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HomeMy WebLinkAbout135 S FRENCH AVE_802833_2026 J ,� CrASCAD Bo E TESTING LAB ORATORY, INCING - 025358 — TESTING 6 INSPECTION - ENGINEERS DATE TCER�l NO 14120 NE 21st STREET 9 9 8Q 09-25E �- BELLEVUE WASHINGTON 98007 PR0.1FCI — PHONE. 206/641 2573 Seattle/525 6700 Arlington high School_ Track_ (Restrooms) LOCATION _Ar,UjigtgH.__WA-, - -- -- 31 FIG PFHMIT NO OWNER O .._ Arl i ngtnn Snhnn1.IliStri _ #16 _ ASD#16 c/o Campanella Murakami Brummitt, Inc. WEATHER TEMP AT AM ��nn F tl aka Av nua-- Suite #200 _ AT 12:30 PM I N GIN FEIi Saattlar_�l&__D8102- - ANCIIITFCT N rnella_Murakami Brummitt, Inc. CONTRACTOR Ili, FOLLOWING WAS NOTED: Keta Construction CONCRETE BATCH DATA FOR 1 CU.YARD FIELD TEST DATA DESIGN % ADJUSTED WEIGHTS MOIST WEIGHTS UNIT CEMENT I CMP. TIME SLUMP %AIR WEIGHT YEILD FACTOR CONC AIR CEMENT 2.30 4" 5 1/2sk 65° 651 FA. No batch weig ts. C.A. WATLFt TOTAL COMPRESSIVE STRENGTH CYLINDER DATE DATE AGE NUMBER MADE TESTED DAYS SIZE WE.IGFII 10IAL LOAD STRENGTH PSI 'TYPE BREAK 4067 9/9 9/16/80 7 6x12 57,000 2020 4068 of10/7/80 28 99,000 3500 4069 " " _ _ 99,500 3920 — RODUCERS: CONCRETE Ross Concrete 11 CF_MEN I - _. --CU YARDS PL ACED It,A —ADMIX.___. t .,c � - 'X._- -- DESIGN S7 RENG T H 3000� -At.LMENT AREA & NOTES Placement by concrete t-ruck,k, n1- i-os1_room footings north Of Arlington High School Track. C. S. 11wison c)F,ILS TO: QMB-KC-ABD .1L, -- a a a C sto '�-'�It L I N1/ 111 N July 28, 1980 CITY HALL ❑ THIRD &OLYMPIC AVENUE ARLINGTON, WA 98223 ❑ (206) 435-3991 Mr. Larry C. Bullock c/o Hargis Engineers 1600 Tower Building Seattle, Washington 98101 Dear Mr. Bullock: In response to your letter of July 15, our utilities department has reviewed your drawings and specs for the sewer for the proposed rest room at the Arlington High School football field. They find that the sewer system as drawn is satisfactory, assuming all elevations are correct. The water hookup must have a two inch meter with standard city connections and a shut off at the building. The meter should-be located outside the fence so it can be accessible for reading. I would also advise you to be in contact with our building inspector, Robert Mulligan, concerning your building plans. Sincerely, AU4401 David G. Crow City Supervisor DGC/kb cc: Utilities Dept. Building Inspector HARGIS ENGI N E E RS 1600 Tower Building Seattle,Washington 98101 682-6452 July 15, 1980 City of Arlington Utilities Dept. Arlington, WA Re: New Restroom at High School Stadium Gentlemen: Enclosed is a plan of the project showing the connections to the existing sewer and water systems. It should be noted that due to existing grades, we are sloping the sewer line at 1%. Please inform me if that is acceptable and of any items which do not meet our requirements. / _ ce ely yours, ,!> ` Lar y C. Bull c i L'CB:nl r Enclosure NO. 030605 CASCADE TESTING LAE30RATORY, INC. TESTING 6 INSPECTION - ENGINEERS DATE T. NO. 14120 N.E. 21st STREET 9/9/80 809-25E BELLEVUE, WASHINGTON 98007 PROJECT PHONE. 206/641-2573 Seattle/525-6700 Arlington High School (Restrooms-Track) Silverdale Everett LOCATION 1206) 692-5020 (206) 259-0817 Arlington, WA BLDG.PERMIT NO. OWNER To, Arlington School District #16 ASD#16 c/o Campanella Murakami Brummitt WEATHER TEMP AT AM 2900 Eastlake Ave. E. , Suite #200 sunny 65' AT12:30 PM ENGINEER Seattle, WA 98102 ARCHITECT ATTN: Campanella Murakami Brummitt CONTRACTOR THE FOLLOWING WAS NOTED: Keta Construction Arrived above project site to provide inspection for concrete placement per your request. Concrete was placed by truck to footings for restrooms north of track. Concrete had a 4" slump was vibrated and T cast one set of three (3) test cylinders. HOURS ON PROJECT TRAVEL TIME TRAVEL. MILEAGE Afl�' OVED BY INSPECTOR: C. S. Hanson FIELD R ORT SIGNED: r114 CABCAOE TESTINo LASOPIATORY. INC. _ C TimriNG i NVSIme"Mory - m'NCi rmmlRi DATE CERT NO 14 t-.. 21st STREE-! J s -� — BELLEVU_ INGTON 08007 PROJECT PHONE 206164 75 --- L, Q �{ Seattle/ 525-6700 ` QL1AL -rC1,1�_ rI(�.J(.noAL_/1�iIJQ/► , orna Silverdale �Cve;otl LOCATION (706) 174 73:i? (206) 692-5020 %59 081 ' lZLtDi.G. �l11 L/.0 - -- BL DG I'LI?M1 T NO OVVNER u. TO PAL &LL&.r_M.A 1Q&VAbAl t--axWMUU'ff Q ---- -- — S6 'LANMA VVLA1 Hr TEMP Al P+M -7'-9 AT — - ENC N I t ATTN —L//��//����j :11.4 4 `�� L:L.a�_@.AL- - --- --- - . _. =1_I'�.• � L_�.,� ._� - CONT FIAC ')%t THE FOLLOWING WAS NOTED -VT fr— ��u-��^a.str+r,.�+.r._�Q.�_r.,�.u�.�-T� _ .�_n►sPQ���.o�---��+�._��, z-�..�. "�'����,�re -- - --- ems,.,��sxx� ��^�r_�•s�,�r.�_,r�s,='�t3�.c..�►T.1�.���.[►.��t �- -� �,', .... _.—. __ __ L-.3 -�-- --.--�°R.Z� l�-r41�K�r.�G--��C--�Q��_�...s_�--�__�4S��_ `�1�5�1�..�--_---=•- - --- --- -- -— .._ —_-�-1 ��.�l f•. yL1�'L�.1.�--- �t.A..1f`R1 ._�03�1_.�.�` S-.i�..w.4x.-7+ci3�- _.-- —___-. d — - -v- - HOl1RS CAN PROD. CT — .`IAV[ : N1R' 1 R<',O `.-L M L.E A G E A"NRGVED BY INSPEC7UR �_ �, j� L.1�• fr7fr < O �- -A.x�V YIA�f FIELD REf't� ^ -7 � SIGNED'. Cascade Testing Laboratory, Inc. Job, No. Engineers — Geologists 7 _ d 14120 N.E. 21st Street Bellevue,Washington 98007 206/641-2573 Page 1 of Client Report Sequence No. Campanella, Murakami, Brummitt Project 2900 East Lake Ave. E. Suite 200 Date Day of Week Seattle, Washington 98102 6/12 Technician HRS Charged Re: Arlington School District No. 16 CCM Assistants HRS Charged Site visit Wednesday, July 12, 1978 Contractor placing concrete along North wall line 2 building "C" , foundation soils solid some isolated in footings to be displaced by concrete and bailed out where it accumulates. Discussed footing conditions at West end of South wall with _Forrest, water was standing eight A-?-) to :ten (1 0)inches deep in area on line eight 8 from C to B. The sump outside the area and the two inside had not been kept pumped down as recommended on each prior visit. As a result the entire Southwest area is saturated, The footings can be placed by pumpingout the water in the footing area, cleaning out the water softened soil and lacing a lift of lean mix concrete 2-1 2 to 3 sack mix on the bearing soil to form a working mat for the building footin . As an alternate to the above the area can be pumped down level has been lowered in the soils and the fill that has become saturated can drain At that time •select fill can be placed in the low footing areas m 97% in eight (8) inch lift-g to bring the fill up i--n f-hp- bottom of the designed footing elevation Cascade Testing Laboratory, Inc. Job. No. Engineers — Geologists 785-64E 14120 N.E. 21st Street Bellevue,Washington 98007 206/641-2573 Page 2 of 2 Client v^ Report Sequence No. Campanella, Murakami, Brummitt ProjectZ900 East Lake Ave. E. Suite 200 n to oa of Week a Seattle, Washington 98102 ?/12 fled;. Technician HRS Charged Re: Arlington School District No. 16 CCM Assistants HRS Charged (continued) _ The present fill in the Southwest area has been tested_ __ _ and found to be over optimum moisture and below the re- quired compaction. Two (2) corrective methods are _. available first and most yractical is to start the pump- ing. to bring clown the water—level then compact f-hp- existing surface by mu tinle_pas,ses of the vibratory roll�r�n_t��he f ill starts t4 dump andannear �i P1 cl i ng_�__ The goil is hen left to drain dry and should then meet the compaction requirementsR A seco d and positive method would be to remove the fill and replace suitable fill at proper moisture rnntpnt and in the-_____ lifts recommended for the material used. method is used the pumping should be done continuously for twenty-four 24 hours and the compaction done within the next twenty-four (24) to be effective. The fill ' Ltion had hL-en under way at- the upper parking area and was being placed in accordance with the ri-crnme-nda-tions out-lin-erl in the. preyihus rppnrt In addition. the perforated drain tile and gravel hackfill t—the__natch hasin_wi 1 1 __.be l ar-ed a—snnn as the atnrm dr-ains-cQnnented - Left the jobsite at 11: 00, our inspector Reynolds was to be notified by Forrest as to timing of the work at the Southwest corner of Building "C" . Sincerely, Charles C. Ma , P.Elt b47 CASCADE TESTING LABORATORY, INC. _ C TESTING & INSPECTION - ENGINEERS DATE CERT NO. 14120 N.F, 21s1 STREET k_Z _ _ --�t-- — �- BELLEVUE, WASHINGTON 98007 PR0,1 PHONE: 206/641 2573 n Seattlo/ 525-6700 l l L If U —�-_) � !-S y v\_ Tacoma Sflve,dale L.veiet; L-OCATION (206) 474 7337 (206) 692 5020 (20(-,) 259-0811 v l_{As _- - BL DG. PF FM !--N0--- < NER TO: --S�.C/�lDc�{� �cl�_ - �IdA"i �2V-1tV� �� WEA THE H~ �c c4.1 �1�- a-•- � -- -- '- - - - � ------ - - - ARC;HI1ECT n ATTN: . �c_��c:A\hnVrTu � •----- — - CONTRAI.-fUR THE FOLLOWING WAS NOTED: n � ' �c .gin�,c,l:e '� �.�2.t_Q..1��--4L. �-.S'_-�lr-_1:.��C�. -�-•--` ----IA_�' �_��L1TtV-`°�- - ----- ----- _..------__�i L7� �� �-�-----�-4••V-�---- y`!�&��'��G,--�V--S-d-Y---�S�___ .�_.1_�C� 1L�a;---._�SL�,C��_�__•____._ --- � W1L�S�1f �-+ii-S----�-x-CS L-t�•�----`- �----S a w�e... - _�l v ���J-�--_S��___.� �^,,_C�.—.-- r�S-0.1i►a-Iran.-Q-�A -fin. --�-k=Q-�-e�r-�---- �--�----�-� -�'-`-�� ��''' - a►,► �+�,.,�a �r _ -�� — �_L�_����r:-� Q_-- >J i w a�s_ -�c cry-+�.s- �5�- i eon !�IV ��—��AR.--=—�--per'1s4 --�--t`�—�- -�- --0 4�--�y-'•- �i�-�-----�---��="-��- ��--'�.c? --- -� v Z — 154 —a HOURS ON PROJECT Tl- TRAVEL TIME + nil ml- TRAVEL MILEAGE APPROVED BY l �� INSPECTOR. kA COPIES TO' /[� !V` 1 /-•/�•i_./�`, / / _ '/! FIELD __- �/ SIGNED. ------ - _ �- 4666 CASCADE TESTING LABORATORY, INC. TESTING & INSPECTION - ENGINEERS DATE � CERT. NO. `� 14120 N.E. 21st STREET l` k (_`1 Q U BELLEVOE, WASHINGTON 98007 PROJECT r PHONE: 206/ -2573 525 Seattle/525 6700 Tacoma Silverdale Eveiett LOCATION (206) 474-7337 (206) 692-5020 (206) 259 0817 A \n, � BLDG. PERMIT NO. OWNER TO' w\ �► � K lit Q.�r yZIM W���raY WEATHER TEMP. Al- AM ��O� �to S�..��_�-��L� � -•-- --•-� -- --- —AT PM ENGINFER CA 0 --- ARCIII TECT ATTN: w l\1 S�1'lr.Y» "_ o vs. - - CONTRACTOR THE FOLLOWING WAS NOTED: �rLe — .a r S 1�k c"---.4 N� �1 i]4— L1—L J — I w e v s._ ie u of Luc L 0 %A Q 1 ,2 1 e- S4 (JAY K C HOURS ON PROJECT --- — - -- - TRAVEL TIME TRAVEL MILEAGE -' APPROVED BY f� INSPECTOR @5 , PIV COPIES 'T-O: o-- HIL! R Ef O i 1 SIGNED: -- -- --- -- - al- Ll- O U/ s' oo cm r� � • (" cr y ri Q <� I i %A /J �. _ "".. .....i-_ -- -•- ...:-.. ..:�.-�:�:_.,. -.,�-�+....-.. . . �.., :w-<,.,. T -- --+.wn•re.;.,,.-1►.4!..+-•�-•Mel►pa�e�lill�� .:tf�:�:r�: .. .-.�...,_.. ETF'T D DENSITY TFST REPORT W S11 IN GTQN THQiZ Ptoject h Report No. J. 0 -A Certificate No. Date _ Inspector. P,. ►� _ -- _- —y age No. A TEST HOLE NO. _ ,� `f B STATION C OFFSET „ s.v.i !u�.-.•e V• S l►' r_ v .<1r �I�.1 Cc,u�w� Z � 1� Ei D I.UVATIOff c� . �. E IDENSOMETER—FINAL READING _ I ? �f`u k''s-Z- 0 ►3 S'u 14 S RING CONSTANT T •FILIM,RDG. + RING C�NNN'1 E + F) HIDENSOMETER - INITIAL READING _ 1 ! Z6 a a VOI... OF 14 LE - CU. FT. G - kl _ I u o C, 3 S- J 'VOI,. OF'_+#E4 MATERIAL (M = 163) ��++�° oo 3G 0 ( � CORR' D VOL. Hill E — CU. FT. n L ;WT. WZT SOIL — LBS_ �_� ( l2 _�� �3•� ►! . 4 —�WT. +#4 MATERIAL �k_ 4. 31/4 s N T. -# MA RI AI. {Xr p'I n r� - � „ t 2 • � d l -z- n- �t •V to i WET UNIT WT. - LBS/C.F. (N K) t z l . IZc� . 12 A. CL'U.,/ 1 NI TT 1-a- - -- t C � � c0 1V,mX. DRY U:JIT +.1T. - LBS/C. F. A_i . 14 1 IL C.A11 "4;'.XIMUM DF,NSSITY (U . P) — MOISTURE DETERMINATION r..� 3« k ? � �l• A 9•�:, R NWT. OF DAMP SOIL S �,'T, OF rmy SOIL DINT. OF MOISTURE (R — S) _ 'MOISTURE. CONTENT — It t,V 'S) MARKS : TESSZN LAE3S2F3AT( IiI—ES rARCAD ' ETE D ❑T•NS1 T , WASIITN�TQN DEN�OMETF.R_ i_Q� Ptoject Report No. v. Certi 9.cate No. -7 R S - (Q Date Inspector �S , �'te•�n, D a g e No. A TEST HOLE NO. B STATION — C OFF ET D 1-1-TV7AT I0N IDENSOMETER-FINAL READING - RING CONSTANT < u u G FTI D(, + RING7 U14STANT + - IDENSOMETER - INITIAL I REA.T)ING FVOL,. OF HOLE - Cu. FT. (V — T - OF +#4 MATERIAL (MUG1V - ? FVOI.. _ _ _ --- ,C_'ORR' D VOL. OF IiOLE - CU. FT. , ,L NWT. WtT SOIL - LBS. il�sL K hqT. +#4 MATERIAL — �,�� ► Y4" � ---�� MATERIAL L - M are i WET UTJIT WT. - LBS/C. F. (N a K) tj.'.U.;L—S1,11T lvT. JaASZC- (' t' )?!. -.X. LRY UNIT '10 . - LBSZC. F. M;-.XIML%M DENSITY (U I. P) ��• iyF MOISTURE DETERMINATION �'{ •2 R IWT. OF DAMP SOIL �— S �K_T. OF DRY S_OII., _ OF MOISTURE (RU_�M(75TURL CONTENT S) F'MARKS : _TEa�TIN G__LAE.�Bd,T�jjjEs CASCAOM TosToome LA uoom^lrop4v, mc. 11 p7R F (ONTAACT N011 0. M L# r-'p �D 7A­-0 OF -L-o—t i --j-NUMtjEi( 'JI- �AY!,W Y OF �j TAMPER c. HEIGHT OF DROP J A�xi mI,m PART !,-�t mEl(�ir O F Si"SC! ' m P", ANO rA&APk! . 4 in) I ;j [mfr,,AN�(-'At. 'AMPER WATER ADDED A. IL CA-MLLAI-AJ MOLD WT. OF wV T SO; 4- I ma- OF bmi, F� OF WE VOL. OF SGi! SkMI'L 3, WET DENS I n 4 __"ll ± *T, OF WET -JL 0 -ILA -TAt WT. OF DRY L or A, I K. it-ji t 'Z o SO 3 (5 % C)PY•Lrj IT WT TFST NESU�TS PT, WATER 72 I MLAM DRIT + CLAS31FICATION OF 3AMPL It. 4 + 4+ + + LIQUID AND PLASTIC LIMIM —4 1-4-+ 3YO460L. FROM PLA3T C CHANT + REMARKS + t + + 4 T KED By -4ioi T r F W El' CON fEm I -wy wy AT o o 0 F, iI szs N - PER CENT FINER BY WEIGHT `, N W A VI P •! y C P O 1 � 200 mit Q I � WOO r zh _ m ,o D TI : I ( 1 0 ^ N m Gl 30 _ I I z n m n Z ro n n� r) 20 _ - I - - Z r0i•, n, q M r to f �, D a " � u - n, z D T i ri 10 � � m �i � m m h 2 A ( I ,, 1�1 W u -A Cl 14 1 ♦ o G D' Z n Y I D y z n • E - A O f C') ~ ? i o N m� Ul - r (n ' t n r Z 3 v e v 10 a g I - �- 40 ri Z 4 r o C Z .3 * i. b0 rn n - ,o do r fl O A ` " N O 200 r? rn - - _ - OT c n 06 r71 _ _ _ fn m r o5 5 0 33n x1 u ro D w U !l TF tl < �.ri Q ► " � r r fir I Q. J A _ tl -A Fj Z p 0 D a ,� J F r e ` � Cn to Ln C) cn t- o i- N rrt 7 � j LL I I I CASCADE TESTING LABORATOP-11,1-S PROJECT No . DATE CLIENT MATERIAL 1T,'D BY �l ^`�._ '��,�.0 1:: > SEj,E(-7 SOURCE DATE c t 1 I VIC) ACCUM. ACCUM. w pl� , CLNT PASSING SCREEN WEIGHT PER CENT WE,I GHT PEP CENT I SIZE RETAINED RETAINED RETAINED I RETATN"ED � SAMPLE SPEC' S C3 Q Q 7/ Tf 2 41, cl I 0 u Tuo. 3 5-=lL PROJECT ­ , IA C A:FRAC, No m IATf Q I A,. t TV TEST NO DIM, OF W)LD (Jn.) N 051 EP AY �i (I E. L-i , S 'PER LAYER PAUM P A P(I CLE HEIGHT OF 6wo—P i*X_ HAND rkmf,fp sozi En) V CH AN I CA L r AI.4P i mow WT. OF WET SOIL OF hAUW OF WET SO-L VOL. OF SOIL SAMPLE G. WFT DENS J-4 U -i *T, OF WF T + ARE WT. OF ORY 14 K. K. WT, OF 'MATCH & L)6 WT OF DR'y 50 WATER (ONTIENT Dpy U4!r WT 8 -4 TEST RESULTS 4- t Xi" URY LkL-,-- + t 4-, 4 (LA331�1CATtON OF 304 E + + + _L" 4 QUID AND PLASTIC LWIL'. + L L ot4 'ILI 3'fN$OL FROM PLASTIC CHAV 4+ . 1­4­ - . -— . : : RE14ANKS + + + �HECKED I I W Tvc 0 ct S'.() t,+7.,) iq 0 --Lt-0 -,?-3. v 1 dATtl va 1 to Go � I a10 uj li s rn � � C OY o - I � � a � r'd .:i a � • cr h GO CL CC a is c - co . ti l41Dol V. - u.a � E Ut 09 - u In oc Z cl ? s g n - i of - t V J U) 94 r S!: V)'Ai a W (n r r or ol Z V 0 o J `Iri v a a W l E t a z co a o I7 z o WQ Rt OI 0 w C7 n • li E a z _N w - c W N ulT � r I I W OZ cc U �n z ul W .J N W w S W I/t - - - .,a,U N - Cl) a 0. • 1 Z - IT 0 n ott ' 09 A 00 W O TIT F.4 001 ut Q W Z ---- El Q OOZ to IL p a o O a ,U f M N a p O Lu a 9 p ol b l- -D U 4 LNO131M AG H3NIzi 1N3:) b3d N 571 - ^w CASCADE TESTING. LABORATORLES- F/ PROJECT 'A CERT. NO. 0 DATE, --- CLIENT MATERIAL SELECTED BY SOURCE DATE ACC UM. ACCUM. PER CENT PASSING -WEIGHT PER CENT SCREEN WEIGHT PER CENT- SIZE RETAINED RETAINED RETAINED RETAINED SAMPLE SPECIS e_ s— AA 40. H . 3 -Z 0(j _7 1 0 0 V) al CASCADE TESTING LABORATORY, INC. TESTING & INSPECTION - ENGINEERS DATE r CERRT./NO 14120 N.E. 21st STREET �Q _-_ �C7J G1A BELLEVUE, WASHINGTON 98007 PROJECT PHONE: 206/64: 2573 Seattle/525-6700b— Tacoma Silverdale Everett LOCATION (206) 474-7337 (206) 692-5020 (206) 259-0811Av i 4� BLDG. PERMIT O OWNERTO: ~ �y 1�/_' //AA�� WEATHER TEMP AT � � y AM C.A del Gi s„ Af_L1 --•3- / —.�- t Lea � - AT e' '(3PM `. ENGINEER ``nn i1 ARCHITTEE-CT M ,a{ ATTN: 1v� ti yV ,b►.� EJ*A S O 1A "- ` - CONTRACTOR THE FOLLOWING WAS NOTED: /� tl 1r ,r�s�L �'+ ��' l 3 9 kll p k i_-�1�— =e b S -� 1� �+_A irk, A. Tad e-� `� 0 if r lei, 12 el �r ►, �T, �a�.__ __a��_� ._--__ CA, eel AL t,. a v- _SAS_ _. a�►.� �r1_�k� .AL�r.r__ _ JEC2 ICU-- HOURS ON PROJECT 4• s Ctl_\/►q,� TRAVEL TIME f ` TRAVEL MILEAGE - i APPROVED BY INSPECTOR: LA A COPIES TO: ��� -ems p "��° - FIELD REPO T. �� em, — SIGNED: --- -- ---------------_ _-- 1065 CASCADE CESTING LABORATORY. INC. TINSTING & INSPECTION — ENCANEERS ' DATE / CERT. NO. 14120 N E 21st STREET (Q-2i —ZA s,-. BELLEVUE, WASHINGTON 98007 PROJECT PHONE: 206/641-2573 Seattle/525-6700 r LQ Q �Qy Taco, j Silverdale Eve,ett LOCATION (206) 474 -337 (206) 692-5020 (206) 259-0817 4 - i 1 n BLDG PERM111NO OWNER- 1� WEATHER ' C TEMP. ` AT YAM Am ---------- I (f� C. I P Q'V kj kA kA� 6 a AT O A FM ENGINEER ARCHITECT ATTN:_ ��. �a� -_ 1-mod . - 0 , . 1� - ---- CON f�RAC:TOR THE FOL OWING WAS NOTED: _ AC%r L u eak S .'4r- _sat, moo LA'^ '0' - . �ovt S-Ar- �e14!Jsu&- n%e a i vr.r� . J , _-. -1, - .1 . S u 1a_A .__-_-A_ y2 N 1( t -t- ( tA —"LSc�_Q gyp L �1!-yam Et j t vs d l ( A- 1 a o \I' n\An_ - --TSB— C 1�. S ip CA „} [)P-. ��-�L�t '..�1 II I k.-- e-�L S t ex a i m tu AL Li HOURS ON V OJECT TRAVEL TIM TRAVEL MIL AGE ~ —� V APPROVED B A ( �--� J,J R J� INSPECTOR T111 1` /� C = _� '~�`" `-L-` FIELD REPORT I� °uj ` c o P I E. ro -!� /�� L9.R y�� .s SIGNED:__----- - _ 1 l nu���syn�����in��,�n�lu ��i��i��u�i■n 'n�iu . : ...ulllll NII I I IIIIIII �IIII IIII II�III�II ii iiiiiii i.•.ii �i'i i'i�i,'i �! i!i '!"i son INN �ruunum=�u �= mm�w��um�n�innme.. n...uu....uHIM ....: _CASCADE TESTING LABORATORIES PROJECT CERT. NO. --- - DATE CLIENT MATERIAL SELECTED BY SOURCE _. DATE --- ACCUM. ACCUM. PER CENT PASSING SCREEN WEIGHT PER CENT WEIGHT PER CENT SIZE RETAINED RETAINED RETAINED RETAINED SAMPLE SPEC'S Z' 3. ;z _ 5'0 3. 2_ 96.8 4.3 .G4 ti 63S' 4 '76 4" s 31.3S' 81. 4 3 4 I 10 Llq. Ce aZ '4.a il4. G 41.8 4s.Z 1 64. 1- 4 2s. 0 10•� l4. 434 . I G2.2 6.3 N i DO.O C M r3 - )) �. GANIC/►D■ T110111011N• LASON ►Towv, INC. PROJECT _ DATE A 9,0 N 671 QmI-It S ol rD �8 &47AAt,:T--NO SOURCE OF 40 e,uler. No. ®C--6,C MATF R I AL(3reoL -,Fr"i A.,-O�Aw TEST NO TEST Co ME TNOD SuaPL DIA. OF MOLD ( in.) NUMBER OF LAYERS NUMBER OF BLOWS WEIGHT OF TAMPER Q 1$ $ PER LAYER 2 S to HEIGHT OF DROP WAXIMUM PARTICLE HEIGHT OF SOIL SAMPLE HAND TAMPER (in) is" SIZF _ (�^) MECHANICAL TAMPER rl A. WATER ADDEO - -- s�� °o MOLD C. WT. OF WET 53IL _-- 13. 4b 13. c 13.4s —LacF WET L al - 4.1 S_ 4.(,Of 4.+o 1 VOL. OF SOIi SAMPLE F. Fes,._-fLj__— .,_0353 .0333 03 G .L WET DENS I TY IIJ. C_INTAINE_R F„� Soo.b Soo.o Soo.o ii WT. OF WET II. SO +TAR' 41 36.6 461.5 442,0 WT. OF DRY '_.SOIL + TARE_ _24•S 49.6 .0 K. WT. OF WATER N WT. OF DRY SOIL WA R CONTENT Lss 1b.4OPv uNIt WT �'4.3 r7l = 1 Il 4 + 4 TEST RESULTS _ ; T. WATER + TENT O/ 1. (p I�4 xIMUM DRY r + r r✓- r -� r-y �♦ t �.� CLASSIFICATION OF SAME �► r 4 . f+ GRAVftLW t t Iwo I ~ { + }+ I LIQUID AND LASTIC IMITS: � LL. ► _F1 . E- r�•.F 4- T + ++ «+ SYMBOL FROM PLASTIC CHART E I REMARKS: 44 *-t 1 4 + fit + tL 11L I • r r t t tI F E I * t , t E r ESTEDD, BYs. NECKED BY ( 3 S �I 1 3 �s 1 4 SUBMITTED WATER CONTINT, 0/0 OF DRY WT. By International Conference of Building Officials Report No. 1939 RESEURLN COMMITTEE RELOMMEMATIOn SEP 2 9 191b April,1975 USC ACOUSTICAL. CEILING SYSTEMS lur to rows of access tile. Access channels (.018" thick x 'y4" high s UNITED STATES GYPSUM COMPANY ";" wide flange x 4'long) :ire installed on permanent tile acli:teeut 525 SOUTH VIRGIL AVENUE to access tile. Access saddle< (.018" thick x 4" high x J';" wide LOS ANGELES, CALIFORNIA 90054 flatige x 2' long) are installed oil access tile. Acccxs ho king clipp.s are installed at inteniec:tiom of 2' tee Splines and access c•lean', I, Subject USG Acoustical Ceiling Systems. file splints .ere used as locking devices when tilt-stualler than 24" 11. Description: x 24" are used. A. AVRATONE ACOUSTICAL CEILING SYSTEMS -- Protected light fixtures limited to 16 Sol. ft. per 100 set. ft. Duct CONCEALED GRID: opening protected by approved) fire dan(pct:s limited to 55 set. in. 1. Three Hour Fire-Resistive Construction: (Beam 3 hour) per 100 sq. ft. with no individual outlet greater than 110 sq. in, 1. 2',--" minimum concrete-on steel B. AURATONE ACOUSTICAL. CEILING—B'`<POSED (leek. GRID: 2. Steel heant. 2 I. Three Hour Fire-Resistive Construction: (Beam 3 how) to o �� 3. sa" N l2" x 12"' AIRSON All- 1. 214" utinimunt concrete on RATONE FIRECODE or Ali- 1 j--0 steel (leek. lJ RATONE FIRECO13E tile. L ?. Steel beam. Suspension System = 8 ga. wire hangers at 4' o.c, maxinmm ^ I -'(� 3. %" x 24" x 24" to :30" x GO" attached to l'.c" detp steel channels spliced 4' o.c. maxiuuuu. • -.in([20" x W)" AIRSON ALJRA- 26 ga. "Z" splines sp(ttrd 12" o.c. attached to 1!'•" channels with -0 TONE FIRECODE or AURA- 12 ga. wire clips. Kerf(d tilt is supported by "Z" Splines on Tr PONE h'IRECODL panels. two sides and by 7,11 x ll'_" 29 gat. Hat splines col remaining h%,o Sides. "Z" spliueS :•ro spliced with 2t3 ga. %" x 4" long Suspension System — 12 ga. wire hangers at 4' o;. m:ex- plates which inter lock the Nyel,s, mitun attached to main '"1"' runners (24 ga. x 1's'" high N li," wide flange) spaced 4' oa. ;Hain runners spliced at ueb with IN I'rutectecl light fixtures lineited to 16 sq. ft. per 100 sq. ft. Duel ga. x 8%" long steel splice plates- Cross tees (identical to main openings protected1 by approved fire (tampers limited to 110 sq. miner) with end tabs that engage slots;(n main nmtterand secured in. per 100 Sol. ft. by steel pins (hrough the tabs. 2. Two (lour Fire-Resistive Construction: Protected light fixtures limilvd to 16 Sol. ft. per 100 set. ft. Duct f I q1s'" minimum concrete uu '.�" openings proteett•d by approved fire dampers limited to 110 set, . - ti • ribbed metal lath. in. pt•r 100$(l. ft. Steel har joist. 'ev t 3. 4z " x 12" x 12" AIRSON' .1U- 2. Two Ilow Fire-Resistive Construction: RATONE FiRECODE or AU- 1. 1'12" mintunuo gypseuu cou- •� RATONE FIRECODE' tile, 1 c•rcty over '_" gypsum form- Suspension System identical to A-1. Protected light fixtures 11 2. Steel har joist. limited to 2-1 sel, ft. per 100 S(l. ft. Duet openings protected by L `•l 3. A" s 24' s '=l" to 30" x $0" approved fire dampers limited to 1 l0 sq. ft. per 10O Sq. ft. N Q, and 20" x 60" :111tSON :1URA- 7--� / TONE FIBECODE or A(TRA- :3• Two )lour Fire-Resistive Construction: i f TONE FIRECODE' panels. 0"' inininumt� Gypsum 0nierete ,.J t "" Suspension System identical lu 11-1.-1. I tntcctcd light fixten•ex lien" - over : typstnn for -)board. ited to IR se ft. per 100 Se ft. Duct openings n•otected by e 2. Steel har joist. ! P' L1 p •iHW 3. 's" x 12" x 12" AIRSO\ A('_ proved fire dampers limited to 110 sq. in. per 100 Not. ft. RATONE FIRECODE or :1[`- RATONF. :1. Two (lour Fire-Resistive Construction: l FiHI':(:ODI. Lilo. 1. 2" " wtninanu concrete(ill4l Suspension System identical to A-1. Protected light fixtures 1_ / ribbed metal lath. limited to 16 set. ft. per 100 sq. ft. Duct openings protected hi Noo, ' Steel bur joist. approved fire dampets limited to 54 sq. in. per 100 sq, ft. with ao �_ -"�2 :1. r.N" x 24" c 24" it.) 30" x 60" nu individual outlet greater than 114 sq. in. N o and 20" x (ill" AIItSO\ AURA- . TONE F111ECODE or AURA- 4. 'lwo Hour Fire-Resistive Construction: (Ream 2 hood s TONE FiRECODI? pWIVIS. L 1. —minimum conereto un 01•�" Suspension System identical to R-I. Protected light fi.xtrtres lion- L_TS rihbeel nletnl lath, ited to 16 se • ft e r 100 se It. Duct o e nin ti protected by a Steel har joist. + P' I• P' g•' P' P• m -��- —� 3 °'�" x 12" x 12" to 21" x •24' Proved fire (antpers limited to 1111 sq, in. per I(N) sq. ff. N•" i AIRSON A[iRATONF 1`11(h:- 4. Two 11ouo• Fire-Resistive Construction: -r�N?- + �—O CODE or :1URATONE 1110:- 1 i ,-„ CODE, tile. I, thick roof iusuL(tiun .end I approved rool rover. Suspension System — 12 gat. wire hangers at 24" o.t. r ma%t- ��. 2 2'" thick metal edged gypsun stunt Muchml to main runners (.020" thick x I1S" high x I • +e it plank. Ilango) spacetl 4' ox. Main runners spliced at weft with 22 g,e. N �� 3 Steel bar joist. i'�" long steal splice plates. Cross tees (.018" thick x ('_" High N N 4 "" N 24" x 24" to :10" x (ill" I" wide flange) spliced 4' o.c. and along 4' Sides of light lixlmes 1 �1 end 20" x (ill" 111R:�'CON1; Toe splice• (.020" thick x If-" high x W' with, flange x 2' long) f FIRECODE panels. installed parallel with nacho runners and spaced 4'o.c. for 24"x 2.1" - tilt-. I`nr rile smaller than 24" x 24" tee splines (.018" thick x °r" Suspension System identical to 8-1. Protected light fixtures high N " with. Ilange x 4' long) are installed parallel with rows limited to 16 sq. ft. per I(HI Sol. ft. Duct openings prott•ctud I-y Ill .uc, s tiler alld tilt,Splines (11" x i") areinstalled perpendieu- apprrnetl fire daunpen limited to 55 sq. in. per I(N1 sq. ft. with no Page 1 of 3 Page 2 of 3 Report No. 1939 mdnido.d ootlut yr,..e.r thaw 11() set. in. (Allowable spans for the C. ACOUSTONE ACOUSTICAL CEILING SYS" E'MS- ME11-t and NIL:P-i l tii; Nictal Edge (:ypsoni Planks ;ire to be CONCEALED GRID- (let, mined based on the design criteria and section properdes set 1. Three Hour Fire-Resistive Construction: forth in Table No. 1.) _" niniruu concrete(in "T, " I. 3t 5. One.Hour Fire-Resistive Construction: (Beam 1 hour) ribbed meta) lath. i. ,- - �� ---�2 2. Steel bar joist. 1. 2" minimum concrete ma s ;; $i" x 12" x 12" ACOUSTONE ribbed metal lath. -1--=�_.- • �-�• -�3 l::u tih�(Coil-bucked). 2. Steel bar joist supported by �N ------ - 2 steel beam. Suspension System - 10 ga. wire hangers at 4' o.c. max- irnum attached to 1'.�" deep steel channels spaced 4' o.c. maxi- L 3. sh" x �4" x 24" to 30" x 60" mum. 26 ga. "Z" splines spaced 12" o.c. attached to IV chun- I� and 20" x 60' AIRSON AURA- eels with 12 ga. wire clips. Kerfed the is supported by 'Z" TONE FIRECODE or AURA- spplines on two sides and by 29 ga. x %" wide by 11'.s" long 'CONE FIRECODE panels. Haut splines on remaining two sides. IV' splines are spliced with suspension System identical to B-1. Protected light fixtures lim- 26 ga. x 3Ya" x 4" long plates which interlock the webs. itrYl to 16 sq, It. per LOU sq. ft. Dnct openings protected by approved fire dampers limited to 11(1 s(l. in. per 100 set. ft. 2. Two Hour Fire-Resistive Construction: 6, One Hour Fire-Resistive Construction: ---T.----T- ) 1. 2%" minimum concrete on $4i" I. Double wood floor in •accor- a� I L ribbed metal lath. dance with Table No. 43-C of - -� 2. Steel bar joist. U.B.C., footnote #14 3 3. 14" x 12" x 12" ACOUSTONE 2. Wood joist. �f- 120 the (foil-backed). a 3. %" x 24" x 24" to 30" x 60" Suspension System identical to C-1. and 20" x 60" AURATONE T f FIRECODE panels. 3. One Hour Fire-Resistive Construction: Suspension System identical to B-1. Protected light fixtures lim- L -0 1. 2" minimum concrete on % ited to.8 set. ft. per 100 sq. ft. Duct openings protected by ap- a - ribbed metal lath. proved fire dampers limited to 55 sq. in. per 100 sq. ft. ,ai - 0 2. Steel bar joist. A.;an alternate to the doable wood floor described above 'cs-inch �"0 3. as" x 12'" x 12" ACOUSTONE ,!)wood .heathing Covered with I-inch thick USC NIASTICAL �1 �J 90 tile. �luor uudcrlayment compound, with one coat of as'ph er alt prim Suspension System identical to C-1. brushed. utapped or .drubbed into the plywood sti uce :nay he o,ed. (Primer is asphidt emulsion diluted 1:1 with water.) Prinie•r• 4. One Hour Fire-Resistive Construction: (Beam 1 hour) mm,st tit), one to two hours but not more than 24 hours before 1. 2r,:," minimum concrete on riiiderlayinent application. Alternate floor preparation is to xtapb steel deck. ,each a barrier tueetimc U.B.C.Standard No. 17-1,lapped 3 inches. �;�` *{ 2. Steel beam. laid between the plywood and NIASTICAL. �-T -- .(y� . rtr°�L-►�-- y �/ 3. %" x 12" x 12" AIRSON 7. One Hour Fire-Resistive Construction: ACOUSTONE 120 We or 1, Double wood required by Table T-F ACOUSTONE 120 tile, (both No. 43-C of the Coda•• foil-b,tcked), - 2, Trus-Jolxts •- Refer to I,C,13.O. Suspension System Idcnticnl to C-1, Protected light fixtures c� Report No. 1894 Part If pare- limited to 20 sq, ft. per 100 sq, ft. graph (f1), i _v ... .. 5, One Hour Fire-Resistive Constructioni _ 3. USC, 'I'llERNIAFIBER Mineral Wool Blankets - mininium 1" i h" minimum concrete on h" Y _p thick - 4 pound density. - ribbed metal lath. 4. V' x 24" x 24" to 30" x 60" 2. Steel bar joists. anti 20" x 60" USG AURA- 3. Cold Rolled Channels. TOE E panel Suspension System identical to B-I NG R tRfixtur)es limitedyto 8 yj.r -_ 1,�L -0 4 USC ACOUSTONE 112Ux Tile eat. ft. per 100 sq. ft. Duct openings protected by approved fire (foil backed), dampers limited to 55 sit. in. per L00 sq. ft. Suspension System - 12 ga. wire hungers at 5, o.c. umximiun 8, One Hour Fire Construction: attached to steel joist and main runners. Main runners spaced T 1, Class A, B,or C Roofing Assein- o.c. and cross tees installed perp�rrdiculur between main runners bly and spaced 5' o.c. Additional 5' cross tees are installed parallel C 2. 1" Nancomhustible :;coif Lass- with, and 24" from main runners, to form 2' x 5' light fixture moclnles. 2' long cross tees are placed perpendicular to main i- y `Q hdion• runners and 5' cross tees to form 2' x 4' openings within each 2' x 3, No.22 garage metal roof deck. 5' module for the light fixture. --0, 4. Steel har joist. I. Modules 5' x 5', without light fixtures, the center V x 5' 5. %" x 24" x 24" to 30" x 60" portion consisting of 1' x 2' and I' x 3' accessible sections and 20" x 60" USC AURA- are installed us.follows: (A) Flat splines installed parallel TONE FIRECODE panels. with main runners at the 12" long joints of permanent tiles. Suspension System identical to B-1. Protected light fixtures (B) T-Splines, 5' long, installed perpendicular to main limited to 16 sq. ft. per IOU sq. ft. Duct openings protected by runners and located 12" from 5'cross tees; (C) Access angles approved fire dampers limited to I10 sq. in. per 100 sat. ft. 5' long, installed perpendicular to main runners on per- manent tiles, located 24" from 5' cross tees; (D) Access tl. One flour Roof-Ceiling/Fluor-Ceiling TRUS JOIST TJl hooks, 2' and 3' long, installed perpendicular to main nm- Construction: See ICBO Report No. 2436, Part II, Item 1. ners on access tiles, located adjacent to access angles. Page 3 of 3 Report No. 1939 2. \lodules, 5' x 5', with light fixtures containing a 2' x 5' light �' Tent Shape — A 2%&" x 48" fixture section and a 3' x 5' the section, the center F x T y piece laid along the long di- being accessible: (A) Flat splines, installed parallel with mensions each sidt!of the fixture main runners at the 12" long joints of adjacent 12" x 12' I bens; a 19"2" x 48" piece laid and 12" x 24" permanent tiles; (B) T-Splines, 3' long, in- over each side of the fixture and stalled perpendicular to main runners and located 12"from 5' a 41,ia" x 24" piece at each end cross tees; (C) Access angles,3'long, installed perpendicular and tied to top pieces at corners to main runners on permanent tiles, located 24" from 5'cross of fixtures with No. 18 SWC teas; (D) Access hooks, 3' long, installed perpendicular to steel wire. main runners on access tiles located adjacent to access angles. E. QUIETONE Acoustical Tile: QUIETONF -%ood fiber acous- Protected light fixtures limited to 16 sq. ft. per 100 sq. ft. Duct tical tile are for use as a class III interior finish only and are not openings protected by approved fire dampers limited to 55 sq. in. part of a fire-resistive assembly. The tiles are available in regular Per 100 sq. ft. perforated, random perforated or pin perforated patterns in 6. One-Hour Fire-Resistive Construction: ?4" and %" thicknesses. The face of the tile is painted white. 1. Double wood floor in accor- F. IDENTIFICATION: The tile and panels are identified by dance with Table No. 43-C of labeled packages bearing the manufacturers name, product name, U.B.C., footnote #14. type,thickness,size and pattern.Various face patterns are:available 2 ?. Wood joist. for the ACOUSTONE, AURATONE and QUIETONE tile and panels. ACOUSTONE tile, AURATONE tile and panels are also 3. %" x 12" x 12" ACOUSTONE available with a plastic-coated face and are identified by the addi- 90 tile. tional letters "PC" added to the labels. Suspension System — "Z" ;plines are attached to 18 ga. x 1" III. Evidence Submitted: Results of fire endurance tests in ac- x 3% steel troffer clips nail,:d to joists by means of two 11/8" cordance with U.B.C. Standard No. 43-1 and flame-spread tests in long blued lathing nails. accordance with U.B.C. Standard No. 42-1. As an alternate to the double wood floor described above, 1/2-inch Recommendation �lyw(wd sheathing covered with 1-inch thick USC MASTICAL [tour underlayment «impound, with one coat of asphalt primer IV. Recommendation: brushed, mapped or scrubbed into the plywood surface may be 1. That the United States Gypsum ACOUSTONE and AURA. used. (Primer is asphalt emulsion diluted 1:1 with water.) Printer TONE systems as described in this report are alternate must dry one to two hours but not more than 24 hours before methods of construction to that specified in the Uniform underlayment application. Alternate floor preparation is to staple Building Code for the fire-resistive ratings noted. attach a barrier meeting U.B.C.Standard No. 17-1,lapped 3 inches, 2. The ACOUSTONE and ACOUSTONE PC (plastic coated) laid between the plywood and MASTICAL. tile have a flame-spread Classification of I. D. ACOUSTONE ACOUSTICAL CEILING — EXPOSED 3. The AURATONE and AURATONE PC (plastic coated) GRID: panels and tile have a flame-spread Classification of I. 1. Two Hour Fire-Resistive Construction: (Beam 2 hour) 4. The QUIETONE wood fiber tiles have a flame-spread 1. 2%" minimum concrete on % Classification of III. 1 ribbed metal lath. 5. Ceiling grid systems are braced as required for earthquake forces in Table No. 23-J of the Code. 0�-- 2. earmjoist supported by steel 6. That USG THERMAFIIIER Light Fixture Protection may N D 3. %" x 24" x 24" AIRSON be used for recessed light fixtures in fire-resistive floor-ceil- ing or roof-ceiling construction provided installation is as set I and ACOUSTONE 120 Sha- forth in this report. I dowline tile. This recommendation is sub ect to annual re-examination. Suspension System identical to B-1. Rabbetted edges of tile rest on the exptsed grid. Protected light fixtures limited to 12 sit. ft. `ter 100 sot. ft. Duct openings protected by approved fire dampers TABLE NO. I—SECTION PEOPERTIES FOR THE MEP-4 AND limited to 55 sq.in.per 100 sq.ft. with no individual outlet greater MEP-7 USG METAL EDGED GYPSUM PLANK' than 110 sq. in. General: For all the and board assemblies where AIRSON is SECTION MODULUS MOMENT OF INERTIA listed, A-5 type (5 Slots) may be installed in an alternating pattern SLAB TYPE IN INCHEi 3 FT. WIDTH IN INCHES a FT. WIDTH so that the slotted portion does not exceed 50 percent of the ceil- ing area. The A-2 type (2 slots) may be used on a 100 percent bosis. MEP-7 0 116 0..118 Where protected light fixtures :are required the construction may Ile in a box shape or tent shape using THEIR FIBER Light Fix- 'Au„wnhle ,pans ure dctrrminet bared upon a maximum allowable ture Protection whleh is a noncombusti e___.S,m—- (Jl,�y{` ' 1 bending stress In the steel edge members of 20.000 pounds Ater square Aboard manufactured inTr/!`I}fic�ss w-lt}—i'a ensi Of 6 OUtIr8 inch, usinat the tabulated section properties. In no nue shall the span tY P for the MEP-4 or MEP-7 planks exceed 4 feet or 7 feet. respectively. per cubic foot. Deflection shall be limited to 1.240 of 1hr span. Certificate of Occupancy CITY of ARLINGTON, WASHINGTON BUILDING DEPARTMENT 57 DATE THIS IS TO CERTIFY that the (description of building or structure)—/ s 7,�.4 on Lot No. Block No. Plat, Subdi'Vision, Unplatted Description Street and No 5'-1 —Fire Zone— Use Zone Occupancy Group Owner 4:p 6�, Occupancies f Max.allowable floor loads lbs. per squ o foot. Bq3ement. Ist Floor 2nd Floor— 3rd Floor- 4th Floor No change in existing occupancy classification of a building or structure or portion thereof shall be made until the Building Inspector has issued a Certificate of Occupancy therefor.This certificate must be posted and per- manently maintained in a conspicuous place at or close to the entrance of the building or structure referred to above. by 521M Certificate of Occupancy .j CITY of ARLINGTON, WASHINGTON 0 BUILDING DEPARTMENT 61 DATE THIS IS TO CERTIFY that the (description of building or structure) on Lot No. Block No. Plat, Subdivision, Unplatted Uescription &Aw-_jh# X3 3 3 Street and No Fire Zone UseZone Occupancy Group Owner— Occupancies Max. allowable floor loads lbs. per square foot. Basement Ist Floor 2nd Floor 3rd Floor 4th Floor. No change in existing occupancy classification of a building or structure or portion thereof shall be made until the Building Inspector has issued a Certificate of Occupancy therefor.This certificate must be posted and per- bv�ding Inspector manently maintained in a conspicuous place at or close to the entrance of the building or structure referred to above. by waiff­t�� — Certificate of Occupancy 'CITY of ARLINGTON, WASHINGTON 61 BUILDING DEPARTMENT DATE THIS IS TO CERTIFY that the (description of building or structure) rr on Lot No. Block No. Plat, bubdivision, Unplatted scription Street and No. 1-3-5— Sv _Fire Zone U Zo LE9 Occupancy Group N115c- Owner t,. Oaupantlec Max. allowable floor loads lbs. per square foot. lBasement 1st Floor i 2nd Floor 3rd Floor APPLICATION CONSTRUCTION INFORMATION FOR: Certificate of Zoning Compliance L-1 To CITY of ARLINGTON CLASS of WORK (check) NEW IL`I , ALTERATION ❑ , ADDITION ❑ , DEMOLISH ❑. Building Department Building Permit ?�� Describe Alteration Certificate of Occupancy Date NOTICE: No permit for erection, alteration, moving, repair or occupancy of any building /y shall be issued until an application has been made and approved for a certifi- Valuation based on total floor area $l/. P 3 57�V-O N O T I C E cate of zoning compliance. Where work is started Plan checking fee $ Y �S before permit is obtained Owner_ l - Address �3 -_sxo= C t l4 Permit '+ �3. C� the permit fee shall 4A:� Permittee Address O be doubled. Aye _ � 198® Architect �' Address a-,e.r �.;s.Zi' G 9 Engineer Address 1 19040ICATIONS_ ?--�i- FOUNDATION 13\4 - _ ` Exterior Piers COVERING Contractor_ tiG%!�> Gov* �,�s.� • Address QO 496-yyy /Jy� ecz �4VK - S��2D Material Exterior walls LEGAL DESCRIPTION OF PROPERTY: Lot No.. - Block No. Width at top Interior walls Subdivision or Unplatted description- _ Width at bottom Roof or reroofing Depth in ground ZONING INFORMATION FRAME Size Spacing Span FLUES TYPE OF OCCUPANCY of present or TYPE of CONSTRUCTION of present or R.W.Plate(sill) Fireplace proposed main building (circle) proposed main building (circle) Girders Floor furnace A B C D E F G H I J 1 II III III 1 hr. III HT Joist, 1 st floor Kitchen DIVISION 1 2 3 4 IV IV 1 hr. V V 1 hr. Joist,2nd floor Water heater Joist,ceiling Furnace Use Zone- Fire Zone Area of Lot — - Size of buildingor addition Exterior studs Gas Oil No.of stories_- Total height Basement floor area_ 1st Floor area Interior studs Additional floors and areas No. of rooms No.of families. Roof rafters No.of buildings now on lot - Use of buildings now on lot Bearing walls Percentage of lot covered by main building -_-_ - Additional Permits are required for: Percentage of lot covered by accessory buildings ( Kind of livestock (check) IMPORTANT ❑ Plumbing, ❑ Signs, ❑ Moving, Written authorization of owner must CHANGE OF OCCUPANCY from to ❑ Sewer hookup, ❑ Water hookup, be presented when applicant is occupant If a commercial building,list each use and its area in square feet: ❑ Gas appliance and Gas piping. or lessor. I am the legal owner of the I hereby acknowledge that I have read this application and property described in this application. state that the above is correct and agree to comply with all city ordinances and State Laws regulating zoning and building DRAW on the reverse side of this application, to scale, a PLOT PLAN. APPLICANTOwner 66.4 PLOT PLAN FOR DEPARTMENTAL USE Draw below,to scale, a plot plan showing: FOR DEPARTMENTAL USE Application for Certificate of Zoning Compliance ❑ Checked Initials 1. Dimension and shape of the lot. 1 2. Front street name. 2. Building Permit Certificate of Occupancy ❑ checked and approved. 3. Side street name if corner lot. 3. 4. Sizes and location on the lot of buildings already existing. 4. 5. Location and dimensions of proposed building or alterations. 5. Building Inspector Date 6. Front yard,side yard,rear yard setbacks. 6. r p� 7. Locate and describe any fences,walls,hedges,signs, 7. Issued Building Permit No. Date Date front yard trees and shrubs,green belt. 8. Location and size of required off-street;parking and loading. 8. INSPECTION RECORD Inspection Date Signature Set Back Excavation Concrete Reinforced Steel Grout Blocks Bond Beam Frame Roofing Room Ventilation Kitchen Vent Bathroom Vent Foundation Vent Access Hole Garage Fireproofing Fireplace Spark Arrester Water Closet Water Heater Sewage Disposal Lathing Plastering Correction Order Left Stop Work Order Issued Stop Work Order Released Give brief report of special or unusual conditions Job completed f ��� _Dote "/ Building Inspector Certificate of Zoning Compliance No. Issued Date Certificate of Occupancy No. Issued Date MOORE BUSINESS FORMS INC..LA