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Home My WebLink AboutCAG-20-065 - Duvall - A81 - Monument Case and Cover la Washington State Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 4/13/2023 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor This form shall be completed prior to submittal. If this form is not compete at time of submittal it may For WSDOT Use Only be returned for Information that was omitted. RAM# 104 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdgtr.IQPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A81 Bronze Tack Fog Tite Project Engineer/Representative Date State Materials Engineer/Representative Date Michael Ballard 4/13/23 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory'Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 0 Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material. Catalog Cut Approved Q Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): Cast in place concrete shall comply with RAM 103. Do not use precast monu- ment. Monument Case and Cover shall comply with RAM 96A DOT Form 350-071 Project Engineer Distribution Revised 03/2021 x❑Contractor Region Operations Engineer ❑Fabrication Inspection ❑Region Materials El State Materials Lab-MS 47365 FOG TITE MONUMENT MARKER INCORPORATED Cast in place concrete shall comply with RAM 103. Cover shall comply with RAM 96A OK -.� Ay.. f<'-,„ . 401K_Illab, � BRASS P ti 0I' Illta1 SUBMITTAL REVIEW I No Exceptions Taken X Make Corrections Noted Amend & Resubmit il l Rejected-See Remarks (6 IMPORTANT NOTICE:This review does not relieve the Contractor from responsibility to comply&conform with the Plans, Specifications, and Contract Documents. C;new tir.Osborne, Im CONSULTING ENGINEERS By: MB Dater}/13/23 4 rJ 61110 es...s.N>,_./ ."---„.< 3 4# page 49 i Washington State rV Department of`Transportation Request for ApApproval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 2/8/2023 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. subcontractor This form shall be completed prior to submittal. If this form is not compete at time of submittal it may i For WSDOT Use Only be returned for Information that was omitted. RAM# 103 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL ,Hdgtr,/QPL HQ Use No. , ProductType Manufacturer or Pit Number Reference Code Code Concrete, A81 bronze tack Basalite 8-12 Project Engineer/Representative Date State Materials Engineer/Representative Date Michael Ballard 2/8/23 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. See Remarks 0 Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ®Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 8. Source Approved: 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Submit bronze tack. See WSDOT 6-02.3(4)B for Jobsite Mixing requirements. Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ❑Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365 () BAsALITE® SAKRETE® CONCRETE MIX Concrete Products, ULC PRE-BLENDED CONCRETE MIX DESCRIPTION: SAKRETE. CONCRETE MIX is a pre-blended mix of sand, TECHNICAL DATA:The data outlined below is representative of typical aggregate and Portland cement packaged in 25kg bags. It is suitable for values achievable under controlled laboratory conditions. Results any general concrete repair or new concrete construction. SAKRETE. obtained in the field may vary from those stated. Meeting Standard CONCRETE MIX is ideal for use where more than a 2inch (51mm) ASTM C387. thickness is required. Test Method USES:SAKRETE.CONCRETE MIX is recommended for the construction or Slump: CSAA23.2-5C 75±25 mm repair of foundations, floors, retaining walls, sidewalks, patio slabs, driveways and setting posts. Working Time: 1 hour Density:kg/m3(Ib/ft3) CSA A23.2-6C 2344(146) PROCEDURES: Preparation: All surfaces to be in contact with SAKRETE. CONCRETE MIX must be entirely free from oil, grease or any other Compressive Strength:(minimum) MPa(psi) CSA A 23.2-9C foreign substances which interfere with the bond and chemical action of 28 days 27.5 (4000) the material. Roughen the exposed surfaces and clean thoroughly with potable water,leaving the concrete saturated but free of standing water. Eg yield Mixin Empty the entire dry contents into a wheelbarrow or onto a clean,smooth surface and mix thoroughly. Replace the portion not to be 25 kg(55 lb.) 0.0118 cubic meters(0.418 cubic ft) used back into the bag. Form a depression in the middle of the dry mix 66 sacks 1 cubic yard and add up to 2.5 liters (2.5 US quarts) of water per full bag. Mix thoroughly. If the mix is too stiff add more water until the desired 86 sacks 1 cubic meter consistency is obtained. Avoid a "soupy" mix, too much water will weaken the concrete. In cold weather,use warm water to accelerate the LIMITATIONS: Adhering to recommended water additions is very set. Protect from freezing. A concrete mixer is recommended for larger important. Exceeding the maximum recommended water content per projects. sack will result in inferior physical properties. Concrete will not bond Placing: Place concrete uniformly - tamping and spading with a short- well to wood,asphalt,or any other foreign surfaces.A bonding agent is handled,square-end shovel to compact firmly and recommended for maximum adhesion to old concrete surfaces. eliminate voids and honeycombing. SAKRETE.CONCRETE MIX is not fast setting,for a fast setting mix, use Finishing: Level the work with a straight edged board, using a sawing SAKRETE.FAST SET.For applications requiring thickness under 2 inches motion across the concrete. Using a wood float, level off any remaining (51mm),use SAKRETE.TOPPING MIX. Liability for damages or defective ridges and/or imperfections. Do not overwork the surface.After leveling, goods shall be limited to the refund of the purchase price or product allow the concrete to harden so that a foot will leave only a slight replacement. imprint.The concrete may now be broomed,floated or trowel finished as desired.Use edging tools. PACKAGING:SAKRETE.CONCRETE MIX is packaged in 25kg(551b)paper Curing: The new concrete should immediately be protected for bags. All Basalite Dry Mix can be custom-packaged to suit specific premature drying by covering with a plastic sheet or plywood for 24 project requirements. hours.Care should be taken not to disturb the surface finish. Allow it to set one day, then keep it moist for at least three days. Refer to ACI 308 SAFETY PRECAUTIONS: SAKRETE. CONCRETE MIX contains Portland Guide to Curing Concrete. cement and other carefully selected additives.Normal safety wear such SUBMITTAL REVIEW as rubber gloves, dust mask and safety glasses used to handle conventional cement-based products should be worn. Safety Data X No Exceptions Taken Sheets are available at www.basalite.ca. Make Corrections Noted Amend &Resubmit Rejected-See Remarks IMPORTANT NOTICE:This review does not relieve the Contractor from responsibility to comply&conform with the Plans, Specifications,and Contract Documents. 09/22 ;nay Osborne,Ln CONSULTING ENGINEERS By: MB Date: 2/8/23 Toll Free 800-596-3844 1 LiAJALITE" www.basalite.ca � Washington State �f/ Department of Transportation Request for Approval of Material, Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 10/27/2022 Section I Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor This form shall be completed prior to submittal. If this form is not compete at time of submittal it may For WSDOT Use Only be returned for information that was omitted. RAM# 096A PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdqtr./QPL HQ Use No. Productffype Manufacturer or Pit Number Reference Code Code Mon. Case $ A81 & Cover Olympic Foundry Inc Project Engineer/Representative L l Date State Materials Engineer/Representative Date 10/27/2022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert. of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material. Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. OSource Approved: Lettering shall be "MON" only 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 ®Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials El State Materials Lab-MS 47365 ., s y' ` i -Letterin shallru4k.)be "MON" only I 9 �I �/ S 10 1/2" 9 1/4" —1 1/2" /8" 1/4" " Wi -y- /8„ /6 i VW/F 'i 4 SUBMITTAL REVIEW / f No Exceptions Taken X Make Corrections Noted Amend & Resubmit - Rejected-See Remarks 8" 3/4" IMPORTANT NOTICE: This review does not relieve contractor from his _ 11 3/8" responsibility to comply&conform with the Plans, Specification, and Contract Documents Gray&Osborne,.Inc. CONSULTING ENGINEERS By: DRS Date: 10/27/22 NOTES: 'WSDOT STD#H7 OLYMPIC FOUNDRY INC. 'King County STD#5-014 Additional cover labeling 8"X 9"MONUMENT BODY&COVER available MATL:Cast Iron ASTM A48,CL30 RATING: H-20 PART NO. M1015 APPROX WT:Body 60 Lbs,Cover 20 Lbs REV:A DATE:7/15/2003 New border REV TOLERANCE A DOCUMENT APPROVED DWN:CL DATE:7/16/2003 REV: DATE: xx .1 BY: DATE: xxx.-.06 CHKD:CL DATE:7/16/2003 xxxx -,oao DWG#:M1015 WSDOT SCALE:N/A SHEET:1 OF 1 <.-2 DEG (4,- do,..... f — emu.W/n/4K4a2 .0,W5�AND .df7EX f7S70I.// ��i b . 4. . 1� x r.:::::::::::: �1 � iiww 111I `\ ' /�/7 c� /`/�� .��,� �l ��a �'7}��11pil:. ;t�.�j g. 'IS t,4 Y }� \, `1�0�11 J1 BP..X19 C4 Q.C. ,%14tji .A,... -- t�'' •P••, {�f , '' . ' ' -'. x�')•F % /"- OUTralLL�i D/A. g..COAIC. :,•�, `. -�— ---- 3/AG GL.G) •. , ..,...T..:-. =---- •-. .--r---_ • • •. • .• d ITT1 1"1 I;::;. ::1-..-- V4 COMPAC CO ELET/04/ t:......, :•..... SAND _:.:, 11/aN1JM� rA/L. SecT'oc/ -1 Lco CT wN NOTE: Monument Case & Cover 1. STANDARD MONUMENT CASE AND COVER WASHINGTON STATE DEPARTMENT OF HIGHWAYS 1976. 2. THE CASTINGS SHALL BE GRAY-IRON CASTINGS, ASTM DESIGNATION A-48, CLASS 40. THE COVER AND SEAT SHALL BE MACHINED SO AS TO HAVE PERFECT CONTACT AROUND THE ENTIRE CIRCUMFERENCE AND FULL WIDTH OF BEARING SURFACE. 3. WHEN THE MONUMENT CASE AND COVER ARE PLACED IN CONCRETE PAVEMENT, A CEMENT CONCRETE BASE WILL NOT BE NECESSARY. ADOPTED 4. SEE CITY OF RENTON SUPPLEMENTAL SPECIFICATION SECTION 7-05.3(1) FOR Vti`SY 0 CITY OF RENTON ADJUSTMENTS TO GRADE. r+ ' + ,aj` * STANDARD PLANS "�.1,N pt LST DATE:1•Feb-89 DWG NAME: HR-04 SP PAGE: H031 IVWashfatititta e Department of Transportation Request for Approval of Material Contract Number i+Wmber N/A SR Duvall Ave NE ate CAG 20-065 10/05/2022 Section/Title of Project Duvall Ave NE County King Contractor Reed Trucking & Excavating, Inc. Subcontractor This form shall be completed prior to submittal. If this form is not compete at time of submittal it may For WSDOT Use Only be returned for Information that was omitted. RAM# 096 PE Use Bid item Material or Name and Location of Fabricator, Specification PE/QPL Hdgtr.QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A81 Monument Olympic Foundry Inc. 8 Case Cover • — -- Project Engineer/Representative Date State Materials Engineer/Representative Date 10/1012022 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon`Satisfactory'Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. OSourceApprlaved: "MON" lettering, per COR Std Plan H031 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): Please provide submittal for concrete base and bronze tack DOT Form 350-071 P4t4ect Engineer Distribution Revised 03/2021 INContractorEl Region Operations Engineer ❑Fabrication Inspection El Region Materials EI State Materials Lab-MS 47365 SUBMITTAL REVIEW RECESSED No Exceptions Taken LIFT POCKET „ ci X Make Corrections Noted MON„ lettering s Amend & Resubmit Rejected-See Remarks i1— _ ___`' .� — 5/8" - 11 N.C. IMPORTANT NOTICE: This review SOCKET HD SCREW N does not relieve contractor from hisKi \ S.S. 1 1/4" LONG responsibility to comply&conform / ,\ with the Plans, Specification, and — / / Contract Documents. II `, I— — _____) Grimy Sr Osborne, Inc — \ / CONSULTING ENGINEERS I , i O -21 By: DRS Date10/10/22 — _ r — "---) — / \ \ / / \ \ / _ _ 1/2" x 2" RAISED PADS 14" 1 1 8" 12 1/2-an imm 1„ --5/8" / H I r 2" � ' Ai 31MM 3/4" 1 1/4" 8" 5/8" " 02" .4 j 12 1/4" I f 14" NOTES: OLYMPIC FOUNDRY INC. 11" X 8" LOCKING CLEAN—OUT RING & COVER 0 MATL: CAST IRON ASTM A48, a3o RATING: H-20 PART NO. M1025 APPROX Wr: RING-70 LBS, COVER-40 LBS. REV: A DATE: 7/16/D3 NEW BORDER REV DOCUMENT Arr,1OKD DM: CL DATE: 07/10/US II";A rctV: X UAIt: XX/XX/XX USG: A BY: DATE: m :.i CHKD: CL DATE: 07/16/03 fca;•,m, DWG #: 11,11025 SCALE: NJA SHEET: 1 OF 1 r — 4L W/71J 4K4C GYc'a^4A/D 41-/t,P(7L'-IIA i • i.. ' . y r ---:.:_----7.\ ‘'N.\\\----FL...4,4J---- •\., •..0.., ; �•: \ 1• ."'� i ,;\MONT,,i1 & C4PO.G. ,1,,, ;E "r ,--* .K, k /-Y I OUTLYL O/i3. 2 t/i/AJC. 4. ^ .Y ' I i .s�VI --��i� ✓AC CL..G I • 1'..2"-`4***, 1 � •N. ,y -�a Y4 u4S! F* 1' i ., i ''{ , y ' • y !•.x.d . R h p, I'1 „ ,..- ri _ A-----',:;-',.;'Gj t ,3r r;�;:: �;-, -C A1PAC CD EL V4IT/Ort/ f• :.:.,> : SAND :i 4fONU/4IE,UTz2E74/L SECT/Q(J Fco FAcri/V NOTE: Monument Case&Cover 1. STANDARD MONUMENT CASE AND COVER WASHINGTON STATE DEPARTMENT OF HIGHWAYS 1976. 2. THE CASTINGS SHALL BE GRAY-IRON CASTINGS, ASTM DESIGNATION A-48, CLASS 40. THE COVER AND SEAT SHALL BE MACHINED SO AS TO HAVE PERFECT CONTACT AROUND THE ENTIRE CIRCUMFERENCE AND FULL WIDTH OF BEARING SURFACE. 3. WHEN THE MONUMENT CASE AND COVER ARE PLACED IN CONCRETE PAVEMENT, A CEMENT CONCRETE BASE WILL NOT BE NECESSARY. ADOPTED 4. SEE CITY OF RENTON SUPPLEMENTAL SPECIFICATION SECTION 7-05.3(1) FOR 1•SY CITY OF RENTON ADJUSTMENTS TO GRADE. Itin * ., ! STANDARD PLANS P��Ip{ LST DATE:1-Feb-89 DWG NAME:11R-04 SP PAGE:11031