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HomeMy WebLinkAbout15-104168 } • Demolition City of Federal Way Community&Econ.Dev.Services Permit #: 15-104168-00-DE 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) Ph:(253)835-2607 Fax:(253)835-2609 p q 835-3050 Project Name: WILSON TROPHY BUILDING Project Address: 29223 PACIFIC HWY S Parcel Number: 042104 9007 Project Description: Demolish existing fire damaged building,with concrete slab and foundation to remain. Owner Applicant Contractor COLUMBIA CITY ASSOCIATES LLC MITCHELL KOHN STERLING GROUP D K I PO BOX 22286 STERLING GROUP DKI STERLGI983NW(8/18/16) SEATTLE WA 98122 926 96TH ST E 926 96TH ST E TACOMA WA 98445 TACOMA WA 98445 Additional Permit Information Demolition Valuation 65000.00 CONDITIONS: Erosion and Sediment Control Measures shall be installed and maintained in accordance with the King County Surface Water Manual,Appendix C or D,dependent on site size. The City may inspect and require additional controls dependent on erosion or risk of erosion. Upon completion of operations,all disturbed areas shall be stabilized in accordance with the King County Surface Water Manual,Appendix C or D,dependent on site size. This can be accomplished by spreading seed at manufacturer's recommended rate and straw at a rate of 2" -3" thick or alternate method listed in the manual. PERMIT EXPIRES Saturday, February 20, 2016 Permit Issued on Thursday, August 20, 2015 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington r._7and the City of Federal Way. '.e/ td or agent: l Zd ( S (� Date: FINALED . . THIS CARD IS TO MAIN ON-SIE • `' CITY of . - Federal. . Construction In ection Record Way INSPECTION REQUE TS: (253)835-3050 _ PERMIT#: 15-104168-00-DE Address: 29223 PACIFIC HWY S _ Project: COLUMBIA CITY ASSOCIATES LLI FEDERAL WAY, WA 98003-3808 - Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.L❑ Final-Building(4050) Approved i By "-,VN'1 Date Vie '.y1„a 15 CIRough ElectricalCI Final Electrical CI Right of Way �� Approved Approved Approved By Date By Date By Date . �_.___ • • MAYES TESTING ENGINEERS, INC. seattle Office toad Cedar V AtIONNAltw, Suite 110 Lynnwood,WA 98036 ph 425.742.9360 Project No. T15258 fax425.745.1737 Project Columbia City Associates Wall Bracing Address 29223 Pacific Highway South, Federal WWA Tacomafioe g yWay,� 1002299SS..TTaanana Way Permit No. City of Federal Way StiteE-2 Bldg Dept. 15-104168-00 Tacoma,WA 98499 ph 253.584.3720 fax 253.5843707 Client Sterling Group DKI Contractor Sterling Group DKI Pottkricl Office 7911 NE 33rd Drive Suite 190 Portland,OR 97211 Record No. 001 phW3281.7515 fax 503281 Date 12-17-15 .7579 Weather Showers Inspection Proprietary Anchors Observed wedge anchor bolts being placed in existing lower level wall. A total of(48) 34" holes were drilled and cleaned, 3/" bolts were placed with 5" embedment. Anchors bolts are placed in compliance with manufacturer's suggested specifications. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jason Williams Reviewed By: T � Timothy G. Beckerle, P.E. Vice President Information in this report applies only to the actual items inspected or tested and shall not be reproduced except in full,without the approval of Mayes Testing Engineers,Inc. Page 1 of 1 • SeattleOffice MAYES TESTING ENGINEERS, INC. 2ocedarvaleyRmd s 110 LyrrMvod,WA98036 Ph 425.742 9360 1425.745.1737 December 22, 2015 T0029S. 10029 S.Office Tacoma Way Sub E-2 Tacoma,WA 98499 ph 253.584.3720 City of Federal Way fax 253.584.3707 Building Division ,id PO Box 9718 7911 NE33rdDri'e Federal Way, WA 98063-9718 S"t190 Portland,OR97211 ph 503.281.7515 Final Letter fax 503281.7579 Re: Columbia City Associates Wall Bracing Permit# 15-104168-00 29223 Pacific Highway South Federal Way, WA Project No. T15258 To Whom It May Concern: 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: • Proprietary Anchors 1. Mechanical Anchor Bolt Inspection 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 that this provides you with the information, which you require. Should you have any questions give us a call. Sincerely, Mayes Testing Engineers, Inc. T � Timothy G. Beckerle, P.E. Vice President . t - 0 41110 FILE RECEIVED Pacific August6,2015 Engineering Mr. Mitchell Kohn AUG 1 $ 2015 Technologies STERLING GROUP DKI CITY OF FEDERAL WAY 926 - 96th Street East CDS Tacoma, Washington 98445 Subject: Recommended Temporary Bracing for Basement Wall Consullies WILSON TROPHY BUILDING(AKA:COLUMBIA CITY ASSOCIATES,LLC BUILDING) Since 1960 29223 Pacific Highway South Federal Way, Washington Principals Mark Uchimua,PE Mark A.Schaefer,PE,SE Dear Mr. Kohn: James F.Paustian,PE,SE Michael P Smith,PE,SE J.Snack,PE,SE At your request,we have made a site visit to the above referenced property to review the existing Nathan L.Fritz concrete basement wall and provide recommendations for temporary bracing. The subject building was extensively damaged by a fire that occurred on October 14,2014. Our site visit was made on the afternoon of July 31, 2015 at which time measurements were made of the concrete basement wall. Photographs were taken during our site visit and VII reproductions of several photographs that relate to the discussion have been provided in •13 Appendix A at the end of this report. Drawings that include the bracing plan,details and eiC specifications are provided in Appendix B. 31 GENERAL DESCRIPTION 1 Q The Wilson Trophy Building is located along the west side of Pacific Highway South in the v\ R northern portion of Federal Way, Washington. The building is located on a site that slopes C downward in the westerly direction. According to the King County Assessor's Office,the building was constructed in 1963. The subject building is a one-story, concrete masonry structure with a daylight basement (Photograph No. 1). The building was occupied by several commercial/retail businesses on the main floor level. The basement appears to have consisted primarily of storage. Parking for the commercial/retail tenant spaces is provided along the east side of the building. Access to the basement is provided along the west(downslope) side of the building. The foundation for the subject building consists of a concrete wall that is approximately 10-feet tall by 9-1/2 inches thick,which has been constructed into the slope of the site(along the east side of the building). The north and south ends of the concrete wall return approximately 5 feet to the west(Photograph No. 2). Intermediate buttress walls that measure approximately 9-1/2 inches by 24 inches are also provided along the concrete wall (Photograph No. 3). The buttress walls are full height and are spaced from 16' to 20' apart. A concrete slab-on-grade has been provided throughout the basement level of the building. The exterior walls of the subject building consist of nominal 8-inch thick concrete masonry units (CMU). At the time of our site visit the north side and portions of the west side of the CMU walls had been braced(Photograph No.4). The floor structure consists of plywood floor sheathing and open-web metal trusses with wood top and bottom chord members. The trusses span across the width of the building(in an east-west direction). The trusses are supported on the top of the concrete wall and the west exterior CMU wall. The roof structure is similarly constructed except that the east ends of the trusses are supported on wood beams and posts. PERMIT #: 15-104168-00-DE 1700 Westlake Ave.North—Suite 100 0 Seattle,Washington 98109 ADDRESS: 29223 Pacific Hwy STel:[206]281-7500 0 Fax:[206]281-4611 1 PROJECT: Demolition [800]621-7300 0 www.pacengtech.com WILSON TROPHY BUILDING DATE: 8/18/15 t , • • • • BACKGROUND INFORMATION It is our understanding that the roof structure, floor structure and exterior CMU walls of the fire damaged structure are to the removed. The existing concrete basement wall and the basement slab-on-grade are to remain. The City of Federal Way Building Department is requiring that a bracing plan and details(for the existing concrete basement wall that is to remain)be prepared and submitted at the same time as the application for the demolition permit. OPINIONS and COMMENTS We are considering the existing concrete wall to be a basement wall and have conservatively assumed that the wall is relying upon the floor structure to provide lateral support. Therefore we are recommending that steel pipe braces be installed along the length of the wall to prevent the wall from displacing when the floor structure is removed. The layout of the braces and the details necessary to install the braces are specified on the drawings located in Appendix B of this report. The existing intermediate buttress walls will provide additional strength to the basement wall, but were not considered in our design. The steel pipe braces shall be installed prior to commencing demolition of;the roof structure,the floor structure and the exterior CMU walls. Selective removal of debris from the concrete slab and the wall furring will be required in order to the install the braces and connections. Please let us know if you have any questions or require additional information. Sincerely, PACIFIC ENGINEERING TECHNOLOGIES,INC. Written by: - 624,4‹ �+ Joseph L.Ashl k . of wAs9 Project Manager ,ly�o� r�cx y Reviewed by: kV1/21.4,---,A4-</' Mark Uchimura, P.E. Principal 6Iojj Disclaimer The information contained in this report is for the exclusive use of STERLING GROUP DKI. Pacific Engineering Technologies, Inc. assumes no responsibility or liability for any use of this report by other parties. Notice All information on this document is the exclusive property of Pacific Engineering Technologies, Inc. ©Copyright 2015. (HERE SHALL BE NO DEVIATIONS FROM THE APPROVED SET OF PLANS NITHOUT APPROVAL FROM THE City DF FEDERAL WAY BUILDING DEPT. 15163 rpt 8'6/15 2 i APPENDIX A PHOTOGRAPHS 15163 rpt 8/6/15 3 f s. rti 4$' ,!:441#4' {a L. d ri 5, M4.+.. E!% i µRQ. \ '-''' — - r 4"-* } y.y2. , Li f .7 mi L 1. The Wilson Trophy Building is a one-story,concrete masonry structure with a daylight basement. The majority of the fire damage is located at the north end of the building. •._ fl - ' sal 4 Vit. + ,. .. , .•,•,;•4-„ 5 , ., -'' i:41 1 C 7 _, .1,7, ' dr,' ' 7 i i %.,..NV'''.1 CONCRETE RETURN e %' WALL ^ ` CONCRETE FOUNDATION • .a, 1.,. WALL tS I . . - 1111, w r fkiii l ,.,. { ►'`, ,„,, 1 i. ,A i . i f 47 oi 2. The concrete foundation wall is approximately 10-feet tall and 9-1/2 inches thick. The north and south ends of the wall return approximately 5 feet to the west (north end shown here). 4 15163 rpt 8/6/15 • • % — r p. a �� � . BUTTRESS 0.. WALL N , ' :4#4:.07,104., _ t 3. 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PI 0 CDS PERMIT NUMBER l ` (nB 9 77 /1.5"-- _ _ TARGET DATE - SITE ADDRESS SUITE/UNIT# 029 d•1,3 eA4c.i c l C ‘ -+, $ PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# s 6 5� c� 0 � R. 4_ Z. A_ -9- a - _1 0 O 7 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT COL,J tout, 1 It A.(WI, )1•f IP c'44' ! •U(L1(N G) PROJECT DESCRIPTION gevvt,c) L 1 v(14 ( ' fAO - { l f e. ion ofwork to 1�'Uti,A e. C o-A-cuccer 5 L o "i' .v uv-,14--r- t v� Detailed description be included on this permit only 0 ./1e 4 II-1 NAME V • PRIMARY PHONE PROPERTY OWNER CO V w.ICY%Or Gr (74-55ac(s-i eS ;ZoCa G7cl +51.0 M DR6SO) ZL� E-MAIL 1) CIT STATE ZIP .)eA-TTL-�t- cJ a q1 $l 2 2.. NAME 5) PHONE ec'Lt v\- G(-bop K L 3- 537- 3111 MAILING ADDR S E-MAIL C11)4 CONTRACTOR !1)4 h` 5 I /KIMk l;05"kfu'v(Ki.` C-AC d IAA, v4- S(jrr ZIP q�-5 FAX 3 -537 -3141 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / 10 (00523 NAM i r C k fl) k VI PRIMARY PHONEb 79 - ^y I MAILING ADDRESS E-MAIL l , APPLICANT .S"gt- -e. As A 0 J dot.c�04K @ s c ,6�,c(Ki CITY STATE ZIP FAX ��` j `,� PRIMARY PHONE PROJECT CONTACT NAME ,5 l 'r/A6F i re''`p V,t-1 It`t, (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX NAME FINANCING Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. , � � DATE a f .5 SIGNATURE: PRINT NAME: 1/14 IT- i,�v t LL . C) t" 1,v\ Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Permit Application • 0 . ---- VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existingfixtures to remain. BATHTUBS(or Tub/Shower combo) LAVS(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAMS • - , . k . SHOWERS . . . VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utilify) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR - VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yes ❑ No ❑Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR ' COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) MISTING Totals [STDPG PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area rea Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square FeetType Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application • • COMMUNITY DEVELOPMENT DEPARTMENT 33325 8th Avenue South Federal Way,WA 98003-6325 CITY OF 253-835-2607;Fax 253-835-2609 Fed ` r l Way www.cityoffederalway.com DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. p, Address of Demolition: Q.9 C t1'wY 5 ❑ Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. ❑ A completed Construction Permit Application form is also required. 1.ASBESTOS ABATEMENT (Provide copy of Notice of Intent from Puget Sound Clean Air Agency 5. ELECTRICITY • and copy of inspection report by AHERA-certified inspector) (City of Federal Way Building Official) (P get Sound Energy) 7 2. FUEL STORAGE TANKS 6.GAS SUPPLY o Under grade tank(s)is/are present ❑Above grade tank(s)are present f1 'i ❑Tank(s)has been pumped or removed under South KingFire& 4/ti��'.I �' `g �-`l t nerC ) / P P (Puget Sound Energy) / Rescue permit prior to any dismantling or excavation (South King Fire and Rescue) 7.WATER- Public Source 0`i"{L4UPCS N /A (Water Supplier) 3. SEPTIC SYSTEM N8.WATER- Private Well King County Environmental Services) (King County Environmental Services) 4. SANITARY SEWER (Lakehaven Utility District) Bulletin#122—May 13,2015 Page 1 of 1 k:\Handouts\Demolition Permit Requirements • ORION Environmental Services 34004 Ninth Avenue South,Suite Al2, Federal Way,WA 98003 .;,bicompiiance Consulting Phone: (253)952-6717 • Fax:(253)927-4714 Email: info@oriones.net• Web:www.oriones.net WBE W2F9219763 Polarized Light Microscopy Test Report EPA Method 600/R-98/116 TacomaRpt.Date: 7/30/2015 Address: Client: 5111a SouthAbatement BurlingtonCompWayny,LTL coma,WA 98409 Page: 1 of 1 Attention: Pat Culver invoice: 153989 Project Name: Tattoo DKI Date Rcvd: 7/29/2015 Project Number: NA " 4 - Client q,[O1 Material- Sample Asbestus Asbestos:f ther Containing Sample ID , { l - Description Treatment cMaterial • Tyke Albers: . 1-a ( 20150729-86 Popcorn Ceiling Texture ND cellulose '_b III Wallboard ND cellulose 2 20150729-87 Popcorn Ceiling Texture ND cellulose 3 20150729-88 Texture ND cellulose 4 20150729-89 Texture ND cellulose 5 20150729-90 Popcorn Ceiling Texture ND cellulose 6 20150729-91 Joint Compound ND 7-a 201:50729-92 Compound ND cellulose'/ fiberglass 7-b Slip Sheeting ND cellulose/ fiberglass Dup:Laboratory QA/QC Duplicate;M;Mastic rya),(b),(c),etc.]:Sample layers numbered from front to back. Comments: For layered samples,each component has been analyzed separately. ND means non-detect for asbestos fibers by EPA Method 600/R-98/116.Disclalmers: PLM has been known to miss asbestos in a small percentage of samples that contain asbestos. Thus,these laboratory results represent due diligence,however negative or<1%PLM results can not be guaranteed. Per EPA guidelines samples will be archived for 30 days then will be disposed of, This report may only be reproduced in full with written approval of ORION Environmental Services. Analyzed By(Print) Date Reviewed By(Print) Date Donna McNeal 7/29/2015 Dennis Rauschenberg 7/30/2015 d By Signature) Time Reviewed By(Signature) Time . 0 • / $ t3 7 Bulk Sample Log/Chain of Custody f ) , 7"'"-,.--)4r. ./LAB: Client Company:Tacoma Abatement Company, LLC LAB Job#: Client Address: 5111.S Burlington Way #of Samples: Tacoma,WA 98409 Phone#: (253)830-5945 Job Name: ''Iratifele9 iteAtaiN °� JD k I Fax#; (253 383-1592 Job Address: �F2�J ?cac► C':c W.-4d 4.3Fta.c,.w I (4...e-4- W 4 1i 1 C3 Report Results To: Pat Culver Type of Analysis(Check One)) At Phone#: (253) 273-5809 ASBESTOS LEAD Fax Results: (253) 383-1592 O PCM(air) O Paint O Soil Mail Hard Copv: - PLM(bulk) O Dust/Wipe(area?) Email Copy To: pculver@tacomaabatement.com 0 Air(volume?) O TCLP _ Q REGULAR USH . - -? 0/ Co�',i 'o of Package: n Good El Damaged (No Spillage) Severe Damage (Spillage) Lab ID Sample ID Type Location { 1 1\G toc9% ", '—' L 3 i r4 3.-,,,,w. Z 5 P L '2._.6 i....,,- 3 6 i� 7 aera-4 C7c 8 9 10 11 12 13 14 i Signature Date Time Sampled By: it . ....41,_ .7 /2._-1 _ t5 2__ ?Az Delivered By: • q '7Z St 15 , (U 1,11 Received B — X:2.,;z„,_ _____) —7:07—/,5--- Analyzed :y., ~� Special: Read Abatement Sample# ONLY if Sample# is Greater Than .01f/cc I • LAKEHAYEN UTILITY DISTRICT SEWER SERVICE CONNECTION PERMIT SERVICE NO.I 4954 STATUS I APPLICATION PERMIT NO.( 27402 APPLICATION DATE I 8/3/2015 SUPERSEDES I 10047 STUB SIZE 16 in. STUB INSTALL DATE STUB TYPE GRAVITY STUB INSTALLED BY I STUB MATERIAL I ISSUED DATE 1 ROUTE J 0290 SERVICE House# Street Name Suite ID City State Zip Cod ADDRESS 29223 (PACIFIC HWY S IM FEDERAL WAY WA 98003-3808 LOT#(S) BLOCK#(S) PLAT/BSP/BLA I I ' TAX PARCEL NO. 0421049007 GRID IK-05 OWNER COLUMBIA CITY ASSOCIATES LLC PHONE J(206)679-4510 ext. I—! BILLING House# Street Name Suite IDCity State Zip Cod ADDRESS Q _(SEATTLE -17.19=7"---- IP O BOX 22286 CONTRACTORI PHONE I ext. j AUTHORIZED CONTRACTOR I PHONE I ext. CLASSIFICATION ,COMMERCIAL NUMBER OF UNITS 1-77 SIC ERU CREDITS ri7 TREATMENT PLANT IREDONDO PUMP STATIONS E I! E r- SEWER ULID 135 f SVC TYPE (DISCONNECT TMP SWR SVC ❑ PRIVATE PUMP ❑ BCV INDICATED ❑ GRINDER PUMP MAKE I GRINDER PUMP MODEL I SPECIAL CONDITIONS (DEMO BLDG-FIRE M FEES AND CHARGES: CPILOE $0.00 CFC $0.00 AREA CHARGE $0.00 CIC $0.00 SEWER SERVICE CONNECTION PERMIT $360.00 LPS STUB INSTALLATION DEPOSIT $0.00 STUB FEE $0.00 RIGHT-OF-WAY PERMIT $0.00 RIGHT-OF-WAY PERMIT $0.00 SERVICE CONNECTION AGREEMENT CHARGES $0.00 SYSTEM DEVELOPMENT CHARGE $0.00 DATE PAID TOTAL $360.00 RECEIPT# IN PLACE PIPE TEST: I HEREBY CERTIFY THAT TESTING HAS BEEN WATER EXFILTRATION APPROVED AND THE ABOVE CONNECTION HAS BEEN NO TEST MADE AS SHOWN ON THE ATTACHED SITE PLAN. BOOK/PAGE NUMBER BY DATE