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Home My WebLink AboutCOM2017-0065 Packing and Shelving - COM Application - 5/30/2017 1 MASON COUNTY COMMUNITY SERVICES Permit No:4LIM 1.5 PERMITAS5I5TANCE CENTER. Recv'd: .BUILDING•PLANNING•FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 Phone:360-427-9670 ext.352 Fax:360-427-7798 �+ http:/Iwww.co.mason.wa.us/community dev/ BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1A1 NAME: MA-S NAME:Wn DMAX WA11,S _V I C05I�V MAILING ADDRESS: MAILING ADDRESS: CITY: 0 STATE:rM ZIP:640CITY:fogr"w STATE: _ZIP::7 f0 cf PHO #1: 10 K_ "A 00 p PHONE: -Z 5J- O CELL: I - l- PHONE#2: EMAIL:4 bn LU t✓Gtal lse✓uiCGS- EMAIL: L&I REG#/JA-n oR S JJ6 01,�) EXP.�5 z4 2014 ,�, CONTACT PERSON: OWNER❑ CONTRACTOR OTHER/BELOW❑ NAME:CfMS '"fpPer er-T Acmc' MAILING ADDRESS: S e^amN�r CITY: 56 fl}LAIce STATE: ZIP: 6 g2_PHONE: CELL: EMAIL:CL,S�D�IAG D�GP)/lA 1O� d Wt(i�� u.7 15�✓1/ICZS. G►M PARCEL INFORMATION: //��//�� PARCEL NUMBER(12 DIGIT NUMBER) 42a2-iq :�Qa/i&NING LEGAL DESCRIPTION(ABBREVIATED) FIRE DISTRICT SITE ADDRESS ILDDI AI ()rS &14 H 1V 161 CITY !STMTOAJ DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14% YES[] NO)J� TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ `OTHER USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg)❑ YEeS.(Part[s]of BldI�)❑ NO❑ ' DESCRIBE WORK IW& A LLW11 bu � P'IrC�L J46 M2 SOUARE FOOTAGE: ISTFLOOR7XIV sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.& BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.fL ATTACHED❑ DETACHED❑ MANUFACTURED E INFO TION: *4 COPIES OF THE FLOOR PLAN REQUIRED MODEL AR LENGTH W 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 permitlapplication 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 CO�VO ION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATIONAYS WILL C USE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08.42) of OWNER Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PERMIT SPECIALISTS Intake By: Approved&Ready for Pic'-Up: VSUPIPLYCO. www.myTSCstore.corn City of Shelton WA; Tractor Supply has hired Nationwide Retail Services to install our fixtures at this address 12001 N US Highway 101, Shelton WA 98584-9771. The cost of the installation is $14,200.00. Rick Weller Manager of New Store Development 5401 Virginia Way Brentwood, TN 37027 w.. p Mason County Community Services Building Division SPECIAL INSPECTION & 615 WAlderStreet Shelton, WA 98584 TESTING AGREEMENT 360.427.9670 ext.352 www.co,mason.wa.us (All references are per the 2015International Bullding Code) Project Name: Tractor Supply CO —racking and shelving Project Address:12001 N US Highway 101 Shelton WA 98584 Building Permit Number: Date Issued: BEFORE A PERMIT CAN BE ISSUED: The registered Design Professional in responsible charge shall fill out the Agreement and Include the name and address of the company or Inspector. 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. i SPECIAL INSPECTION REPORTS: Special Inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each I: 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(Le.missing Inspections,periodic inspections when continuous was required,etc.)shall be specifically itemized In the final report. Areas requiring special Inspection: Name of Agency: Address&Contact Information j I ❑ Unapproved Fabricators(iBC 1704,2,5) Other than Structural Steel(IBC Table 1705.2.2) f ❑ Steel floor&roof decks ❑Welding of reinforcement. ❑ Cold-formed steel Structural Steel Materials Testing& 2118 Black Lake Blvd.S.W. ❑Welding(Per N5.4ofAiSC360-10) Consulting, INC. Olympia,WA98512 ' ❑ Details(Per N5.7 of AISC 360-10) 360-534-977 ! FE]Shotcrete trength bolts(Per N5.6 ofAISC 360-10) F I nstruction(per 1 BC Table 1705.3) rcement,embeds,anchors ork als t etensioned/Pre-stressed Concreten of precast concrete ; i Page 1 of 3 f k Mason County Community Services Building Division SPECIAL INSPECTION & 615 WAIder Street Shelton, WA 98584 TESTING AGREEMENT 360.427,9670 ext.352 www.Co.mason.wa,us Areas requiring special Inspection: Name of Agency: Address&Contact Information 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>Oft(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 Flre-Resistant Materials(IBC 1705,13) ❑ Mastic&Intumescent Coatings(IBC 1705.14) ❑ EIFS(IBC 1705.15) ❑ Fire-Resistant Penetrations(IBC 1705.16) i ❑Smoke Control(IBC 1705.17) ❑Structural Steel(IBC 1705.12.1&AISC 341-10) ❑ Structural Wood(IBC 1705,12.2) Page 2 of 3 i Mason County Community Services Building Division SPECIAL INSPECTION & 615 WAlderstreet Shelton, WA 98584 TESTING AGREEMENT 350.427.9670 ext.352 www.co.mason.wo.us ❑ Cold-formed steel(IBC 1705,12.3) i ❑Architectural components(IBC 1705,12.5) C3 Storage Racks(IBC 1705.12,7) X other post Installed anchors with Periodic Inspection Materials Testing& 2118 Black Lake Blvd,S.W. (IBC 1705.1.1) Consulting,INC, Olympia,WA 98512 360-534-9777 O Structural Observations I � Declaration by Architect/Engineer I, 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 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 spe lal inspections and structural testing for the project pursuant to IBC 17707.2. 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. A��L AS-R Pqw, mvv i 1 Signature Date Page 3 of 3 2865 Exchange Blvd. Southlake, Texas 76092 Nationwide Office: 817-251-9500 Retail Services Inc. Fax: 844-205-7375 Web site: www.nationwideretailservices.com 5/30/2017 Attention: Mason County Community Services 615 W. Alder St. Shelton WA 98584 Re: Christopher Estonactoc Nationwide Retail Services 2865 Exchange Blvd. Southlake TX 76092 Included in this UPS delivery tube are 2 wet stamped plans of S1 prints, S2 prints, structural calculations, fixture prints, and bid agreement letter from Tractor Supply to Nationwide Retail Services Inc. for the seismic racking and shelving of the Tractor Supply store in Shelton WA located at 12001 N US Highway 101. Please let me know if you have any questions or require any further information. For your convenience, my contact information is listed below. Thanks again and in advance. Christ her Estonactoc, Accou t na-a ismic Administrator Nationwide Retail Services, Inc. 2865 Exchange Blvd Southlake, TX 76092 Cell: 562-292-3977 Phone: 817-251-9500 Fax: 844-205-7375 Email: cestonactoc@nationwideretailservices.com _J 2865 Exchange Blvd. Southlake, Texas 76092 Natlonwid a Office: 877-587-0001 or 817-251-9500 Retail Services Inc. Fax: 877-466-9272 Web site: www.nationwideretailservices.com July 11, 2017 Attn: Jahanel Biscay Neal Mason County WA— Building Department 615 W Alder St. Shelton WA 98584 Dear Ms. Jahanel Biscay Neal- I, Randy Hughes — CEO/President of Nationwide Retail Services, authorize Mike Carney of Capitol Courier, to pick up our plans and racking permit (COM2017-00065) for the Tractor Supply store located at 12001 N US Highway 101, Shelton WA 98584 from the Mason County WA Building Department located at 615 W Alder St., Shelton WA 9858 iandyv Hughes, CEO/President Nationwide Retail Services, Inc. 2865 Exchange Blvd Southlake, TX 76092 Ph: 877-587-0001 or 817-251-9500 Fax: 877-466-9272 Email: randyhughes@nationwideretaiIservices.com