HomeMy WebLinkAboutCOM2016-00110 Cancelled Replace 2 Culverts with Bridge 12x42' - COM Permit / Conditions - 2/22/2021 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT II IJF/CI:IIUII LII IC I-I LUG
�PSpN cpU�r� Phone: (360)427-9670, ext. 352
Mason County
- 615 W Alder St
Shelton, WA 98584
1854 COMMERCIAL BUILDING PERMIT
COM2016-00110
OWNER: MCKERNAN HATCHERY RECEIVED: 8/9/2016
CONTRACTOR: BOETTCHER & SONS 1.360.832.3943 LICENSE: BOETTS1019D4 EXP: 12/19/2017 ISSUED: 3/10/2017
SITE ADDRESS: 413 W DEYETTE RD SHELTON EXPIRES: 9/10/2017
PARCEL NUMBER: 421163260010
LEGAL DESCRIPTION: TR 1 OF NW SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACING 2 FAILING CULVERTS WITH 12'X42' SKOKOMISH VALLEY RD, L ON DEYETTE RD TO SITE ADDRESS
CONCRETE BRIDGE
General Information Construction &Occupancy Information
Type of Use: BRIDGE Insp.Area: o. its: Type of Constr.:
rooms: Occ. Group:
Type of Work: ALT Fire Dist.: 9
Valuation: $ 162,000,00 of Stories: Exit Design. Load:
uilding Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body: Shoreline Desig.:
Side 1: Ft. SEPA?: Comp. Plan Desig.:
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2016-00110 Please refer to the following pages for conditions of this permit. Page 1 of 5
sr � Plumbing Fixtures mechanical Fixtures 1«0
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee MARA stQ19 la -A71 A9 C19n17nn
IFC Plan Check Fee (:harm anuonlF aalF Al S19n17nn
Planning Review Fee rnnnn A/Q/nn1R asan nn R17n17nn
Building Permit Fee MAMA 1n/i ion1 -t1 lan aF C19n17nn
Total $2,978.38
CASE NOTES FOR
COM2016-00110
CONDITIONS FOR
COM2016-00110
1) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection
(silt fencing or straw matting).
2) Approved per dimensions and setbacks on submitted site plan.
3) All work to be done in accordance with the BE.
4) 1. Post load limit for bridge.
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2. Any future buildings may need to be mitigated with sprinkler and/or alarm pending fire access issues.
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5) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public
Works, at(360) 427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from
Public V�� �cs has been "finaled" and approved.
6) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance
Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be
obtained at 1-800-647-0 ,The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X �!� ,
7) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will gl}drged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
COM2016-00110 Page 2 of 5
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14.28.
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9) THE FOUN'�f�ION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X "
10) In addition to the inspections required in IBC, Section 109, the owner, the engineer or architect of record acting as the owner's agent shall employ
one or more special inspectors who shall provide inspections during construction on the types of work listed under Chapter 17 and as specified by
the design professional. The special inspectors duties & responsibilities shall be as specified in Chapter 17.
Special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton WA 98584 and available for
inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing and
final occupanc i ections.
Xr�
11) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to
construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are
removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and
collected by tm1le-11
n County Building Department prior to any further inspections being performed or approvals granted.
X
12) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE?'`-�UPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
13) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements),
Building/Plum Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
X
14) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE
ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in
conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a
Mason County B J gm,
nspector shall be made prior to requesting additional inspections.
X
15) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
X non-compliantryjVlason County ordinances and building regulations.
16) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the permit hoJ�gr ve prevented action from being taken. No more than one extension may be granted.
X �
COM2016-00110 Page 3 of 5
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to the footing pour to verify that earthwork and foundation installation activities comply with the Geotechnical report or assessment
recommendations.
In addition a final inspection report, prepared by a representative of the geologist, their authorized representative, or engineer of record shall be
required to verify that erosion control, drainage and final work is completed in accordance to the Geotechnical report or assessment
recommendations.
Reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584, prior to the footing and final inspections and
available for inspection.
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18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasteners, cOn?�—Iors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X 6:-
19) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM OR RRj4A
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OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT PLICATION OF 80 DAYS WILL INVALIDATE THE APPLICATION.
big re Date
OWNER \ REPRESENTATIVE - CONTRACTOR
Prin Name \�___� (Circle one to indicate)
COM2016-00110 Page 4 of 5
0
K CONCRETE MECHANICAL 0
MANUFACTURED HOME
Footings f Setbacks� Data By M
9) Gas Piping Ribbons X
C) Interior Date By Interior-Date By Date Exterior Date B z
y Exterior-Date By >
0 Set-up z
Point Load I Isolated Footings INSULATION Date By X
BG I SLAB INSULATION >
Date By_ 0
FIRE DEPARTMENT I
Data By
Foundation Waft Date By Floors —1 M
Date BY Data By DECKS
FRAMING walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Type-
Date By Date By
Dale By
D.W.V DRYWALL Type- 0
Int.Brace Wall Date By 0
Date By Date By 9
FINAL INSPECTION IN)
Water Line Fire S operation C?
Date By Date By Date By T
CD
Pass or Request Inspect. C?
Type of Insp. Fail Date Date Done By Comments C1
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CONCRETE
TECHNOLOGIC
CORPORATION
Innovation and Quality Since 7951
June 21,2016
Washington State Dept. of Fish and Wildlife DFW-002
600 Capitol Way North
Olympia,WA 98501-1091
ATTN:Kristen Kuykendall
RE: McKernan Hatchery
18"Prestressed Voided Slabs and Guardrail
CTC Job No. 16054A
Dear Kristen,
Enclosed is Concrete Technology Corporation's (CTC) submittal for the above referenced project.
Please take special note of following items concerning this submittal:
1- All materials,production processes,and concrete mix designs will conform to the WSDOT
Standard Specification and amendments, supplemental provisions of the Project Specifications,
and CTC's Annual WSDOT Plant Approval document.
2- CTC has substituted a 3"diameter hole for the 2"hole specified at each end of the slab for the 1-
1/4" dowel. The 3" diameter hole provides additional tolerance for dowel placement. CTC
requests approval of this substitution.
3- CTC intends to provide a combed finish to the top of the slabs.Please verify.
4- CTC has detailed the Guardrail based on WDFW plan sheets 14 through 16 with modifications
as follows:
• Substitute IISS 3x6 for the top rail instead of glulam. Attach to post using a welded stud
connection.
• The side dam and top rail will each be provided in (2) 20' lengths with holes for
attachment at each post.
• There is a discrepancy in the WDFW plans with regard to post length. We have detailed
the post length based on sheet 15 of the WDFW plans.
CTC requests return of approved submittal by 7/6/16 to support production and delivery schedules. If
you have any questions or comments, please do not hesitate to contact me at (253) 383-3545 or
ti anes(-koncretetech.corn.
Sincerely,
CONCRETE TECHNOLOGY CORPORATION
A�
Tiffany Janes
Project Manager
Manufacturers and Constructors of Prestressed and Precast Concrete
1123 Port of Tacoma Road Tacoma,Washington,USA 98421
P.O.Box 2259 Tacoma,Washington,USA 98401-2259
Tacoma(253)383-3545 Seattle(206)284-9611 - Engineering Facsimile(253)383-2912
RBA AUDIT, LLC
A Subsidiary of Ross Bryan Associates, Inc.
227 French Landing Drive, Suite 500
Nashville, TN 37228
Telephone 615-329-1300
Fax 615-327-4446 May 11, 2016
www.rossbryan.com
Mr. David Chapman
Chief Engineer
Concrete Technology Corporation
P. O. Box 2259
Tacoma, Washington 98401
dchapman@concretetech.com
Dear Mr. Chapman:
2015 Plant Certification
Concrete Technology Corporation
Tacoma, Washington
During 2015, your plant in Tacoma has participated, as it has for a number of years, in the PCI Plant
Certification Program. Engineers from our company, the auditing agency for the PCI Plant Certification
Program, visited your plant on April 23 and 24, 2015, for your first regular audit and on
November 19 and 20, 2015, for your second regular audit. These audits were performed for the purpose of
auditing your plant for the PCI Plant Certification Program. Based on the observation of our engineers and
our analysis of your operations and Quality Control procedures, your plant continues to be a participant in
the PCI Plant Certification Program.
Your plant is currently certified in the following groups/categories:
• B4 - Bridge production including harped strands and long-span bridge members
• C4 - Commercial production including harped strands and long-span members
The evaluation of your plant has been based on the following criteria:
■ Bridge and Commercial: MNL-116, Manual for Quality Control for Precast/Prestressed Concrete
Products, Edition 4, published by the Precast/Prestressed Concrete Institute.
The following are our comments regarding your plant based on our observations this year. Our comments
are grouped by categories, which basically conform to those in MNL-116.
Division I - Quality System: Your plant has continued to maintain an independent Quality Control
department, and inspection and recordkeeping functions are in conformance with PCI Plant Certification
requirements.
\u
ACCREDITED
Inspection Agency
Mr. David Chapman
May 11, 2016
Page 2
Division II — Production Practices: Production, curing, welding, hardware, and product handling
procedures are in conformance with MNL-116.
Division III — Raw Materials and Accessories: According to our observations during the audits for 2014,
materials used for reinforcement, embeds, concrete mixtures, and curing processes at your facility were in
conformance with the guidelines of the PCI manuals. These materials appeared to be consistent with
materials that have been previously used at your facility.
Division IV - Concrete: Concrete mix designs, batching, mixing, placement, vibration, consolidation, and
curing procedures were all in conformance with the guidelines outlined in the PCI Manual MNL-116. In our
opinion, these procedures were consistent with good industry practice.
Division V — Reinforcement and Prestressing: Tensioning and detensioning procedures observed this
year were in accordance with the guidelines in Manual MNL-116 and in conformance with good practice.
Division VI - Quality Control: The personnel who are responsible for quality control and the key plant
workers at your facility are in overall conformance with the guidelines of the manuals. Your Quality Control
Program, as observed and evaluated, was in conformance with PCI Plant Certification Program
requirements and guidelines in the Quality System Manual.
Division VII — Product Tolerances: During our audits, products were measured for dimensional
tolerances. The tolerances for the products reviewed during our audits were consistent with the
requirements of the manuals and tolerance limitations.
Based on our review of your plant during our audits in April and November, we have recommended to PCI
that your plant continue as a certified plant. We also recommend to the city of Seattle and other
governmental agencies that you receive continuing approval as a precast/prestressed concrete fabricator.
Very truly yours,
RBA AUDIT, LLC
A Subsidiary of
ROSS BRYAN ASSOCIATES, IN
sConsulti g ginee
Donald E. Yarbr h, P.E., S.E.
President
Washington State Registration #48017
cc: Ms. Jessica R. Burnett, PCI
Mr. Dean A. Frank, PCI
�
Mason County Community Services
` 8u8d�gD��knn '
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` |�K��:�`U��U U��«%��U��~�U���� �� 6l� N//\6�arJtreo� x
SPECIAL INSPECTION«�~"� �� Shelton, N/A 98584 �
1854
����U�� ���������� 3/�����e� 3� �
' TESTING AGREEMENT /
www.oxmosonwa.us �
(All oefemnos are per the 2V25 International Building Code)
Project Name: Washington State Department pf Fish and Wildlife/xxckernan Hatcher
i
'Project Address: 413Vwoeyeue Rd,Shelton
,
/
Building Permit Number: coxo2016-001 Date Issued: �
ISSUED:BEFORE A PERMIT CAN BE The registered Design Professional in responsible charge shall 0| out the Agreement '
and include the name and address nf the company orinspector. Two (2) copies of this form are tobe submitted tothe
County prior tu the issuance ufo building permit. |f changes are made asto who will perform the special inspections unew .
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" dAoU be*
provided per |0C 1704.I 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. i
|
SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The �
special inspector shall provide proof ofcertification as a special inspector for each inspection item and be licensed by the i
State ofWashington. '
SPECIAL INSPECTION REPORTS: Special inspection reports are to meet the requirements of |B[17042/4. Copies ofeach
report are tnbw sent uu the address listed in the letterhead noting the Project Address and Permit Number. A final report
shall bz 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, perindk inspections when continuous was required, etc) shall be specifically
�
itemized in the final report. �
'
El tJnapprovedFabricators([BC1704.2.5)
Other than Structural Steel(IBC Table 1705.2.2)
D Steel floor&root decks
El Welding of reinforcement
El Cold-formed steel
Structural Steel UM
El Details(Per N5.7 of AISC 360-10)
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!
|
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i
Concrete Construction (per IBC Table 1705-3)
0 Formwork
El Shotcrete
El Post-tensioned/Pre-stressed Concrete
El Erection of precast concrete
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Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
350.427.9670 ext. 352
IS
TESTING AGREEMENT
www.co.mason.wa.us
Akeas requiring special iPfpectlon• Name of Agency Address$i Contactinformatipn
Masonry Construction(IBC 1705.4)
❑ Prior to Construction(Article 1.15,TMS-602) i
❑ 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)
❑ Cast-in-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)
❑ Structural Steel(IBC 1705.11.1&AISC 341-10)
❑ Structural Wood(IBC 1705.11.2)
i
Page 2 of 3
Mason County Community Services
Building Division
SPECIAL. INSPECTION & 515 WAIderStreet
Shelton, WA 98584
7854 } yu
TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
❑ Cold-formed Steel(IBC 1705.11.3)
I
❑ Mechanical&Electrical Components(1705.11.4)
❑ Architectural Components(IBC 1705.11.5)
❑ Storage Racks(IBC 1705.11.7)
❑ Other (IBC 1705.1.1)
❑ Other (18C 1705.1.1)
Declaration by Engineer
I, the design professional in responsible charge for this project, declare that the
above listed special in ection and structural testing items are required for this .�
proj I a Gordan 113 Chapter 17. �� Ir-1P �)
Sig ature Date
30721 4.
�SSIDNAL E�yG
Declaration by Owner
1,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
I, the General Contractor of the project, agree to comply with the "Contractor Responsibility" items noted
above.
Signature Date
Page 3 of 3 I
9TATt
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ti
1 I �0
State of Washington
DEPARTMENT OF FISH AND WILDLIFE
Mailing Address: 600 Capitol Way N • Olympia,WA 98501-1091 • (360)902-2200,TDD(360)902-2207
Main Office Location: Natural Resources Building• 1111 Washington Street SE•Olympia,WA
March 10, 2017
Mason County Building Department
615 W.Alder St
Shelton WA 98584
Dear Building Official:
The following packet contains the construction information for the McKernan Hatchery Bridge project,
building permit Number COM2016-00110, located at the Department of Fish and Wildlife Hatchery
located at 413 W Deyette Rd,Shelton WA 98584. You will find the necessary permit information, special
inspection information, and project approval by our Chief Engineer, Glenn Gerth, PE.
If there is any additional information you may need regarding this project or the permit, please feel free
to contact me at Kristen.kuykendall@dfw.wa.gov or(360)902-8383.
Sincerely,
Knsten Kuykendall, P.E.
Capital and Asset Management Program
Enclosure(1)
cc: Glenn F. Gerth, P.E., Chief Engineer
WDFW McKernan Hatchery Bridge
Special Inspection Report
December 15, 2016
The Mckernan Hatchery bridge project consists of replacing culverts with a concrete precast,
prestressed,voided slab bridge and adding a fish screen structure with grated walkway.
The bridge was purchased from Concrete Technology Corporation. CTC is certified by WSDOT and B4/C4
certified by Precast/Prestressed Concrete Institute (PO). All concrete work for the bridge deck was
certified and inspected by CTC staff. CTC certification was provided with the building permit application.
A fully designed and constructed bridge was purchased by Washington Department of Fish and Wildlife
(WDFW.) WDFW is the owner and the design engineer for this project. WDFW hired a contractor to
install the bridge and the walkway. Boettcher and Sons Construction. The contractor was responsible
for the pre-cast foundations and assembling the aluminum walkway.
WDFW staff was on-site performing water quality testing and construction inspection throughout the
project. As required, continuous inspection was performed by WDFW construction inspection staff, on
the pre-cast concrete work performed by the contractor including:
• Rebar inspection
• Formwork
• Warm weather curing protocol
• Concrete pouring
Concrete cylinders were taken by WDFW construction inspection staff, cured appropriately and sent to
the WSDOT testing lab in Lacey, WA for 3, 7, and 28-day compressive strength. Appendix A has the
WSDOT test results.
WDFW inspection staff consists of Construction Project Coordinator 1's and 2's with a minimum of 2
years construction project management and inspection experience. Inspectors are supervised and daily
inspection reports peer reviewed. Inspection staff in overseen by a professional engineer who reviews
the photos,visits the site, and reviews the reports. Any discrepancies or questions are identified and
addressed by the professional engineer. All inspectors are approved by the WDFW Chief Engineer,
Engineer of Record.
Staff for this project include:
• Chris Alston CPC1 - Inspector
• Joshua Brown, PE - Inspector
• Casey Davidson CPC2—Bridge Inspector
• Kristen Kuykendall, PE—Project Engineer
• Glenn Gerth, PE—Chief Engineer, Engineer of Record
Daily inspection reports are generated documenting the quality and quantity of work completed. The
Inspection Daily Reports(IDR's) for this project are included in Appendix B.
Secondary to the bridge is the fish screen support structure with walkway. The foundation slab for this
structure was poured with the bridge abutments. It meets all strength specified by the engineer of
record. The walkway was anchored to the slab with stainless steel bolts. identified in the stamped
drawings the bolts were installed as designed. The model of the bolt was changed with the approval of
the project engineer and the engineer of record. The strength of the bolt was not changed and
installation was inspected by WDFW Staff. All work was approved by the project engineer. The walkway
is gated and only accessible to trained WDFW hatchery and construction staff. Appendix C has the
approved anchor bolt cut sheet.
Appendix D is a collection of inspection photos, verifying proper construction technique, careful
inspection, and adequacy of the project.
As the owner, engineer, and operator of the hatchery and the bridge project, all aspects of fabrication
and installation are approved as being to the design standard. Any questions regarding the project can
be directed to Kristen Kuykendall, PE, Kristen.Kuykendall@dfw.wa.gov .
Appendix A
Concrete Cylinder Compression Strength Test Results
Washington State Department of Transportation
State Materials Laboratory
PO Box 47365 Olympia WA 98504/ 1655 S. 2nd Ave Tumwater WA 98512
PCC Compressive Strength Test Report AASHTO T 22
Work Order: NM0076 Sample ID : 0000011 e4e6
Section : Weaver Cr Abutment-Walkway Slab
State Route No : Lab Number: J0160653
Project Engineer: Kristen Kuykendall Bid Item No :
Org Code : 1 Date Received : 8/23/2016
Local Agency No
Cement Brand and Type : Ashgrove Material : Concrete Class 4000 w/o air-6-02.3
(2)A
Cement Wt : Concrete Class : Concrete Class 4000 w/o air-6-02.3(2)A
FlyAsh Brand and Type : Slag Supplier :
FlyAsh Wt : Mix Design Number : 0442A
Water Lbs/Cu Yd : Mixing Plant : Miles Sand/Grav
AEA per CY: Date Made : 8/22/2016
WRA per CY: Curing Procedure
Add°I Admix. per CY : Min Temp :
CAC source Max Temp
FAC Source : . Date Tested : 9/19/2016
Slump : Test Age : 28 Days
%Air: Cert.#of Truck Sampled
Sample Location :
Concrete Plant Location : Shelton Temp Of Concrete
Cylinder No: 5 6
Avg. Diameter(in): 4.01 4.02
Cross Section Area (sq.in): 12.60 12.66
Original Height(in): 8.06 8.03
Original Weight(lbs): 8.80 8.86
Density(Ibs/cf.): 152.19 150.60
Trimmed Length(in) : 7.93
Length/Diameter Ratio: 1.98 2.00
Correction Factor: 1.00 1.00
Maximum Load (lbs): 67,882 67,161
Compressive Strength (psi) : 5,390 5,300
Fracture Type: Shear Cone
Average Compressive Strength : 5,350 PSI
Result Code: Meets Specifications Kurt R.Williams, P.E.
Remarks : State Materials Engineer
Garrett Webster By:
Structural Material Testing Engineer
Date: 9/20/2016
Phone : (360)709-5446
Billing Code
T46E-2
T46H-1
Washington State Department of Transportation:
State Materials Laboratory
PO Box 47365 Olympia WA 98504/ 1655 S. 2nd Ave Tumwater WA 98512
PCC Compressive Strength Test Report AASHTO T 22
Work Order: NM0076 Sample ID : 0000011e4e5
Section : Weaver Cr Abutment-Walkway Slab
State Route No : Lab Number: J0160652
Project Engineer: Kristen Kuykendall Bid Item No :
Org Code : 1 Date Received : 8/23/2016
Local Agency No
Cement Brand and Type : Ashgrove Material : Concrete Class 4000 w/o air-6-02.3
(2)A
Cement Wt : Concrete Class : Concrete Class 4000 w/o air-6-02.3(2)A
FlyAsh Brand and Type : Slag Supplier
FlyAsh Wt : Mix Design Number : 0442A
Water Lbs/Cu Yd : Mixing Plant : Miles Sand/Grav
AEA per CY : Date Made : 8/22/2016
WRA per CY: Curing Procedure
Add9 Admix. per CY : Min Temp
CAC source : . Max Temp :
FAC Source : . Date Tested : 8/29/2016
Slump : Test Age : 7 Days
%Air
Sample Location : Cent.#of Truck Sampled
Concrete Plant Location : Shelton Temp Of Concrete
Cylinder No: 3 4
Avg. Diameter(in): 4.01 4.00
Cross Section Area (sq.in): 12.60 12.57
Original Height(in): 8.05 8.13
Original Weight(lbs): 8.84 8.78
Density(lbs/cf.): 150.60 151.06
Trimmed Length(in) : 7.99
Length/Diameter Ratio: 2.01 2.00
Correction Factor: 1.00 1.00
Maximum Load (lbs): 55,537 56,277
Compressive Strength (psi) : 4,410 4,480
Fracture Type: Shear Shear
Average Compressive Strength : 4,450 PSI
Result Code: Informational Kurt R.Williams, P.E.
Remarks : State Materials Engineer
Garrett Webster By:
Structural Material Testing Engineer
Date: 8/30/2016
Phone: (360)709-5446
Billing Code
T46E-2
T46H-1
Washington State Department of Transportation
State Materials Laboratory
PO Box 47365 Olympia WA 98504/ 1655 S. 2nd Ave Tumwater WA 98512
PCC Compressive Strength Test Report AASHTO T 22
Work Order: NM0076 Sample ID : 0000011 e4e4
Section : Weaver Cr Abutment-Walkway Slab
State Route No : Lab Number: J0160651
Project Engineer: Kristen Kuykendall Bid Item No :
Org Code : 1 Date Received : 8/23/2016
Local Agency No :
Cement Brand and Type : Ashgrove Material : Concrete Class 4000 w/o air-6-02.3
(2)A
Cement Wt: Concrete Class : Concrete Class 4000 w/o air-6-02.3(2)A
FlyAsh Brand and Type : Slag Supplier
FlyAsh Wt : Mix Design Number : 0442A
Water Lbs/Cu Yd : Mixing Plant : Miles Sand/Grav
AEA per CY : Date Made : 8/22/2016
WRA per CY : Curing Procedure
Add'i Admix. per CY : Min Temp :
CAC source : . Max Temp :
FAC Source : Date Tested : 8/25/2016
Slump : Test Age : 3 Days
%Air: Cert.#of Truck Sampled
Sample Location :
Concrete Plant Location : Shelton Temp Of Concrete
Cylinder No: 1 2
Avg. Diameter(in): 4.00 4.01
Cross Section Area (sq.in): 12.57 12.60
Original Height(in): 8.05 8.11
Original Weight(lbs): 8.74 8.78
Density(lbs/cf.): 151.13 150.89
Trimmed Length(in) : 7.95 7.98
Length/Diameter Ratio: 1.99 1.99
Correction Factor: 1.00 1.00
Maximum Load (lbs): 41,977 42,345
Compressive Strength (psi) : 3,340 3,360
Fracture Type: Shear Shear
Average Compressive Strength : 3,350 PSI
Result Code: Informational Kurt R.Williams, P.E.
Remarks : State Materials Engineer
Garrett Webster By:
Structural Material Testing Engineer
Date: 8/25/2016
Phone: (360)709-5446
Billing Code
T46E-2
T46H-2
Appendix B
Inspection Daily Reports
Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
H and
WUDLIFE
Weather xBright Sun xClear ❑Overcast Rain ❑Snow Date 13 September 2016
Temperature []To 32 32-50 050-70 x70-85 ❑ss up Project McKernan Hatchery-Weaver Creek Bridge
Wind xstill Moderate []High Project Number MN:H37:14-1.
Humidity []Dry xModerate Humid Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed: List Sub-Contractors and Type of Work,Communication with
Contractor. Trade No.
Project Manager
Arrive on site I I:OOAM. Construction Manager
Superintendent
Only one worker on site today. Equipment operator is smoothing some soil just North of Carpenter
North abutment between abutment and asphalt. Additionally,he is tidying up and collecting Laborers
some construction trash,material for disposal off site. Iron Workers
Mechanical HVAC
All rigid screens have been removed from the stream and waterway is open to fish Plumbers
migration. I've asked the contractor to stack the screens near the telephone pole to be Painters
Electrical Workers
removed from site by WDFW.
Concrete Finishers
Roofers
Walkway bracing is installed to the slabs via stainless anchor bolts as proposed by the Equipment erators 1
contractor. Anchor bolt installation appears clean and correct with bolt heads nearly flush Owner Operator
with top of nuts. No information or submittal has been provided to date as requested by
Project Manager.
I printed off and presented(7)Field Authorizations to Joe,equipment operator on site. He
will forward to Caleb this evening when he returns to the office.
Total Workers 1
Confirmed bridge delivery date of Wednesday 14 September. Crane scheduled to be on site
7:OOAM. Abutment will be set first with first bridge section arriving at 9:OOAM. Equipment No.
Subsequent sections will arrive in half hour intervals after that. Pick-up Truck 1
Pura 4"Diesel 1
Snell Crane representative was on site to assess site and plan logistics. Crane rep is Excavator 2
confident that they can make all picks smoothly. Some concern from crane company with
crossing cattle guards. I expressed to both contractor and crane representative that crossing Plate Compactor 1
cattle guards is their responsibility and any damage caused by crossing will be their liability.
Casey off site 1:30PM.
Inspector: Engineer
Signature Signature
Continuation Page: (Photos and captions, scanned data,additional documentation)
DESCRIPTION:
Looking West at North abutment.
Abutment subgrade is at grade and
thoroughly compacted.
r
1
• Ire ,.f. r • �,'',/�..i •rf�,:�. i ,
Insert photo here,
Inspector: Engineer
Signature Signature
' � � f DESCRIPTION:
Upstream screen set removed and
+ � • ��,��.�i ': �{ ,� stream is free-flowing.
rt photo here
Inspector: Engineer
Signature Signature
Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
FISH and
WULH'E
Weather X Bright Sun X Clear ❑Overcast ❑Rain ❑Snow Date 09 September 2016
Temperature ❑To 32 ❑32-50 X 50-70 ❑70-85 ❑85 up Project McKernan Hatchery Bridge and Walkway
Wind ❑still X Moderate ❑High Project Number MN:H37:14-1
Humidity X Dry ❑Moderate ❑Humid Contractor Boetcher& Sons,Inc
Superintendent Caleb Boetcher
Work Performed:List Sub-Contractors and Type of Work,Communication with
Contractor. Trade No.
Arrived on site at 10:57am Project Manager
Construction Manager
The contractor has anchored the slabs to the ecology block and grouted the holes. Superintendent
Carpenter
The outlet for the creek diversion has disturbed the creek bed downstream of the project.I Laborers
reminded the contractor to make sure to have systems in place to keep the creek bed intact.I Iron Workers
also reminded him to return the creek bed to its undisturbed state.He indicated he would Mechanical HVAC
make the necessary adjustments to his system and would repair the creek bed. Plumbers
Painters
Electrical Workers
The walking bridge has been set and the contractor indicated the anchors would be installed Concrete Finishers
09.09.16.KiiMmAmplioad "t i&Wffs`f6"fl'te'66ftowtt&U Roofers
1Pi1~06MUrdiff Mhpfanit. I called and left a Equipment erators 2
message for Caleb Boetcher requesting the information. Owner Operator 1
The bridge is scheduled to be installed on 09.14.16.
The contractor plans to place the last 3 ecology block on the right bank 09.15.16 after the
bridge installation on 09.14.16.
Total Workers 3
All of the ecology blocks are installed on the left bank with the exception of the one ecology
block that was dislodged during the excavation for that side of the ecology block wall. Equipment No.
Excavator 2
Off-site at 2:00 pm 12"Diesel Pump 1
4"Diesel Pump 1
Pickup Truck 2
Dump Truck 1
Flatbed Trailer 1-
Inspector: Christian Alston Engineer
Signature /. / Signature
Cam------� - .
Continuation Page: (Photos and captions, scanned data,additional documentation)
DESCRIPTION:Grouted anchor
holes.
e_
J*.
's•"ip, �
DESCRIPTION:Placing the
walking bridge.
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f a,
r _
v. r
d:
Continuation Page: (Photos and captions, scanned data,additional documentation)
' DESCRIPTION:Walking bridge in
e
place,picture taken from right bank.
' . 3
.k
DESCRIPTION:Walking bridge in
�'• � ' ;� place,picture taken from left bank.
S�
t
4�
Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
HSH and
Weather ®Bright Sun []Clear ®Overcast ®Rain ❑Snow Date August 31,2016
Temperature ❑To 32 032-50 050-70 070-85 ❑85 up project McKeman Bridge
Wind ®still ❑Moderate []High Project Number MN:H37:14-1
Humidity []Dry ®Moderate ❑Humid Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed:List Sub-Contractors and Type of Mork,Communication with
Contractor. Trade No.
Arrived onsite at 10:15am with Casey D. Project Manager
Construction Manager
Blocks have been placed on right bank where the bridge will go.The blocks at the upstream Superintendent
end are not level.They are higher at the upstream edge.They are also only 1 block deep Carpenter
there.There is an electrical line under the 3rd block from the upstream end. Laborers 2
Iron Workers
The culverts are still in place and the area has not been excavated.The steel walkway is Mechanical HVAC
onsite.The forms have been removed from the walkway slabs and the bridge abutments.The Plumbers
keyways on the slab are not very good.There are a lot of rock pockets but they should still Painters
do the job of tying the slabs together. Electrical Workers
Concrete Finishers
Roofers
The root logs have been tied in place on both banks.The anchors on the right bank were not Equipment erators 1
set but the ground in the area appears solid and each log has at least 2 ties on it,so we did Owner Operator 1
not ask them to set those anchors.The anchors on the left bank were set using the excavator.
Each was pulled up about 8"to set them.The ground appeared very solid when the anchors
were driven and they used a 10' steel rod to get the anchors to the correct depth of 6'.The
silt boom on both banks has been removed and work is complete at site 2.
There is a space on the block wall(between blocks 2 and 3)on the right bank that is about 1- Total Workers 4
2"wide.Caleb was adamant that the blocks are sitting on the locking guides on the block
below. Equipment No.
Pick Up Truck 2
Kristen arrived onsite around 11:30am.Dave arrived onsite around 12:40pm. Dump Truck 1
Dave was onsite to talk to Caleb about the electrical wire that runs under the construction Excavators 2
site.Dave called PUD and they will have someone onsite tomorrow to assist Caleb in Compressor 1
locating the wire on the left bank. Jack Hammer 1
Cutoff Saw 1
Dave offsite around 1:15pm. 4"pump 1
12"pump 1
At 1:30pm they started the 4"pump to dewater the work area and they began excavating
behind the block wall on the right bank.They excavated down—3' and placed—10cuyd of
quarry spalls in the excavated hole(3'x4')which was the length of the abutment.This was
compacted with the smaller excavator.They hauled the excavated material away with the
Inspector: Josh Brown Engineer
Signature 9ze4tHfl Signature
dump truck.
The rain stopped and the sun came out around 2pm.
Caleb used 2/3 ballast(2")and 1/3 5/8"stone that was mixed at the quarry as his ballast
layer.Kristen verbally approved this onsite.
They began placing the ballast stone on the right bank at 3:40pm on top of the quarry spalls.
Conversations
10:45am
Casey and Ispoke to Caleb.He told him to add a second row of blocks under upstream
blocks on the right bank,except where the electrical wire is located.Caleb is very unsure of
the bridge installation.He made several comments on the amount of water and the difficulty
it is causing.Casey urged him to get supersacks onsite to delineate the work area in order to
remove the culverts.
12pm
Kristen,Casey and I spoke to Caleb about the plan for the site.We suggested using a full
coffer dam upstream and downstream and pumping the water using the 12"pump that he has
onsite to bypass the water.Defishing will happen on Friday this week and Caleb agreed to
that.He was reluctant about placing another block under the upstream end of the block wall
on the right bank.He agreed to add 1 block at the corner after some discussion about the
power line location.He also had reservations about the spalls behind the block wall but got
started after Kristen pushed him to get moving.
3:30pm
Kristen,Casey and I spoke to Caleb and Casey gave him a suggested plan for the next few
days(until Tuesday)and he was ok with it.The plan laid out getting the left bank wall in
place and placing the quarry spalls and ballast stone on Thursday/Friday as well as defishing
on Friday.Then excavate the center area on Saturday,remove the culverts and establish a
gravity bypass.Then start placing the walkway on Tuesday.Kristen suggested he put a
screen downstream with the supersack coffer dam for the gravity bypass so he doesn't need
to defish again next week as he won't want to run his pump all weekend.
Offsite at 3:45 m.
Continuation Page: (Photos and captions,scanned data, additional documentation)
Inspector: Josh Brown Engineer
Signature Signature
DESCRIPTION:Keyway on one of
the walkways
ig r 'i
4.
jj
. �lAi :may
V
i
,. +a; n�t DESCRIPTION:View from right
l 4`�ij bank at site 2 looking at left bank
l CIF" g
'
.1
Inspector: Josh Brown Engineer
Signature Signature
DESCRIPTION:Quarry
,r Q rry spalls in
place and compacted on the right
„ fir"s bank at site I
per, �#�T,�Y�; ...,. I ..- ' .,-f4`< .s, t'" •r,• _r...`..
COO
,. .- $R,
Inspector: Josh Brown Engineer
Signature Signature
i�
Wasningion
Department of INSPECTOR'S DAILY INSPECTION REPORT
FISH and
Weather []Bright Sun ❑Clear xOvercast xRain ❑Snow
Date 31 August 2016
Temperature []To 32 32-50 xso-ao ❑70-85 085 up Project McKeman-Weaver Creek Bridge
Wind xStW Moderate []High Project Number MN:H37:14-1
Humidity ❑Dry ❑Moderate xHumid
Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed:List Sub-Contractors and Type of Work,Communication with
Contractor. Trade No.
Project Manager
Arrive on site with Josh Brown 10:20AM Construction Manager
Superintendent 1
Made visual inspection of pre-cast screen and walkway slabs and abutment. All pre-cast Carpenter
concrete appears sound overall,but has multiple rock pockets and blemishes. All rock Laborers 2
pockets appear due to inadequate vibration consolidation. At time of concrete placement,I Iron Workers
observed the crew vibrate formwork,but after forms have been removed,it appears that not Mechanical HVAC
enough care or attention was given to vibing around keyways and corners. Carpenters have Plumbers
sacked in most visible portions of abutments and slabs,but more work will need to be done Painters
Electrical Workers
on keyways to ensure a tight positive fitment once installed. Concrete Finishers
Roofers
At East end of project,crew is currently working to complete the anchor install on log jams. Equipment Operators 1
Right bank jam has been installed and all cable wrapping is in place. Although I did not Owner Operator
witness the install of anchors at this jam,Caleb Boettcher assures me that all correct depth of
install were met. Wraps appear correct with 2 wraps per installed anchor. Although all
anchors received the minimum 2 wraps required,method of install actually ties multiple logs
together. This should actually make for slightly stronger bind overall. I did not witness the
crew"set"the anchors. I inquire with Caleb and he confirmed that the anchors were not set.
After witnessing the install of the Left bank jam anchors,I am comfortable with the quality Total Workers 4
of install as the anchors are driving in slow and firm. I visually confirmed that correct depth
was achieved based on length of driving rod. Crew using 10'rod,driving to depth that Equipment No.
leaves approx.3'of rod above stream bed. This will allow for approx. 12"of pull back to Pick-up Truck 2
ensure correct set of anchors. After all anchors were installed,crew connected excavator to Dump Truck 1
each anchor and pulled back 9-12"to firmly tip the anchors under the soil,setting them. I Excavator 2
then watched the crew wrap a handful of logs and strap the stainless cables via mechanical
clamps. After this work was completed,the crew pulled in water silt booms from each 12"Pump Diesel 1
portion of in-stream work. 4"Pump Diesel 1
Spoke at length with Caleb Boettcher regarding the excavation and install of abutment sub
grade. I explained to Caleb that his crew will need to pick up the pace of work to minimize
the delay of bridge install. I made Caleb aware that today is the last day for permitted in-
water work and he acknowledge. Caleb expressed concern with amount of water present in
abutment excavation and poor quality of soils. I stated that WDFW is requiring him to
continue working to install abutments and that the project will not stall as is his suggestion.
At this time the contractor has approx. 1 OCY of s alls on site for install beneath abutments.
Inspector: Engineer
Signature Signature
The amount appears inadequate and I ask Caleb to be sure he will have enough spalls on site
to complete the abutment install. Likewise,there are not enough sand bag super sacks on
site to intall coffer dam to delineate the culvert work area from open stream. I strongly
suggested to Caleb that he evaluate the number of bags he will need to complete the coffer
dam and to consider getting more super sacks on site. He acknowledged and agreed to work
on that.
Currently,rigid screen were breached upstream of work area for unknown reason. I
instructed Mr.Boettcher to re-install the rigid screens and keep them in place as depicted by
the project prints.
Approx. 12:00 Noon,Kristen K.arrives on site to review progress. After a quick look
around,Josh,Kristen and I confer with Caleb and review his approach on installing the
abutments. Contractor installed 4"diesel pump into abutment pit and began to dewater to
upland infiltration site. Operator began excavation of unsuitable materials and began to
install quarry spalls in pit. Although unsuitable,material does not appear to be as poor in
quality or great in quantity as described by contractor. After spalls were installed,the
subgrade really appeared to firm up and provide a stable base for install of ballast as called
out by prints. Toward end of my site visit today,the contractor's truck returned and began
to install ballast material over spalls on South abutment.
Much discussion was given by Kristen,Josh,Mr.Boettcher and I. Mostly regarding
upcoming tasks and schedule for the next few working days as well as install and use of 12"
bypass pump. At this time,no parts of pump have been assembled. WDFW collectively
offered suggestions to Caleb on how he might consider installing and routing pump lines.
Further,we offered suggestions on how he might proceed with excavation of fill material
and removal of culverts while correctly bypassing Weaver Creek through the excavation.
Mr.Boettcher brings our attention to several challenges,but every point raised was
thoroughly discussed. Prior to leaving site,Kristen,Caleb and I completed a correction
items list and outline a list of tasks by each upcoming work day that WDFW will expect Mr.
Boettcher to meet and complete. Mr.Boettcher agrees(with mild reluctance)to work on
Saturday 03 September. I offer to make myself available by phone and in person on
Saturday if he needs guidance from WDFW. I confirm that he has my contact information.
A final visit to upland infiltration site showed that the contractor had been maintaining the
area well and appears to be working as anticipated.
Casey and Josh off site 3:45PM
Continuation Page: (Photos and captions, scanned data, additional documentation)
Inspector: Engineer
Signature Signature
DESCRIPTION:
Completed jog jam.
A
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411
Insert photo here
Inspector: Engineer
Signature Signature
' ' DESCRIPTION:
South abutment sub-base partially
F r installed.
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Inspector: Engineer
Signature Signature
Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
FISH and
WILDLIFE
Weather xBright Sun xClear ❑Overcast Rain ❑snow Date 25 August 2016
Temperature []To 32 32-50 ❑50-70 x70-85 ❑85 up Project McKernan Bridge
Wind xstill Moderate ❑High Project Number MN:H37:14-1
Humidity xDry ❑Moderate Humid Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed:List Sub-C optroctors and Type of Work,Communication with
Contractor. Trade No.
Project Manager
Arrive on site with Chris Alston and Josh Brown 9:30AM Construction Manager
Superintendent 1
Contractor on site and currently working on engineered log jams on right bank scour hole in Carpenter
work area 2. Laborers 1
Iron Workers
Current log jam is coming together and appears to be in line with prints and WDFW Mechanical HVAC
expectations. No anchors have been installed yet,but are on site for both log jam locations. Plumbers
I verified that the contractor has the correct number of anchors to fulfill requirements and Painters
had brief conversation(again to reinforce WDFW requirements of minimum 2 anchors per Electrical WorkersConcrete Finishers
log). I asked Caleb when he anticipates installing the anchors and explain that WDFW want Roofers
to be on site during the install,and Caleb only tells me that"it will be early in the next Equipment Operators I
week." I instruct Caleb to provide an exact date by end of work day on Friday 26,and he Owner Operator
agrees. Log jam on left bank has not been started yet,but silt boom is in place per permit
requirements. Only four logs on site for the left bank jam,but Caleb confirms he has the last
two logs set to arrive late this week. While onsite,I witnessed Caleb and an employee
assistant walk downstream to take water samples of turbidity. I did not verify quality of
water or sampling technique,but I did verbally reinforce to Caleb the importance of
following through with the water sampling requirements. Total Workers 3
1 had a brief conversation with Caleb regarding date of bridge arrival on site. Current date Equipment No.
of arrival was set for Friday 26,the date has yet again been pushed back to next week. At Pick-up Truck 1
this time,Caleb declined to give an exact date,rather tells me that the bridge will be on site Equipment Trailer I
"Thursday or Friday". I instruct Caleb to call or email with an exact date and approximate 4"Pump Diesel I
time by end of work day on Friday 26,and he agreed to follow through.
12"Pump Diesel 1
About half of the ecology blocks for lining the channel are on site. Caleb tells me the Excavator 2
remainder of blocks are on their way and should be on site by end of day today. Boom Truck/Flatbed 1
Although bridge install location is delineated with super sack sandbags,the culverts remain
in place. The cut is only partially excavated down to water level.
Upland dewatering area for construction slurry is in place just to the West of cattle guard at
the entrance of the hatchery. Dewatering area appear to be installed correctly using silt
fence and straw wattles in place of hay bales. Dewatering area is located on the grass and
Inspector: Engineer
Signature Signature
should provide adequate infiltration as expected provided the contractor does not overload
the area with more water than the site will accommodate.
Pre-cast bridge abutments and walkway slabs remain untouched and covered in wetted
burlap. While on site I witnessed a construction employee wet the burlap several times with
garden hose. Contractor appears to be following warm weather cure specifications
adequately.
Casey,Josh and Chris off site 11:00AM
Continuation Page: (Photos and captions, scanned data,additional documentation)
Insert photo here DESCRIPTION:
Inspector: Engineer
Signature Signature
= Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
FISH and
Weather xBright Sun xClear ❑Overcast Rain ❑Snow Date 22 August 2016
Temperature ❑To 32 32-50 050-70 x70-85 ❑85 up Project MCKernan-Weaver Creek Bridge
Wind xStill Moderate []High Project Number MN:H#&-14-1
Humidity xDry ❑Moderate Humid
Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed! List Sub-Contractors and Type of Work,Communication with
Contractor. Trade No.
Project Manager 1
Arrive on site 8:OOAM Construction Manager
Superintendent
Carpenter on site and assembling forms for pre-cast in-stream screen walkway panels. (3) Carpenter 1
separate panels constructed with interlocking"knock-outs"built in. Check all panels for Laborers 2
overall dimensions and all appears correct at 26' 1-'/2"x7'x 12"deep. Panels appear square. Iron Workers
Mechanical HVAC
Laborers preparing flat level surface to cast both in-stream panels and abutments. Laborers Plumbers
taking care to make the surface clear of gravel and compacting using a plate compactor. PaintersElectrical Workers
Surface has been covered by construction fabric and wetted slightly. Concrete Finishers
Roofers
Likewise,I've checked abutment forms for true and correct dimensions and they appear to Equipment Operators 1
check out well. All reinforcing for both the panels and abutments appear correct in Owner Operator
dimension and clearances from top of subgrade,sides of form and top of concrete surface.
All bar intersections are true 90' angles and firmly hand tied with wire. No dobies are used
in this pour. All cages and mats are hung from temporary 2x4 trusses and wire. This makes
a clean looking install with no opportunity for cracking at dobies.
On the East end of project,I've checked progress on the LWD jams. On the right bank side, Total Workers 4
just DS of the weir,only 5 out of 6 log/wads have been installed. Install is not complete as
the contractor has yet to install the Manta Ray anchors. No woody debris has been installed Equipment No.
on the Left bank side yet. Contractor understands from my conversation with him this Pick-up Truck 2
morning,and reviewing the prints together that he will still be required to install all small Equipment Trailer 2
root wads as depicted in prints and anchor all logs using(2)minimum anchors per log. That 12"Pump Diesel 1
makes a total of 24 anchors which he acknowledged. Contractor has silt boom deployed in
water as called out by permits and specifications. Contractor also knows he is required to 4"Pum Diesel 1
submit silt and turbidity testing,(as per acknowledging Kristen Kuykendall's verbal Excavator 2
reminder and discussion)but declined to produce a log of testing while he was constructing
in-water during the past weekend. All logs installed to this point appear secure and as per
prints and expectations.
Nichols Trucking,contractor to bring bridge to site,was on site today with truck to make a
"dry run"test. Driver states that he had no trouble getting his rig into the site,although it is
a bit snug around corners. Driver stated he could see no reason why bridge couldn't be
delivered to site on his truck.
Inspector: Engineer
Signature Signature
Date for bridge delivery remains the same as Friday,26 August. Contractor is coordinating
crane to be on site at same time as bridge arrival so that crane can make one pick from truck
to abutments,pending acceptable concrete cylinder break test from MATS lab.
Concrete was placed in forms today starting at 1:OOPM. After I'truck arrived,I waited for
approx. '/z CY to be discharged to clean out area and took my sample. Conrete temp 77' and
tested on site at 5.5 slump. Truck ticket states that concrete was mixed to 4"slump. I made
three(3)sets of two cylinders. Two(2)each for 7, 14,and 28 day break. Cylinders were
placed in WDFW's picknic cooler in approx. 8"depth tepid water. Cooler was left on
grassy level surface in shade beneath large Oak tree in residence yard. Cooler will be
transported to MATS lab on following day.
Contractor placed concrete in lifts in each form,approx.8"lifts and vibrated gently between
lifts. Concrete to be troweled off and given a light broom finish. Concrete placement was
finished approx.2:45 PM. Two trucks total for 13CY placed.
Casey off site 3:1 OPM
Continuation Page: (Photos and captions, scanned data,additional documentation)
Insert photo here DESCRIPTION:
Inspector: Engineer
Signature Signature
Washington
Department of INSPECTOR'S DAILY INSPECTION REPORT
FISH and
WWILIDLH+'E
Weather xBright Sun ❑xClear ❑Overcast Rain El Snow Date 17 August 2016
Temperature ❑To 32 32-50 ❑50-70 x70-85 ❑85 up project McKernan-Weaver Creek Bridge
Wind xStill Moderate ❑High
Project Number
Humidity []Dry xModerate Humid Contractor Boettcher and Son Construction
Superintendent Caleb Boettcher
Work Performed:List Sub-Contractors and Type of Work,Communication with
Contractor._ _ _ _ _ Trade No.
Project Manager
Arrive on site 8:30AM Construction Manager
Superintendent 1
Chris Gourley and New Mike on site and beginning de-fishing of work area. Ca enter
Laborers 1
Contractor on site and I assist him and crew in installing upstream rigid fish screens. While Iron Workers
this task is under way,Chris and Mike deploy DS net. Once rigid screens are in place,de- Mechanical HVAC
fishing begins. PlumbersPainters
Crew ties steel abutment cages up in the meantime and completes. I checked all dimensions Electrical Workers
Concrete Finishers
for correct clearance/dimensions. All appears to be in order according to specifications and Roofers
drawings. Forms to be constructed in the remainder of this week. Concrete to be placed on Equipment erators 1
Monday 22 August,tentatively. Time to be determined later. Owner Operator
To date,no concrete submittal has been received from contractor. I give a call to Mr.
Boettcher and remind him to submit concrete submittal prior to pouring the abutments.
Contractor acknowledges and agrees to have the submittal to Kristen or myself by Friday 19
August.
Total Workers 3
Some discussion between contractor,Jorge Villareal and I regarding dates on HPA for in-
water work. No large woody debris has been placed as yet,and contractor has only two Equipment No.
weeks to complete in-water tasks. Contractor asks about possibility of extending HPA work Pick-up Truck 1
window. After discussion with Kristen,it is agreed CAMP will not seek an HPA time Excavator 2
extension on the contractor's behalf. I let contractor know by phone that WDFW expects 4"Pump Diesel 1
him to hold to the schedule and install all in-water work by 31 August as the permit dictates.
He acknowledges and agrees to work to that goal. Equipment trailer 1
Discussion between contractor and I regarding use of neighbor's driveway to facilitate
bridge delivery truck. I explain that this will be up to him and bridge delivery company. I
supply neighbor's phone number and name to him.
While on site contractor's excavator arrives on site. Appears to be a 135 series machine.
Casey off site 1:OOPM
Inspector: Engineer
Signature Signature
Continuation Page: (Photos and captions, scanned data,additional documentation)
Insert photo here DESCRIPTION:
Inspector: Engineer
Signature Signature
Appendix C
Anchor Bolt Cut Sheet
Mechanical Anchoring Systems
Sup-R-Stud" +
"1 t „ Sup-R-Stud +
; 2
Made in USA
Order Detail
'Sizes made to ord.r.
Car6nn Steel Galvanized 3031304 51ainim 316 Stat.dess Gradc 5 51,!el
And.,r Thread Thread Max Thk Required ldaster
0lam.•Irr 6 Order Length Order Thread Order Thread OrJtr rhrxad Order Length Hole Length Matto to forgo,;to Set Box Quantity.
Le Code Code LenuUt Code math Cork Lertath Con^ Nametet to Anchord ftlb&) Quantity.
114"x 1-12- 2614TIE - - - _ _ - _ - 114" - - - 100 goo
1/4"x 1-314' 2614134 7/8' 2814134 7/8' 2714134 7/8' 271413S 7/8" 2514134 7/8" 1/4" A 3/8" 8-10 100 800
1/4'x 2.114' 2614214 1-3A-- 2814214 1-3/8" 2714A4 1.318" 271421S 1.318" 2514214 1.3/8' 1/4' 8 718" 8-10 100 Boo
IA"x 3-1/4" 2614314 2-114" 2814314 2.114" 2714314 2.114" 271431$' 2.1/4' 2514314 2.1/4' 1/4" D 1.7/8' 8-10 160 800
3/8"x 2-1/4" 2638214 1-3/16" 2838214 1.3116' 2738214 1.3116" 273821S' 1-3/16" 2538214 1-3116" 318" 8 114" 15.30 50 400
318"x 2.3/4' 2638234 1.5/8" 2838234 1-W' 2738234 1.518" 2138235' 1-518' 2538234' 1.5/8" 3/8" c 3/4' 15.30 50 400
3/8'x 3" 2638300 1.7/8' 2838300 1-7/8' 2738300 I-W8' 2738305 1-7/8' 2538300 1-7/8" 3/8" D 1' 15.30 so 400
318"x 3-3/4" 2638334 2-5/8" 2838334 2.5/8" 2738334 2.5/8" 273833S 2-5/8` 2538334 2-5/8' 318` 1 1.3/4` 15-30 50 400
3/8'x 5' 2638506 4- 2838500 4" 2738500 4" 273850S' 4" 2538500 4" 3/8" H 3" 15.30 50 250
112"x 2.3/4' 2612234 1•1/2' 2812234 1.12" 2712234 1.1/7" 271223S 1.1/2" 2512234 1.12' 1/2" c 118 25.50 50 150
1/2'x 3.3/4" 2612334 2-112- 2812334 2-1/2" 2712334 2.12" 271233S' 2-1/2' 2512334' 2-1/2" 1/2` E 1' 25.50 50 150
_....
12"x 4•U4" 2612414 3" 1612414 3" 2712414 3" 2712415 3" 2512414 3" 1/2" F 1-12' 25-50 SO 150
1/2"x 5.12' 2612512 4' 2812512 4" 2712512 4" 171251S' 4" 2512512 4" 112' 1 2.3/4' 25.50 50 150
1/2"x 7' 2612766 4" 2812766 4" 7.712700 1.1/4' 271270S* 1.114' 2512700 1.114" 1/2' L 4.1/4' 25.50 25 75
1/2'x OR 2612812 4" 28128121 4" 2712812' 1.1/4" 271281S' 1.114" 2512812 1-1/4" 12" 0 5.3/4' 25-50 25 75
5/1 x 3.12" 2658312 1.5/8" 2858312 1.518" 2758312 1.5/8" 275831S' 1.5/8 2558312 1.5/8" 518" E 118" 40.75 25 75
5l8"x 4.12- 2658412 2-5/8" 2858412 2.518" 2758412' 2.5/8" 275841S' 2-518" 2558412 2-518" 518" G 1.118' 46.75 25 75
5l8"x 5" 2658500 3-114" 2858500 3.1/4' 2758500 3.114" 2756505 3-1/4" 2558500 3-114" Slg" H 1.518- 40-75 25 75
5/8`x 6' 2658600 4-.1/8` 2858600 4.1/8" 2758600 4-1/8" 275860S' 4-1/8" 2558600 4.1/8' 5/8' 1 2.5/8' 40-75 25 75
__ -- .... ......
5/8"x 7" 2658700 4' 2858100 4" 2758700' 1.112" 1758705' 1.1/1" 2558700 1.12" 518" L 3-518" 40.75 20 60
5/8"x SAW 2658812 4" 2858612 4" 2758812' 1.1/2" 2758815- 1.1/2" 2558812 1.112" 510" 0 5.1/8' 40-75 20 60
518"x I& 2658106 4" 2858106 4" 2758100" 1-12" 275810S' I.112" 2558100- 1-112" 518" R 6 5/8" 40.75 25 50
3/4'x 4-114" 2634414 2-3/8' 2834414 2-318" 2734414 2.3/8" 2734415' 2.318' 2534414 2-318" 3/4' F 118" 100.200 25 75
3/4"x 44/4" 2634434 2.7/8" 2834434 2.7/8" 273gg34 2-7/8" 273443S 2-718" 2534434 2.7/8" 314" G 5/8" 100-200 25 75
3/4"x S-12" 2634512 3-518" 28345fi2 3-5/8" 2734512 3.5/8' 273451S 3.5r8" 2534512 3.518" 314" 1 1.3/8' 100-200 20 60
3/4"x OW 2634614 4-1/4" 2834614 4-1/4' 2734614- 4.114 1734615' 4.1/4" 2534614 4.1/4" 314" 1 2-1/8" 100.200 20 60
3/4"x 7" 2634700 4" 2834700 4" 2734700 2' 273470S' 2" 2534700 2" 3/4' 1 2.718" 100.200 15 45
3/4"x 8-1/2" 2634812 4" 2834812 4" 2734812 2" 2734815' 2" 2534812 2" 314" 0 4.318" 100-200 15 4S
3/4"x 10' 263g100 4" 2834100 4" 2734100 1" 2734105' 2" 2534100 2" 3/4' R 5 7/8" 100-200 15 30
3/4"x 12" 263412T a 283412T 4' 2734120' 2" 2734125' 2" 2534120' 2" 314" 7 7.7/8' 100.200 15 30
718"x 6- 2678600 3.112" 2878600 3.112" 2778600' 2.1/4" 177860S' 2.114" 2578600 2-114" 718" 1 1.18' 125.225 10 30
7/8"x B' 2678800 4" 2878800 a 2778860' 2.114" 277880S' 2•1/4" 2578800 2.1/4" 7/8" N 3.1/8" 125-225 t0 30
718"x 10' 2678100 4" 2878100 4' 2778100" 2.1/4" .2778105' 2.114" 2578100 2.1/4" 718" R 5.118" 125.225 10 20
I'x 6" 2616000 3.1/2" 2816000 3.12" 2716000 2.1/4" 2716005' 2-114" 2516000 2-1/4' 1" 1 12" 150-250 10 30
1'x 9' 2619000 4' 2819000 4" 2719000 2.114" 2719005' 2.1/4" 25190DO 2.114" 1" P - 3.112' 150-250 10 20
1"x 12" 2611206 4" 2811200 4" 17112o0 2.114" 2711205' 2.1/4`' 2511200' 2-114" 1" 1 6.112' 150-250 10 20
1-1/4'x 9' 2611490 3.1/4" 281149D 3-1/4" 2711490' 3.114" 2711495' 3.1/4" 2511490 3.1/4" 1.114" P 1.114` 200.350 5 15
1-1/4 x 12" ' 2611412 3.114" 2811412 3.114" 2711412' 3.114" 2111415- 3.114" 2511412 34l4" 1"114` T 4.114" 200.350 5 10
Step 1: ,. Step 2:
Select the correct diameter drill bit, Remove drilling debris from the
-4 drill a hole to minimum required hole _ _ bottom of the drill hole using a
depth or deeper. blowout bulb,compressed air or
so^ c vacuum.
Step 3: Step 4:
Assemble the nut&washer past the impact Using a torque wrench,apply
WA end of the SRS+.Use a hammer to tap the -�• , the specified installation torque.
S w� � anchor through the part being fastened into
Lr1 the drilled hole until the washer is in contact Y
with the part
AA"o
-a solid connection
MecWhical Anchoring Systems
Sup-R-Stud`'+
Sup-R-Stud'+ jP
t
Available Materials
• Carbon steel,zinc plated
• Carbon steel,mechanically galvanized Class 65
• Grade 5,yellow di-chromated
• 303/304 stainless steelLm!
• 316 stainless steel
Features/Advantages ,
• Required hole diameter equals anchor diameter
• Excellent for setting immediately
• Can be loaded immediately
• Can be set in a bottomless hole
• Simple installation
• Nut and washer supplied in package
• ROHS compliant except for Grade 5
Concerns
• Do not use in brick or block
• Not advised for use where vibratory loads are high Anchor spacing/Edge Distance
• Oversize holes are detrimental and will reduce load
performance K" Antho, him Anchoi Min.tdye
Diawlr, Sprang' DiSun(c'
1/4" 2-112' 1.114-
Approvals/Listings 3I8" 3-314" 1-718"
• G.S.A.Spec FF-S-325C,Group II,Type 4,Class 1
• ICC ESR-3235 3/8,112,5/8,C-STL ZP 112" 5" 2-112-
• Contact customer service for approvals/listings for state D.O,T.'s 518• 6-114" 3-118"
• Metro Dade NCA No:10.0928.01 3/4' 7.112" 3.318-
7w 8.314" 4-318'
1" 10, 5"
�.•++.�. 1-1/4" 12-1/2" 6.1/4"
'To obtain 100%load
Made in USA
• Step 1: T. Step 2:
Select the correct diameter drill bit, s ti Remove drilling debris from.the
-r' drill a hole to minimum required hole +-• bottom of the drill hole-using a
• depth or deeper. = - blowout bulb,Compressed air or
vacuum.
Step 3: Step 4:
«„ Assemble the nut&washer past the impact Using a torque wrench,apply
• end of the SRS+.Use a hammer to tap the f •• • the specified installation torque.
-� anchor through the part being fastened into ---- rh
! 1 the drilled hole until the washer is in contact
with the part
VIM
...a solid connection
09127116 09: 52 AM POT Tacoma Screw Products, Inc. Page 1 Of 1 #1332646
[Ti' Tacoma Screw Products, Inc. Invoice INVOICE # 30806191
lacomuscrew.com Reprint LOCATION TACOMA: CENTER ST
s..,,•1946 DATE 08/26/16
REMIT TO Tacoteu Screw Rockjcte,Inc, PAGE 1 OF 1
Atin Account~licceivot-.n u u u
Box 35165
SentiWA981245[GIiU.S.A. iilllllllilllllll,IIIIIIII�IIIIIIII II�IIIIIII�IIII�IIII�I�IIIIII�IIII
BILL TO SHIP TO
F-362905 FNORTHWEST DOCK SYSTEMS LL
NORTHWEST DOCK SYSTEMS LLC ATTN RECEIVING
ATTN ACCOUNTS PAYABLE 795 STATE ROUTE 161
795 STATE ROUTE 161 S EATONVILLE, WA 98328
EATONVILLE, WA 98328
ORDER NUMBER ORDER DATE ORIGINALQUOTE CUSTOMER P/0 NUMBER PAYMENT TERMS
T926862 08,26/16 MCKERNAN NET 30 DAYS
WRII I E N BY SALES RL-P CUSI RELEASE# JOB NUMBER SHIP VIA
DJD H WILL CALL CENTER STREET
>Sri:Qt1Yk. .i.j '-.'.`'. .. .....rat. 1JANfI#Y. �u rL
....F10C?>JL.T.,.?f.,�4:;F' ,0.:.:.:•.::::•.::,::.::•:. >•..:.:::::.....•.•,:::..•.,•:.• .PfiIG ;•::<•:<•:>::.Ur3Vi:<•>t. �C•>>:•>::<X•1cl:flv:SlfTl$:•:•:>:•:•
............. .................. ................ ...... ...
041-804-1 47 47 0 1424.4784 C F 669.50
SS WEDGE ANCHORS
3/4" x 7"
Thank YOU for your order. Please note that all sales are Subject to Iacoma Screw PfeCIU4t$,InC.'s I arms of Salo and Conditions qt Sale, If there should
be any questions,or if wo oan be of further sorvioe, pleaso call(253)572-3444 or(800) 562.8192. We appreciate and value yolu continued business.
MERCHANDISE HANDLING MISC CHARGE TAX FREIGHT DEPOSIT DEPOSIT INVOICE TOTAL
TOTAL AMOUNT APPLIED
669.50 0.00 0.00 64.27 0.00 0.00 0,00
PICK-UP SIGNATURE:
BRADEN
Appendix D
Inspection Photos
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`°�h,� MASON COUNTY COMMUNITY SERVICES Permit Noa L)'� s�
PERMIT A55I5TANCE CENTER: Recv'd:
=~ •BUILDING•PLANNING•FIRE MARSHALIn
615 W.Alder St-Shelton,WA 98584 irLrC.�.
Phone:360-427-9670 ext.352 Fax:360-427-7798
rxu htto'//www co mason wa us/community. dev
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: ( � CONTRACTOR INFORMATION:
nTnrrr • W-t>F J C�fV1Ae► Ci CAC_�M1 NAME: *dVf a4 Sbl1S
MAILING ADDRESS:(NCO CA01 f' A MAILING ADDRESS: eG EYzx__-99 7
CITY: dj 0. STATE: �_ZIP:ySSbl CITY �t J,k STATE: w�_ZIP:�S 3a 3
PHONE#1. /a r"> cS ��a PHONE:,;?S.z 3 S ZZC I CELL:
PHONE#2: o a 2 Vs 3 EMAIL:hn SAS P.r ut rt i er�ran�ar r sue.
EMAIL: vt 4E11. l'ceNIP
f \/ L&I REG# rn►9 D�( EXP. /�/
CONTACT PERSON : OWNER CONTRACTOR❑ OTHERIBELOW❑
NAME: MAILING ADDRESS: L�
CITY:D STATE: W ZIP: PHONE:z,( f'It)2&3�s3 ELL:
EMAIL:
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER){ZJ 1 LD-�2- L C U 1(-) ZONING \2 D
LEGAL DESCRIP ION(ABBREVIATED)5 W A S.1 —1 7 l`4 KID A �`✓FIRE DISTRICT
SITE ADDRESS 1 E� 2 CITY
DIRECTIONS TO SITE ADDRESS u `{ r
1fi
IS PROPERTY WITHIN 200 FT: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEKA, POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES[] NO&.
TYPE OF WORK- NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR& OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) ST�= 4JA C-C954 hDC5
IS USE: PRIMARY P5, SEASONAL❑ NUMBER OF BEDROOMS ti A NUMBER OF BATHROOMS-A
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[s]of Bldg)❑ NO❑
Lpz
DESCRIBE WORK
SQUARE FOOTAGE: S �
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner or owner's legal representative.I further
declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the
necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection.This permit/application becomes null&void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT
APPLICA ION OF 180 DAY WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42)
X
Signature of OW E Da
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake By: Approved&Ready for Pick-Up:
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