HomeMy WebLinkAboutCOM2016-00081 Final Interior Remodel - COM Permit / Conditions - 5/31/2016 VLO
('') O (9 1-
O t
v r- N O O
t N N LO
O M I� � w
co O LOwCAM 0 O
rn
v_ N p p tp N a) (0 min O)
J � Cr ~ -NCO" N a) CO
_ = d
CMOD C�lN .Q cc
v LO
2 Lu w C� i a)
O W = § CN D-
o LL
n U = ° m rn Cl) w
z R = 0
Z E .. = C it
O 0 L O O Y m a) a) LL
t6 :, cc E
=O (D J E d p = f6
Y-
v w ci rn ,� -
p m a°i p 5 c E
QCL
T p CO U
O ~ w 0 a
0 0 d w
Z `—
U d
W Q U) O O � y a
Ll C N [Tl m y
CL W ° a) w w
O m N
O = c�i CD = o
W W N y N s O C U O H
W a M O '� N C� a 0)Q LL
Z_ O m O C J [Y] p a = W O
cu
Z U) Z O m m w O
O z 'S U) E O
?Y O O Z ccy U)
Z m W J > y
0 0 O CD
O
Q U =
U 2
w o 0
O W a w
W
V Z d d
LLw Z � U. w
O O
m � U O •�
U Cl) � LL LL y
N
d
W (A m
W W O OOQ =� Lt- a o
= a
w o LJ U)
LLI H Y Z ii O
H cn Q o Q f— U _ ui ai
M LL R
Z ZCONM pw = > E L_ L_ O '� O
00 p U W rn LL Q p C) W 0 2 D)-o Z O O CO (�- .. C`•
O � 00 QJZ "T F- � U` Z - 5 J To Er' E
V cnrn w vN � � OZ E E a`) E °-' °'
O CU Q ~ N U LL d W w = to > (n
Z O '_O Ned O Z = W a = M =
Q UQ J °� w — o E O
� O to L Z w � O o 3 n ca O 'y
O � o w0cnw0 pJwQ y f— o iiLiLiii Q
Q � � � Uw 2d Z 0 � LLU) m o0 3 d `� Q °a
CoU) O � � ZX o wU) p � � o a) in
z w W cUn a � LLI (np pQ � Q ii a)
L) � OU � Q CL o -0
o� U � Q J N � IwiWp V) o o Q m 000
s h n Q W W O O w D 0 x O
W ~ Z O `>-- 00
WHT m o m mw ai a) m o rNO < L Cl) Cn
X W W
IL cnwzm O
U
C C C G
a ct c[ cc cc p Y O
c0i n n n n �O a) 0) O C J Cl)
U -0 7
3
c>a
_ ,
dO
m a F- N� o
Q 6 c Q-a O a
U 0)
cc d � ) >o w r v d ON n 0 -0 U J ( O
-a co
c O > 2 U -o
Q � O O U > O Q a)
Q N (U4 N > — !O!J Q
CO C O p >+ N =
L 0 .2 U am_0O U
m _ C
0
Li L >, E ,(n (n O (DC N
L _
O L cn LL a) p "O
m p (a O (a p Q U
cn V/ (�6 C C (B C —
cn
CDCDELL 2 .O OU p f6 U} t C �' p
w v/ J� �F- 0 a) k�
y U a (n O C Q,�cn O N (a O C
t 0) cnC 0) (6 a) O+. O p O C
F U f6 c C O C Q O x a) N E
O tB
Ua) E
d LL m m .`� •'' C C C
'o (n Q O c cn E (` N o E 0
N 3 7 O) O _ aj OL
00 O co C () a) O O O
� E
O
LL O wEU N
s > c OLp a (n = O
�
� O Z
(D cn cn -a
(D
�. c (0
ZN F- N O � ONp � a) O �` a)) cI-
ua2 � � -a Q .2 a)
`� � ) a oa) °)
cn 0 Z O o �' a) a) o a) N N E CL
Q 0 U � c�a � .N °Q aa)) o o :3 C:
L C
U E a) (0 C t C a) a)
Q C a) (� C
p ++ 0- O
K N (n a) N -0 CCO �'' C C
1 y N C p � m pUj 0 0
V a) O a) (n - O (Da) U) 0 (Dc O E U - `n (n C. to (a ca Q-
C >i a) m m � C O O
Q C
CV 0 0 i O (D 'L
Eji C . c co cIf
O C O O N NcL co
- c (Q p •0
N ..Ocu U O p E c C
O
Q O �O a) c N a)cn � p
a >, E o o N c O in c 0
p � (E a) �Y cn O O O >' Q N N O
C N ,fn "C V C �O (0 •C
U p a)a) cn O C N Q N Q
t6 `� a) w N N O c � N a):'+ 00
cn O Y C c MO\' N N ,O C M 6 E
O a) +J C
E •0 p ` O p N (0 Q. Q m N m
N p 3 U OR
C C 2 a C C
i O U O O O c •O a) (D
C C (p O x m E cn = "O
X N >O O) N co Q� t
L O L d }' M C a) cm > "
C p N O — o Q pcm
O U to a) o o a) Q r•.:J Q Q r-
7 a) O a) Oco
C •> 2 Q (B ct.� "� C N a) o � O
a LL E x LLn x U � o � Q rnm O � x F- OZUX o
O_
O
N N
_ 2
N M tf) O
U
-Fu
✓U_iQm�ccccQ�5oa)cU)
>->, a
�
`Ccu`
'= �rnmc o � -o=•c
e.
'mao~aN
}�YcacccN>,
Or4-
a) - II m Q C c .—
-a Q70 a F- p O
0) W U
— .p _ � � _0 cM
c O ) CDV y
a z E � a x m
o a
a)
3 v� a > o m O a)a) c E a a) a) m c
a) -0 ma) 0)-0 Z n EN a ` - W a)
a) Q Q E i
F oN 0- cn a)
iF-
c Z J OLi O O
� O � `c 0 oo rn
m -0 � � a) Qc � - m � CLn - � o� m _ > C00g wa) N E O L)o z _
Ca o mrn ? o = tE LU Qw QCD E m
N -0 O c)
L) 0 g c � a) : 0 .0 Z _) m ~o a) � a 0)U � o -6 .9 -a
a ° ) O a) a)a C- m O
o � cn c O ai E- = o = m U
O U En
� N 'O O O ccmm e O
Q oU a) � ) 6 JU O O
3 ZOo a)o i °)c a) a U m W � U
6 N m p Q N � (/� Z a) CD
) p a) O• O C ) Oma O N �a) N O o O a- m N E a) � .
'Fu r � ° CL �Q a � as m " a a E
c - a)
-0 0 m i > O O c c
. E 3 � ° Z w mO o
a) a - c •cE m c w
cn
a)
ua ) o rncc
cz , o
o om ° ai
N E -p � a) — Q x o a ma LO ai x X
m o m UW ac a)v c Z a a N a) c
vp o C i c o) (D — 0 � -p OZQ N
Co
c ,m a) a Z Q 0 " r t O a — m -O c
O1- p - m cl) N - Q m p -0 co m
Q O U CU mn
a o a n Z N °) °m a) WOO m c a)
a c U UZ, : F- "" O -0 o -C
m Ec
N ) p L UO oE E O a) Qx U Mw a) a) a)o 0c UO cQ � ro � c a o O = o) . m U o
"O O = c JL_ N (n O O N m a) Z
a U � mN rn a) ai 0) cn - m (D ai Uo > a)
Q > ) E ao 0 a) CT m
O O ac N ) '3 "p � (i
a) O) p a) JQ W = c )a ,s N c
a) o Uoz N N CL S Cm� a c O a) m U0 m O . � > .- La) c)— QU o � ma) O m QOW
a) 0 , E CL o 5 a) m a) •t Wa v)'�I > CL ° a c a) m�c c � U � o�
> o a m o .c (n c o w U o
U oL) m ) o ooa) O Em � E c cnm Nr°? o w
O a) O nmo> co - c rnO 0m 0E c ai
m 'O -0 .— co W ° O m �
t - N m � °)p • ww a� O o ai
Xma) a a) m - 0mm WDn mo O -o o3
n � om ai
� N W ) a) m O >
a) oOni O a) � � LL
) � E c > coa>v � Q m � Tgai fl acao a `
C vU LU
o m o a)c Q .— p N p 7 in >a) m CDL � c Z ZQ a) • p) _ _
ZZ a) — p �oE o = ao O �o a i �D o mm � V p o m O m y� o a)°) m o — . a Z Q a Lv o � cv vi w
i °) OmEm � m x0r a > a07 a)O c . o
c c p m a
O m NcU / E
O 0) -p Z w Q m c
- �
E n w •7t a) N -Fu vqa OF 1 E� O
O O a O O Cl) ) O V p _0 N c- z0Up a
E m LU -c cN -0 a a)m a a) a J
° U c ) ° Oes 7 Eoo° Q cXx � oaX o - ) En
Q X � X U F• L) Qo QX
m
r
O
N
U
L
° O
o
O .0 O cn N
O L -0 � OL _
N U 7 p Q
O
a) c (n 'a N Noo c W
N Q O "-- C '--0 0 N
0 .
O - � U O Q U C } '` N
U `n N E o a`)) � � O
C'� cn E - -C -° � H
(0 _
cQ +-' (D ' a) Q a) -O V
U C An to U _0 -C: O O
E — N O c a) n = Z
cn a) C Q p > 0) a) E Z t
(n a) C a) .� Z O
O a'� > O Q U O 0 �✓
N N U H
N (0 cu m L a)
C Q) "r C C 0 O (n O W ate+
O -00 U ° -O C U a (o
� � M cn a) � a) z c) U) LU
(6 '� O C Z > C
CL � aCimc
-0 (D � LL. H0
a) N � CLL � 00 ad
`J L
oZ(n cn a) O cn
> E UZ W
� Q - C cn
° o CO� Q vW Wo ❑ O U
y C U UN U Co -0E m a) a) a
Co N7 -C OU W
c0 (1) MOp
m
co
0 cn
r- 1 O a) N
Q � a) C c L L
oa) a) 0L �
a) cn ° °) 3 � ch ao0
U > C s�t�nr Q5 aa) EY w
m 0)-o •N . c0 O > O O O Z
� � ° a)cn Ea) `n � � y � 0 N
° -5E � c� � ° � � � z o 0
0 -0 C U L
f0 N0 0)
75
J Q 0) a cn)
(o C � c �SQ
a) C cn U) N U C c0 — Z
_ 0) C a) a) >, L a) � Z O
(E O N (0 C -
v a) U) >> C E ai O � cn Z H
� caQ ° a0 C .� cac�iE0
Lcn
C a) U Qm OCR J
.- 0) E C ca C -,•w, w LL. CL
L
� �) CO (°n LZncc -° -0Oa
U .` a) Lt ° oa) (na) C � Q
`� � � mQ� cCLa720pW
0) a) a) c: a) � � 0w0H
o
C
� E � �cr"' o � � pQaaW
L a) a) � U :5 O m N Q
C S-
«. > — U a) (Ln — ca � M p
c '` � � � `� EE � J
°O O E O Q
0 -0 -0 co to O O �i 0 ,2 Q Oo >
U Q C O '" C — Z
Q� L � Q a) O i C p .c O -
cn a) cn v> a) . a J
O _ C
N Q C .� E cn
O 'cn C 0
0U) mac, -0 E co: `—
C a) � u � a) L Q
L(7 cn � a0 0) Nam-' C)"N' N �1
C a
cCucN C: in cniE -aa) cQn `'
Y a) a) - ,� � O N C a) .0 O
a) U 'p) a) N a) 3 - a) a C
U) mm (6 O C
E a) C a) ° N
U m LO p) L .0 U N > a) .O N
Q N t°)o U a) pp mOD
o 0' 1`1
O >� a) O U Q m O O a'_..h p O
W ++ cU L +/ L C +�•' Z
Co a) (n C (� _ 04
C)Z �_ _
0 w 3 O N °U a W n. 0
0 X
_
9 CONCRETE MECHANICAL MANUFACTURED HOME rn
N)
0
� ..
Footings if Setbacks
By Setbacks Ribbons
b Gas Piping 0
o interior Gate By interior-Date By gate By
o w
00 Exterior Date By Exterior-Gate 13v Set-up
Paint Load r Isolated Feelings INSULATION Date By
BG I SLAB INSULATION
Date By Date By FIRE.DEPARTMENT
Foundatlrsn Wails Floors Date By
Date By Data BY DECKS
F'RAM I NG Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault [hate By
Date By OTHER
Groundwork Attic
Date By 'Typo:
Date By Dale By
D.iii DRYWALL `typo O
Int Brace Wall Date By 3
Date By By FINAL INSPECTION N
Water Line Fire Sepe ration
Date By Dale By Date �Z Zp By J�GC C
Pass or Request Inspect. CD
� Type 41 Ins i. Fail Gate Date done By Comments
►raWt O�'t d'S Stet h V 77
-23-( ro `�^Z't- J?z c� r_ �� 5 �. 9/1174
orb o.Fk� aw•� o s 0-17-t 'to-rsr-r6 �- ..a .,
hC:7 r G,x,rZol6 -6/Z"7
-/ GSA 4),k
4.115� ".3 Y Ell. .fry
F,v.�� .ass /a z•//� �z 6 Sc.c— .4,i
Or
v
0
(31
rr
rgo cot, MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Inspection Hotline (360)427-7262
-� Mason County Bldg. 8, 615 West Alder Street
854 Shelton, WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: /' �-r Z�%j7 -- c� e t
ADDRESS/LOCATION: z;3 Q _ k--tj Ztr� -
FINDINGS:
ry
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
to
Date: '7 �.� ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
b "natural/man made"disasters.This is NOT a
Inspector: CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Office
MAYES � ��R°�
TESTING ENGINEERS, INC. Sude110
LWrwood WA98036
ph 425.7429360
fax425.745.1737
Tacom Olfice
December 8, 2016 10029S.Tw maWay
Suibe E-2
Taxrna,WA 98499
ph 253.584.3720
Mason County Building Department tX2535843707
615 West Alder Street PotgaW Otte
Shelton, WA 98584 7911 NE33rdDrive
Sute 190
Pa and,OR97211
ph 503.281.7515
Attn: Building Official fax503.2817579
FINAL LETTER
Re: Rite Aid Belfair#6455 Permit# COM2016-00081
23940 NE State Route 3
Belfair, WA
Project No. T16244
This is to inform you that special inspections have been completed for this project as per our reports,
copies of which have been sent to you.
Special inspection was provided for:
• Proprietary Anchors
1. Expansion Anchors
To the best of our knowledge, all work inspected was either performed in accordance with, or
corrected to conform to, the city approved drawings, or engineer approved drawings.
We trust that this provides you with the information, which you require. Should you have any
questions give us a call (253) 584-3720.
Sincerely,
Mayes Testing Engineers, Inc.
Dennis Sanborn
Senior Project Manager
/� Lynnwood Office
MAYES TESTING ENGINEERS, INC 20225 Cedar Valley Road
Suite 110
ph 425.742.9360
fax 425.745.1737
Tacoma Office
New Project Set Up Questionnaire 10029 S.Ta=m Way
SOL=Please fill in the followingfields completely so that we can ensure our project is set u Taoo 2
p Y Y P 1 p Tacoma,WA seas
correctly. Please contact us with any questions. ph253.5M.3720
fax 253.584.3707
Project Name: Belfair, WA Rite Aid PoreandOfice
7911 NE
23840 DE Slate Route 3:Belfair,W suib
A 88528 33rd Drive
Site Address: u�e 190
Site Contact & Podand,OR 97211
ph Robert Grover-James E. John Construction Co Inc fax503.2B1.7 7
15
Company: fax 503.291.7579
Site Phone No: 503-740-6304 Site Email: rgrover@jejohn.com
Building Dept: Permit No.:
What will we be inspecting? (ie: concrete, masonry, steel, epoxy, etc.)
Fixture Anchoring
Who are we billing?
Company: James E. John Construction Contact: Jason Burgard
Address: 1701 SE Columbia River Drive Phone: 503-867-3061
Email: jburgard@jejohn.com
PO'No: Job No.: 716050
Would you like to receive your invoice via? email ❑✓ or mail ❑
Who needs to receive emailed copies of reports?
If building department is specified above we will email reports so they do not need to be listed below.
Company: Contact:
Role: ❑Owner ❑Arch ❑ Eng ❑ Cont ❑Other Phone:
Email:
Company: Contact:
Role: ❑Owner ❑Arch ❑ Eng ❑Cont ❑Other Phone:
Email:
Company: Contact:
Role: ❑Owner ❑Arch ❑ Eng ❑ Cont ❑Other Phone:
Email:
Company: Contact:
Role: ❑Owner ❑Arch ❑ Eng ❑Cont ❑ Other Phone:
Email:
MTE 3673-2C,Rev 3,01/20/14
�eati COU,tr
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 WAIderStreet
Shelton, WA 98584
18 S4
TESTING AGREEMENT 360.427.9670 ext.352
www.co.mason.wa.us
(All references are per the 2012 International Building Code)
Project Name: —Z' J
Project Address: �Mq6
Building Permit Number; C`c>—%Z of cs Date Issued:
BEFORE A PERMIT CAN BE ISSUED: The registered design professional in responsible charge shall fill out the Agreement and
include the name of each inspector as well as their appropriate license/certification number. Two (2) copies of this form
are to be submitted to the County prior to the issuance of a building permit. If changes are made as to who will perform
the special inspections a new form shall be submitted and turned into the Building Permits & Inspections Division for
approval.
STATEMENT OF SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special inspections" shall be
provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous
location,such as the first page of the construction plans or the first page of the structural sheets.
SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The
special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the
State of Washington.
SPECIAL INPSECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each
report are to be sent to the address listed in the letterhead noting the Project Address and Permit Number. A final report
shall be submitted stating that all special inspection and structural testing items were completed and are in conformance
with the approved design drawings and specifications. Items not in conformance,unresolved items,or any discrepancies in
inspection coverage(i.e. missing inspections, periodic inspections when continuous was required, etc.) shall be specifically
itemized in the final report.
GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)
[Only checked items are required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cent.No.
❑ Unapproved Fabricators(IBC 1704.2.5)
Other than Structural Steel(IBC Table 1705.2.2)
D Steel floor&roof decks
❑ Welding of reinforcement
❑ Cold-formed steel
Structural Steel
❑ Welding(Per N5.4 of AISC 360-10)
❑ Details(Per N5J of AISC 360-10)
❑ High-strength bolts(Per N5.6 of AISC 360-10)
.................--
Concrete Construction(per IBC Table 1705.3)
❑ Reinforcement,embeds,anchors
❑ Formwork
❑ Materials
❑ Shotcrete
❑ Post-tensioned/Pre-stressed Concrete
❑ Erection of precast concrete
Page 1 of 3
OoN coU�rA
Mason County Community Services
Building Division
SPECIAL. INSPECTION & 515 WAIderStreet
Shelton, WA 98584
I .5d TESTING AGREEMENT 360.427.9570ext. 352
www.co.mason.wa.us
GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)-continued
[Only checked items ore required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No.
Masonry Construction(IBC 1705.4)
❑ Prior to Construction(Article 1.15,TMS.602)
❑ As Construction Begins(Article 1.19.2,TMS-402)
❑ Prior to Grouting(Table 1..19.2,TMS-402)
During Construction(Per TMS-402&TMS-602)
Wood Construction _
❑ High-Load Diaphragms(IBC 1705.5.1)
❑ Wood Trusses>60ft(IBC 1705.5.2)
❑ Soils(IBC Table 1705.6)
❑ Driven Deep Foundations(IBC Table 1705.7)
❑ CasCin-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
❑ Sprayed Fire-Resistant Materials(IBC 1705,13)
❑ Mastic&Intumescent Coatings(IBC 1705,14)
❑ EIFS(IBC 1705.15)
❑ Fire-Resistant Penetrations(IBC 1705.16)
❑ Smoke Control(IBC 1705.17)
❑ Other (IBC 1705.1.1)
❑ Other (IBC 1705.1,1)
SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE(IBC Section 1705.11)
[Only checked items are required]
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No.
❑ Structural Steel(IBC 1705.11.1&AISC 341-10)
❑ Structural Wood(IBC 1705.11.2)
❑ Cold-formed Steel(IBC 1705.11.3)
❑ Mechanical&Electrical Components(1705.11.4)
El Architectural Components(IBC 1705.11.5)
Storage Racks(IBC 1705.11.71 r
Page 2 of 3
c0U��A y
r Mason County Community Services
Building Division
SPECIAL. INSPECTION & 615 WAIderStreet
_> Shelton, WA 98584
r 54 TESTING AGREEMENT 360.427.9670ext. 3s2
www.co.mason.wa.us
Declaration by Architect/Engineer
1, the design professional in responsible charge for this project, declare that the
above listed special inspection and structural testing items are required for this
project in accordance with IBC Chapter 17.
Signature Date
(SEAL)
Declaration by Owner
I, the Owner of the project, declare that the above listed firm(s) or individual(s) are hired by me to perform
special inspections and structural testing for the project pursuant to IBC 1704.2.
Signature Date
CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting
systems shall comply with the requirements of IBC 1704.4. The contractor is responsible for providing the
special inspector access to approved plans and contract documents at the job site. All special inspection records
shall be retained at the job site by the contractor and shall be made available to the Building Department upon
request.
Declaration by General Contractor
1, the General Contractor of the project, agree to comply with the "Contractor Responsibility" items noted
above.
n Date
Page 3 of 3