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22-102272City of Federal Way Community Development Dept. 33325 81h Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: GROCERY OUTLET Project Address: 1618 SW DASH POINT RD Building - Commercial Permit #:22-102272-00-Ca Inspection Request Line: (253) 835-3050 Parcel Number: 189880 0020 Project Description, BLUEBEAM - Tenant improvements for grocery store. Includes plumbing and mechanical. Owner Applicant Contractor Lender DASH POINT LLC JENNIFER CREASONBRR TILTON PACIFIC TENANT IS LENDER )777 WILSHIRE BLVD SUITE 1005 ARCHITECTURE INC CONSTRUCTION 808 E OSBORN RD 595 MENLO DR BEVERLY HILLS CA 98212 PHOENIX AZ 85014 ROCKLIN CA 95765 Census Category: 437 - Commercial alt / add / conversion Includes: # 1 #2 #3 #4 Occupancy Class: M Construction Type: Type V - B Occupancy Load: 273.00 Floor Area (sq. ft.) 19,485.00 Additional Permit Information Occupancy # 1 - Area (Sq. Feet) .......... I ........... I ... .... 19485 Occupancy # 1 - Construction Type ......................... Type V - B Mechanical to beIncluded?..................................... Yes Plumbing Work Valuation?..................................... 250000 Mechanical Work Valuation? .................................. 250000 Number of Stories................................................... I Is this an Online or O.T.C. application? .................. No Permit for Building Shell Only?.............................. No Plumbing to be Included? ....... __.............. .,.............. Yes Occupancy 41 - Use ........................................ _....... Warehouse Retail Comprehensive Plan Designation .................... Neighborhood Business "Zoning Designation ................................................. BN Total Valuation: 1,200,000.00 Air Handling Units Furnaces Drains Sinks Mechanical Fixtures 3 Compressors / Heat Pumps 2 Gas Piping Plumbing Fixtures 15 Drinking Fountains 1 Water Closets 6 Ducting 3 5 Refrigeration Systems 2 1 Lavatories 4 2 Hose Bibbs 2 PERMIT EXPIRES Tuesday, 25 April, 2023 Permit Issued on Thursday, October 27, 2022 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 Wa ld ty of Federal Way. Owner or agent: Date: F1 V-#X\ THIS CARD IS TO REMAIN ON -SITE CITY OF As Construction Inspection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 22 102272 00 Address: 1618 SW DASH POINT RD Project: DASH POINT LLC FEDERAL WAY WA 98023 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. ❑ Site Assessment (Erosion) (4365) 0 Footings/Setback (4110) 0 Re -steel (4215) To be done PRIOR to breaking ground i Approved to place concrete Approved to place concrete or grout By Date I By Date By Date ® Plum bing Groandwork (4139) Q Slab/Concrete Floor (4255) © Underfloor Framing (4285) ❑ (J Approved to cover �-� 2 2�3 �T Approved to place concrete Approved to sheath floor By Date By Date By Date 7❑ Floor Sheathing (41 ) ® Rough Plumbing (4230) ❑9 Mechanical Rough-i1p 4165) Approved to install flooring Approved Approved By Date By Date By Date '"} Gas Piping (4125) ' t Fire/Draft Stops (4095) E'- Interim Erosion Control (4370) Approved to release icsl Approved Approved By 0 Date 1)71z3_ By Date By Date Prior to scheduling a Framing:inspectio]n;E] Framing (4120) t4 Insulation (4150) JA0--( �1Electrical, Plumbing & Mechani Approved to insulate Approved to install wallboard onland Fire/Draft Stop inspections moff and approved. IBC 1By 21 Date 3l 1,LJ By 1$0 Date Z 2 t5 Gypsum Wallboard Nailing (4130) is Suspended Ceiling Grid (4265) 97 Final - S K F & R (4060) Approved to install mud & tape Approved to drop tile Approved By A4 Date 71 7 By Date By Date 0 Final - Planning 1 s Final Erosion Control (4375) 20 Final -Mechanical (4065) Approved Approved Approved By Date By Date By Date T, ZFinal - Plumbing (4075) Final - Building (4050) Approved Approved ''JJ By JWJ Date By By Date —I Q Rough Electrical Final Electrical ❑ Right of Way Approved Approved Approved By Date By Date By Date EAGLE TEST & BALANCE COMPANY AABC CERTIFIED 815 E. Main Cushing, OK 74023 Phone: 918-225-1668 Fax: 918-225-1687 13047 S.E. 471h Place Bellevue, WA 98006 Phone. 425-747-9256 Fax: 425-641-5662 TEST AND BALANCE REPORT Project Name: Grocery Outlet Location: 1618 SW Dash Point Rd, Federal Way, WA 98025 Architect. BRR Engineer. Reza Norouzi Contractor., Seattle Mechanical Project Number: ETB-23-2687 This is to certify that Eagle Test & Balance has balanced the systems described herein to their optimum performance capabilities. The testing and balancing has been performed in accordance with the standard requirements and procedures of the Associated Air Balance Council and the results of these tests are herein recorded. Associated Air Balance Council Certification Number: 93-02-01 Date: Form #89010 03/21/2023 1 Project Name. System: EAGLE TEST & BALANCE COMPANY Outlet AIR DISTRIBUTION TEST SHEET Project #: Date: ETB-23-2687 031214023 Term # Room # Term Terra Factor Design FPM Design CFM Test FPM or CFM Final Final Type Size Test 1 Test 2 Test 3 FPM CFM Doas-1 1 101 SG-203 12x12 1.0 575 820 580 580 2 101 SG-203 12x12 1.0 575 795 570 570 3 101 SG-203 12x12 1.0 575 800 575 575 4 101 SG-203 12x12 1.0 575 760 565 565 Total 2300 3175 2290 2290 Ac-1 1 101 CD-206 14" 1.0 875 540 875 875 2 101 CD-206 14" 1.0 875 365 855 855 3 101 CD-206 14" 1.0 875 520 880 880 4 101 CD-206 14" 1.0 875 780 890 890 5 101 CD-206 14" 1.0 875 605 865 865 6 ZD-1 CD-206 14" 1.0 875 840 900 900 Total 5250 3650 5265 5265 Ac-2 1 101 CD-206 14" 1.0 875 555 870 870 2 101 CD-206 14" 1.0 875 355 850 850 3 101 CD-206 14" 1.0 875 470 865 865 4 101 CD-206 14" 1.0 875 675 880 880 5 101 CD-206 14" 1.0 875 475 855 855 6 1 101 CD-206 14" 1.0 875 830 890 890 Total 5250 3360 5210 5210 Remarks: Form #1.5.10 EAGLE TEST & BALANCE COMPANY Project #. ETB-23-2687 Date: 03/21/2023 Project Name: Grocers/ Outlet System: AIR DISTRIBUTION TEST SHEET Tenn # Room # Term Tern Factor Design FPM Design CFM Test FPM or CFM Final Final Type Size Test 1 Test 2 Test 3 FPM CFM T -1 102 CD-201 6" 1.0 100 140 140 Tf-1 103 CD-201 6" 1.0 75 85 85 Tf-1 107 CD-202 12" 1.0 300 310 310 Remarks: Tf-I, Tf-Z and Tf-3 has no access to inline fans, above hard -lid rei lhr q. Tt -f is oversized. Form #1.5.10 EAGLE TEST & BALANCE COMPANY Project #: ETB-23-2687 Date: 03/21/2023 Project Name: Grocery Outlet System: AIR MOVING EQUIPMENT DATA FAN Doas-1 Equipment Location Roo Area Served Sales 101 Equipment Manqfacturer Ca tiveAire Model CASRTU3-1.200-15-12.5T Serial Number Job#5442207Fan#3 Specified Actual Specified Actual Total CFM-Fay: 2300 2290 Total CFM-Outlet 2300 2290 R/A CFM N/A N/A O/A CFM 100% 100% Tot/Ex Static Pressure 1.00" 0.51" Inlet Pressure - -0.30" Dischar a Pressure - +0.21" Fan RPM - Direct Drive Specified Actual S eci 'ed Actual Motormfg Teco Teco Motor HP/BHP 2 2 Phase/Hz 3 3 Volta a 208 129 Av Amperage 6.3 3.5 Avg Motor RPM 1740 44 Hz Motor Sero Fac/Frame # 1.15 1.15 Starter Location/Size - - O.L. Heater Size/RatingI - Motor Sheave & Shaft Direct Drive Fan Sheave & Shaft Direct Drive Belt Size/Number Direct Drive Sheave Adjustment - CtoC/MotorMountAd' In Out In Out Remarks: Form #1.5.5 EAGLE TEST & BALANCE COMPANY Project Name: Grocery Outlet System: AIR MOVING EQUIPMENT DATA Project #. Date: ETB-23-2687 03/21/2023 FAN Ac-1 Ac-2 Equipment Location Roof Roo Area Served Sales 101 Sales 101 Equipment Manu acturer Ca tive Aire Captive Aire Model CASRTU3-1.250-24-12.5T CASRTU3-1.250-24-12.5T Serial Number Job# 5442207Fan#1 Job# 5442207Fan#2 Specified Actual Specified Actual Total CFM-Fan 5250 5265 5250 5210 Total CFM-Outlet 5250 5265 5250 5210 RIA CFM 100% 100% 100% 100% O/A CFM Doas-1 Doas-1 Doas-1 Doas-1 Tot/Ex Static Pressure 1.50" 0.67" 1.50" 0.53" Inlet Pressure - -0.38" - -0.27" Discharge Pressure - +0.29" - +0.26" Fan RPM - Direct Drive - Direct Drive Specified Actual Specified Actual Motor Mfg Teco Teco Teco Teco Motor HPBHP 10 10 10 10 Phase/Hz 3 3 3 3 Voltage 208 218 Avg 208 217 Avg Amperage 28 25.9 Avg 28 27.6 Avg Motor RPM 1755 Hz 1755 56 Hz Motor Sere Fac/Frame # 1.15 1.15 1.15 1.15 Starter Location/Size - - - - O.L. Heater Size/Rating- - - - Motor Sheave & Shaft Direct Drive Direct Drive Fan Sheave & Shaft Direct Drive Direct Drive Belt Size/Number Direct Drive Direct Drive Sheave Adjustment - - CtoC/MotorMountAd' I In F Out In Out Remarks: Form #1.5.5 EAGLE TEST & BALANCE COMPANY Project Name: Grocery Outlet System: FAN DATA Project #: ETB-23-2687 Date: 03/21/2023 FAN E -1 E ui inentLocation Roof Area Served E ui ment Room 112 Equipment Manufacturer Cook Model 195 ACRU 195R8B Serial Number 033SK31398-0010000701 Specified Actual Spec 'ed Actual Total CFM-Fan 4500 4380 Total CFM-Air Dist 4500 4380 ToVEx Static Pressure 0.50" - Inlet Pressure - - Dischar a Pressure - - Fan RPM 1047 1093 Specified Actual Specified Actual Motor MtgWEG WEG Motor HP/BHP 1.5 1.5 Phase/Hz 3 3 Voltage 208 210-211-211 Amperage 4.58 3.6-3.6-3.5 Motor RPM 1760 1768 Motor Sery Fac/Fraine # 1.0 1.0 Starter Location/Size - - O.L. Heater Size/Rating- - Motor Sheave & Shaft MVL40x7/8" Fan Sheave & Shaft AK56x3/4" Belt Size/Number A24 Sheave Adjustment - CtoCIA4otorMount Adl In Out In Out Remarks: Form #1.5.7 EAGLE TEST & BALANCE COMPANY Project Name: Grocertj Outlet System: FAN DATA Project #: Date: ETB-23-2687 03/21/2023 FAN E f-2 E f-3 Equipment Location Ceiling Ceilin Area Served Toilet #1 105 Toilet #1 106 Equipment Manufacturer Cook Cook Model Gemini 128 Gemini 128 Serial Number i - i - S eci 'ed Actual Specified Actual Total CFM-Fan 75 90 75 90 Total CFM-Air Dist 75 1 90 75 90 Tot/Ex Static Pressure 0.13" - 0.13" - Inlet Pressure - - - - Discharge Pressure - - - Fan RPM RPM - Direct Drive - Direct Drive Specified Actual Specified Actual Motor LA4fg Queace Queace Queace Queace Motor HP/BHP 5W 5W 5W 5W Phase/Hz 1 1 1 1 Voltage 120 123 120 123 Amperage 0.2 0.3 0.2 0.3 Motor RPM 1550 100% 1550 100% Motor Sery Fac/Franze # - - - - Starter Location/Size - - - - O.L. Heater Size/Rating- - - - Motor Sheave & Shaft Direct Drive Direct Drive Fan Sheave & Shaft Direct Drive Direct Drive Belt Size/Number Direct Drive Direct Drive Sheave Adjustment - - CtoC/MotorMount Ad' In Out In Out Remarks: Form #1.5.7 Kraza1&Associates. Inc. Geotechnical Engineering • Environmental Engineering Construction Testing and Inspection DATE: 1 /6/2023 PROJECT #: 06622425 PROJECT: Grocery outlet Federal waif LOCATION: 1618 SW Dash Point Road KA P.M.: WBT Field Data Concrete: Slab I Other: CONCRETE REPORT NO.: 06622425CR010623-TB CONTRACTOR: Tilton PERMIT #: 22-102272-CO INSPECTOR: Tim Beam JURISDICTION: City of Federal Way WEATHER: Cloudy TEMP: 40 ° Supplier: Calportland I Plant No. 255 1 Site Mix: Slump Mix Air Unit Time Truck # Ticket # % Air Inch Temp (F) Temp (F) Weight 7:40 1 7636 1 2927223 1 1.8 1 7 1 66 ° 1 40 ° Location: Placement Area Cylindors left in back of the building nere the fire exit Gridline 1-6 & Remarks: Casted one set of 5 4x8 cylindors Please Refer To Field Repot Number: 06622425DFRIS2023TB Inspector :1 Tim Beam Reported Batch DATA Cement Type Design Actual Mix No 3458 3458 Cem. Lbs 611 615 F. Ash lbs. N/A N/A C. Agg. LtK 1820 - 1850 c. Agg.Lbs N/A N/A C. Agg. Lbs N/A N/A Sand lbs 1450 1520 Water 0 965 Admixture 20 20 Admixture 38 38 Admxture 10 30 Air Ent ( oz ! cv+t. i Water Added on Job Site (Gals ) 15 Field Test ASTM Method C172 C143 C138 C1064 C231 r C31 Other Laboratory Data Design Strength: 3000 @ 28 days Date Specimens Rec'd: 11912023 Cyl. Code Test Date Field Cure Age Dia. Area Wt. # Max Load Comp. Strength Set # Tested By Brk Typ Test Method ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C1019 230030-1 1/13/23 - 7 4.00 12.57 - 89025 7080 1 MS 2 23003o-2 2/3/23 - 28 1 230030-3 2/3/23 128 1- 1 230030-4 2/3/23 - 28 1 230030-5 - H - 1 OTHER Test Results Remarks: Results Reviewed By. 1 Date: Codes for Break Types: ( � I 1 l 2 3 4 5 fi Offices Serving The Western United States Concrete Report Effective 12/15/2020 Lynnwood (425) 485-5519 - Poulsbo (360) 598-2126 - Tacoma (253) 939-2500 The mft f-t n prp+ded an des mPon a. Prepared for m ercu°me ne Of lee c4N .,,d my rot be rWWo ed In any larrrlel wenad Be Y.elllen pemvebn Of lle obent ° Wa2an b A —gee lr s report hdc.eln w mpww'e obeenelcn ar.f lniM rnufA weed m Me condanoe ends beaxa.ababn 7Ns. Oen r. sabred to I r 0—m Anal We— BY K° na dos ryen" mep.slor dan net.ccapl n VlO bly rer MtlM N lets Tne a mram.bvl lee wean polled by odors en a,e 1= Wrazan 8,Associate s,Inc . Geotechnical Engineering . Environmental Engineering Construction Testing and Inspection DATE: 1 /612023 PROJECT #: 06622425 PROJECT: Grocery outlet Federal way LOCATION: 1618 SW Dash Point Road KA P.M.: WBT Field Data Concrete: Slab Other: CONCRETE REPORT NO.: 06622425CRO10623-TB CONTRACTOR: Tilton PERMI[T M 22-102272-CO INSPECTOR: Tim Beam JURISDICTION: City of Federal Way WEATHER: Cloud TEMP: 40 ° Supplier: Calportland Plant No. 1 255 Site Mix: Slump Mix Air Unit Time Truck # Ticket # % Air Inch Temp (Fl Temp(F) Weight 7:40 1 7636 1 2927223 1.8 1 7 1 66 ° 1 40 ° Location: Placement Area Cylindors left in back of the building nere the fire exit Gridline 1-6 & J Remarks: Casted one set of 5 4x8 cylindors Please Refer To Field Repot Number: 06622425DFR162023TB Inspector: Tim Beam Reported Batch DATA Cement Type I -II Design Actual Mu�o 3458 3458 Cem. Ltrs 611 615 F. Ash ms NIA N/A C. Agg. Lt?, 1820 1850 C. Agg. Lbs N/A NIA C. Agg.I.bs N/A N/A Sand lb-- 1450 1520 v0sw 0 965 Admixture 20 20 AdrnAlut! 38 38 Admixture 10 30 Air Ent. ( Oz l cwt I Water Added On Job Site (Gals.) 15 Field Test ASTM Method C172 C143 I C138 C1064 C231 C31 Other Laboratory Data Cyl. Test Field Code Date Cure Design Strength:F7 Age Dia. Area 3000 @ 28 days Wt. Max # Load Date Specimens Rei Comp. Set Tested Brk Strength # By Typ 230030-1 1/13/23 - 7 4.00 12.57 - 89025 7080 1 MS 2 230030-2 2/3/23 - 28 4.00 12.57 - 126195 10040 1 MS 3 230030-3 2/3/23 - 28 4.00 12.57 - 1 123595 9830 1 MS 1 13 230030-4 213/23 - 28 4.00 12.57 - 1 128080 10190 1 MS 3 230t330-5 - H - 1 Remarks: 1 Results Reviewed By. Codes for Break Types: D 1 _ 2 3 Date: 4 ' r 5` Offices Serving The Western United States 'd: 1 1/9/2023 Test Method ASTM C39 ASTM C109 ASTM C617 ASTM C1231 ASTM C1019 OTHER 6 Test Results Conforming Concrete Report Effective 12/15/2020 Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Tacoma (253) 939-2500 Tne ,i-t n pr.,m r° 1ne e.c:usrva use of!ne ['.2n� elf mar W'— (n. Ir IM [ianl — I— & Rl—t Tnn reGp++r]iM our vupMx•10711rA'Yr AM tnlinp reSUY.s G YM m.necm]aaa �cm:eclp eceNues Tni:nl°rno[m�c:��,aci bre'nev ptgt ro fnY CWm:ind fiY:9n.grt.n re�at°rr inyr.rbCr�c Ma accept rt:pons.blrrY In wdr. Sr.vtrs tryt<y,ipnuom n.:arxPF tiitY OPn.emi�e m =erKr;aZM &Associates. Inc. Geotechnical Engineering - Environmental Engineering Construction Testing and Inspection DATE: 1 /4/2023 PROJECT #: 06622425 PROJECT: Grocery Outlet Federal Way LOCATION: 1618 SW Dash Point RD KA P.M.: WBT Field Data Concrete: SOG I Other: CONCRETE REPORT NO.: 06622425CRO10423-MZ CONTRACTOR: Tilton PERMIT #: 22-102272 INSPECTOR: Matt Zukowski JURISDICTION: City of Federal Way WEATHER: Indoors TEMP: 50 ° Supplier: Miles Plant No. 1 320 Site Mix: Slump Mix Air Unit Time Truck # Ticket # % Air Inch Temp (t=) Temp (P) weight 7:15 1 1184 1 360225 n/a 1 5 3/4 1 62 ° 1 38 ° n/a Location: Placement Area Indoors, North slab In€ills Remarks: Cast 5 4x8 Cyi Please Refer To Field Repot Number :1 1 Reported Batch DATA Cement Type I/II Design Actual M:x f:° 10750OG5F 107500G5F Cem. Lbs F. Ash lbs. C Agg. Lbs C. Agg. Lbs C Agg Lbs Sand Ib5 Water Aomxtwe Admixture 500 496 125 125 1650 1650 1560 1541 252 238 31 30.9 38 38.0 Air Ent ( Oz / C.I. I Water Added On Job Site (Gals.) Field Test ASTM Method C172 C143 C1311 C1064 C231 C31 Other Laboratory Data Design Strength: 3000 @28 days Date Specimens Rec'd: 1/1012023 Cyl. Code Test Date Field Cure Age Dia. Area Wt. # Max Load Comp. Strength Set # Tested By Brk Typ Test Method ASTM C39 ASTM C109 230032-1 1/11/23 7 4.00 12.57 55430 4410 1 MS 3 230032-2 2/1/23 - 28 4.00 12.57 81565 6490 1 MS 3 ASTM C617 ASTM C1231 230032-3 2/1/23 28 4.00 12.57 - 77975 6200 1 MS 3 230032-4 2/1/23 28 4.00 12.57 - 80775 6430 1 MS 2 ASTM C1019 OTHER 230032-5 H 1 Remarks: Results Reviewed By: I Codes for Break Types: y �` ! I �1 21 3 Date: 4 r :- 2 D Ll 5 Test Results Conforming 7� 6 Conuete Report Offices Serving The Western United States Effective 12115,2020 Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Tacoma (253) 939-2500 T1f2 mbemalgrpo.MN onlM fty/tSprepalN lM rlM n[wfne ufl oflti CbM!GW nNY rot perlp/OEieMrn irly lYrral M.RMf. lire x!rt:ln pelntlfM °!tlle [IMIrf NN Kla:anR Asfnu4s TRS flpxl tlrCKllK as wfxcld 60°smalgn NllK:✓g rKUA6 ed{pE tlr iAtlf°Wlgrrf a�1 c°mxb °ce,mK TAs i+r!nmenm m sugzl b re.+c.. pre m Iurs .rrMvnd BYrpn:rq mr. npwl ovr infpecb dae. M cceDl rr_pmvdury fv valN7d rr.,nf TM Sarre mlvmeom lus Eeo-r p°,yW EY d)rac m b.le , ai,&Associates. Inc. Geotechnical Engineering - Environmental Engineering Construction Testing and Inspection DATE: 1/4/2023 PROJECT #: 06622425 PROJECT: Grocery Outlet Federal Way LOCATION: 1618 SW Dash Point RD KA P.M.: WBT CONCRETE REPORT NO.: 06622425CRO10423-MZ CONTRACTOR: Tilton PERMIT #: 22-102272 INSPECTOR: Matt Zukowski JURISDICTION: Cityof Federal Way WEATHER: Indoors TEMP: 50 ° Field Data Cane=e.e: SOG Other: Supplier:1 Miles Plant No.1 320 site Mix: Slump Mix Air Unit Time Truck # Ticket # % Air Inch Temp (F) Temp (F) Weight 7:15 1184 1 360225 n/a 1 5 3/4 1 62 ° 38 ° n/a Location: Placement Area (Indoors, North slab Infills Remarks: Cast 5 48 cyl Please Refer To Field Repot Number Inspector Reported Batch DATA Cement Type Ill I Design Actual Mix No. 0750oG5F 07500G5F Cem L65 500 496 F. Ash ifs. 125 125 c Agg iw 1650 1650 C. Agg- Lbs C. Agg. Q* Sand Ibs 1560 1541 :•rasa 252 238 Aamirture 31 i 30.9 Admixture 38 38.0 Air Ent 1' f .,I Water Added On Job Site (Gals.) Field Test ASTM Method C172 C143 C1311 C1064 C231 C31 Other Laboratory Data Design Strength: 3000 28 days j Date Specimens Rec'd: ina: Cyt. Test Field Wt, Max Comp. Set Tested Birk Test Method Code Date Cure Age Dia. Area # Load Strength # By Typ ASTM C39 230032-1 1/11/23 - 7 4,00 12.57 55430 4410 1 MS 3 ASTM C109 230032-2 2/1/23 - 28 - 1 ASTM C617 230032-3 211/23 - 28 1 ASTM C1231 230032-4 211/23 - 28 - 1 ASTM C1019 230032-5 - H 1 OTHER Remarks: Sy. Date: Codes for Break Types: I 1 2 3 t 4: 5L 6 Offices Serving The Western United States Concrete Report Test Results Effective 12/15/2020 Lynnwood (425) 485-5519 - Poulsbo (360) 598-2126 - Tacoma (253) 939-2500 TYe+'✓r.Xm pra+5�!ml2s tep°15 pre°l'e°lbC+eeNkSve use KCY CSe�ye•d mn ntl °e•esrfy.,H+Afy-al rrcr :v-rl--ic•^: f-.[•-nm: sintc�cx+y, i.µ •MM ref rry^,. Wa�ru•/ss aV MiM'Nfn W+N o-v�C�e•t ar6 cm;cu coney. Tmc .r!omanor is ra:°} ! m r¢,ww yc m luW wyrvlu' eY cgwp esa repot u. nmcc,v tl� raw ey;acn • ��pnrt.lr s!.¢ry d re_ as Tne.s.r, r{aa•abr nn E,tn °ravNel �ta�a v� xne Page 1 of 2 �KazM&Associate s, Inc. Geotechnical Engineering . Environmental Engineering Construction Testing and Inspection Field Report NO.: 06622425DFRI42023MZ DATE: 1/412023 Set Count: CONTRACTOR: Tilton Pacific PROJECT #: 06622425 PERMIT #: 22402272 PROJECT: Grocery Outlet - Federal Way INSPECTOR: Matt Zukowski LOCATION_ 1618 SW Dash Point RD JURISDICTION: Federal'Kay KA P.M.: WBT WEATHER: indoors TEMP: 50° F A representative of Krazan and Associates, Inc. arrived on site per request for concrete placement. Reinforcing steel conformed to plan specification. Vapor barrier in place. Pipes wrapped. Placement started roughly 7:15 with material supplied by Miles Mix ID #07500G5F with a desired 28 day strength of 3000psi. Placement was by line pump and material consolidated with vibration except for the 1.5yd^3 cleanout load which was placed by wheelbarrow to the North East. Roughly 53yd^3 placed between roughly 7:15am and 1 lam. Cast 3 set 'bf 5 4x8 eg1t. cysebb-A 4azeatsd t�ae So tk� East of bailyd 4r g. 5e� 6622425es 42423s for €se�.d ew c s test results. A preliminary copy of this report was requested to be sent to maitto:Ghowes@tittonpacific.com. Offices Serving the Western United States Lynnwood (425) 485-5519 • Poulsbo (360) 598-2126 • Tacoma (253) 939-2500 The information provided on this report is prepared for the exclusive use of the client. This report may not be reproduced in any format without the written permission of the client and Krazeu & Associates. This report indicates our inspector: observation and testing results based on site conditions and contractor activities. This information is s*ectto review prior to final submittal. By signing this report, our inspector does not accept responsrbilityforvalidityofresults. The same information basbeen provided by others on site. The test rrsths apply only to the specific locations, and items inspected or tested Page 2 of 2 lime== KrMM & A s s o c i a t e s, f n c. Fie'V Geotechnical Engineering . Environmental Engineering Report NO.: 06622425DFRI42023MZ Construction Testing and Inspection MEN �- M Reviewed By: I I ASTM Test #: I I Asset Number(s): To the best of my knowledge, the above WAS performed in accordance with the approved plans, specifications and regulatory requiirements. Technician: Offices Serving the Western United States Lynnwood (425) 485-5519 - Poulsbo (360) 598-2126 - Tacoma (253) 939-2500 The information provided on this report is prepared for the exclusiveuse of the client. This report may Trot be reproduced in arty format without the written permission of the client and Kra7smr & Associates. This report indicates our inspectors observation and testing results based on site conditions and conuactor activities. This information is subject to review prior to final submittal. By signing this report, our inspector does not accept responsibility for validity of results. The same information has been provided by others on site. The test results apply only to the specific locations, and items inspected or tested