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2007, 02-15 Permit App: 06004834 ResidenceProject Number: 06004834 Inv: I Application Date: 02/15/2007 Page 1 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: = Permit Use: NEW SFR W/ATTACHED 2 -CAR GARAGE W/GAS Contact: STEVE MOSER CONSTRUCTION IN Address: 11517 N KATHY DR C - S - Z: SPOKANE, WA 99218 Setbacks: Front 58 Left: 33 Right: 33 Rear: 25 Phone: (509) 467-7602 Group Name: Project Name: Site Information: Plat Key: Name: PLEASANT COVE District: East Parcel Number: 45264.0526 Block: Lot: SiteAddress: 2611 S NEWER RD Owner: Name: RIPKE, CHAD & ANGELA Address: 11401 E 4TH AVE APT 4 Location:: CSV SPOKANE, WA 99206 Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Hold: ❑ Area: 18,779 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Review Information:A,a _ARVW r:.:4 .r. Review Building Plan Review Released'By: Originally Released: 12/15/2006 By: TMELBOU Landuse/Zoning/HE Conditions Released By: PER UPDATED SITE PLAN APPROVED 2/15/2007 - MT Originally Released: 02/15/2007 By: KKENDAL Sewer Review Released By: PER 07000044 Originally Released: 01/12/2007 By: j_main Permits: Operator: jmm Printed By: MT Print Date: 02/15/2007 Project Number: 06004834 Inv: I Application Date: 02/15/2007 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit --- - - — — Approach - - -- Contractor: STEVE MOSER CONSTRUCTION Firm: STEVE MOSER CONSTRUCTION Address: 11517 N KATHY DR Phone: (509) 467-7602 SPOKANE, WA 99218 Item Description Units Unit Desc Fee Amount APPROACH -CONST IN ROW 1 NUMBER OF $50.00 Permit Total Fees: $50.00 -- -- Building Permit - -- _--- Contractor: STEVE MOSER CONSTRUCTION Firm: STEVE MOSER CONSTRUCTION Address: 11517 N KATHY DR Phone: (509) 467-7602 SPOKANE, WA 99218 This Application: Total Project: Description Grp Tyne Notes Sg Ft Valuation Sp Ft Valuation 1&2 FAMILY R-3 VB 75% 1ST 0 $101,506.34 0 $101,506.34 FLOOR BASEMENT R-3 VB 75% 0 $17,628.75 0 $17,628.75 BSMT- UNFINISHE D DECK OPEN R-3 VB 75% OPEN 0 $742.50 0 $742.50 DECK GARAGE U-1 VB 75% 0 $9,918.00 0 $9,918.00 ATTACHED GARAGE Totals: 0 $129,795.59 0 $129,795.59 Item Description Units Unit Desc Fee Amount RESIDENTIAL PERMIT FEE 1 SELECT $1,161.75 WSBC SURCHARGE 1 SELECT $4.50 SF PLNS RVW < 7999 SQ FT 1 SELECT $464.70 Permit Total Fees: $1,630.95 Operator: jmm Printed By: MT Print Date: 02/15/2007 Page 2 of 4 Project Number: 06004834 Inv: 1 Application Date: 02/15/2007 Page 3 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Contractor: THE BARTON BOYS INC Address: 11401 E MONTGOMERY #2 SPOKANE, WA 99206 Item Description DUCT SYSTEMS GAS WATER HEATER GAS APPLIANCE<=100,000BTU GAS PIPING HEAT PUMP OR A/C 0-3 TONS VENTILATING FANS GAS LOG OR GAS INSERT Contractor: LARRY'S PLUMBING INC Address: PO BOX 9307 SPOKANE, WA 99209 Item Description TOILETS/BIDETS SINKS SHOWERS TUBS DISH WASHERS GARBAGE DISPOSAL CLOTHES WASHER FLOOR DRAINS Mechanical Permit Firm: THE BARTON BOYS INC Phone: (509) 922-5000 Units Unit Desc Fee Amount 1 NUMBER OF $10.00 1 NUMBER OF $10.00 1 NUMBER OF $12.00 3 # OF UNITS $3.00 1 NUMBER OF $12.00 6 NUMBER OF $60.00 1 NUMBER OF $10.00 Permit Total Fees: $117.00 Plumbing Permit Firm: LARRY'S PLUMBING Phone: (509) 990-6728 Units Unit Desc 3 NUMBER OF 6 NUMBER OF 1 NUMBER OF 2 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF 1 NUMBER OF Permit Total Fees: Fee Amount $18.00 $36.00 $6.00 $12.00 $6.00 $6.00 $6.00 $6.00 $96.00 Operator: jmm Printed By: MT Print Date: 02/15/2007 Project Number: 06004834 Inv: I Application Date: 02/15/2007 Page 4 of 4 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Notes::, DRAINAGE EASEMENTS SEE FILE PaymentSummary a r rte,. Permit Type Fee Amount Invoice Amount Amount Paid Amount Owing Approach $50.00 $50.00 $0.00 $50.00 Building Permit $1,630.95 $1,630.95 $0.00 $1,630.95 Mechanical Permit $117.00 $117.00 $0.00 $117.00 Plumbing Permit $96.00 $96.00 $0.00 $96.00 $1,893.95 $1,893.95 $0.00 $1,893.95 Disclaimer: Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator: jmm Printed By: MT Print Date: 02/15/2007 Project Number: 06004834 Inv: I Application Date: 12/14/2006 Page 1 of 3 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Proiect Information: Pernut Use: SFR -SEWER Contact: STEVE MOSER CONSTRUCTION IN Address: 11517 N KATHY DR C - S - Z: SPOKANE, WA 99218 Setbacks: Front 58 Left: 33 Right: 33 Rear: 25 Phone: (509) 467-7602 Group Name: Site Information: Project Name: Plat Key: Name: PLEASANT COVE District: East Parcel Number: 45264.0526 Block: Lot: SiteAddress: 2611 S NEWER RD Location:: CSV Zoning: UR -3.5 Urban Residential 3.5 Water District: 010 VERA Area: 18,779 Sq Ft Width: 0 Nbr of Bldgs: 0 Nbr of Dwellings: 0 Owner: Name: RIPKE, CHAD & ANGELA Address: 11401 E 4TH AVE APT 4 SPOKANE, WA 99206 Hold: ❑ Depth: 0 Right Of Way (ft): 0 Review Information: mar. Review Building Plan Review Landuse/Zoning/HE Conditions 3(Al� R&V-S 3- aS Permi, Released BY: �..__ Released By: Operator: jmm Printed By: jmm Print Date: 12/14/2006 ir 7-__ I c�TY (Ir I'� �rr� Permit Center a Spokane (, fPP ERMIT NUMBER: 3 11707 E Sprague Ave, Suit¢, ID6 ; Spokane Valley, WA 9920 `, I ERMIT FEE: �,,•� Valley (509)688-0036 FAX: (�8b- Community Development wNvw.spokanevallev.or �'1 E ' 2006 -1 fan Residential Construction �1�w ftru6tion ❑Accessory Bldg Permit Application ❑ Addition/Remodel ❑ Deck ❑ Other: SITE ADDRESS -� to // S. NG G 129 VL�;�f Of�' ASSESSORS PARCEL NO: S��Z(o�I. US'ZG LEGAL DESCRIPTION: Building Owner: Name: R I P! 4 - GES Address: 5/T, LPhone.--,ty: v�State: Fax: Contact Person Name: 6 L—, -IC, /LIGIS�Z Phone: q(e7- I60L Gc7L= CJS/ _y 0 Describe the scope of work in detail: Contractor: DIMENSIONS: Name: 5--Uer&",t GDi✓.r% i vC• Address: /X.77 A/ 4,7 4)1le City: 'sk� State: �Zip: Phone: ct(v7_ 76dz- Fax: Contractor Lic Nosise'1*6 G Exp Date: City Business Lic. No: FTG: Al s3 /SG n Cost of Project: $ /may **************The following MUST be complete: (write N/A if not applicable)********************** HEIGHT TO PEAK: DIMENSIONS: # OF STORIES: TOTAL HABITABLE SPACE: MAIN FLOOR TO SQ. 2 ND FLOOR SQ. FTG: UNFIN BASEMENT SQ. FTG: IMPERVIOUS SURFACE FTG: Al s3 /SG n 41�4 � /S` 7 AREA: FINISHED BASEMENT GARAGE SW: DECK/COV. PATIO FTG: 30% SLOPES ON SQ. FTG: D/� PROPERTY: # OF BEDROOMS: CONSTRUCTION TYPE: HEAT SOURCE: SEWER OR SEPTIC? 3/t'cx�i9�✓i �� GAS Jek4n The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signatureb y. '�� /?QiQ�3/OG-�'r— Method of Payment: ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Expires: Authorized Signature: REVISED 8/25/2005 Date / Z11Ok_ ❑ VISA VIN#: Permit Center s"T'" `e� ] 1707 E Sprague Ave, Suite 106 PERMIT NUMBER: Spokane Valley, WA 99206 �/ Vdl (509)688-0036 FAX: (509)688-0037 PERMIT FEE: Community Development W WW.spokanevalley.org Mechanical Permit Application ❑ Commercial Lff Residential SITE ADDRESS: S AJ L- t)i---j� iia Ut%vtU/� �' �✓�' Building Owner DESCRIPTION OF WORK FUEL BURNING APPLIANCE Equal to or less than 100,000 Name: Phone: Fax: Address: VwV City: State: Zip Contractor 3 UNLISTED APPLIANCE Additional Fee Name:R'RWFax: S ��L Address: Phone: y Z 2 - .17%iTD City: State: Zip: License No: City Business Lic: More than 400,000 Contact $100.00 = 5 Name: Phone: X 1 DESCRIPTION OF WORK FUEL BURNING APPLIANCE Equal to or less than 100,000 # OF UNITS x 1 X t.va I_ ^� ^�•`"' $12.00 = 2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 = 3 UNLISTED APPLIANCE Additional Fee Equal to or less than 400,000 X $50.00 = 4 UNLISTED APPLIANCE Additional Fee More than 400,000 X $100.00 = 5 USED APPLIANCE SEC min. AFUE rating) Equal to or less than 400,000 X $50.00 = 6 USED APPLIANCE SEC min. AFUE rating) More than 400,000 X $100.00 = 7 BOILER/REFRIGERATION 1 - 100M BTU X $12.00 = 8 BOILER/REFRIGERATION 101 - 500M BTU X $20.00 = 9 BOILER/REFRIGERATION 501 - 1,000M BTU X $25.00 = 10 BOILER/REFRIGERATION 1,001 - 1,750M BTU X $35.00 = 11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = 12 GAS LOG, GAS INSERT, GAS FIREPLACE X $10.00 = 13 RANGE X $10.00 = 14 DRYER X $10.00 = 15 FUEL BURNING WATER HEATER X $10.00 = _ 16 MISC. FUEL BURNING APPLIANCE X $10.00 - 17 GAS PIPING each outlet X $1.00 - 18 DUCT SYSTEMS X $10.00 = 19 VENTILATING FANS G X $10.00 20 AIR HANDLER DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 - 21 AIR HANDLER DOES NOT include ducting) Greater than 10,000 CFM X $15.00 = 22 EVAPORATIVE COOLERS X $10.00 - 23 TYPE I HOOD X $50.00 = 24 TYPE II HOOD X $10.00 = 25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 = 26 AIR CONDITIONER 3-15 TON X $20.00 = 27 AIR CONDITIONER 15-30 TON X $25.00 = 28 AIR CONDITIONER 30-50 TON X $35.00 = 29 AIR CONDITIONER More than 50 TON X $60.00 = 30 LPG STORAGE TANK X $10.00 = 31 WOOD OR PELLET STOVE/INSERT X $10.00 = 32 WOOD STOVE - FREE STANDING X $25.00 = 33 REPAIR & ADDITIONS X $15.00 = 34 VENTILATION SYSTEMS X $12.00 - 35 VENTILATION MECHANICAL EXHAUST X $12.00 = 36 INCINERATOR - RESIDENCE X $19.00 - 37 INCINERATOR - COMMERCIAL X $22.00 - METHOD OF PAYMENT: ❑CASH ❑ CHECK ❑ VISA ❑ MC CARD #: AUTHORIZED SIGNATURE: REVISED 8/26/05 EXPIRES: VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: y _,fes Permit Center cokane 11707 E Sprague Ave, Suite 106 PERMIT NUMBER: Spokane Valley, WA 99206 (509)688-0036 FAX: (509)688-0037 PERMIT FEE: Community Development www spokanevallev.or� Plumbing Permit Application _,y� ❑ Commercial] Residential SITE ADDRESS: o2 % tl NLS ` R-4 VW+ 4Fkb Building Owner DESCRIPTION OF WORK AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS # OF UNITS Name: Ly Phone: Fax: Address: TOILETS City: State: Zip: Contractor $6.00 = Name: j'1K /Zte, 1j'j(,W f&VCi /it/t' . Phone: ?,1 — 7 Z r Fax: Address: $6.00 City: State: Zip: License No: TUBS City Business Lic: - Contact $6.00 = Name: SHOWERS PER TRAP Phone: / 17 DESCRIPTION OF WORK AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS # OF UNITS X I COST = TOTAL AMOUNT 1 TOILETS WATER CLOSET, BIDETS X $6.00 = 2 URINALS NITROUS, OXYGEN X $6.00 = 3 TUBS - X $6.00 = 4 SHOWERS PER TRAP BATH, STALL, ON-SITE BUILT / X $6.00 = 5 SINKS LAVS/BASINS, BAR, FLOOR, KITCHEN, LAUNDRY, UTILITY, JANITOR, PHOTO, X-RAY, FOOD, PREP/CULINARY MEAT / �p X $6.00 = 6 DISHWASHER PROCESSING FEE X $6.00 = 7 CLOTHES WASHER X $6.00 - 8 GARBAGE DISPOSAL X $6.00 = 9 WATER SOFTENER X $6.00 10 ELECTRIC HOT WATER TANK NOTE: IF GAS, SEE MECHANICAL X $6.00 = 11 FLOOR DRAINS AREA, CASE, COIL, TRENCH, CONDENSATE X $6.00 12 ROOF DRAINS/OVERFLOW DRAINS X $6.00 13 FOUNTAINS, DRINKING X $6.00 = 14 WATER PIPING/DRAIN-IN WASTE, VENT, PLUMBING, REVERSAL NSTALLATION, ALTERATION, REPAIR, REVERSALS X $6.00 15 SEWAGE EJECTOR GRINDER, SUMP PUMP X $6.00 = 16 WATER USING DEVICE ICE AN/OR COFFEE MAKER, HOSE BIB, STEAMER PROOFER, CARBONATOR, SWAMP X $6.00 = 17 CROSS CONNECTION DEVICE AND R.P.B.P.D. FOR: VATS, TANKS, BOILERS X 1 $6.00 18 INTERCEPTORS GREASE TRAP, SAND TRAP, CHEMICAL HOLDING TANK X $6.00 = 19 MEDICAL GAS(per outlet NITROUS, OXYGEN X $6.00 - 20 MISCELLANEOUS PLUMBING FIXTURE X $6.00 = 21 PRIVATE SEWAGE DISPOSAUSYS X $20.00 = 22 INDUSTRIAL WASTE INTERCEPTOR X $15.00 METHOD OF PAYMENT: []CASH ❑ CHECK ❑ VISA ❑ MC EXPIRES: Card# VIN: SUBTOTAL PROCESSING FEE $35.00 TOTAL PERMIT FEE DUE: AUTHORIZED SIGNA REVISED 8/26/05 Sa�� ar 00 �� Permit Center ►poka`n]e 11707 E Sprague Ave, Suite 106 ,;oOValley Spokane Valley, WA 99206 J (509)688-0036 FAX: (509)688-0037 Community Development www.spokanevalley.org Approach Permit Application PERMIT NUMBER: PERMIT FEE: PROJECT ADDRESS START DATE ANTICIPATED COMPLETION DATE PROJECT DESCRIPTION (Provide site sketch) Residential Driveway ❑ Commercial/Industrial Driveway Existing Curb & Gutter F-1 Rural Road Section Culvert Installation Sidewalk Repair/Construction Other Conditions Bond/Insurance certification must be on file with the city. DISCLAIMER The permittee verifies, acknowledges and agrees by their signatures that: 1) If this permit is for construction of or on a dwelling, the dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before this application can be processed. Signature ex- u''� /� 01 Method of Payment. ❑ Cash ❑ Check ❑ Mastercard Bankcard #: Expires: Authorized Signature: REVISED 3/9108 Date ❑ VISA VIN#: SPOKANE COUNTY DEPARTMENT OF BUILDING & PLANNING 1026 WEST BROADWAY AVENUE • SPOKANE, WA 99260-0050 SPOIC� COl)IyTY _- Site Information Project Information Site Address: 2611 S NEWER RD Parcel Number: 45264.0526 Subdivision: RANGE Block: Lot: Zoning: UNK Unknown Owner: RIPKE, CHAD & ANGELA Address: 11401 E 4TH AVE APT 4 SPOKANE, WA 99206 Building Inspector: Dan Howard Water Dist: Sewer Connection Permit Project Number: 07000044 Inv: I Issue Date: 1/4/2007 Permit Use: SEWER CONNECTION Applicant: STEVE MOSER CONSTRUCTION IN 11517 N KATHY DR SPOKANE, WA 99218 Phone: (509) 467-7602 Contact: STEVE MOSER CONSTRUCTION IN 11517 N KATHY DR SPOKANE, WA 99218 Phone: (509) 467-7602 Setbacks - Front: Left: Right: Rear: Group Name: Project Name: Permits Contractor: STEVE MOSER CONSTRUCTION INC License #: STEVEMC 1 IODN SEWER CONNECTION 1 $85.00 PROCESSING FEE 1 $15.00 Total Permit Fee: $100.00 FOR SEWER INSPECTIONS CALL THE UTILITIES DEPT AT (509) 477-3604 FROM 8:30-5:00 MONDAY -FRIDAY PRIOR TO COVER. ONE WORKING DAY NOTICE REQUIRED. PERMIT ALLOWS FOR A 30 -MINUTE INSPECTION. ADDITIONAL INSPECTION FEES APPLY AFTER 30 MINUTES. THE INSTALLER IS RESPONSIBLE TO INSURE ALL WASTEWATER DRAINS ARE CONNECTED TO THE SEWER AND MAY BE REQUIRED TO PERFORM TESTS FOR VERIFICATION. INSTALLER IS TO FIELD LOCATE AND CONFIRM THE ELEVATION AND POSITION OF SEWER STUB PRIOR TO ANY OTHER EXCAVATION. SEWER STUBS ARE TO BE CHECKED PRIOR TO CONNECTION TO ENSURE THAT THEY HAVE ACCEPTABLE GRADE AND ARE CLEAR AND UNOBSTRUCTED TO THE MAIN. SEWER LINES SHOULD BE CONSTRUCTED TO ALLOW FOR GRAVITY FLOW FROM THE LOWEST LEVEL OF THE STRUCTURE. THE INSTALLER AND THIS PERMIT MUST BE PRESENT AT THE JOB SITE AT THE SCHEDULED INSPECTION TIME. BOTH STATE LAW RCW 19.122 AND COUNTY CODE REQUIRES THE INSTALLER TO GIVE NOTICE OF EXCAVATION TO OWNERS OF UNDERGROUND FACILITIES. CALL 1-800-424-5555 BEFORE YOU DIG --AT LEAST 2 WORKING DAYS IN ADVANCE. SPOKANE COUNTY CODE REQUIRES THE INSTALLER COMPLY WITH ALL REQUIREMENTS OF THE WA STATE DEPT OF LABOR & INDUSTRIES, INCLUDING THOSE RELATED TO TRENCH SAFETY. Payment Summary Total Fees AmountPaid AmountOwin2 Tran Date Receipt # Payment Amt $100.00 $100.00 $0.00 1/4/2007 21 $100.00 SC- /(,f p *niT_ Processed By: DOMPIER, DAWN PERMIT Printed By: Lemley, Linda Page I of I 26 T11 A VF— 'PaA&4Mr COVE SUBDIMSM' "r CA /-SV- Ole �0°M'iHnLhalltxweM 4` TRACT #FC#f TRACT "B 18, 770 4� Ft. 18.779.5q, FT , TRA Cr "'A" (6I I lops; pp. Jill Inprst Egwu 4 Owbries bnmwv pay 14 &W As 6 /5r, ex. lb it, 10 v^";, (G35.74 04 NJ 1 FES 007 COMM LAITY DEVELOPMENT E9 1 2007 SPOKANE VALLEY /V - DEPARTMENT OF COMMUNITY DEVELnPAAENT Lo I M i T1JG1Z�S5� �G�eS:, \� AND UTIL. EASM, 161 S 3 SCS FTi HD LA E /,5v. L96 -M Fr GAR - t PLANNIN EPT. APPROVE BY: tat DATE: ►`� C� 7-R46r 1� SLAL� -' C=20' =ZU N6T --,V SSC, Simpson Engineers, Inc. CIVIL ENGINEERS & LAND SURVEYORS 909 N. Argonne Road • Spokane, WA 99212 (509) 926-1322 9 Fax: (509) 926-1323 April 20, 2007 Mike Turbak Senior Permit Specialist City of Spokane Valley, Building Division 11705 E. Sprague Ave. Suite B-3 Spokane Valley, WA 99206 Subject: 2611 S. Newer Road — Private Driveway Dear Mr. Turbak, The private driveway has been constructed for the above referenced address. The existing topsoil was removed, the subgrade compacted, and crushed surfacing was placed and compacted as planned. Representatives from Strata Geotechnical Engineering and Materials Testing were on site and performed density tests on the compacted driveway (See test results included). The compaction met the required densities. The project has been constructed, and completed in accordance with the plan and letter dated February 12, 2007. I recommend that this project be accepted by the City as completed. Sincerely, Kevin W. McMulkin, P.E. S TF kala► GCOTrCHN CAL ENd1NEVRINO6 MATER 3 TES'"413 _%rl:r�r�Jy Fr».a fR< yrowrtd Vr* IN-PLACE DENSITY TESTS Client: UP 11-14oG,-1 J4 Project:iy)r7Sef /? f� l�t.ttcj f�/l N�°uwef' fkrG Report No.: ga' 6 Date: L-1 - /? a 7 Client No.: S Project No.: -70SVa Test Method: (N) Nuclear DensometerASTM D2922/D3017 AASHTO T238/T239 . (S) Sand Cone ASTM D1556/D2216 �1 AASHTOT191 Gauge Make/Model: TIO i lY r 3 t/3 G Serial No.: d I '� y .c Std Count - Density N,: 1 q5 q Density N4 Moist N, & 7 3 Moist N4 Test Location Selected By: Strata Rep.:/� (� jZ�y Your Personnel: Contractor: Other: Project Specifications Max. Density, pcf: 1) loll -c 2) 3) 4) Minimum Percent Compaction: '7 %U ASTM D698 ASTM D1557 AASHTO T99 AASHTO T180 Test Results which do not meet the minimum requirements are underlined. "RP" after underlined tests results indicates that additional compactive effort has been applied and has been retested with results meeting the minimum requirements. TCCT 92=Q1 11 TC Field No.Density, Lab No. Location Elevation I Field Wet pci Moist, pcf Field Moist, % Fld. Dry Density, pcf MD No. % of Max. Density Obtained r.Vew_ a :2 d tj. V_e w Y 2Klol EF `r—rr 1 S q or r VC wit (` A611 0 r o 1,F Newrf Atc 7 y o Nro-er �3� / SC5N4ot prr'v�:wy � a6ir � e*e-r ern/ -r -Y' 54 y y 134e 12 -r .. Alt- <tl4jej Elevations: FB = Finished Base EG = Existing Grade Remarks: SB = Subbase SG = Subgraoe r i Lj = rooting uraae AC = Asphalt Concrete B preceding elevation designates below (i.e. 4'BSG) _ 8036 15Mir Ra6Tc OSOMCHNCAL&4<VN R1NGA MATSMALS TEST:NC". ;C#t4,-- rf.Yy Frew[ 41*w 47r4au14 ur STRATA PRELIMINARY PROJECT DAILY REPORT Of Project: hloI -Pd bpi cre W-1 / A4 �76// C Client No: S7`F d1/o� Location: 2.6-11 E Nv-r v -P e go-esit&4 Project No: Date: Permit No: 4 S C�f� r� SGGfr��h,o lla��l?�s/ Codes Description Project From To Hours Miles F0f107'oe' #e ,� 41'r� " � , E EQUIPMENT Nuke: Per Diem: Mobile Lab: Torque Wrench: Rebar Loc Lodging: Cylinders: EXPENSES Other (describe): Weather: O Approved Plans on Site Type of Test/Insp: Deficiencies: Action(s) Taken: Results Reported to: Yes No Date: Architect: of of Narrative: 5�TEV ZII �z'r ,�� ��-cA i ✓I �J/moire c�z-`� 5, ><� �2's 74, 7 /Wo5g� r 42 111 c, ' 9�?- 42 LQ f Ma e,,i/-r-au t-aT -tri •c/ uZe-y5 Af nt2s�i5ci 1,,el G! tit nA�'� Sc.I I .AZj7- T 5ample(s) Ubtained: Description Location � • Strata Representative: 2• Received By: -