HomeMy WebLinkAboutPermit 1033 - Southcentert Mall - Wilson's House of Suede - RemodelADDRESS
PHONE
NAME OF BUILDER
Henry Ericson Construction_
STATE LICENSE NO.
C286Qr.
SALES TAX NOC, 600 082 286
4DRESS
2112 So. 90th #148, Tacoma, WA 93444
PHONE
537 -1979
INSPECTION RECORD
FOOTINGS
BUILDING
PERMIT
VOID IF WORK IS NOT
COMMENCED IN 120 DAYS
October 8, 1976
ESTIMATED VALUE
OF WORK $ 3,600.00
FOUNDATION
PERMIT FEE $ 28.00
FRAMING
PLAN CHECK FEE $ 13.20
LATE PERMIT FEE $
TOTAL FEE $ 46.20
TYPEOF
CONST. III N
OCCUPANCY
GROUP F -2
DATE ISSUED
February 8, 1977
FIRE 1
ZONE CPR
EXPIRATION DATE
FINAL
FIRE SPRINKLERS
REQUIREDaYas
MAX.
OCC. LOAD n/a
U No
LOCATION OF WORK / NUMBER & STREET
LOT
BLOCK
OWNER
Allied Stores
DESCRIPTION OF WORK:
CITY OF(1KWILA BUILDING DEPART,:HT
6230 Southcenter Blvd.
Tukwila, Washington 98067
Phone: (206) 242 -2177
870 Southcenter Shopping Center
SUBDIVISION
Remodel store. Subject to field inspection.
Name of Tenant: Wilson's House of Suede
THIS PERMIT DOES NOT AUTHORIZE ANY WORK IN PUBLIC RIGHT-OF-WAY OR ON UTILITY EASEMENTS. •
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING.
PERMIT NUMBER
N9 1.033
I HEREBY CERTIFY THAT NO WORK IS TO BE DONE EXCEPT AS DESCRIBED ABOVE AND IN APPROVED PLANS AND
SPECIFICATIONS AND THAT ALL WORK IS TO CONFORM TO TUKWILA CODES AND ORDINANCES.
CALL FOR INSPECTION
BEFORE WORK IS CONCEALED OR
POURING CONCRETE
PHONE
242-2177
FINAL INSPECTION BEFORE OCCUPANCY
APPLICANT
BY
/Henry Eric on Construction
BUILDING DIRECTOR
BY
C-
SUBJECT TO OMPLIANCE WITH THE ORDINANCES OF THE CITY OF TUKWILA AND
INFORMATI N FILED HEREWITH, THIS PERMIT IS GRANTED.
DDRESS
PHONE
1e y /7 7"
AME OF BUILDER
1 w�
`
�w+� Y 4 C y/
STATE LICENSE NC�A`2��_VV
��
SALES TAX NO. l'jCei - aZS/4
DDRESS
r
0..,\12- 5_20_1_1) '
4?
400.14
, ; it A...
1
.941
ESTIMATED
COMPLETED
PHONE
VALUE
WORK
A R 0 .0'
$ f
RECEIVED
CITY OF TUKWILA
OCT 1 1916
BUILDING f p�}� '.
APPLICATION
FOR
BUILDING PERMIT
/ `p 6 7 4
I
PERMIT FEE
? ' 0 0
PLAN CHECK FEE
$
l 0 / 2"0
LATE PERMIT FEE
$
TOTAL FEE
$ 4'6 2- 0
TYPE cDNSTO F
I%l
G ROUP NCY L
DATE TODAY
Ai
FIRE
ZONE 1
USE
ZONE
/.
l., PR
FIRE SPRINKLERS
REQUIRED
Na
MAX. ,I,
OCC, LOAD /v '
IYoa a
AMER
ESCRIPTION OF WORK:
!-.
I,LIkD s T
.O
CITY OF 'JK U BUILDING DEPART: EP T
6230 Southcenter Blvd.
Tukwila, Washington 98067
Phone: (206) 242 -2177
DCATION OF WORK / NUMBER E. STREET
t ` �y pd
j I `� a) 5d G( e.. 8,Z)
DT BLOCK SUBDIVISION f
Sid /3 476c-7" T
THIS PERMIT DOES NOT AUTHORIZE ANY WORK IN PUBLIC RIGHT -OF -WAY OR ON UTILITY EASEMENTS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR Al f? CONDITIONING.
I HEREBY CERTIFY THAT NO WORK IS TO BE DONE EX EPT AS DESCRIBED ABOVE AND IN APPROVED PLANS AND.
SPECIFICATIONS AND THAT ALL WORK IS TO CONFORM TO TUKWILfJ.C;JDES AND ORDINANCES,
APPLICANT
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PERMIT NUMBER I T 7 S
WEATHER, Slih�
CEMENT
PROPORTIONS ❑ Lbs. 144acks /Cu. Yd.
(Not Certified By P.T. Lab)
SAMPLING IN ACCORDANCE WITH
APPLICABLE CODE AND SPEC.?
SAMPLING REPRESENTATIVE c
OF POUR PLACEMENT? r E -5
MIX PROPORTIONS VERIFIED
BY BATCHING SUPERVISION?
Copies
to: 3 to Foodmakers
1 to Tukwial Bldg, Dept
PT Lab Form 935.1 Rev. 1
EXECUTIVE OFFICES
3220.17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
COMPRESSION ESX RESULTS
CERT T ,
III AM DATE /6'-/,3 NUMB IFTtio-174 •
REPORTED BY
MIXING
PLANT
C'SE AGO
❑ Lbs.
TYPE OF CEMENT__,,,f+ ; SLUMP
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In. Max.
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Report Certified by
REPORT NUMBER II 10 3 3v
PREVIOUS RP'T. NO
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
DESIGN Oa
STRENGTH f'c
ADMIX. �� 3o0 7 e 33
Per Sack .O Per s e) /91779'
%; QUANTITY
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EMBEDED ITEMS IN GENERAL
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ALL DETECTED DISCREPANCIES
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WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE Y s
WITH PROJECT REQUIREMENTS AND CONDITIONS? j
POUR LOCATION & NOTES: /i' 3 / e E 2E/ ,5 L./9 i3 g n_D em T A?
mld 10/18/78 3 day break
mld 10/23/78 7 day break
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A Washington corporation furnishing engineering services by and under the supervision of registered professional engineers, C79
MARK
TRUCK N0.
SIZE
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DATE CAST
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TEMP. &
WEATHER
CEMENk
PROPORTIONS ❑ Lbs. ,Sacks /Cu. Yd.
(Not Certified By P.T. Lab) N/
TYPE OF CEMENT
POUR LOCATION & NOTES:
Copies
to:
0° etr,3
PACIFIC TESTING LABORATORIES
L / r"ab 4)4, 1,04 -
Report Certified by
3 to Foodmakers
1 to Tukwila Bldg. Dept
EXECUTIVE OFFICES
3220.17TH AVENUE WEST P.O. CALL BOX 19125
SEATTLE, WASHINGTON 98119
MIXING
PLANT L WAy
C'SE AG FINE AGG.
❑ Lbs. In. Max. ❑ Lbs.
,; SLUMP
WITH R CT R T P PROJECT REQUIREMENTS AND CONDITIONS?
� G7 DF
RF_
REPORT NUMBER 1 ._ 0 3 0 V
PREVIOUS RP'T. NO
(206) 282 -0666
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
1'
COMPRESSION TE RESULTS
CERTIFI
REPORTED BO/4/4/41S DATE/6-/I- "7V/ NUMBER / a%
�/ D d 0 s/
C E l LOCATION �"117/Z1,6 ,5,�G ,� / / ,�,�
ARCHITECT
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DESIGN
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Per Sack ❑ Per
EMBEDDED ITEMS IN GENERAL
APPLICABLE CODE AND SPEC.? r,r COMPLIES WITH APPROVED PLAN? (.i■
SAMPLING IN ACCORDANCE WITH
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OF POUR PLACEMENT? CORRECT PRIOR TO PLACEMENT? f . .S
BY BATCHING SUPERVISION? MIX PROPORTIONS VERIFIED WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE jeto e t
c:1
mid 3 day break 10/18/78
mid 1(1/23/78 7 day break
PT Lab Form 935.1 Rev. 1
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WEATHER QU L �_
CEMENT
PROPORTIONS ❑ Lbs. 01Sacks/Ce. Yd.
(Not Certified By P.T. Lab)
TYPE OF CEMENT
SAMPLING IN ACCORDANCE WITH
APPLICABLE CODE AND SPEC.?
SAMPLING REPRESENTATIVE
OF POUR PLACEMENT?
MIX PROPORTIONS VERIFIED
BY BATCHING SUPERVISION?
POUR LOCATION & NOTES:
Report Certified by
Copies 3 to Foodmakers
to: 1 to Tukwila Bldg. Dept
PT Lab Form 935.1 Rev. 1
PACIFIC TESTING LAIDOIEATOIEIES
EXECUTIVE OFFICES
3220.17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
COMPRESSION TEST
REPORTED BY
PROJECT 00 "1:i l g_ IZ - i 4
MIXING
PLANT
C'SE AGG
❑ Lbs.
; SLUMP
1
ESULTS
DATE M.-42-2k CNTBit ,k1 -Dve/
LOCATION /f/ do .�G' iQ Die
ARCHITECT
ENGINEER <pit/AR/1
J CONTRACTOR
D •ZZ.ST
DESIGN
.42jgt STRENGTH f'c 0a (.
FINE AGG. ADMIX. Op
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❑ EST.
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WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE'
WITH PROJECT REQUIREMENTS AND CONDITIONS? ,
!o o P . .'2I - $ .
3 day break mld 10/18/78
7 day break mld 10/20/78
REPORT NUMBER P 0 9 2 5 V'
PREVIOUS RP'T, NO
A Washington corporation furnishing engineering services by and tinder the Supervision of registered professional engineers. C79
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
Cu. Yds.
MARK
TRUCK ND.
SIZE
AREA (SQ. IN.)
DATE CAST
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ULTIMATE STRENGTH
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CEMENT C'SE AGG
PROPORTIONS ❑ Lbs. 14Sacks /Cu. Yd. ❑ Lbs.
(Not Certified By P.T. Lab)
PT Lab Form 935.1 Rev. 1
Report Certified by
Copies 3 to Foodmaker Freezer
to: 1 to Tukwila Bldg. Dept
PACIFIC TESTING LABORATORIES
EXECUTIVE OFFICES
3220.17TH AVENUE WEST P.O. CALL BOX 19125
SEATTLE, WASHINGTON 98119
TYPE OF CEMENT ; SLUMP C
MIXING -"" `2
�. e . SL_ PLANT ,s 4..
FINE AGG.
In. Max. ❑ Lbs
REPORT NUMBER P 0 9 2 8✓
(206) 282.0666
PREVIOUS RP'T. NO
❑ EST.
ins. ❑ MEAS. 7 %; QUANTITY
3 day break mid 10/17/78
7 day break mid 10/19/78
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
• SOIL McCHANICS
77/ m ,. COMPRESSIO 7
CERTIFI
PERMIT NUMBER / 7.5 REPORTED BY , KLA 1(I4 SATE /0 -- I Q- 7 NUMBER d .
7 7
PROJECT b Q - >"14 A k 4 FK E is 7_ C J Locum/Woe
ADDR r I f Akn .
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ENGINEER
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DESIGN
STRENGTH f'c
ADMIX. 4 3 Q 1
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• Cu. Yds.
SAMPLING IN ACCORDANCE WITH _ EMBEDDED ITEMS IN GENERAL
APPLICABLE CODE AND SPEC.? y COMPLIES WITH APPROVED PLANT SAMPLING REPRESENTATIVE ALL DETECTED DISCREPANCIES [ //
OF POUR PLACEMENT? j CORRECT PRIOR TO PLACEMENT?
MIX PROPORTIONS VERIFIED WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE
BY BATCHING SUPERVISION? WITH P t►` RR OJJECT REQUIREMENTS AND CO / NDITIONS? YC
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A Washington corporation furnishing engineering services by nod under the supervision of registered professional engineers. C79
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SIZE
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DATE BROKEN
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EXECUTIVE OFFICES
3220-17TH AVENUE WEST P.O. CALL BOX 19125 (206),282.0666
SEATTLE, WASHINGTON 98119
ENGINEERING CONSULTATION
CONSTRUCTION SUPERVISION
MATERIAL TESTING
PERMIT NUMBER / T 7 S
TEMP. &
WEATH6 ff
$�� (� !,
CEMENT
PROPORTIONS ❑ Lbs. giLacks /Cu. Yd.
(Not Certified By P.T. Lab)
TYPE OF CEMENT
SAMPLING IN ACCORDANCE WITH
APPLICABLE CODE AND SPEC.?
SAMPLING REPRESENTATIVE
OF POUR PLACEMENT?
MD( PROPORTIONS VERIFIED
BY SUPERVISION?
Copies
to:
PACIFIC TESTING LABORATORIES
COMPRESSION
REPORTED BY
PROJECT tee) OD )11 AX C /ZS ri2E0,Z. E ,
MAILING r
ADDRESS /PCO L6 V -AIE Aga b e 73
, / �j /
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MIXING - 7 ? 1 W4 y
PLANT,
C'SE AGG FINE AGG
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EST.
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WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE YE J C
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REPORT NUMBER 10 3 3 v
PREVIOUS RP'T. NO.
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
RESULTS
G CERTIFI� T
I'I1 A„ DATE /C6 -/:3 7d NUMBER JO —OQI
LOCATION/F /Io 0 p,w4'..De T3
ARCHITECT
ENGINEER
EMBEDDED ITEMS IN GENERAL
COMPLIES WITH APPROVED PLAN?
ALL DETECTED DISCREPANCIES
CORRECT PRIOR TO PLACEMENT?
DESIGN
ADMIX. 3 C 71 -A53
Per Sack Pe
%; QUANTITY _ 2 / Cu Yds.
Report Certified by
3 to Foodmakers
1 t Tukwial Bldg, Dept mld 10/18/78 7 day break
f &b eNTIee
PT Lab Form 935.1 Rev. 1
A Washington corporation furnishing engineering services by and tender the supervision of registered professional engineers, C79
MARK
TRUCK N0.
SIZE
AREA (SQ. IN.)
DATE CAST
DATE BROKEN
AGE AT
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CONSTRUCTION SUPERVISION 3220.17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
MATERIAL TESTING SEATTLE, WASHINGTON 98119
PERMIT NUMBER REPORTED BY DATE
COMPRESSION TE T RESULTS
PROJECT Q OD 041— CERTIFIC
/
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(Not Certified By P.T. Lab)
EST.
TYPE OF CEMENT ; SLUMP ins. MEAS. AIR
SAMPLING IN ACCORDANCE WITH L'
APPLICABLE CODE AND SPEC.?
PACIFIC TESTING LABORATORIES
SAMPLING REPRESENTATIVE ' ALL DETECTED DISCREPANCIES
OF POUR PLACEMENT? ,5 CORRECT PRIOR TO PLACEMENT? AF S
MIX PROPORTIONS VERIFIED WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE
BY BATCHING SUPERVISION? "� WITH PROJECT REQUIREMENTS AND CONDITIONS?
S
POUR LOCATION & NOTES: � L 77774" 4 � O F P e: e 4 3 4'Z
Report Certified by
' Copies
to:
3 to Foodmakers
1 to Tukwila Bldg. Dept
MIXING
PLANT
C'SE AG
❑ Lbs.
flykiEWAy
In. Max.
FINE AGG.
❑ Lbs.
J CONTRACTO
EMBEDDED ITEMS IN GENERAL
COMPLIES WITH APPROVED PLAN?
REPORT NUMBER P 1030.V
PREVIOUS RP'T. NO.
mld 7 day break 10/18/78
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
DESIGN
STRENGTH f'c
ADMIX
EV Per Sack ❑ Par d :
[JJJ
%; QUANTITY S Cu. Yds.
PT Lab Form 935.1 Rev, 1
A Washington corporation furnishing engineering services by and under the supervision of registered professional engineers.. C79
MARK
TRUCK NO.
SIZE
AREA (SQ IN.)
DATE CAST
DATE BROKEN
AGE AT
TEST
ULTIMATE STRENGTH
TICKET NO.
LBS.
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PROJECT Z>0 10.11.1i} tZ r12 E.£gg 11, LOCATION /e/60 .CGif4 /s f00' 72D $ I
PERMIT NUMBER
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PROPORTIONS 1:1 Lbs. XSacks/Cu. Yd. 0 Lbs. In. Max. cgt Per Sack 0 por32:5 : " 21
TYPE OF CEMENT
SAMPLING IN ACCORDANCE WITH EMBEDDED ITEMS IN GENERAL ,/
APPLICABLE CODE AND SPEC.? E COMPLIES WITH APPROVED PLAN? 1 .0,5
y5
SAMPLING REPRESENTATIVE
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MIX PROPORTIONS VERIFIED WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE y
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Report Certified by
Copies
to:
PT Lab Form 935.1 Rev. 1
PACIFIC TESTING LABORATORIES
EXECUTIVE OFFICES
3220-17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282-0666
SEATTLE. WASHINGTON 98119
; SLUMP
ARCHITECT D .
ENGINEER
❑ EST.
ins. ❑ MEAS. AIR
ALL DETECTED DISCREPANCIES
CORRECT PRIOR TO PLACEMENT?
3 to Foodmakers
1 to Tukwila Bldg. Dept. mld 7 day break 10/18/78
REPORT NUMBER P 0 9 2 SV
PREVIOUS RP'T. NO.
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
%; QUANTITY Cu. Yds.
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TRUCK N0.
SIZE
AREA (SQ. IN.)
DATE CAST
DATE BROKEN
AGE AT
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ULTIMATE STRENGTH
TICKET N0.
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TEMP. & e/l 4 �
WEATHER
CEMENT
PROPORTIONS ❑ Lbs. 0/n ecks /Cu. Yd.
(Not Certified By P.T. Lab) //
4
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PROPORTIONS VERIFIED
BATCHING SUPERV
R LOCATION & f �fa4L�
C'SE AGG
❑ Lbs.
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MIX I ON?
BY ISION7 V
POU ES: " D
Report Certified by
Copies 3 to Foodmakers
to:
1 to Tukwila Bldg. Dept
PT Lab Form 935.1 Rev, I
REPORT NUMBER P 1 0 3 2
PREVIOUS RP'T. NO.
PACIFIC TESTING LABORATORIES
EXECUTIVE OFFICES
3220-17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
4"Z/Az AtfAJ ,D R E ARCHITECT
MIXING
PLANT re n l4/
r
; SLUMP -
FINE AGG.
In. Max. ❑ Lbs
ENGINEER
EST.
ins. MEAS. AIR %; QUANTITY 01
SAMPLING IN ACCORDANCE WITH EMBEDDED ITEMS IN GENERAL
APPLICABLE CODE AND SPEC,? .E� COMPLIES WITH APPROVED PLAN? yx?..5
SAMPLING REPRESENTATIVE ALL DETECTED DISCREPANCIES
CORRECT PRIOR TO PLACEMENT?
DESIGN cd a ,/�
STRENGTH f'c f v
ADMIX: S - S e
❑ Per Sack ❑ Per _-I op B.
y� s
WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE A:/14# WITH PROJECT REQUIREMENTS AND CONDITIONS??
r
cW56 , W56 Ze,to 5'2 n
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
Cu Yds.
4 -
y.s .e crekkt
mld 10/18/78 7 day break
A Washington corporation furnishing engineering services by and under the supervision of registered nrofessinnal nnninenrs. C79
.
MARK
TRUCK NO.
SIZE
AREA (SQ. IN.)
DATE CAST
DATE BROKEN
AGE AT
+ TEST
J
7
ULTIMATE STRENGTH
TICKET NO.
LBS.
5,(7(2 ( )
P.S .I.
-- 5VO tO
/
.- f! 2 .7
l /2"/Y_A
-- /6--/.m
10- !
ENGINEERING CONSULTATION
CONSTRUCTION SUPERVISION
MATERIAL TESTING
PERMIT NUMBER REPORTED BY
PROJECT �Q(7TY1W f}e F_ R S i(q E
MAILING
ADDRESS
•
f fJ f o -<6. 442 4JA' " '
L 7 ��,c)/ L- � Wft
TEMP. &
WEATHER t) FA k
CEMENT
PROPORTIONS ❑ Lbs. Sacks /Cu. Yd.
(Not Certified By P.T. Lab)
TYPE OF CEMENT
Report Certified by
Copies 3 to Foodmakers
to: 1 to Tukwila. Bldg. Dept
PT Lab Form 935.1 Rev.1
COMPRESSION TEST
PACIFIC TESTING LABORATORIES
EXECUTIVE OFFICES
3220-17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
REPORT NUMBER P 0 9 2 5 V
PREVIOUS RP'T. NO
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
ESULTS
DATE M.-42-7x NUMBE I R -7/ D- GIG
LOCATION /f /6C ...4w,eke 44 K ��
ARCHITECT
ENGINEER
J CONTRACTOR _<0' I - (0 21. ST
MIXING DESIGN
PLANT L7t1E�4 STRENGTH f'c 3'Oc v
El AGG, FINE AGG. ADMIX. OP /9} 9 04/
Per Sack []
; SLUMP 3
❑ EST.
ins. ❑ MEAS. AIR %; QUANTITY Cu Yds,
SAMPLING IN ACCORDANCE WITH L EMBEDDED ITEMS IN GENERAL r
APPLICABLE CODE AND SPEC.? � COMPLIES WITH APPROVED PLAN? G►
SAMPLING ALL DETECTED DISCREPANCIES .
OF POUR PLACEMENT?ATIVE cJ � C CORRECT PRIOR TO PLACEMENT? k 5
MIX PROPORTIONS VERIFIED h WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE'
BY BATCHING SUPERVISION? A/ WITH PROJECT REQUIREMENTS AND CONDITIONS? #r
POUR LOCATION & NOTES: eh. ! E L" C 77.0 n c ! teC E z �' r - g
7 day break mid 10/18/78
A Washington corporation furnishing engineering services by and under the supervision of registered professional engineers. C79
MARK
TRUCK N0.
SIZE
AREA (SQ. IN.)
DATE CAST
DATE BROKEN
AGE AT
TEST
ULTIMATE STRENGTH
TICKET NO.
LBS.
P.S.I.
/
6.5 6 - 3
(� N n--
J7
5
1D - /6- ?
/0.49- 7
/p -// VI
--.�
7
-1,r ~c.�0
--� °�i a
Z
I'.
ENGINEERING CONSULTATION
CONSTRUCTION SUPERVISION
MATERIAL TESTING
PACIFIC TESTING LABORATORIES
EXECUTIVE OFFICES
3220.17TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
— fl ' g L 44 4 - COMPRESSIO EST ESULTS
-- /f CERTIFICAT
PERMIT NUMBER "' REPORTED BY , i u�
t 1(1/4�ATE f Q — /U- NUMBER/T/0 --0
PROJECT f b 9 - 0 -- )z4 416=K Fr
ADDR r / f/ /F / 3 64Z/5 � ,/ / h D - . ARCHITECT
L 4 )11
TEMP. &
WEATHER
CEMENT C'SE AGG
PROPORTIONS ❑ Lbs. Sacks /Cu. Yd. ❑ Lbs.
(Not Certified By P.T. Lab)
Report Certified by
Copies
to:
> °.D/ geiL
3 to Foodmaker Freezer
1 to Tukwila Bldg. Dept
MIXING fi e" PLANT F �
c .� _rQ._
FINE AGG. ADMIX.
In. Max. ❑ Lbs 4 0,6, Sack ❑ P 1V OQ 1'V
1l
REPORT NUMBER P 0 9 2 8ii/
• PREVIOUS RP T. NO
ENGINEER
j CONTRACTOR
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
LOCATION /(D 1 Z'S L 3 Gfl4L.F 1
DESIGN
STRENGTH f'c
❑ EST.
TYPE OF CEMENT ; SLUMP C ins. ❑ MEAS. AIR '7 %; QUANTITY
Cu Yds.
SAMPLING IN ACCORDANCE WITH EMBEDDED ITEMS IN GENERAL
APPLICABLE CODE AND SPEC.? y COMPLIES WITH APPROVED PLAN?
SAMPLING REPRESENTATIVE / ALL DETECTED DISCREPANCIES ! /
OF POUR PLACEMENT? Y F> CORRECT PRIOR TO PLACEMENT?
MIX PROPORTIONS VERIFIED '` WITNESSED PLACEMENT ACCEPTABLE IN ACCORDANCE
BY BATCHING SUPERVISION? !Lb WITH PROJECT REQUIREMENTS AND CONDITIONS? G�
POUR LOCATION& NOTES: �Q, i QF r 6_z_e c S ,_
7 day break mid 10/17/78
PT Lab Form 935.1 Rev. 1
A Wnxhinnton commotion furnishinn nnnlnenrinn snreicnx by nnrf unrinr fin ciinnnfielnn of rnnicfnrnr4 nrnfncelnnnl nnninnnre C7Q
4
ENGINEERING CONSULTATION
CONSTRUCTION SUPERVISION
MATERIAL TESTING. .
Copies
to:
PT Lab Form 1.30 Roy Feb 77
PACIFIC TESTING LABORATORIES
PERMIT NUMBER / y S REPORTED Bzet'..l )/ l ) J9t'1i 3
PROJECT ( t9 , �'1.1 4 F_ 1- i�� l�t� LOCATION ,if/ �� 4i 2E Wide e49 /
MAILING
ADDRESS [, T 4 k ARCHITECT 3) (V ,
y � CrLF_ ENGINEER
L • ( l /C) / Z: J
3 to Foodmaker Freezer
1 to Tukwila Bldg Dept
EXECUTIVE OFFICES
322017TH AVENUE WEST P.O. CALL BOX 19125 (206) 282.0666
SEATTLE, WASHINGTON 98119
/(:7? /iv
Report Certified by
5 REPORT NUMBER U
PREVIOUS RP'T. NO •
j CONTRACTOR j P9 /9
•�- �/JT�/f /�i(� /_Sr
RADIOGRAPHIC INSPECTION
GEOLOGICAL SURVEYS
SOIL TEST BORINGS
SOIL MECHANICS
CERTIFICATE
DATE /C)-/ f••7f NUMBER
0680-
ml d 10/17/78