The URL can be used to link to this page

90-100914 � CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 1 #327 NEW COMMERCIAL BUILDING: FRED MEYER PERMIT NO. 90-380 C OWNER'S NAME FRED MEYER INC JOB ADDRESS 33702 21ST AVE SW CONTRACTOR �DERSON CONSTRUCTION C�DRESS 6712 N CUTTER CIRCLE PORTLAND, OR CONT. PHONE �503) 283-6712 CONT. REG. NO. ANDERCCZZZMA OWNER'S PHONE (503) 283-6712 OWNER'S ADDRESS P-O. BOX 42121 PORTLAND. OR TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL XX COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER rnx nccouNT No. 242103-9099-31 LEGAL DESCRIPTION (SEE ATTACHF.D� ISSUED BY JOANNE JOHNSON DATE OF ISSUE I(J� ,�� — � DATE OF APPLICATION 4—i 9-9n BUILDING INFORMATION :ONE OCCUPANCY BZ TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1 q1�O77 SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS �� ELEC. HOT WATER HEATER �_ GAS PIPING�9UFT. �QO S�� HOODS 52.0 BATHTUBS t,4FkdBf?�DRAINS� 1 �� COMPRESSOR IO EXHSTTABI��TS 45.O RECEIVED _ SHOWERS URINALS �_ 3 FORCED AIR FURNACE _3O=QO * AIR�I�TQ3N1T _��0 NUMBER LAVATORIES _�_ DRINKING FOUNTAINS �_ 4 GAS HOT WATER HTR. ___�E)__.�O �k*MISC. SO.O SINKS �_ ��S� SPRINRLI�—� CONVERSION BURNER ***g,q�6� ]_$,Q RETURNED DISHWASHERS _],_ TOTAL FIXTURES ZH4XS=�Z_Q_�O J'rUNIT HEATER a5_nn TOTAL MECHANICAL ZQ�� AMOUNT VALUATION � _�R�dT�77 * 4X11.OO 11X 6.50 PERMIT FEE 7 �,208_9, ** 1 1100 GAL COM LIQ STORAGE TANR 50.00 PLAN CHECK FEE R . �i R�i_R 7 *** 1 2 S GAL COM LIQ STORAGE TANR 18.O O PLUMBING FEE q2o_nn Description MECHANICAL FEE 3 9 Fi_ ri(1 OTAL BLDG. FEES / ' LOT 2 OF KING COUNTY SHORT PLAT N0. Z78132 F ART P/C FEE'k � 2•OOO.OO� DATE: ( O � �I � R 19Z01509F2 kND REVISION THEREOF RECORDED Ut ��AS��/IE�i' HAM ZZ.00O.00 � 42 RECORQS OF:.KING�COUNTY, WASHFN6TON �(') 7 �� WATER SERVICE �O�T: � o"v�' ` � EXCEOFTHE EOCCOW/Al6:DESCRlBED PQRCEL ' C'..2Q1E210E�G AT 'P8E MCNO� MAARING '1� NCftTHEASf C�JRtdR C WATER MAIN CHG. �'+CEIPT' � � �(y I�Q3 Se.C::CN 24, '1[7wN5HZP A NCR'�, RANC,E 3 FAST, W.l1., 22i [CIN S.B.C.C. FEE 4.SO � �7yry, rpp,�j�,-�; B�AiI��iG FEE S 1,0 8 5_O O T�B�CE ALONG 'n� EAST LZL� OP SAID Se.^CTION SR.18 Ol° 35� WEST�-50.00 FEE�R; AMOUNT DUE 33 i ZOO.77 CC: WATER S� SEWER TH� PARALLQ. WITfi 'Pf� NOR1H LZl� OF S.1ID SFXTSON NCiMl� 88 46" 15" WFST, 619.65 FEET 2t� A POINT 60 E'FZtf FAST pF THE EAST LINE � GQT 1, QF 1�iE aF'aREME1TICt�D SF1CR? PLAT APID '143E ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.�RESIDENTIAL AND GRADING P� �� ' ��: TH�IC.. PARALLEL wI'IH SAID NCRT`.i LI?lE SCc7TE2 88° G6' 15• EAST, I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNO� z89.56 FEET TO A POINT ON 'I� EAST LINE OF S.�D [AT 2; REQUIREMENTS WILL BE MET: '�� At�or�G Sa2D EAST LI2� OP [.CT 2 SaThi Ol 37• 11" wesr ��/'�/'ic-'--�-�i 432 8' -` �+ �' eu� dl.� 15' ..WFST� -OWNER OR AGENT ? CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIP�NG FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED __ SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION <',. � PERMIT FEE PLAN CHECK FEE � PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES PART PIC FEE _ SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE , OTHEP FEES AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT$ EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE � r'�- o� � � _ c � ( . � ti. D T D O � � D m. � �, l �'. t�. � � Z � � CP ��J � � y'� a� � r m rD- m -i m � m m � � .� 1 � t � � � �+ � , O p m D . � � i � \ z � �� \ � � a� � � ` � � � �a �� -I C7 � 37 � � `� . n � 7 � � � C � �, � I � \� �' r0 �� D Z _� � V `',, \ �' � I � �v � a \ � ) � �O I � 1 = O 'R " t � � � ' � � c� �i c � I � � � 4 � ^ �� , { � D W z � o �I � /� , f � N -< � � � � Lf` � 1 .. \' � r � � 1 , � �� Z }�\`�`j� � � � � � � � � �� `.\ � � � � h; .. �\\ , � � G ^ h, � � \\\ �� _ r� ' �� i � O r� � � ^. � J � ` � ! �\ I � � � �� F� � � , V � � Y � I � � � � � ` \� � M � � � � I� . I � � ^ l. � � \ �� O ' � (� 0 o c� o 0 � � �. \ � � � ' �� .� �n � c� ` A � � n � � � p � � .� � � � � `i` � � \�� (� � a `� � m � � r�n m -� � � 1 J �C --F— a � � `1 � � n �� ` . � � 31 . O _ �y � � � � ('�`' y ,� e a J !L t� I� O � r I � � , ! Z ' y \ � , � ��.� � Z Q m � � � � � � � � � � i � I m (� �, � ` , ,�l � , '1 �� ,� . � '� , ?� � I o U� , �� '� (� • �" (� �� z N � � ` � � � I o , . � � `" � � � � � � � ) � � m� I� � � � (� R �v1 � � � A � �� O ��1 > � � � �V � i \ � � `' � R � � � I N � J �, �\'� � � , � D � ti �..� � n � �n � '� � � � a a I r 4� � \ .� � '�,V, I� � I cn � . (� `� � �• � � � � �� I j ' ` �. ' - �: �' �,, �. � I � �' � � �. �, � Qi i F;� � �1 � � � i �� •�-.� � \ y � � � � � �� t�, � � � i eT � 1 D p � � � C J A ` a rn � m = rn � � � . �, � a � � � � i � � � �1 (1 � o Z �'� � � `. �1 ,, c ` , o z �'�� _.._ t` � � �:. 1 � �, � a . �= � � � � � � � � � j � � � � ,� � � � � � � � � � i � � � d �� {'� �� z � z � � n `' � � � � i p � � Z fi , �� ° . � � � � � � � � �� \� � o � � � �,. � � � ., .� � .� "' o ° � � � � � ;� , y . , � � � � a. � D � z � � �. �, �, �, ' �. �y � �� r � � � �� i � �v� �'I�� : � � a � a ra � � ' `� V � 1 \ ` � N � � � � C �� v ` ` � �. �� I�`. � � � � � �� ,� � � �, � , � ' '`^ � � � �,� �' � � o � � � � . � � - � : � y ' CITY OF FEDERAL WAY Mayor 3l l32 ZSth Avenue South Council Members Debra G.Ertel Federal Way,WA 98003-5599 Mary E.Gates (206)941-1696 James V.Handmacher City Msnager Joel R Marks J.Brent McFall Robert E.Stead Lynn J.Templeton PERMIT APPLICATION ACTION NOTICE James E.Webster DATE: October 18, 1990 Armin Metz Fred Meyer, Inc. 5100 SW Macadam Avenue Portland, Oregon 97201 RE: Fred Meyer Retail Store (King County File No. 8900534, Federai Way File No. ILA-90-0001-LG) The processing of your application has been completed on your building permit application for subject project located at 21 st Avenue and 337th Place. Your application has been approved and you may pick it up at: Federal Way Community Development Department 31130 28th Avenue S. Federal Way, WA 98003-5006 When you pick up you permit, please bring with you the following fees and items required for issuance of the permit: x S 21 ,115.27 Balance of permit fee due. 5 273.008 In the form of a bond to insure completion of required landscaping (use Federal Way form). S 406,338 In the form of a bond to insure plat improvements S 1 ,014.496 In the form of a bond to insure completion of off- street parking improvements (parking, roads, drainage, and right-of-way work, etc.) (use Federal Way forms). • t NA Wetland Enhancement Bond ac S 1 1 .000 Estimated Wilsey & Ham Pacific review fees through October 31 , 1990 (any excess charges will be refunded to the applicant). X $ 1 ,085 Staff Review time for miscellaneous permit processed under a concomitant agreement. X Copy of current contractor's registration. X Property tax account number. * Note: All bonds require corresponding agreements. Agreements must be submitted prior to preconstruction conference. A Certificate of Liability shall also be submitted to the Federal Way City Clerk's Office. Please make all checks payable to the Federal Way Finance Department. We will hold your permit for 30 days. If we have not heard from you within that time your permit will automatically expire and be canceled. If you have any questions about this letter, please contact Stephen Clifton, Senior Planner at 941-1555. Sincerely, � �!�G�B'I� Gre oore, AICP Lan se anager cc: Kathy McClung - Permit Manager, City of Federal Way Stephen Clifton - Senior Planner, City of Federal Way Richard Lowe - Wilsey & Ham Pacific sc I /frdmyr.pmt �� ' . ' � � � � 3 "7 �; -> � j s� G� L�`, 1: t�/ , �� C� 1� �GQ'�;�• �9 � CITY OF FEDERAL 1NAY �O�,Fp� �9y0 � BUILDING PERMIT APPLICATION �'oAq�� —Please Print— T qy BOX1 OWNER Fred Meyer. Inc. JOBLOCATION 21st Avenue and 337th Place OWNER'S ADDRESS P•0. Box 42121 CITY Portland PHONE 503-232-8844 DESCRIBEJOB New Retail Store THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Andersen Construction Company CONT AC Qf�S REG. # ' �IV�t 'G�+1,�� , Card MUST be presented CONTRACTOR'S ADDRESS 6712 N. Cutter Circle ��n Portland PHONE 503-283-6712 EXPIRATION DATE 7/1/90 — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS ANO SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Armin Metz � I Oo -S vd PHONE 503-721-3529 BOX 4 SEWER DISTRICT Federal Way Water and Sewer WqTER DISTRICT Federal Wav Water and Sewer BOX 5 ESTIMATED PROJECT COST $7,000,000.00 EXISTING BUILDING VALUATION $0.00 BOX 6 PROPERTY TAX ACCOUNT NUMBER 2 4 21 0 3-9 0 9 9-31 LEGAL DESCRIPTION See attached description (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING S�UARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 187 � 000 2ND FLOOR -- / 3RD FLOOR " / BASEMENT -- / DECK -- / GARAGE -- / BOX 8 ( ) SINGLE FAMILY (x ) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE (x ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 857,606 SQ � BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO.�_WATERCLOSETS GAS PIPING, FEET 1.500 $ �5< c c � BATHTUBS N0. 3 FURNACE, ELEC. GAS_��'� � �'e � � SHOWERS 4 GAS HOT WATER HEATER��,. ;v .�.c�✓�''$ '-c • � - 9 LAVATORIES CONVERSION BURNER $ 19 SINKS BOILER, SIZE BTU $ 1 DISHWASHERS AIR HANDLING UNITS $ 3 ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 0 LAUNDRY WASHER OUTLET 5 UNIT HEATERS �a.e� t=�+ $ `f �-�=�- �_URINALS �(�C1�co �15 IR COOLING UNITS, SIZE 3-40 ton $ !!S ��' �_DRINKING FOUNTAINS (I � 6S� �`�COMMERCIAL HOOD�,�.so ��l $ z •�o �_SUMPS, SPRINKLER VACUUM BREAKERS �_L�OTHER ��S ��-S '�°��Cc� ,��G 1 �� DRAINS ! i/� I Co• ` -t�c�c �.. f-� � $ ,�' �e OTHER r 2.S � �� ,� -� $ l�� C 184 TOTAL FIXTURES $ �(� = Ci�,:C ,t;'� TOTAL MECHANICAL FEE $ `�r'1-- I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK F��,yVHJ P RMIT A PLICATION IS MADE. � OWNER/AGENT: ��LT DATE: J�% �..? ANP-008 2/90 Y-.� G� d��-� �'� � �3�3 �C. - �� `� '�a � ~,`I � ,� �- � � � �.- � �' � == � � � ( � � � do �� .� C � —5 N � N � � s �� o � � Q � ' c �� G '� � �I � 2y` '�i � � `'1 �„� � � � � � � � � F �' �' � � �- � � W �. , . � �` ' Q' �� .s� � � � � � � � �` � � � o � �� ° s ,o � � � N � W ao o a� 1`� •'� .� ";� � w , v�` � � � � G � �� 4�, Q � ^ � � `� , -� pc �^�' � � o � � � ,� � -� N � N � r � � � �� _ �� OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE_.—.— REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT � � � DATE ��. `�``�_ ��`� FIRE DEPARTMENT APPROVAL �--�- REMARKS: DATE PUBLIC WORKS DEPARTMENT APPROVAL REMARKS: TYPE OF JOB: NEW RESIDENCE DD ALT ADD/ALT NEW MULT FAMINDUSTRIA� �UNITS IND. ADj/ALT NEW COMMERCIAL�—COMM. A MULTIFAMILY ADD/ALT TENANT IMP. OTHER STORES OCCUPANCY �a �� TYPE OF CONSTRUCTION �� BUILDING SQ. FT. @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ - TOTAL SQ. F7. TOTAL VALUATION��'�Y 7� � S��_� i-'�'��-�'�-� �;, � �t �: , BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE �� PLUMBING FEE � �. : �,\ MECHANICAL FEE TOTAL BLDG. FEES ;,�, PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE �-� .�� -� Zf 5; �-��t'_ S • l.✓'. ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED � Amount Date Receipt# BUILDING DEPARTMENT APPROVAL BY �� DATE� `��" ��---C-=— ACCEPTED FOR FILING RECEIVED King County Building�Land Deve ent Division Parks,Planning and Resources Department 3600- 136th Place Southeast Bellewe,�ti'ashinqton 98006-1400 _ _ s' Pr� ject hJo : C$"�01'3$8 , . . ...� DP'J� 1 O�1 . NO • - w, _.: _.Fage . 1 of 1 ' � . �7' ''i �=`. ;�t a t��s , PENC�I NG $:. � ~ . �_Ga t e • �8.'21�89 •^..1 � F E E R E C E I P T i� hl L Y =- � seaxa�aasatoe==ax�x��saxmmansmm��ma�s�asaxsasasmzsx=�¢m�s�m'„Cs�asssotaxs�9cses9�^sz.=a�' P�rrn i t Type : LARGE Ct�MMERC I AL BLGG PRt7JECT #fiy�e Cod� a LARGE Title : FRED MEY�R RETHIL STORE ,,��-�uation : � O;U. C)�scr i�it ior� : Occup ' y�/T;�p� : B-2-'t�N Cla��: 327 Bldgs : �� 1Jni'ts: 1� Structure . Floor: Unit�kc �'� �- ,� �` ,' l � ------------------------------------------ ----------------------�-� �----- Lar_ation : Fl �one : �'ar�c� l : STR:� 4 " ��` � � Block : Lot : Pl�t : I,Jater Saurce : ��w�r Source : '� ---------------�-----------------------------------------------------------------� Applic�nt : FRED MEYER, INC. Phane number : Ap p 1 . Hd d r e s s : ��/Q �hdOERS��hd COh1ST. CQMF�Ii�iY �✓ FEE DETA I L �:: SUi'1M`r►R`r' -: descriptian Unit� F'ze/Uni # Ea:t fe� Qat,� ---------------------------------------------------------____--------- I __ARGE CUMMERf�IAL BLDG FEES � � f � �j�-: pracpssinr� tee > r�� -'lan check - Ent�r �qu�re feet f�r Type V : Dccupanc;: E,H,B > 18??��+. at] 1653?. 69 �u��t�tal of Builciing Plan Ck fees : 1653�� . �v9 , .-� Cr� lculatr� 35� Bldg . Tn3p . Fee? [Y!P!) .� 3'�f1� . �5 Y Plan Re4�ision� : '� LONlMEP.0 I 'rt� 5 I TE F�E�J I EI�J FEES * Fire Flow��ccess Re��iew CEnter dka > 1 . U0 G2 . n0 G2 . Ot7 Park inr� (Enter #k new/added spac�s ) � '320 . OD '�3~8 . l�0 �' Land�cape plan re4�iew? (Y/h!? % 1'�6 , 00 Y C7rain�ge%'Circulation � I�sn? (`t/N) > ti?T . OG Y ° �ubtotal of � ite review fE��, : ) 3257, 0�] �ut�tr,ta i of Other Fw,�� : 265 . 5r.! Rein�,pectir,r� �"ees : - 1 I TE GE�.,�ELUPh1EN 1 I NSPECT I ON FEE'; ��Con3truc# ion Inspectian3 : �tM'sintenar�c�'defect Insp�ction� : ` '�ubt�,tat af h1�c��anical Fe+�a : � 20 . ±JQ I`,��` F��s �:�qE� i red '�** �**. ..� Fe�s L.o 1 1_eCt�sc� �u Cre� i ts 'K'"�'E , . F@eS: 2`� '�5U� . 74 idjustments : . t70 Total Credits : . QO �'otal F�ps : 29 ,056 . ?4 Tot� I Pay�ments: I3 ,$3b . 3� � . B� 1 anc� C�ue : 10 r 169 . 8c5 ' � - i-'ar �„ �na- -,7z-. ��yx . ' +=4r� � �' � , �'.F � � _��.^b4 ��i�9�1�,+�8 '�r �{,x c .� . nC�'h�� }� z� 3 . � .� � ., ' . ��y�{: � �� '� sa � '�S, . � �t° . '. s y�t�. ;. K �.� .:{*`.� g�� . '. �m i,"�"�'�'`' i p�`�.''-�� a` '� ft '� , '� . € ,,'� s �,� y,� y ��i'�s r � i, �4 l • � �, �;�; �'� m s� s �t-�� b� «z ''�'�. �, �,q Y rx ; ,��, . a :�,.: �+�F _� ��4 "�� a?'• `z�i �>>�� :�s� e �S��r T�� ,� ,,. � `< '� -• J �;< . „��.�_siwaa � . . �ie ��.=�1�ifsS�.+F�e#:s"p�r.... _._.a.�F.�u''A.^YrSa,e'»�a�d-,�ker . ...��.4x:.... .a..�?.e.�r�_w . . �� / / O • ■ • Legai Descr�pt�on � '� �� 7HAT PORTIQN OF LOT 2 OF KING COUNTY SHORT PLAT N0. 278132 RECORDEQ UNDER '� RECORDING NUMBER 791015Q9I2 AND REVISION THEREUF RECORDED UNDER RECORDING � Q ��UMBER 82IQ260642, RECQRDS OF KIFtG COUNTY, WASHINGTON `� � � EXCfGf 1"HE FOLCQW/NG D�S£R/BED PARCEL � ' � � CC�M�SENCZNG ;,T THE MIONIJI►SENr MARKING 'IZiE NC�2THEAST CORNIIt OF `- f Sc,CTICN 24, '1GW[3SHZP �1 NCR:'H, RANGE 3 EAST, Gl.l4., IN RZNG � ' f '� C�(JNI'Y, WASH ING"LGN: � Q THF�iCE AI.ONG T�iE EAST LINE OF SAID SECTION SCC,3E Ol° 35' 17" � f '� WEST, 50.00 F'EET: �i THE.*lCE PARALLEL WITH THE NOFtTH LII� OF S.�ZD SECTION NORT1i � 88° 46" 15" WF.S'T, 619.65 FEE'T TO A POZI� 60 FY�'T EAST OF THE '� EAS'T LZNE OF LOT 1. OE' 2�iE AF'OREMFNTIONED SHORT PL.'�T AId3 T4iE ` Q ZRLTE POINT OF BEGII+II3ING; o � � THE.*ICE PARALLEL WITH SAID NORTH LI*IE SGU'I�i 88 46' 15' EA.ST► �� 289.56 FEET TQ A POINT ON THE EAST LINE OF SA�D Lc7T 2: � � THENC£ AL,(�G SAID EAST LINE �P U7T 2 SO(tI'�i Ol 37' 11" WES'T �"` �`jjp 432.8? FEET: � � -- _ _ �_ THIIVCE FARALLEL WITH SAZD NORTH LIP� NGRZ�3 88� 46` 15' . WF�S'T. �� 286.61 FEET 1�0 A POINP ON A LINE PARALLEL AAID 60 FEET EAS'T �� OF SAZD EA.ST LZNE OF LOT 1 PRNDC'I'ED SGtT�i; \ THFsICE ALONG SAID PARALLEL GINE NOR:'�l Q1 13' 45' EAST, 432.86 FEET TO THE ZRUE POII� OF BEGINNING. \ � SSNATE ZN �iE COUNTY OF KSNG, STATE OF wASHINc�ZCN. �� \ � / I / ` . /, �� , f: I RONAL D K_ yARR/SO�V ; �' ��Ty �� BUILDING INSPECTI��;� FEDEl��aLWAY � � � L � � � PEF� 1Vi � T . � _ ;}e,., �. r. � _ _ r ;, � -,f �, , ��r��' � � ��: • _:;; ��...; PERMIT N0. �' �� OWNER'S NAME �a�'' -Y- JOB ADDRESS -�- I,ONTRACT�R ` . ��i�.3t,._. � . . . A�DrIESS -.P..`.. .-,� ,_. , _. , � �.. ..,. , ,_. , .. ,�,__. ,� . „,_. $ r�._ .,r- ... . -. '� _...._. . . : r. . : �, �. ,_ �.. �` _�._ ,:'�_ . �� + 1✓:. � ' _ . ,x. � `' CONL PHONE s,:... .. CONT.REG. NO. - - - OWNER'S PHONE �r "� '--- OWNER'S ADDRESS = ~ +�$� �s- ��• .L TYPE J08: NEW RESIDENCE ADDITION NEW INDUSTRIAL_ NEY��COMMERClAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBL�C PUBLfC ADD. NEW MULTI•FAMILY {UNITS ) MULTI.ADD. SIGN__ GRADING OTHER _ i � � �°' _ _ iEGAL DESCRIPTION Y r---�-_ �. .�...,. ..y-.-t t - R Y � ;' ISSUED BY '�• `' DATE OF ISSUE DATE OF APP�ICATION t "` "'` aI V .++iY f•� ;'t SUILDING iNFORMATION 20NE OCCUPANCY TYPE OF CONSTFUCTION �'�`' 6LDG. SQ. FT. ° " ' � �, SET BAClCS: FRONT SIDE REAR STORIES NE�GHT LiMiT � S �'; PlUMBING NO. NO. MECHANiCAL APPLIANCES AMT. AMT. BOND � WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING ��:"r�T. � �' "? .-BL�II".EA.: +%`4: -�� RECEIVED BATHTt18S !�/tU1Jf�R�DRAINS# COMPRESSOR j.n ``�rTA�K{S� - ^ �� SHOWERS URINALS u FORCED AIR FURNACE `rj_`�!? '"` AIR NAf�OLING'ljNiT � �_�: NUMBER �: , z; �,. LAVATORlES DRINKING FOUNTAWS �GAS HOT WATER HTR. �'�� '�� +MISC '' • ' , =>•. REl'URNED SINKS 1dISG.,``�`a ,, _ �"�,;-;��Y:�— CONVERSION BURNER �,$AS�G FEE ` DISMWASHERS ,; TOTAL FIXTUaES �f� -t'Y "'- �_ : �iJN1T HEATER _ TOTAL MECHANICAL :_�_: �:' AMOUNT � �iAIUATfON �R+' " - i A � � . _l._._ r . PERMIT FEE . i '3 j`'' ' . _�. �x�'3' . t'� ��:+ ' � :: PWN CHcCK FEE P, _� . ` •, > . ., . z,�a t, r `�,•-,- � .-r Y. ' ". - ' ' . '' � ' i ..�...—.___. ... .,...... .. � c�UMBlNG FEE . ` . :;;; a�-,.,,,�ir.�„$�--„�+$��C:-. NiECHANiCAL FEE TOTAL BLDG. FEES _ .. THAT PORTIOH OF LOT Z Of iCiNG COUNTY SiiORT PLAi N0. 278132 RECORDED UH�ER PAf1T P/C FEE �s $ ~.*� `''.. • ��-�` ��F4 , .- - - __ ._._. _ .. NELORIIING MlM6ER 74101509I2,ANO REYISFON iHEREOF RECORDED t1N0ER RFCDRDIN6 •i :�;= ..,,,�, ;� qUMBER 82IQ260642, RECORQS OF KING COUKTT YASH[N670N SEPkRES/tEW ; �i.:;•r g-��•� -z.:.�; r�-•- - --' _ :., ' , : _ , ';i3 u:�;""� "ExCEG(�TXE FOCLQW�N6 DESCRlBfD�PARCEL ` _... _-___._._. _ _ _ _ _._ ._ WATER SERVICE ` �� ;��.�� T � � WATER MAIN CHG. _,.,-,.,. .r,r Sk^'ZCN 24. TtiiNS�iIP Z' NGR"9. Rl1l1C� 3 r.LS:. W_PS,, a�i 1CZNG • '-,• '. :•f'•:`�a • C:.LNI"f. FIASFII?1C,:CN: � . , _... _. ..__. _....__., . _ - S.B.C.C.'EE , j 'LT:...T At.CNG :!� EAST LZ2� OP SAZD Sc��_�i SCL.'IE 4I° 35' I?• : OTHER FEES ' : ._- * `- .�, WES:. 50.00 F�:; __ �; AMOUNT DUE ^ � ' _�... � . , r.;. ;:.d_'.. .'Pi��i.._"'' PARALLE: WI:�i THE NCRT� LZI� � 5�'D Sk:^:ZCN K.R'�S , _•. , ,. , , � �r. ' . - �, , . _ 88 46" 15• WFS:, 619.fi5 FS�' TO A PCL*T:' 6^u Fr'�,:' FASP CF ?8E ; • _ , - ,.,;.': • • - FAS: L� � IAT I, Of 1TiE �F�RE'S�El::CtiF'� Sr�.^ PL:� 11lID 7� ALL FERMtTS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.�RESIOENTIAL AND GRADING I T�-'� ?0� � �� PARALLEL wITH SAD DZ�'3 L_*'_� S.X,^.v 88° 46' :5• FASS', �. 1 CER7IFY TNAT THE INFORMATION FURNISHED BY ME IS TRUE ,4ND CORRECT TO THE BEST OF MY KN< 2g9-So PF� :p A POINf CN ':S� FJL�''T LiI� CF S11�D LCri' 2; b REQUTAEMENTS WILL BE MET: '�''E-''�" �'Q'� �� T C� OP LCP 2 S�T'� Ol 37• :I• t�EST 4's2.87 pF�„T: P 2�'X� PAR�LLF.I, FI�:H SAZD I�"Y. �'.IN£ *XTL"" SS� 4E' 15' •W�ST. � 266.61 F�'�'....".' ':U A POINP CN A LZNE PARAL:.`. AtID 60 PL�.'" ?.7�ST 01KNER OR AGENT oe SAiD FAST L;NE OP t,or 1 Pf?f17Fx.'� Scz.;s; :?ix�L"'T ALCT�G SAID PARAL:.P'... LIb� :Z)R_"7i C�" ��' 4�• ?AS:, 432.86 tF= '.0 "..YE :Tf.'E FC7IK: � EF::�.xa:,�. C�yY ; CITY OF FEDERAL WAY19ya BUILDING PERMIT APPLICATION — Please Print BOX 1 OWNER Fred Meyer, Inc. JOB LOCATION 21st- Avenue and 337th Place OWNER'S ADDRESS P.O. Box 42121 CITY Portland PHONE 503-232-8844 DESCRIBEJOB New Retail Store THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Andersen Construction Company CONT}��jAC Qf S REG. # HIV Y CC 1Z I14 Card MUST be presented CONTRACTOR'S ADDRESS 6712 N. Cutter Circle CITY Portland PHONE 503-283-6712 EXPIRATION DATE 7/1/90 —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Armin Metz f 14t, 26VXr& 1(�y0) �4 :2 -5 5/yd PHONE 503-721-3529 BOX 4 SEWER DISTRICT Federal Way Water and Sewer WATER DISTRICT Federal Way Water and Sewer BOX 5 ESTIMATED PROJECT COST $7,000,000.00 EXISTING BUILDING VALUATION $0.00 BOX 6 PROPERTY TAX ACCOUNT NUMBER 2 4 21 0 3- 9 0 9 9- 31 LEGAL DESCRIPTION See attached description (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 187 / 000 2ND FLOOR -- / 3RD FLOOR -- / BASEMENT -- / DECK -- / GARAGE -- / BOX 8 ( ) SINGLE FAMILY (x) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE (x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 857,606 SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. 11 WATERCLOSETS GAS PIPING, FEET 1, 500 $ /S, 0 O 0 BATHTUBS NO. 3 FURNACE, ELEC. GAS c%0 0 SHOWERS 4 GAS HOT WATER HEATER J (� . S v �` $ Q 0 9 LAVATORIES CONVERSION BURNER $ 19 SINKS BOILER, SIZE BTU $ 1 DISHWASHERS AIR HANDLING UNITS $ 3 ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 0 LAUNDRY WASHER OUTLET 5 UNIT HEATERS a<v $ - �G __URINALS Y04,00 15 AIR COOLING UNITS, SIZE - 0 ton $ IS d 2 DRINKING FOUNTAINS II OD 6•5-0 5 COMMERCIAL HOOD 96,.,_ $ 2- •00 __SUMPS, SPRINKLER VACUUM BREAKERS " Q OTHER LIA-5 Fc( ) 04 W, 0 Q 133 DRAINS Ito 'ciq ` t'zc tL 1" $ ,-0,Oa OTHER Ik $ /$O 184 TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK FX H P RMIT A PLICATION IS MADE. !� OWNER/AGENT: DATE:` ANP-006 2/90 ft CITY OF FEDERAL. WAY flavor Debbie Ertel Community• Development 31130 28th avenue South Federal VGay. WA 98(X)3-500fi 20(>) 941-1�55 April 20, 1990 Mr. Steve Naito Fred Meyer, Inc. 5100 S.W. Macadam Avenue Portland, OR 97201 RE: FRED MEYER RETAIL STORE CAMPUS DRIVE AND S.W. 21ST STREET FEDERAL WAY, WA 98023 Dear Steve: Council Members Mary Gates Jim Handmacher Joel Nlarks Bob Stead Lynn Templeton Jim Webster T_ have reviewed the items listed in your letter of March 29, 1990, with the City Council Land Use Committee as follows: 1. Ccncomitant Aareement I have reviewed the site and landscaoina plan and feel that with the comments noted in our meeting, you have met the requirements outlined in the Concomitant Aareement. 2. Gr-dina_ Perm-'t The Land Use Committee confirmed their inter=ion that the -radina Permit should be processed by the City of Federal :lah. This will require submittal of deposit of funds =c cover review by an outside consultant, under our direc:i.on, cf arading plans, as the City presently does not have engi neeri.ng staff. The firm of Wilsey & Ham is being retailed by the City for Engineering Services. 3. Plat The preliminary plat was approved by Ring County orior to incor-.)oration. Under the terms of the interlocal agreement with King County we would have review of engineering plans and final plat approval. Again, engineering review and approval would be covered by a City contract with an outside engineering firm. 4. SEPA Review I have reviewed the mitigated DNS and plans submitted ^h you as requested by the Land Use Committee and I feel that the required traffic mitigating, provision of on -site detention by the Concomitant Agreement, and additional landscaping will mitigate the most significant environmental impacts of construction, although there are some impacts that will remain unmitigated. Because of the vrevicus filling by Quadrant, there are not longer wetlands on the site, and no mitigation for loss of the wetlands was required by King County. No new information or changes in condi-ions� _hat ;were not considered in the oriai.nal DNS that would require rescinding of the SEPA notice are apparent. IM I will communicate with Bruce Lorentzen regarding further processing of your application. Sincerely, Kay L'. Sludy, AICP Acti` Director Department of Planning and Community Development PC: Bruce Lorentzen DESCRIPTION: LOT 2 OF SHORT PLAT NO. 278132 REVISED, ACCORDING TO THE SHORT PLAT RECORDED UNDER KING COUNTY RECORDING NO. 8210260642; EXCEPT THAT PORTION DESCRIBED AS FOLLOWS: BEGINNING AT THE MONUMENT MARKING THE NORTHEAST CORNER OF SECTION 24, TOWNSHIP 21 NORTH, RANGE 3 EAST W.M.; THENCE ALONG THE EAST LINE OF SAID SECTION SOUTH 01035'17" WEST, 50.00 FEET; THENCE PARALLEL WITH THE NORTH LINE OF SAID SECTION NORTH 88046'15" WEST, 619.65 FEET TO A POINT 60 FEET EAST OF THE EAST LINE OF LOT 1, OF THE AFOREMENTIONED SHORT PLAT AND THE TRUE POINT OF BEGINNING; THENCE PARALLEL WITH SAID NORTH LINE SOUTH 88046'15" EAST, 289.56 FEET TO A POINT ON THE EAST LINE OF SAID LOT 2; THENCE ALONG SAID EAST LINE OF LOT 2 SOUTH 01037'11" WEST 432.87 FEET; THENCE PARALLEL WITH SAID NORTH LINE NORTH 88046'15" WEST, 286.61 FEET TO A POINT ON A LINE PARALLEL AND 60 FEET EAST OF SAID EAST LINE OF LOT 1 PROJECTED SOUTH; THENCE ALONG SAID PARALLEL LINE NORTH 01013'45" EAST, 432.86 FEET TO THE TRUE POINT OF BEGINNING; AND EXCEPT THAT PORTION CONVEYED TO KING COUNTY FOR S.W. CAMPUS DRIVE BY DEED RECORDED UNDER RECORDING NO. 8501170665; SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. DESCRIPTION: LOT 2 OF SHORT PLAT NO. 278132 REVISED, ACCORDING TO THE SHORT PLAT RECORDED UNDER KING COUNTY RECORDING NO. 8210260642; EXCEPT THAT PORTION DESCRIBED AS FOLLOWS: BEGINNING AT THE MONUMENT MARKING THE NORTHEAST CORNER OF SECTION 24, TOWNSHIP 21 NORTH, RANGE 3 EAST W.M.; THENCE ALONG THE EAST LINE OF SAID SECTION SOUTH 01°35'17" WEST, 50.00 FEET; THENCE PARALLEL WITH THE NORTH LINE OF SAID SECTION NORTH 88046'15" WEST, 619.65 FEET TO A POINT 60 FEET EAST OF THE EAST LINE OF LOT 1, OF THE AFOREMENTIONED SHORT PLAT AND THE TRUE POINT OF BEGINNING; THENCE PARALLEL WITH SAID NORTH LINE SOUTH 88046'15" EAST, 289.56 FEET TO A POINT ON THE EAST LINE OF SAID LOT 2; THENCE ALONG SAID EAST LINE OF LOT 2 SOUTH O1037'11" WEST 432.87 FEET; THENCE PARALLEL WITH SAID NORTH LINE NORTH 88046'15" WEST, 286.61 FEET TO A POINT ON A LINE PARALLEL AND 60 FEET EAST OF SAID EAST LINE OF LOT 1 PROJECTED SOUTH; THENCE ALONG SAID PARALLEL LINE NORTH O1013'45" EAST, 432.86 FEET TO THE TRUE POINT OF BEGINNING; AND EXCEPT THAT PORTION CONVEYED TO KING COUNTY FOR S.W. CAMPUS DRIVE BY DEED RECORDED UNDER RECORDING NO. 8501170665; SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. Fra d ftyArkfi. January 14, 1991 City of Federal Way 33530 First Way South Federal Way, WA 98003 Attn: Ken Nyberg RE: Federal Way Store Dear Ken: Riverside Centre 5100 S.W. Macadam Ave., Suite 500 __ Portland _ Oregon 97201 (.� ��'D l I ain writing to request a variance for our contractor and his subs to Nvork on January 21, 1991 at the above subject location. As t`:is is Martin Lilther King Jr. Day, I believe it is observed by your city and a variance is required to continue work at the site. If this meets with our approval please send proper documentation to: Andersen Construction Co. 1911 S.W. Campus Dr., Box 439 Federal Way, WA 98023 Attn: Kirby Hess Fax: 952-3877 Please call if you have any questions, (503) 721-3529. Sincerely, rinin E. Metz Sr. Project Manager AEM; prof. mgn-jup ll�-,a.5: ;Always strive to offer Customers the service, selection, quality and price that satisfies them best." —Fred G. Meyer, Founder 1886-1978 - 'd WCTB:TT TGGT 'bT NUf GOTIVT9990z :01 ON9 ZW c�3J,EW CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East 1�1 Fife, Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENT• Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 2 2 - 9 1 PROTECT: Fred Meyer Store REPORT NO.: 35 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PER4IT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines 7 to 10 and "G" to "D"; two outside sections. I cast one set of three each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3�" to 4" range throughout the placement. See today's concrete tests report for results. Inspection of reinforcement steel was found to be in accordance with the city approved plans. Weather: LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring Foggy Inspector: L . Nichols CONSTRUCTION A RIALS TESTING LABORP RIES, INC. (CMTL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 1 �1 (206) 922.0798 -_ FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 2 2 - 9 1 PROJECT: Fred Meyer Store REPORT NO.: 35a CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived at the jobsite at 14:00 to conduct visual welding inspection. Inspected and accepted were welds made in attaching wall panels to floor embeds, located in the floor and foundation, located around the perimeter of the building. Welder, S.Reese and H.Bickle were welding today, both are currently W.A.B.O. certified. In -process inspection was made of welding being done to attach beam pockets to wall embed plates and welds made to attach panel to panel. No problems were noted. Work is in accordance with the A.W.S.D.1.1 code, drawings S2-REV SR-8 and 9 and S-7, and the City of Federal Way plans. P F Weather: DD/ fm Inspection • Soil Testing 9 Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring Fog/Cloudy Inspector: D . Dow CONSTRUCTION MA RIALS TESTING LABORA ZIES, INC. (CMTL. INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East' Fife, Washington 98424 FEB (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 2 3 - 9 1 PROJECT: Fred Meyer Store REPORT NO.: 36 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines 8 to 9 and "D" to "G" . Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"xl2", 3000 PSI concrete cylinder samples for compressive tests, to represent the above placement. Concrete was placed at a slump of 3�" to 4" range throughout the placement. See today's concrete tests report for results. In addition, I also picked up one set of three each concrete cylinder samples, which were cast one January 22nd, 1991. Weather: Overcast LN/fm FILE Inspector: L.Nichols Inspection • Soil Testing 9 Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION MP RIALS TESTING LABORA LIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT E C a i V JAN 2 8 191 PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 34 DATE PICKED UP: January 17th, 1991 CONTRACT or PERMIT #: 90380C DATE OF INSPECTION: January 8th, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 1 each 6"xl2" concrete cylinder sample samples each samples each samples each samples each samples REMARKS: Field Cured LN/ fm 3L L Inspection • Soil Testing • Concrete Testing 4,sphalt Testing • Site Investigation • Concret- and Asphalt Coring l � CONST 1CTIOn A RIALS TEST. G LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-05-91 PROJECT: Fred Meyer Store PROI7ECT NO.: T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way REPORT NO.: 27 CONTRACTOR: Andersen Construction FEAT/CCNIF4!CT ND-: 90380C LNSPEC OR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACF1,IEN'T : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 217 yds.3 CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #61, 62, 58, 59, 66, 67, 69, 73, 1, 2, 72, 3, 6A, 67A, 70, 71, 80, 31 and 33. LOCATION SAMPLED: Tilt panel #69. MIX DATA: CE-'ENT: 6 sK. Tyr-E: I M?1X. SIZE Xl;.: pEM_DC, E: POZZUTEC-20 HOTWATER MICROAIR POLYHEED CONCRETE TEMP. 570F NO.SPEC.CAST: -3- 7/8" • r- rm11 1 4 .0 • SIII-1p: 5" AIR: N/A o AMOUNT: to 5° a 4 ozs./100 WT. WEATHER: Partly Cloudy TRUCK NO.: 138 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE i '1 llI ACC,; Wt;L�t11 1�.AVJ r.;l. 32a 1-0074 01-12-91 7 N/A 6"x12" 4599 32b 1-0075 02-02-91 28 11 186261 32c 1-0076 " 28 6331 REMARKS: Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring CONSi 1CTION A RIALS TESL' C LABOW RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highwav East Fife, Washington 98424 (206) 922-0798 INSPF-.CTION & TEST REPORT FOR CONCRETE PLAC MENT SET 2 CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 01-05-91 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 27 CONTRACTOR: Andersen Construction FER-11T/CCNU�PCT ^O.: 90380C INSPECTOR: L.Nichols FORM INSPEC'TID : _ yes- REBAR INSPECTED: yes. REZ4ARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEME T : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 217 yds3. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLACEMENT: Tilt panels #61, 62, 58, 59, 66, 67, 69, 73, 1, 2, 72, 3, 6, 6A, 70, 71, 80, 31 and 33. LCCATICN SAMPLED: Tilt panel #6A. MIX DATA: CH-t�: 6 SK. 'IYFE: I Wx. SIZE FCC.: 7 / 8 " AEMIXTURE: Pozzutec-20 Microair HOTwATER POLYHEED CONCRETE TEMP. . 63 ° F AIR TEIP. 28 ° F NO . SPEC . CAST : - 3 - TINE SLED: 10 : 4 0 Sl.11'JC : 511 AMOUNT: to 5° a AIR N / A o 4 ozs./100 WT. WEATHER: Partly Cloudy TRUCK NO.: 103 DESIGN STRENGTH: 4000 PSI CYL . NO. LAB. NO. t DATE TESTED AGE I wh; i-uf 1' I ulrtt;:vb -LUN J r 1 33a 1-0077 01-12-91 7 N/A 6"x12" 4563 33b 1-0078 02-02-91 28 6367 33c 1-0079 28 6296 umb REMARKS: Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring CONS- .UCTION M -RIALS TES. IC LABORI ►RIES, INC. (CMTL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-03-91 PROJECT: Fred Meyer Store P90JECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 25 CONTRACTOR: Andersen Construction FFR-Er/G2;= ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: PurT Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 52 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLACEMENT: Slab on grade at grid lines "A" to "B", 1 to 2. LCCATICN SAMPLED: Slab "A" at 1. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CHIP : 6 <. =: I MAX. SIZE PLI;.: 7 / 8 " SLi1vIP: 311 AM: N / A o ALMIXTURE: Pozzutec-20 AMOUNT: to Polyheed 4 ozs./100 WT. CONCRETE TEMP. 560F AIR T94P. 450F WEATHER: Cold/Clear NO . SPEC . CAST : - 3 - TINE SLID: 8 : 4 5 TRUCK NO. 135 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB. NO. DALE '1''1' ACC w�ll�trl uti�lrtv�l�v� r� 31a 1-0041 01-10-91 7 N/A 6"x12" I 4492 31b 1-0042 01-31-91 28 T1 if 5626 31c 1-0043 28 5548 ON REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONS: '.ICTION NL RIALS TES1 :G LABORA RIES, INC. (C "1TL. !NC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEN ENT SET 2 CLIENT: Fred Meyer Inc. DATE OF INSPECTION: 01-03-91 PROJECT: Fred Mever Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 25 CONTRACTOR: Andersen Construction Ful=/C2= ND.: 80380C INSPECTOR: L.Nichols FORM INSPECTED. yes. REBAR INSPECTED. yes. RE�S: Inspection of forms and reinforcement steel was found to be in accordance with the citv approved plans. METHOD OF PLAJZEZ,IE'yT : Pumo Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #28, 29, 32, 34, 35, 36, 37 and 38. LOCATION SAMPLED: Tilt panel #29. gC. TYI�: I M? X. SIZE Fes.: 7 / 8 " Microair Polyheed Pozzutec-20 CONCRETE TEMP. 560F NO.SPEC.CAST: -3- AIR 'lam. 4 7 ° F TIIrE Sz*=: 11: 35 SIIN>P: 3%" z AMOUNT: 1% AIR N/A 4 ozs./100 WT. 1° WEATHER: TRUCK NO.: DESIGN STRENGTH: Cold/Clear 135 4000 PSI CYL.NO. LAB.NO. E DATE Th;b` EL) ACC w�l�t"1 L111�LV�1l�LVJ r �l 32a 1-0044 01-10-91 7 N/A 611xl2" 4457 32b 1-0045 01-31-91 28 it 5589 32c 1-0046 " 28 " 5 513 CONFIM REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORAT LIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLI.`-iT: Fred Meyer, Inc. DATE OF INSPECTION: 01-22-91 PROOECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 35 CCN"IRA^TOR: Andersen Construction FE=/C2M:;PCT ND-: 90380C INSPECTOR: L.Nichols FORM INSPEYes. REBAR INSPECTED : Yes. RlEMARriS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Pump Truck METHOD OF C NSOLIDATION: Vibration NO. OF YDS. PLACID: 76� yds. CCNCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACv=: Slab on grade at grid lines 10 to 7 and "G" to "D", and two outside sections. LOCATION SAMPLED: 9.5 to 10 at "G". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. 6 SK. TYFE: I M%X. SSLE xl;.: 7 / 8 " SU Nam: _ FIBREMESH AMOUNT POLYHEED-20 POZZUTEC HOT WATER 0a%CRETE = . 650F AIR '12-1P. 37 ° F NO.SPFC.CAST: -3- TINE SgE)Lm: 8:55 4" AIR.: N/A 1% 0 4 ozs./100 WT. 1% a WEATHER: Cold/Clear TRUCK NO.: 125 DESIGN STRENGTH: 3000 PSI (... i L. NJ. LdAn.1V.J. 37a 1 0348 Ol 29 91 7 N/A 6"x12" I 4775 37b 1 0349 I 02 19 91 28 I " 37c 1-0350 28 I I � i REMARKS: Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation • Concrete and .'sphalt Coring CONSTRUCTION M) RIALS TESTING LABORA RIES, INC. ((-MTL, INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT MI R DATE OF INSPECTION: 01-23-91 CLIENT: Fred Meyer, Inc. PROJECT ; Fred Meyer Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 36 CONTRACTOR: Andersen Construction PER-Tr/Cl= ND.: 90380C INSPECTOR: L.Nichols FOR4 INSPECTED: Yes. REBAR INSPECTED: Yes. RLyp,R S: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLA : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 50± yds. est. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACE-= : Slab on grad at grid lines 8 to 9 and "G" to "D". LOCATION SAMPLED: Slab at lines 3 to 9 on "E". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CEVENT : 6 S<. TYFE: I N1pX. SIZE PLIa.: 7/8" ALMIX'TURE ; POLYHEED POZZUTEC FIBRE MESH HOT WATER SLID: 4" AIR: N/A 1- AMOUNT: 4 ozs./100 WT. 1° % 8 to 9 lbs. CO,tiCRE'I'E TEMP . 72 ° F AIR ' 39 ° F WEATHER: Overcast NO .SPEC .CAST : - 3 - `r1NE S -r--. 8 : 20 TRUCK NO.: 13 5 DESIGN STRENGTH: 3000 PSI CYL . NO . ' LAB . NO . i DATE TESTED AGE 1 WEIGHT I DIMENSIONSi P S I 38a 1 1 0424 ( 01-30-91 7 1 N/ 381b 1-0425 I 02-20-91 28 " 38c I 1-0426 I11 28 FA Inspection 0 Soil Testing • Concrete Testinc • -_ nait Testintj . Site Investication "xl2" 5023 11 1 �I I oncrete and Asphalt Coring CONSTRUCTION Nip TRIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CLIr'NyT: Fred Meyer, Inc DATE OF INSPECTION: 01-24-91 PROJECT: Fred Meyer Store PRWECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 37 CONTRACTOR: Andersen Construction ffRA1T/C2M;PCr ND-: 90380C FORM INSPECTED: No. INSPECTOR: L.Nichols REBAR INSPECTED: No. Inspection of forms and reinforcement steel not required. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Fluid CONCRETE SUPPLIER: MILES SAND & GRAVEL NO. OF YDS. PLACED: 8 yds. LOCATION OF PLACEMENT: Gap between slab and tilt panels from line "C", west side along walls to line "C", east side. LOCATION SAMPLED: Wall east side line 1 to "F". MIX DATA: cs H ' WATER COINCRE TEMP. NO.SPEC.CAST: SAND SLID: FLUID AMOUNT: 50 gals. ASR: N/A o 53 ° F AIR 124P. 4 3 ° F WEATHER: Partly Cloudy -3- TINE S?*=: 12 : 20 TRUCK NO.: 138 DESIGN STRENGTH: 4000 PSI CYL.NO. ! LAB -NO. i DATE TESTED I ALk, I wtl�nl uu-ir•iV.71V1VJ r.,� 39a 1-0448 01-31-91 7 N/A 2" 2" 2" 5750 39b I 1-0449 02-21-91 28 " 39c j 1-0450 28 1 I RFhIARIC.S Inspection • Soil Testing a Concrete Testing 9 Asphalt Testing • Site Investigation - Concrete and Asphalt Coring CONSTRUCTION MA ZIALS TESTING LABORA LIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-31-91 PROJECT: Fred Meyer Store REPORT NO.: 40 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRA= R: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab for loading dock at grid lines "A" at 2 and six column bases at lines "G" and "H", between 10 and 12. Inspection of reinforcement steel was properly installed, in accordance with the city approved plans. I cast one set of three each 6"xl2", 3000 PSI concrete cylinder samples for cmopressive strength tests, to represent the above placement. Concrete was placed and maintained at a slump of 3" range throughout the placement. See today's concrete tests report for results. Weather: LN/fm inspection • Soil Testing • Concrete Testing L ;pnalt Testing 9 Site Investiaatior, • ConcreLI,d ,Asphalt Coring Overcast Inspector: L . Nichols CONSTRUCTION MA tIALS TESTING LABORA tIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PROTECT NAME: Fred Meyer Store PROTECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Gig Harbor REPORT #: 41 CONTRACT or DATE PICKED UP: February 1st, 1991 PERMIT #: 90380C DATE OF INSPECTION: January 31st, 1991 INSPECTOR- L.Nichols Picked up, transported to the laboratory and prepared for testing 3 each 6"xl2" concrete cylinder samples samples each samples each each each REMARKS: LN/fm samples samples samples N/A Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTV -=ON MA^—RIALS TESTIN' i LABORAT^RIES, INC. (CpATL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSP�_,CTION & 'PEST REPORT FOR •• � � «� is SET 1 CLIENT: Fred Meyer, Inc DATE OF INSPECTION: 01-08-91 PRD.7ECT: Fred Mever Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal way REPORT NO.: 29 CONTRACTOR: Andersen Construction 1_q=/C2m;P= ND. 90380C INSPECTOR: L.Nichols FORS INSPECTED : yes. REBAR INSPECTED: yes. REMARKS: inspection of forms and reinforcenent steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACE: 32 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to "B" , 2.5 to 3. U.X'ATICN SAMPLED: Line "B" at 2.5. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CR-EI\TT : 6 SK. TiFE: I MW— SIZE PCB.: 7 / 8 " ST1I�p: 411 AIR N / A o ACMIX URE: POLYHEED POZZUTEC-20 HOTWATER CONCRETE TEMP . 64 ° F AIR SIP. 41 ° F NO.SPEC.CAST: -3- T24S SLED: 8:20 AMCUNT: 4 ozs./100 WT. 1° 0 WEATHER: Rain DESIGN STRENGTH: 3000 PSI UYL.ivU. I 34a LAb.IVU. 1-0115 01-15-91 7 N/A 6"x12" j 4174 34b 0-0116 02-05-91 28 I 5660 34c 0-0117 28 ( 5730 I REI RfC.S Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTF"'CTION MATERIALS TESTIN i LABORATORIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION &'PEST REPORT FOR SET 2 CLIENT: Fred Meyer, Inc DATE OF INSPECTICN: 01-08-91 PROJECT: Fred Mever Store PR3jECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Construction FE=/Caz= ND.: 90380C INSPECTOR: L.Nichols FORIM INSPECTED: ves. REBAR INSPE4=- : yes. REMARKS: Inspection of fozzns and reinforcement steel was found to be in accordance with the citv arproved plans. METHOD OF PLAC`*4E.,]T : Ptunp Truck METHOD OF CONSOLIDATION: Vibration CONCRETE SUPPLIER: MILES SAND & GRAVEL NO. OF YDS. PLACED: 88 vds . LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to "B", 3.0 to 5 and J.5 to "K", 4 to 8. LOCATION SAMPLE": "A" to "B" at 3.5. MIX DATA: CHIT 564 lbs., CA 1780 lbs., FA 1440 lbs. NO . SPA . CAST : 7/8" CZL1 'Y : 411 AMOUNT: 9 lbs. AIR TR-P. 41 ° F WEATHER: TM SkvF-ED: 9:10 TRUCK NO.: POLYHEED POZZUTEC-20 630F -3- DESIGN STRENGTH: 3000 PSI T!• T AIR: N/A% 4 ozs./100 WT. 1% 0 Rain 015 CYL.NO. LAB. NO. I DATE TESTED i A-� wrIlk-13fll 35a 1-0118 01-15-91 7 N A " 4245 35b 1-0119 02-05-91 28 " 5626 35c 1-0120 28 " 5548 REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTF—CTION MA�ALS �TES�T]Nflx LABORAT"RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INS=ION & TEST REPORT FOR We Lei IN• �a i� 2 of 2 SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-08-91 PFdO`TECT:_ Fred Meyer Store PFdD= NO. = T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Construction PE=/ ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: ves. REBAR INSPECTED: yes. REMARKS: Insnection of forms and reinforcement steel was found to be in accordance with the city approved plans ME L-HOD OF PLA�T : Pam Truck METHOD OF CCNSO MATICN: CONCRETE SUPPLIER: Vibration MILES SAND & GRAVEL LOCATICN OF PLACEMENT: Tilt panels #4, 5, 68 and 38. LOCATION SAMPLED: Tilt panel 438. MIX DATA: CE�IP: 6 SK. TYEE: "HE" MV- SEE Pam.: 7/8" ACMIXTURE: POLYHEED POZZUTEC-20 MICROAIR HOTWATER NO. OF YDS. PLACED: 50 yds. SUYP: 4" AZR: N/A o AMOUNT: 4 ozs./100 WT. 1° 0 5° 0 CCNCF= TEMP , 64 ° F AIR TR-F. 4 2 ° F WEATI-1ER NO.SPEC.CAST• -8- TEE Sq,=: 11:45 TRUCK NO. DESIGN STRENGTH: Rain 109 4000 PSI T !'• T CYL.NO. 36f LAB. NO. 1-0126 DATE TESTED I 01-15-91 AL-z I 7 wr1Lk-2nl I N/A 6"x12" I 3951 36g 1-0127 1-0128 02-05-91 28 28 11 ( 5978 6 0 4 8 36h I REMARKS: Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONS', JCTION MA RIALS TEST ;G LABORA RIES, INC. (C'ATL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 01-31-91 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way REPORT NO.: 40 CONTRACTOR: Andersen Construction FE=/Cacl;p�l ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city annroved plans METHOD OF PLACEMENT : Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 10 CCNCRETE SUPPLIER: MILES SAND & GRAVEL LCCATION OF PLACEMENT: Loading dock at and lines "A" at 2; column bases food entrance at grid lines between 6 and "H" LOCATION SAMPLED: Column base line 10 at G. MIX DATA: rAIMIXTUFE:�E1 POZZUTEC MICROAIR HOT WATER CONCRETE TRIP . 63 0 F NO.SPEC.CAST: -3- 7/ 8" SLLIMP: 1 3" AIR: N/ A AMOUNT:-4 ozs./100 WT. 1% a AIR 'TEMP. 44 ° F WEATHER: Showers TINE S?Y` =: 8 : 3 0 TRUCK NO.:— 108 DESIGN STRENGTH: 3000 PSI CYL.NO. ! LAB.NO. DA1'E '1'h�b'iED 40a I 1-0549 02-07-91 7 N/A 6"xl2" 3856 40b I 1-0550 02-28-91 28 " " 40c 1-0551 28 nRMS I RE]� : Inspection - Soil Testing - Concrete Testing - Asphalt Testing - Site Investigation 9 Concrete and Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 2 - 0 4 - 9 1 PROJECT: Fred Meyer Store REPORT NO.: 42 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to concrete tests for today's scheduled placement. Contractor placed concrete for column footings H, G and C entry way at grid lines 1 to 2 and "E" to "F". Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at slump of 4" range throughout the placement. See today's concrete tests report for results. Weather: Rain LN/ fm Inspector: L . Nichols inspection • Soil Testing Concrete Testinc sphalt Testinc • Site investigation • Concr= ,d ysphalt Coring CONSTRUCTION M, TRIALS TESTING LABORAORIES, INC. (CMTL. INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0 7 98 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Stove PROJECT #: T 7 5 2 9 ADDRESS: 33702 21st Ave. S.W. Federal way REPORT #: 43 CONTRACT or DATE PICKED UP: 02-5-91 PERMIT #: 90-380—c DATE OF INSPECT ION : 0 2 — 4 — 9 1 INSPECTOR, L . Nichols Picked up, transported to the laboratory and prepared for testing 3 each 6"x12" cylinders samples each samples each samples each samples each samples REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION MAVIALS TESTING LABORA.,,AIES, INC. (CMTL. INC.) A Division of Western Testinc Laboratories 4417 Pacific Highway East Fife, Washington 95424 (206) 922-079; FIELD INSPECT= CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 02-06-91 PROJECT: Fred Meyer Store REPORT NO.: 44 CC>N TRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO. T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed approximately six yards3 of concrete (fc 3000 PSI at 28 days, 6.0 sack cement ratio) for column footings at north side of grid "K" line, between 4.5 to 6.5. Inspection of reinforcement steel was found to be in accordance with the city approved plans, except for the following deficiency: 1. Detail 1/S3 and 2/S3, placed #4 ties without proper spaces, per detail (double ties at the top). They corrected them, prior to placement of concrete. I checked consistency of concrete and cast one set of 6"xl2" concrete cylinder samples for compressive strength tests, as follows: TRUCK# TIME AIR TEMP. CONC.TEMP. SLUMP 125 12:15 50OF 68OF 2-3/4" In addition, Roofing Contractor delivered material to the jobsite for prepara- tion only today. I reviewed specifications for built up roof application and discussed general procedures with Superintendent. Weather: Fair - 50 ° F @ 12 : 00 SH/fm Inspector: S . Hong inspection • Soii Testinc • _on.fetc- testing spna!t Testing • Sltr invesLg-at:c- • �:onc'et d-,spnal' CONS-, JCTION A TRIALS TES: IOC LABORS RIES, INC. C ^1TL. INC.) A Division cf Western Testing Laboratories , 4417 Pacific Highwav East c Fife, Washington 98424 RECEIVED (206) 922-0798�� INSPECTION & 'PEST REPORT FOR CONCRETE PLANT CLI:'-"VT: Fred Meyer, Inc. DATE OF LNS=--CN: 02-06-91 PROJECT: Fred Meyer Store P` ''=' No • = T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 44 CONTRACTOR: Andersen Construction PE=/ ND.: 90380C INSPECTOR: S.Hong FORM INSPECI'ID Yes. REBAR 24SP�--D : Yes. RFi�IARK�>: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF P 7: Chute METHOD OF CONSOLIDATION: Vibrator N0. OF YDS. PLACED: 6 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL TCCATICN OF PLAN: Five column footings at the north of "K" line, between grids 4.5 to 6.5. LCCATICN SAMPLED: Same as placement. MZX DATA: CENEIT: 6.0 S<- TYPE: I -II MAX. SIZE �M.: 7/8" ALMIXT'URE: POZZUTEC-20-'r= POLYHEED MICROAIR CONCRETE T.--11P . 68 0 F AIt2 lalP. 50 O F NO . SPF_,C . CAST : - 3- TEE S X,=: 12 :15 aLIAP: 2-3/4" 7 ozs. 1100# 4 ozs. 100# 4 ozs_'vd. Wes7=— : TRUC:: NC .: DESIi�:= AIR: N/A 0 CWT, CWT, Fair 125 3000 PSI CYL . NO . LAB . NO . DATE TESTED AGE WE I= P S I 42a i 1-0616 02-13-91 7 1 N/A 6"xl2' I 4351 42b 1-0617 03-06-91 28 ' I 42c j 1-0618 28 i REC S : inspection Soil Testing Concrete Testing Aspnai: Testing Site Concrete anu ... Coring CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer DATE OF INSPECTION: 02-12-91 PROJECT: Fred Meyer Store REPORT NO.: 49 CONTRACT or ADDRESS: 33702 21st Avenue S.W., Federal Way PERMIT NO.: 90.380C Co -OR: Andersen Construction PROJECT NO.: T-7529 I arrived at the site to perform inspection of built up roof application, however, roofing was cancelled due to the weather. I picked up one set of concrete cylinders, which were cast on 02-11-91. Weather: Rainy Inspector: S . Hong Inspection • Soil Testing 9 Concrete Testing \sphalt Testing • Site Investigation Concre nd Asphalt Coring CONS UCTION A -RIALS TES'- AG LABOR, )RIES, INC. C.`ATL. INC.) A Division c: Western Testina Laboratories 2acific Highway East I V E D ife. `,Lashington 98424 FEB 19 1991 t 206) 922-0798 --NS c E`T =oN & TEST REPORT FOR C CNCREIE PLACEMENT CLI�.",1T• Fred Meyer, Inc. DAME OF _;S= C "='TON: 02-04-91 PROJECT: Fred Meyer Store P1U7"r,C'T :�C .: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NZ.: 42 CXXNTRACTOR: Andersen Construction FERYET/a�%--7;�-= ^D.: 90380C INSPEC CR: L.Nichols FORM INSPECTED: Yes. RESAR E`S= E:"TED : Yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. M- -:OD OF PLA�T : Chute ^'HOC OF CONSOLIDATION• Vibration NO. OF :'� :LACED: 6 yds. CCNr— E SUPPLIER: MILES SAND & :GRAVEL 'xATION OF PLACEMENT: Column foot;^cs at grid lines 1 and 2, and "E" and "F", HGC entry. L CAT ON SAMPLED: Line 1 at "_" . .= DATA: CEMENT 564 lbs., CA 1740 lbs., FA 1400 lbs. =, : 6 SK. TY -: I M?1X. SE X�—: 7 / 8 AJ M=JRE : HOT WATER POZZUTEC-20 POLYHEED MICROAIR yLm : 11 AMOUNT : z---- 1 % 4 ozs. 5 % a AIR- N/A CDNC= T`11P . 70 ° F AIR -r_ 53 ° F WEAT?-E;R: Rain NO.SPEC.CAST: -3- TmE 8:20 TRUCK NO. 017 DESIG, STR' 'VGTLi: 3000 PSI CYL.NO. LAB.NO. DATE TEST- AGE 1 WEICT i DE -=:SKIS PSI 41a 1 1-0564 i 02-11-91 7 N/A 6"xl2" 4033 4lb i 1-0565 03-04-91 28 " 41c 1-0566 28 ' Inspection - Soil Testing • Conc-et_ Testir.c • '.sDnd : Testing i II irnesticat:cr. CONSTRUCTION MA RIALS TESTING LABORA_ _ RIES, INC. (C,`v\TL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT '-'-� Fred Meyer, Inc. DATE OF INSPECTION: 02-07-91 pF= = Fred Meyer Store REPORT NO.: CONTRACT or 45 ADI DF =':: 33702 21st S.W. Federal Way PF IIT NO.: 9 0 3 8 0 C CONTRA= = Andersen Construction PROJECT NO.: T-7529 I arrived at the site to perform inspection of built up roofing application. The contractor placed built up roofing between grids 7 to 12, A to B, 9 to 12, and B to B 16". They placed one layer of 2.3 insulation board (AC foam composite, 41x8') with 8 fastners per sheet ( 3-3/4" screws, buildex, with 3" 0 plastic plates, gearlok) and 50% more fastners at the corner, and 3 piles o, conglas comply A IV with solid asphalt between each ply. They cleaned plywood deck and surface of insulation prior to applying of roofing felt. The job foreman was advised to comply with the specification as follows and they complied; 1) Apply concrete primer on concrete wall in advance time to cure before apolving built up roofing. 2) All plies shall be turned up 2" above the ca7rt strip. 3) 50s *pore additional fasteners should be placed at the corner per detail dated 02-06-91 4) Se-a-ed all edges for water tight seal at end of day. 5) A;.p_v enough asphalt on laps to prevent dry laps. 6) Ma_atain asphalt temperature at 500°F in the tank. I checked temperature of asphalt for application as follows: TIME AIR TEMP APPLYING TEMP. TANK TEMP. 11:00 550F 450OF 500OF 2:30 570F 440OF 500OF In addition, I picked up one set of concrete cylinders which were cast on 02-06-91. Weather: Cloudy 55°F at 11:00 Inspector: S . Hong Inspection • Soil Testing 9 Concrete Testinc sphalt, Testing • Site Investigation- • Concrf nd Asphalt Coring CONSTRUCTION NIA RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENT- Fred Meyer, Inc. DATE OF INSPECTION: 02-08-91 PROJECT: Fred Meyer Store REPORT NO.: 46 CONTRACT or ADDRESS: 33702 21st Avenue S.W., Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived a't the site to perform inspection of built up roofing application. The contractor applied built up roof on the rigid insulation and plywood roof deck between grids B and B+16' to C and 7to 12 with satisfactory workmanship. They placed one layer of 2.3" insulation board with screw fasteners,and applied three plies of comply A IV with solid asphalt between each ply. The contractor cleaned the surface of plywood deck and insulation board properly prior to applying of roofing felt. The city inspector was at the site and approved nailing of plywood deck for built up roof at the west side of grid 7 line. I marked few defected areas (non -adhesion and fish mouth) for corrective action, and they added another ply for correction. Checked asphalt temperature for applying as follows: TIME AIR TEMP. APPLYING TEMP. TANK TEMP. 9i44 520F 470OF 500OF 12:50 60OF 450OF 500OF Weather: Cloudy Inspector: S . Hong Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation Concr L -ind Asphalt Coring CONSTRUCTION 1% .RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 2 - 0 9 - 9 1 PROJECT: Fred Meyer Store REPORT NO•: 47 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO. T-7529 I arrived on the jobsite to conduct visual inspection of built-up roof application. Contractor applied built-up roof on the rigid insulation between grids 7 to 12 and "C" to D+18' with satisfactory workmanship. They placed one layer of 2.3" insulation board with fasteners, and applied three (3) plies of "Comply A -IV" with solid asphalt between each ply. Job Foreman was advised to cover boxes of mechanical openings for prevent of leaking, and they complied. All openings were covered with plastic. I checked asphalt temperature for applying, as follows: TIME AIR TEMP. APPLYING TEMP. TANK TEMP. 9:50 450F 430OF 500OF 2:40 480F 420OF 500OF Weather: SH/fm Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation 9 .Concrnd Asphalt Coring Cloudy - 45°F @ 8:00 Inspector: S . Hong CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East' w Fife, Washington 98424 FEB (206) 922-0798 FIELD INSPECTION REPORT C1.=-4 : Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 2 4 - 9 1 P1:1f r.Cr: Fred Meyer Store REPORT NO.: 37 CONTRACT or ACLRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CCNTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct grout tests for today's scheduled placement. Contractor placed grout between slab on grade and tilt panels, from line "C" to "K", line 12, 12 to 1; line K, Line 1, "K" to "C". I cast one set of three each 2"x2"x2",4000 PSI concrete grout for compressive strength tests, to represent the above placement. See today's grout test reoort for results. Inspection of reinforcement steel not required for this placement. In addition, I also picked concrete cylinder samples, which were cast on January 23rd, 1991. I ,r Weather: LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring Partly Cloudy Inspector: L . Nichols CONSTRUCTION 1% RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PROTECT NAME: Fred Mever Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 38 CONTRACT or DATE PICKED UP: January 25th, 1991 PENT #: 90380C DATE OF INSPECTION: January 24th, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 3 each 2"x2"x2" grout cube samples samples each samples each samples each samples each samples REMARKS: N/A LN/ fm Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION 1% RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-29-91 PROJECT: Fred Meyer Store REPORT NO.: 39 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Upon my arrival, I was informed by Contractor that concrete placement was cancelled, due to frozen ground. Weather: Cold Inspector: L . Nichols LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation 9 Concrete and Asphalt Coring ;3---1 consTRarrIon Mu RIALS TESTING LABORA LIES, INC. (CIv1TL• INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLAIT � APB 2 3 1991 1 of 2 SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Construction PE U'/ ND.: 90380C INSPECTOR: L . Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLA�T : PLmp Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 50 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #4, 5, 68 and 38. LOCATION SAMPLED: Tilt panel #38. MIX DATA: It • b 11► • • 121lk POZZUTEC-20 MICROAIR HO WATER CONCRETE TEMP. 64 ° F AIR TEMP. 4 2 ° F NO. SPEC . CAST : -8- TINE Sg-=: 11: 4 5 S11VI 4" Ate: N/A o AMOUNT: 4 ozs./100 WT. 1% 0 5% 0 WEATHER: Rain TRUCK NO.: 109 DESIGN STRENGTH: 4000 PSI CYL.NO. I LAB.NO. DATE TESTED ACE whlufr J)1u-jm-4n-.V1v'-D i rJ� 36a 1-0121 01-11-91 3 * N/A 6"x12" 1484 36b 1-0122 01-14-91 6 * 3643 36c 1-0123 01-15-91 7 * " 3810 36d 1-0124 01-16-91 8 * " 3997 36e 1-0125 01-17-91 9 * 4107 REMARKS: * All five concrete samples above are field cured. Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring COMSTF'"-'CTION MATFRIALS TESTIL`Lfl LABORATORIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East';;, ` Fife. Washington 98424 (206) 922-0798 J AN INSPECTION & TEST REPORT FOR SET 1 CLIENT: Fred Meyer, Inc DAM OF INSPECTION: 01-08-91 PROJECT: Fred Mever Store PROJI-1-1 NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Construction "CJ=R�Cr ND.: 90380C IMPECTOR: L.Nichols FORA INSPECTED : _ yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans - METHOD OF PLACEMENT: Pum Truck --- METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 32 yds. MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to "B", 2.5 to 3. LOCATIC IN SAMPLED: Line "B" at 2.5. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. SrtNP: 4 AIR: N/A % CH -Hu: 6 3C. Z7tI£: I MnX. SI7£ PLC.: 7/8" " ACKIXTURE: POLYHEED AMCUNT: 4 ozs./100 WT. POZZUTEC-20 HOrIWATER CONCRETE TEMP. 64 OF AIR TRV. mn cprr ra-c-r! -3- TTZE RFD: 41OF 8:20 1% 0 WEAR: Rain TRUCK NO.: 126 DESIGN STRENGTH: 3000 PSI CYL.NO. i LAB -NO- DATE TESTED AGE WElu f' ra.. 34a 1-0115 -01-15-91 7 N/A 611xl2" 4174 34b 0-0116 02-05-91 28 " 34c 0-0117 28 " xONFORMS REMARKS: Inspection • Soil Testing 0 Concrete Testing 9 Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring COHSTV"CTION MAX"DIALS TESTIDL i LABORATnRIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East R E C .: li V ,LE; i Fife, Washington 98424 JAN 2 3 Val (206) 922-0798 INSPECTION & TEST REPORT FOR SET 2 CLIENT: Fred Meyer, Inc. DAME OF INSPECTION: 01-08-91 PROJECT: Fred Meyer Store PF= NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way s NO.: 29 CONTRACTOR: Andersen Construction PER4IT/1CaZRKT NJ-= 90380C INSPECTOR: L.Nichols FORK INSPECTED: yes. FEAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 88 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to "B", 3.0 to 5 and J.5 to "K", 4 to 8. LOCATION SAMPLED: "A" to "B" at 3.5. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CavIIa: 6 SC. TYEE: I M?1 L STM PaL: ADMIXTURE: FIBERMESH NO.SPEC.CAST: POLYHEED POZZUTEC-20 630F 7/8" Sum: 4" AIl2: N/A AMOUNT: 9 lbs. 4 ozs./100 WT. AIR gyp. 41 ° F WEATHER: -3- TDE g*FLED: 9 :10 TRUCK NO. : 1° 0 DESIGN STRENGTH: Rain 015 3000 PSI CYL . NO . I LAB . NO . DATE TESTED AGE WEI(k li ly I . r a i 35a 1-0118 01-15-91 7 N/A 6"X1 211 4245 35b 1-0119 02-05-91 28 goif 35c 1-0120 28 ago REMARKS: Inspection - Soil Testing - Concrete Testing 11 Asphalt Testing • Site Investigation - Concrete and Asphalt Coring CONSTF-"CTION MATERIALS TESTIN i LABORATORIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories z *h 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR 2 of 2 Ca4C.RhM PLACEMENT SET 3 CLIENT: Fred Meyer, Inc DATE OF INSPECTICN: 01-08-91 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Construction I/CaZRCr NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. BAR INSPECTED: : yes. REMARKS: Inaction of forms and reinforcement steel was found to be in accordance with the city approved Plans MEIHOD OF PLACEMENT: Pup Truck MSTHOD OF CONSOLIDATICN: Vibration NO. OF YDS. PLACID: 50 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATICN OF PLACEMENT: Tilt panels #4, 5, 68 and 38. LOCATION SAMPLED: Tilt panel #38. MIX DATA: C84R1T: 6 SK. MNE: "HE"' MAX. SIZE PLI;.: 7/8" Sam: 4" AIR: N/A % AEMZXTURE: POLYHE'ED AMOUNT: 4 ozs./100 WT. POZZUTEC-20 1% MICROAIR HOTWATER CONCRETE Tom, 64 ° F NO.SPEC.CAST: mil AIR TW. 42 ° F TM SaNEum-. 11:45 5% WEAMR: Rain TRUCK NO.: 109 DESIGN STRENGTH: 4000 PSI CYL.No. I LAB.NO. DATE TESTED AGE WER.1il' r�l 36f 1-0126 01-15-91 7 N/A 6"x12" 3951 36 1-0127 02-05-91 28 of It 36h 1-0128 1128 REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION 1% RIALS TESTING LABORAORIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 33 DATE PICKED UP: January 16th, 1991 CONTRACT or PERMIT #: 90380C DATE OF DOPECTICiN: January 8th, 1991 INSPECTOR: J.Graham Picked up, transported to the laboratory and prepared for testing 2 each 6"x12" concrete cylinder samples samples each samples each samples each samples each samples REMARKS: Field Cured Samples JG/fm Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation • Concre` -ind Asphalt Coring L �. CONSTRUCTION 1% RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-27-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 10 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Ptunp Truck METHOD OF CONSOLIDATION: Vibratory Screed NO.OF YDS PLACED: 226 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL T,CCATION OF PLACEMENT: Slabs on grade at lines 3.5 to 4, "B" to J.5 and 1.5 to 2, "B" to "F". LOCATION SAMPLED: Slab 3.5 to 4 at "D". •^ a I ` ��• STD PM.: 7 /8 MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. ADMIXTURE: Hotwater Fibermesh CONCRETE TEMP.: 61OF AIR TEMP. NO.SPEC.CAST: -3- TIME SAMPLED: 420 F M. 411 AMOUNT: 1° 0 AIlZ: N/A % WEATHER: Party Cloudy TRUCK NO.: 118 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB.NO. DATE TESTED AGE WEIGHT DIMENSIONS PSI 7a 0-7185 12-04-90 7 N/A 611xl2" 3184 7b 0-7186 12-25-90 28 ofof 4952 7c 0-7187 28 4881 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing to Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA HALS TESTING LABORA tIES, INC. CLIENT: (CMTL, INC.) A Division of Western Testing Laboratories Fred Meyer, Inc. 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 DATE OF INSPECTION: 11-27-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 10 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with city approved plans. METHOD OF PLAC MENT : Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO.OF YDS PLACED: 226 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at 3.5 to 4, "B" to J.5, 1.5 to 2.5 and "B" to " F" . LOCATION SAMPLED: Slab, 1.5 to 2.5 at "D". CMI, T:S S6. TYPE: I MAX. SnE PLI;.: MIX DATA: CEMENT 470 lbs., CA 1820 lbs., ADMIXTURE: Hotwater Fibermesh 61OF -3- CYL.NO. LoAB.NO. AIR TEMP. TIME SAMPLED: 7/8" FA 1480 lbs. 450F 11:05 4" AIEZ: N/A % WEATHER: Partly Cloudy TRUCK NO.: 108 DESIGN STRENGTH: 3000 PSI DATE TESTED AGE WEIGHT DIMENSIONS PSI 8a 0-7188 12-04-90 7 N/A 6"x12" 3007 8b 0-7189 12-25-90 28 114917 8c 0-7190 it28 4988 NFOMS LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring CONSTRUCTION M TRIALS TESTING LABOR, --TRIES, INC. (Cj1ATL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.:. CONTRACMR: Andersen Construction PERMIT/CONTRACT NO.: SET 1 12-12-90 T-7529 20 90380C INSPECTOR: L.Nichols FORM INSPE=: yes. REBAR INSPECTED: yes. RCS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans _ METHOD OF PLACEM NVT : Purm Truck -- METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #6B, 6C, 6D and 7 thru 13. LOCATION SAMPLED: Panel # 7 . MIX DATA: CEMENT 5641bs. CA 17801bs., FA 1440 lbs. C 3-aT: 6 SG. =-: I NBC. SIZE AGG.: 7/8" SLUAP : 4" AIR: N/A % ACRE: HOT WATER AMOUNT: ---- POLYHEED 4 ozs./100 WT. POZZUTEC-20 1% MICROAIR 50 CCNCRETE TEMP.. 650F AIR TEMP.: 460F WEATHER: Overcast NO. SPEC . CAST : -3- TINE Sa RM. 8 : 40 - TRUCK NO.: 109 DESIGN STRFNGIH: 3000 PSI r,rme mVcrrTri rr� tJVTrJ4 T DIMENSIONS PSI 22a 0-7578 12-19-90 7 N/A 6"x12" 3820 22b 0-7579 01-09-91 28 " " 22c 0-7580 28Rum: " LAB RE�AFiKS : Inspection - Soil Testing - Concrete Testing - Asphalt Testing - Site Investigation - Concrete and Asphalt Coring CONSTRUCTION n RIALS TESTING LABORP RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPEC'TICN & TEST REPORT MR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: SET 2 12-12-90 PROJECT:_ Fred Meyer Store P13O`= NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 20 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPEC.'TED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pmp Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 210 yds. MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7, "E" to" A"; 6 to 6.5 an "A" to J.5; 6.5 to 7 and "G" to J.5. LOCATION SAMPLED: Slab, 6.5 to 7 at "C". MIX DATA: CEMENT 564 lbs. CA 1780 lbs., FA 1440 lbs. M*L SIZE AGG.: 7/8" SLLYAP : ALMDCTURE: FIBERMESH POZZUTEC-20 POLYHEED HOTWATER CCNCRETE TZ%IP .: 66 ° F AIR TEMP. 4 6 ° F NO.SPEC.CAST: -3- T2vE S*pLED: 10:40 4" AIR: N/A AMOUNT: 1% 1° 0 4 ozs./100 WT. WEATHER: Overcast TRUCK NO.: 145 DESIGN STRENGTH: 3000 PSI �C�, *� urcTrn3m DIl�ISICNS OCT 23a 0-7581 12-19-90 7 1 N/A 6"x12„ 4 316 23b 0-7582 01-09-91 28 23c ' -7583 28FMFRRRA I LAB REAAFtKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORI--TRIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT: Fred Meyer, Inc DATE OF INSPECTION: 12-12-90 PROJECT: Fred Meyer Store - -PROJECT NO. ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: T-7529 20 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: _ yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: _ PLup Truck - METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 210 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7, "A" to "E"; 6 to-6.5, "A" to J.5 and 6.5 to 7, "G" to J.5. LOCATION SAMPLED: 6 to 6.5 at "G" . MIX DATA: CEMENT 5641bs. CA 17801bs., FA 1440 lbs. CR4M: 6 SG. Tom: I MAX. SIZE AGG.: 7/8" SLUMP : 4" AIR: N/A % AEMIXTURE: HOTWATER ANT: ---- POLYHEED 4 ozs/100 WT. POZZUTEC-20 to FIBERMESH 1 CONCRETE TEMP .: 6 6 ° F NO.SPEC.CAST: -3- AIR TEMP.: 4 6 ° F WEA=R: Overcast TkE s*VLFD: 11: 30 TRUCK NO • : 012 DESIGN STRENGTH: 3000 PSI Im"C' In rr_r Ur;?TrZ4T DIlW.AXSICNS OCT 24a 0-7584 12-19-90 7 N/A I 6"x12" 4 280 24b 0-7585 01-09-91 28 24c 0-7586 11 28 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION Ni"TERIALS TESTING LABORATORIES, INC. (C,MTL. INC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPE.CTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT• Fred Meyer, Inc. DATE OF INSPECTICN: 12-13-90 PROJF.C:: Fred Meyer Store PFO= NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 21 CONTRACTOR: Andersen Constriction SIT/CCNTRAC."L NO.:. 90380C INSPECTOR: L.Nichols FIORM INSPECTED : yes. RESAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: PL= Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at lines "G" to J 5 and 7.5 to 8. LOCATION SAMPLED: 7.5 to 8 at "H". MIX DATA: CEMENT 564 lbs . CA 1780 lbs . , FA 1440 lbs . CH4M: 6 SG. T`rT-17: I MV- SIZE AGG.: 7/8" SLLW : 3�" AIR: N/A A11MZ} t(z: FIBERMESH AMOUNT: 1 POZZUTEC-20 POLYHEED CONCRETE TEMP.: 65°F AIR TEMP.: 45°F NO. SPEC.CA.ST: -3- TZE Si*I:yM: 11:40 1% 0 4 ozs./100 WT. WEATHER: Overcast TRUCK NO.: 130 DESIGN STRFNGTH: 3000 PS: rnrme mPcm�r, rr� UmTrSdT DIMUISICNS PS I 27a 0-7630 12-20-90 7 N/A 6"xl2„ 3 113 27b 0-7631 01-10-91 28 " 27c 0-7632 28 "UKORMS LAB RFtitARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M"T _RIALS TESTIN LABORATORIES, INC. (CG`ATL. INC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPF.CTICN &TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-13-90 PRDJEC'T: Fred. Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 21 CONTRACTOR: Andersen Constriction PERMIT/CCNTRACr NO.: 90380C INSPECTED: L.Nichols FORM INSPECTED: _ yes. RE$AR INSPECTED: yes. RRIARKS: Inspection of forms and reinforcenent steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL IX=ICN OF PLACEMENT: Tilt panels #14 thru 17 and 41, 43, 46, 51, 55 and 60. LOCATICN SAMPLED: Panel #55. MIX DATA: CEMENT 564 lbs. CA 1780 lbs., FA 1440 lbs. SIT: 6 Sib. TEE: I M%X. SIZE AGG.: 7/8" SLUMP : 4" ACMIXTURE : MICROAIR AMOUNT:- 5 0 NO.SPEC.CAST: POZZUTEC-20 POLYHEED HOTWATER 650F AIR TEMP.: 390F -3- AIR: N/A $ 1% 0 4 ozs./100 WT. WEATHER: Overcast TRUCK NO.: 128 DESIGN STRENGTH: - 3000 PSI �r...�....�C�, ,,.-� f.TVTl3FP T)Il�ISIONS PSI 25a 0-7624 12-20-90 7 N/A 6"x12" 3219 25b 0-7625 01-10-91 28 " 25c 0-7626 1128 IMMKM LAB RE4ARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRICTION A""RIALS TESTING LABORQTr)RIES, INC. (C:`ATL. INC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife. Washinaton 98424 (206) 922-0 798 INSpECTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTICN: 12-13-90 PF JECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.:. T-7529 21 CONTRACTOR: Andersen Construction PERrLIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FLORA INSPI.ECI'ED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. -_ METHOD OF PLACEMENT: Punp Truck - METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #14 thru 17 and 43, 46, 51, 55 and 60. LOCATION SAMPLED: Panel #43. MIX DATA: CEMENT 564 lbs . CA 1780 lbs . , FA 1440lbs . CHlal>r: 6 SG. Tom': I MC SIZE PIG.: 7/8" SLUMP : 4" AIR: N/A � AEMIXTURE: Microair AMCUNT: 5 Pozzutec-20 1° 0 POLYHEED 4 ozs./100 WT. 660F AIR TEMP.: 430F WEATHER: Overcast NO. SPEC. CAST : - 3- TIME S*I:fFD: 9:15 TRUCK NO.: 120 DESIGN STRENGTH: 3000 PSI ..,aTr-crr nTmENSIONS PSI 26a 0-7627 12-20-90 7 ----- N/A 611x12" 3184 26b 0-7628 01-10-91 28 26c 0-7629 28 " LAB F�SARICS : Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing It Site Investigation It Concrete and Asphalt Coring CONSTRUCTION NU RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PR0,7ECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction EER41T/CCNEFOCT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. RFMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans METHOD OF PLACEMENT: Pump Track METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #18 thru 25. LOCATION SAMPLED: Panel #20. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1400 lbs. AIIIXTURE: POZZUTEC-20 MICROAIR HOTWATER CONCRETE TEND. 65 ° F AIR TR�P. 44 ° F NO.SPEC.CAST: -3- TDE S*111D: 8:25 411 12-14-90 T-7529 22 AIR: N/A o 4 ozs./100 WT. 5% 0 WEATHER: Overcast TRUCK NO.: 130 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB.NO. DATE TESTED ACC; wbi.Ufl' ll1Mt;lV51UiVJ i rat 28a 0-7652 12-21-90 7 N/A 6"xl2" 3077 28b 0-7653 01-11-91 28 " 28c 0-7654 28 " REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-17-90 PROJECT: Fred Meyer Store REPORT NO-: 23 CONTRACT or ADDRESS: 33702 21st Avenue S.W. Federal Way PERMIT NO•: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today' scheduled placement. Contractor placed concrete for slab on grade at grid lines "G" to J.5 and 8 to 8.5, and second tilt panels #27, 26, 45, 50, 54, and 74 thru 79. Inspection of reinforcement steel (tilt panels) was found to be in accordance with the city approved plans. I cast six each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3�" to 4" range throughout the placement. See today's concrete tests report for results. Concrete was placed as follows: TRUCK# TEMPERATURE TRUCK# TEMPERATURE 123 660F 121 660F 141 65±f 135 650F 125 660F 140 640F 143 6 6 0 F 017 650F 017 650F 123 660F 123 650F 149 650F 143 650F 121 650F 141 650F 109 650F 125 650F Weather: Overcast LN/fm Inspector: L.Nichols Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing 9 Site Investigation 9 Concre" and Asphalt Coring CONSTRUCTION N["'' TRIALS TESTING LABORPTORiES, INC. (C,V\TL INC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 IVSPr=CN & TEST REPGRT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPEC!TICN: 12-17-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 23 CONTRACTOR: Andersen Construction PER4IT/CONTRACT NO.: 90380C INSPECTt'R: L . Nichols FOFM LNSP_17L D: yes. RESAR INSPECTED: yes. KEMAJU<S: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 50 yds. OCINCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLACEMENT: Slab on grade at lines "G" to J.5 and 8 to 8.5. LOCATION SAMPLED: 8.5 to 8 at "H". MIX DATA: CEMENT 564 lbs . CA 1780 lbs . , FA 14401bs . O IDW: 6 SE6. Tom': I MAX. SIZE AGG.: 7/8" SLUMP : All AIR: N/A $ ALMIXTURE: HOTWATER AMOUNT: ---- POZZUTEC-20 POLYHEED FIBERMESH 650F 1% 0 4 ozs./100 WT. 1% 0 AIR TEMP.: 47°F WEATHER: Overcast NO.SPEC.CAST: -3- TINE SAD: TRUCK NO.: 141 DESIC,I STRENGTH: 3000 PSI �r� ��n r� UTVTe"%7 DIMENSIONS PS I : n-, I, IL.P0.J. ' LtriD.Vf_. . 0-7676 . _ ,._.r.= 12-24-90 7 ----- N/A 6"xl2" -- - 4245 29a 29b 0-7677 01-14-91 28 11 29c 0-7678 28 " MUMM LAB RE,IARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION NLI"rERiALS TESTING LABORATORIES, INC. (CMTL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPF..CTICN & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROTECT: Fred Meyer Store PROTECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO- SET 2 12-17-90 T-7529 23 CONTRACrOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FURM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEME IT: PLup Truck METHOD OF CCVSOLIDATION: Vibration NO. OF YDS. PLACED: 100 yds. CCNC:RETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLAiCEIENT: Tilt panels #26, 27, 45, 50, 54 and 74 thru 79. LOCATION SAMPLED: Panel #27. MIX DATA: CEMWr 564 lbs . CA 1780 lbs . , FA 1440 lbs . CaAENr: 6 SG. TYFE: I ML SIZE AGG.: 7/8" SLUAP : 4" AIR: N/A % AIMIX'TURE : HOTWATER AMOUNT: - - - - POZZUTEC-20 1% POLYHEED 4 ozs./100 WT. Microair 5% CCNCRETE TES.: 65 ° F AIR TEMP.: 47 ° F WEAR: Overcast NO.SPEC.CAST: -3- TINE SffflD: 9:30' TRUCK NO.: 017 DESIG4 STRENGTH: 3000 PSI TT C' TCCTCTI T('G LTVTi�i'T DIM&NSICNS PSI 30a 0-7679 12-24-90 7 N/A 6"x12" 30b 0-7680 01-14-91 28 " 30c 0-7681 28 " LAB RE.1ARKS : Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M TRIALS TESTING LABORS ►RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 24 CONTRACT or DATE PICKED UP: December 18th, 1990 PERMIT #: 90380C DATE OF INSPECTION: December 17th, 1990 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 6 each 6"x12" concrete cylinder samples sales each samples LN/ fm each each each REMARKS: N/A samples samples samples Inspection 9 Soil Testing 0 Concrete Testing Asphalt Testing • Site Investigation 9 ConcrF' and Asphalt Coring CONSTRUCTION MA tIALS TESTING LABORAT IES, INC. (CMTL, INC.) A Division of Western Testing Laboratories/ 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FEB 2 51 91 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc DATE OF INSPECTION: 01-22-91 PROJECT:_ Fred Meyer Store PROJECI110. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 35 CONTRACTOR: Andersen Comtruction PER-11T/GaZX7 NO.: 90380C INSPECTOR: L.Nichols Yes. REBAR INSPECTED: Yes. Inspection of forms and reinforcement steel was found to be in accordance With the city approved plans METHOD OF PLACEIv=: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 76� yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL T�TION OF PLAC-71, IT: Slab on grade at grid lines 10 to 7 and "G" to "D", and two outside sections. .,. LOCATION SAMPLED: 9.5 to 10 at "G". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. ALMIX —. -:J 6 SC. TYPE: I M*X. STZE x r7.: 7 / 8 " SCLP'IP: _ FIBRE MESH AMOUNT: POLYHEED-20 POZZUTEC HOT WATER CONC= TIE 1P . NO. SPID . CAST : 650F -3- AIR TR-F. 37 ° F 411 to AIR: N/A o 4 ozs./100 WT. to FATHER: Cold/Clear TRUCK NO.: 125 3000 PSI LA:--,.1,r- DATE TESTED AGE i WEIGFIi i PSI 37a 1 0348 , 01 29-91 7 ( N/A 4775 37b 1-0349 02-19-91- 28 I 5942 37c 1-0350 f 28 i 1 6013 REMARKS: Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation Concrete and .-\spnalt Coring ' CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACE1v0NT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-06-90 PRCUECT: Fred Meyer Store PROJECT NO. T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way REPORT NO.: 01 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED- yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city. approved p]ang METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 45 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL -)CATION OF PLACEMENT: Spread footing at grid lines 1 on "B", "C", "D", "E" and "F"; "B", "C", "D", "E", "F", "G", "H" and "J" on 3 and 4. LOCATION SAMPLED: Line 3 at "F". MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. CR4M:5 M. 'TYPE: I -II MAX. SnE Pm: 7 /8" SCLh": 3 11 A1X4IXTU1gE:: NONE AMOUNT: NONE CONCRETE TEMP. NO. SPEC. CAST: 60°F AIR TEMP.: -3- TIME SAMPLED: /wsr .TIY T TD w71 e»nfn rr r_-tVfCT1 AM N/A o WEATHER: Partly Cloudy TRUCK NO.: Oil DESIGN STRENGTH: 3000 PSI rrc Tw-rfsrr nTMT7MvTr1,n PSI 480F 13:50 1 .:I • 90 7- 12-04-90 ®.� I • I III oil ►`l &I Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRICTION MA ZIALS TESTING LABORA LIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-07-90 PRDi7ECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way _ REPORT NO.: 02 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSP9=: yes. REMARKS: Inspection of form and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 60 yds. CONCRETE IDPPLIER: MILES SAND & GRAVEL CATION OF PLACEMENT: Spread footing at grid lines 5, 6 and 7, "B" to "J". LOCATION SAMPLED: Footing at line 6 at "F". CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. S6. 'TYPE: I -II Mix. SIZE . • 7 / 8 NONE CONCRETE TEMP.: 620F AIR TEMP.: NO. SPEC. CAST: -3- TIME SAmpL ED: l.c7T wV'1 T AK2 AT ��n+n r�.C•.t.CRI 530F 14:15 AM N/A % WEATHER: Partly Cloudy TRIG NO.: 138 DESIGN STREN=: 3000 PSI 2a 0-6849 11-14-90 7 N/A �� 3572 2b 0-6850 12-05-90 28 1111 4 881 2c 0-6851 to28 11it Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation 9 Concrete and Asphalt Coring CONSTRUCTION Mi-RIALS TESTING LABORA -RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLOT: Fred Meyer, Inc DATE OF INSPECTION: 11-08-90 PRC7ECT- Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 03 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM IISSPECTED: yes. REBAR I SPE=: yes. gEg,RKS• Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Chute Vibration NO. OF YDS. PLACID: 64 yds. MILES SAND & GRAVEL XATION OF PLACEMENT: Spread footing at grid lines 8, licit to "J", line 9, "B" to "J" and line 10, "B" to "F". LOCATION SAMPLED: 8 at "D" , spread footing. 6:V2 CEMENT 470 lbs. , CA 1840 lbs. , FA 1440 lbs. 90. TYRE.- I -II M*L SITE P1r.: NONE 7/8" S91 r 3" �-rp,. N/ T o AMOUNT: NONE Lil Lam. 1V L 1 62°F AIR TEMP.: 530F WEATHER: NO. SPEC. CAST: -3- TIME SAMPLED: 13 :18 TRIX TC NO.: Overcast 118 3000 PSI nl7T AYl TAU Al'1 T!S TarT(-ItiT nTMTQqTCL9 PSI 3ar v 0-6867 �11-15-90 7 N/A 6"xl2iv 3056 3b 0-6868 12-06-90 28 if" 5023 3c 0-6869 28 4988 Inspection • Soil Testing 9 Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION 1% RIALS TESTING LASORA RIES, INC. (CMTL. INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-09-90 Pam. Fred Meyer Store PFC7ECT ND.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERMIT NO.= INSPEC'TOR: 04 L.Nichols FORM INSPECTED: yes. REBAR INSPECTED- yes. REMA Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Chute Vibration MILES SAND & GRAVEL NO. OF YDS. PLACED: 16 yds. XATION OF PLACEMENT: Spread footings at grid lines 11, "B" to "F". 11 at "D". MIX DATA. CEMENT 470 lbs., CA 1840 lbs., FA 1480 lbs. CaeuP SIG. 7 / 8 ADbSI F.h: NONE CONCRETE TEMP.: 64 ° F NO. SPEC. CAST: -3- S314): 3�" AIR N/A % AMDOINT: NONE AIR TEMP.: 4 9 ° F WEATHER: gain TIME SAMPLED: 13:00 TRUCK ND.: 014 DESIGN STRENGTH: 3000 PSI rf-0 wv�rf-L" nTM9?%7cTr)W, PSI 4a 0-6938 j 11-16-90 7 N/A "" 3820 4b 0-6939 12-07-90 28 4952 4c 0-6940 28 " " 4988 Inspection 0 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A MIALS TESTING LABORS TRIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-15-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 06 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FOR4 INSPECTED: yes. REBAR INSPECTED: yes. REMAI; S: Inspection of fornis and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLANT: Chute METHOD OF CONSOLIDATION: Vibration NO.OF YDS PLACED: 70 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Footings at grid lines "A", 1 to 5 and line 1, "A" to "E". LOCATION SAMPLED: Footing at line 1 at "D". ame:5 SZ. TYFE: I MAX. SIZE Xr.: 7/8" SUPP: 4" AIR: N/A MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. AEMIX'IURE: NONE T= NONE CONCRETE TEMP.: 650F AIR TEMP. 50OF WEATHER: Overcast NO.SPEC.CAST: -3- TIME SAMPLED: 11:33 TRUCK NO.: 16 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB NO DATE TESTED AGE WEIGHT DIMENSIONS PSI 5a 0-7023 11-22-90 7 N/A 6"xl2" 4139 5b 0-7024 12-13-90 28 " 5c 0-7025 28 UUMMKma LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation If Concrete and Asphalt Coring CONSTRUCTION NIL TRIALS TESTING LABORP*RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FUR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-21-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 08 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO.OF YDS PLACED: 70± yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Footings at grid lines "A", 8 to 12; Line "K", 10 to 5; line 12, "A" to "G" and line 2, "F" to "K". LOCATION SAMPLED: Footings at line "A" at 10. am)r;4.5 St6. TYPE: I M*C. SITE PM.: 7 / 8 " SUM: 4" AIlL- N/A o MIX DATA: CEMENT 423 lbs., CA 1820 lbs., FA 1480 lbs. ADMI)ffURE : NONE ' AMOUNT: NONE CONCRETE Tom.: 620F AIR ZEMP, 470F WEATHER: Overcast NO.SPEC.CAST: -3- TDE SAMPLED: 8:40 TRXX NO.: 125 DESIGN STRENGTH: 2500 PSI CYL.NO. LAB.NO. DATE TESTED AGE WEIGHT DIMENSIONS PSI 6a 0-7140 11-28-90 7 N/A 6"x1291 3325 6b 0-7141 12-19-90 28 " " 6c 0-7142 1128 11" LAB REMARKS: Inspection • Soil Testing • Concrete Testing 0 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION NL TRIALS TESTING LABORAORIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-27-90 PRQ ECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 10 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMAR : Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO.OF YDS PLACID: 226 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slabs on grade at lines 3.5 to 4, "B" to J.5 and 1.5 to 2, "B" to "F". LOCATION SAMPLED: Slab 3.5 to 4 at "D". C$„IIe5 SG. TYFE: I MAX. SIM pM.: 7 / 8 MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. AEMIXTURE : Hotwater AMOUNT Fibermesh CONCRETE TEMP.: 61OF AIR TEMP. 420F NO.SPEC.CAST: -3- TIME SAMPLED: 9:09 4" AUL* N/A % 1% 0 WEATHER: Partly Cloudy TRUCK NO.: 118 DESIGN STRENGTH: 3000 PSI CYL . NO. LAB . NO. DATE TESTED AGE WEIGHT DIMENSIONS P S I 7a 0-7185 12-04-90 7 N/A 661x12" 3184 7b 0-7186 12-25-90 28 " " 7c 0-7187 28 " TAR REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing 9 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORS RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-27-90 PFoo=: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 10 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORA INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with city approved plans. METHOD OF PLA MvIEZU : Pmp Truck METHOD OF CONSOLIDATION: Vibratory Screed NO.OF YDS PLACED: 226 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCX',ATICIN OF PLACEMENT: Slab on grade at 3.5 to 4, "B" to J . 5 , 1.5 to 2.5 and "B" to "F". LOCATION SAMPLED: Slab, 1.5 to 2.5 at "D". C3_RIT:5 E6. TYPE: I I*X. SnE pm.: 7/8" SUM: 4" AM- N/A % MIX DATA: CEMENT 470 lbs., CA 1820 lbs.,'FA 1480 lbs. AaqjXTURE: Hotwater AMOUNT: Fibermesh 1% CONCRETE TEMP.: 61OF AIR TEMP. 450F WEATHER: Partly Cloudy NO.SPEC.CAST: -3- TIME SAMPLED: 11:05 TRUCK NO.: 108 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB.NO. DATE TESTED AGE WEIGHT DIMENSIONS PSI 8a 0-7188 12-04-90 7 N/A 6"x12" 3007 8b 0-7189 12-25-90 28 " " 8c 0-7190 28 TAR uFMARKS : Inspection to Soil Testing to Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA ZIALS TESTING LABORX HES, INC. (C:v1TL. INC.) A Division cf Western Testina Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT- Fred Meyer, Inc. DATE OF INSPECTION: 11-06-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way REPORT NO.: 01 CONTRACTOR: Andersen Construction PERMLT NO.: 90380C INSPECTOR: L . Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 45 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Spread footing at grid lines 1 on "B", "C", "D", "E" and "F"; "B", "C", "D", "E", "F", "G", "H" and "J" on 3 and 4. CO-0414 0� �• �� IV B . V, Line 3 at "F". CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. SG. ML SITE PCB.: 7/ 8 NONE NO. SPEC. CAST: 60OF AIR TEMP.: -3- TIME SAMPLED: r+alr wv1 T AD AT SCOMP: 3" AM N/A % AMOUNT: NONE 48 ° F WEATHER: Partly Cloudy 13:50 TRUCK NO.: O11 DESIGN STRENGTH: 3000 PSI A P-1 47L'Tf-IL" nTIMFTICTCY-1r-' PST la 0-6846 11-13-90 1 7 N/A 3572 lb 0-6847 12-04-90 28 " " lc ( 0-6848 1128 " Lim :,-,b Inspection • Soil Testing • Concrete Testing 0 Asphalt Testing 9 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA- __tIALS TESTING L.ABORAI _ _tIES, INC. (C%ATL. INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT ND.: ADDS; 33702 21st. Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERMIT NO.: INSPECTOR: 11-07-90 T-7529 02 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. ARKS. Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 60 yds. MILES SAND & GRAVEL LOCATION OF PLA M24D : Spread footing at grid lines 5, 6 and 7, "B" to "J". LOCATION SANS: Footing at line 6 at "F". R• V. CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. SKS. 'TYPE: I -II MAR. NONE 62°F AIR TEMP.: NO. SPEC. CAST: 7/8" SQl-p; 3" AIR1 N/A % 530F 14:15 WEATHER. Partly Cloudy TRDCK NO,: 138 DESIGN STRENGTH: 3000 PSI .sr� r wo wry .....,r. n+rr•.••r.r� rrt T.M-rfll" nTMGA1r-1TCY1F PSI V�L.rnl. 2a �-ram.-vim 0-6849 11-14-90 N/A 6"x1211 3572 2b 0-6850 12-05-90 17 ! 28 it11 2c 0-6851 28 " " Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA� -AIALS TESTING LABORAT _ _IiES, INC. (C:`ATL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEM= CLIP: Fred Meyer Inc DATE OF INSPECTION: 11-08-90 PROJECT: Fred Meyer Store PROJECT W. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 03 CONrRACMR: Andersen Construction PERMr NO.: 90380C L.Nichols FORM INSPECTED: yes . REBAR INSPECTED- yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 64 yds. —*R-*j 4;*% '!IJUJ gooM MILES SAND & GRAVEL LOCATION OF PLACEMENT: Spread footing at grid lines 8, "C" to "J", line 9, "B" to "J" and line 10, "B" to "F". LOCATION SAMPLED: 8 at "D", spread footing. I1 0 • V. 0 i CEMENT 470 lbs., CA 1840 lbs., FA 1440 lbs. ME • 7/8" SQI43: 3" Am N/A % AMOUNT: NONE 62°F AIR TEMP.: 53°F WEATHER: NO. SPEC. CAST: -3- TIME SAMPLED: 13:18 TRUCK NO.: DESIGN STRENGTH: i..rr .v. r Art %V1% 47C'TrS nTIMF711CTrVT-" Overcast 118 3000 PSI PST 1 .:. •1 1 • 0-6869 m Inspection • Soil Testing 0 Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA- __ZIAiS TESTING LABORAL _ _ TES, INC. (CM-1 L. =.NC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washincton 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-09-90 PROJECT: Fred Meyer Store PRO= NIO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 04 CCNTRACPOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORK INSPECTED: yes. REBAR INSPECTED,: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. Chute Vibration NO. OF YDS . PLACED: 16 yds . CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Spread footings at grid lines 11, "B" to "F". 11 at "D". MIX DATA. CEMENT 470 lbs., CA 1840 lbs., FA 1480 lbs. aNMr-5 S[6. Tsm- I- II mr— Sm PLI;.: 7 / A 24EXTORE: NONE NO. SPEC. CAST: parr wrr� T AQ AT SQ14P: 3Y AIR: N/A o 64 O F AIR TEMP.: 49 O F WEALTHER: Rain -3- TIME SAMPLED: 13:00 TRUCK NO.: 014 DESIGN H: 3000 PSI n.c•c.nc•n Arm' WwTiM" nTMFTF-'Tr#Z; PSI v4a 0-6938 11-16-90 17 N/A " 3820 4b 0-6939 12-07-90 28 " 4c 0-6940 28yn " rMW Z] 1 7 u , Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA, DIALS TESTING LABORAI IES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIE Rr: Fred Meyer DATE OF INSPE=ON: 11- 0 6 - 9 0 PR JEC r: Fred Meyer Store REPORT NO.: 01 ADDRESS: 3 3 7 0 2 21 s t. Avenue S. W., Federal Way PERMIT NO.: 9 0 3 8 0 C OCNTRACTOR. Andersen Construction PROJELT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for spread footings at grid line 2, "B", "C", "D", "E" and "F"; lines 3 and 4, "B", "C", "D", "E", "F", "G", "H" and "J". Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. Amman I ftk� Weather: LN/fm Inspection • Soil Testing • Concrete Testing *" ' sphalt Testing • Site Investigation • Concreltr -nd Asphalt Coring t Partly Cloudy Inspector: L.Nichols CONSTRQCTICN MAT iALS TESTING LABORAT IES. Inc. (C.V. I L INC.) A Division cf Western Testina Laboratories 4417 Pacific Highway East Fife. 'Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer DATE OF INSPSICN: 11-07-90 Pfi=*. Fred Meyer Store REPaU NO-: 02 pppRESS: 337a2 21st. Avenue S.W. , Federal Way PERT NO.: 90380C CCNTRA=R: Andersen Construction PRW©('P NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for spread footings at grids lines 5, 6 and 7, B to11iff. Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. In addition, I also picked up one set of three each 6"xl2" concrete cylinder samples, which were cast November 6th, 1990. Umther: LN/fm Inspection • Soil Testing • Concrete Testing sphalt Testing • Site Investigation • Concrete -nd Asphalt Coring Overcast Inspector: L.Nichols CONST UCTION MAT IALS TESTING LABORAT IES, INC. (C:`ATL. !NC.) A Division cf Western Testing Laboratories .417 Pacific Highwav East ife.'{Vashington 98424 (206) 922.0798 FIELD INSPECTION REPORT C.LIENr: Fred Meyer DATE OF IPSPECTICN: 11- 0 8 - 9 0 Pill)TECr: Fred Meyer Store REPOT NO.: 03 ADDRESS: 33702 21st. Avenue S.W. , Federal Way PE 41T NO.: 90380C CCNrRA=R: Andersen Construction PRE? = NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for spread footings at grid lines 8, "C" to "J"; line 9, "B" to "J"; line 10, "B" to "F". Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. In addition, I also picked up one set of three each 6"x12" concrete cylinder samples, which were cast on November 7th, 1990. Weather: LN/ fm Inspection • Soil Testing • Concrete Testing I `sphalt Testing • Site Investigation • Concrete no Asphait Coring Overcast Inspector: L.Nichols CL NSTRtICTICN MAT IALS TES T iNC L-XBORAT IES• INC_ (C`ATL. INC.; A Division of Westem Testing Laboratories 1417 Pacific !-iignwav East Fife. Washinown 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer DATE OF IP1S=I0N1: 11- 0 9 - 9 0 Psoja r: Fred Meyer Store REPORT NO•: 04 ADDRESS: 33702 21st. Avenue S.W. , Federal Way PINT NO. 90380C CCNTRA=R: Andersen Construction PRW= NO. = T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for spread footings at grid lines 11, "B" to "F". Concrete was placed at a slump of 3" to 4" range throughout the placement. I cast one set of three each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. See today's concrete tests report for results. In addition, I also picked up one set of three each 6"xl2" concrete cylinder samples, which were cast on November 8th, 1990. Weather: LN/fm Inspection • Soil Testing • Concrete Testing sphalt Testing • Site Investigation • Concret,- ,nd Asphalt Coring Rain Inspector: L . Nichols CONSTRUCTION NlPT=RIALS TESTING LABORX ""RIES, INC. (CMTL.. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PR0,7FCT NAME: Fred Meyer Store PST #: T-7529 ADDI?ESS: 33702 21st. Avenue S.W., Federal Way #: 05 DATE PICKED DP: November 12th, 1990 —PERMIT #: 90380C DATE OF INSPECTION: November 9th, 1990 IlSSPfl -10R:_ L.Nichols Picked up, transported to the laboratory and prepared for testing 3 each 6"xl2" concrete cylinder samples samples each samples each samples each samples each samples LN/fm REMARKS: N/A Inspection • Soil Testing 0 Concrete Testing }-Asphalt Testing • Site Investigation • Concret and Asphalt Coring CONSTRUCTION MAT-ZIALS TESTING LABORATWIES, INC. (CMTL, INC.) A Division of Westem Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 02-15-91 PROJECT: Fred Meyer Store REPORT NO.: 50 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel for footings with slab for detention tank. Inspection of reinforcement steel for footings was found to be properly placed, in accordance with the city approved plans, except for placing of dowels for center walls, which was not completed at the time of inspection. I noticed that they placed #4 dowels at 12" O.0 with drill into the wall for sump pit, because they placed pre -cast concrete wall. Weather: Rainy Inspector' S . Hong SH/fm Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation 0 Concre+- and Asphalt Coring CONSTRUCTION NSA tIALS TESTING LABORAT IES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer Company DATE OF INSPECTION: 02-11-91 PROJECT: Fred Meyer Store REPORT NO.: 48 CONTRACT or ADDRESS: 33702 21st Ave. S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived at the site to perform inspection of built roof application and concrete placement, however, the application of built up roof was cancelled due to the weather, except the preparation work for delivery of materials. The roofing contractor applied built up roof between grids 7 to 12, D+8' + E+ 44' on Sunday, 02-10-91. Inspection was not required as per Andersen Construction superintendent. Checked reinforcing steel and found it to be in satisfactory condition in accordance with the city approval plans. The contractor placed approximately 9 cubic yards3 (fc 3000 PSI at 28 days, 6 sack cement ratio) of concrete for six each column footings between grids 8.5 to 10 at the North side of "K" line. Checked consistency of concrete and cast one set, 3 each of 6"xl2" concrete cylinders for compressive strength tests as follows: TRUCK # TIME AIR TEMP. CONC.TEMP. 139 10:40 450F 660F Weather: Cloudy & Shower Inspector: SLUMP 4h" S. Hong Inspection • Soil Testing 9 Concrete Testing sphalt Testing 0 Site Investigation • Concret id Asphalt Coring f, 1 CONSTRUCTION M TRIALS TESTING LABORI TRIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washinaton 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR Concrete CI,T: Fred Meyer DATE OF INSPECTION: 02-11-91 PROvE : Fred Meyer Store PROTECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W. , Federal Way REPORT NO.: 48 CCN RAC 0R: Andersen Construction PER-UT/CaZ;OCT ND.: 90380C INSPECTOR: S . Hong FORM -NS p7- A-- D : Yes. REBAR INSPECTED: Yes. RE�LR:^S: Inspection of forms and reinforcement of steel was found to be in accordance with the city approved plans. = OD OF PLACa 1' : Chute ME7-HOD OF CONSOLIDATION: Vibrator NO. OF YDS. PLACED: 9yd3 CCNC= SUPPLIER: Miles ;;x� 70L CF PLA �t 6 column footings between grids 8.5 to 10 at the North of "K" line. =-=C,y SAMP=: Same as the above location. ME; DA, : M T: 6.0 FK. LYFE:I - I I %M S= Xl;.: Pozzutec 20 7/8" S.LMP: AMOU',N7 : 4-4 4" AiR: 7ozs/100 #CWT Polyheed 4ozs/100 #CWT Micro Air 4ozs/yd3 N/A C,^,i;C= = j.�, 66°F At-R 450E KEA7HE2: Cloudy NC. S _ �:. =ST : 3 T2,E S!T�ID: 10 : 40 TRL'CX NO. 139 3000 xI DATE TESTED A PS1 43a -3665 02-18-91 ` 7 NN' 6"x12" 4139 43b 0666 03-11-91 28 43c 0667 --- REMARKS : inspection - Jcii Testing - Concrete Testing - Aspha:; Tesune - Site im>sucat:cr - Concrete and Asona:t Cer.nc C^NSTRUCTICN MA-RIALS TESTING L.ABCRAT-71ES. INC. (C.IITL. INC.*; A Division of Western Testina Laboratories 1417 Pacific Higitwav East Fife. 'Nasnington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENr: Fred Meyer DATE OF IN PE=CN: 11-15-90 rKJUPC- : Fred Meyer Store NO.: 06 ADDRESS: 33702 21st. Avenue S.W. , Federal Way NO.: 90380C CORrRACMR: Andersen Construction PK.0 U:r NO. = T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for footings at grid lines "A", 1 to 5 and line 1, "All Ato Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 4�" range throughout the placement. See today's concrete tests report for results. Weather: Overcast Inspector: L.Nichols LN / fm Inspection • Soil Testing • Concrete Testing sphalt Testing • Site Investigation • Concret� d Asphalt Coring CONSTRUCTION MA7 IALS TESTING L4BORAT IES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 SAMPLE PICK-UP REPORT PRO= NAME: Fred Meyer Store P93QEG'P #: T-7529 A,ppRESS. 33702 21st. r:uen e S.W., Federal Way REPORT #: 07 DATE PICKM UP: November 16th, 1990 PST #: 90380C DATE OF IlVSPECTION: November 15th, 1990 IlVSP£CIO - L.Nichols Picked up, transported to the laboratory and prepared for testing 3 each 6"x12" concrete cylinders les samples each samples each samples each samples each samples LN/fin REMARKS: N/A Inspection • Soil Testing • Concrete Testing sphalt Testing • Site Investigation • Concrete -id Asphalt Coring i Kramer tog-ees- 82 G a h 1 e n 503-289-2661 Associates Inc. Webber arks Office Bldg. Consulting Engineers 400 Columbia St., Suite 240 Structural - Civil Van oaVer s#-)ington 9090 o)=ILE ti. z November 29, 1990 CITY OF FEDERAL WAY C d a DEPT. OF COMMUNITY DEVELOPMENT a I BUILDING SECTION C% i APPROVED AS CORRECTED SUBJECT TO FIELD INSPECTION. < OVERSIGHT OR VIOLATIONS OF CITY C ORDINANCES ARE NOT INCLUDED IN J THISAPPROVAL. Gal Mr. Ted Green 3 2 JKS Architects P.C. BY lfC—,-- DATE 1620 S.W. Taylor Street, Suite 200 � Portland, Oregon 97205 BY DATE ' RE: F and Meyer / Federal Way KGA Pro ect No, 90M5 s J 5 vy " Z) m Q N Dear Tod. We have mviewod the Miles Sand and Gravel Company ntix design for the 4 0 Psi concruto poured in cold weather. It is our company policy to not "stamp" nv designs one would shop drawings. After reviewing the mix design, however, we feel they satisfy the structural r .qui This tiux design includes PUzxutcc 20, an accelerating admixture which is apl ret required dun to cold weather. I trust the above information is satisfe.tory for your needs. if you have any please call our office. Slncerdly, Rick !ones, P.F-. Kramer C;vhlcn & Associates, Inc. cc: Mr. Kirby Hess, Andersen Construction Company Eno. Py 9 M V' 2 9 i 0 b .F J B SI E REGISTRATION: STRUCTURAL -CIVIL • WASHINGTON • OREGON I - CAOFORNIA IDAHO • NEVADA - MON ANA ALASKA a 206 696 r 14! 0- 8-15-30 17:10 FPOM f'1ILES 70 I 169E, 72 P.02 IMILES ,11Fit� SAND AND GRAVEL COMPANY :'.0. $QX 130 AUBURN. WA 96071 CONCRETE_ i GRAVEL • CRUSHED ROCK a SAND PLANTSIN AUBURN KENT -rACpMA SHELTON 833-370C 654-0550 922.9116 426-3344 November 28, 1990 H. A. Andersen Constructiozi F. 0. Box 6712 porLl and, OR 97228 Gentlemen We hereby submit the following mix dtsign with a propr data for your Fred Meyer Store, S_ W. 21st Ave. & 347th Foderal Way job. Mix F 4000 5.5 S7� Gor►orete t Cement Type 1--11 517 1 s Stand (SSD) 1,390 1 s Gravel 7/8" (SSD) 1,850 1 s Pozzutec 20 (1%) 7 oz/cwt Pozzutec 20 (1/2%) 4 oz/cwt Water 2$ 9 1 Slump 4" + or 1" sate P1. The following additives may be aced in the above ix d sign per the plans and spacifications= Air Entrainment, 1POZ utec 20. Attached are trial batch results and quality contr on a similar mix. please feel free to call it You questions. very truly yours, DO NOVAN nD/Ent Attachments of re orts hav any 14LIU-28-199-0 1's 11 FROM MILES _ TO 169�1.572 P.03 SAND AND G14AVSL COMPANY P.D. BOX 130 AUBURN, WA 98071 CONCRETE: s GRAVEL • CRUSHED ROCK • SAND PLANTS IN AUBURN KEN1 TACOMA SHELTON 0,13.3700 654-0560 922.9116 426-3344 November 28, 1990 ti. A. Andersen Construction P. 0, Box 6712 Portland, OR 97228 Gentlemen: We hereby submit the following mix design with data for your Frea Meyer Store, S. W. 21st Ave. & Federal Wary job. Mix G 40QO PSG 6.0 U concuuw ppro riate 347t Pl., Cement Type 1-11 564 1 s Sand (SSD) 1,480 X s Gravel 7/8" (SSD) 1.,820 1 s Pozzutec 20 (1%) 7 0 /cwt Pozzutea 20 (2/2%) 4 oz/cwt Water 28 g 1 Slump 4" + or - 1" The following 4dditivev may be used in the above per the plans and specifications'. Air Entrainm 20. Attached are trial batch reeults and quality cont can a similar mix. please feel free to call it yo questions. Very truly yours, DGUG D O NOVAN V� pD/mt Attachments ix esign Po zutee rol r ports u ha a any f Kramer 206.683-1621 G e h I e n 503-289-2581 Associates Inc. gibber Works Office Bldg. Consulting Engineers 4 0 Columbia St., Suite 240 Structural • Civil Van ouver, ashington 98660 November 28, 1990 Mr. Ted Green JKS Architects P.C. 1620 S.W. Taylor Street, Suite 200 Portland, Oregon 97205 RE: Fred Meyer / Federal Way KGA Project No. 90-085 Dear Ted: We have reviewed the Miles Sand and Gravel Company mix design for the sl b-on-gra concrete poured in cold weather. It is our company policy to not "stamp" mi designs one would shop drawings. After reviewing the n-ix design, however, we feel they satisfy the structural This mix design includes Pozzutec 20, an accelerating admixture which is a; required due to cold weather. 1 trust the above information is satisfactory for your needs. if you have any c uestions, please call our office. Sincerely, - !A Rick Jones, P.E. Krasner Gehlen &. Asscx:iates, Inc. W. Mr. Kirby Hess, Andersen Construction Company Enc. Py REGISTRATION: STRUCTURAL -CIVIL - WASHINGTON • OREGON • CAL FORNIA IDAHO • NEVADA • MON ANA - LASKA 8 zu* 070 iJrc h101:+- S-29�+7 10:35 FR.:711 MILES ` TO I 169dis-6, P.01 IMILE � SAND AND GRAVEL COMPANY F'.0. BOX 18C AUBURN, WA 98071 GONGRBTE: ♦ GRAVEL # GRUSHEO ROCK r SAND PLANTSIN AUBURN KENT TACOMA SHELTON M,t-3700 6S4.0500 922.9116 426-$344 November 28, 1990 H. A. Andersen Construction P. O. Box 6712 Portland OR 97228 Gentlemen; We hereby submit the €ollowingr mix decign with a prop late data for your Fred Meyer Store, S. W. 219t Ave. & 47th Fl-, Federal Way job. Mix A 3000 M a—.00 Sk concrete Cement Type I-I1 470 bs $and (SSD) 11480 baa Gravel 7/6" (SSD) 2,320 bs Grava2 1 3/8" (SSD) 500 bs ial Pozzutec 20 (1%) 7 z,/cwt Pozzuter 20 (1/2*) 4 x/cwt Water 25 Clump 4" 4 or - 1" Thg following additives may be used ill the above m x de ign per the plans and specifications; Air Entrainment Pozz tec 20.. At are trial }patch results and quality contr 1 rep r1:s oxt, a similar mix. Please feel free to call if you )lave any questions. Very truly yours, DOVG DONOVAN DD/mt Attachments -rrrrni D G1 CONSTRUCTION NA RIALS TESTING LABORA LIES, INC. (C,�1TL, INC.) A Division of Western Testing Laboratories RECEIVED 4417 Pacific Highway East i DEC 131990 Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CL=. Fred Meyer, Inc. DATE OF INSPECTION: 11-21-90 P Fred Meyer Store REPORT NO.: 08 ADDRESS: 33702 21st Avenue S.W., Federal Way PST NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for footings at grid lines "A", 8 to 12; line "K", 10 to 15; line 12, "A" to "G" and line 2, "F" to "K". Inspection of reinforcement was found to be in accordance with the city approved plans. I cast one set of three each 6"x12", 2500 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3�" to 4�" range throughout the placement. See today's concrete tests report for results. Weather: LN/fm Inspection • Soil Testing 0 Concrete Testing Asphalt Testing • Site Investigation • Concrete end Asphalt Coring Overcast Inspector: L .Nichol s CONSTRUCTION NA_ _RIALS TESTING LABORA_ _ RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PIC= NAME: Fred Meyer Store PFID= #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 09 DATE PICKED DP: November 23rd, 1990 PERMIT #: 90380C DATE OF INSPECTION: November 21st, 1990 INS P =K-.. E.Gann Picked up, transported to the laboratory and prepared for testing 3 each 6"x12" concrete cylinder samples sanmles each each each each LNI fm REMARKS: N/A samples samples samples samples FILE Inspection • Soil Testing • Concrete Testing "sphalt Testing • Site Investigation 0 Concre,• _-id Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORA LIES, INC. (CNITL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-27-90 Pam: Fred Meyer Store REPORT NO.: 10 ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PFCOECT ND.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines 3.5 to 4, "B" to J.5 and 1.5 to 2.5 and "B" to "F". Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast six each 6"x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. Weather: Partly Cloudy LN/fm } %S Inspector: L.Nichols Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MAi LRIALS TESTING LABORATORIES, INC. (C.NITL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT Pflo= NAME: Fred Meyer Store PF4:)= #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 11 DATE PICKED UP: November 28th, 1990 PERMIT #: 90380C DATE OF INSPECTION: November 27th, 1990 INSPECIOR:. L.Nichols Picked up, transported to the labora_ory and prepared for testing 6 each 6"xl2" concrete cylinder samples samples each each each samples samples samples each samples LN/fin REMARKS: 2 sets of 3 each. Inspection • Soil Testing • Concrete Testing sphalt Testing • Site Investigation • Concret id Asphalt Coring CONSTRUCTION MA ZIALS TESTING LABORAT IES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 FILE INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-15-90 PROJECT• Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 06 CON'TRALTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO.OF YDS PLACED: 70 yds. CONCRETE SUPPLIER: T,OCATION OF PLA MV!ENT : MILES SAND & GRAVEL Footings at grid lines "A", 1 to 5 and line 1, "A" to "E". LOCATION SAMPLED: Footing at line 1 at "D". MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. ADMIXTURE: NOTE AMOUNT: NONE CONCRETE TEMP.: 650F AIR TEMP. NO.SPEC.CAST: -3- TIME SAMPLED: CYL.NO. LAB.NO. DATE TESTED AIR: N/A % 50OF WEATHER: Overcast 11:33 TRUCK NO.: 16 DESIGN STRENGTH: 3000 PSI AGE WEIGHT DIMENSIONS PSI 5a 0-7023 11-22-90 7 N/A 6"xl2" 4139 5b 0-7024 12-13-90 28 4 917 5c 0-7025 28 " UUMM Kam ma LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA ZIALS TESTING LABORAI tIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 11-21-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 08 CONTRACTOR: Andersen Construction PERMIT NO.: 90380C INSPECTOR: L. Nichols FORM INSPECTED: yes. RMAR INSPECTED: yes. REMp,FtKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Chute METHOD OF OONSOLIDATION: Vibration CONCRETE SUPPLIER: MILES SAND & GRAVEL NO.OF YDS PLACID: 70± yds. LOCATION OF PLACEMENT: Footings at grid lines "A", 8 to 12; line "K", 10 to 5; line 12, "A" to "G" and line 2, "F" to "K". LOCATION SAMPLED: Footings at line "A" at 10. C34TT�.5 SKS. TYPE: I M*L SM xr..: 7 / 8 " SUM: 4" AIR: N/A % MIX DATA: CEMENT 423 lbs., CA 1820 lbs., FA 1480 lbs. ADMDnURE : NONE CONCRETE TEMP.: 620F AIR TEMP. 470F NO.SPEC.CAST: -3- TIME SAMPLED: 8:40 WEATHER: Overcast 125 DESIGN STRENGTH: 2500 PSI CYL.NO. LAB.NO. DATE TESTED AGE WEIGHT DIMENSIONS PSI 6a 0-7140 11-28-90 7 N/A 6"xl2" 3 325 6b 0-7141 12-19-90 28 11" 4068 6c 0-7142 1128 " 4033 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORS RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEI,NT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.:. SET 1 11-30-90 T-7529 12 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FOR4 INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Insection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Line Pump METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 140 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at urid lines 4 to 4.5 and "B" to J.5, south to north. LOCATION SAMPLED: Slab at 4.5 to 4 at "G". MIX DATA: CEMENT 470 lbs., FA 1480 lbs., CA 1820 lbs. CHIT: 5 SG. TfE: I MAX. SIZE AGG.: 7/8" SLR : 4" AIR: N/A g AEMIXTURE: Fibermesh AMOUNT: to Pozzutec-20 1° 0 CONCRETE TEMP.: 650F AIR TEMP.: 450F WEATHER: Partly Cloudy NO.SPEC.CAST: -3- TINE sm:E D: 10:45 TRUCK NO.: 109 DESIGN STRENGTH: 3000 PSI rvr i rn r ra nrn MTV TFSTF:n NOTE WRIM- T DIMENSIONS PSI .. , ., s ., .. ., :.. Ji'(lil��:`�� LAB REMARKS: Inspection 9 Soil Testing • Concrete Testing 9 Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M*RIALS TESTING LABOR (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT )RIES, INC. CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROIJEC T NO SET 2 11-30-90 T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 12 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Line Pump METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 25 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Stan walls at grid line "A", 1 to 12; line 1, 62' from "A", south to north. IACATICN SAMPLED: Line "A" at 6. MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1440 lbs. C3rEi.,Q: 5 SIG. TYFS: I AEM[DC VRE: Microair MAX. SIZE AGG.: 7/8" SLLIMF : 311 AMOUNT: 50 AIR: N/A % CONCRETE TEMP. ; 650F AIR TEMP.: 450F WEATHER: Partly Cloudy NO. SPEC. CAST • -3- TINE SgNpjM- 14 :17 TRUCK NO.: 142 DESIGN STRENGTH: 2500 PSI r'VT. nm i T.nR h n _ DATE TESTED AGE WEIGHT DIMENSIONS PSI 10a 0-7242 12-07-90 7 N/A 611x12" 1943 10b 0-7243 12-28-90 28 If 10C 0-7244 28 LAB REMARKS: Inspection 9 Soil Testing 0 Concrete Testing If Asphalt Testing If Site Investigation If Concrete and Asphalt Coring CONSTRUCTION NV"'7RIALS TESTING LABORf"" 1RIES, INC. (C1HTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-05-90 PROJECT: Fred Meyer Store PROJECT NO•: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CCNTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 14 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPEL=: yes. REMARKS: Inspection of forms and reinforcment steel was found to be in accordance with the city approved plans. METHOD OF PLACE 4E W : Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 130 of 256 yds. CONCR, SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade "A" to J.5, 5 to 5.5 and 3 to 3.5. LOCATION SAMPLED: 5 to 5.5 on "G". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 1 bs., MIX "A" CR4M: 6 SEG. Tom£: I Mc. SIZE AGG.: 7/8" SLUMP : 3-3/4" AIR: N/A ALMIXTURE: Fibermesh AMOUNT: is Pozzutec-20 Polyheed CONCRETE TEMP.: 670F NO.SPEC.CAST: -3- 10 4 ozs./100 WT. AIR TEMP.: 450F WEATHER: Overcast T-M S*RM: 9.10 TRUCK NO. 015 DESIGN STRENGTH: 3000 PSI nnmP. W-ql =.n nr_F uP.TCZ" DIMENSIONS PSI lla 0-7382 12-12-90 7 N/A 6"xl2" 3219 llb 0-7383 01-02-91 28 Itit llc 0-7384 1128 LAB i RAARK S : Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION NAWRIALS TESTING LABOR ---TRIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0 7 98 INSPECTION & TEST REPORT FUR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-05-90 PROJECT: Fred Mever Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal 'Ray REPORT NO.: 14 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. RESAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 256 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade, lines "A" to J.5, 5.5 to 5 and 3 to 3.5. LOCATICN SAMPLED: 3 to 3.5 on "F". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. MIX "A" CREC: 6 S6. TYPE: I MTV. SIZE AGG.: 7/8" SLUMP : ALMIX TURF : Fibermesh AMOUNT: Pozzutec-20 Polyheed 680F AIR TEMP.: 4 5 ° F NO.SPEC.CAST: -3- TIME S*=*. 10:40 WEATHER: TRUCK NO.. 411 1% 0 AIR: N/A to 4 ozs/100 WT. Overcast 145 DESIGN STRENGM: 3000 PSI CYL . NO . , LAB . NO . DATE TESL AGE WEIGHT DIMENSIONS P S I 12a 0-7385 12-12-90 7 N/A 6"x12" 3820 12b 0-7386 01-02-91 28 if " 12c 0-7387 1128man LAB REMARKS: Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION NIA RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO•= SET 3 12-05-90 T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 14 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. RE:BAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 25 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Footings at grid lines "K", 2 to 5. LOCATION SAMPLED: Footings, line "K" at 3 MIX DATA: CEMENT 451 lbs., CA 1820 lbs., FA 1480 lbs. SIT: 4-3/4 SEG. AEMIX TURF : NONE TEE: I MAX. SIZE AGG.: 7/8" SLUMP : 4" AVO JNT : NONE AIR: N/A °s CCNCR *E TEMP.; 58°F AIR TEMP.: 49°F WEATHER: Overcast NO. SPEC . CAST : -3- TINE S*14- D: 13 : 00 TRUCK NO.: 017 DESIGN STRENGTH: 2500 PSI XV, T rn X" nATF. TESTED AC7 WEIGHT DIMENSIONS PSI 13a 0-7388 12-12-90 7 N/A 611x12" 2865 13b 0-7389 01-02-91 28 11 13c 0-7390 28 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M.4--RIALS TESTING LABOW"'RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INBPECTIw & TEST REPORT MR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO•: 15 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 170 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL - LOCATION OF PLACE1 E NT : Slab on grade at lines "A" to J.5 and 5.5 to 6; "G" to J.5 and 2 to 3. LOCATICN SAMPLED: Slab "F", 5.5 to 6. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CH-)t: 6 SF. TEE: I Mr- SIZE AGG.: 7/8" SLUMP : 3�" AIR: N/A % Fibermesh Pozzutec-20 Polyheed CONCRETE TEMP.: 64"F NO.SPEC.CAST: -3- AMOUNT: 1% 1% 0 4 ozs./100 WT. AIR TEMP.: 450F WEATHER: Spy T-1 E g*IUD; 8:30 TRUCK NO.: 143 DESIGN STRENGTH: 3000 PSI rvT nrn I T.an ntn DATE TESTED AGE WEIGHT DIMENSIONS PSI 14a 0-7410 12-13-90 7 6"x12" 5 626 14b 0-7411 01-03-91 28 !N1A It 14c 0-7412 28 " LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M TRIALS TESTING LABORS ►RIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FUR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.:. CCNTRACPOR: Andersen Construction PERMIT/CCNTRACr NO.: SET 2 12-06-90 T-7529 15 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPE=: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 170 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on tirade on grid lines "A" to J.5 and 5.5 to 6; "G" to J.5 and 2 to 3. LOCATION SAMPLED: Slab on H-5.5 to 6. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CR4M: 6 95. Tom: I MC SIZE AGG.: 7/8" SLLM : 3Y" AIR: N/A % ALMIXTURE: Fibermesh AMOUNT: 1% Pozzutec-20 Polyheed NO.SPEC.CAST: 660F -3- AIR TEMP.: 460F TINE S *ELFD: 9 :15 to 4 ozs/100 WT. WEATHER: Spy TRUCK NO.: 130 DESIGN STRENGTH: 3000 PSI r-vr. _ h n _ , T AR _ Nn - DATE TESTED AGE WEIGHT DIMENSIONS P S I 15 -7413 12-13-90 7 N/A 611x12" 4881 15b 0-7414 01-03-91 28 to " 15c 0-7415 28 LAB REZAARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A RIALS TESTING LABORP RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Meyer Store PROJECT NO. ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO. T-7529 15 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 180 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #64, 64, 63, 57, 58, 53, 52, 49, 48, 47, 44, 42 and 40. LOCATION SAMPLED: Panel #57. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CDENr: 6 SCS. TYFB: I MAX. SIZE AGG.: 7/8" SLUMP : 4" AIR: N/A % AEMIXTURE: Pozzutec-20 Microair Polyheed CONCRETE TEMP.: 65 ° F NO.SPEC.CAST: 5915 AMOUNT: 1% 5% 4 ozs./100 WT. AIR TEMP.: 520F WEATHER: Sunny TINE S*pLED: 12:15 TRUCK NO.: 014 DESIGN STRENGTH: : 4000 PSI r"JT t rn . T Alm xrn r)ATF. TESTED AC;F. WEIGHT DIMENSIONS PSI 16a 0-7416 12-13-90 7 N/A 6"xl2" 3608 16b 0-7417 01-03-91 28 " 16c 0-7418 28 " LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 4 CL=: Fred Meyer, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Meyer Store PROTECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 15 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: in spection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 180 yds. CONCRETE SUPPLIER: Miles Sand & Gravel LOCATION OF PLACEMENT: Tilt panels #65, 64, 63, 57, 58, 53, 52, 49, 48, 47, 44, 42 and 40. LOCATION SAMPLED: Panel #58 MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. cml,T: 6 M. TYPE: I MVL SIZE AGG.: 7/8" SLUMP : 4" AIR: N/A AEMIXTURE: Microair T: 50 Polyheed Pozzutec-20 CONCRETE TEMP.: 65 ° F NO.SPEC.CAST: -3- 1% 0 AIR TEMP.: 520F WEATHER: Sunny TINE g*pfXD; 13:30 TRUCK NO.: 015 DESIGN STRENGTH: 4000 PSI rvr wrn , r sR Nn nATE TFSTED AGE WET= DIMENSIONS PSI 17a 0-7419 12-13-90 7 N/A 6"xl2" 4386 17b 0-7420 01-03-91 28 it " 17c 0-7421 1128 " LAB REMARKS: : Inspection 9 Soil Testing 0 Concrete Testing to Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORS TRIES, INC. (CMTL INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLSEiT: Fred Meyer, Inc. DATE OF INSPECTION: 12-07-90 PROJECT: Fred Meyer Store PROJF,GT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 16 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPEC'IM. yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATICN: Vibration NO. OF YDS. PLACED: 143 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to J.5 and 5.5 to 6. LOCATION SAMPLED: Slab at 5.5 to 6 at "D". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. SIT: 6 W. TYFE: I MAX. SIZE AGG.: 7/8" S11m : 3? 11 AIR: N/A % ALMIXTURE: Fiberrresh Pozzutec-20 Polyheed NO.SPEC.CAST: AMOUNT : 10 1% 4 ozs/100 WT. WEATHER: Foggv TRUCK NO.: 014 DESIGN STRENGTH: 3000 PSI r 'AinwvN r1STp' rf'p'cz'PF:T1 nr-Ir GTRTrJ-" DIMENSIONS PSI 660F -3- AIR TEMP.: .: 4 2 ° F 18a 0-7470 12-14-90 7 N/A 6"x12" 4245 18b 0-7471 01-04-91 -,n " " 18c 0-7472 1128 " PIRMS LAB REMARKS: Inspection • Soil Testing 9 Concrete Testing 0 Asphalt Testing to, Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M 'ERIALS TESTING LABORATORIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories CLIENT: Fred Meyer, Inc. 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 IINSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 DATE OF INSPECTION: 12-07-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 16 CON'rRACTOR: Andersen Construction PEEMIT/CONTRACT NO.: INSPECTOR: 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLAC MEN'T : Pt_p Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 143 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLANT: Slab on grade at grid lines "A" to J.5 and 5.5 to 6. LOCATION SAMPLED: 5.5 to 6 at "H". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CR43,T: 6 SG. TEE: I Mr- SIZE AGG.: 7/8" SLLM 3Y" AIR: N/A % ACMIXTURE: Fibermesh Pozzutec-20 Polyheed AMOUNT: 1% 1° 0 4 ozs./100 WT. CONCRETE TEMP.: 66 ° F AIR TE'-li P .: 4 3 ° F WEATHER: Foggy NO.SPEC.CAST: -3- TINE S*,RM: 9:35 TRUCK NO.: 141 DESIGN STRENGTH: 3000 PSI nnT� T7-q'I' n nr� tJPTrJ-iT DIMENSIONS PSI �r1L.1.V • 19a 0-7473 -- 12-14-90 7 N/A 6"x12" 4 139 19b 0-7474 01-04-91 28 " " 19c 0-7475 28 " FORK LAB REMARKS: : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A RIALS TESTING LABORS RIES, INC. (CMTL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTIc1 & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-07-90 PROJECT: Fred Meyer Store PROITECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 16 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pimp Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 25 yds. MILES SAND & GRAVEL LOCATION OF PLACEMENT: Walls at grid lines "A", 7 to 12 and line 12, "A" to "B". LOCATICN SAMPLED: Line "A" at 10. MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. M�Em: 5 W. TYPE: I M L SIZE AGG .: 7 / 8 " SLUMP : 4 " AMOUNT: NONE AIR: N/A % CONCRETE TEMP.: 61OF AIR TEMP.: 450F WEATHER: F09-9-y NO.SPE7C.CAST: -3- TkE S11:TM: 12:30 TRUCK NO.: 128 DESIGN STRENGTH: 3000 PSI e+v *v% I TAM NY") nATF TFSTED Aft WEIGHT DIMENSIONS PSI 20a 0-7476 12-14-90 7 N/A 6"x12" 2724 20b 0-7477 01-04-91 28 " 20c 0-7478 28 " LAB REMARKS: Inspection If Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRICTION YL ?RIALS TESTING LABORS CRIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACE3MF'.NT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO. INSPECTOR: SET 1 12-11-90 T-7529 19 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: S. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLANT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 186� yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7, "A" to "E", 7.5 to 8.0, "A" to "E", 6.5 to 7, "G" to J.5, 7.5 to 8.0 and 6 to J.5. LOCATION SAMPLED: Slab at 6.5 to 7 at "D". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. •:u au M. TYFE: I MAX. SIZE AGG.: 7/8" Fibermesh Pozzutec-20 Polyheed Hotwater SLUMP : 411 AMOUNT: 1% 0 1% 0 AIR: N/A % 4 ozs./100 WT. CONCRETE TEMP.: 650F AIR TEMP.: 450F WEATHER: Overcast NO. SPEC. CAST: -3- TDE S44DfM: 8 : 4 5 TRiTCK NO.: 014 DESIGN STRENGTH: 3000 PSI r'vT. Nn T.AA _ NY) _ DATE TESTED AGE WEIGHT DIMENSIONS PSI LAB REMARKS: Inspection 9 Soil Testing • Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION 1% :RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CL=: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PR0,JECT NO.: SET 2 12-11-90 T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 19 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FOR4 INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METWD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 186� yds. CCNCRErE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7 and 7.5 to 8, "A" to "E" and "G" to J.5. LOCATION SAMPLED: Slab on grade at grid lines 6.5 to 7 at "H". MIX DATA: CEMENT 564 lbs., CA 1870 lbs., FA 1440 lbs. Caur: 6 SG. TYFE: I mL SIZE AGG.: 7/8" ALMIXTURE: Fibermesh Pozzutec-20 Polyheed CONCRETE TEMP.: 650F AIR TEMP.: SLLMF : 4" AIR: N/A % AMOUNT: 1% 1% 0 4 ozs/100 WT. 46 ° F WEATHER: Showers NO. SPEC . CAST : -3- TINE S*ELED: 10 :15 TRUCK NO.: 109 DESIGN STRENGTH: 3000 PSI r.Ir. ntn T.nR nrn_ DATE TESTED AGE WEIGHT DIMENSIONS PSI 21a 0-7553 12-18-90 7 N/A 6"xl2" 3820 21b 0-7554 01-08-91 28 go" 21c 0-7555 28 " " S. LAB REMARKS: Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MARIALS TESTING LABORA RIES, INC. (C,MTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-12-90 PROJECT: Fred Meyer Store REPORT NO.: CONTRACT or 20 ADDRESS: 330702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTGR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for tilt panels #6B, 6C, 6D and 7 thru 13; slab on grade on line "A" to J.5, 6.5 to 7 and 6 to 6.5. Inspection of reinforcement steel was found to be in accordance with the city approved plans, except for panel #6D, had four corner bars missing. Corner bars were then added, to complete panel. I cast one set of three each 6"xl2", 3000 PSI concrete cylinders for tilt panels, and six each 6"xl2", 3000 PSI concrete cylinders for slab on grade, for compressive strength tests, to represent the above placements. Concrete was placed at a slump of 3" to 4" range throughout the placements. See today's concrete tests reports for results. Concrete was placed as follows: TRUCK# 149 103 109 014 118 138 134 141 149 109 013 126 134 145 103 128 Weather: Overcast LN/fm Inspection • Soil Testing • Concrete Testing - Asphalt Testing 0 Site Investigation • Concre- and Asphalt Coring TEMPERATURE TRUCK# _ TEMPERATURE 66°F 147 65"F 660F 109 650F 650F 125 660F 660F 012 650F 660F 139 650F 650F 126 650F 660F 015 660F 660F 09 660F 660F 128 650F 660F 109 650F 650F 120 650F 650F 125 660F 660F 183 650F 660F 650F 650F Inspector: L .Nichol s CONSTRUCTION A TRIALS TESTING LABORL )RIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENr• Fred Meyer, Inc. DATE OF INS=ION:12-13-90 PROJECT: Fred Meyer Store REPORT NO.: 21 CONTRACT or ADDRESS: 330702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO. T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's concrete placement. Contractor placed concrete for tilt panels #14 thru 17 and 41, 43, 46, 51, 55 and 60, and slab at "G" to J.5 and 7.5 to 8. Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast nine each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed a at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. Weather: LN/fm Inspection • Soil Testing • Concrete Testina * Asphalt Testing • Site Investigation • Concre- end Asphalt Coring Overcast Inspector: L .Nichol s CONSTRICTION 1% RIALS TESTING LABOR. RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-14-90 PROJECT: Fred Meyer Store REPORT NO.: 22 CONTRACT or ADDRESS: 330702 21st Avenue S.W. , Federal way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for tilt panels #18 thru 25. Concrete was placed at slump of 3'" to 4" range throughout the placement. Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast one set of three each V x12", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. See today's concrete tests report for results. Weather: Overcast LN/ fm Inspector: L.Nichols Inspection 9 Soil Testing 9 Concrete Testing ^ Asphalt Testing • Site Investigation • Concre— and Asphalt Coring CONSTRUCTION M -.RIALS TESTING LABORS )RIES, INC. (CN1TL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 >LC; E i V E J AN 14 1991 INSPECTION & TEST REPORT FOR CONCRETE PLACr'3ENT CLIENT: Fred Mever, Inc. DATE OF INSPECTION: PROJECT: Fred Mever Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Wav ART NO.: CCNTRACTOR: Andersen Construction PERMIT/CONTRACT NO.. INSPECTOR: SET 1 11-30-90 T-7529 12 90380C L.Nichols FORK INSPECTED: yes. RESAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACE-UNT : Line Pt_m o METHOD OF CCNSOLIDATICN: Vibratory Screed NO. OF YDS. PLACED: 140 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLAC14 NT: Slab on grade at grid lines 4 to 4.5 and "B" to J 5 south to north, LOCATION SAMPLED: Slab at 4.5 to 4 at "G". MIX DATA: CEMENT 470 lbs., FA 1480 lbs., CA 1820 lbs. Hsu �\1 SE6. TYf£: I MAX. SIZE AGG.: 7/8" SLUMP Pi hPTmP_Sh AMOUNT: Pozzutec-20 CCNCRETE TEMP.: 650F NO.SPEC.CAST: -3- AIR TEMP.: 45°F TINE S*pLED: 10:45 411 1% 0 1% 0 AIR: NIA s WEATHER: Partiv Cloudy TR[JCK NO.: 109 DESIGN STRENGTH: 3000 PSI W Tr—f" DIMENSIONS PSI 9a 0-7239 12-07-90 7 N/A 6"x12" 3007 9b 0-7240 12-28-90 28 11 114492 9c 0-7241 1128 to4457 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M -"RIALS TESTING LABOR DRIES, INC. (CNITL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 E -LIr JAN 14 1991 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: SET 2 11-30-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 12 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: ves. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Line Pump METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 25 yds. lowi"My4polor�- MILES SAND & GRAVEL LOCATION OF PLACEMENT: Stem walls at grid line "A", 1 to 12; line 1, 62' from "A", south to north. LOTION SAMPLED: Line "A" at 6. MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1440 lbs. SIP: 5 9S. 'TYPE: I AEMJ RE: Microair M- SIZE AGG.: 7/8" SLUMP 3" AIR: N/A % ANXXJNT : 5 % CONCRETE TEMP. ; 65 ° F AIR TEMP. : 4 5 ° F WEATHER: Partly Cloudy NO. SPE C. CAST : -3 - TINE Sq44M. 14 :-17 TRUCK NO.: 142 2500 DESIGN STRENGTH: CYL NO , LAB NO DATE TESL AGE WEIGiT DIMENSIONS PSI 10a 0-7242 12-07-90 7 N/A 6"x12" 1943 10b 0-7243 12-28-90 28 3608 10C 0-7244 28 3752 LAB REMARKS: Inspection 9 Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M -RIALS TESTING LABOR DRIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT JAN 1 4 wi SET 1 CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 12-05-90 PROJECT: Fred Mever Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 14 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPE=: ves. REBAR INSPECTED: des. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 130 of 256 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade "A" to J.5, 5 to 5.5 and 3 to 3.5. LOCATICN SAMPLED: 5 to 5.5 on "G". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 1 bs., MIX "A" CR-RC: 6 5:6. TYPE: I AE1M=1M: Fibermesh Pozzutec-20 Polyheed MAX. SIZE AGG.: 7/8 SLL]lvlF AMOUNT: 3-3/4" 1% 0 AIR: N/A 1% 0 4 ozs./100 WT. CCNCREIE TE4P.: 670F AIR TEMP.: 450F WEATHER: Overcast NO.SPEC.CAST: -3- TIME SEED: 9:10 TRUCK NO.: 015 DESIGN STRENGTH: 3000 PSI fll%" NY) T rn nvn r1ATF: TF_STM ar_F: WRT(Z-" DIMENSIONS PSI lla 0-7382 12-12-90 7 N/A 6"xl2" 3219 llb 0-7383 01-02-91 28 11 to 4705 llc 0-7384 1128 to It4775 LAB REMARKS: Inspection 9 Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring CONSTRUCTION M TRIALS TESTING LABORS )RIES, INC. Pozzutec-20 Polyheed 680F (CPA T'L. INC.) A Division of Westem Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Mever, Inc. DATE OF INSPECTION: PROJECT: Fred Mever Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERKIT/CONTRACT NO.: INSPECTOR: SET 2 12-05-90 T-7529 14 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: : yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLAC 4ENT : Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 256 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLAC>RAENT: Slab on grade, lines "A" to J.5, 5.5 to 5 and 3 to 3.5. LOCATICN SAMPLED: 3 to 3.5 on "F". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. MIX "A" CREINT: 6 S6. Tom: I MV- SIZE AGG.: 7/8" SLL-1P : Fibermesh T: 1% 0 4 ozs/100 WT. WEATHER: Overcast AIR TEMP.: 450F NO. SPEC . CAST : -3- TIlvE S*nm: HYl i r TQ NYl 10:40 rmTP. Tp-,;�n nr:>~ 411 AIR: N/A s TRUCK NO.: 1% 0 DESIGN STRENGTH: WT7..TrZ" DIMENSIONS 145 3000 PSI PSI 12a 0-7385 12-12-90 7 N/A 611x12" 3820 12b 0-7386 01-02-91 28 114 811 12c 0-7387 1128 114 7 40 LAB REMARKS: Inspection • Soil Testing 9 Concrete Testing 9 Asphalt Testing • Site Investigation to Concrete and Asphalt Coring CONSTRUCTION A- TRIALS TESTING LABORf--)RIES, INC. (CMTL. INC.) A Division of Western Testina Laboratories';" r: 4417 Pacific Highway East JAN Fife. Washington 98424 (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-05-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 14 CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPE , yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Chute METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 25 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Footings at grid lines "K 2 to 5. LOCATION SAMPLED: Footings, line "K" at 3 MIX DATA: CEMENT 451 lbs., CA 1820 lbs., FA 1480 lbs. CrR4RC: 4-3/4 SG. TYPE: I MVr- SIZE AGG.: 7/8" SLUMP : NO.SPEC.CAST: 58OF AIR TEMP.: 490F WEATHER: -3- TDE Sim: 13:00 4" AIR: N/A % DESIGN STRENGTH: Overcast 017 2500 PSI rI r Trn I r An ntn DATE. TESTED AGE WEIGHT DIMENSIONS PSI 13a 0-7388 12-12-90 7 N/A 6"x12" 2865 13b 0-7389 01-02-91 28 13c 0-7390 28 4599 Ellin E: LAB REMARKS: Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing 9 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION 1% TRIALS TESTING LABOR (C`ATL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Hiahway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT MR CONCRETE PLACEMENT )RIES, INC. IVy ,1A�1 1 4 5�I SET 1 CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Meyer Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 15 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPE= : yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACID: 170 yds.- -CONCRETE SUPPLIER: MILES SAND & GRAVEL - LO ATION OF PLACEMENT: Slab on grade at lines "A" to J.5 and 5.5 to 6; "G" to J.5 and 2 to 3. LOCATION SAMPLED: Slab "F", 5.5 to 6. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. Ca4aIIT: 6 SG. TYPE: I mL SIZE AGG.: 7/8" SLUMP : p,QMIXrJRE. Fibermesh AUNT: Pozzutec-20 Polyheed 3Y" 1° 0 1% a AIR: N/A% 4 ozs./100 WT. CONCRETE TEMP.: 640F AIR TEMP.: 450F WEATHER: Spy NO.SPEC.CAST: -3- TINE S*FIFD: 8:30 TRUCK NO.: 143 DESIGN STRENGTH: 3000 PSI r"." wrn I r'An ntn nATF. TF,;= AC171 WEIGHT DIMENSIONS PSI 14a 0-7410 12-13-90 7 N/A 61fx12" 5 626 14b 0-7411 01-03-91 28 116 579 14c 0-7412 1128 6685 cum LAB R&MARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION 1% TRIALS TESTING LABOR. MIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT JAI 1 4 IJ"�1 SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Mever Store PROJECT NO T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO•: 15 CONTRACTOR: Andersen Construction PEFdUT/CONTRACT NO.: 90380C INSPECTOR: L . Nichols FtOR4 INSPECTED ves . RESAR INSPEC EI) : ves . REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibratory Screed NO. OF YDS. PLACED: 170 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade on grid lines "A" to J.5 and 5.5 to 6; "G" to J 5 and Z to 3. LOCATION SAMPLED: Slab on H-5.5 to 6. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CIl-ENT: 6 E S. =: I MAX. SIZE AGG.: 7/8" SLUMP : 3�" AIR: N/A % AEMIXTURE : Fibermesh AMOUNT: 1% Pozzutec-20 1% Polyheed 4 ozs/100 WT. CONCRETE T .E`T.: 66 ° F AIR TEMP.: 46 ° F WEATHER: Sumy NO. SPEC . CAST : - 3- TIIvE S*FLFD: 9 :15 TRUCK NO.: 130 DESIGN STRENGTH: 3000 PSI CYL NO LAB NO DATE TESTED AGE WEIGHT DIMENSIONS PSI 15a 0-7413 12-13-90 7 N/A 611x12" 4881 15b 0-7414 01-03-91 28 is -5178 15c 0-7415 1128 6048 LAB REMARKS: Inspection • Soil Testing to Concrete Testing • Asphalt Testing • Site Investigation to Concrete and Asphalt Coring CONSTRUCTION M E-RIALS TESTING LABORL )RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPc..CrICN & TEST REPORT FOR CONCRETE PLACEMENT JAN 1 4 iz;;1 Q,gNT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PRC)JECr NO ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO•: CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: INSPECTOR: SET 3 12-06-90 T-7529 15 90380C L.Nichols FORM INSPECTED: yes. RESAR INSPECTED: : yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACE: 180 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #64, 64, 63, 57, 58, 53, 52, 49, 48, 47, 44, 42 and 40. LOCATION SAMPLED: Panel #57. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. C14Ir: 6 S'.6. TYf£: I MAX. SIZE AGG.: 7/811 SLLW : 4" AIR: N/A % AEMIXTURE: Pozzutec-20 AMOUNT: 1% Microair Polyheed NO.SPEC.CAST: 650F -3- AIR TEKP.: 520F TINE S*FTID: 12 :15 5% 0 4 ozs./100 WT. WEATHER: Sunny TRUCK NO.: 014 DESIGN STRENGTH: 4000 PSI nnmP q VCq M nr� T& Tr-x-1T DIMENSIONS PSI 16a 0-7416 12-13-90 7 N/A 6"xl2" 3608 16b 0-7417 01-03-91 28 11 to5513 16c 0-7418 1128 5377 LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION NlIAWRIALS TESTING LABOIL )RIES, INC. (CPATL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTIcN & TEST REPORT FOR CONCRETE PLACEMENT JAN 14 i�ji SET 4 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-06-90 PROJECT: Fred Mever Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO•: 15 CONTRACMR: Andersen Construction PERMIT/CCNTRACr NO. 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. RESAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PL.ACE-1ENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 180 yds. CONCRETE SUPPLIER: Miles Sand & Gravel LOCATION OF PLACFrmVT: Tilt panels #65, 64, 63, 57, 58, 53, 52, 49, 48, 47, 44, 42 and 40. LOCATION SAMPLED: Panel #58 MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. 6 g6. TYPE: I NIX. SIZE AGG.: 7/8" SLUMP : 4" AIR: N/A % ADMIXTURE: Microair Polyheed Pozzutec-20 CONCRETE TEMP.: 650F NO.SPEC.CAST: -3- AMOUNT: 5% 4 ozs /100 WT. 1° % AIR TEMP.: 520F WEATHER: Sunny TkE S1441D: 13:30 TRUCK NO.: 015 DESIGN STRENGTH: 4000 PSI .•.rr wv, I r rn xv-% narrl ' ' 1p_glT I Ar,F: WF.TrJ-" DIlENISIONS PSI 17a 0-7419 12-13-90 7 N/A 6"xl2" 4386 17b 0-7420 01-03-91 28 11 If5235 17c 0-7421 1128 5306 LAB REMARKS: Inspection 9 Soil Testing If Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORl )RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 ` : JAI141!-'j INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way ART NO.: CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: SET 1 12-07-90 T-7529 16 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED. yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACr111ENT : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF `LDS. PLACID: 143 yds. * W V1.0CI0/4 MCI I W u 0 a�:ii MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to J.5 and 5.5 to 6. LOCATION SAMPLED: Slab at 5.5 to 6 at "D". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CBE', T: 6 SG. TEE: I MAX. SIZE AGG .: 7 / 8 " SLUMP : 3 Y" AIR: N/A % ADMIXTURE: Fibenmsh Ate : 1% Pozzutec-20 1° % Polyheed 4 ozs/100 WT. CONCRETE TEMP .: 66 ° F NO.SPEC.CAST: err wv1 r rn nv'% -3- AIR TEMP.: 420F WEATHER: Foagy TM SAD: 8:52 TRUCK NO.: 014 It"�4Y�IY9i`YY�1��l10i DESIGN STRENGTH: 3000 PSI WF.TC�iT DIMENSIONS PSI 18a 0-7470 12-14-90 7 N/A 6"xl2" 4245 18b 0-7471 01-04-91 /8 11 115483 18c 0-7472 1128 5412 N-HIRMS LAB REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M ERIALS TESTING LABOR )RIES, INC. (C`ATL. INC.) A Division of Western Testing Laboratories r .� P 4417 Pacific Highway East ,o, Fife. Washington 98424 BAN 1 4 1��I (206) 922.0798 INSPECTTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-07-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 16 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: ves. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLA�T : Pt_p Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 143 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to J.5 and 5.5 to 6. LOCATION SAMPLED: 5.5 to 6 at "H". MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CIl-D1T: 6 M. TYFE: I MAC. SIZE AGG.: 7 /8" SLLT-11? : 3�" AIR: N/A % ALMIXTURE: Fibermesh Pozzutec-20 Polyheed CONCRETE TE1'Q .: 6 6 ° F AIR TRIP . : NO. SPEC . CAST : - 3 - TINE S*EL D: AMOUNT: 1% 1° 0 4 ozs./100 WT. WEATHER: Foggy TRUCK NO.: 141 DESIGN STRENGTH: 3000 PSI rRrr ntn I r Am X" nATF. TFSTFD Ar,F: WF.Tr44T DIMENSIONS PSI 430F 9:35 19a 0-7473 12-14-90 7 N/A 611x12" 4139 19b 0-7474 01-04-91 28 to to5447 19c 0-7475 1128 5377 MORMS LAB ROi HARKS : _ Inspection • Soil Testing of Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M ERIALS TESTING LABOR - -)RIES, INC. (CPATL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East JAN 14 ijJ Fife. Washington 98424 (206) 922.0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 3 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-07-90 PROJECT: Fred Mever Store PRaTECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 16 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L . Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT : PLrrp Truck METHOD OF CONSOLIDATION: Vibration NO. OF YIDS. PLACED: 25 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PINT: Walls at grid lines "A", 7 to 12 and line 12, "A" to "B". LOCATION SAMPLED: Line "A" at 10. MIX DATA: CEMENT 470 lbs., CA 1820 lbs., FA 1480 lbs. Ca,ENI: 5 SEG. TYPE: I Mvr- SIZE AGG.: 7/8" AEMIX URE : NONE SLUMP : 4" cum �.r •�i� AIR: N/A % CONCRETE TEMP.: 61OF AIR TEMP.: 450F WEATHER: ED= NO.SPEC.CAST: -3- TIME RFD: 12:30 TRUCK NO.: 128 DESIGN STRENGTH: 3000 PSI .-vT *Tn I r rn ntn DATE TESTED ACE WEIGHT DIMENSIONS PSI Lr1L .1R/• 20a 1JCau.a.v• 0-7476 -- 12-14-90 7 N/A 6"x12" 2724 20b 0-7477 01-04-91 28 it to5513 20c 0-7478 28 of5483 LAB RL 1ARKS : Inspection 9 Soil Testing 0 Concrete Testing • Asphalt Testing to Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M --ERIALS TESTING LABOR --DRIES, INC. (C:`ATL. INC.) A Division of Western Testing Laboratories T rr , 4417 Pacific Highway East Fife. Washington 98424 J A A 14 1° (206) 922-0798 IIVSP=ICN & TEST REPORT FOR CONCRETE PLACEMENT CLII:IVT: Fred Meyer, Inc. DATE OF INSPECTICN: PROJECT: Fred Meyer Store PF�OJECT NO • : ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.:. CONTRACTOR: Andersen Construction PE 4IT/CCNTRACT NO.: SET 1 12-12-90 T-7529 20 90380C INSPECTOR: L.Nichols FORM INSPF.ClED yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHCD OF CCNSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLAZEME1T: Tilt panels #6B, 6C, 6D and 7 thru 13. LCCATICN SAMPLED: Panel V . MIX DATA: CEMENT 564lbs. CA 1780lbs., FA 1440 lbs. C341C: 6 SG. TEE: I MAX. SIZE AGG.: 7/8" SLLIAP : 4" AIR: N/A % ALMUCIURE : HOT WATER AMCUNT - - - - POLYHEED 4 ozs./100 WT. POZZUTEC-20 10 MICROAIR 5% CCIICRETH TEMP.: 65°F AIR TES.: 46°F WEATHER: Overcast NO.SPEC.CAST• -3- T2,E D• 8:40. TRUCK NO.: 109 DESIGN STRENGTH: 4000 PS: ,-,T „y, , r AM wtn nATR TFSTM Arp. WF_1= DIMENSIONS PSI \.. 1L.1`IV. - 22a 1.91L7. VNd. 0-7578 ••••—� ---- 12-19-90 7 N/A 6"xl2" 3820 22b 0-7579 01-09-91 28 " 22c 0-7580 28 LAB R&,1A1U<S: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M "'ERIALS TESTING LABOR"TORIES. INC. (G`ATL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East r Fife. Washington 98424 '�°� (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PR0.7EC1' : Fred Meyer Store PROj7ECT NO • : SET 1 12-13-90 T-7529 ADDRESS:_ 33702 21st Avenue S.W., Federal Way REPORT NO.: 21 CONTRAC MR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INS PE=1 yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. _ METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATION OF PLAM Ma : Tilt panels # 14 thru 17 and 41, 43, 46, 51, 55 and 60. L0L'ATION SAMPLED: Panel # 5 5 . MIX DATA: CEMEW 564lbs. CA 1780 lbs. , FA 1440 lbs. CR,E�)T: 6 SG. TYFE: I MaX. SIZE AGG.: 7/8" SLLW : 4" AIR: N/A ACMIXTURE: MICROAIR AMOUNT: 5% POZZUTEC-20 1% POLYHEED 4 ozs./100 WT. HOTWATER ---- OCNCRETE TEMP.: 650F AIR 'TEMP.: 390F WEATHER: Overcast NO.SPEC.CAST: -3- TINE AID: 8:35 TRUCK NO.: 128 DESIGN STRENGTH: 4000 pS: ,,r„ .r• me c�+cn rr-� i.rL'T�TT nn4LNSICNS PSI l.lL.l`11.J. 25a LtiD.l`tiJ. 0-7624 •.--. ---- 12-20-90 --- 7 - N/A 6"x12" 3 219 25b 0-7625 01-10-91 28 " " 25c 0-7626 28 " LAB REMARKS Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and As Coring CONSTRUCTION M ""'ERIALS TESTING LABOR A —DRIES, INC. (C:v1TL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT AN 1 4 1��1 SET 2 CL>: : Fred Meyer, Inc. DATE OF INS=L7LCN: 12-13-90 PROJF.CI:_ Fred Meyer Store PROJ= NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 21 CONTRACTOR: Andersen Construction PERMIT/CONTRA=- NO.: 90380C INSPECTOR: L.Nichols FORM 12NSPE=1 yes. RESAR INSPECTnD: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck - METHOD OF CONSOLIDATICN: Vibration NO. OF YDS. PLACED: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLACIIMRIT: Tilt panels #14 thru 17 and 43, 46, 51, 55 and 60. LOCATION SAMPLED: Panel #43. MIX DATA: CavuVT 564lbs. CA 17801bs. , FA 1440lbs. CRAE1,,W: 6 S S. =-: I • M*C SIZE AGG.: 7/8" SLLMP 4" AIR: N/A % ADMD(TURE: Microair AO'INT: 5° Pozzutec-20 1° POLYHEED 4 ozs./100 WT. CONCRETE TEMP.: 660F AIR TEMP.: 430F WEATHER: Overcast NO. SPEC.CAST: -3- TINE S`` FLED: 9 :15 TRUCK NO.: 120 DESIGN STRENGTH: 4000 PSI "a„r. �c•T•�„ r� T.TvIre!L" nIlK&NSIONS PSI I..11.1.1VlJ. ' LL--O.l'N. 0-7627 12-20-90 7 -- N/A 6"x12" 3184 26a 26b 0-7628 01-10-91 28 to 26c 0-7629 28 go of --- — — LAB RL IARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East JAN 14 1lo- Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-14-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 22 CONTRACTOR: Andersen Construction Per/G204CT ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEMENT: PLinp Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #18 thru 25. LOCATION SAMPLED: Panel #20. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1400 lbs. CHIRE: 6 SC. TYFE: I NNX. SIZE Ar'.: 7 /8" SLUAP: 4" AM N/A % AIMIXTURE: POZZUTEC-20 AMOUNT: 1% POLYHEED 4 ozs./100 WT. MICROAIR 5% HOTWATER ---- CONCRETE TEMP. 650F AIR UW. 440F WEATHER: Overcast NO.SPEC.CAST: -3- TINE S*RED: 8:25 TRUCK NO.: 130 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE TESTED AUE WE.Lufr U11r1tANb1UNZD i roi 28a 0-7652 12-21-90 7 N/A 6"x12" 3077 28b 0-7653 01-11-91 28 " 28c 0-7654 1128 " REMARKS: Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION MA'rv'RIALS TESTING LABORATORIES, INC. (C,,ATL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East JAN 4 ivy a Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 12-17-90 PRfJJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 23 CONTRACTOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMETiT: Tilt panels #26, 27, 45, 50, 54 and 74 thru 79. LOCATION SAMPLED: Panel #27. MIX DATA: CEMENT 564 lbs. CA 1780 lbs., FA 1440 lbs. C3-eiT: 6 SG. Tom: I ML SIZE AGG.: 7/8" SLL24P : 4" AIR: N/A ACIXTURE: HOTWATER AMOUNT: ---- POZZUTEC-20 1% POLYHEED 4 ozs./100 WT. Microair 5% CCNCRETE TES.: 65°F AIR TEMP.: 47°F WEATHER: Overcast NO. SPEC . CAST : - 3 - TINE S*FLED: 9 : 30' TRUCK NO.: 017 DESIGN STRENGTH: 4000 PSI nrmc grccmt: n rr-r tJPTrZrr DIMENSIONS PSI 0-7679 12-24-90 7 N/A 6"x12" 3820 30a 30b 0-7680 01-14-91 28 " 30c 0-7681 28 LAB RL IARiCS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (CMTL, INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East , Fife, Washington 98424 .�ia►� !y (206) 922.0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 0 3 - 9 1 PROJECT: ' Fred Meyer Store REPORT NO.: 25 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CDNI?.A=R: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines "A" to "B", 1 to 2; slab on grade lines 1 to 7 and J.5 to "K". The slab was discontinued by City of Federal Way because of frozen ground. Concrete was placed for tilt panels #28, 29, 32, 34, 35, 36, 37 and 38. Inspection of forms and reinforcement steel for tilt panels and slab on grade were found to be in accordance with the city approved plans. I cast two sets of three each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed and maintained at a slump of 3" to 4" range throughout the place- ment. See today's concrete tests reports for results. Weather: LN/fm Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation 0 Concretes and Asphalt Coring Cold/Clear Inspector: L .Nichol s CONSTRUCTION MA*RIALS TESTING LABORAT&RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories E4rc - r 4417 Pacific Highway East Fife, Washington 98424 JAN 4 i�'j (206) 922-0798 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 26 DATE PICKED UP: January 4th, 1991 CONTRACT or PERMIT #: 90380C DATE OF INSPECTICN: January 3rd, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 6 each 6"x12" concrete cylinder samples samples each each each each REMARKS: LNIfm 2 sets of 3 each. samples samples samples samples Inspection • Soil Testing 0 Concrete Testing - Asphalt Testing • Site Investigation • Concre'- and Asphalt Coring CONSTRUCTION MA HALS TESTING LABORA LIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories �- 4417 Pacific Highway East JAN 14 i; ; Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 0 1 - 0 5 - 9 1 PROEECT: Fred Meyer Store REPORT NO.: 27 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for tilt panels #31, 33, 61, 62, 58, 54, 66, 67, 69, 73, 1, 2, 72, 3, 6, 6A, 67A, 70, 71 and 80. Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast two sets of three each 6"xl2", 4000 PSI concrete cylinder samples for compressive strength tests, to represent the above placement. Concrete was placed at a slump of 4" to 5" range throughout the placement. See today's concrete tests report for results. Weather: LN/fm Inspection • Soil Testing 0 Concrete Testing asphalt Testing • Site Investigation • Concret end Asphalt Coring Partly Cloudy Inspector: L .Nichol s CONSTRICTION n RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT JAN141�J PROJECT NAME: Fred Mever Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue N.W., Federal Way REPORT #: 28 CONTRACT or DATE PICKED UP: January 7th, 1991 PERMIT #: 90380C DATE OF INSPECTICN: January 5th, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 6 each 6"xl2" concrete cylinder samples samples each samples each samples each samples each samples REMARKS: 2 sets of 3 each LN/fm Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation • Concret- and Asphalt Coring I • (� CONSTRUCTION MA ZIALS TESTING LABORA LIES, INC. (CMTL. INC.) RECEIVE A Division of Western Testing Laboratories ; BEC 1 81990 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. PROJECT: Fred Meyer Store ADDRESS: 33702 21st. Avenue S.W., Federal Way CONTRACTOR: Andersen Construction DATE OF INSPECTION: 11- 3 0 - 9 0 REPORT ND.: 'i NO•: 00380C PRCOFT- NO.. I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines 4 to 4.5 and "A" to J.5, south to north. I cast three each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, representing the slab placement. Concrete was placed at a slump of 3�" to 4" range throughout the placement. See today's concrete tests report for results. Contractor placed concrete for stem walls at grid lines 1 to 12 on "A", and 62' of line 1, south to north. I cast three each 6"xl2", 2500 PSI concrete cylinder samples for compressive strength tests, representing the stem walls placement. Concrete was placed at a slump of 4" range throughout the placement. See today's concrete test report for results. Inspection of reinforcement steel was found to be in accordance with the city approved plans. Weather: Partly Cloudy FILE Inspector: L.Nichols LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION MA ZIALS TESTING LABORA LIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PRO= NAME: Fred Meyer Store P!m►= #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 13 DATE PICKED UP: December 3rd, 1990 PERMIT #: 90380C DATE OF INSPECTION: November 30th, 1990 INSPECTOR:. L.Nichols Picked up, transported to tie laboratory and prepared for testing 6 each 6"xl2" concrete cylinder samples samples each samples each samples each samples each samples LN/fm REMARKS: N/A Inspection 9 Soil Testing 9 Concrete Testing asphalt Testing • Site Investigation • Concre• - and Asphalt Coring CONSTRUCTION MA RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-05-90 PST: Fred Meyer Store REPORT NO.: 14 ADDRESS: 33702 21st Avenue S.W. , Federal Way PEEwr NO.: 90380C CONTRp=R: Andersen Construction PRaTECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines "A" to J.5, 5 to 5.5 and 3 to 3.5. I cast six each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, represent the above placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. See today's concrete tests report for results. Concrete was placed as follows: TRUCK# TEMPERATURE TRUCK# TEMPERATURE 120 720F 013 660F 126 670F 145 68OF 012 680F 121 650F 013 680F 015 660F 132 650F 108 68OF 118 650F 09 670F 121 650F 017 660F 015 670F 013 650F 108 680F 121 670F 014 650F 015 660F 120 670F 130 650F 126 640F 09 650F 012 660F 121 660F In addition, I also cast three each 6"xl2", 2500 PSI concrete cylinder samples for compressive strength tests, to represent the placement of footings at grid lines "K", 2 to 5. See today's concrete tests report for results. Inspection of reinforcement steel was found to be in accordance with the city approved plans. Concrete was placed at a slump of 4" range throughout the placement. Weather: Inspector: Overcast L.Nichols LN/fm Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing 9 Site Investigation 0 Concrete and Asphalt Coring CONSTRUCTION MA. -RIALS TESTING LABORA- _ _ZIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF IPSPECTICN: 12 - 0 6 - 9 0 PRO=: Fred Meyer Store FORT NO.: 15 ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT �•= 90380C CCNTRACIOR: Andersen Construction PRWECT ND. T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at lines 2 to 3, 6 to J.S, line 5.5 to 6, "A" to J.5, and tilt panels #65, 64, 63, 57, 58, 53, 52, 49, 48, 47, 44, 40 and 42. Inspection of reinforcement steel for tilt panels was found to be in accordance with the city approved plans. I cast six each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, representing the slab placement. I cast six each 6"xl2", 4000 PSI concrete cylinder samples for compressive strength tests, representing the tilt panels placement. Concrete was placed at a slump of 3" to 4" range throughout the placement. Concrete was placed as follows: TRUCK# TEMPERATURE TRUCK# TEMPERATURE 016 660F 130 660F 134 650F 121 650F 121 660F 134 650F 143 640F 143 660F 118 660F 015 660F 015 65°F 130 650F 017 650F 010 650F See today's concrete tests reports for results. Weatber: LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation 9 Concrete and Asphalt Coring Sunny Inspector: L .Nichol s CONSTRUCTION NV RIALS TESTING LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-07-90 pimJECr: Fred Meyer Store REPORT NO.: 16 ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CCNTRACPDR: Andersen Construction PRCJEC.T NO. T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at grid lines 5.5 to 6, "A" to J.5; walls at grid lines "A", 8 to 12 and grid 12, "A" to "B". Inspection of reinforcement steel was found to be in accordance with the city approved plans. Concrete was placed at a slump of. 3" to 4" range throughout the placement. I cast nine each 6"xl2", 3000 PSI concrete cylinder samples for compressive strength tests, representing the above placement. Concrete was placed as follows: TRUCK# TEMPERATURE 121 6 5 0 F 138 660F 118 650F 014 650F 108 660F 125 650F 017 660F 141 650F 121 660F 138 660F 118 660F 014 650F 109 650F Weather: LN/fm Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring Foggy Inspector: L . Nichols CONSTRUCTION NA_ _RIALS TESTING LABORA_ _ RIES, INC. (CMTL. INC.) A Division cf Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Store PRO= #: T-7529 A131DRESS: 33702 21st Avenue S.W., Federal Way ART #: 17 DATE PICKED DP: December loth, 1990 PEWET #: 90380C DATE OF INSPECTION: December 7th, 1990=N'`PECT0R= L.Nichols LN/ frn Picked up, transported to the laboratory and orepa=ed fo-r testing 9 each 6"x12" concrete cylinder samples samples each each each each REMARKS: N/A samples samples samples samples Inspection • Soil Testing • Concrete Testing lsphalt Testing 0 Site Investigation • Concrer- and Asphalt Coring CONSTRUCTION MAI. __tIALS TESTING LABORA7 _ 11ES, INC. iCv1TL iNQ A Division of Western testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLI.ENr: Fred Meyer, Inc. DATE OF INSPECTION: 12-10-90 pI'T: Fred Meyer Store REPORT ND.: 18 ADDRESS: 33702 21st Avenue S.W. , Federal Way NO.: 90380C CCM?A=R: Andersen Construction PFCOECT ND.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel for small footing, line 8 between "A" and "B"; footings for elevator pit; three small footing pads, located next to elevator pit. Inspection of all reinforce- ment steel was found to be in accordance with the city approved plans. Weather: Overcast Inspector: L.Nichols LN/fm Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrend Asphalt Coring CONSTRUCTION 1% TRIALS TESTING LABORP RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: INSPECTOR: SET 1 12-11-90 T-7529 19 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Insection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 1861-2 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL TOCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7, "A" to "E", 7.5 to 8.0, "A" to "E"., 6.5 to 7, "G" to J.5, 7.5 to 8.0 and 6 to J.5. LOCATION SAMPLED: Slab at 6.5 to 7 at "D" . MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. C R4M: 6 M. TEE: I ML SIZE AGG.: 7 / 8" AEMIXTURE: Fibermesh Pozzutec-20 Polyheed Hotwater SLUMP : 411 AMOUNT: 1 % 1° 0 AIR: N/A % 4 ozs./100 WT. CONCRETE TEMP.: 650F AIR TEMP.: 450F WEATHER: Overcast NO.SPEC.CAST: -3- TDE Sg441D: 8:45 TRUCK NO.: 014 DESIGN STRENGTH: 3000 PSI r-" NY% T ra NY% r)ATF: TFSTm Ar V wF.TC:2-" DIMENSIONS PSI LAB REMARKS: Inspection 9 Soil Testing 0 Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A TRIALS TESTING LABORS ►RIES, INC. (VATL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT : Fred Meyer Store PROTECT NO • = ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PERMIT/CONTRACT NO.: INSPECTOR: SET 2 12-11-90 T-7529 19 90380C L.Nichols FORA INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 186� yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL T CATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7 and 7.5 to 8, "A" to "E" and "G" to J.5. LOCATICN SAMPLED: Slab on grade at grid lines 6.5 to 7 at "H". MIX DATA: CEMENT 564 lbs., CA 1870 lbs., FA 1440 lbs. • -1 M. TYF£: I MAX. SIZE AGG.: 7 /8" Fibermesh Pozzutec-20 Polyheed NO.SPEC.CAST: 650F AIR TEMP.: 460F -3- TINE S*11M: 10:15 SLUMP : 4" AIR: N/A % AMOUNT: 1% 1% 0 4 ozs/100 WT. WEATHER: DESI�1 STRE NIGM : ,.V, r rn ern T1�'PF rf'F�'f'Fi� �F. WFTC1'T' DIMENSIONS Showers 109 3000 PSI PSI 21a 0-7553 12-18-90 7 N/A 611x12" 3820 21b 0-7554 01-08-91 28 11 114 811 21c 0-7555 28 4 917 WFOR LAB R& LARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION � ERIALS TESTING LABOF —DRIES, INC. (C:'1TL INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPECTICN & TEST REPORT FOR CONCRETE PLACEMENT CLI=: Fred Meyer, Inc. DATE OF INSPECTiCN: PRO=.: Fred Mever Store PRCJ-ECT NO. ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CCN",. =R: Andersen Construction PERAZT/CCU NO I1NSPEC CR: SET 1 12-12-90 T-7529 20 90380C L.Nichols FORM INSPECI'ID: yes. RESAR INSPF..C,' D: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLACEr= : Pun p Truck ME.-HCD OF CCNSOLIDATICN: Vibration NO. OF YDS. PLACED: 100 yds. CCNC.= SUPPLIER: MILES SAND & GRAVEL LCCAT ICN OF PLACEMENT: Tilt panels #6B, 6C, 6D and 7 thru 13. LCC XV SAMPLED: Panel V. MIX DATA: (EV'T 564lbs. CA 17801bs., FA 1440 lbs. C am: 6 SG. TSB: I MC SIZE AGG.: 7/8" SLLMP 4" AIR: N/A ACMIX=: HOT WATER A CUNT: ---- pOLYHEED 4 ozs./100 WT. POZZUTEC-20 10 MICROAIR 5% CCNCgETE 65 ° F AIR TR- P .: 4 6 ° F WEATHER: Overcast NO.SFEC.CAST: -3- TjpE S*FUD. 8:40. TRUCK NO.: 109 DESIGN STRENGTH: 4000 PCE r•vr wrn r AM NY% r)ATF. TESTED AC17. WET(= DIM&NSIONS PSI 22a 0-7578 12-19-90 7 N/A 6"x12" 3820 22b 0-7579 01-09-91 28 " 6367 22c 0-7580 28 " " 6331 LAB RE.`dARK.S : Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION Mi—TRIALS TESTING LABORFTnRIES. INC. (C,`ATL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSpc=ICN & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTICN: 12-12-90 PRO=- : Fred Mever Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 20 CONTRAC CR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPE=J : yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans _ METHOD OF PLACEMENT: Pump Truck MEIrHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 210 yds. OCNC'RETE SUPPLIER: MILES SAND & GRAVEL LCCATION OF PLACEMENT: Slab on grade at grid lines 6.5 to 7, "E" to" A"; 6 to 6.5 and "A" to J.5; 6.5 to 7 and "G" to J.5. LCCATICN SAMPLED: Slab, 6.5 to 7 at "C". MIX DATA: CEMENT 564 lbs. CA 1780 lbs., FA 1440 lbs. CRIR,1T: 6 SK5. wz_=: I M*L SIZE AGG.: 7/8" SLLMP AEMI)CIiJRE: FIBERMESH POZZUTEC-20 HATER CCNCRETE TEMP.: 66 ° F AIR Tom.: 46 ° F NO.SPEC.CAST: - 3 - TINE SX4-1m: 10 : 40 a- YW. M'3 4" AIR: N/A % AMOUNT: 1% 1% 0 4 ozs./100 WT. WEATHER: Overcast TRUCK NO.: 145 DESIGN STRENGTH: 3000 PSI tAMT(Sa'T DR4&NSICNS PSI t.11J. 1`N. 23a L+rft�•i•v• 0-7581 -._-_ _�-_ 12-19-90 _� 7 _ _. _. _ N/A ( 6"x12" - 4 316 23b 0-7582 01-09-91 28 " 6261 23c-7523 " 28 6296 RINS LAB RFy1ARKS : Inspection Soil Testing Concrete Testing Asphalt Testing Site Investigation Concrete and. Asphalt Coring CONSTRUCTION M "TERIALS TESTING LABOR"TORTES, INC. (CMTL. INC.) A Division of Westem Testinq Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922.0798 INSPEICN & TEST iE�CRT FCR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSP!✓CTICN: SET 3 12-12-90 PROJF,C;': Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRAC CR: Andersen Construction PERMIT/CCNTRALT NO.: INSPECTOR: 20 90380C L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHCD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 210 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCATICN OF PLACEMENT: Slab on grade at grid lines-6.5 to 7, "A" to "E"; 6 to 6.5, "A" to J.5 and 6.5 to 7, "G" to J.5. LCCATICN SAMPLED: 6 to 6.5 at "G". MIX DATA: CEMENT 564lbs. CA 1780lbs., FA 1440 lbs. ff34RI1T: 6 St6. Tom: I MC- SIZE AGG.: 7/8" SLUMP 4" AIR: N/A 1 ADMIXTURE: HOTWATER AMOUNT: ---- POLYHEED 4 ozs/100 WT. POZZUTEC-20 to FIBERMESH 1% CONCRETE TEMP. 66 0 F AIR TEMP.: 4 6 0 F WEA=: Overcast NO.SPEC.CAST: -3- TINE QED: 11:30 TRUCK NO. 012 DESIGN STRENG'IH: 3000 PS WPTC-;�iT DIMENSIONS PSI 24a 0-7584 12-19-90 7 N/A 6"x12" 4 280 24b 0-7585 01-09-91 28 " 64 02 24c 0-7586 " 2g �� 6 4 7 3 LAB R& IARKS Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A---RIALS TESTING LABOR,"''ORIES, INC. (CMTL INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (2061 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Mever, Inc. DATE OF INSPECTICN: 12-13-90 PROJECT: Fred Meyer Store P!�-ECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO•: 21 CCHrRA=..R: Andersen Construction PEYMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. F'FMARitS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACE 'NT : Pump Truck MET' D OF CONSOLIDATION: Vibration NO. OF YDS. PLACE: 186 yds. CCNCRETE SUPPLIER: MILES SAND & GRAVEL LGCATICN OF PLANT: Tilt panels #14 thru 17 and 41, 43, 46, 51, 55 and 60. LOTION SAMPLED: Panel # 55 . MLX DATA: CEMENT 5641bs. CA 17801bs. , FA 14401bs. 6 Sib. Tom': I ML SIZE AGG .: 7 / 8 " SLLW 411 AIR: N/A % AEI —FE : MICROAIR AM CUNT : 5 % POZZUTEC-20 1% POLYHEED 4 ozs./100 WT. HOTWATER CCNCREIB TEMP.: 650F AIR TEMP.: 390F NO.SPEC.CAST: -3- WEATHER: Overcast TRUCK NO.: 128 DESIGN STRENGTH: 4000 PS: rr �r^Irrn •L r� r.M Tt-M" nIMFNSICNS PS I l,.IL.1`#-J. ' 25a L9-10.L`NJ. 0-7624 -_ 12-20-90 1 ..__ 7 •--- - N/A 6"x1211 _ _ 3219 25b 0-7625 01-10-91 28 5412 25c 0-7626 28 5513 LAB REMARKS: Inspection • Soil Testing • Concrete Testing 9 Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION W—ERIALS TESTING LABOR,s''ORIES, INC. (C,I.1TL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife. Washington 98424 (206) 922-0798 INSPp..,CTICN &TEST REPORT FnR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer Inc. DATE OF INSPECTION: 12-13-90 PROJECT': Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Wav REPORT NO.: 21 CCNTRACTOR: Andersen Construction PERMIT/CCNTRAC': NO.: 90380C INSPECTOR: L . Nichols FORM 12NEF_.C.'T. D : yes. REEAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pt_mp Truck METHOD OF CCNSOLIDATION: Vibration NO. OF YDS. PLACED: 186 yds. CONCiZE.TE SUPPLIER: MILES SAND & GRAVEL U=ICN OF PLACEMENT: Tilt Aanels #14 thru 17 and 43, 46, 51, 55 and 60. LOCATION SAMPLED: Panel n43. MI{ DATA,: CEMENT 564lbs. CA 17801bs. , FA 1440lbs. CRIENT: 6 Si:S. =-: I MAX. SIZE AGG.: 7/8" SLL1,1P : ACMIICTUFR: Microair AMOUNT: Pozzutec-20 NO.SPEC.CAST: 660F -3- AIR TEMP.: 430F TINE SXIIM: 9 :15 411 5° 1° 0 AIR: N/A v 4 ozs./100 WT. WEATHER: Overcast TRUCK NO.: 120 DESIGN STRFNMH: 4000 PS: UM7'ren.rr nIlMENSIONS PSI I.YL.il#,) 26a L i-kD.1vll.----- 0-7627 12-20-90 7 N/A ( 6"x12" 3184 26b 0-7628 01-10-91 28 11 5548 26c 0-7629 28 5483 LAB M ARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation Concrete and Asphalt Coring CONSTRUCTION M TRIALS TESTING LABOR " )RIES. INC. (CPATL. INC.) A Division cf Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPE,CTICN & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTICN: PROJF.C1' : Fred Meyer Store PROJECT NO • : SET 3 12-13-90 T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT `O.: 21 CCNTR,'-,=- R: Andersen Construction PIIR4IT/CON RACE NO • : 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes . REBAR INSPEC=1 : yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLAN N: Pum Truck ME7ziCD OF CONSOLIDATION: Vibration NO. OF YDS. PLACED: 186 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATICN OF PLACEMENT: Slab on grade at lines "G" to J.5 and 7.5 to 8. LOCATICN SLED: 7.5 to 8 at "H" MIX DATA: CEMENT 5641bs. CA 17801bs., FA 1440lbs. C��: 6 SG. TYPE: I M%X. SIZE AGG.: 7/8" SLLW : 3%2° AIR: N/A A FIBERMESH AMOUNT: 1 NO.SPEC.CAST: POZZUTEC-20 650F AIR TEMP.: 45°F WEATHER: -3- TkE Sc FUD: 11:40 1% 0 4 ozs./100 WT. TRUCK NO. DESIGN STRENGTH: Overcast 130 3000 PS: .�, T %n XV1% name TPq7m hr.-P. WRTC-T" DIIAEZNSICNS PSI 27a 0-7630 12-20-90 7 N/A ( 6"x12" 3113 27b 0-7631 01-10-91 28 5341 27c 0-7632 28 " 5377 LAB RE AA 4 K.S : Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONS. .UCTION M ERIALS TES {C LABOR RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-03-91 PR0.7ECT: Fred Meyer Store PROJECT NO. T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 25 CONTRACTOR: Andersen Construction FERYTT/Ca4=NtO.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Ins ction of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEvIIINT : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 52 yds. CCNCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Slab on grade at grid lines "A" to "B", 1 to 2. LOCATION SAMPLED: Slab "A" at 1. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CRVEDII' : 6 SK. Tom£: I M X. SIZE XZ.: 7 / 8 " A='IURE: Pozzutec-20 Polyheed NO.SPEC.CAST: 560F -3- AIR T11P. 45 ° F i ij, W• i• it a� SLAP: 3" AIlZ: N/A o AMOUNT: to 4 ozs./100 WT. WEATHER: Cold/Clear TRUCK NO.: 135 DESIGN STRENGTH: 3000 PSI CYL.NO. LAB.NO. DATE TESTED ACC I Wh1ti ff rol 31a 1-0041 01-10-91 7 N/A 611x12" 4492 31b 1-0042 01-31-91 28 11" 31c 1-0043 It28 " RMS REMARKS : Inspection 9 Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONS: JCTION n RIALS TES1 :C LABORA RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-03-91 PROJECT: Fred Meyer Store PRAT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 25 CONTRACTOR: Andersen Construction FER 1Er/CCNH?Cr ND.: 80380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPEC : yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the jobsite plans. METHOD OF PLACEME1W : Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #28, 29, 32, 34, 35, 36, 37 and 38. 14=TICN SAMPLED: Tilt panel # 29 . MIX DATA: CENEU: 6 SC. TYPE: I MX. SUE Xrl.: 7/ 8" ALMIXTURE: Microair NO.SPEC.CAST: Polyheed Pozzutec-20 560F -3- AIl2TEMP. 470F TINE S*SUD: 11:35 Sul4p: 31,2" Ate: N/A ° 0 AMOUNT: 10 4 ozs./100 WT. 1% a WEATHER: Cold/Clear TRUCK NO.: 135 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE TESTED ACC: WE-Lu'1' U11�St5LV51U1V� i r�l 32a 1-0044 01-10-91 7 N/A 6"x12" 4457 32b 1-0045 01-31-91 28 " It 32c 1-0046 1128 " S.-REMARKS: Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concrete and Asphalt Coring CONSTRUCTION A RIALS TESTING LABORA RIES, INC. (C.'ATL. INC.) A Division of Western Testina Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 FIELD INSPECTION REPORT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 01-08-91 PROJECT: ' Fred Meyer Store REPORT NO.: 29 CONTRACT or ADDRESS: 33702 21st Avenue S.W. , Federal Way PERMIT NO.: 90380C CONTRACTOR: Andersen Construction PROJECT NO.: T-7529 I arrived on the jobsite to perform inspection of reinforcement steel and to conduct concrete tests for today's scheduled placement. Contractor placed concrete for slab on grade at lines "A" to "B", 2.5 to 3; "A" to "B", 3.5 to 5; J.5 to "K", 3 to 8, and tilt panels 4 and 5, 38 and 68. Inspection of reinforcement steel was found to be in accordance with the city approved plans. I cast two sets of three each 6"xl2", 3000 PSI concrete and one set of eight each 6"xl2", 4000 PSI concrete cylinder samples for compressive strength tests, to represent today's placements. Concrete was placed at a slump of 3�" to 42" range throughout the placement. See today's concrete tests reports for results. NOTE: Five each concrete cylinders were lef on jobsite for field curing (for the 4000 PSI concrete). The other three each (of 4000 PSI) and the two sets of 3000 PSI will be processed as normal procedure. Weather: Rain LN/fm Inspector: L.Nichols Inspection • Soil Testing • Concrete Testing Asphalt Testing • Site Investigation 9 Concre nd Asphalt Coring CONSTRUCTION NL TRIALS TESTING LABOR, RIES, INC. (CMTL. INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 30 CONTRACT or DATE PICKED UP: January 9th, 1991 PERMIT #: 90380C DATE OF INSPECTICi: January 8th, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 9 each 6"xl2" concrete cylinder samples samples each samples each samples each samples each samples REMARKS: N/A LN/ fm Inspection • Soil Testing • Concrete Testing - Asphalt Testing • Site Investigation • Concre' and Asphalt Coring CONSTRUCTION b ERIALS TESTING LABOR CRIES, IIYC.X� (CMTL. INC.) A Division of Western Testing Laboratories RECEIVED 4417 Pacific Highway East $ 1991 Fife. Washinaton 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIr.-"VT: Fred Meyer Inc DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: 12-14-90 T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 22 CONTRACTOR-. Andersen Construction PE=/C2C= ND.: 90380C INSPECTOR: L.Nichols FORM LNSPECT'ED: yes. REBAR INSPECTED: yes. REMAR:.(S• Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. =IHOD OF PLAC IEi T: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #18 thru 25. LCCATION SAMPLED: Tilt panel #20. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1400 lbs. CF vau: 6 S't(. TY.FE: I mkx. S12 E Pm.: 7 / 8" SIII-2: AD=JRE: POZZUTEC-20 MICROAIR HOTWATER 411 AM N/A o AMOUNT: 1% 0 4 ozs./100 WT. 5% 0 CCNCRETE TEMP. 650F AIR Tn-2. 440F WEATHER: Overcast NO.SPEC.CAST: -3- T2vE SlIID: 8:25 TRUCK NO.: 130 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE TESTED I AGS ! WEIGHT I DIM&NISIONS i PSI 28a i 0-7652 j 12-21-90 1 7 N/A 6"xl2" 3077 28b 1 0-7653 01-11-91 28 11 " 5626 28c 0-7654 28 a �" 5 54 8 UNFUMMS RIIMARK_S Inspection • Soil Testing • Concrete Testing • Aspnait Testing • Site Investigation • Concrete and asphalt Coring CONSTRUCTION M ERIALS TESTING LABOF--ORIES, INC. (C,14TL INC.) A Division of Western Testing Laboratories RECEIVED 4417 Pacific Highway East Fife, Washington 98424 JAN 18 1991 (206) 922.0798 INSPF.CTICN & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIEVP• Fred Meyer, Inc DATE' OF INSPECTION: 12-17-90 PROJECT: Fred Meyer Store P.rC,—zrT NO. = T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 23 CCNTRACItOR: Andersen Construction PERMIT/CCNTRACT NO.: 90380C INSPECTOR: L.Nichols FORM 2ZP1-17= : yes. RESAR INSPECTED: ves . REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PL ACZwn I' : Pump Truck METHCD OF CONSCLIDATICN: Vibration NO. OF YDS. PLACID: 50 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LCCNTICN OF PI rr: Slab on grade at lines "G" to J.5 and 8 to 8.5. LC>CATICN SAMPLED: 8.5 to 8 at "H". MIX DATA: CEM�T 564 lbs. CA 1780 lbs., FA 1440 lbs. C34M: 6 5:6. TY�': I M*C. SIZE AGG.: 7/8" SLUM 3%2" AIR: N A 5 1•1,D41 HOTWATER A14CLTNT : - - - - POZZUTEC-20 POLYHEED FIBERMESH CCNCRETE TE`. P . : NO.SPEC.CAST: r+arr wtn I T Ta nY1 650F AIR TEMP.: -3- 470F nATF. TESTED ACE 1% 0 4 ozs./100 WT. 1% 0 WEATHER: Overcast TRUCK NO.: 141 DESIGN STRENGTH: 3000 PSI WEIGU DIMENSIONS PSI .. 29a v 0-7676 12-24-90 7 N/A 6"x12" 4245 29b 0-7677 01-14-91 28 116331 29c 0-7678 28 6367 LAB RE !ARKS : Inspection • Soil Testing • Concrete Testing • Asphalt Testing 9 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M ERIALS TESTING LABOR DRIES, INC. (CPATL, INC.) A Division of Western Testing Laboratories SECEIVED 4417 Pacific Highway East JAN I Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 2 CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: 12-17-90 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 23 CONTRACTOR: Andersen Construction PER-13T/CCN= ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PL & 'T: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 100 yds.3 CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #26, 27, 45, 50, 54 and 74 thru 79. LOCATION SAMPLED: Tilt panel #27. MIX DATA: CEMENT 564 lbs., CA 1780 lbs., FA 1440 lbs. CENElr: 6 SK. TYPE: I M?-1X. SIZE X13.: 7 / 8 " AEMIXTILTRE : HOTWATER POZZUTEC-20 POLYHEED MICROAIR CONCRETE TEMP. 650F NO.SPEC.CAST: AIR TEND. 47 ° F i EM SLUMP: 411 AMOUNT: ---- AIl2: N/A 1% a 4 ozs./100 WT. 5% 0 WEATHER: Overcast TRUCK NO.: 017 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB. NO. DATE TESTED AGE I WE-Lufr UIMUNbl-UNZD i roi 30a 0-7679 12-24-90 7 N/A 6"x12" 3820 30b 0-7680 01-14-91 28 16296 30c 0-7681 28 6367 OF MS REMARKS Inspection • Soil Testing • Concrete Testing • Asphalt Testing 9 Site Investigation 0 Concrete and Asphalt Coring CONS? 1CTION M-.RIALS TEST. G LABOPu )RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories RECEIVED 4417 Pacific Highway East JAI 18 W Fife. Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT SET 1 CLIENT: Fred Mever, Inc. DATE OF INSPECTION: 01-05-91 PROJECT: Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st. Avenue S.W., Federal Way REPORT NO.: 27 CONTRACTOR: Andersen Construction PT T/CCNIRXT ND.: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 217 yds.3 CONCRETE SUPPLIER: LOCATION OF PLACEMENT: MILES SAND & GRAVEL Tilt panels #61, 62, 6A, 67A, 70, 71, 80, 58, 59, 66, 67, 69, 73, 1, 31 and 33. 2, 72, 3, LOCATION SAMPLED: Tilt panel #69. MIX DATA: CEO: 6 SIC. TYPE: I WX. SIZE PM.: 7 / 8" Si A4P: 5" AIR: N/A o ALMIXTURE: POZZUTEC-20 AMOUNT: 10 H0IWATER -- - MICROAIR 50 POLYHEED 4 ozs./100 WT. CONCRETE TEMP. 570F AIR'W. 20OF WEATHER: Partly Cloudy NO.SPEC.CAST: -3- TINE S141f D: 9:10 'TRUCK NO. = 138 DESIGTI STRENGTH: 4000 PSI CYL.NO. LAB.NO.- DATE TESTED AGE I wh;lufl' Ull UNZ:)-UA b i ral 32a 1-0074 01-12-91 7 N/A 6"x12" 4 599 32b 1-0075 02-02-91 28 it " 32c 1-0076 28 " WORMS REMARKS: Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing 0 Site Investigation • Concrete and Asphalt Coring CONST 1CTION M TRIALS TEST G LABOR, )RIES, INC. (CMTL. INC.) A Division of Western Testinq Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR CONCRETE PLACEMENT CLIENT: Fred Meyer, Inc. DATE OF INSPECTION: PROJECT: Fred Meyer Store PROJECT NO.: ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: CONTRACTOR: Andersen Construction PER41T/ 12�0• INSPECTOR: rnw q L SET 2 01-05-91 T-7529 27 90380C L.Nichols FORM INSPECTED:_ yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans. METHOD OF PLACEMENT: Pump Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 217 yds3. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #61, 62, 58, 59, 66, 67, 69, 73, 1, 2, 72, 3, 6, 6A, 70, 71, 80, 31 and 33. LOCATION SAMPLED: Tilt panel #6A. MIX DATA: Came: 6 SIC. Tom: I MAX. SIZE PM.: 7/8" SLLMP: 5" APZ N/A o AEMDn-IM: Pozzutec-20 AMOUNT: to Microair 50 HOTWATER --- POLYHEED 4 ozs./100 WT. CONCRETE TEMP. 63°F AIR T&F. 28°F WEATHER: Partly Cloudy NO.SPEC.CAST: -3- TJIE SA411FD: 10:40 TRUCK NO.: 103 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE TESTED AGE wElUi'1' U1k1 NJ11AV5 i ro1 33a 1-0077 01-12-91 7 N/A 6"x12" 4 563 33b 1-0078 02-02-91 28 it" 33c 1-0079 1128 ulmb REMARKS Inspection • Soil Testing • Concrete Testing • Asphalt Testing 0 Site Investigation Concrete and Asphalt Coring CONSTRICTION M =RIALS TESTING LABOR] )RIES, INC. (CMTL. INC.) A Division cf Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 INSPECTION & TEST REPORT FOR •• V DON Do UIP-1W I I� C 8 �z �.aa W tsh JAN1�1:1 1 of 2 SET 3 CLI:'-'VT: Fred Meyer, Inc. DATE OF INSPECTION: 01-08-91 PRDJECT:_ Fred Meyer Store PROJECT NO.: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT NO.: 29 CONTRACTOR: Andersen Constriction FER41r/CaZR!CT IND-: 90380C INSPECTOR: L.Nichols FORM INSPECTED: yes. REBAR INSPECTED: yes. REMARKS: Inspection of forms and reinforcement steel was found to be in accordance with the city approved plans METHOD OF PLAC MENT : PLC Truck METHOD OF CONSOLIDATION: Vibration NO. OF YDS. PLACID: 50 yds. CONCRETE SUPPLIER: MILES SAND & GRAVEL LOCATION OF PLACEMENT: Tilt panels #4, 5, 68 and 38. LOCATION SAMPLED: Tilt panel #38 MIX DATA: Ca4aNT: 6 SK. TYPE: "HE" M%Y- SIZE PM-: 7/8" SLID: 4" AIR: N/A % ACMI(TURE: POLYHEED AMOUNT: 4 ozs./100 WT. POZZUTEC-20 MICROAIR HOTWATER NO.SPEC.CAST: 64 ° F AIR TR4P. 4 2 ° F WEATHER: 1% 0 5% 0 TINE S4,,=: 11: 45 TRUCK NO. : Rain 109 DESIGN STRENGTH: 4000 PSI CYL.NO. LAB.NO. DATE TESTED AGE WE-LUfr U1LV=Nzz)-LUNY) i ral 36a 1-0121 01-11-91 3 * N/A 6"x12" 1484 36b 1-0122 01-14-91 6 * It If3643 36c 1-0123 01-15-91 7 * toif 36d 1-0124 01-16-91 8 * Ifof 36e 1-0125 01-17-91 9 * " RF>!4ARKS: * All five concrete samples above are field cured. Inspection • Soil Testing 0 Concrete Testing • Asphalt Testing 9 Site Investigation • Concrete and Asphalt Coring CONSTRUCTION M -RIALS TESTING LABOR )RIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922.0798 SAMPLE PICK-UP REPORT a t JAN 1 PROJECT NAME: Fred Meyer Store PROJECT' #: T-7529 ADDRESS: 33702 21st Avenue S.W. , Federal Way CDMPORT #: 31 or DATE PICKED UP: January llth, 1991 PEEMIT #: 90380C DATE OF INSPECTION: January 8th, 1991 INSPECTOR: L.Nichols Picked up, transported to the laboratory and prepared for testing 1 each 6"xl2" concrete cylinder samples samples each samples each samples each samples each samples REMARKS: Field Cured LN/fm Inspection • Soil Testing • Concrete Testing • Asphalt Testing • Site Investigation • Concret- -tnd Asphalt Coring CONSTRUCTION P ERIALS TESTING LABOR DRIES, INC. (CMTL, INC.) A Division of Western Testing Laboratories 4417 Pacific Highway East Fife, Washington 98424 (206) 922-0798 SAMPLE PICK-UP REPORT ® j� ffia �Iti� zca d i3 L Cc JAN18Mi PROJECT NAME: Fred Meyer Store PROJECT #: T-7529 ADDRESS: 33702 21st Avenue S.W., Federal Way REPORT #: 32 CONTRACT or DATE PICKED UP: January 14th, 1991 PERMIT #: 90380C DATE OF INSPECTION: January 8th, 1991 INSPECTOR: L.Nichols 1 LN/ fm Picked up, transported to the laboratory and prepared for testing each 6"x12" concrete cylinder samples samples each samples each samples each sales each samples REMARKS: Field Cured Inspection • Soil Testing • Concrete Testing - Asphalt Testing 0 Site Investigation • Concre+- and Asphalt Coring 065E-LZZ-WS XVJ • %95-ZZZ-E0S 'PUe17�ld N010NINSVM `AVM- 1VU3a3d 'Id 41LEE PUB '3AV ME •M8 Ot@ 4 �� o Mnl �NIHsv� .10 3iVis StMbtz SOZL6 uodalp • OK ai!nS IDS KI41 'M S OZ9l N >0 N\ # Dd S DI �a 3ao1S �idl3a II AVM �da3�3 o� 6��TI,Q ��b ! 07N1 H3A3W a3a:1 O` F4� iZZZ, N�� cl CITY OF FEDERAL WAY BUILDING DEPARTMENT PERMIT NUMBER To 0-5:FCgc ADDRESS ? PLANS FOR 2- OWNER Tye DATE SUBMCTTEDJLOD�ATE APPROVE D�O � d APPROVED BY Ln C-'�l%�—� - \ SSS L rn m � z _ � 0 1_ r dZ - ----�3 Z( S� Z If zc' v-Cl ,y} �� u=aw4 �� rycr � FN pa f~1�A fir- 4F(p �� zS Xs F RRRttt, n N N N 0 a N w p — - l s .55 i Z+ o I 'N -i --, _ - - - - - -+-- - - - - ✓ P rr • N, wwW O.L•a'10�J a• 4 .. a �, - aar+od yr- - - -- t � - k il I 7n N tJ J d. �� ;SG LI 4Z LI LI Z s, .er os os N Pin %tis os l.os ! \ i rbC, ,Ll •}ILI , » a ! F r 1 - wvwi a-N N - _ da j _. 111 !,, ty .� ;� / n 2'j I. �R%rll I_ %S_:� ,� ?, NN ,Hl ,ZL ,bl O Lu a- Xn 3( It ( -1 Is e. �� , 1 / •�. -- \ r I J 00 N w II S` 0 O y + p I - , N 11� o &l aC14/, LIj l� w Ld 9 N " -- ,_ \� �'/ \ a *� / / 0 S rn i Zo 11 / \ \ I11 I UL tL y N W t Q X Cr ,,. M 'Yz�rt-- zO �` a•, m rz°x:.; ae+''_ m , L Z 1 - \ \ O IL J ju 2� kL zo- Or xg •\' /y2� �t 'r qs� atn 1-nl n `r0.; \ ••� v �in 0 9ola a Z N a m� I I N c- r- / I \ T1 n aC °L N d o_ I d 14IN \ I l^ of � Ibl \ � �SZI\` \ \ .S J•bZ °�O 0 /I d W �'N uado 0 � dC / s. 9� nrJ \ �� NN cDN ,Z� -- W sI nvM IN r vLi / -oz a�'�2___ = I - - - - - L)z J q nod 'S_ r� o 7 3 IL r W F H- v H \ II = r \ 1 0� I WW �� \ TyXi CL W Z N _ \� I \t V K+oO °�Lj as - 1 C ul i 'n 1 Q° 0 a o 2 j I ;' ,9, d bz ,Gil / IL t l , l I Q T J + (/ I N i0 1 W L W w _ :Ea .�?z l1/ In I 0 �L \ V) Z O � � Z W r' `. L LL � _ i-a .d/ M t - �. _ �_ a �� z - - N F /� I b -------SIs--- -I ---- s/ Jb� � `ID N ra n_N� M I i m7- L — — — — — — — PI) CL Z I S's---- / --51£- --- ------- - --SIB- ----1 £- _\ kj ? i A :3 ll -,6L£ t v o i_foil a z it 70 m / / / u \p •.' "O ,y< / / / --------- ---- FAT Al s ':]AV H1 FT 'M'S ,� l r- /v �J•(VA,-Qj ------------------- 1\ az a • - -- - - - - - - - - - - - - - - - - - d18?I • �, / .j j I �I n /( 4 . v �ryt S- V t T 5 r _ z u CLuj WkL ;max• - - ,...'�J y �., / - V S� // F:/ ♦ �_ H ¢ o \� u 3 z U oU z w:m' S b5 09 os .\ ,os / ,os \ ,os N NN }I ,\ •� y- z— I wa A ai0 i� - \ I a, Z ym m [ \ ' �\ \'\R A� w rn C lV C ll - _ i \ �1.-. \ _ �- `n: \ am � t i� 0 1 0z J (�t� /� �ti _i V �di �r�• N ✓ ��..-__—� \(1, 'QN v NNr1 -- ll a ILL If o�-qt �t N /� / y� N� � ^r � � ILA ^ � - � t -.� . - A �u11 Is _ // ��-- - �z� 1 h I I i I I 1-- / O�f L]� v LI �►Z� -- bZ LI\ ecA13 In H1 Gi �J I 1 Z6 1 8 20'Zf8 M „ 1/ jL£ol g -- - - -- ---- - - -- wl I z -1 L - - _---- . �' 1 ,O£ dW tA H H / I / i f 3 c p ¢ 7 oA ,° ' s 0 Z o a N il N u� nc��y p ° u J o ( o o N Q L} Wp w 0 a a ti a M 3� +T O w _p I 3 I 8I o S am w •m n� 3 c°JN cL� 0.�= N E . W X n O O a Y° o U ,�0WSocO8 J< I 1 IrJ bS lvy� vu o a cWi Q. u u,N wc0 J w F a N< a d Qi h 2 Eo S s vzo a z a n e � = o a o II ST m I TS g�O m �N7 ' e e < < ; u yN N ZO II FLO ❑ c� chi c�i N 4 N f7 y W V 1 j L O u 1� 3 M G -� V �' �" _< < "< < Q y� Q Sin c do v o a �N c- Q 0 j w m' cfJ Fi aI m>_ 3 r cp L m t 0- 1- `l W �, i��.v N ma Z�['� vo9 �L v,-0:9w 0°� L- Z W � u N � m -r. ?'�i u��^ °'� .cZwZ war uc0 co. N3 L tN O. a VI aJ� Y' fl J _ m ^, m 21 Wl in N 'a i° c °i>v L La v t- It/l a i a d d >- °c • n L `m - t D - -A w v s E . g o° rn z< N a .. 'S'J�Vyyl WI Y 3 +• L Vt '� M U x o� v � L N Z Q O eal ao �N s, QW 6omLu e� `e0',u,N J'Ti �! m W= Z o n o v Y \� L W a U Y u E C N `Ii+ - ° 7 U iH+ j V a ��7Zp g Z y O Z O O -� J w O F O Z 4 p= < Wes, < ul � < N W O Z a ,� Ld N N~a3 _ i+a1 Gy 'c- c Y� fQ, — 4- U y W V U Z O n 0. n LL W J W < Q Z<< Z .NJ. Q IA L Q N d a O O NI L^ v' N L U U N 7, n Cf0 j C J J U y O < K K U < n O N O F U '� m Q 2 Z Q U p m J m a L °+ 'k Y n d-r c � 0 VIII z o a °J o< o z z fY d mca++a �u rSr dEaro° 40•Q4 OLL� Q 1- z o N z a o< Y F z a i F a z z w a z w a z a s u cd dim a ed• o ° '�+10 _ 9 Z z Z 0 w z n o a 0 < o< s a I, L I. a a s > 2 W W C �+ v F- L V 'Y L L_ � O a O v O: �j < a p a H i7 Z O pO O O < W O W O < W a O B O O T E E d 0.n a H N O p) L 01 _ T W CON U O ii Vl U 2 F- a O Z �' F < H nd. cn - w m' a w I- m o w 7-1 f ti a� _�� u Z Gi z a o n a z� � j j u e'. pi L Q U J w o Y z a Z a 1- W % o J't V7 ni ri v vi ,p ai Oi o = N - CD O m U m a 3 k' O OC a W K < tW 9 8 Q � � (� LLJ W nn N Q �10 U m m Z f IW 3 3 - _ E] • x N x cc X 3 0 W S 0 G Upp m ro O O