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HomeMy WebLinkAboutCOM2015-00161 Modular Bldg Final - COM Permit / Conditions - 1/22/2016 IF MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 ASON aor Mason County Bldg. III Phone: (360)427-9670, ext. 352 426 W. Cedar Shelton, WA 98584 IRf4 COMMERCIAL BUILDING PERMIT COM2015-00161 OWNER: NORTH MASON SCHOOL DISTRICT RECEIVED: 11/6/2015 CONTRACTOR: LICENSE: EXP: ISSUED: 12/21/201E SITE ADDRESS: 200 E CAMPUS DR (HIGH SCHOOL) BELFAIR EXPIRES: 6/21/2016 PARCEL NUMBER: 122082360000 LEGAL DESCRIPTION: SW NW E OF R/W* SEE SURVEY 9/14 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MODULAR BLDG...PACE ACADEMY...(L& I approved Modular FOLLOW ST RT 3 TO BELFAIR, R ON NORTH MASON SCHOOL RD TO with engineered foundation) SITE General Information Construction &Occupancy Information Type of Use: Education Insp.Area: No. of Units: Type of Constr.: VB N Type of Work: NEW Fire Dist.: 2 o. of Bathrooms: Occ. Group: E Valuation: No. of Stories: Exit Design. Load: Building 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: N 11.00 Ft. Shoreline: Ft. Rear: S 500.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: E 400.00 Ft. SEPA?:Yes Comp. Plan Desig.: Rural Side 2: W 400.00 Ft. Fire Protection System Information Auto Fire Alarm System?: Y Emergency Key Box?: Y Standpipe?: Auto Fire Sprinkler System?: Y Access Road?: Y Fire Extinguishers?: Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?: COM2015-00161 Please refer to the following pages for conditions of this permit. Page 1 of 6 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Modular Office Submittal (=CAM 11/e/9n15 VI'AQ 7F gl9n15nn Modular Office Issuance I (ZnnnA 11/F/9n1j; 'Z.14 7r, g19n1Fnn Foundation Only rhAhA 11/Fnn1r, ,�1ri Fn G19n1rnn EH Plan Review rMNA 11/F/9n1s -�qn.r,nn gi9n1rnn Planning Review Fee AHR 11/171gni vain nn g19ni.FM Total $1,366.00 CASE NOTES FOR COM2015-00161 CONDITIONS FOR COM2015-00161 1) 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X L 2) All approved plans are equ) ed 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 wall" harged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 't 3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X e 4) THE Fdu DATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. Xct--�- 5) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, 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 the Mason County Building Department prior to any further inspections being performed or approvals granted. X �\ _ 6) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. X 6 - COM2015-00161 Page 2 of 6 7) 3000 PSI CONCRETE WILL REQUIRE SPECIAL INSPECTION IF THE QUANTITY EXCEEDS 50 CUBIC YARDS< LESSER AMOUNTS WILL REQUIRE AN APPROVED CONCRETE SUPPLIER TO PROVIDE YOU WITH A BATCH TICKET THAT WILL BE REQUIRED TO BE SUBMITTED TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X G 8) Any changes in construction shall be reviewed by engineer of record and submitted in writfig 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 the Mason County Building Department prior to any further inspections being performed or approvals granted. X (�:k . _. 9) ALL CONS RUCTION 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 OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 10) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements), Building/Plumbi /Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. XA \11`--�_ 11) CONSTRICTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND 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 Building Inspector shall be made prior to requesting additional inspections. X "�k/� 12) All buitdi g p€rmits 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 non-compliant with Mason County ordinances and building regulations. X �..._ 13) 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 holder have prevented action from being taken. No more than one extension may be granted. X - 14) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X �--1-- 15) No buildin r structure shall be used or occupied, and no change in the existing occupancy classification of the building or structure or portion thereof shall be made until the building official has issued a certificate of occupancy as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the codes or ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. X 16) Fire Alar ermit Required. A full, NFPA 72 compliant fire alarm system shall be installed throughout the building under a separate permit issued by Mason County. Complete permit applications shall be submitted with ample time for review and approval, prior to the installation of any component of the required fire protection systems. Fire alarm permit final inspection and approval shall be obtained prior to requesting a final inspection. X �— COM2015-00161 Page 3 of 6 r 17) Electrical Permit Required. The electrical system shall be installed under a separate electrical permit issued by the Washington State Department of Labor& Industries (L&I). Electrical "final" inspections must be approved by L&I prior to requesting a building final. X -- 18) Fire Extingui hers: Fire extinguishers are required for this occupancy. Minimum rating of 2-A:10-B:C required. Fire extinguisher shall be located along a path of egress and spaced such that not more than 75 feet of travel distance exists between any point inside the building and an extinguisher. Extinguishers shall be located not higher than 5 feet above the finished floor. Indoor fire extinguisher cabinets shall not be equipped with locks. Extinguishers shall have a service tag verifying they have been serviced by a professional extinguisher company. If extinguisher is recently purchased, the tag inside the box may be affixed to the extinguisher with "NEW" and the date of purchase. X 19) Special Inspeotion: IBC Chapter 17, Section 1704. In addition to the inspections required by IBC Section 109, the owner or 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 IBC Section 1705. The special inspectors' duties & responsibilities shall be as specified in 1704. All special inspection reports shall be provided to the Mason County Building Department in accordance with IBC 1704.2.4. Prior to final inspection, the special inspection agency shall also provide a final, signed report to the building department stating that all items requiring special inspection and testing were fulfilled and reported, corrections of any discrepancies has been completed, and, to the best of their knowledge, are in conformance with the approved design drawings, specifications, and applicable provisions of the code. 20) Special Inspection Contractor's Statement of Responsibility: Third-Party Special Inspection is required in accordance with IBC Sections 1704 & 1705 for the items identified in the Statement of Special Inspections (as required by IBC Section 1704.3). In accordance with IBC Section 1704.4, each contractor responsible for the construction of the work listed in the statement of special inspections shall submit a written statement of responsibility to the building official and the owner prior to the commencement of work on the system or component. The contractor's statement of X responsibility shall contain acknowledgment of awareness of the special requirements contained in the statement of special inspections. 21) Approved per dimensions and setbacks on submitted site plan that conforms with the Special Use Permit for the campus renovations. Setbacks are m6asured from the furthest projection of the structure. X i. 22) All property lines shall be clearly identified at the time of foundation inspection. X J . U 23) All construction and demolition debris must be removed from the shore area after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 24) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or- roperties. Silt fencing, straw, or surface matting must be installed and maintained until upland vegetation has become established. X 25) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on yotrr site plan. Please check your "Approved-.Sk e Plan"to ensure these structures are shown and meet the setback conditions listed. X 26) By definibO propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure /these structures meet the setback conditions listed. X /� 1 27) On-sits installation must be approved prior to temporary/final occupancy. X '"V COM2015-00161 v Page 4 of 6 w ' 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 APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. " , LQ- .--- SignatCre____. Date EVA� (.�h'LS�— OWNER - REPRESENTATIVE CONTRACTOR Print Name (Circle one to indicate) COM2015-00161 Page 5 of 6 1 Mason County Department of Community Development ' Mason County Bldg. 8, 615 W. Alder Street Shelton, WA 98584 360-427-9670 www.co.mason.wa.us UNIPROS INSPECTION REPORT PERMIT ADDRESS: t fit% ; ks. ra DZ� INSP. TYPE. � F COMMENTS: AD �tS7 Ai,,L 1 " -I /j//�''}yy /�j(,y�. t4/ ALL- AP (Approved) ❑ DA (Disapproved) DATE: i d p (Approved with correction) ISSUED BY: If Disapproved, Corrections Are Required And You Are Hereby Notified That No Work Shall Be Covered Until The Above Violations Are Corrected. After Corrections Have Been Made, Contact Jurisdiction to Schedule Reinspection RETAIN THIS TAG ON-SITE FOR RE-INSPECTION CONCRETE MECHANICAL MANUFACTURED HOME O C) Date By cn Footings !Setbacks Gas Piping Ribbons = o Interior Date By interior•Date By Date By ic 0) Exterior Date By Exterior-Date By S*t-up - ---- .,--_ N Point Load r'Isolated Footings INSULATION Date By O BG I SLAB INSULATION M Z Date B}` Data By FIRE DEPARTMENT N Foundation Walls Floors Date By = Date By data By DECKS 0 FRAMING Walls Date By r- Date By Data By PROPANE TANKS N PLUMBING vault pate By -q Date By OTHER Groundwork Attic n Tyke I Date By ©ate By Date By D.w.v DRYWALL Type- n O r Int.Brace Wall Date By 3 Dare �• ZV l By Date By FINAL INSPECTION N Water Line ` Fire Separation Data t III By 7 By Date By o 0 Pass or Request Inspect. Type of Insp. Fail Date Date Done By Comments k,,,,� jt^ct.k I�G•-� Chi ,�}7 VIALc1 N 0 0 Permit# e"' + I< MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 2 �� ��,.,�f►�.s �'' This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance Pi 001'e-- S;1C4,- '. Ls F".' ?� Lc�:an.e�• o v.'-r Ls cU, 'Gd" - ii 5' I. .1s -i l.'"" P,eov -t s. e. ei n e-j lbi `mil 4e— if G'`~ s ' Y. .�', 4 .... i►v7 t Z't+do 1 n Cz f l p,., tl'f �:.. /`—ysy7.'.�� 5'1 ';71 il•.S ®` �y `y. t_s� I r►5l�ti�s� '� s.� �r1,Ts i� ha/•� y.L(Ivac<< tt r►i frf 1"� hSO Lt jhj4T ds�)vx tin 1 T kT ar41 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Please contact our office Make corrections, items will be checked on next inspection regarding possible structural OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOTa Date Department CORRECTION NOTICE. Inspector Dkv N0 ,0T i H/ T' * mR Materials Testing & Consulting, Inc. Geotechnical Engineering&Consulting•Special Inspection'•Materials Testing•Environmental Consulting Tm¢ March 9, 2016 North Mason School District Attn: Eric Nelson 71 East Campus Drive Belfair, WA 98528 Sent via email: enelsonaa,hainline.net Re: Final Letter PACE Academy—PO 2001500001 200 East Campus Drive,Belfair,WA MTC Project#15K047 BLDG Permit#COMD01500161 Mr.Nelson, Materials Testing& Consulting,Inc. (MTC)provided materials testing and special inspection services during construction of the above-referenced project. This letter is a statement declaring the actual work inspected by MTC itemized below was found to be,to the best of the inspector's knowledge,in accordance with project plans, specifications,engineer approved revisions, and the International Building Code. The following is the scope of inspections performed on this project. ♦ Reinforced Concrete Special Inspection ♦ Lateral Wood Special Inspection ♦ In Place Density of Soils Special Inspection ♦ In Place Density of Asphalt Special Inspection The results of our services were provided to the local building department for review. Only WABO Certified special inspectors were utilized to perform those specific inspections as required by the Special Inspection Agreement. Any items that were found to be in noncompliance with the approved construction documents were repaired or replaced, and re-inspected for acceptance. To the best of our knowledge, items that were observed by Materials Testing & Consulting, Inc. during continuous or part time inspections for the noted project are compliant with approved plans and specifications. LIMITATIONS The services provided as described in this report include professional opinions and judgment based on the data collected and our field observations. These services have been performed according to the specified codes, industry standards, and generally accepted engineering practices. No warranty, express or implied, is provided. Representatives of Materials Testing & Consulting, Inc. did not supervise, direct, alter, amend or change project specifications or contractor activity. Our statement of conformance pertains to only those items inspected and tested by Materials Testing& Consulting, Inc.for the subject project during the time period when we were on-site. Page 1 of 2 Corporate • 777 Chrysler Drive • Burlington, WA 98233 • Phone 360.755.1990 • Fax 360.755.1980 SW Region • 2118 Black Lake Blvd. S.W.• Olympia, WA 98512 • Phone 360.534.9777 • Fax 360.534.9779 NW Region • 805 Dupont St, Suite 5 • Bellingham, WA 98226 • Phone 360.647.6061 • Fax 360.647.8111 Kitsap Region • 5451 N.W. Newberry Hill Road, Suite 101 • Silverdale, WA 98383 • Phone 360.698.6787 • Fax 360.692.1919 Visit our website: www.mtc-inc.net Materials Testing & Consulting, Inc. �� Geotechnical Engineering&Consulting•Special Inspection•Materials Testing•Environmental Consulting This report may be used only by the client and only for the purposes stated, within a reasonable time from its issuance. Any party other than the client who wishes to use this report shall notify Materials Testing& Consulting, Inc. of such intended use. Based on the intended use of the report, Materials Testing& Consulting, Inc. may require that additional work be performed and that an updated report be issued. Non-compliance with any of these requirements by the client or anyone else will release Materials Testing & Consulting, Inc. from any liability resulting from the use of this report by any unauthorized party. We sincerely appreciate the opportunity to be of service to you on this project and look forward to offering our services again. If you should have any questions concerning this report,please contact the undersigned at your convenience. Respectfully Submitted, MATERIALS TESTING& CONSULTING,INC. Tim Macke S.W. Region General Manager/WABO Technical Director Page 2 of 2 Corporate • 777 Chrysler Drive •Burlington, WA 99233 • Phone 360.755.1990 • Fix 360.755.1980 SW Region • 2118 Black Lake Blvd. S.W.• Olympia, WA 98512 • Phone 360.534.9777 • Fax 360.534.9779 NW Region • 805 Dupont St, Suite 5 • Bellingham, WA 98226 • Phone 360.647.6061 • Fax 360.647.8111 Kitsap Region • 5451 N.W. Newberry Hill Road, Suite 101 • Silverdale, WA 98383 • Phone 360.698.6787 • Fax 360.692.1919 Visit our website: www.mtc-ine.net Mason County -� Department of Community Development Mason County Bldg. 8, 615 W. Alder Street Shelton, WA 98584 360-427-9670 www.co.rnason.wa.us INSPECTION REPORT PERMIT # COM2015-00161 ADDRESS, 90 E. North Mason: School Rd. 'j aC4�_ 6(Ct 11_4� INSP. TYPE: MechanicallQ`s on Final COMMENTS: Consult. Answered questions in regard to _y^ requirements. Reviewed prei4ous correction report and inspected the corrections. Inspected the site-installed mechanical equipment in the attic and approved it. Contractor will he scheduling a final inspectionjor next Wednesday#. A file review needs to be done to see what inav or mat, not be outstanding. AP(Approved) ❑ DA(Disapproved) DATE: 312116 ❑ AE(Approved with correction) ISSUED BY; M. Barth If Disapproved, Corrections Are Required And You Are Hereby Notified That No Work Shall Be Covered Until The Above Violations Are Corrected. After Corrections Have Been Made, Contact 3urisdiction to Schedule Reinspection RETAIN THIS TAG ON-SITE FOR RE-INSPECTION Materials Testing & Consulting, Inc. xffc GnWchnir»1 rrVW refinj d Coms+RinC• 1 Mspectirwi•Maferiak Testiint a FnYdt+rnmemtaF Comalfim EVamrFd An�n Sinn Jiii'! a � PACE Academy - PO 2001500001 - 15KO47 - Field Report: Concrete: Report #F69058 CLIENT North Mason School District DATE 10/27/2015 PROJECT LOCATION 200 East Campus Drive PERMIT# Belfair WA Inspection Information: Inspection Date: 10/27/2015 Time Onsite: 10:15AM Weather Conditions: 60*F,Overcast. Inspection Performed: Concrete Report Profile: ®Any Deficiencies Noted ®Deficiencies Cleared ®Needs Engineer's Approval ®Approved by Engineer Comments: REINFORCING STEEL:Periodic Inspection ARIES BUILDING SYSTEMS DRAWINGS DATED 7-6-15. Sheet(s):S-1,S-2 Detail(s):GN/S-1;1-9/S-2 Location(s):Building Foundation Continuous and Spread Footings within grid lines A-D/1-7. Level(s)/Elevation(s):Foundation Level/See Drawings Reinforcing steel was of proper size,grade,lap,spacing,location,clearance,and secure prior to placement of concrete. Embeds:PRESENT AT TIME OF CONCRETE PLACEMENT. 1.CONTRACTOR NEEDS TO ACHIEVE 24"LAP SPLICE LENGTH ON CONTINUOUS BARS AND CORNER BARS PER GENERAL NOTE 8./S-1.- Contractor installed 48"horizontal#4 bars to achieve adequate lap length. 2.CONTRACTOR HAS 44 WALL DOWELS AT 48"O.C.THAT DO NOT HAVE THE 12db EXTENSION AT FREE END OF 90-DEGREE STANDARD HOOK BENDS PER ACI 318,SEC.7.1.2. Engineer approved present placement. 3.ISOLATED SPREAD FOOTING REBAR IN SONO-TUBES NEED CONCRETE DOBIES TO ACHIEVE THE REQUIRED 3" CONCRETE CLEARANCE PER GENERAL NOTE 8./S-1. Contractor placed all reinforcing steel on 3"dobbies. 4.CONTRACTOR NEEDS TO PLACE THE 24"ISOLATED SPREAD FOOTING REBAR @ B.5/2&3. Reinforcing steel was adequately placed per approved plans prior to concrete placement. CONCRETE PLACEMENT:Continuous Inspection Sheet(s):S-1,S-2 Detail(s):GN/S-I;1-9/S-2 Location(s):Building Foundation Continuous and Spread Footings within grid lines A-D/1-7. Level(s)/Elevation(s):Foundation Level/See Drawings Please reference concrete compression test report#C41906 for more information. Observed the placement of 24yds3 of CalPortlands mix design#2100 into continuous and spread footing forms at the locations noted. An-'t-opq"..01y"qwtwor qw I'1- f.&.4-PO 01. IIkT/.a[.N,!f4 r4o., WO"0 -f 4aMF�.•R:pip im—M rdfYSN—I •+•scs Aa-r rrrdirp Nrerwakv.si#s6�tar.nswr gsnat.r 2i0f St12 watxrisit reormp[i'e•eut -A•fns al!tqhY#rs�rrFd. Carporale • 777 Chrycier Drive - Burlington,WA 91233 * Phoae 2d9.733.1994• Fax 164.795.1946 tk keltlo - 211i5 111aci late Oivd. 8.th'.- Olympia, 'A'A 90412 - Pbone �6et.33i.4 7t + Fat �D(1,��4.gT79 kcgloo - 8(15 I)apofil Strgef, Suit* 5• kelliagbpm, W A 9$22S - phone 36(1.64#.686I - Fat 360.647.k11 t Visit our website. www_mtc iinc.ret PACE Academy-PO 2001500001-155047,102712015,#F69058,Page I of 6 Materials Testing & Consulting, Inc. G+asechnirel FoOmterbw&Cnn&*jr w•5pwial low0imi•%4r"p l%T"simr•Ein nmenlal C+ Itiet Erxanrerrd.lnvrnrrrc.Sincx i mI Concrete was delivered via rear discharge drum mixer and placed via Brundage Bone Concrete Pumping,inc.pump tru)PUumpuck had an attachment as to not allow the concrete to fall more than 5 vertical feet. Per specifications,concrete was tested for slump,temperature,and time. Load#1 -Slump=7 1/2"tested twice for verification,Temperature=64•F,Sampled @ 1pm Material placed was consolidated via electric high cycle vibrator. ITEMS NEEDING ENGINEERS APPROVAL 5.CONTRACTOR IS TO PROVIDE PERMIT FOR PROJECT WORK. No permit available at time of concrete placement. 6.CONTRACTOR IS TO PROVIDE C MIX DESIGN BEFORE CONCRETE PLACEMENT. 7.SLUMP TESTED AT 7 1/2"ON LOAD#1. PENDING ENGINEERS APPROVAL AND ACCEPTANCE,All work performed that was visually inspected was in conformance with approved plans and specifications. Revised by M.Dudley 3-9-16 Per Rock Shetler,PE-Blazer Industries dated 10-27-15,The Mix design is adequate for placement,no further action required. Images: tM,rv6n UlVtY�h ra�nT..las.k/wwwWf'wf ieaa,wY�,,,�n,8ps,,Yi�•_1N�AY!�.I��iT,R'�AAIP�f9K�lflY�f�T^�+�46.•lCl�il�M�iF�F•is1/N+�+,!IR�Ms� zaRics ih»o.+c .it,�ut'M asMmai art�Re�arntescfiery€K ;400 ,Sl1: A Z"o—l"MI,tnr )61!"O'k-.arar+cl. Corporate • 777 Chrysler Drive • •arlingtre,WA 31211 • Phone 346-733.1096• Fox 366.715.19*6 SCR' Region • 111K Black Late Ilivil, S.W -P Olympia, WA 90112 • Pbonc 36a1.514.67?T • liax 10)(034.4774 NW Region • 805 Dupont Strut, Suite 5 • sellinghrem, WA 91122.S • Phone .16C1.641.606t • Fax 360.647.11 t t Visit our websiie: es PACE Academy-PO 2001500001-15K#47,16127/2015,#F69058,Page 1 oj6 Materials Vesting & Con.sulfing, Inc. Gwvtea#mital�d CanwMi�►iprtinl fapM[tNm►lNuleritsl+.Tagoat►FnYit�mmrrtlal C.incnhen� - .s .. U UPLOADED: 10/28/201510:58:00 k UPLOADED: 10/28/2015 10:56:00 a. !.•..ear+.�h raaC�'f�91:�.�M....w+.,�.+. +4.•.+.dl�r^•�q.,wi ...r.�d..,rn.......+...�i�F..,.�—%-W Nwtir�w...MerM�•^.r.{ais s.wrM.Mer+�a n. •.r+M��•4,!r-'No I it €•r•w hws sr'.!•r dwl wr.q,•n.wsnne+l sadly as.a•air q•nt!_x 3*44 - :+i' M1,,ris4 re.,#W1 a i` 4" A 64,w-.a.••arr•./. Corporate • 777 Cirysitr firsvt • gurhngt*a, WA ')921! • Pikent 146-7SS-1998• Fit 164.715.10111 $W IttVan - 21t1 black Likke Mtvd, S,W.• 0iympia, W,.% 981tz • Phone 3p0.534.917" - tax 166,$.14,47,79 NW Rellam 905 Dapaw1 Stta4t, Suitc 5 • Btiliat fbrim, w 1 9:021 * Pbone lfitL s41.b11ti - Fat 360.647.911 t Visit out websiit: %-- _mic inc.eet PACE Academy-PO 2001500001-IS%047,102712015,#F69058,Page 3 oj6 Materials Testing Consulting, Inc, C Grslka#mi�al F,�inrrerwea�CnnwMin�•�prxinl ln�ryntj+s!a#1tAeriale Te+tin;a En.�nnmrntai C'rr•mltvt FjsgmvA ed Anvrumv Siv iM/ f ♦q,r�'M "v fD'. 3 i UPLOADED: 10/28i2015 10:59:00 UPLOADED: 10/28/2015 10:59:00 11.yi1,WO —1 mW1 1.1W 10�l d��aaf.A,. W4 .. .Mr- R/,R4 �16'A 19�fI9}f�:►R�S!!r'#r!�.r R�k,�li.with 4AF M Yg .A'M fl*.1R�!!�!f►.!� r�rraMw yr�edYO e,r rgwn Meca+++,ts as hroi• .r 3004 • 2fi: it a,rrt�lr Tsrriw� f Crs�ulei�A.9nr A!i rid►= rK rr+a4. Corporate • 777 Chrysler,Urine • Oarlaoglas, WA *A231 • Phone 3 O.7SS-1f90- Paz IWISS.1990 SW Reglps • 21 IN lfaset t,ate Htvd. S W • Ot}mpia, W1 ik 911012 • Pbone 36 LSJ4,9777 . 1-at 160,$34.9119 Nei 011ia■ • SO DuPou/ Street, Suite ; • 8elliaQham, WA 99225 • Pborne :160J,47.6114,1 - fax 360.641.9 t It Visit our website: :%v#v_mic ir,cmet PACE Academy-PO 2001500001-15%047,1012712015,#F69058,Page 4 oj6 Materials 'besting & Consulting, Inc. G"*chnirW FpcOwtviiiaR Cnnwkinc•SR+ciai Fwe0i+m•MMw wI%Tc�ftne•Fnvi+mmrmal C+wpaili■g ti F.a,�eKrm-�trtiurnan Simv/9JF! �£"�,,,•.. 1rr �y s - , # `4 <ir. ,.,� - - � UPLOADED: 10/28/201511:01:00 UPLOADED: 10/28,2015 11:00:00 M!�w!w+�Mt'+ �* Mai► aw�+ww!�h• Mr w4 •...+.:...r.-�eM;,..dt �.k� t�.,*M�+�r!s!I rnMwFig wAM}vv""4t 4. w w�0+1.A+.. a+isvAws arntwe k+crm+�e+isawfs+aa.iaw�n+at.r, Sino zw AI\Af w.rvo..wt a cssomi+Ewa..I" AN,iAMcs•soar 04. Carparale * 777 Cbryaltr tlr&T* • ■ariingi n, WA 91214 • Phase 169.73S.1090- Pet 360.7S5.1906 SW I tIE166 - +i dx filaCk I..Akt Htvd, S,W.• Olympia, WA 9$'112 - Phone :9htLi34.91TI • Fax 3br1.$,-44.4?7q N1+ Resins .PUS Dupowl Starrt. Stsilt S• $eElinghFm, WA +982►S + Phone leva.i 4't.6061 FAIL 3ba.W.S I I t Visit out website: wpw _mic-inc.ret PACE Academy-PO 2001500001-15%047,1012712015,#F69058,Page 5 oj6 — Materials Testing & Consulting,, Inc. Gr 4K+niml F sKI A fnnwdRins 0 Sp i it kl E momilins Esy�w�enrdrAr�nnr Sign.19fi1 Or K " x � Ate,:.; d UPLOADED: 10/28/2015 11:01:00 UPLOADED: 10/28/2015 11:02:00 REPORTED BY:Matthew O Donnell/Mike Dudley REVEEWED BY:Mike Dudley,Project Manager ys.cw�..wpall•.•fi r*s�ss�a "r*swl+�..�►ara+�t.M s�+*NI*•s^ss nt+�c�s.�4!leM+.�:.,w,....r�..saw�r�r.ii�+I w M�k�l n�wr!ddie�t.ain?wlrnw+..�. ...s w�+.+,.w.:tr.�. ��Rrr*sr+sp�sy�re4wak�rwW�eewlYyaer.ewsay�n+t :: .�_ + _+i: sl�.rr3�1r!"�st Fe+i Ce�euletwR,fe.z Fn.I�.Msr.scar=r4. C:orpnrare * 777 CYrysler Drive * Snri nglsn, WA 4k233 * Phase 360.735-199O+ Pr: S6*.7S5Atx* $'K itegino • 1.1 to afact l-Jkta Blvd, S W * Olympij, 'A:t 9114ti * Phone Wl,i34.97117 hai 360,$34,9719 lolW Kt Iam • go Du pool street, Sake 5 * let iimghitm, WA 41t2 .1 • Phone 160.641.41161 Fax 160.647.911 V sis out websii,e: k .mic-imc a:ci PACE Academy-PO 2001500001-15BO47,10/27/2015,#F69058,Page 6 of 6 Materials 'besting & Consulting, Inc. Nac Gew-t*r6ral FwcOwwilf d ConvAioc•Sprciel lnspKtim s MM!risI%Titan¢a F.nrinrnmemtal Cm7wili.¢ F.a�ianem/Anarnnrr Surrr Jt+'.51 ��'""'�•. PACE Academy - PO 2001500001 - 15KO47 - IPD-Soil Compaction: Report #D36366 CLIENT North Mason School District DATE 09/30/2015 PROJECT LOCATION 200 East Campus Drive PERMIT# Belfair WA Inspection Information: Inspection Date: 09/30/2015 Time Onsite: 8:00 AM Weather Conditions: Cloud) 50s*F Inspection Performed: IPD-Soil Compaction _ I Field Data: Work Location: IPD-S/Re-inspection of Proposed building pad at Gauge Standard MS: 11357 1.8-2.3/A.6-B.3. Equipment ID& Serial : CPN MC-1.Ser."MD60108184 �Gauge Standard DS: `21121 Test Samples: Sample#: Description: Proctor Value(pcf):Optimum Moisture and Oversize Rock Correction: L K15-0275 'GW,Well-graded Gravel with Sand.Crushed 133.9 17.3 TEST METHOD ® .NSTM D-1557/AASHTO T-180 In Place Density Test Results (ASTM D-6938): Test# Mode/Depth Location of lest [Icr. Wet Dens. Dry Dens. 'Moist"/o Sample# °o Comp. %Regd. 1 12" NE Corner SG 134.7 127.7 5.5 1 95.4 95 2 _ 12" NE Comer SG 131.5 124.1 b l 92.7, 95 7 H Native Soils Soils consistent with Proctor O Yes O No ❑ Imported Fills Soils found to be firm and stable;and to the best of our O Yes O No knowledge,meet compaction Contractor notified of results O Yes O No Remarks: MTC onsite at the request of the contractor to retest area noted as being defective in MTC report#F68381.MTC rep took 2 blind shots with density gauge and T-Probed the area in question.The proctor for the native soil has not been completed yet so final results are still pending on completion of lab work. Contractor excavated the area down 18 inches roughly,then back-filled and compacted area in question.All work was done prior to my arrival.Soils appeared firm and unyielding to the best of my knowledge. A sample of 3/4 inch CSTC was taken from stock pile on site and delivered to MTC lab in Silverdale for processing. See pies and test results below. Please re£the following: Sheet:C1.3,C2.0,C2.2 Detail:C 1.3 Details 1&2 Location:C2.0 1.8-2.3/A.6-B.3 Elevation:C1.3 Details 1&2 Specification:Section#31 23 23 Revised by M.Dudley 3-9-16 �al+ewft�A„�r►i aMcwr+-a-A. ....+.--„'.�.s.«+.:,.�r...s�ndl.:...w mar,ard�:w�n..M1:,.+Tar,a�pwrn!!en}ra!{eh�MA�"�!r"r��law. +�'�.�,lcf�i.•ae fekrrt.naRM�w s- a rcwdYrwa.reprtiry arreran.rF .mtd aaxAr¢wr�tlwis appr•.al. R 2400 2012 wm*rlalc tray-#!e All rt;Mgr•erars4. Corporate • 777 Chrysler Drive • Darlington,WA 92233 * Phase J".733.1436 - Pat .166.113.1"s SW Region - 21 I!C blact hate Blvd. $.W,- 01�mpia, *A 9011Z - Phone 460,534.977� - Fat An.$,14.4fi19 NW Region - 905 Dupont Stith. Suitt 5 - littliagham, WA 911122$- Phone 360.64`.61161 - Fat 360.647.9 1 1 t Visit our websile: www.2nlc i2sc ire PACE Academy-PO 2001500001-155047,09/3012015,#D36366,Page I oj2 Materials Testing & Consulting, Inc, MIX G"A"'OvnicalF. Cearxdtinc'Sprciiii Fnrtxceirm 0*lat l+Te int EnYa*Mmrntal C?+.+mtlwR f.n,Yaorcrrd.lnnrnnn.Some T9C41 '`'tiwr •c Images: ` a UPLOADED:09/30/2015 14:15:00 UPLOADED:09/30/2015 14:15:00 NE comer of building pad. 3/4 inch CSTC stock pile. REPORTED BY:Tom Sylvanie REVIEWED BY:Mike Dudley,Project Manager M1+Ie.v�r..ely r...rs+hw�•.�wlgr�+M+rr.+t.Me..es�erwawrnN�+...FMN'riwanA.a:..M.a�.a1r,.M! ►�f n lr•?.eta.MST+et•ta+fa++...cs4�twt+s. ..r w►eMc..,w�•.wr aevcw:ilr.Aw +vsierh wrnpru r.s.wwei wis4y nweippr»�i r-SiN� Sl-:12#1 a,rri1 Tr '.F A 1" 41 r AV.".4'r eC Corporate - 777 Chryrler Drive • Iturl,ngian, WA f111;233 • Prone 3".7311-1996- Fa: 360.755.198i $W Region - 1 is Haack (,ate 131vd, S tti' • 4iltmpia, WA 90it2 • Phone 3&0,'i,34.9V?T1 • fax 36Q.$34,91Iq NW Revlon - $05 Aupoul Stant. Saitt: 5 • Bemagham, *A 49225 - Phone 160.641.61161 - Far 160.647.91 It Visit our website: +r-;,, ma,: inc,nes PACE Academy-PO 2001500007-15%047,0913012015,#D36366,Page 2 oj2 Department of Labor and Industries al.; .to o umn. ec ee Facto Assembled Structure s PO Box 44430 Olympia WA98504 4430 NOTIFICATION TO LOCAL ENFORCEMENT AGENCY www.wa.Lovllni/FAS/ Date (case sensitive) M 106 7/28/2015 The Factorv-Built unit identified below requires completion work at the Mfg site asspecified. Blazer Industries, Inc. wners name M gr's serial no. Dept serial no. Pace Academy 15 18462 -01 & 02 hastallation address Type of construction Occupamcy ETA at site 200 E. Campus Drive VB E/A-3/B rty State ZIP+4 ounty Phone number Belfair WA 98528 Mason Installation site is in: City . County /VE® DESCRIBE ITEMS REQUIRING COMPLETION WORK AT THE SI / .; 4 BUILDING DEPARTMENT ELECTRICAL DEPARTM T www.wabo.org/ www.wa.govl` rf�Ca� INSERT NAME AND ADDRESS IN SHADED AREA INSERT NAME AND ADDRESS IN SHADED AREA .............. ................................................................. . . ... ............... . .............. ............ .................. .................................................. o: . .................. Mason Co. Bldg. Off. L& I Electrical 426 W Cedar St. 500 Pacific Ave, Suite 400 Shelton WA 98584 Bremerton, WA 98337-1943 Insulation,vapor barrier&Air Barrier @ marriage line Electrical service connection Plumbing connection to servicetG Water heater pressure relief valve termination C Completion of hinge roof system Completion of Mechanical System,Installation of Pad Mount AC Fire Sprinkler System Connections and Testing Installation of Folding Partition Walls in Classrooms Foundation Plan Review and inspections Plan Review and Inspection of Fire Alarm System Fire Extinguishers installed near Ext.Door Air Barrier Test Plan Reviewer's name(print/type) Phone:(gam to 5pm) Manufacturer's name(print/type) Terry Kleier 360-902-5221 Blazer Industries Inc. Office location Date Manufacturer's signature L & I F.A.S. Plan Review For Dept Rec'd File By Olympia office Use ONLY / / Electrical section Inspector Building departineot F623-013-000 (PDF) notification,to local enforcement agency 11-00 Customer Materials Testing & t2on"sultin , Inc. titTC g Geotechnical Engineering • Special Inspection • Materials Testing • Environmental Consulting Client: North Mason School Dist- Date: February 22,2016 Address: 71 East Campus Drive Project: Pace Academy Belfair WA 98528 Project#: 15KO47 Attn: Eric Nelson Sample#: K16-147 As requested MTC,Inc.has performed the following test(s)on the sample referenced above.The testing was Test(s)Performed: Test Results Test(s)Performed: Test Results X Sieve Analysis FA%* Sulfate Soundness Proctor Unit Weight Sand Equivalent WSDOT Degradation Fracture Count Uncompacted Void Content '• Moisture Content Specific Gravity,Coarse Specific Gravity,Fine Hydrometer Analysis Atterberg Limits X Asphalt Extraction/Gradation ' 5.43% X Rice Density 155.1 If you have any questions concerning the test results,the procedures used,or if we can be of any further assistance please call on us at the number below. Respectfully Submitted, WABO Supervising Laboratory Technician Corporate—777 Chrysler Drive • Burlington,WA 98233 • Phone(360)755-1990 • Fax(360)755-1980 Regional Offices: Bellingbam(360)647-6061 • Olympia(360)534-9777 • Silverdale(360)69"787• Tukwila(360)241-1974 Visit our website:www.mtc-mc.net Materials Testing & Consulting, Inc. MTC } Geotechnical Engineering • Special Inspection • Materials Testing • Environmental Consulting Asphalt Extraction Specs: 2014 WSDOT 9-03.8(6)1/2"HMA Sieve Percent Specs Specs Meets Date Sampled: 2/22/2016 Size Passing Min Max Specs? Project: Pace Academy 3/4" 100% 99% 100% Yes Project#: 15KO47 1/2" 100% 90% 100% Yes Client: North Mason School Dist. 3/8" soec °A°'� Supplier: Lakeside-Shine #8 36% 28% 58% Yes Sample#: K16-147 nAOCSED1tED #200 7.0% 2% 7% Yes Location: Plant/Truck Test Results Specs %Asphalt by Ignition Process(ASTM D6307-98): 5.43% Maximum Specific Gravity: 2.492 Maximum Unit Weight(ASTM D-2041),lbs/ft3: 155.1 %Fracture(ASTM D-5821): Not Tested Extraction Results 120.o v I - -- - ---- - - 1 i l 100.0 r i — - i W 60.0% ! - cc IL i I ao o r _ 20.0% 0.0% — 0.00 0.01 0.10 1.00 10.00 100.00 Sieve Size(mm) ---•---Minimum ---•---Ma7dmum t Test Results All results apply mh' actual lucatioas and materials tenad_Asa mutual pmt .w clients,the public and—i—.all reports arz subm d as the confidenuel p`opo otcli m and auth—"on f r publication o(sielanmu cw i—om or tracts 6om m regarding am rgas s is renewed pmdmg"ur w nea appm111 Remarks: Out of specification on the 3/8 mch sieve. Reviewed by: Corporate—777 Chrysler Drive •Burlington,WA 98233 • Phone(360)755-1990 • Fax(360)755-1980 NW Region—805 Dupont Street,Suite 5 Bellingham,WA 98225 Phone(360)647.6061 • Fax(360)647-8111 SW Region—2118 Black Lake Blvd.SW Olympia WA 98512 Phone(360)534-9777 • Fax(360)534-9778 Kitsap Region—5451 NW Newberry Hill Road,Suite 101 • Silverdale,WA 98383 • Phone(360)69"787 • Fax(360)692-1919 Visit our website:www.mtc-mc.net Materials Testing & Consulting, Inc, Gfo*rhnk*F A complying•5pft-W Inspixo m•Hm"k Te.w•ft msmlal Cmmllity Eat�irnrd, �►ix-iml - PACE Academy -PO 2001500001 - 15KO47 - IPD-Asphalt Compaction: Report#A11765 CLIENT North Mason School District DATE 02/22/2016 PROJECT LOCATION 200 East Campus Drive PERMIT# Belfair WA Inspection Information: Inspection Date: 02/22/2016 Time Onsite: 10:30 AM Weather Conditions: Clear 50f Inspection Performed: IPD-Asphalt Compaction Field Data: Supplier/Plant: Lakcsidc Shine Tons: 225 Mat Temp:=300°F Air Temp:+50°F Thickness in inches: 2 Rice or Marshall Dens.: 155.1 Class: HMA Class 1/2" Leveling: ® Wearing: Field Tests: Test# Location/Station# U.L.Dens. Offset/Depth Reading#1 Reading#2 Avg. %Comp. %Regd. 1 wl BS 143.8 143.4 143.6 92.6 91 2 42 BS 144.0 144.2 144.1 92.9 91 3 *3 BS 144.4 144.0 144.2 911 91 4 44 BS 143.4 143.6 143.5 92.5 91 ------------------ Gauge Model/Serial#: CPN MC 1 Ser.#MD50607947 MS: 9322 DS: 34910 Remarks: Sheet.C3.0,C3.2 Details:C3.2/A.1 Locations:See Photo#1 Level:Finished Grade Elevation:See Plans MTC representative on site to perform in place density testing of 1/2"HMA ID#175 from Lakeside Shine.220.00 ton placed. 1/2"HMA was placed in Two 2"lifts as noted in area on plans and one 2"lift as noted on plans Tack coat was applied to existing edges prior to the placement of HMA. HMA was placed by paver fed by end dumps. Compaction effort was applied by double steel drum rollers and plate whackers. An HMA sample was taken on site and delivered to MTC laboratories for evaluation.A rice density of 155.3,an average rice from previous paving,was used to calculate compaction percentage. Final compaction results are pending laboratory evaluations. Images: /AI sWw:�yi,"Rfi m4-at�a...w..:eA�aW,-aaw.4a f_w+IAA/�-��'s•t�Fl�1R.•�Fre�►.11�+RR�^+./-:,�tllwP fF}!e��f4�r8 h9-C+NI±I�tARh*!+[.�+�..RICTR!M�f+SAS*-��'nl�'4fMt!'f+MhT�+.w ,Vgrr•P-' arrtcv:ftr9is s"yepagYrw arrrsT err to�.waianlaur'.,�rwr�R•r°'�.S'S#Ak - ul�i? M�errisls T-,r�s bn�f,t'tsrrule�a(,4r,.c /.9!rig:Mmr•ae+'rs:c4. Corporate • 777 Chrysler Drive • Rarlingtom, WA 411213 • P606e 140.733.1f96• Paz 3i�_753..19$g SW Region • 21 to Olact; I,*** Htvd. $,W • Olympia, WA W17 - Pbone 364,7i34,91?l Fax 360,$34,9774 NVt: Region • $95 flupool Stat.tt, suitir 5 • getiisgham, 'WA g9221 • Pbone Fax 360.647.ltl l t Visit our website: rs PACE Academy-PO 2001500001-15%047,022"016,#All765,Page 1 of 2 QL Materials 'besting & Consulting, Inc. -XfTc Grak%*ninl F—alm"rinz d Omwkinr•Spmriai Iwroitat r I meR iah.Te r Evvi"Mmew3t Ccrgalt ng ti F.s�ioeeml�AnyraA/x S0�I�ii1 'npr+::—^'�e4 r UPLOADED: 02/23/2016 10:17:00 UPLOADED:02/23/2016 10:14:00 REPORTED BY:William Kilpatrick REVIEWED BY:Harold Benny,Lab Manager 4s•./.w,�mEr.t',,.. lnae.s+wl +•..�r..q. .,.wat..n.ar-cwc:...•r-twe;i.d .+.r....t,a..p....,.a.rsl..!*a+l+lewr+!Mri'!s+,.a ac+ar,..casr+•. .+ �+esw.,... A,..... ta�x^Awwnaloan9 YPR'!�i F1Yi3E«dAK�BD`l d+s rwR'R�Ii.Y. S#t.i Sbi2 Vs,:ria is TF—ft+[ 1— A!t'%A"€.ara rcel. Corp-oratc • 777 Cbryrler Drive = Ilarltngtan, WA 41213 = Pboat 3"-TSS.1096• Pr= 3kl.75S.1g8i $w kegles • t t5 N141ci [,Ake 11Evd, S'* - 171?tnlsia, *A 90i1z • Fbona = Iax I&U,$14.9179 NW ittgiae • 805 llt+POW Stunt,Stitt 5 = Bttiinghwm, WA 012" = Pbofte AtatL641.6061 - Fax 3160.t41-tI I t Visit our webaile. ww-0 mrc inc aret PACE Academy-PO 2001500001-1 SK047,022211016,#All765,Page 2 of 2