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BLD20110409A.pdfIill�llll Gey OF E MO�� CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Expiration Date: 6/24/2012 Parcel No: 270323004088 -PROPERTY OWN E It APPLICANT CONTRACT4111 HARBOR SQUARE ATHLETIC CLUB - WARREN LAFON WILCOX CONSTRUCTION PORT OF EDMONDS 849 PUGET WAY 234 5TH AVE S 160 WEST DAYTON ST EDMONDS, WA 98020 EDMONDS, WA 98020 EDMONDS, WA 98020 (425) 778-3546 EXT: (425) 774-0580 EXT: (425) 77444185 EXT: LICENSE #: WILCOX I94 O EXP:12/10/2011 J013 DESCRIPTION INSTALL ELEVATOR AND MODIFY FIRST FLOOR RAMP VALUATION: $74,078.00 COMPLETEID PERMIT TYPE: Commercial PERMIT GROUP: 04 - Alteration/Remodel GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: 3A RETAINING WALL ROCKERY: N OCCUPANT GROUP: A3 OCCUPANT LOAD: NA FENCE: N ( 0 X 0 FT.) CODE: 09 OTHER: N -----OTHER DESC: ZONE: CG NUMBER OF STORIES: 0 VESTED DATE: NUMBER OF DWELLING UNITS: 0 LOT #: BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK 0 OTHER 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTSETBACK SIDE SETBACK REAR SETBACK REQUIRED: PROPOSED: RE UIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED: 35 PROPOSED:28 I REQUIRED: PROPOSED: SETBACK NOTES: Subject to contract rezone AFN 8005060198 I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. THIS NPPLICATION 18'I%' T A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Print Name - Date `-� ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10. = ONLINE = APPLICANT = ASSESSOR = OTHER STATUS: ISSUED BLD20110409 I CONDITIONS • SPECIAL INSPECTIONS ARE REQUIRED FOR THE FOLLOWING: • Excavationand backfill • Pin Piles • Concrete Construction, Including Reinforcement • Welding (Welders Must Be WABO Certified) • Prior to Final Inspection by the Building Division, Final Special Inspection Reports are Required From All Special Inspectors. • Separate Permit Required For: L&I Electrical; L&I Elevator • 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 of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the 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 claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit 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 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE (425) 775-7720 PUBLIC WORKS 425 771-0235 F PRE-TREATMENT (4251672-5755 1 RECYCLING 425 275-4801 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. • B -Footings • B -Foundation Wall • B -Exterior Wall Sheathing • B -Roof Sheathing • B -Framing • B-Insulation/Energy • B-Sheetrock Nail • B -Building Final • F -Fire Final m 0 .Ayg 07 2009 9:51RM HP LASERJET FAX gyros: " • Aug 05 09 02:15p warren Le Fort 777 llil'Ql p.l 08108/20 9 15:49 41IG 90 (425).. 774.0 o . _ ... Gii p.2 Na R -�fPY%a.MFNr o sa,v, CITY OF IDM ONM y a SPLCLAL INSPEC M?4 AM 'lE8 WG ACMEENZW WSZO lt_ 0409 PERIYIIT DATig: Woncr S11T F11,e�� SPECIAL ]IWB+GMN AGENCY /1�EG�.Z�IV 7r G A!1 Ei 'One fare mama be c ooWlewd by each Spedd Iarpeckes Agpmvy or Tuspeo*r. M1E4M46L UgWWl 8 RZQUlllgW- Spa tl btspecdoos are regained fw ebb project in acmdaaoe wdb INC Cks4tw 17 ac In asac+dasa wift ERC Rad9.2 ss app8eble6. IBC Swam 1794.1 mqaim l& vwaer or the ecoomed desiga profess and is charge In, emp[w an kdependeat testba spseRoa sga�+hp I laspeetar to palbrm r gn1red 'Pedal iaspecassm Toe hdgmdenf x6emw >:ed to perfm the daft of spedal taepecdon +k regahvd to be a reed agaeey wick WARO wader the $Pedal bqPeW= dn Program The qwdW iaepector snarl be a quddW person wit oompetmu for hapectlsa off** par ioalar type of eendmetloa oropendlaurequbft special imWolion (90Q may be Nquhred by !be Budding 0Mldmij. The owner, reg*amd profmiema% contmclor and spedd inepeebdgeacy shsi complete tie aUnched twm sad saiodt directly to &* RuUAirg Division. WORK RVXAlMG SPECIAL VISPRCIION: SpecAl inspedioas wHJ be rregukvd for the feB wing entegeaim of want in awardance whk IBC Cbnpter 17 sad URC 8109.2: FOR SPBC PXC HOORMATION RMARDINIG RBQIIIBTD tiPBCmL imsie zcno*s SEB THB STATE3mngT OF SPEQAL 09MCCI(W OAIRAC 3M OAPPROVED MAN WMZIT -MOM A PFRMW CAN HE USOSD: The owtatr sad aaahvxftr and sp=W bnpecter shma oo=I 1 1% this agreement and to ntftdwd Spedal Isspecties Embrtnadon Form, hwbmVng the regWred apal utn I- -at, and retum tv the BuMing Dtvhloa for apprvrai prier to permit imunam CITY COPY APPROVAL OF SPECIAL IRECTORS: Each special inspectortall 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. WABuilding\HANDOUT ICODES\FORMS\SPECIAL INSPECTION AGREEMENT FORM.doc7/07 5. FINAL CONSTRUCTIP 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 1. 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 become 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 jobsite. 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. W:\Building\HANDOUT ICODES\FORMS\SPECIAL INSPECTION AGREEMENT FORM.doc7/07 nug ui cuu,J J:bIHM HP LRSERJET FRX 777 p.3 froe:w • 08/06/99 15:49 #173 P.004/004 Aug 05 09 02'15p Warren Le Fan .. .... _ .. ...... (425) 774.0580_...... ... P.4...... ..... , AC�iOMM 1 bervle atd� 1b} UtQ hrrrnr aerloxs oftk� 4s canoe �r�1 G /� �^ SLL _ I 1 4 u ~ • • 11 I � 11 1 . J ,ArAIMINPAWA .81"'M B:e wi&d Aped t0 the Bunftg =via= CUY afBdmerb.BMditgDbMqu 121 P A.veaae Nerak CWr no Sq=" Fleur Edmonds, WA SUM ACC rMD BY CY7Y DWUaON: City siw.aahe Dsa &' e o J A�wved -Fo,- �,er�� 20ll-o4oq to1gla aMn'ScrAWwcsFonMd697Mi AUG -05-2009 17 04 MAYES TESTING ENG P.02/05 �A of EA,y0� CITY OF EDMONDS a SPzcm INSPEC''rm AND TESTING AGREEMENT AU wry � oEPgAr no^ fry. 189 ! (( 04-01 PERMIT # 4109 0402 DATE: 4 D PROACT SITE ADDRESS: PROJECT SPECIAL INSPECTION AGENCY- *One form must be comphaed by each te- e -V laspectioo Agency or Inspector. RM SPECIAL INSPECTIONS REQUIRED: Special inspections are required for this project in accordance with IBC Chapter 17 or is accordmce with IRC R109.2 as applicable. IBC Section 1704.1 requires the owner or the registered design professional in eliarge to employ an independent I -11 g/inspection agency/special inspector to perform required special iinspections. The independent 'agency bired to perform the duties of special inspection is required to be a registered agency with WA$O under The Special Inspection Registration Program (SIRP). The special inspector shall be a qualified person with competence for inspection of the particular typo of construction or operation requiring special inspection (SOQ may be required by the BuiWag Official). The owner, registered professional, contractor and special inspector/agency shall complete the attached foria and submit directly to the Building Division. WORK REQURING SPECIAL INSPELMON: Special inspections will be required for the fallowing categories of work in accordance with IBC Chapter 17 And IRC 8149.2_ FOR SPECIFIC INFORMAMN REGARDING REQUIRED SPECIAL 1NSPE TIONS SEE THE STATEMENT OF SPECIAL INSPECTION OATTACIMD OAPPROVED PLAN SHEET" .BEFORE A PERMIT CAN BE ISSUED: The owner and contractor and special inspector sbaU coaxplet$ this went and the attached Spec W ,Inspection Information Form, including the required aelmowledgements and return to the Building Division for approval prior to permit issuance. w: oUi' LC0DMW0RMSX6PECIAL W9PECr[ON AGREEMENT FORM.dW/07 CITY COPY APPROVAL OF SPECIAL ISECTORS: 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. W:\Building\HANDOUT ICODES\FORMS\SPECIAL INSPECTION AGREEMENT FORM.doc7/07 5. FINAL CONSTRUCTIP REPORT is 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 1. 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 become 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 jobsite. 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. W:\Building\HANDOUT ICODES\FORMS\SPECIAL INSPECTION AGREEMENT FORM.doc7/07 AUG -05-2009 17:06 MAYES TESTING ENG ACKNOWLEDGEMENTS I ham read and dVw to compl}►ufth Ae Wm and condidam oftJhis agmammt Owner Dame (p pript or type) Date a General Contractor Companyer amus �L CO 5 tX' O (pie print or type) signafnre Date a 47 P. 05/05 Special inspector/Agency name �%a / -r%%i�i'�' '" /%�.Of' ' V s*r/Ae ArcbW Return the original aigeed agm mumt to tate 8'nildiog Divida n City of Edmonds Building Division 121 Ss' Avenue Nortk City Hall Seeond Floor F mmads, WA 98029 -ACCEPTED BY CITY OF UPMONDS BU"ZNG TPMSION: city ObQ¢ial sipatum Title: A�iroved 4-1- per-Pwr't zut(-0409 Date 8 - • d w:NA-4109NEGtNDOtIT 1C0bI80g-%9SNSPECfAL rNSPeCrVW AGREWO1V7 70RM.d=7V7 TOTAL P.05 MAYES TESTING ENGINEERS, INC. March 16, 2012 City of Edmonds 121 5th Avenue N Edmonds, WA 98020-3146 Attention: Building Department Re: Harbor Square Athletic Club 160 W Dayton Street Edmonds, WA Project No. L11416 Final Letter Permit No. BLDD 2009-0530 BLD 2011-0409 BLD 2012-0008 Seaffie Office 20225 CedarVabey Road SUL.110 Lyrrnnood, WA 98036 ph 425.7429360 fax 425.745.1737 Tavana Ofte 10029 S. Ta=m Way SUba E2 Taooma, WA 98499 ph 253.584.372D fax253.584.3707 Plortlar d0fte 7911 NE 33rd Drive SLAB 190 Portland, OR 97211 ph 503281.7515 fax503281.7579 This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: • Reinforced concrete • Structural steel/ welding • Bolting • Lateral wood/framing • Proprietary anchors To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust this provides you with the information that you require. Should you have any questions please call us at 425/742-9360. Sincerely, Mayes Testing Engineer, Inc. Michael S. Dolder, P.E. Vice President MAYES TESTING ENGINEERS, INC. March 16, 2012 City of Edmonds 121 5th Avenue N Edmonds, WA 98020-3146 Attention: Building Department Re: Harbor Square Athletic Club 160 W Dayton Street Edmonds, WA Project No. L11416 Final Letter Permit No. BLDD 2009-0530 BLD 2011-0409 BLD 2012-0008 seaae orae 20225 Cedar Va@ey Road Stite110 Ly ymoW, WA 98036 ph 425.742.9360 fax425.745.1737 Tarxma Ofte 10029 S. Taoarra Way Suite E-2 Tacoma, WA 98499 ph 253.584.3720 fax253.584.3707 Padard0fte 7911 NE 33rd Drive Suite 190 Padarxf, OR97211 ph 503281.7515 fax 503281.7579 This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: • Reinforced concrete • Structural steel/ welding • Bolting • Lateral wood/framing • Proprietary anchors To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the city approved drawings, or engineer approved changes. We trust this provides you with the information that you require. Should you have any questions please call us at 425/742-9360. Sincerely, Mayes Testing Engineer, Inc. Michael S. Dolder, P.E. Vice President Jun 22 12 04:35p Warren La Fon 425-774-0580 p.2 s � ° MA YES TESTING ENGINEERS# INC. ofte s c,,, sLft110 x:w `.:::.:....... Lynam 1NA98036 ph425.742-MM f3x425.74&1737 Project No. L11416 ranorrlap)ioe Project Harbor Square Athletic Club 1oMs Ta=rraV%* E monds WA Sub S2 Address 160 W. Dayton Street, d Addr Yt Permit No. BLD 2009-0530 Tauura,U4k9B499 4;ph2M-%4 X1 ° Bldg Dept. City of Edmonds fax253M4.3707 a�aaa� Owner Harbor Square Athletic Club 7911 NE 33rd0rke Architect Warren LaFon Architects X190 PaUA oR 9TL11 ph5032B1.7515 fax 503281.7579 Record No. 001 d Date 10/19/2011 4; Weather Clear Inspection Structural steel ` Sample(s) NIA Permit No. BLD 2009-0530 Inspected structural steel welding and bolting new pile/column support beams to support new 2nd floor per detail 1/S6.0. Verified welding for pile cap plates, and high strength A325 bolts joining cap plates and W8 beams. Ten locations inspected and found to be according to detail. ' s At northwest comer column support modification is according to CT Engineering sketch dated 10/10/11, includiAg epoxied bolt. 314" diameter all-thread bolt epoxied 4" deep with Simpson SET XP epoxy per sketch. (Verified WABO welder certification for Paul B. Carnino #W06208, exp. 10- 1-2012.) To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications_ Inspector: Tom Cain 4; ° Reviewed By-- Kevin y:Kevin Graham Senior Project Manager c ° , Y Page Iof1 I G a 4 e i Jun 2212 04:35p Warren La Fon 425-774-0580 p.3 MAYES TESTING ENGINEERS, INC.sawe 2OZ5 CadarVab,Poad Sue 110 ph4P5.7QSCM NX41M7451737 Project No. L11416 ra�ofoe Project Harbor Square Athletic Club 1oms.Ta0 nawav Address 160 W. Dayton Street, Edmonds, WA sLAeE-2 Permit No. BLD 2009-0530 phZaa � h253.5843720 Bldg Dept. City of Edmonds fad53M437177 Owner Harbor Square Athletic Club Fb NE 33d ~ofte ,e T ° Architect Warren LaFon Architects SUL.190 Pa lard OR67211 ph 503.281.7515 fac503291.75M Record No. 002 Date 10/21/11 Weather Indoors Inspection Structural steel Sample(s) N/A c ° Visual inspection -was performed on column base plate to pile beam caps. Welding is shown on detail 1/S6.0. Inspection found these welds in compliance with the drawings and AWS D1.1 , Cursory inspection was performed on shop welding of the column base plates and pile cap welds. Welds found in compliance with the structural drawings. Inspection of these welds was in the new gym along the east and west walls for a total of 10 columns. Inspector verified WABO welder certification for Paul B. Camino, welder number W06208, expires c 1011112. ° To the best of our knowledge, all items inspected today are in conformance with approved plans y and specifications. Inspector. Mike Virgilio Reviewed By: s ° Kevin Graham Senior Project Manager f Page 1 of 1 MAYES TESTING ENGINEERS, INC. � �VaRe,Road - Suite 110 -- Lynrmcod, WA 98036 ph 425.742.9360 fax 425.745.1737 Project No. L11416 Project Harbor Square Athletic Club racbn Office 029 S.Taow a Way Address 160 W. Dayton Street, Edmonds, WA SuiteE-2 Permit No. BLD 2009-0530 Taooma,WA98499 Bldg Dept. City of Edmonds fa 253 8 3707 Owner Harbor Square Athletic Club PadandOfice 7911 NE 33rd Drive Architect Warren LaFon Architects Sure 190 Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 Record No. 003 Date 10/25/2011 Weather (indoors) Inspection Structural steel, proprietary anchors Sample(s) N/A Performed visual weld inspection for 1/4" fillet welds connecting beams to WT14x12 at top of HSS columns for new 2nd floor addition. Welds as per 4/S7.0 and acceptable to AWS D.1.1-10. Observed installation of 5/8" diameter threaded rods into existing concrete wall for new 2nd floor ledger. Verified 4" embedment as per 2/S7.0. Used Simpson SET XP adhesives (exp. 7/2013). Date as per S1.0 notes. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Dave Bale Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS INC , COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture Lynnwood 20225 Cedar Valley Road 120.0 tar_ 7` _ ._...... _ __. _ Suite 110 Lynnwood W 98036 Cement --Type I & II • lbs Batch Plant Location: 261 ph 425.742.. 9360 Coarse Aggregate CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Harbor Square Athletic Club Project No: L11416 Site Address: 160 W Dayton Street Issued on: 11/21/11 250.0 lbs Sample Set ID: 277091 WRA Edmonds, WA oz (ASTM C1064) (ASTM C31) Client: Harbor Square Athletic Club Permit # (s): BLD 2009-0530 Engineer: Contractor: Wilcox Construction Sample(s) Recd: Required Strength: (f'c) FIELD DATA 0.443 5" 11/14/11 4000 psi @ 28 days ASTM C31 and C172 Placement Location and Notes: Air Temperature: 54°F Design Mix Proportions: Weather: Cloudy Ingredient Weight (per cu.yd) Product: Concrete Supplier: Cal -Portland COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture Accel 120.0 oz 56020 4.01 12.63 Cement --Type I & II 564.0 lbs Batch Plant Location: 261 Coarse Aggregate 1,945.0 lbs Ticket Number: 482632 28 4 x 8 Fine Aggregate 1,365.0 lbs MixDesign ID: 3320 12601 12/09/11 Water 250.0 lbs Sample Temp. Initial Storage Temp. Air Content WRA 20.0 oz (ASTM C1064) (ASTM C31) (ASTM C231) •76°F NR Water/Cement Ratio:' Slump (ASTM C143) Sample(s) Recd: Required Strength: (f'c) 0.443 5" 11/14/11 4000 psi @ 28 days Placement Location and Notes: Elevated slab on deck, 2nd floor. Elevator walls at lines E & 2.7 on 1 st floor. Added 30 gallons of water onsite. Date Made Sample # COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 11/11/11 0002 12598 11/18/11 07 4 x 8 56020 4.01 12.63 4440 T pe 2 11 /11 /11 0002 12599 12/09/11 28 4 x 8 I F 0.00 Q NA 11 /11 /11 0002 12600 12/09/11 28 4 x 8 0 0.00 0.00 Q NA 11/11/11 0002 12601 12/09/11 28 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Evans, D. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President • Notes Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" e Jun 22 12 04:35p Warren La Fon e a ' L i 425-774-0580 p.4 MAYFS TESTING ENGINEERS, INC. Project No. L11416 Project Harbor Square Athletic Club Address 160 W. Dayton Street, Edmonds, WA Permit No. BLD 2009-0530, BLD 2011-0409 ' Bldg Dept. City of Edmonds Owner Harbor Square Athletic Club Architect Warren LaFon Architects 425-774-0580 p.4 0 sea* Off= 21MSGedarVabyRoad . Stile 110 Ly nAood, WASH ph425.742.M 1m425.745.1737 TacwW o ke 10029STaarnaWay s Stip E-2 Ta=M WA 98499 ph253584.3720 W25a.584.3707 7911 NE 33rd DrW amigo PaWxi OR 97211 p11503281.7515 UK SnM.7579 c Record No. 004 Date 11 17/2011 Weather Cloudy Inspection Reinforcing steel, proprietary anchors Sample(s) MA Permit No. BLD 2009-0530 Inspected and monitored the epoxy rebar doweling operation for the existing slab infills on grid lines C and E from 1 to 2. The holes were brushed and blown clean prior to the rebar and epoxy being installed, using Simpson SET XP (lot # 371 D072047D, exp. 612013). Work completed per the drawings. Alsro, at grid E.1 & 1.1. ; Permit No- BLD 2011-0409 Inspected the reinforcing steel for the footing at grid lines E.111.1, E.411 per detail 31S6.0. Will need clearances and cleanliness verified prior to concrete placement. Inspected and monitored the epoxy rebar doweling operation for the elevator wall dowel tie-in to the existing walls at grid lines E/2.7. The holes were bashed and blown clean priorto the rebar and epoxy being installed, using Simpson SEET XP (lot # 371 D072047D, exp. 612013). Work completed per drawings. , Inspected the reinforcing steel for the elevator slab on grade and the wall dowels at grid lines E12.7. Found per drawings. Clearances and cleanliness will need verification prior to concrete placement To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. - J Inspector: C. Don Evans Reviewed By: Timothy G. Beckede, P.E. Branch Manager 0 V I V T 0 11 0 O a O Page 1 of t c a Jun 22 12 04:35p Warren La Fon 425-774-0580 p.5 MAYES TESTING ENGINEERS, INC. ffine zo�cmavAByRoed X110 LVTM0 d,VVAgM P11425.742MIX) f3X425.7e17V Project No. L11416 Project Harbor Square Athletic Club IOMSTawrieWby Address 160 W. Dayton Street, Edmonds, WA SUL-E2 Permit No. BLD 2009-0530, BLD 2011-0409 TamrmWA984 9 h phM M43M Bldg Dept_ City of Edmonds f3K253.5BCW Owner Harbor Square Athletic Club parowdofte 791Onre Architect Warren LaFon Architects X190 Pad3nd, oR9T211 ph $3281.7515 fu 503281.7579 Record No. 005 Date 11/08/11 Weather Partly Sunny Inspection Reinforcing Steel and Reinforced Concrete Sample(s) (4}4x8" Cylinders Permit No. BLD 2009-0530 ' The placement of (8.0) cubic yards of Cal -Portland Mix #1944 was observed for Footing A at Gridlines E.1 -E.4/1-1.1, slab infills at Gridlines C and E from 1 to 2 Footing (F2) northeast corner and footing and plinth (172.5) on northeast comer. Concrete was line pump placed with mechanical consolidation. Sample was taken within the (8.0) cubic yards placed. Temperature and slump were verified. Four 4x8" cylinders were cast for compression strength testing. Final clearances for the reinforcing steel were verified. ` Note: The specified J -Bolts per structural Detail 31SV.0 were not installed at time of placement A confirming RFI response is pending for epoxy -grouted anchors at the plinth/footing on the northwest corner of building. Reinforcing was verified for footing/plinth and footing (F2) prior to placement. Preliminary Inspection: See Note above: Specifier! J -Bolts at the northwest footing/plinth were not installed during placement An RFI response from the engineer is pending. ` Inspector. J. Graybill Reviewed By: Timothy G. Beckede, P.E. ` Branch Manager ' Page 1 of 1 11 0 0 a e a MAYES TESTING ENGINEERS, INC. � �VaQeyRoad _.... ... _ SLde 110 _.._._....... __....... . __ Lynnwood, WA 98036 ph 425.7429360 fax 425.745.1737 Project No. L11416 Project 1 Harbor Square Athletic Club q iao 9S.Tacice 10029 S. Taooma Way Address 160 W. Dayton Street, Edmonds, WA SSE -2 Permit No. BLD 2009-0530, BLD 2011-0409 Tacoma, WA 98499 Bldg Dept. City of Edmonds txz53 8 3707 Owner Harbor Square S Athletic Club q PaNandOfliae 7911 NE 33rd Drive Architect Warren LaFon Architects SLde190 Portland, OR 97211 ph 503.281.7515 fax 503.281.7579 Record No. 006 Date 11/10/2011 Weather (indoors) Inspection Reinforcing steel, structural steel Sample(s) N/A Permit No. BLD 2009-0530 1) Inspected reinforcing steel installed into elevator pit walls. Reinforcing steel inspected for grade, size, number, spacing and placement as per detail 4/S3.1 (CG engineering drawings). 2) Inspected metal decking for 2nd floor slab on metal deck section on NE corner to exterior stair landing. Decking checked for proper puddle welding and button punching and was found to be installed according to contract documents. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Carl Reynolds Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. 2M Va0eyRbad suite110 ___ . ......._ . _.. _ ._._ Lynrmood, WA 98036 ph 425.742.9360 fax 425.745.1737 Project No. L11416 Project Harbor Square Athletic Club r0029ss Ta�oomWay Address 160 W. Dayton Street, Edmonds, WA Suite E-2 Permit No. BLD 2009-0530, BLD 2011-0409 Taoa„a,WA98499 Bldg Dept. City of Edmonds ph W22-53.584.3720 .58 3707 Owner Harbor Square Athletic Club PardandOffice 7911 NE 33rd Drive Architect Warren LaFon Architects suite 190 Por9and, OR 97211 ph 503.281.7515 fax 503281.7579 Record No. 007 Date 11/09/11 Weather Inside Inspection Proprietary Anchors and Structural Steel Sample(s) N/A On site for proprietary anchor and visual weld inspection: • Observed installation of 5/8" diameter threaded rods into existing wall for ledger angle at East and West sides of 2nd floor deck. Verified 4" embed for 5/8" diameter rods as per 1/S7.0. Used Simpson SET -XP adhesives, #119E234E and expires 7/2013 per S1.0 notes. • Torque tested 5/8" diameter bolts for 2nd floor ledger angles at North and South sides of new deck. Used Mayes Testing Engineers, Inc. calibrated torque wrench set to 30 foot- pounds as per Simpson schedule. • Performed visual weld inspection for 3/16" fillet welds connecting joist to beams and stabilizer plates to columns for 2nd floor. Welds as per 1/S7.0 and 3/S7.0 and acceptable perAWS D1.1-10. • Inspected button punches and 1/2" diameter puddle welds for 2nd floor deck attachment. Button punches and puddle welds as per S1.0 deck notes. Puddle welds acceptable per AWS D1.3. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Dave Bale Reviewed By: Tyr-�'ti/� Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Site Address: Client: Engineer: Contractor: Harbor Square Athletic Club 160 W Dayton Street Edmonds, WA Harbor Square Athletic Club Wilcox Construction Air Temperature: 51 °F Weather: Sunny Product: Concrete Supplier: Cal -Portland Batch Plant Location: Seattle Ticket Number: 480497 MixDesign ID: 1944 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11416 Issued on: 12/07/11 Sample Set ID: 277035 Permit # (s): BLD 2009-0580 Actual Mix Proportions: Ingredient Cement --Type I & II Coarse Aggregate 3/4" Fine Aggregate Fly Ash Water Weight (per cu.yd) 398.0 lbs 1,822.0 Ibs 1,521.0 Ibs 69.0 lbs 234.0 lbs Sample Temp. Initial StorageT me p Air Content (ASTM C10 (ASTM C31) (ASTM C231) • 67°F NR % Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (f'c) 0.501 4 1/2" 11/09/11 3000 psi @ 28 days Placement Location and Notes: Footings at gridlines E.1 -E.4/1-1.1, slab infills at gridlines C and E from 1 to 2, F2 footing at the northeast corner of building and F2.5 footing and plinth located on the northeast side of the building. Samples taken within the 8.0 cubic yards placed. Remarks: Technician(s): Graybill, J. Reviewed by: Tested by: Harrington, C. Timothy G. Beckerle, P.E. •Notes: Branch Manager Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 11/08/11 0001 12342 11/15/11 07 4 x 8 43910 4.00 12.57 3490 T e 4 11/08/11 0001 12343 12/06/11 28 4 x 8 66150 4.00 12.57 5260 T e 2 11/08/11 0001 12344 12/06/11 28 4 x 8 67460 4.00 12.57 5370 T e 2 11/08/11 0001 12345 12/06/11 28 4 x 8 69840 4.00 12.57 5560 T e 2 Remarks: Technician(s): Graybill, J. Reviewed by: Tested by: Harrington, C. Timothy G. Beckerle, P.E. •Notes: Branch Manager Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" MAYES TESTING ENGINEERS, INC. 2M VaLe,,Road Suite 110 LWrmcod, WA 98036 ph 425.742.9360 fax 425.745.1737 Project No. L11416 Project Harbor Square Athletic Club Tacorm Office 100295 Way Address 160 W. Dayton Street, Edmonds, WA Sub E-2 Permit No. BLD 2009-0530, BLD 2011-0409 Taoorna,WA98499 Bldg Dept. City of Edmonds ph 840 fax 253.584.3707 Owner Harbor Square Athletic Club PartlandOfice 7911 NE 33rd Drive Engineer CT Engineering Suite 190 Architect Warren LaFon Architects Portland, OR 97211 Contractor Wilcox ph 503.281. fax 503.281..515 7579 Record No. 008 Date 12/06/2011 Weather Cloudy Inspection Epoxy and Reinforcing Steel Sample(s) N/A Permit No. BLD2009-0530 Inspected installation of epoxied all -thread anchor bolts into well -cleaned (compressed air and brush) holes using Simpson SET -XP epoxy: 1. West and North sides of building into tilt panels for new wood frame canopy per 12/S7.0. 2. 3/4 and 7-8 inch diameter bolts at new channel header per CT Engineering bulletin dated 11-30-2011, replacing Details 1 and 3/S8.1. Also verified the reinforcing steel outside of NE corner of building for (4) F5.0 footings for canopy support. Reinforcing steel complete per plans. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Tom Cain Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. �S Weather Cloudy vaEeyRoad Concrete Sample(s) Suite 110 Lynnwood, WA 98036 ph 425.742.9360 fax 425.745.1737 Project No. L11416 Project 1 Harbor Square Athletic Club q row 10029 S. Tacoma Way Address 160 W. Dayton Street, Edmonds, WA Suit E-2 Permit No. BLD 2009-0530, BLD 2011-0409 Tac«na,WA98499 Bldg Dept. City of Edmonds ph fax 253.584.3720 5 ..5588x3707 Owner Harbor Square Athletic Club 7911 NE33dDrive Engineer CT Engineering suite 190 Architect Warren LaFon Architects PodlaM,OR97211 Contractor Wilcox ph5 fax 5003.281.3.281.515 7579 Record No. 009 Date 12/08/2011 Weather Cloudy Inspection Concrete Sample(s) (4) 48" Cylinders Permit No. BLD 2009-0530 Final inspection and confirmation of conformance with approved plans for (4) F5.0 footings at NW corner of existing building. Contractor placed approximately (6) cubic yards Cal -Portland Supplied Mix #1944 into these footings. Sampled concrete and cast (4) 4x8" test cylinders at 5" slump. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Tom Cain Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYESTESTING ENGINEERS, INC Lynnwood 20225 Cedar Valley Road Suite 110 ._ Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Harbor Square Athletic Club Project No: L11416 Site Address: 160 W Dayton Street Issued on: 01/20/12 Edmonds, WA - Sample Set ID: 277560 Client: Harbor Square Athletic Club Permit # (s): BLD 2009-0530 Engineer:, CT Engineering Contractor: Wilcox Construction Air Temperature: 35°F Weather: Cold Product: Concrete Supplier: Cal -Portland Batch Plant Location: 261 Ticket Number: 496941 MixDesign ID: 1944 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Ingredient Cement --Type II Coarse Aggregate 3/4" Fine Aggregate Fly Ash Water Weight (per cu.yd) 400.0 lbs . 1,861.0 lbs 1,549.0 lbs 69.0 lbs 200.0 lbs Sample Temp. Initial Storage Temp. Air Content (ASTM C1064) (ASTM C31) (ASTM C231) 56°F NR % Water/Cement Ratio: ISlump (ASTM C143) f Samples) Recd: Required Strength: (f'c) 0.426 4.5" 12/27/11 3000 psi @ 28 days ' Placement Location and Notes: Two plinths at east entry, (2) pads at west entry, and (4) plinths at NW corner of the building. Sampled at 3 of 4.5 yards placed. COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (lbs) Dia (in) Area Strength (psi) Type of Fracture 12/22/11 0004 14855 12/29/11 0 4 x 8 37650 4.00 12.57 3000 T e t 12/22/11 0004 14856 01/19/12 28 4 x 8 60310 4.00 12.57 4800 T e 3 12/22/11 0004 14857 01/19/12 28 I4 x 8 60540 4.01 12.63 4790 T e 5 12/22/11 0004 14858 01/19/12 28 4 x 8 59090 4.00 12.57 4700 T e 3 Remarks: Technician(s): Cook, B. Reviewed bv: Tested by: Kane, J. %� tSl Timothy G. Beckerle, P.E. Branch Manager Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" b b 6 Jun 22 12 04:36p Warren La Fon 425-774-0580 p.6 MAYES .TESi1NG ENGINEERS, INC.Olim zonsceaarvaleyRoad s,� 110 Lynn CAWA98036 ph4'25.74ZMW c la 4a745.1 /J/ 0 Project No. L101416 Tacwmoffae Project Harbor Square Athletic Club 100maTacvnaway Address 160 W. Dayton Street, Edmonds, WA SAE -2 Permit No. BLD 2009-0530, BLD 2011-0409 Ta=MM994 9 phM589. M Bldg Dept. City of Edmonds fm25i%43707 Owner Harbor Square Athletic Club 791 parofte NEOrhe Engineer CT Engineering 190 Architect Warren LaFon Architects Padiar4 OR 9MI 1 4r ° ph 503281.7515 Contractor Wilcox , W503281.7579 Record No. 010 Date 12/21/11 Weather — Inspection Proprietary Anchors Sample(s) NIA ° Permit No. BLb2009-0530 , Observed the epoxy -grouting of (12) 45 dowels into 314" drilled holes into existing concrete footing z and foundation walls for east entry, (2) plinths per Detail 6 on S6.0 of approved plans. Holes,were cleaned with wire brush and compressed air; and, were found to be of proper size, depth (6"), cleanliness and installed per ESR 2508. Epoxy temperature: 70° F and Concrete temperature: 50° F. Area was then covered with plastic to trap heat to bring the ambient temperature up to 50° F minimum. Estimated set time: 24 to 72 hours. • s To the best of our knowledge, all items inspected today are in conformance with approved plans ° and specifications. Inspector: Keith Dohrman Reviewed By: Timothy G. Beckerle, P.E. ° Branch Manager Page 1 of 1 S ° MANES TESTING ENGINEERS, INC. = VaLeyRoad - -- suitello Ly" ood, WA 98036 ph 425.742.9360 fax 425.745.1737 Project No. L11416 ProProject 1 Harbor Square Athletic Club q racorna ow 10029 S. Taoorna Way Address 160 W. Dayton Street, Edmonds, WA suit -E-2 Permit No. BLD 2009-0530, BLD 2011-0409 Taoom,WA98499 Bldg Dept. City of Edmonds X253.584.3720 7 Owner Harbor Square Athletic Club Portland Office 7911 NE 33rd Drive Engineer CT Engineering Suite 190 Architect Warren LaFon Architects Portland, OR 97211 Contractor Wilcox 503281.7515 fax 503.281.7579 Record No. 011 Date 12/22/11 Weather Cold Inspection Reinforcing Steel and Reinforced Concrete Sample(s) (4) 4x8" Cylinders Permit No. BLD 2009-0530 Inspected rebar for (2) plinths at East entry, (2) pads at West entry and (4) plinths at NW corner of building. Rebar was checked for size, grade, spacing, length and clearances, following structural notes and prints. Observed placement of (4-1/2) yards of Cal -Portland Concrete Mix #1944 into above-mentioned locations. Concrete was placed by truck chute and was mechanically vibrated. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: B. Cook Reviewed By: % .......-d' W1 1-9 Timothy /i/l,G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING ENGINEERS, INC. Project No. L11416 Project Harbor Square Athletic Club Address 160 W. Dayton Street, Edmonds, WA Permit No. BLD 2009-0530, BLD 2011-0409 Bldg Dept. City of Edmonds. Owner Harbor Square Athletic Club Engineer CT Engineering Architect Warren LaFon Architects Contractor Wilcox Record No. 012 Date 01/03/12 Weather Overcast Inspection Reinforced Concrete Sample(s) (1) Set of (4) 4x8" Cylinders seat0b, Office 20225 Cedar VaOey Road SUL� 110 Lynrm000d, WA98036 ph 425.742.9360 fax425.745.1737 racoma Office 10029 S. Tacom Way Suite E-2 Tama, WA 98499 ph 253.584.3720 fax 253.584.3707 Portland Office 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503.281.7515 fax 503281.7579 Permit No. BLD2009-0530 Observed placement of concrete into two westernmost plinths and footings at 4/G: Reinforcing steel was installed per CT Engineering sketches dated 12/19/11. Clearances and cleanliness were according to ACI standards. Three cubic yards of Cal -Portland Mix #1944 were placed by truck chute with mechanical consolidation. Sampled, tested and cast one set of four 4x8" cylinders. All testing indicated compliance with approved mix design specifications. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: S. Szurek Reviewed By: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 MAYES TESTING. ENGINEERS, INC. �� aL-yRoad SLAB 110 Ly Twrood, WA 98036 ph 425.7429060 fax425.745.1737 Project No. L11416 Project Harbor Square Athletic Club Office 0Ms T Address 160 W. Dayton Street, Edmonds, WA SlileE2 Permit No. BLD 2009-0530, BLD 2011-0409 Taooma,WA98499 Bldg Dept. City of Edmonds fu22M58a.37m Owner Harbor Square Athletic Club Parfid Office 7911 NE '33rd Engineer CT Engineering sub 190 Architect Warren LaFon Architects P«eana,OR9M1 Contractor Wilcox ph503281.7515 fax 503281.7579 Record No. 013 Date 01/30/12 Weather Overcast Inspection Structural Steel, Visual and Welding Sample(s) N/A Permit No. BLD2009-0530 Performed visual welding inspection of HSS beam connections and 4" diameter pipe for canopy connections at the east and west entryways per details on S8.0. Welds were found to be in conformance with structural drawings and found to be visually acceptable per AWS D1.1. Inspected framed bases for east and west entryways and verified connections of post to CBSQ88- SDS2 per Detail 7/S6.0. Inspected decking attachment for east and west canopies screwed at proper spacing and location per Detail14/S8.8. Welding was performed by WABO certified welder, Paul B. Carnino, Welder No.W06208, expiration date 10/1/12. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: John Opgenorth Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 Lynnwoo MAYESTESTING ENGINEERS, INC 2 225 Cedar alley Road Suite 110 v _ Lynnwood WA 98036 ph 425.742.9360 CONCRETE LABORATORY TEST REPORT fax 425.745.1737 Project Name: Harbor Square Athletic Club Project No: L11416 Site Address: 160 W Dayton Street Issued on: - 02/01/12 Edmonds, WA Sample Set ID: 277640 Client: Harbor Square Athletic Club Permit # (s): BLD 2009-0530 Engineer: CT Engineering Contractor: Wilcox Construction Air Temperature: 583°F Weather: Overcast Product: Concrete Supplier: Cal -Portland Batch Plant Location: lbs Ticket Number: 499306 MixDesign ID: 1944 FIELD DATA ASTM C31 and C172 Actual Mix Proportions: Sample'Temp. Initial Storage Temp. Air Content (ASTM C1064) 11 (ASTM C31) (ASTM C231) 58°F NR % Ingredient Cement --Type I & II Coarse Aggregate 3/4" Fine Aggregate Fly Ash Water Water/Cement Ratio: Slump (ASTM C143) Sample(s) Recd: Required Strength: (fc) 0.319 4.25" 01/04/12 3000 psi @ 28 days Placement Location and Notes: III Westernmost plinths at 4/13. Weight (per cu.yd) 400.0 lbs 1,861.0 lbs 1,534.0 lbs 77.0 lbs 152.0 lbs Remarks: Technician(s): Szurek, S. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 or AASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load (Ibs) Dia (in) Area Strength (psi) Type of Fracture 01/03/12 0005 15213 01/10/12 � 4 x 8 38960 4.00 12.57 3100 T e 5 ` 01 /03/12 0005 15214 01 /31 /12 28 4 x 8 57030 4.00 12.57 4540 T e 5 ` 01 /03/12 0005 15215 01 /31 /1228 4 x 8 58810 4.00 12.57 4680 T e 5 ` 01 /03/12 0005 15216 01 /31 /12 28 4 x 8 56730 4.00 12.57 4510 T e 2 Remarks: Technician(s): Szurek, S. Reviewed by: Tested by: Cook, B. Michael S. Dolder, P.E. Vice President Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1 C, Rev 4, 08/22107 6.6.1.3, C-1019, 9.6 -"recording field temperature" MAYESTESTING ENGINEERS, INC CONCRETE LABORATORY TEST REPORT Project Name: Harbor Square Athletic Club Site Address: 160 W Dayton Street Supplier: Edmonds, WA Client: Harbor Square Athletic Club Engineer: 482632 Contractor: Wilcox Construction Air Temperature: 54°F Weather: Cloudy Product: Concrete Supplier: Cal -Portland Batch Plant Location: 261 Ticket Number: 482632 MixDesign ID: 3320 FIELD DATA ASTM C31 and C172 Lynnwood 20225 Cedar Valley Road Suite 110 Lynnwood WA 98036 ph 425.742.9360 fax 425.745.1737 Project No: L11416 Issued on: 11/21/11 Sample Set ID: 277091 Permit # (s): BLD 2009-0530 Design I Mix Proportions: Ingredient Accel Cement --Type I & II Coarse Aggregate Fine Aggregate Water Weight (per cu.yd) 120.0 2 0 oz 564.0 lbs 1,945.0 lbs 1,365.0 lbs 250.0 lbs Lab # Date Tested Sample Temp Initial Storage Temp. Air Content WRA 0. oz (ASTM C1 (ASTM C31) (ASTM C231) •76°F NR Water/Cement Ratio: Slump (ASTM C143) Sample(s) Rec'd: Required Strength: (f'c) 0.443 5" 11/14/11 4000 psi @ 28 days Placement Location and Notes: Elevated slab on deck, 2nd floor. Elevator walls at lines E & 2.7 on 1 st floor. Added 30 gallons of water onsite. Remarks: Technician(s): Evans, D. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President •Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" COMPRESSION TEST RESULTS (ASTM C31, C39, C617, C1231, C780, C109, C1019 orAASHTO T22 when applicable) Date Made Sample # Lab # Date Tested Age Size (in) Load,(Ibs) Dia (in) Area Strength (psi) Type of Fracture 11/11/11 0002 12598 11/18/11 4 x 8 56020 4.01 12.63 4440 T e 2 11 /11 /11 0002 12599 12/09/11 28 4 x 8 0 0.00 0.00 Q NA 11 /11 /11 0002 12600 12/09/1128 4 x 8 0 0.00 0.00 Q NA 11/11/11 0002 12601 12/09/1128 4 x 8 0 0.00 0.00 Q NA Remarks: Technician(s): Evans, D. Reviewed by: Tested by: Kane, J. Michael S. Dolder, P.E. Vice President •Notes: Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers, Inc. See ASTM C39, for full description of the Type of Fracture. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2, C-780, A MTE 1050-1C, Rev 4, 08/22/07 6.6.1.3, C-1019, 9.6 - "recording field temperature" 1 MAY TEST/Nd ENG- EERS; INC. � eaft office - V ,,, W Sine 110 LMwjood, WA98036 ph 425.7429360 fax 425.745.1737 Project No. L11416 Project Harbor Square Athletic Club Tacom Office =296 Way Address 160 W. Dayton Street, Edmonds, WA sUL-E-2 Permit No. BLD 2009-0530, BLD 2011-0409, BLD 2012-0008 Tao3TAWA984% Bldg Dept. City of Edmonds W� W Owner Harbor Square Athletic Club Rxiwxl°lhoe Engineer CT Engineering 7911 NE 33rd Drive sufie190 Architect Warren LaFon Architects Pufiand,oR97211 Contractor Wilcox ph 503281. fax 503281..515 7576 Record No. 014 Date 02/15/2012 Weather Cloudy ' Inspection Structural Steel Sample(s) N/A Permit No. BLD 2012-0008 Inspected the structural steel erection, welding and bolting for new C12 channels installed along south side of existing building 2nd floor per Structural Plan SR 1.0 dated 12-29-11. Verified all connections are complete: through bolts (7/8/9 SR2.0.); corner connections (3/4 SR2.0) with A323 snug -tightened bolts; 3/4" plates welded to tops of channels (9/SR 2.0) and SDS screws through new channels into existing Glu -lams (6/7/8/9/11/SR 2.0). Installation conforms to referenced plans and details. Welds are visually acceptable per AWS D-1.1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Tom Cain Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC. Project No. L11416 Project Harbor Square Athletic Club Address 160 W. Dayton Street, Edmonds, Permit No. BLD 2009-0530, BLD 2011-0409, Bldg Dept. City of Edmonds Owner Harbor Square Athletic Club Engineer CT Engineering Architect Warren LaFon Architects Contractor Wilcox Record No. 015 Date 2/17/2012 Weather Cloudy Inspection Proprietary Anchors Sample(s) N/A Permit No. BLD 2012-0008 WA BLD 2012-0008 seaffle Office 20225 Cedar Valley Road Skdte 110 LynrnAcod, WA98036 ph 425.742.9360 fax 425.745.1737 racoma Office 10029 S. Tacoma Way Suite E-2 Tacoma, WA 98499 ph 253.584.3720 fax 253.584.3707 PorgandOflice 7911 NE 33rd Drive Suite 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Observed the anchorage into hardened concrete (53) 3/4" diameter thread rod for 2nd level tube steel column anchoring to existing wall for raising roof elevation. Verified the holes, size, depth, and cleanliness to be per approved plans details 2/S8.0 and per manufacturer's specifications. There are (7) columns anchored and for erection purposes a total of (17) Simpson strong bolt 3/4" diameter were installed to hold column to wall. Torquing of epoxy grouted and wedge anchors needs to be completed after curing. Epoxy used was Simpson SET XP with an expiration date of 7/2013 and lot #067E1 28E (project approved). Preliminary pending torque testing. Preliminary Inspection Pending torque testing of epoxy grouted all -thread and wedge anchors. Inspector: Randal Dohrman Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYESTESTING ENGINEERS, INC. Project No. L11416 Project Harbor Square Athletic Club Address 160 W. Dayton Street, Edmonds, WA Permit No. BLD 2009-0530, BLD 2011-0409, BLD 2012-0008 Bldg Dept. City of Edmonds Owner Harbor Square Athletic Club Engineer CT Engineering Architect Warren LaFon Architects Contractor Wilcox Record No. 016 Date 02/28/12 Weather Overcast Inspection Structural Steel and Lateral Framing Sample(s) N/A seatffe Office 20225 Cedar Valley Road Suia 110 Lyrurr000d, WA 98036 ph 425.742.9360 fax 425.745.1737 racoma office 10029 S. Taooma Way Suite E-2 Tacoma, WA98499 ph 253.584.3720 fax 253.584.3707 PardandOffice 7911 NE 33rd Drive Sum 190 Portland, OR 97211 ph 503281.7515 fax 503281.7579 Visually inspected field welds at the roof tower (Detail 12/S8.0). The welds had been coated with paint prior to Mayes Testing Engineers, Inc. arrival. The contractor complied with this inspector's request to grind the paint off a suspect weld. The weld was found to be in compliance with AWS D1.1 acceptance criterion. The remaining welds appear to be as shown on the structural plans and in compliance with AWS D1.1. The contractor has a current WABO welding card (#W06208). The roof structure is on the ground at this time. Wilcox states that the metal roofing attachment will be completed when the roof tower is in place. Inspected roof level HSS columns, framing, blocking, straps and wall sheathing nailing. Notified the contractor of excessive sheathing nail spacing (6" on center at the edges in lieu of 4") and witnessed corrections. The remaining items were found to be as shown on the structural details shown on Sheets S8.0 & S8.1. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: John Chebul Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES:TESTING ENGINEERS, tNC. �� Inspection Structural Steel and Bolting �,,,� N/A suFte 110 Lpwvood, WA98M6 ph 425.7429360 fax 425.745.1737 Project No. L11416 Project Harbor Square Athletic'Club Tacorm Office s Way Address 160 W. Dayton Street, Edmonds, WA We E2 Permit No. BLD 2009-0530, BLD 2011-0409, BLD 2012-0008 Tao=AWA984% Bldg Dept. City of Edmonds WM�.3-W Owner Harbor Square Athletic Club FbrxaWoffice 7911 NE 33rd Drive Engineer CT Engineering S&190 Architect Warren LaFon Architects Poftnd,OR97211 Contractor Willcox ffa 503281.7515 ax 503281.7579 Record No. 017 Date 03/05/12 Weather Rain Inspection Structural Steel and Bolting Sample(s) N/A At Harbor Square Athletic Club for structural steel welding in accordance with AWS D1.1 and project plans. Inspected roof tower welding of 4"x4" tube steel column posts to 8"x8" tube steel canopy framing. Three (3) posts were inspected at NE corner of existing building. New posts are welded per Detail 4/S8.1. Column base plates are screwed into wood per plan. Inspected roof canopy deck sheets for #10 screws. Radius entry is attached per Details 12 & 14/S8.0. Inspected epoxy installed bolts for second level tube steel columns. Columns are 6"x4"x5/16" on perimeter of East and West walls. 3/4" diameter bolts were verified to meet 30 foot-pounds of torque at each tube steel column. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: M. Vassallo Reviewed By: Michael S. Dolder, P.E. Vice President Page 1 of 1 MAYES TESTING ENGINEERS, INC. �� aDe,,Road sLA9 110 Lynnwood, wA 98036 ph 425.742.9360 fax 43.745.1737 Project No. L11416 Project Harbor Square Athletic Club Taco= Office Way Address 160 W. Dayton Street, Edmonds, WA Sub E-2 Permit No. BLD 2009-0530, BLD 2011-0409, BLD 2012-0008 Taomia,WA98499 Bldg Dept. City of Edmonds W2M�3� Owner Harbor Square Athletic Club Porda►►dofroe Engineer CT Engineering 7911 NE 33rd Drive WEB 190 Architect Warren LaFon Architects Pordand,OR97211 Contractor Wilcox ph 503281.7515 fax 503281.7579 Record No. 018 Date 3/16/2012 Weather - - Inspection Proprietary Anchors Sample(s) N/A Inspection was performed on Titen anchor bolts supporting HSS columns on the second floor new exercise room south wall. Torque testing of Titen bolts installed prior to arrival of the inspector onsite found bolts torque to the manufacturer's recommendations. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Mike Virgilio Reviewed By: "4, Michael S. Dolder, P.E. Vice President Page 1 of 1 G Jun 22 12 04:36p Warren La Fon Main Office 6 17311-13!iO Avenue NE; A-500 Woodinville, WA 96072 (425) 486.1569 FAX (425) 461-2510 (425) 337-1669 Sndhom-ish County a N January 19, 2012 Mr. Jack Tawney Harbor Square Athletic Club 160 West Dayton Street Edmonds, Washington 98020 425-774-0580 p.7 ' f ° NELSON GEOTECHNICAL y ASSOCIATES, INC. GEOTECHNICAL ENGINEERS & GEOLOGISTS Engineedng-Geology Branch 437 East Penny Road Wenatchee, WA 96801 c (5D9) 665-7696 FAX (509) 665-7692 ° 0 Construction Monitoring Summary letter Harbor Square AthIetic Club 160 West Dayton Street Edmonds, Washington \GA File No. 794' )B I Dear Mr. Tawney: 1 This letter summarizes our observations during the foundation installation phase of the project. The site is located at 160 West Dayton Street in Edmonds, Washington. We previously prepared a geotechnical engineering report for the site titled "Geotechnical Engineering Evaluation — Harbor Square Athletic Club Addition — Edmonds, Washington," dated October 1. 2008. In the geotechnical report, we recommended that the new second story addition along the southern end of the building be supported on pin piles. In addition to the geotechnical report, we have prepared two geotechnical memoranda providing additional foundation recommendations for support the proposed southern addition on auger -cast piles and helical anchors. We also provided memoranda providing recommendations for support the elevator foundation within the central porton of the building and the new second floor gym on 4 -inch pin piles. We monitored foundation installation activities on a part-time basis during the period of October 8, 2011 through December 28, 2011. Our observations were documented in Field Reports 1 through 8 which were submitted to you. Our services began by observing pin pile installation for the new second floor gym floor. We observed the installation of 26, Schedule 40, 4 -inch diameter pin piles driven with a crane mounted V V s c 0 b i• ° ° ° ° ° Jun 2212 04:36p Warren La Fon 425-774-0580 p.8 Construction Monitoring Summary Letter January l9, 2011 Harbor Square Athletic Club Page 2 NGA File No. 7943B 11 TB 3325 hammer. The piles were driven to a refusal criterion of less than one -inch of pile movement during 20 second"§ of continuous driving. The piles were advanced to between 29 and 36 feet below the existing ground surface, before refusal was met. Based on our observations during pile installation, it is our opinion that the pin piles were successfully installed and should provide adequate support for the planned loads. ij Due to difficult access to the elevator shaft area, helical anchors were substituted for pin piles for support of the elevator shaft_ The helical anchors for the elevator shaft foundation consisted of Chance SS5 double flight lead anchors with 10 -inch and -12-inch diameter helices and 5 -foot long plain extensions. Anchors 1 through 4 on the western side of the elevator shaft were driven with a 15 degree batter away from each other to provide adequate spacing and to avoid grouping effect, while Anchors 5 and 6 were driven vertically. The anchors were driven with a hydraulic drive unit to an I c T 0 0 0 approximate torque of 3,000 ft -lbs where the drive unit was unable to advance the anchors further. The anchors were driven to approximately 14.5 to 15.0 feet below the existing ground surface. It is our opinion that the helical anchors were installed in general accordance with our recommendations and the approved plans, and should support the planned loads. c 0 We also observed foundation excavations for the western entrance and tower structure within the northwest corner of the building. In our report, we recommend that all structures be supported on deep foundation systems extending down to competent native soils. The foundation excavations for these structures generally exposed 'loose to medium dense native and undocumented fill soils. We evaluated the subgrade soils exposed in the excavations with a 1/2-in6h diameter steel probe under moderate pressure. Probing generally yielded penetrations of four inches and three feet which we s interpreted as Very loose to loose. In general we recommended that the foundation areas be over - excavated by a minimum of one foot and be replaced with CDF up to the proposed foundation subgrade if some future settlement could be tolerated. The owners and the contractor indicated their acceptance of such risk. We observed that the over -excavated areas were backfilled with CDF up to the proposed foundation subgrade elevations. Based on our discussions with the structural engineer, we understand that these structures are somewhat light and will not exert large loads. In our opinion, the foundation subgrades for these structures were prepared in accordance with our recommendations and should support tae planned loads. However, some minor settlement should be expected throughout the Iifetime of the structures. 0 0 NELSON GEOTECHNICAL ASSOCIATES, INC. o 0 Jun 2212 04:36p Warren La Fon Construction Monitoring Summary Letter Harbor Square Athletic Club NGA Pile Pio. 7943B 11 425-774-0580 p.9 a i January 19, 2011 Page 3 It has been a pleasure to provide service to you on this project. We consider our services for this project completed unless you specifically contact us for additional services.., o -O -o 6 0 6 G NELSON GEOTECHNICAL ASSOCIATES, INC. G Jun 22 12 04:36p_ Warren La Fon 425-774-0580 p.11 Construction Monitoring Summary Letter January 19, 2011 ° a Harbor Square Athletic Club Page 4 NGA File No. 7943B l 1 ' ease contact us if u have an questions regarding the content of this letter or require further Pl o you y q eg g information. 0 a Sincerely, , NELSON GEOTECHNICAL ASSOCIATES, INC. 0 1Nash �a 9ro s a -veQ, Geo. LEE S. BELLAH G Lee S. Bellah, LG Senior Staff Geologist ;E EJB V �• y �J Khaled M_ Shawish, E Principal Three Copies submitted cc: Russ Kissell — Wilcox Construction, Inc. (via email) 6 lSB:KMS:bd 'NELSON GEOTECHNICAL ASSOCIATES, INC. t of"ED-4 Inspection Comments - BLD20110409 04 - Alteration/Remodel Applied: 06/01/2011 Issued: 06/24/2011 Expires: 06/24/2012 Address: 160 WEST DAYTON ST, EDMONDS INSPECTION DATE INSPECTOR,'A'CTION��=�i: 1108 - B -Footings 12/05/2011 LAWLER CMP Comment: Per special inspection report review 1110 - B -Foundation Wall 12/05/2011 LAWLER CMP Comment: Per special inspection report review 1132 - B -Exterior Wall Sheathing 11/22/2011 STEINIKE PAR Comment: Elevator shaft only! 1132 - B -Exterior Wall Sheathing 12/05/2011 LAWLER CMP Comment: 1136 - B -Shear Nailing 12/05/2011 LAWLER CMP Comment: 1142 - B -Framing 11/21/2011 STEINIKE PAR Comment: Lower level elevator shaft only, no shear. 1142 - B -Framing 11/30/2011 LAWLER PAR Comment: Elevator machine room ceiling and el. Shaft ceiling framing approved 1142 - B -Framing 12/05/2011 LAWLER CMP Comment: 1150 - B-Sheetrock Nail 12/05/2011 LAWLER PAR Comment: All srn approved except elevator machine room lid is not one hour rated, contractor is verifying whether it is required to be or not 1150 - B-Sheetrock Nail 01/04/2012 LAWLER PAR Comment: Interior second story elevator shaft wall approved 1150 - B-Sheetrock Nail 01/05/2012 LAWLER PAR Comment: Shaft wall first floo elevator shaft 1150 - B-Sheetrock Nail 06/21/2012 LAWLER CMP Comment: 1158 - B -Building Final 04/09/2012 LAWLER COR Comment: Provide tempering valve or other method besides water heater limiting water temperature to 120 degrees at public use sinks that have been added, replaced, or altered. Insulate plumbing under same sinks. Modify ramp handrail to be ADA compliant. ADA benches in locker room missing ADA backrest. Final Lnl approvals for electrical and elevator. 1158 - B -Building Final 06/21/2012 LAWLER CMP Comment: 1985 - F -Fire Final 04/12/2012 SMITHM CMP Comment: APPROVED 6/21/2012 9:57:59 AM 121 5th Ave, Edmonds Washington - Phone: (425) 771-0220 Page 1 of 1