Smoke Control -Systems • t4teral"Wood • structural. Observation • Grading/soils El other 0 Other' A---ilindividual 'inspfedtor,s-tobe: employed onthis proj.ee will.be WABO certified fbr the -type of work they are to inspect. If inspection is. for work that is not tovered.by. the WABO .categories, or the inspector .ismot WABO certified,:&Aetailed resume of the inspectonand firm must be submitted. The. -resume must show Ahat the inspector and the firm.are qualified by education and -experienci eto perform the work and testin xequir-edbythe ,pr ject design and specifications. 01 The work shall be inspected for conformance With'theplans and specifications approved by the City. Revisions .and addenda sheets -will. not'be'used forinspection, unless they -have been approved by the, City, Inspection -records shall include: V Adaily:TeCordtob6:maiTita'mcdon8itt,.itemitihg:t.heingpectioiasperfor-med. Anymonconforniingwork shall be brought to the Minniqdiate attentipt,lof the conti-actor for Tes olution :0 A weekly Teport shall.be submitted to the City; detailing the inspections;and testing performed. listing -any nonconforming woflc and,T.Psolution. of nonconforming items. to A final report :shall be submitted -to the -building :department prior tothe Certificate of Occupancy being. issued. This repo4,dll indicate that inspection.and testing was: completed in :conformance with the approvedplans, specifications ana,approved revisions or,addenda. Anyunresol.vtddiscreepancies.m.ust be.detailed in the finalreport. L-Muilding New Folder 20101FormASpecial inspection form.docI0/25/2010 Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other workcovered until approval is given by the City inspector. Building Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure. of the special inspector or firm to perform in keeping with the requirements of the 113C, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read d agree to comply with the (terms and conditions of this agreement. Owner: Uig► ignature �P ` �iiSn____Date Contractor: Signature Date: Arch./Eng: y Signature Date: GSFSGArO� 1 GS�� K� Special Insp. �J�� c.sty�e� >_ �-- Signature Date: ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT. By: `Date:3�Z�� LABuilding New Folder 201 GTomnslSpecial inspection formdoc 10/25/2010 Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other workcovered until approval is given by the City inspector. Buildina Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered -and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The, architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the IBC, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORD notice being -posted on the proj ect until nonconforming items have been resolved. ' ACKNOWLEDGMENTS I have read and agree to comply with t�e teems and conditi of this agreement. ONL:,►: eco I M)wc Owner: a Contrac Arch./Eng: Signature v Date: Special Insp. Signature. ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT, By: Date: LABuilding New Folder 2010\FormslSpecial inspection form.docl0/25/2010 S•Z-�1 Date: Contractor: The contractor shall provide the special inspector or agency adequate notification of work requiring inspection. The City approved plan and specifications must be made available, at the jobsite for the use of the special inspector and the City inspector. The contractor shall maintain all daily inspection reports, on site, for review by all parties. The special inspection functions are considered to be in addition to the normal inspections performed by the City and the contractor is responsible for contacting the City to schedule regular inspections. No concrete shall be poured or other work covered until approval is given by the City inspector. Building Department: The building department shall review any revisions and addenda. The City inspector will monitor the special inspection functions for compliance with the agreement and the approved plans. The City inspector shall be responsible for approving various stages of construction to be covered and for work to proceed. Design Professionals: The architect and/or engineer will clearly indicate on the plans and specifications the specific types of special inspection required. and shall include a schedule for inspection and testing. The architect and/or engineer will coordinate their revision and addenda process in such a way as to insure that all required City approvals are obtained, prior to work shown on the revisions being performed in the field. Owner: The project owner, or the architect or engineer acting as the owners agent, shall employ the special inspector or agency. ENFORCEMENT A failure of the special inspector or firm to perform in keeping with the requirements of the TBC, the approved plans and this document, may void this agreement and the Building Official's approval of the special inspector. In such a case a new special inspector and/or firm would need to be proposed for approval. A failure of the design and/or construction parties to perform in accordance with this agreement may result in a STOP WORK notice being posted on the project until nonconforming items have been resolved. ACKNOWLEDGMENTS I have read and agree to comply with the lemls and conditiA of this agreement. v R1tl�� Esu U+ M i Owner: a, Cf %be�uV- Signaturxlka- Date 3.2-11 Special Insp. Signature, ACCEPTED FOR THE CITY OF EDMONDS BUILDING DEPT. By: Date: UABuilding New Folder MI OTonr sslSpecial inspection fotm.docl0/25/2010 Date: Date: i AIA�, I E Date: L • ®CASCADE TESTING LABORATORY, INC. TESTING 6 INSPECTION 12919 N.E.'126TH PLACE KIRKLAND: (425) 823-9800 KIRKLAND, WASHINGTON 98034 FAX: (425) 823-2203 May 6, 2011 CertNo. 1103-10 City of Edmonds Building Department 250 5th Avenue N Edmonds, Washington 98020 Attention: Building Department Official Reference: Scott's Bar & Grill 8115 Lake Ballinger Way Permit #2010-0657 SEATTLE: (206) 525-6700 EVERETT: (425) 259-0817 RECEIVED AUG 10 2011 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS This is to advise you that the following inspections were completed per our reports for the above referenced project and permit. Please see the previously sent reports for actual details of the inspections performed 1. Reinforced concrete cast in place All inspections, only as inspected and reported, conformed to Edmonds approved plans, specifications, IBC and related codes and/or verbal or written instructions from the Engineer- of Record. Our last report is dated 004-15-11 and is number 61440. Respectfully, CASCADE TESTING LABORATORY, INC. Michele J. Guerrini President CASCADETESTI SLABORATORY, INC. TESTING & INSPECTION 12919 N.E. 126TH PLACE KIRKLAND.WASHINGTON98034 RECWiii� EVERETT COMPRESSION REPORTIvjAy Q 6 2011 DEVELOPMENT SERVICES OU TER j?&Awirrz.,J3CLIENT:Ovi l L+m ADDRESS: I LR • Ni DY't CITY, STATE, ZIP: S E 44-i E ATTN: SOURCE]SUPPLIER &-Q�OPL41a-#1 Cl CEMENTTYPE: SET_LOFL CUBICYARDS PLACED OF C5 Sampled as per ASTM C-172 TRI JC --I< # %/ X5 TICKET 1\10-13r44. % 6 MIX NO. -3 JIP TIME SLUMP #;qg 411/ I kAIR --1 UNIT WT, SF - YIELD -- TEMPERATURE CO;? Ay.3 NIC. ASTM C-143 ASTM C-231 ASTM C-138 AS I M L -IRI AJ I M L- I U69 SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRUCK # TICKET NO. MIX NO. TIME SLUMP %AIR I UNITWT.,SF I YIELD TEMPERATURE k— d I I f(7^ -t7 'y .. CONC. AIR I ASTM C-143 ASTM C-231 AJ I M L- I M Az. I III k.- 130 Aa 11-1 i-- i VO4 t" SEE FIELD REPORT NO. 07 7 NO. 64354 DATE CERT. NO. y•-> -- jJ //off- PROJECT LOCATION k— d BLDG. PERMIT NO. O NER f(7^ -t7 'y .. WEATHE TEMP A.M. @ 5 y-kz b P.M. ENGINEE ARCHITECT l 4 CONTRACTOR •i ACTUALBATCH DATE MADE WEIGHTS FOR CY kxi 2SIZE AREA SQ. IN. CEMENT STRENGTH, P. S. 1. TYPE BREAK* FLYASH -- 'y .. — C.AGG.3 5 y-kz b L' C.AGG. -- -3516 �— ACTUAL BATCH WEIGHTS FOR CY CEMENT FLY ASH C.AGG. C.AGG. FINEAGG. WATER TOTAL�f V 7.311 TOTAL ADMIX. I r� ��+" OZ. ADMIX. I _ ADMIX. ADMIX.3 OZ. OZ. ADMIX.2 OZ OZ. ADMIX.3 OZ. SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS kxi 2SIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P. S. 1. TYPE BREAK* W11 11 'y .. 5 y-kz b 28,11 a$-I1w -3516 �. k q1.5 J. y z 4e.e7'/z✓V 3 PW 41,70.5 bq14- it y—ZS LLet2,0 2,g — l2 Z_10 5'725 3 0-'G31 cast/cure O -C-617 sulfur cap IAC -1231 pad cap %$- *C-39 cylinder O - *C-42 cores O - *C-1019 cmu grout 0 TC-IUY cubes CascadeTesting Equipment Identification: Stump Cone CSLC0001�Thermometer CCTHD00./riAir Meter CCOA100 �CyC000001 O - CC000002 INITIAL CURETEMP.:HIGH /LOW or DESIGN STRENGTH 2-InITIAL CURING TEMP. NOT RECORDED PER 10.1.2 p+ / j PLACEMENT AREA & NOTES S !J191117 -CS 0 4 A"' O h r a d d FSC( TEST RESULTS APPLY ONE TO THE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL.WITHOUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. REVISED 12/07 =STO: R,- /7!- y INSPECTOR(S), NAME(S) PRINTED INSPECTOR SIGNATURE SIGNED BY r CASCADETESIFI*ABORATORY, INC. TESTING & INSPECTION 12919 N.E. 126TH PLACE KIRKLAND,WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 COMPRESSION REPORT CLIENT:e-UFVT / J AS ZWLIM17W ADDRESS: /S/$ IV M0AMANE, WAY CITY, STATE, ZIP: 15F_AM Ir, WA . 9810-3 ATTN: SOURCEISUPPLIER CEMENTTYPE: SETLOFL CUBICYARDS PLACED 5 OF�_ Sampled as per ASTM C-172 TRUCK # Z975 TICKET NO_3857_&4 MIX NO. 53 10 TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE TOTAL LOAD - I I I �AIR Z F T -4 TEMP@ A.M. P.M. ENGINEER I -P P x'61 CO 17 ASTM C-143 ASTM C-231 AS I M L- I i8 AZI 1171 L- I sa AJ I III l.- I Vol SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRUCK # TICKET Na MIX NO. TIME SLUMP %AIR UNITWT.,SF YIELD I TEMPERATURE TOTAL LOAD I (je.WAY I I CONC. AIR SEE FIELD REPORT NO. 44t'5 REP NO. VORT 6 7 2 7 8 TCERT. s �AMl7� DATE MADE NO. 1103 /O PROJECT 'SL R SBL TOTAL LOAD LOCATION45//5 (je.WAY le Y.33 BLDG. PERMIT NO. OWNER T WEATHER TEMP@ A.M. P.M. ENGINEER I -P P x'61 A166 ARCHITECT A6N `COONTR/ACTOR /� I . J. 15A /s/�� :.6 A �r V✓ ACTUAL BATCH WEIGHTS FOR CEMENT 56rg FLY ASH C.AGG7,4 1/890 C.AGG. ACTUAL BATCH CY WEIGHTS FOR S , CY CEMENT 07/40 FLYASH C.AGG3 ?�SZd C.AGG. FINEA(. /�,o WATER T60 1A TOTAL 3gr's1B AM S. Zga oz. AD OZ. ASTM C-143 ASTM C-231 ASTM C-138 AJI M L-IJU AJIM L-IV64 ADMIX. FINEAC& 46660 WATER 164. Zd&- TOTAL 17817.17-546 AD1446LAL�r� OZ ADM -R OZ OZ. ADMIX.3 oz. SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS SIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P.S.I. TYPE BREAK* le Y.33 .aqCaL LI - a T 7F -C-31 cast/cure O -C-617 sulfur cap X - C-1231 pad cap 'fil;- *C-39 cylinder O - �C-4Z cores U -'(-- IV I V cmu grout U T�_-I V'/ cuoes Cascade Testing Equipment Identification: Stump Cone CSL.0000L4' Thermometer CCTHDOOB"i Air Meter CCOA100 �6 CC000001 O - CC000002 INITIAL CURE TEMP.: HIGH )LOW or DESIGN STRENGTH-'%XQPJ/ { i" INITIAL CURING TEMP, NOT RECORDED PER 10. 1.2 PLACEMENTAREA & NOTES4r4W�F WZP45-Bi'5a6JF'4& GCW4:2r� RECEIVED TEST RESULTS APPLY ONE TO THE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL.WITHOUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. REVISED 12/07 COPIESTO: '-E. L 1 INSPECT INSPECT SIGNED I COUNTER ` CASCADETEAG LABORATORY, INC. TESTING & INSPECTION 12919 N.E. 126TH PLACE KIRKLAND•WASHINGTON 98034 (425) 823-9800 01—ji EVERETT (425) 259-0817 FIELD REPORT TO:GL1 EAS Zr UA"773 1W VZlA1 ZPD ATTN THE FOLLOWING WAS NOTED: I PREVIOUS 61440 REPORT No.No. DATE CERT. NO. 5 4011 V 103 10 PROJECT LOCATION IS l�dAA4L�i/y jjV6j ./�. W"MIS�� AI,05 BLDG. PERMIT NO. OWNER WEATHER TEMP. AT AM pVEA T AT PM ENGINEER LPD "t1tVFFl #6 ARCHITECT Q-MP14SqW1VE A�4NIT IZ1 Ok�l�1U CONTRACTOR 7'.! N13,6,,7' aW371&*-7W IN6 . A'r 6 `6r,A 3 Nmp 101#5W AVA • Z-t/NGY .&A .34p 7ZWW AM > 3 - '4 /9F,&e E' �r _• ; .:�_ - �I. -� �.� �a =. �:✓i:.+.iii_ TEST RESULTS APPLY ONLY TOTHE ITEMS HEREIN TESTED. THIS REPORT SHALL NOT INS BE REPRODUCED EXCEPT IN FULL WITH. OUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY. INC. INS REVISED 1/02 I SIG COPIES TO: APR L. 12011 DEVELOPMENT EVE OPME 1T GERMw�u ES v�� �� COUNTER All • �T CASCADE TESTIIU LABORATORY, INC. 'Row TESTING & INSPECTION PREVIOUS a 139221 I � -2aO No. 12919 N.E. 126TH PLACE REPORT No. KIRKLAND, WASHINGTON 98034 (425) 823-9800 EVERETT (425)259-0817 DATE 4/O .2' CERT. NO. I'S - aD �� v a - J'p FIELD REPORT PROJECT -E (z jr LOCATION yy Cert. 4 kakiIJ TO: � S V �t-i1 Lir, `1 5 V 1 U hli , �" ) I J R l I Ce BLDG, PERMIT NO. WNER )JR -1 'R- A) , N arail al<& � �� - v WEATHER TEMP. AM PM RECEIVED ENGINEER -, ARCHITEC APR 12 2011 ATTN: • a ,if DEVELOPMENT SERVICES CONTRACTOR (2) (3) INSPECTION PERFORMED _ LATERAL WOOD ITEMS INSPECTED _ FOUNDATIONS RESTEEUCONCRETE — RESTEEL ONLY _ FOOTINGS _ SLAB — RESTEEUMASONRY — STR.ST/WELDING _ AUGER CAST PILES _ COLUMNS —WALLS — EPDXY — STR.ST/BOLTING — DRILLED PIERS — OTHER — BEAMS (LOCATION (AREAS) `TT..IA . vl G %7 A s coy Vt EW � kw,- i!L &t,-, jinx -k iAl.L c:z.{ Lag_ . CONCH RETFJ Y MIX NO. �� �7�� DESIGN STRENGTH (f'c) 41 + SUPPLIER TOTAL CU. YD. PLACED ��t w SLUMP (INCHES) </aZ SPECIMENS CAST &9 3 `S AIR CONTENT (%) CYLINDER REPORT NO. ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS YES NO ❑ I/ REMARKS: REMARKS: TEST RESULTS APPLY ONLY TO THE ITEMS HEREIN TESTED. THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL, WITH- OUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. i-, eel rlrn✓1 !Z.�. r -� l'�UYI_S'D /.` cY f����l ' INSPECTOR(S), NAME(S) PRI INSPECTOF REVISED 3/09 1 SIGNED BY COPIES TO: 1 CASCADE TESTIf�ABORATORY, INC. TESTING & INSPECTION, NSPECTION `/�—�aa p�p�++.�pp, 12919 N.E. 126TH PLACE KIRKLAND,WASH GTON 98034 ECEAV D 0:11 EVERETT (425) 259-0817 COMPRESSION REPORT APR 12 2011 DEVELOPMENT SERVICES COUNTER CLIENT: -S air w Vyi L, *A d ADDRESS: 1'� �� D/ Q CITY, STATE, ZIP: <J F_a F_tA%G , ��� a! O ATTN: SOURCE/SUPPLIER Ce1 L2rt C"' CEMENTTYPE: SET__LOFL CUBICYARDS PLACED OF 45 Sampled as per ASTM C-172 TRI ICK ti %/ X5 TICKET NO. Sry/a-/ 6 MIX NO. -3J/dP TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE J, a �`'( a. _ — oa A9.3 ASTM C-143 . ASTM C-231 ASTM C-138 AS I M C- I JU Ab I M C-- I Ub4 SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRIICK It TICKET NO. MIX NO. TIME SLUMP 9tAIR__[ UNITWT.,SF YIELD I TEMPERATURE a. I I ,QQi ~- ta I CONC. AIR ASTM C-143 ASTM C-231 ASTM C-136 AS I M C -IRS Ab 1 M L- I UM s SEE FIELD REPORT No. 10 s3 7 r��I NO. 64354 DATE CERT. NO. WEIGHTS FOR CY PROJECT r LOCATION � ATIO a. BLDG. PERMIT NO. OWNER ,QQi ~- ta WEATHE TEMP@ A.M. P.M. ENGINEE �. ARCHITECT IA7 14 aa 4 CONTRACTOR tst ACTUALBATCHC DATE MADE WEIGHTS FOR CY ZSIZE AREA SQ. IN. CEMENT STRENGTH, P. S. 1. CQ 2�3 FLYASH --- •--- C.AGG.3 C.AGG. —1 �-- ra— TOTAL ACTUAL BATCH WEIGHTS FOR CY CEMENT FLY ASH C.AGG. C.AGG. FINE AGG. WATER TOTAL ADMIX. I i 04 `^- 6 OZ. ADMIX. I OZ ADMIX.2 OZ. ADMIX.2 OZ. ADMIX.3 OZ. ADMIX.3 OZ SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS ZSIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P. S. 1. TYPE BREAK* 2- l5 y z GYI 4j —j- It y—LS a 111 -In 1 cast/cure O -C-617 sulfur cap 9--eC-1231 pad cap % f- *C-39 cylinder O - *C-42 cores O - *C-1019 cmu grout Q *C-IU9 cubes Cascade Testing Equipment Identification: Stump Cone CSLCOOO Thermometer CCTHD00 /T1Air Meter CCOA100__ _)2f O -9C0001 O - CC000002 INITIAL CURETEMP.:HIGH /LOW or DESIGN STRENGTH ''S�(.� 00 ®/IfITIALCURING TEMP, NOT RECORDED PER 10.1.2 / j 1 /+ PLACEMENT AREA & NOTES S J40JOpIS D 1 �Q 6-r- Cr d df-� h7 � F e_rse-n�F_><-_ 0d-' h�t� eCiCerf���At LP.r�� TEST RESULTSAPPLY ONETOTHE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED BE REPRODUCED EXCEPT IN FULL.WITHOUT THE WRITTEN APPROVAL OF CASCADE INSPECTOR SIGNATURE TESTING LABORATORY, INC. REVISED 12/07 SIGNED BY 'cSTO: CASCADE TESTII!!i LABORATORY, INC. ' TESTING & INSPECTION PREVIOUS 1,391-2113 •f/ 139220 REPORT No. No, � 12919 N.E. 126TH PLACE oG KIRKLAND, WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 DATE-n-41ft,0 CERT . N O. 3DB � a' � 473 � `� FIELD REPORT PROJECT I. �R � ( - r t✓`rf LOCATION € of 9rs t L TO: �.S�Zc�CC�c��3 �►� wti �91n.6 rC 4 / i,la I;,, - BLDG. PERMIT NO. OWWR cis- N. /Kap-r4iair 11)4L1A _ av1g--©(_5 07 WEATHER TEMP. AM. (7 � We- Sl r 3@ PM nL ENGINEE App 5 APR ARCHITECT ATTN: f, r in , COUNTER CONTRACTOR T. (2) (3) INSPECTION PERFORMED _ LATERAL WOOD ITEMS INSPECTED — FOUNDATIONS �RESTEEUCONCRETE — RESTEEL ONLY -.t'FOOTINGS _ SLAB — RESTEEUMASONRY — STR.ST/WELDING _ AUGER CAST PILES _ COLUMNS — EPDXY — STR.ST/BOLTING — DRILLED PIERS 'WALLS 4,Ctl r-0 OTHER — BEAMS (LOCATIO//N (AREAS) 04/yet IV,_ 14 41 s.6 gal -."n.4 C1a jA-07 /P�&0�'usji�..:��y�� CON�CRETEW 7 Y " MIX NO. ` Z?,/ DESIGN STRENGTH (f'c) 7 a� J 9'12- SUPPLIER �{/�d r' tel » C! TOTAL CU. YD. PLACED 2 �/ SLUMP (INCHES) SPECIMENS CAST AIR CONTENT.(%) CYLINDER REPORT NO. ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS- YES 2 NO ❑ REMARKS: 1?634 if �� �i V'� O Lr" dDr dw% S ©Y a & �4 1 / SI; f r �f 0 A 1 - �- ! rt y/ A 1 L L C1 TEST RESULTS APPLY ONLY TO THE ITEMS t HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED BE REPRODUCED EXCEPT IN FULL, WITH- OUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. INSPECTOR SIGNATURE REVISED 3/09 I SIGNED BY COPIES T0: • L.�-�t1�tr+sG� �� I I CASCADETESTI� LABORATORY, INC. TESTING & INSPECTIO 12919 N.E. 126TH PLACE KIRKLAND,WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 COMPRESSION REPA�CEIVED i APR 2 ° 2011 CLIENT: Q' 6��y; . tJ L PMENT SERVICES ADDRESS:- i� f'�D ` �` Q CITY, STATE, ZIP: 6'&ci '` r- W r-, a 7 r� 0 Z3 ATTN: SOURCE/SUPPLIER J ti'.1,Q0m'4 ,QAC- CEMENTTYPE: SET-LOF-L CUBICYARDS PLACEDL Qj / OF / L Sampled as perASTM C-172 TRLICK tt -MY9 TICKET NO. 3P3L. ri% MIX NO. Ca s/'d> TIME ✓O:Ifp SLUMP 1/- -3 %AIR .'..." T. UNITW,SF — I YIELD I TEMPERATURE Ad. AIR/67 ASTM C-143 ASTM C-231 AJ I M l_- LfS A31 r1 t-- I jo A31 III %...- I volt SET OF CUBICYARDS PLACED OF Sampled as perASTM C-172 TRI ICK # TICKET NO. MIX NO. TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE I I I I I I CONC. AIR ASTM C-143 ASTM C-231 AS I M c-- I JC Ha I r1 t--1.10 r,a I PI I-- I Uo-r SEE FIELD REPORT V REPORT N0413 X7.2 U NO. 64353 DATE CERT. NO. WEIGHTS FOR Y 3-3v /J0:3 -ip PROJECT I �1/ L C.AGG. C.AGG..._ •-- LOCATION G vn v.y,4 qj)-S* ,, WATER TOTAL BLDG. PERMIT N0. OWNER ADMIX.I OZ Dkp - 0(r,59 ADMIX.2 OZ ADMIX.3 OZ WEATHER TEMP @ A.M. 4 511 3 P.M. ENGINEE I<. ARCHITECT i CONTRACTOR Q i ig 1 t— ACTUALBATC i ACTUALBATCH WEIGHTS FOR Y WEIGHTS FOR CY CEMENT a CEMENT FLYASH FLY ASH C.AGG./ C.AGG. C.AGG..._ •-- C.AGG. FIN G . FINEAGG. WATER p WATER TOTAL TOTAL ADMIX.1 AE4 4 OZ ADMIX.I OZ ADMIX.2 f OZ. ADMIX.2 OZ ADMIX.3 OZ ADMIX.3 OZ. SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS j4SIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P.S.I. TYPE BREAK* 14– l.0 x/z, 2> 99,7--7 Rif 525 33 l S 2 S.ygy�2� 2N.67 > Zai 4 511 3 Mani cast/cure 0 -C-617 sulfur cap R' C-1231 pad cap IB= *C-39 cylinder U - �C-42 cores U - .L-IUIy cm�uugrout U Tk--I u7 Cuoes CascadeTesting Equipment Identification: Stump Cone CSLC000_M Thermometer CCTHD00 /V Air Meter CCOA100 LW- CC000001 O - CC000002 INITIAL CURE TEMP.: HIGH /LOW or DESIGN STRENGTH -4149C%p O-KITIAL CURING TEMP. NOT RECORDED PER 10. 1.2 j' r PLACEMENT AREA & NOTES v �Y �' • IYI P r .1 1 vl [` jaidL V L LQ 114 O1 IF TEST RESULTS APPLY ONE TO THE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL.WITHOUT THE W RITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. REVISED 12107 COPIESTO: [4 - ✓LL Lle- INSPECTOR(S), NAME(S) PRINTED INSPECTOR SIGNED BY1(SC 11-(—zlk KA CASCADE TESTIPM LABORATORY, INC. TESTING & INSPECTION ') �•J 139213 PREVIOUS / 3 No. REPORT No. 12919 N.E. 126TH PLACE / O� KIRKLAND, WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 DATE J?GH CERT. NO. r.1 o26il/ d �._ / P FIELD REPORT PROJECT It �1 Gp IS LOCATION p } 1 F 1 V1 y� TO: cz ►r,r �v„43 BLDG. PERMIT NO. OWNER ��R l if N N.���i-Q.1gIcF t.�7a.ti, ;6617 - O & WEATHER TEMP. AM PM ENGINEER RECEIVED 6 niq IiA K, asl,, ARCHITECT 1� ATTN: MAR O 2011 v , U-2 CONTRACTOR DEVELOPMENT SERVICES�,- (2) (3) INSPECTION PERFORMED — LATERAL WOOD ITEMS INSPECTED _ FOUNDATIONS STEEUCONCRETE — RESTEEL ONLY _ FOOTINGS _ SLAB — RESTEEUMASONRY — STR.ST/WELDING _ AUGER CAST PILES _ COLUMNS — EPDXY — STR.ST/BOLTING — DRILLED PIERS -L--'WALLS — OTHER — BEAMS LOCATION (AREAS) � F `�`i'•` V.1 � 21 b>'+ iV.6'f-� t y1 -IA' !:Z�Ck ; So al a'T-F 4 I!�% �-ES� ��nc�-cS LSy" Z.• - I CONCRETE/4 MIX NO.3 23% D DESIGN STRENGTH (f'c) l ©� U SUPPLIER CL iaot d7 TOTAL CU. YD. PLACED ' SLUMP (INCHES) � Z SPECIMENS CAST r'3) � a C Q CYLINDER REPORT NO. AIR CONTENT (%) ! ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS YES NO ❑ s LL 1 In _ .iL .L 1 REMARKS: L �- r Y' SGL a tn, v� IA-) t �s CIl�. cTV-f w� W �A L.. 1 n: z f ,c P �. F ! r r r _ r n v -n �N F'c' 1,- 6 6A 01- 0 14 L- f� d L+4 iud v'm l COPIES TO: AL Y .2!7!z� Raj--TESTICASCADETESTI�L.ABORATORY. INC. ji NG & INSPECTIO ����� 12919 N.E. 126TH PLACE ` KIRKLAND,WASHINGTON 98034- (425) 823-9800 EVERETT� � � (�2�1 �59-0817 COMPRESSION REPORT AP DEVELOPMENT SERVICES COUNTER CLIENT:— �SU�G.�n ��M1i,M+im.d ADDRESS: L `N�' �D f'd"�, p� W6,14 CITY, STATE, ZIP: ATTN: SOURCE/SUPPLIER �4140al- !467 CEMENTTYPE:1^—`2Z SETLOFJ —CUBIC YARDS PLACED /D OF /P Sampled as per ASTM C-172 TRUCK # % 7.2 TICKET NO. 3 9-/ 7 $ Y MIX NO. 3 3/V TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE BLDG. PERMIT NO. I 67 67-iil WEATHER 4 V,@P.M. FINE ENGINEER ) K n , C 'GC ARCHITECT CONTRACTZ511 C. AIR CONC. ASTM C-143 ASTM C-231 ASTM C-138 AS I M C- I JU AS I M L- I U64 SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRUCK # TICKET NO. MIX NO. TIME SLUMP %AIR UNITWT,SF YIELD TEMPERATURE BLDG. PERMIT NO. OWNER 67 67-iil WEATHER CONC. AIR ASTM C-143 ASTM C-231 ASTM C-138 AS I M C- I JU AS I M L- I U64 SEE FIELD REPORT NOOk 9.i 3 REPORT 64349NO. DATE CERT. NO. 3 -W3 -1i / a3--�0 PROJECT' LOCATION mom S sews 134 /%• 4 £r Ce BLDG. PERMIT NO. OWNER 67 67-iil WEATHER TEMP A.M. 4 V,@P.M. FINE ENGINEER ) K n , C 'GC ARCHITECT CONTRACTZ511 ACTUALBATCH ,,, ACTUALBATCH WEIGHTS FOR v CY WEIGHTS FOR CY CEMENT 3b CEMENT ADMIX.2 OZ FLY ASH -- — FLYASH ADMIX.3 OZ C.AGG.3 C.AGG. 67-iil C.AGG. — '-" C.AGG. 2 FINE :314,,p FINEAGG. /1 7e,> WATER 31 � WATER 4' TOTAL 1 A 1 /_ n TOTAL ADMIX. I 3 `s f OZ. ADMIX.1 OZ ADMIX.2 OZ ADMIX.2 OZ. ADMIX.3 OZ ADMIX.3 OZ SAMPLE NUMBER 13 -, DATE MADE DATE TESTED AGE DAYS SIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P. S. 1. TYPE BREAK* 67-iil 3-325 2 5•g8X/ya Z19• '7 /1 7e,> W-16 2 4' 4-zta .5ClCot JZ --b Z947 11-1 lle6 5,656 3 le 3P 2S,1 43 z- ell cast/cure O -C-617 sulfur cap JC- C-1231 pad cap 7 - *C-39 cylinder O - *C-42 cores O - *C-1019 cmu grout LJ *C-IU9 cubes Cascade Testing Equipment Identification: Stump Cone CSLCOOOff� Thermometer CCTHDOOAG9Air Meter CCOA100 -?�- CC000001 O - CC000002 INITIAL CURETEMP.:HIGH /LOW or DESIGN STRENGTH 9 -<[TIAL CURING TEMP. NOT RECORDED PER 10. 1.2 PLACEMENT AREA & NOTES A, ? 9RZIPn-T od- GL/ai, Ar- a J F- K�De C --r TEST RESULTS APPLY ONE TO THE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL.WITHOUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. INSPECTOR(S), NAME(S) PRINTED INSPECTOR I REVISED 12/07 SIGNED BY-, COPIESTO: CASCADETESTI*-ABORATORY, INC. TESTING & INSPECTIO 01:1 12919 N.E. 126TH PLACE KIRKLAND.WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 COMPRESSION REPORT CLIENT: -2 £SV7'yrc.'-A VV1+ 4C ADDRESS: L- gl /Q, NDr4[r.CG£ Lj CITY, STATE, ZIP: 'SC44-w £ W A fs/r ATTN: SOURCE/SUPPLIER A Or' �CEMENTTYPE: SETJOF / CUBICYARDS PLACED AP OF a s Sampled as per ASTM C-172 TRUCK # %4,3 9 TICKET Na 3 Rb ? 8 % MIX NO. 3 3 11i TIME SLUMP %AIR UNITWT.,SF I YIELD I T9EMMPERATTUURlE� CONC. AIR / ASTM C-143 ASTM C-231 ASI M C -13B AS I M t_-136 AN I M l.- I Vb9 SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRUCK # TICKET NO. MIX NO. TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE BLDG. PERMIT NO. I I I I CONC. AIR C" SEE FIELDREPORT C (� REPORT NO. ,U %o2%/NO. 6 9 334 DATE CERT. NO. 3- b3-/0 PROJECT G,t71t LOCATION �,►.�s'y Ii5 BLDG. PERMIT NO. OWNER CEMENT FLYASH WEATHER TEMP@ A.M. CIO P.M. ENGINEER K, A , G c,; ARCHITECT 14 w. v,w CONTRACTOR ACTUAL BATCH %� ACTUALBATCH WEIGHTS FOR CY WEIGHTS FOR CY CEMENT s 6 a a CEMENT FLYASH FLYASH C.AGG. 00 D C.AGG. C.AGG. -_ '— C.AGG. FI JG 3 y0 v FINEAGG. WATER U) Q 17 S WATER TOTAL 3 If Qa TOTAL ADMIX. I OZ. ADMIX. I OZ ADMIX.2 OZ ADMIX.2 OZ. ASTM C-143 ASTM C-231 AS I M C-136 AN I M L- I Ja AN I M t --IU" ADMIX. 3 OZ. ADMIX.3 OZ SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS SIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P.S.I. TYPE BREAK* 279 3 -2e 6•&YIZ-0 29•z�'1 !05 310 '7Zt5 -z- ,.62,E 62,79 ZkC 31 cast/cure O -C-617 sulfur cap /4 - C-1231 pad cap A- *C-39 cylinder I] - *G4Z cores U - TL -IU 1 y cmu grout U mt--I V7 cuoes Cascade Testing Equipment Identification: Slump Cone CSLC000_ Thermometer CCTHD00 / jJAIr Meter CCOAIOO_q - CC000001 O - CC000002 INITIAL CURE TEMP.: HIGH /LOW or DESIGN STRENGTH Ut01AL CURING TEMP, NOT RECORDED PER 10. 1.2 ` 1 (� PLACEMENT AREA & NOTES L. -?4 r j, r- � a F AD W\ "`; eO a cx-F'Z LQ LA't'F' j XUY APR 1 2011 TEST RESULTSAPPLY ONE TO THE ITEMS HEREIN TESTED.THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED L Y BE REPRODUCED EXCEPT IN FULL.WITHOUT c THE WRITTEN APPROVAL OF CASCADE INSPECTOR SI T E TESTING LABORATORY, INC. REVISED 12/07 SIGNED BY COPIESTO: L -7--V '7 -'-,� ✓L� Ah r-1 CASCADE TESTI± LABORATORY, INC. _ TESTING & INSPECTION PREVIOUS /� 9, ©� No. 139211 REPORT No. 12919 N.E. 126TH PLACE KIRKLAND, WASHINGTON 98034 (425) 823-9800 EVERETT (425)259-0817 DATE /" 42Cs-! CERT. NO. EI a� `' FIELD REPORT PROJECT ` IS // �apt LOCATION �d wlf�b S S q V r an cL r 1 l � Y1 In hn 1' � � ll S k4k TO: BLDG. PERMIT NO. OWNER Irl , h1 D -r 'A La k F t c7 Q at d - o 1p WEATHER TEMP. AM D 0 ct@ PM ENGINEER 11 ARCHITECT ATTN:� CONTRACTOR (2) (3) INSPECTION PERFORMED — LATERAL WOOD ITEMS INSPECTED _ FOUNDATIONS _klRESTEEL/CONCRETE — RESTEEL ONLY ��OTINGS — SLAB — RESTEEUMASONRY — STR.ST/WELDING _ AUGER CAST PILES _ COLUMNS — EPDXY — STR.ST/BOLTING — DRILLED PIERS — WALLS — OTHER — BEAMS (LOCATION /'O d g S �� i� Y k -r` / R GJ 4. l C L N () (AREAS) n s , i 6 CONCRET MIX N/O. v DESIGN STRENGTH (f'c) S SUPPLIER TOTAL CU. YD. PLACED � CAST L �L�� SLUMP (INCHES) SPECIMENS CYLINDER REPORT NO. l"` ` a ! AIR CONTENT (%n) ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS YES NO ❑ t ` REMARKS: D Lt h4 IJ F�t1* raj D GJ��ST ( y Y wl PLO 1 i �iFiV7�.� 1 it a� ' ` S C.� &a c l' L - s X11 �• s L t- ► � LA. n [ J .A r� [� r fin C r1,> c CYC ..-1 1 )d I ✓ 'A a 111 � V`G TEST RESULTS APPLY ONLY TOTHE ITEMS HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR BE REPRODUCED EXCEPT IN FULL, WITH- OUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. INSPECTOR REVISED 3/09 COPIES TO: SIGNED BY 3 -23 Ah a TESTIM LABORATORY, INC. TESTING & INSPECTION PREVIOUSf 2 o Q MCICASCADE REPORT No. - 7� i No• V 12919 N.E. 126TH PLACE KIRKLAND, WASHINGTON 98034 (425) 823-9800 (425) 259-0817 DATE I'%1 4 l Ci 1-4 CERT. NO. EVERETT 1' 4-� :anj 1 1 I/03 -i,' FIELD REPORT PROJECT 1 LOCATION C�d;h v TO: 1 \ S' yr x.1'1 ` l�il Inn. C`� BLDG. PERMIT NO. OWNER Nof4liki- WAS:, WEATHER TEMP. AM PM ENGINEER G. ARCHITECT ATTN: CONTRACTOR (2) (3) INSPECTION PERFORMED — LATERAL WOOD ITEMS INSPECTED _ FOUNDATIONS FOOTINGS -SB X71 r;,'gf �STEEUCONCRETE — RESTEEL ONLY _ — RESTEEUMASONRY — STR.ST/WELDING _ AUGER CAST PILES _ COLUMNS — EPDXY — STR.ST/BOLTING — DRILLED PIERS — WALLS — OTHER _ BEAMS LOCATION (AREAS) Nt7`:J J+ fuo� ��'L LC 1 4t, va, 1r C, j t 3'V Q aa" \k� � 0`�T Y ,Q MIX NO. % v a `5 DESIGN STRENGTH (f'c) k:?p] p V 1Z„ SUPPLIER TOTAL CU. YD. PLACED SLUMP (INCHES)/1- ` SPECIMENS CAST / //cJ /,•� W %r �� AIR CONTENT (%) CYLINDER REPORT NO. ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS YES NO ❑ REMARKS: ` �• r. � .-_ `� ._ f C •., / 1 fi 1 t � t � .J ir"t .1n•r 1 j -- MAR 2 4 2011 DEVELOPMENT SERVICES COU TEST RESULTS APPLY ONLY TO THE ITEMS � - I HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) PRINTED BE REPRODUCED EXCEPT IN FULL, WITH- \^ r OUT THE WRITTEN APPROVAL OF CASCADE { [i TESTING LABORATORY, INC. INSPECTOR SIGNATURE q REVISED 3109 1 SIGNED COPIES TO: n` / ��� CASCADE TESTI LABORATORY, INC. TESTING & INSPECTIO 12919 N.E. 126TH PLACE KIRKLAND.WASHINGTON 98034 (425) 823-9800 EVERETT (425)259-0817 COMPRESSION REPORT CLIENT:fl'b�rr�'�3� ADDRESS: p�.i% CITY,STATE,ZIP: �'+� E' , Ili IrL4 �,. % SID. ATTN: SOURCE/SUPPLIER [ Eine A.x _CEMENTTYPE: ---L SETJOF / CUBIC YARDS PLACED / /Z- OF Jez' Z— Sampled as per ASTM C-172 TRUCK it 3,21,- 3 TICKET NO. ).399,912S'7 MIX NO. /V3,FC TIME SLUMP %AIRUNITWT,SF UNITWT.,SF YIELD TEMPERATURE 15 I cJ /Z I WATER�c' PROJECT I CONC. AIR ASTM C-143 ASTM C-231 ASTM C-138 AN I M L- I St$ AN I M L- I Ub'f SET OF CUBICYARDS PLACED OF Sampled as per ASTM C-172 TRUCK U TICKET NO. MIX NO. TIME SLUMP %AIR UNITWT.,SF YIELD TEMPERATURE FI AG . j 5 d I WATER�c' PROJECT I CONC. AIR ASTM C-143 ASTM C-231 AN I M L- 13t$ Aa I r1 L-1 sa /Aa i r1 %-- I Uo-r SEE FIELD REPO REPORT NO. �3 NO. RT 69332 DATE , CERT. NO. C.AGG. — -- C.AGG. FI AG . j 5 d FINEAGG. WATER�c' PROJECT WATER t I I r) 'ion J apti- Z"7D r LOCATION Ect;,C"1 S) BLDG. PERMIT NO. z.g , L"7 OWNER 2 c`ID S• 4 -I y �•9� �iz'a WEATHER / 57,rjZZ� TEMP @ A.M. ' P.M. ENGINEER . ARCHITECT CONTRACTOR ACTUAL BATCH� �� ACTUALBATCH WEIGHTS FOR y/ LCY WEIGHTS FOR CY CEMENT S c/��j CEMENT FLY ASH FLY ASH C.AGG. , C.AGG. C.AGG. — -- C.AGG. FI AG . j 5 d FINEAGG. WATER�c' 51-3 WATER TOTAL I I r) 'ion TOTAL ADMIX.1 1,09114 L4 1: I ZD OZ ADMIX I OZ. F -W _ ADMIX.2 12JA0� _ + g� OZ ADMIX.2 OZ ADMIX. 3 OZ. ADMIX 3 OZ. SAMPLE NUMBER DATE MADE DATE TESTED AGE DAYS �ZSIZE AREA SQ. IN. TOTAL LOAD STRENGTH, P.S.I. TYPE BREAK* 5o`�xi2•a zm,t Z"7D 3 8n_ S' j0x1 z, -v z.g , L"7 5JP-5, 2 6262 4 -I y �•9� �iz'a Z$,b7 / 57,rjZZ� 5� 3 L3 -G31 cast/cure O -C-617 sulfur cap - C-1231 pad cap )4 - *C-39 cylinder O - *C-42 cores U - *G I U I y cmu grout U 'L -I UY CUDCS Cascade Testing Equipment Identification: Slump Cone CSLC000 //7 Thermometer CCTHD00 APAir Meter CCOAI'00_�A, CC000001 O - CC000002 INITIAL CURETEMP.:HIGH /LOW or DESIGN STRENGTH (3 d ©-INITIAL CURING TEMP, NOT RECORDED PER 10.1.2 PLACEMENT AREA & NOTES, /zOh S m c, %4• c E rJ (PCY 1 t' ff yy 11r 7, .1 z-14 r-4— .S �_Gh Uva G. JAG. rl. TEST RESULTS APPLY ONE TO THE ITEMS HEREINTESTED.THIS REPORT SHALL NOT BE REPRODUCED EXCEPT IN FULL.WITHOUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY. INC. REVISED 12/07 INSPECTOR(S), NAME(S) PRINTED INSPECTOR SIGNED BY COPIESTO: - IL A a � CASCADE TESTIMW LABORATORY, INC. TESTING & INSPECTION qmw PREVIOUS 1314 2 4 12919 N.E. 126TH PLACE REPORT No. No. KIRKLAND, WASHINGTON 98034 (425) 823-9800 EVERETT (425) 259-0817 DATE ►'f'1 Ale C, Id CERT. N0. 15� aj FIELD REPORT PROJECT scl>i i LOCATION TO: � S f ij U V1'nv+n. c'� 11 // %) 5 �,4kE �Q//fry Fi 4- BLDG. PERMIT NO. OWNER ` ' (� do/p ' d &.5 WEATHER TEMP. AM j q PM RECEIVED ENGINEER ; K ARCHITECT MAR 17 2011 i ATTN: ' 4' DEVELOPMENT SERVICES CONTRACTOR COUNTER (2) (3) INSPECTION PERFORMED _ LATERAL WOOD ITEMS INSPECTED _ FOUNDATIONS _ RESTEEUCONCRETE = FitSTEEL ONLY _ FOOTINGSLAB ,I/V% 1- f RESTEEUMASONRY _ STR.STMELDING _ AUGER CAST PILES _ COLUMNS — EPDXY — STR.ST/BOLTING — DRILLED PIERS — WALLS OTHER — BEAMS LOCATION (AREAS) jrDUn L P7/fw1 LQey Uh ✓ C d h F -,,a cy (moi d'► Piyll CONCRETE ASONRY MIX NO. DESIGN STRENGTH (f'c) SUPPLIER CU. YD. PLAC SLUMP (INCH SPECIMENS CAST AIR CONTENT (%) CYLINDER REPORT NO. _J::::<ES —NO _ ITEMS INSPECTED WERE IN CONFORMANCE WITH BLDG. DEPT. APPROVED PLANS TEST RESULTS APPLY ONLY TOTHE ITEMS HEREIN TESTED. THIS REPORT SHALL NOT INSPECTOR(S), NAME(S) F BE REPRODUCED EXCEPT IN FULL, WITH- OUT THE WRITTEN APPROVAL OF CASCADE TESTING LABORATORY, INC. I INSPECTOR SIGNATURE REVISED 12107 1 SIGNED BY COPIES TO: