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Permit 2764 - Benaroya Company - Carriage House - Foundation and Pilings
'CITY of TUKWILA C Central Permit System Permit no. .276c/ Control no. 84 -084 BUILDING PERMIT 27(py DATE OF ISSUANCE AP /gy JOB ADDRESS EXPIRES When no activity for 180 days 17333 Southcenter Parkwa LEGAL DESCR. LOT NO. BLOCK TRACT X:1 SEE ATTACHED SHEET OWNER Jack A. Benaroya Co. PHONE _ 762 -4750 ADDRESS 5601 Sixth Ave. So., Seattle, WA ZIP 98108 CONTRACTOR Jack A. Benaroya Co. PHONE 762 -4750 ADDRESS 5601 Sixth Ave. So., Seattle, WA ZIP 98108 LICENSE NO. 223 -01 -4454 SST NO. BUILDING USE Retail /Warehouse TENANT Carriage House CLASS OF WORK Foundation - concrete pilings NEW 0 ADDITION DREMODEL REPAIR 0 T. I. ❑OTHER (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORYS TOTAL S.F. VALUATION 35,000 I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET, AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT. FEE DISTR I B. WN = / T SIGNA - E APPROV D FOR ISSUANCE: u :Iding Official COMMENTS: S—A3—gafe BUILDING 216.00 PLAN RVW. DEMOLITION 140.00 BOND OTHER TOTAL 3ifi_nn TYPE CONST. OCC. GROUP OCC. LOAD FIRE ZONE USE ZONE SPRINKLERS SMOKE r TR B-2 512 --- C -2 ❑YES ONO OYES ONO FOR INSPECTION CALL 433 -1849 1. Driveway 2. OK to 3. Roof 4. OK to 6. Wall- 6. Structure approach and pour footing sheathing enclose board complete and/ slope and /or and nailing framing nailing or OK to foundation OK OK occupy TENANT IMPROVEMENT APPROVAL: Date: Fire Department Date: Building Official TI-IIC DCDRAIT RAI IQT nr nnc -rr-r.■ am v •&r MI III r.awri. CPS Form 1 \' CITY of TUKW L.A Central Permit System rmit no. 0'- Control no. Ra. -0A4. BUILDING PERMIT (2762(1/ DATE OF ISSUANCE HMI 10'4/ JOB ADDRESS EXPIRES When no activity for 180 days 17333 Southcenter Pa LEGAL DESCR. LOT NO. BLOCK TRACT k] SEE ATTACHED SHEET OWNER Jack A. Benaroya'Co. PHONE 762 -4750 ADDRESS 5601 Sixth Ave. 5o., Seattle, WA ZIP 98108 CONTRACTOR Jack-A. Benaroya Co. PHONE 762 -4750 ADDRESS •5601 Sixth Ave. So., Seattle, WA ZIP 98108 LICENSE NO. 223 -01 -4454 SST NO. BUILDING USE Retail /Warehouse TENANT Carriage House CLASS OF WORK Foundatiao- concrete _pilings ❑ ❑NEW ADDITION ❑REMODEL REPAIR T. ❑OTH R (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORYS TOTAL S.F. VALUATION 25,000 I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET, AND THAT I AM AN AUTHORIZED AGENT FOR THE PROJECT. ¥NN SIGNRa'[JRe APPROVED FOR ISSUANCE: t. Bu.lding Official COMMENTS: FEE DISTRIB. Date 'gG'' ,=? --p .3- date BUILDING PLAN RVW. 21 f"i _ nn DEMOLITION 140.00 BOND OTHER TOTAL 1.5600 4 TYPE CONST. OCC. GROUP OCC. LOAD FIRE ZONE USE ZONE SPRINKLERS SMOKE r TR B-2 512 »»... C-2 OYES ONO OYES ONO FOR- INSpgOTION CALL 433 -184 1. Driveway 2. OK to 9 ;. Ro ,f 4. OK to 5. Wall- 6. Structure approach and pour footing thing enclose board complete and / slope and /or foundation / I / a , palling framing nailing or OK to OK occupy 1 N TENANT IMPROVEMENT APPROVAL: Date: Fire Department £C 811-00 Date: Building Official Tt.IIC DCDP.AIT AAI IC. 6C rib r r'Tr -r •••••Nwinn.a-ti ICI ION. v r..r CPS Form 1 Tenant Address: Date Wanted: Contr. or Owner Type of Inspection Taken REPORT NUMBERCR No 32229 ✓ PREVIOUS RP'T. NO. PACIFIC TESTINI. LABORATORIES ENGINEERING CONSULTATION l -' CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220.17TH AVENUE WEST 12061 2132-0666 SEAT TLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT LOCATION REPORT '/ 1 GV114rG 0. Cove -. BY DATE T! i31111- (� REVIEWED 'ATTi4 ) . ALNN1 PE1102.50A3 BY DATE PERMIT i —oL i/ n7.6 NUMBER '�f' SqloO - Ave. S, I t" 114110 ' PURCH. ORD. 5O.41"t "=K r' 4'-v' NUMBER mac! A 11.• ARCHITECT `, ' g•0g /'N a =I ^S AJ UJ CONTRACTOR /- ENGINEER ATE g NUMBER LC MARK TRUCK NO. TICKET NO. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT ULTIMATE STRENGTH TES? LBS. P.S.I. A Sq 6 x IZ ..Z8,l..? 4/i3 FwL� Li - I % - + 1-1~18- :.€F ;0Y,' la -wk. F, it 1o900o .. . • 3860 6 b 0° 5'.._ I l LA8 4343_ m I 5— I I —b 2 3 , WEATHER T Cloudy CEMENT MIXING v iwCle_r PUNT DESIGN 4000 STRENGTH fc C'SE AGG. FINE AGG. ADMIX PROPORTIONS 0 Lbs. ®,Secks/Cu. Yd. J Lbs. aln. Max. 0 Lbs 0 Per Sack Per Z. 0 L 17C'tL Ed A./CLOT (Not Cerlilied by P. T. Lab) a //.a 7/t3 TYPE OF CEMENT ,itt SAMPLING IN ACCORDANCE WITH APPLICABLE CODE AND SPEC 7 es SLUMP Ins. AIR N 1 A %; QUANTITY 1/2 Cu. Yds. MIX PROPORTIONS VERIFIED BY BATCHING SUPERVISION? N� POUR LOCATION IL NOTES: .r T �v t C S, iAtC.�J "� L` t �� � — tv v+ r L 2 IA li.,. >�. kg. c r► p, Q • S — 2 . lZ�t 3 e �eL A 1 (fi r f 3 f.u,,S Sos.„,g .. '� �- to trnnce� ciCC[�Y�r1L_�1�Q c ►�`1 —nn.ft? tM.tNIG41 'V \A-VS. COYi!_C4..�'6 �.•:IA 5, ....t,IwcPCi .._. Li let cL..a-i'e I Wine r1 Innkrrri 4Cpl v'14r -rkec. '{`or f c,V,$u r• -irito . 'This certification attests to the accuracy of the results obtained from the actual lest performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other3eisoclated work or a warranty of design or workability of the specification requirements.' Certified Report by Pacific Testing Laboratories Copies to: TIME VERIFIED BY' DATE _ _;OURS T- - r —___r AIDE. OTHER EXPENSES COST CODE ON OFF R. T- OT /:30 2■St5 /'fiti .2 :45::,* 1 Gzi -91k-- TOTAL HOURS TOTAL KIND AMOUNT f PA REPORT NUMBERCR N9 321011/ PREVIOUS RP•T. NO. Lam..2341 IO CIVIC, N LABOIIATORI ES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES RADIOGRAPHIC INSPECTION 322017TH AVENUE WEST (206) 2820666 GEOLOGICAL SURVEYS SEATTLE, WASHINGTON 98119 SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS �` �^ REPORT V *J K( k IN P iA[�Y�c,1 A t.0 BY % • • : DATE — 3 Q MAILING REVIEWED �� ADDRESS 444 ti ■ 1M r. Atnl✓, le {•Q Sn6-. BY •`(I DATE (5-7--2 —P14 PERMIT u' 34/%1A CERTIFICATF� 22 5'9 CO — G TN . Ave_ . S • NUMBER —2... •� (f NUMBER J- OOHS SCRAikei wA `r, TIM VI ARCHITECT tT- PROJECT CQC �. t1L1SC' — F0�1IXCLC �EVL t irs ENGINEER Cy8I:Zrtri P. u)r -- 6 eo -*/141's eel LOCATION 1't 133 . S. r"+ Pk_ *-- NUMBER RD CONTRACTOR 1-u■41,O '' — / / Jr 1•I il.►1 MARK TRUCK NO. $IZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT ULTIMATE STRENGTH TICKET NO. TEST LBS. P.S.I. A 100 Z ><y ir 14 WEATHER 5S" °F /'M floor. S l 41/044:1 1/sY '7 i r 00 too ,2 v...r.� LY 375-0 I 110/ 0 MIXING PLANT G; //9 Cl a r DESIGN 4000 STRENGTH fc NY. CEMENT C'SE AGG. FINE AGG, ADMIX A PROPORTIONS ❑ Lbs. S.Sscka/Cu. Yd. ❑ Lbs. El In. Max. ❑ Lbs. ❑ Per Sack 0 Per 901_ I1- 4 0 (Not GAilied by P. T. Lab) 9 sk I/S 14)41- reamer /se/ rsr r/Vr TYPE OF CEMENT _t5_ -c t ; SLUMP 411/ C ins. AIR %' QUANTITY 12:.-it. (Z Cu. Yds. SAMPLING IN ACCORDANCE WITH '/r c MIX PROPORTIONS VERIFIED �I APPLICABLE CODE AND SPEC.? "4J SY SATCHING SUPERVISION? / POUR LOCATION a NOTES' 7 Pile c C. B • i — 1 'This certification attests to the accuracy of the reaults obtained from the actual lest performed and/or observations made within the scope of the work as defined above. Codification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by ..:;.• • Pacific Testing) }.aboratories to: APR 1 3194 TIME VERIFIED BV DATE _ __ COST CODE HOURS _ ON OFF RT ^ OT MILE, AGE OTHER EXPENSES KIND AMOUNT 411.11 24- 410 1 TOTAL HOURS TOTAL C REPORT NUMBERCR N9 33435✓ PREVIOUS RPT. 1.„ �% L;t PACIFIC TESTING LABORATORIES EXECUTIVE OFFICES 322017TH AVENUE WEST 12061282-0666 SEATTLE, WASHINGTON 98119 ENGINEERING CONSULTATION """ COMMOTION SUPERVISION MATERIAL TESTING RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS MAILING ADDRESS COMPRESSION TEST RESULTS hcrG S einaLr -oy a cv , 4+4 , V1't r . 4lam 1'e.•te• -So•, 5C'11a n 6, tit . 4u e , ci . S AkkIr I Wu , 9SZI MI PROJECT C4 rr \4• . , - -F► uo .;n,r, *104 173'3 - S : (- .eh :er Pnr4J 4341.4c9ER RD. REPO T BY - �(_ REVIEWED _v/l I Z, DATE BY PERMIT Tuk_?-f„; t,p CERTIFICATF�, L Q�y.ss NUMBER tt - (4 NUMBER T l!7 DATE! ARCHITECT ENGINEER • G4SiNree Ju) — eG tvT t Neer/ CONTRACTOR L h r ,A �r1 Y' - ,4� 6}�.�, ( n MARK TRUCK NO. TICKET N0. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. j P.S.I. AMOUNT C. 404p /g' 153 / ? .`` o n 5707 0 4o Lb 2.:14.1s slap)/A4 67 WEATHERG% -+ r tidtit+rt CEMENT MIXING (W C /l�- STRENGTH rC 00 PLANT C'SE AGO. FINE AGO. ADMIX PROPORTIONS ❑ Lbs. F4 Sacks/Cu. Yd. ❑ Lbs. ❑ In. Max. ❑ Lbss.. [� Per Sack 0 Per C` ? n n- V /c_cALE, (Nor Certified by P. T. Lab) s k a /s �,(%1�d �e T e-e N4t 1P C � S Ct f •►'t't ie, • TYPE OF CEMENT S > ; SLUMP -F L L Ins. AIR %; QUANTITY I if e6 Cu Yds MIX PROPORTIONS VE F1ED NO VVV BY BATCHINO SUPERVISION? SAMPLING IN ACCORDANCE WITH APPLICABLE CODE AND SPEC t Ni POUR LOCATION $NOTES: ?Wien Z C ' io k uq o f��� nC (��+ �► out cis cK,� k.)Cro cc cccL.- .Pt39�afQ .aiitt•,c•.N.- CAS "�t7c 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by., Pacific Testing Laboratbtt*a Copies `'. ,rl�l, '' for V , APR 13 IONS a'tf(C TF "If" e,. TIME VERIFIED BY 4 DATE HOURS MILE, AGE OTHER EXPENSES COST CODE ON OFF RT OT KIND AMOUNT 2.:14.1s TOTAL HOURS TOTAL WNW ipi 4: REPORT NUMBERCR N9 33434✓• �� lA v PREVIOUS RPT. NO 1.'Y PACIFIC TESTING LABORATORIES ENGINEERING CONSULTATION CONSTLCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 282 -0666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS �'++ck �al,�r�.y►� C Cr 1 ALL," 49 rte's. S°I `c5 N , ctlu e . c, Sew441ef I.LWw. gtibk � =4 MIA.c1M�∎fJ1n PURCH. ORD. t - .4r „•91UMRER PROJECT ..00ATION _i i 333 P �.. REPORTEICLO BY ryl .. . REVIEWED BY c� 1 , t{ PERMIT Cl T'...tC ,A." NUMBER x'Z'4 -(o`t• DATE __ 3 2,/x_7' DATE NUMBER AT 0 0 . 3 5 ARCHITECT • ENGINEER G.6'I0.1 ••ae rs P4% LA.) C t e> E•4r IeerS `s• r.«) _ (%,ra C t CONTRACTOR L "` `^^ P le- .ter - � t T r.. tit`." r` MARK TRUCK NO. TICKET NO. SIZE AREA (SQ. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. P.S.I. OFF . of . . /4 - ;, /6 iro isp :y o8 Pt 4yi E r •?. r;'0/, (0 t O r0 i TOTAL HOIJRS 2. r J s r.� •, 1% AO ' moso - moo _K O rJr ti la �- WEATHER t; c,d F 4 1 h� bb'rS CEMENT PROPORTIONS ❑ Lbs. ❑ Sacks/Cu. Yd. (Not Certified by P. T. Lab) G TYPE OF CEMENT 5a MIXING PLANT C'SE AGO. ❑ Lbs. ❑ In. Max. ; SLUMP Nit f' SAMPLING IN ACCORDANCE WITH APPLICABLE CODE AND SPEC.? %v North (.a ,wig,- POUR LOCATION $ NOTES: 6/ 1e DE STRENGTH fc 1000 FINE AGG. ADMIX . 0 Lbs 0 Per Sack 0 Per > OZ /�._Y� ci.17-! (Veer AZT 'BJ ins. AIR AIM- MIX PROPORTIONS VERIFIED S BY BATCHING SUPERVISION? w*3 'Oncr& arnip Of to tr• %s r afj,a -c.tc ro t-e Ls? LA 3. tw r %; QUANTITY A/O Cu. Yds. 'J C Aeel 301 ►vl 1�443}L, 1lc. 4 L.4)11-t, I..0 c`esls au.c e. . ' litit 1246% r Ir � > ` 4 — to 1 V P G:.t ��.` � i es _,..�k 'T% tes >,.,' Acc lc. t &A- etO 10: _ .zs 4i.cQi,A_ n,1� -14%.e. w. 113.3 tt-c. f�n1 -llL weK R. • vi torA-4tinti -. iKCQeICat Q____ k tut Y►yw'+N -,rrr Al •1ke. -•5 L. -f'k1s iH See ci. lrree�t4rl�cJC •{tomes ectc� 'f(i�, 1,3 Q. re•fiv ,.Q ,. LSO % -w.eLQ VIA. r. rAStkkhAre4 Z.* IA Le -P....,5, t...),,„,, liv/ +(ep�tcln o•f --itis s.1F•�+1-1i..•. -.. VA%sk-e_. -u S ,e ..PI '.' 1, yJ.s, 1,,. �.�•..4A �rt S:�vfIAte.. 'This certilucatiorf attests to the accuracy of the results obtained from the actual test performed and/or observations made within (he sco 3p of ttt a work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' /�yk.N�e ititimf.Or' Certified Report by Pacific Testing Labora les Copies;• '• !`r.i� • .Ii; I. 1 APR 1 ;� I "(',1 1• TIME 4ERIFIED BY • y'- DATE HOURS RT OT MILE. AGE OTHER EXPENSES COST Mr r/:i�f�s sir_nh1n 1 CODE arawa►.cw %m fl•Gj ON OFF . KIND AMOUNT r TOTAL HOIJRS TOTAL PACIFIC REPORT NUMBERCR N2 32152,E PREVIOUS RPT, TESTINt; LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT Ct. , A t•t-IA 4 Mr. Q 1«vt 51 to O - t"vrt'li , Atff . Se ti41# 1 W , �1 -co C : �• _ T • , ` PURCH. IvCATION 33 C'Lt-^` ZIG�> y NUMBER _ 11 REPORT; D BY _L REVIEWED :,4 BY �/.4 c , PERMIT u.k•...q 1 NUMBER Ip 7 DATE ct " Z DATE CERTIFICATE, NUMBER O ARCHITECT ENGINEER E14 T r nom A W I Ge 84.414ekr ` -t• • • CONTRACTOR Lt�t•-, p k.: rt — T `t VAAILVAh MARK TRUCK NO. TICKET NO. SIZE AREA (S0. IN.) DATE CAST I DATE BROKEN A lot B G 1b1� D� �[p1 WEATHER tad r • l nr.•:5 MIXING PLANT CEMENT C'SE AGG. PROPORTIONS ❑ Lbs. Sacks/Cu. Yd. 0 Lbs. ❑ 1n. Max. (Not Certified by P. T. Lab) / S TYPE OF CEMENT SAMPLING IN ACCORDANCE WITH APPLICABLE CODE AND SPEC 7 )` es POUR LOCATION 8 NOTES' SLUMP 'CIttA.1 {1 /3084 5A2£3/8 SAW CL (tack%) AGE AT TEST ULTIMATE STRENGTH LBS. P.S.I. 1 5--C 7 Q 6000 d.7) 66ao Sb DE STRENGTHTc Li-GO O FINE AGG. ADMIX Lbs 0 Per Sack Q Per �fS ins. AIR MIX PROPORTIONS VERIFIEDD BY LUCKING SUPERVISION? .16 — L!' 0, C,. w T 144‘k.r cUAT.r. %; QUANTITY 2-I 35 IV�Q Cu. Yds. V r l 1,P—. (URI a1(o,,.,Qi 1511. �L DLL+- dAt.411. This certification attests to the accuracy of the results obtained horn the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Pacific Testing Laboratori4es Copies'tr. LS +ir ,rift; d tp, 1 �. APR 1 3 198 �14IfTI'•' } TIME VERIFIED 8Y• DATE HOURS MILE- AGE OTHER EXPENSES COST CODE I ON OFF RT OT KIND AMOUNT ma u �I im La.. Nmum-Is tfx TOTAL HOURS TOTAL C REPORT NUMBERCR N2 32153 ✓ PREVIOUS RPT. PACIFIC TESTIN ' LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT LOCATION vQcE. e.v1ckrU.th . A-441A 1rl r r 1'et11 ■.1 5960 — C 'Th', AG/e, S . Cay "'r/' e WOLtJN FO L.0 t /011 T, c, 4.i ' tadl',x 17 33•- S • C NUMBER RD. REPO T 11// BY Q? 1rtt 1.2e— RE BYVIEWED(J ;� ka DATE L-5-7-. / —94. CERTIFICATFg4O3, 00.7. NUMBER DATE L1-1fs4L PERMIT "7::;4._,k-"/ I M NUMBER z- ' lo ' ARCHITECT ENGINEER E0*1101YvrS N.14, - ('o v Elfrlerpe• CONTRACTOR Li.c6-rr/stIL. / ?: tiiNq MARK TRUCK NO. TICKET NO. SIZE AREA (S0. IN.) DATE CAST • DATE BROKEN I AGE AT I. TEST ULTIMATE STRENGTH LBS. P.S I. AMOUNT ■mom 2 Li- 3. i4 't 12M L VOL] 4AD /0 .0 "i •ax /O1 :)c) 3 5 CO /.? , ') ..331eo •43 vc L/ 3) / 8 .__C.. C 7..,"311.9 TOTAL 1 111 V TEMP.& p MIXING / W C' Q y r DESIGN o0 WEATHER 1 V,C 412 U PLANT C� STRENGTH fc T`o CEMENT C'SE AGG. FINE AGG. ADMIX /� PROPORTIONS ❑ Lbs. ecks/Cu. Yd. ❑ Lbs. ❑ In. Max. ❑ Lbs ❑ Per Sack ( Per Q'z — 140 /CI.47t- (Not Certified by P. T. Lab) q ,I s' 1110V,r recuc\v, re c-dec TYPE OF CEMENT . 4-r]C • SLUMP _ 1 ``'-*14 ins. AIR %; QUANTITY 35 4 .g5 Cu. Yds. SAMPLING IN ACCORDANCE WITH , • MIX PROPORTIONS VERIFilpp , APPLICABLE CODE AND SPEC 7 C J IV MATCHING $UPERVISIOR7 IV O POUR LOCATION NOTES' fa' .I - I - 45'1 ,ieke. iKsi-e,+d • m ' 5o'. Sa:■% kio+•, / 1 J .eio 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.- Certified Report by Pacific Testing Laboratorie Copies APR 1 31984 ,TIME VERIFIED BY• • • "rr ' r DATE HOURS MILE• AGE OTHER EXPENSES COST CODE ON I OFF RT OT KIND AMOUNT ■mom C 7..,"311.9 TOTAL 1 111 Ur HOURS TOTAL r/ . ,w/ Lek PACIFIC TESTIN 1(pq Rt`•.. iRT NUMBER LR N? 23015 ✓ PREVIOUS RP?, NO, al, T►Atl! LABORATORIES FNGINEERINV CONSULTATION •PECTION l..TERIAL TESTING EXECUTIVE OFFICES 3220.17TH AVENUE WEST (206) 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORINGS SOIL MECHANICS r t ING DRESS JAC,k e tet co- O V w qN• , art. A�H� 59 00 loZ It , Avg , L. .Seu.t.1e UJ w , 91i1 OS... 4JJECT . CArr G•-■-sr, "co .tkio�. 'ATION 11333 S.C.eimW Pn1 LI.0 r PURCH. ORD. NUMBER VItcwit'5 REPOR Warr:- 30 BY W DATE . .3 1: PERMIT T�Vt_a.v� CERTIFICATeE NUMBER IP Z-� {p .._..__.._ NUMBER X0.3 -OQ35 ARCHITECT • ENGINEER Ergti l v1C.e.rs NW...-'_C;•co. Sh ! eerS CONTRACTOR ' K v" -- 'DPOSE /OBJECTIVE ... .. Z .�.,s 1 a c� o - . � %s �._.._.._...... rSI11.TS' _ _ Z-vt caeca-ea _ "c'AbO fel,rcc CMS}- _ .Pet "iAn. :,r -•,. Qrr,wbouts -Foy Si-c.C� a�rwdt t tw�Q. .t) w S Ines•} a d -a,<, b e 51 REMARKS: ._...._ .%Ale_ 1e.r. . Q_._. r'estii+,e. •>.er�- cr►s1— _. ce, Pwt. 4- 0 _ .____.Gii�._- __14.PPr..c>t�►�d1 k4n-%-k-._..... b. oft. eC"' ..._........ act .._.__- _..._rc.1 ta-+v*i,. win_ r - -- .P30 ■ 6 _- 2 -,- N Q r v `^ , air- o 1,it4- .........s e..14. ...... _. 1,t4(.. (_ ........... ik 1 . . .c..oe.4 ■-• _r►e.t o r- •__.._ GA) u., -. L _ - -... _...ir 0.14 vs _ sc4ie.a<el.vP c,v, << ea. l.........._._.__._....._ ..... ^_.. 7: s c'-1 01-1:41- C jrb ♦.... This certification attests to the accuracy of the results obtained from the actual test performed and /or observations made within the scope of the work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other associated work . a warranty of design or workability•of the specification requirements " Certified Report by *� PeeifjeTi ticig :1,,abors 'or APR-41, `TIME VERIFIED B. 1 HOURS c,OST CODE ON I OFF RT OT O,t ;z. o 1_,o'7 c,0,2 0,Z 1/2, 1„ I toe . TOTAL HOURS I D DATE f+3 MILE- AGE OTHER EXPENSES KIND AMOUNT TOTAL R( )RT NUMBER LRN° PREVIOUS RPT. NO..1—_4426312E-b PACIFIC TESTIN LABORATORIES ENGINEERING CONSULTATION INSPECTION MATERIAL TESTING EXECUTIVE OFFICES 3220-17TH AVENUE WEST (206) 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORINGS SOIL MECHANICS MAILING ADDRESS , V1r (06 — 614 4je. ,, LAtMk1WA1.. 9 g PROJECT _Cttr_r_.■afve._ o 1/4.4s e_ L....itio41-■ 0 LOCATION .11_71.3.3 • • Ctl Al AA^ r-C-C o %••• PURCH. ORD. NUMBER re pc..:14-1, REPOR PE0 BY Wdetaltar":- DATE PERMIT va CERTIFICAIc, NUMBER 2:7- . NUMBER _ ARCHITECT. ENGINEER. Etifiewe'ers■ - Goo EguittelerS Sr ....cr. IS.T.iS CONTRACTOR - - 1 7741" lie? • PURPOSE/OBJECTIVE. .... .‘,6 _ te- vLStie_c.-Ut•A- • RESULTS:_i_.-41;_+YeSSeta. ...... .....cirt 1t. ■ vt,. .../ _____ .5 r 0 L-4.-4c■ vtst ., ) o--tite_co...k (ow ____ tio ',.ke%• i . _ .1'..F I ( B. 45 .- . 2- ) 1) it ( 13. 3 - I) 0 : as eery- c...i..V, pref,r0.... e-c..9-- f) t Ict-vt- r ._ __ _. ) 2. C • (-I) * 3 (6,51::_)4._ s . c) .elm■ .e. x4.14 REMARKS: R /5 I.,. pile 4*-1 0345"..-2- tJar-1-4 • 1%* 16' oi cA% e 4.ecil I e_ _i)41•044.1e_ c env_ Its '4...so cm:A +..."•kts 1 Liewtlers44..: "sik*.q 1% p e _ S:14 IAA "RA 'Zr- -' k _ Q.___•AVIV14.1ic‘ 1 Ilk . Ses‘rt: p wr-77: • tv4ke.r.. 44, ? ;t‘;_ ■s 4 CI Jeep Nv.s-4-„J �E So' . "This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified Report by fi n boeif gl, lit cPekli • tto APR 19191 I TIME VERIFIED BY .`" _ HOURS COST CODE ON .OFF I AT 1:12. 7;30 92. Q.11 11_9. to .S;op .ivsor); 47. 1 9 12430_4 ;45r. 1. OA s.t745.1.5:15 TOTAL HOUR OT DATE-4e-3—P1 MILE. AGE OTHER EXPENSES AMOUNT KIND TOTAL ENGINEERING CONSULTATION INSPECTION MATERIAL TESTING P *NI T NUMBER LR N 2344� O v PREVIOUSRP'T.NO.G�v2�✓ PACIFIC TESTIN LABORATORIES (eZ EXECUTIVE OFFICES 3220 17TH AVENUE WEST 1206) 282 -0666 SEATTLE. WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORINGS SOIL MECHANICS r Act-. Bue�rtetroyr�_. Co ADDRESS /iT71�1 . . / /1✓`� /QH , Gr rSo 11 BYP� �- DATE —Y/3/J5$6 p� �y /� -59 (;40 v •T/I . .. 4 v , J o(�[�(, NUMBIER. ?i'7 �'/ NUMBER ATEO7(J3 '�V Pe) 1 . I ARCHITECT _ _..- .Cg�ICci . _/J/OI.e.fe' . rOL ab 'Q✓i rep, '(S ENGINEER /NOi%ttrrlf._.._ �lJi....'" a•E1! %24e.tts' LOCATION • - g: ' - . S..Cir ...... r>�j ieUMBERORD. ... CONTRACTOR t�+1/0 /CJh .....�-_Y.. /. __�rlf'�I�,.. PURPOSE /OBJECTIVE•__., /1a er-. CAS+ . tae- _ i1n .^.. .. .... ..... RESULTS: t%k' . MSS.!cq✓. kt s .__ _.. 44. cv, . Cs ,. - z . . j . - . 7 .( $ : I 7..1) • dr�►N±: Nis, -.._ . __........... J _ �-k,► rid? ........... s wt;��e s...__..... c w� �- o � 4-f 24 .. 4c. -tom ..lib • f 2 rQ'.t - t x -._ C7r...a�t ........0 t2.....3.21.1S... 5 - Z.Y-. "This certification attests to the accuracy of the results obtained from the actual test performed and /or observations made within the scope of the work as defined above. Certification shall not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements." Certified_ Report by Pacific Testing, Labprat Copies. to:, APR - 4 1(,)84 N�1ECV RIFIED BY: REMARts, Ise, ; ►t1 r COST CODE !O 1, l, HOURS OFF 1100 I lDA' TOTAL HOURS DATE. 4- 3 -. 1 RT _ OT MILE. AGE OTHER EXPENSES KIND AMOUNT /tL 2.. (:2 3 _ v TOTAL PACIFIC TESTING LABORATORIES CALCO f- 2 ( y( C Date: -3+3-2'1 s' F talc By: L.-. A . 14 p rj C ++ page.-.of_l_ Project Description: C14 rt- AZ 41:(1)0 ‘;, e. - F0ti0nd . r.4 a., RgriiProject No. '#O 'ddb Synopsis: t?...v' -,P C.”y . - . 0 rya 'a Pa Nap ?r".....r -t ; 'P;Ne._ V,:L. :LE UM. T1,CAM ' ?Lamy ebtti.cr (fg ? e (a`��F '- �pe iii sag st stwac�s tiol Cr+' F4 C s N. e$5- -Z:*. I u,Itn c 1‘-I lg vr� vital .� . O O 'n00 - N 8A - 83 -1 6,5 -A eiI- t� Dc n_lI lot Doo273 /I 1��1 lCi • REPORT NUMBERCR N`= 32101✓ PREVIOUS RP-T, NO Le .234'90 PACIFIC TESTINV LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING ,- EXECUTIVE OFFICES RADIOGRAPHIC INSPECTION 322017TH AVENUE WEST 12061 2824666 GEOLOGICAL SURVEYS SEATTLE, WASHINGTON 98119 SOILTESTBORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS URa._ 'SNP trfjil,Pc� q CO . BYPRtDATE 3 " Yif REVIEWED BY DATE PERMIT T,4 t1.+a n CERTIFICAT NUMBER _�W (o Li NUMBER 4403 ` OO s 594.0 — &To, Ave., S . SeivAiIJL. wA I 99.1 Vg ARCHITECT PROJECT E.periv,asL°- kt. ECA- 7,1ACkigai!JVA ts MairS ENGINEER cat8 P r 1.4Ji — CO 'EAill jl err., PURCH. ORD. _OCITinN I' 3 333 • S. (4r. PL U.+ NUMBER CONTRACTOR Lti fir" — r1.111 01 MARK TRUCK NO. NO. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. P.S.I. A A (TICKET O Z:Lq it /4 �j, \ /3 / p /O�' 460164/ / '- ZI • ff //0 i� 4�C(Q0 p el I ■..1 , tib .S' //8 tI 1ltaq i TEMP.g1c WEATHER 55°F /r ca00r-s' CEMENT PROPORTIONS 0 Lbs. ®,Sacka/Cu. Yd. (Not Codified by P. T. Lab) 9 sI_ MIXING PLANT -/09 C1 i C'SE AGO. FINE AGO. ❑ Lbs. ❑ In, Max. ❑ Lbs. 4/S DESIGN *0Q0 STRENGTH fc II ADMIX AA ❑ Per Sack ❑ Per 9 e_ U ' 4 d 1,041€ e master /SC, rm� /rr TYPE OF CEMENT S4C.L �/ ' SLUMP -C/u! c Ins, AIR %• QUANTITY (Z Cu. Yds. APPLICABLE COACCORDANCE D PEC�9N ✓ BY BA CHINO VERIFIED �v0 POUR LOCATION A NOTES' # 7 Pill- CO C. .,. I •` 1 / 'This certification attests to the accuracy of the results obtained from the actual lest performed and/or observations made within the scope of the work as defined above. Codification shall not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report p er' - �6 P4- Pacific c Testing Laboratories -Y-III Copiy to: TIME VERIFIED BY DATE HOURS MILE• AGE OTHER EXPENSES COST CODE ON OFF RT OT KIND AMOUNT 1 p el I ■..1 TOTAL HOURS TOTAL REPORT NUMBERCR N° 32152v PREVIOUS RP?. NO. C•12 c 343Sr PACIFIC TESTINV LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT LOCATION 3Ack }-o uLCxro 3 :. C-o , A +i-■ L U%ir . a lean 5-ti n - (71i . A Sea 'tt-lv , u i . °I 8 I o CIA Pfq ttoe_ ItoLISe pa►c7 1 f 33 3 JS , L I r, t�kwy NUMBER RO. S, REPORT JD �,� BY _f., iC4 t�! aVrt ,, Y DATE REVIEWED tl BY PERMIT T..�kw i 1 w DATE NUMBER L. "7-4O Li.. `t -w- CERTIFICATE, M. l J ,-kJ �5 NUMBMBER R ARCHITECT ENGINEER EA .v I C c r S !v u% s &ec Ir N41;40, bt act•, _ SoaS w CONTRACTOR 1.-L1-.10,.. i;, - l I n k\.■AC‘ MARK TRUCK NO. TICKET NO. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH AMOUNT LBS. A A101 {..L. 7L 1 /r{� (_�1. LJ r f /y� + _ a - " f (, 1y/ i/ / / 7 . / 57. 7 C (PP.S..1.. + // i B I Via Atij OVAL/) z 2-Y 17---. 1100 � 1.- 0 WEATHER � d D F 4► Kra MIXING Ly (tA G t R PUT CEMENT C'SE AGG. PROPORTIONS ❑ Lbs. ® Seck*ICu. Yd. 0 Lbs. ❑ In. Max. (Not Certified by P. T. Lab) S k DESIGN STRENGTH fc FINE AGG. ADMIX Lbs ❑ Per Sack [] Per _M/S TYPE OF CEMENT ; SLUMP aidCl Ins. '4114 SAMPLING IN ACCORDANCE WITH xi es APPLICABLE CODE AND SPEC.? POUR LOCATION II NOTES' '" •L h� Therm' a wt.) Qstnvv.ekig�ip� c MIX PROPORTIONS VERIFIE BY BATCHIIiIQ SUPERVISION? l moo 5 0•x_ D -4.0 c. wT 14 r �1L'c * AftI %; QUANTITY /V0 Cu. Yds. 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Pacific Testing Laboratories coos to: TIME VERIFIED BY' DATE HOURS MILE. AGE OTHER EXPENSES COST CODE ON OFF ART OT KIND AMOUNT 1A1 l�y • 1t_ 17---. TOTAL HOURS TOTAL REPORT NUMBERCR N? 321x3 ✓ PREVIOUS RPT, PACIFIC TESTIN LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061282-0666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT LOCATION V0.G� evlaY"Oj:-t Cc. . A.+H r IMr , /1A& L1 �C_ pi`SO '% 59 — 6 T M r Air s. 5�•. ,11P� j'�.,a 98/OS If rr /'e Q @. KOLIJe' �. <(rf 7rr c c-t�? e ' F <',.X 73•�'3,TS. car. I��w PURCH.ORD. `� NUMBER REPO 9 2/80 BY DATE 7_/ REVIEWED BY DATE PERMIT % `^'t l CERTIFICAT NUMBER Z.'3 ELI' NUMBER E8��3— }S ARCHITECT ENGINEER 6_ !'HeerS N,1l.) : v CN(olitlra.rS CONTRACTOR Lu `) I T deo MARK TRUCK NO. TICKET NO. SIZE AREA (SO. IN.) DATE CAST I DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. P.S.I. A OT AGE Z x y' 3.14 9J'2) tihAy. twat] 3- M.)'/ <7CD _3310 8 TOTAL r C L [ TOTAL 17 i ' to 14-0 ict J ' ItO( Ck WEATH pp t ER 0F 1� tnU ro C >•`S MIXING PLANT �? I IO CEMENT C'SE AGG. FINE AGO. PROPORTIONS ❑ Lbs.2gSscks/Cu, Yd. ❑ Lbs. ❑ In. Max, ❑ Lbs (Nol Certified by P. T. Lab) q 1 isI s DESIGN STRENGTH fc ADMIX ❑ Per Sack laPer /1-0ot] F3 cr -z... 1) — 40 /Gwfi (A)44'er Vse c�uc v� reAte.relPt TYPE OF CEMENT ; SLUMP 'S \s-4.1A in.. AIR %; QUANTITY 35-4 S5 Cu. Yds. MIX PROPONTION5 VERIPI1D BY IATCNINS SUPERVISION? . 3 - I - 45' kote 1iis4ewd of' V + S 'G ' • t• r_d' SAMPLING IN ACCORDANCE WITH APPLICABLE CODE AND SPEC 7 POUR LOCATION I NOTES' Ye. 501. o: �� ION-% 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shell not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certif led Report by Pacific Testing Laboratories Copies to: TIME VERIFIED BY' DATE _ HOURS I MILE, OTHER EXPENSES COST kill IN CODE IMEI ON .2.-14R9 _ OFF RT --1. OT AGE KIND AMOUNT i TOTAL HOURS C L TOTAL • REPORT NUMBERCR N9 33434v- PREVIOUS RP?. NO2, 2 3-' ��App'Y PACIFIC TESTI N(i LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 2820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS Z AC 1_ Et, In n rn:y r4 l Q i A-4.4 I. _ {AA t ■ S°ILet GTH. 1.1ue Ca S e ++•441e. L.A3 t gX l b k PROJECT Chr(Aage 1'4 auSL - Tr9■:1NtlrtAZ4u• LOCATION 11 3 3'� 5 , C,e.. 4cr P :0% r k rr41UM ER R0. REPORTEpt BY .l11e>y��s+ DATE REVIEWED ��// BY DATE PERMIT Tom' wilts NUMBER LK- "�.1-:v L{• ARCHITECT NEICAT NUMBER b ° Lf-- 0 z- Op..�5 ENGINEER •r i.l% Get ca �rr t �-S CONTRACTOR L >r' k- t ✓1 — 1 T D r.A\t s MARK TRUCK NO. TICKET NO. SIZE AREA (SQ. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. P.S.I. A 1.01 z.x�{ ,/� I. ^iA';, o /f: :) ..51,/SDt 6 C. 0 ���? ov . NOL. Q TEMP. I WEATHER mo Lib F MIXING PLANT CEMENT C'SE AGG. PROPORTIONS ❑ Lbs. ❑ Sacks/Cu. Yd. ❑ Lbs. ❑ In, Max. (Not Certified by P. T. Lab) G TYPE OF CEMENT • SLUMP Al ■ 1 t\ FINE AGG. ❑ Lbs .a is SAMPLING IN ACCORDANCE WITH V APPLICABLE CODE AND SPEC ? / • S POUR LOCATION 8 NOTES* DESIGN u 6300 AQ STRENGTH Tc T' ADMIX ❑ Per Sack ❑ Per ins. AIR Af1/ MIX PROPORTIONS VERIFIED BY BATCHING SUPERVISION? o1-317'41 Cf:45 j 1- 2 5- Cu. Yds. ilr X; QUANTITY A/O ■ c c n•r` 30 I i�. 1.e.44.s}(nt cif **LL cis-.∎%; 7e: le. : 14- F at,C krw .r ++• •�1�� rr.4.A — to --n es tiatic'e AcsluCaike 1n :s_f cQ:,n . s.ocr• -1c_ R •tt.� u: i�f-441'e• —. f tc.tc4 i�i]C ttie ^ �y rLr�� A l i`ke - •ppsl,��^ -f 1k4 �+iit yeti 11`er,t,..sfe A •i a G.c I Tl e � V rE''TII�Q r TV1 0��4^�C[Q Vitt r• b. [ vlNMt `JOIN KIZ ...5, t.% (t h�! +e-le Iict,ie o'f -I- k(s s1lu»<1��.�, INHSI� �u S e�� -� 1 .j . q %).A.A �-t s,.�•�wrtift, '?hla cerliliuliorf attests to the accuracy of the vaults obtained horn the actual test performed and /or observations made thin the scop� of e work as defined above. Certification shat not be construed to represent inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by !/ Pacific Testing Laboratories Copies to: TIME VERIFIED BY* • DATE I COST CODE HOURS MILE, ON I OFF RT OT AGE iminarlfg if 1- OTHER EXPENSES KIND AMOUNT LEI TOTAL HO RS TOTAL REPORT NUMBERCR N9 33435L, T PREVIOUS RP. NO.(^^4. ��331/ PACIFIC TESTIN LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220.17TH AVENUE WEST (2061282 -0666 SEATTLE. WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS 4'1 -2 -1 MAILING ADDRESS PROJECT LOCATION iri� ck F� aka. r , oy a cy Sq(On 6,14- . Aue r S. S Ea -\e_ UU A . °I 4Z 10 1 e C4r�'C4e 14 DU\se. -Co - tovov4aA'■*0. rti�aCcC S C" PURCH. ORD. UMBER BYPO_i T BY REVIEWED BY DATE PERMIT Tu k +'„> \ w CERTIFICATE'. NUMBER �' 4.1 (c NUMBER c3�� -0075 DATE ?-°J'* ARCHITECT ENGINEER • EM CI 1el E e. r' (c 'SirC9ur 4� CONTRACTOR u U.) — (L? !t :+ (:. YI 1 MlICrN1 - 1C 01L MARK I TRUCK NO. TICKET NO. SIZE AREA (SQ. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE v TRENdtH LBS. P.Q.I. 4 ,• lot •2..><.4. 3, 121 il. p J2 14 4 ''7' ,-?,� -) ye0 B 2 44 JO 2-8 ' 2.53 '. HOLD UOo _ I tMY 6 r p WEATHER (od F i ttlItsd c.G A �I11 C � e PLANT Nr DESIGN tI C, OC) STRENGTH fc T� CEMENT C'SE AGO. FINE AGG. ADMIX PROPORTIONS ❑ Lbs. Sacks/Cu. Yd. ❑ Lbs. ❑ In. Max. ❑ Lbs [J Per Sack 0 Per CI C 7 (Not Certified byP.T.Lab) 9 5k BSS WI+1rr e.,rcv!14cs+r, SC"k f w"fowler TYPE OF CEMENT s'ki SAMPLING IN ACCORDANCE WITH APPLN:ANLE CODE AND SPEC ? yes POUR LOCATION & NOTES' SLUMP kAjcj ins. AIR MIX PROPORTIONS VERIFIED NY NATCHINO SUPERVISION? %; QUANTITY I ! e6 Cu. , No V 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Pacific Testing Laboratories Copies to: TIME VERIFIED BY' 1_d.- —j 9¢ DATE HOURS MILE. AGE OTHER EXPENSES COST CODE ON OFF RT OT KIND AMOUNT 1 IN 1111 .� '. Iiii TOTAL HOURS TOTAL Control Number BUILDING DEPARTMENT CITY of TUKWILA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433 -1849 APPLICATION FOR PERMIT DATE 3/A X. S. 1 • TYPE CONST. JOB ADDRESS , 7333 . iy, c 'Y7 T- . y LEGAL DESCR. LOT NO. BLOCK . • TRACT ❑ SEE ATTACHED SHEET OWNER _ l � . y A Jam„ �� c �l r5^'--T 1�i4 {y' PHONE `„ ,1,0 ADDRESS y d eZ.►�D. ©, /, !� ZIP Qa /ced J �/ CONTRACTOR !6+ PHONE ADDRESS . • ZIP LICENSE NO a a 3 -- 0 / - Cf (-71/45---V S ST NO. BUILDING USE Ayvy� 'ti , -° 44-445-6- TENANT �1� 4^e .CSC CLASS OF WORK `: >4 6 Uti h 19-b -r D"t/ _.. CDC Gd.e-i� «- WIC/ S ❑ NEW ❑ ADDITION ❑ REMODEL EPAIR ❑ OTHER (Specify) BLDG. AREA 1st FL. ' 2nd FL. BASEMENT GARAGE DECK MEZZANINE ;}r OF STORES TOTAL S.F. VALUATION PLANNING/ SEPA . , • BOND OTHER 35 030 NAME OF APPLICANT (PLEASE PRINT) • 2,4 ADDRESS '011,001C PHONE 74. .. -9.7. ' I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. ,- / , -..r /. SIG ...`OF APPLICA :DO NOT WRITE BELOW THIS LINE • TYPE CONST. OCC. GROUP OCC. LOAD _ ZONE AUTO SPRINKLERS REC. t DETECTI OYES 0 NO 0 YES f I PLAN RVW PLANS: SENT RETURNED APPROVED FEE DISTRIB. BUILDING I e71-../4 0� FIRE DEPT. • PLAN RVW. / 474p s; DEMOLITION PLANNING/ SEPA . , • BOND OTHER PUBLIC WKS. TOTAL I 3 Si ° Bldg.. Div _ / r _ Date Paid Recei • t I COMMENTS: ........• .Amount • • BP: 8- aC:MIi'-' 3%a PC: UM= 1,;;;r: yr7,7` 'yvly:,10.,e!' • .) CITY OF TUKciLA Central Permit System i„ky 1:9,7 ".t-iontrol No. 2 1-- (-)es•--t- Permit No. 6L 76 FINAL APPROVAL FORM TO:: BU'ilding • El Public Works El Police El Planning El Fire Dept. El Parks! Recreation Project Name Address /2 3 3 5..s//7,4ce Type of Permit(s) This project is nearing completion. Please investigate your area of responsibility and indicate below either your final approval or necessary corrections. If no response is received within one week, it will be assumed that the project is of no concern to your department and a certificate of occupancy may be issued. 5 -i`,/ /1 /i)/(1/07- This project is NOT approved by this department; the following corrections are necessary: ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) ( ) Authorized Signature Date This project is approved by this department: / Author ied Signature Date CPS Form 3 Carriage House May 3;.1984 17333 Southcenter Parkway Tukwila, Washington.. 98188 ..FIRE DAMAGE SPECIFICATIONS' Warehouse Area 34'x91'x14' Preclean 3 rows hanging light fixtures and replace damaged lig tubes ..... ... _ : Preclean: exterior- or electrical =.panels,; hot 'water: tank. and laundry-sink,. ." 'Clean and•seal"'floor.complete Smoke seal perimeter, walls, ceiling framing. and wall shelving;:; • Remove•? and'._ replace batt ..type; foil .faced : insulation; R -11,: 24 o /ct • ;- Remove;; and.:' replace: 2..;lower, sections_ of overhead door: complete:: :;:with :hardware;.and; lock Removeiand";replace,.door .closure: ..for main' door ,.Prepare. andpaint „overhead .door, main door”" and entry;doors .,:;:'sales urea;:. Reconstruct storage table: 8'.x28'x4 Preclean walls'; and _ floors. complete Clean all windows,-doors and surfaces Remove and replace suspended ceiling panels - complete Remove and replace ceiling grid as needed "Clean ceiling,grid • complete ;;Refinish...hardwood ,floors as 'needed Remove-and replace• wallpaper.,as'.needed Reconstruct :display,,unit;12'x12'6 "x8'; ''Prepare -.and paint' walls as' needed;.,.. ,Other. "' Deodorize ... Wrecking, and ;debris remove Electrical Job;supervi`sion" Permits ,:,. No handling: of ; contents !• understand'ttiat`The Plan Check bieci`ta e�t�or3 arld,omi sloes ancf P1'70 Alansda.snotG ' ufl1oriz efl0 v,c„ Saari of.. any adopted coda fir ordinance. Fc f"� � ��c3pi of Dopy a corltr�c�OrrS. ppraved. • ns acl nowicdgop,: • eut�aia� a Flit ()AM MIME. LAK S !D 1 7333$CVT CEJIE, AREA �e I — MN 198 e C;I i Y i; IL. P ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING CIFIC REPORT NUMBERCR N9 32152 PREVIOUS RPT. NO.Ce�' . Oc.. .4a.Sr TESTINI.: LABORATORIES EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061 2820666 SEATTLE, WASHINGTON 98119 • RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT A1•t I 61.1• A Inv+ •�P�Gt`�Grk 59tDp - CPT1i. A. S. Se ->-1.1.. W5 GWrf�t,'nna 1 nL SEA_ C��1�S71�1 �1— �Q..I LGS l 3 3 3 (r • �k u, PURCH. O LOCATION y NUMBER REPORTED BY REVIEWED BY .•i7' [ . PERMIT NUMBER 2- 1- (p q- DATE Z" DATE `� - -T CERTIFICATE NUMBER 2Sr'14-O3 "OOH ARCHITECT ENGINEER EVnqq LAeer 4 NI w� `Gec frNgt�4. RD. Su.1S '1I CONTRACTOR Lug►■.• p k v. - T 4'T MARK TRUCK NO, TICKFsT NO. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE STRENGTH LBS. P.0.1. A toy -z. X. ± _s.,si• + -2 -$' 4f 9/ -• s 70C) 6000 B Lf j3J8428 . 2- / / �� f 67,.0 G V-7— Li/30/ sA2q/84 Z� s$ 2 a F cio 2 / 6, "6 b�a•o ' � 69410 400 A WO id 3 WEATHER 11.0 F 4 II Iann: -i' CEMENT PROPORTIONS 0 Lbs. ® Sacks/Cu. Yd. (Not Codified by P. T. Lab) q S TYPE OF CEMENT B f • SAMPLING IN ACCORDANCE WRN j__ APPLICABLE CODE AND SPEC.? POUR LOCATION & NOTES* Pit t W vt dF ,-�5 Cq MIXING �n I �, a ; °247 D N PLANT STRENGTH fc C'SE AGO. Lbs. ❑ In. Max. SLUMP • I. FINE AGd. ADMIX 0 Lbs 0 Per Sack 0 Per in;. AIR MIX PROPORTIONS VERIitnDp SY SATCNINO SUPERVISION? w 2/30 °1> f0 JOo %; QUANTITY Re!cluce.r'e'A• 2-I eft 33 Cu. Yds. 'This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Ce IiRcation shall not be construed to represent inspection, approval or acceptance of other associated work ore warranty of design or workability of the specification requirements.' Certified Report by „Pacific Testing Laboratories °Lfi: !'Irit ,riff; f , N APR 1 3 1984 :MME VERIFIED BY: 04 HOURS MILE- AGE OTHER EXPENSES COST CODE ON OFF ART OT KIND AMOUNT 1 a Ilmirri; it MI r NM M TOTAL HOURS TOTAL • ! ),'.! 4 198: 1 _.._.r.::1'!_'1',`1N A'L11.FIC TESTIN REPORT NUMBERCR N? 32153 tf PREVIOUS RPT. NO. . 22iS� LABORATORIES ENGINEERING CONSULTATION EXECUTIVE OFFICES CONSTUCTIONSUPERVISION 3220 17TH AVENUE WEST (206) 282 -0666 MATERIAL TESTING SEATTLE, WASHINGTON 98119 • RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST SWING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS Z0.CL vlciY'Uy f� Co BY DATE 1411 O* A-44 vt , REVIEWED i1_ IM r . �'� � �G�P r so M BY • � � DATE L� / ^�T PERMIT • Zu. /; _1 6"` CERTIFICATEg4 ,� o' }S NUMBER NUMBER 694O — C 7/f /10e, S . Jle+.t7�lP` t 2 9s, , 98 /Oci ARCHITECT PROJECT C�yrY.l 2,io f4/ •c, Po i. <�.< %N T, tee-, itetef�rltr.r ENGINEER FA19I tVerS New: - o Cwpr:4r�"S LOCATION �/ CONTRACTOR LuA.,�a,El'r/r — T •/ bpi din 173'33-- S • C i� . �� w� NUMBER" D MARK TRUCK NO. TICKET P. SIZE AREA (SQ. IN.) DATE CAST DATE BROKEN AGE AT TEST • ULTIMATE STRENGTH LBS. P.E.I. A .1iI■ U... 2 - A. i4 1 Li fzlk/- ideVaif 41 ,6o)64 �- 22 Zg i- D, /-�0 / ? s 0-v / 3 ` 0-0 3310 143`o0 , iQ/ie� /-143D a IC 2,_ A 1.1.0 id I. GA4C3V / v Y: Cr r-.) I/590 1+01 WEATHER 60 Y. Aj MIXING I $ DESIdN / S -2-a 0 PLANT 6 IA C 1 a r STRENGTH rc T"op CEMENT C•SE AGO. FINE Add. ADMIX ,t_ PROPORTIONS ❑ Lbs.�.gecks/Cu. Yd. ❑ Lbs. ❑ In. Max. ❑ Lbs ❑ Per Sack Per O•z- •1 ' 40 /Cw l (Not Certified by P. T. Lab) 9 1 �I s 11-)1}4er rerlwc.∎tn. rettletrlr.r TYPE OF CEMENT S {'& ; SLUMP Tl LIIA, ins, AIR VERIFIED ` /V.; QUANTITY 3.54 '5 Cu. Yds. SAMPLING AMLICA•LE COOOS AND SPEC 1N yes . + BY 'PATCHING $U %ERVI810111 'V O POUR LOCATION 8 NOTES. 8 A :3 — I — 45 ` 1401 C I ssi'e L+d aS. 5 O r. So i s to y �ft±o E�,8 iw ear C • R IS r•e:.r- C. i ,(,...\ gle ty �.9- ,.ly}i,+C r J U �J This certification attests to the accuracy of the results obtained from the actual test performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' • Certified Report by Pacific Testing Laboratod. Copies Pacific .1 , r 1 , r 9. 1 APR 1 3 1984 v'I {IE TI' IP'r , /P. . ';li:fh '♦ , , . , . , T , VERIFIED•BY: • • I :.r; I DATE 1 HOURS MILE. AGE OTHER EXPENSES COST CODE ON OFF RT OT KIND AMOUNT .1iI■ U... IC 2,_ A I TOTAL HOURS TOTAL REPORT NUMBERCR 1��Lr 32229 ✓ PREVIOUS RP?. NO. PACIFIC TESTIN4. LABORATORIES ENGINEERING CONSULTATION CONSTUCTION SUPERVISION MATERIAL TESTING V EXECUTIVE OFFICES 3220 17TH AVENUE WEST 1206) 7820666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS 5q6C) - (Da Ave. 5. BYPORT s I DATE T I 1 31 81- REVIEWED BY DATE , 3-=16 PERMIT it/� 764 CERTIFICATE b /f13 _� -- NUMBER oL NUMBER P tl J �' �� t ARCHITECT PROJE6 11 r - ACUS/? —' Q �(L IOt.A v'e;RMiLS ENGINEER go /0lN•xrrr ^S AZ %i.. PURCH. ORD. LOCATION `So' -� C� �•r' pRr ►.r n� ► NUMBER CONTRACTOR L ►4�^"+_ta�+►� MARK TRUCK NO. TICKET NO. I` t SIZE AREA (SQ. IN,) GATE CAST DATE BROKEN EN AGE AT CeT ULTIMATE STRENGTH LBS. P.S.I. A rq ‘ x 12, 'Z � • 1-1. 411 s mei LI - I % - : 0. . LI -16 ,5'F:(. p2500 I09000 �3� �0 .�_ ' j 3860 C y. �e 5‘ -•2c1 �� 7 2. 3 / l -; ) . 0 ct 0 s s---,_ i i /5 .5.5"-00 SAX) m WEATHER J- �•sl�r Io O° !' 5- i 1 --sir 5 • /el ao MIXING DESIGN PLANT J 19t^ t e f STRENGTH rc CEMENT C'SE AGO. FINE AGG. ADMIX PROPORTIONS 0 Lbs. ?Q,Sacka/Cu. Yd. Q Lbs. gin. Max, 0 Lbs 0 Per Sack Q Per (Not Certified by P. T. Lab) So i Z. C L �e2L y!"c 4/CW it TYPE OF CEMENT g'- • ; SLUMP T ins. AIR N /A 'K• QUANTITY lb SAMPLING IN ACCORDANCE WITH MIX PROPORTIONS VERIFIED APPLICABLE CODE AND SPEC ? C.5 BY BATCHING SUPERVISION? P4 ) Cu. Yds. POUR LOCATION i NOTES: �1 k '[�� ` ��y7 t CS (.titLt[� ► \� c w Py/� G t 1 2` �.■ `t C1a.�� Q q • .,} "' L.� .Ll'SRC•[�C t' I [L►.c�lfi \�- '�a OC G Ce_ R C [nv.&iv -0 c �}� f4+1. claycJ �� ic__. C01oC CL.ist 4-4? 'Aso piKsrct uIi cL± WAe _e_ua L_ Cc►.. ahs v■ Its *'Ajek—�ia �(c,NA uk �t6arl . 1 'This Certification attests to the accuracy of the results obtained from the actual lest performed and/or observations made within the scope of the work as defined above. Certlltcalion shah oaths construed to represent inspection, approval or acceptance of other,asociated work or a warranty of design or workability of the specification requirements.' • iN Certified Report by Pacific Testing Laboratories Copies to; • n (i 1 R HOURS MILE. COST CODE ON , OFF RT OT AGE !d• TFr rte',, TIME VERIFIED BY' TOTAL HOURS ! . DATE OTHER EXPENSES KIND AMOUNT TOTAL i. 111 1 `I REPORT NUMBERCR N9 33434v' t��p H;t.! A '�:�8, , ,, �e \��`' PREVIOUS RP?, NO�p�c'�'71>� jrA11211FIC TESTIN6 LABORATORIES ENOIN RING CONSULTATION " " coNSTUO?ION SUPERVISION MATERIAL TESTING EXECUTIVE OFFICES 3220 17TH AVENUE WEST 12061282-0666 SEATTLE, WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS MAILING ADDRESS PROJECT LOCATION V AC iIP N v rtn y q C 0 r IMp at IL I'+ :r_ivrco... 5°1`0 6, .1 Iue. S e 4-4-41e. , C* 'f ∎n3e p 1 133_ S. C €:Aisr V r r (UMBER RD. REPORTED 14-z..Hti- .iC DATE REVIEWED I �J t� �"6 if- BY ' DATE PERMIT T".. 'oZ CERTIFICAT NUMBER "�� -(o� NUMBER �4'O�-OO�, ARCHITECT ENGINEER CONTRACTOR 0 (A.i • IG 5 • .I er, r is T •X rAti vic\ MARK I TRUCK NO. TICKET NO. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST U LTIMATE STRENGTH LBS. P.S.I. I A I 0 I Zx t4 ...5 -14 Ill ib't 4 9. 8 iCo SZFO -5,2 Su Q i '7 (;_', D't_) • ts° N6 „ 1:491=111M1 /o0 ,8/O TTtViERb6�0�0 F 4 �cl toes CEMENT PROPORTIONS 0 Lbs. ❑ Sacka/Cu. Yd. (Not Certified by P. T. Lab) cf MIXING /�V PLANT G� /n •-gyre STRENGTH fc 14- 00 0 C'SE AGO. FINE AGG. ADMIX 0 Lbs. 0 In. Max. El Lbs. 0 Per Sack 0 Per ',a z D -�{a/c (:4 Ogiter At r/ re/ Spzkr 1s TYPE OF CEMENT 50 • SLUMP 4 LU I L1 ins. • AIR /V/ /,, %; QUANTITY 7 i +Y cu. Yds SAMPLING IN ACCORDANCE WITH Ni MIX PROPORTIONS VERIFIED APPLICAULE CODE AND SPEC 7 / O . q)- BY BATCHING SUPERVISION? O POUR LOCATION A NOTES North C R Z,) pit ■ %,. o) -4 1 • 2 /5 c n.- ` 30 1 ■ v. ( t t !� 'U LA.; s 1, ht A i i.. t ra,c r'�f• ' • Ito W �'�'(.. tn. r"ASiS�rO Inc LAC —11%A_ lam tie K c_! L 3 y 1.".4..-,, .V,-. 1k- P► Le. L.0: t" t- a\ P tp L jM4tie luMMNrhe � LLll t II r r 'rildr__�l1'K1�,��'.1 V,Eek:ti.it ;DRI" z •r'� , 9- — o rGvlIL1-i`Y!41'n r.. 4Qtlr .IeS w.e-<- . Aot k 1.p.ecO In j :s +sce..in o 4.� • b3 . w6r4� L... e_►.t 400"..42., 'tt. -a. U 1 k1ff44ie■. iIA_A tQ_�`` a3 tt-c titer.,µ -,ter, A (•4k - L. -fk,s 11, se, pt_tic ' e {cQ it, 44 1e_AtC'i 41 r! L 'Ir.e:Ti.rQ e Tr1LI.W CS M. r. .1.c �Uarta Z/Ati kp F�►A4j t.? eDt1o6 of lkis. :11 -,A,0 u•.�, WR SA- Gr.9 S�Cv�rA ` yt.�S.i €5D'a'..L'A ta'�' S�L`ff1AC•Qf •This certific.tiorrattests to me accuracy of the results obtained horn the actual test performed and/or observations made within the sco of tne work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' Certified Report by Pacific Testing Laboratpj ep IP�?� 3 MY 1 198.4 APR I ; z VERIFIED BY; / 1' L rte/ I r DATE`Jrr.Z COST CODE ANDAN114 HOURS ON OFF RT OT MILE. AGE OTHER EXPENSES AMOUNT KIND TOTAL HOURS 1 TOTAL ENGINEERING CONSULTATION CONSTLCTION SUPERVISION MATERIAL TESTING REPORT NUMBERCR N° 33435+1 PREVIOUS RP?. NO.t -S';�1r' �;1 WIC TESTING LABORATORIES V EXECUTIVE OFFICES 3220.17TH AVENUE WEST 1206) 282-0666 SEATTLE. WASHINGTON 98119 RADIOGRAPHIC INSPECTION GEOLOGICAL SURVEYS SOIL TEST BORING SOIL MECHANICS COMPRESSION TEST RESULTS c., 2 _ MAILING REPOT BY •. ( RE �. L PERMIT 14( k Luik,H• NUMBER DATE / k* VIEWED �� DATE ADDRESS 14++x, , iM r . I la vi ?e:'i C e-so,‘ BY SA (on l-01- µ - Aue , za (o S e a die_ I UU VA , -co 'i I O$ PROJECT Cn rrp4rkr it DL I — t �v`L�404-t%.0. f'. pwC �S ENGINEER • E11cj ►,lEtf'� M(:% �' CO /lower.% RCM. ORD. �;s}r L u, r r► C o !miLOCATION i1 � " • t,n€- Ar ?UMBER CONTRACTOR 1— ��^►>� t�h — 14 t 11i AA ARCHITECT ICATE� , NUMBER 0075. NUMBER MARK L TRUCK NO. TICKET HID. SIZE AREA (SO. IN.) DATE CAST DATE BROKEN AGE AT TEST ULTIMATE RENGTH ST LBS. r PS.1. 1 1111 poi !z>< -ge i , 0 Zfri "e . 1.890o y�3O B '.111111,_7_l 11111 1■ fq/s N 8+ zx 7 3 a -t.) 5510 C '� c�/ /6 253 / .7 X ac/ �9 U . 14O Lb VP TOTAL 5A20 4- 6g, / ,Y ,-� s-3--z 6 V&A'A TIER (odD F ( 1—at(' fic MIXING PLANT 5-4/-,/ ��`� Da / G I i c i e r STRENGTH 1'C 4000 CEMENT C'SE AGG. FINE Add. ADMIX PROPORTIONS 0 Lbs. F4 Sacks/Cu. Yd. ❑ Lbs. ❑ In. Max. 0 Lbs. Q Per Sack ❑ Per q Ck . ) — 4 V /t-Laif (Not Certified by P. T. Lab) 1 S f B/S Ll7�rlter evc04ctvo f Se} h..4ita i, 3s TYPE OF CEMENT �o , ; SLUMP .f Lie I� i Cu. Yds. SAMPLING IN ACCORDANCE WITH PPLICAPLE CODE AND SPEC.? Yes Ins. AIR MIX PROPORTION VE FIED 1V RATCHINO SUPERVISION? POUR LOCATIONS NOTES: lIVLq Z CD C. • (o -' x %; QUANTITY No Augp_ru1,, n tat aL►d (k j t if cis GYt,ne_ ..>'e.ru cc unLf. -. �1skor•e.Q .�i'�!•�a�,�' cki fi Z cwkrt.� !'This certification attests to IM accuracy of the results obtained from the actual last performed and/or observations made within the scope of the work as defined above. Certification shall not be construed to represent Inspection, approval or acceptance of other associated work or a warranty of design or workability of the specification requirements.' . Certified Report by, . 'Pacific Testing 1.tlboratOP ,• t;.,it APR 1 31984 lt 9 "1 "" TIME VERIFIED BY' • (()4,-dp-, 4 —F 9-¢ tifft " 1984 1 L A' er,. --(44 DATf z/ HOURS MILE, AGE OTHER EXPENSES I COST CODE ON OFF RT OT KIND AMOUNT 1 1111 '.111111,_7_l 11111 1■ TOTAL HOURS TOTAL Control Number 2y 1!Egi- • • APPLICATION FOR PERMIT BUILDING DEPARTMENT CITY of TUKWI LA 6200 SOUTHCENTER BOULEVARD TUKWILA, WASHINGTON 98188 433 -1849 RECEIVED CITY OF TUKWILA NAY 3 1984 BUILDING DEPT. DATE + 184 1 . 1 JOB ADDRESS 1-7,5-6 sstscl-k-C' At, 1)16.e_K.,.0 A -r LEGAL DESCR. LOT NO. BLOCK TRACT ❑ SEE ATTACHED SHEET OWNER C-1C. A . . "(3C A i Y A I PHONE '7C0'2 -47 s_tz, ADDRESS SGO i S I.X' thti / 1 r.._ S a SE.4'T i"'i,_E W/� ZIP /O /at CONTRACTOR L1 `�At-k.C6' ca. PHONE 2% I - I I t ADDRESS +i�i1 cZ. �xs: >(__�.. A6 �. �. W A. �l`[n11118 ` ZIP .9 �5Q`��"" Io LICENSE NO S ST NO. G - (4.20c::,--- Z ‘94 p-Z BUILDING USE gre.:rx1 L (Lt)A g.14<)0 L ( TENANT CAR�.(At* 140 0SII< CLASS OF WORK a 04 ( -o-e- -v /1.�4. L T'?-E /2 p /9-(2 ❑ NEW ❑ ADDITION ❑ REMODEL 12.11-REPAIR ❑ OTHER (Specify) BLDG. AREA 1st FL. 2nd FL. BASEMENT GARAGE DECK MEZZANINE # OF STORES TOTAL S.F. VALUATION PLANNING/ SEPA BOND OTHER 4 Z5/ oar:, NAME OF APPLICANT (PLEASE PRINT) �` , PA4 _-ra' CO , - ADDRESS 14 2 MAIL"- A or.. S ,'w , T- I PHONE 2� 1 -Z.11 I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRU AND CORRECT AND THAT THE APPLICABLE CITY OF TUKWILA REQUIREMENTS WILL BE MET. i URE OF APPLICANT DO NOT WRITE BELOW THIS LINE TYPE CONST. OCC. GROUP OCC. LOAD USE ZONE AUTO SPRINKLERS REQ. I DETECTOR _ -1.-- L� '\ (/(� f ❑ YES ONO • YES (] NO PLAN RVW PLANS: SENT RETURNED APPROVED FEE DISTRIB. BUILDING /i7 /oc7r) PLAN RVW. DEMOLITION FIRE DEPT. PLANNING/ SEPA BOND OTHER PUBLIC WKS. Alli / TOTAL Bldg. ..DiVq COMMENTS; " ""'"" I Amount Date Paid Receipt # #! BP: 5 /s, /7/• 00 0(A3/ PC: