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Home My WebLink AboutCOM2012-00051 Final Remodel - COM Permit / Conditions - 2/4/2013 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext. 352 Shelton, WA 98584 i� COMMERCIAL BUILDING PERMIT COM2012-00051 OWNER: SHERRI GRUENEIS RECEIVED: 4/17/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 8/23/2012 SITE ADDRESS: 24200 NE STATE ROUTE 3 BELFAIR EXPIRES: 2/23/2013 PARCEL NUMBER: 123282390002 LEGAL DESCRIPTION: SW NW, E OF RAN TR B OF SIP#2487 PROJECT DESCRIPTION: DIRECTIONS TO SITE: McDonald's Restaurant Remodel (Scope of Work)...Eliminating FOLLOW ST RT 3 TO BELFAIR MCDONALDS the mansard roof and replacing with parapets, updating the restrooms to meet accessibility requirements, residing the wood exterior,removing bay windows,adding updated corporate General Information Construction&Occupancy Information Type of Use: RESTAURANT Insp.Area: No. of Units: 1 Type of Constr.: VB Type of Work: REM Fire Dist.: 2 No. of Bathrooms: 2 Occ. Group: A2 Valuation: $ 99,251.46 No. of Stories: 1 Exit Design. Load: Building Height: 27 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 3,267 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.: Urban Growth Area 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?: COM2012-00051 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 Floor Sink 2 Exhaust Hood 1 Plan Check Fee r.mm a1171,?nl9 arnF oa g19n19nn Lavatories 1 Planning Review Fee r.MRA ar17nnl9 vRsn nn g19n19nn Water Closets(Toilets) 1 Building Permit Fee rUKA ar17/9n19 (ZaaR 7r, C19ni9nn Building Permit Fee moon A1171gniq Raos 7s C19n19nn Building State Fee rum A/17/9n19 as 5n C19n19nn IFC Plan Check Fee rum A/17l9n19 IVA99 07 C19n19nn EH Plan Review RAPR A19519n19 �-t1wi nn S59n19nn Plumbing Permit Fee I AW 5r1r9n19 VAa Rn C19n19nn Plumbing Base Fee I AW r,1119n19 49a 7n R19ni9nn Mechanical Permit Fee I AW 7r19r9rN9 .ui 9n R19rN9nn Mechanical Base Fee I AW 7r19r9n19 -t9R 5n g1,2n19nn Total $3,495.11 CASE NOTES FOR COM2012-00051 CONDITIONS FOR COM2012-00051 1) Must have a dust and dirt control program during remodel to ensure food safety, or closure may be required. Please contact Julie Walker at(360) 427-9 0 ext. 361 for any questions regarding dust and dirt control. X 2) Appro per ns�\and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X III COM2012-00051 Page 2 of 6 I 3) A Knox box is required per section 506 of the 2009 International Fire code, please contact the local fire district for more information and inspection X Install 2A10BC fire extinguishers throughout the building per chapter 9 of the 2009 International Fire code. Mounted no more than 60 Inches above the floor toA j!p of the unit and with a maximum travel distance of 75 feet in any direction. X << All interior wall and ceiling finish is required to comply with chapter 8 of the 2009 International Fire code. A minimum of a class C is required with a smoke devellegt index of 0-450 and a flame spread index of 76-200. X / A separate permit application is required for any changes to the existing fire alarm system. The permit application is required to be submitted and approveco:Rl to any work being done. X A separate W it application is required for any changes/work done to the exisitng fire suppression system for the type I hood and duct. X 4) PER TITLE 14 MASON COUNTY BUILDING CODE -CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS- 14.17.110: A fire apparatus access road in excess of 14%grade and more than 150' to new residential or commercial structures will require an automatic fire sprinkler stem installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information. x 5) 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 poten ial risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state ►aw. X 6) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans Pre not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be ged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X ' 7) 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 ,K' 8) 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 ing Department prior to any further inspections being performed or approvals granted. 9) 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 TH LL BE REQUIRED TO BE SUBMITTED TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. X COM2012-00051 Page 3 of 6 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, PO Box 186, 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 pancy inspections. X 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, pproval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collec y the Mason 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 USF>412 OCCUPANCY 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), Buildin lumbing/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 Masonnty Building Inspector shall be made prior to requesting additional inspections. X 15) All property lines shall be clearly identified at the time of foundation inspection. X 16) 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 non-c?Tliant with Mason County ordinances and building regulations. X 17) 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 p%mit holder have prevented action from being taken. No more than one extension may be granted. X c2r_ 18) Consi�u�tion debris shall be removed from the site to protect adjacent properties and waterbodies and shall be disposed of properly. X 4 19) Prior to the use or concealment of any portion of a grease duct system. A leakage test shall be performed. Ducts shall be considered to be concealed where installed in shafts or covered by coatings or wraps that prevent the ductwork from being visually inspected on all sides. The permit holder shall be responsible to provide the necessary equipement and perform the grease duct leakage test. A light test shall be performed to determir what all welding and brazed joints are liquid tight. X � COM2012-00051 Page 4 of 6 This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of M�as'o County access to the above described property and structure for review and inspection. OWNER OR AGENT: �l `�i � DATE: COM2012-00051 Page 5 of 6 8/27/201.2 Conditions Associated With 3:48.42PM Case th COM2012-00051 1 Permit Condition Status Updated item# Code Title Status Changed By Tag Date By 14) 5045 FIELD CORRECT NOT MET 5 1%2012 LAW 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 Building Inspector shall be made prior to requesting additional inspections. X 15) 5510 Property Lines NOT MET 5/1/2012 LAW All property lines shall be clearly identified at the time of foundation inspection. X 16) 5600 FINAL INSPECTION REQUIRED NOT MET 5/1/2012 LAW 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 non-compliant with Mason County ordinances and building regulations. X 17) 5610 PERMIT EXPIRATION NOT MET 5/1/2012 LAW 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 18) 1 CONSTRUCTION DEBRIS NOT MET 5/7/2012 AHB Construction debris shall be removed from the site to protect adjacent properties and waterbodies and shall be disposed of properly. X 19) 1 GREASE DUCT TEST NOT MET 7/12/2012 LAW Prior to the use or concealment of any portion of a grease duct system.A leakage test shall be performed.Ducts shall be considered to be concealed where installed in shafts or covered by coatings or wraps that prevent the ductwork from being visuae inspected on all sides.The permit holder shall be responsible to provide the ecessary equipement and per o?1VV*& est.A light test shall be performed to determine that Il welding and brazed joints are liqui Ight. X 20) 1 SCOPE OF WORK NOT MET 8/27/2012 TW McDonald's Restaurant Remodel(Scope of Work)...Eliminating the mansard roof and replacing with parap updating the restrooms to meet accessibility requirements,residing the wood exterior,removing bay windows,adding updated corporate branding elements,optimizing the drive- lane,also will be updating the site(landscape) around the bldg.New Dry storage building and trash corral fence over ew sign . Page 3 of 3 CaseConditions..rpt �► .* qrZ/-/Z 7 CONCRETE MECHANICAL MANUFACTURED HOME X C N Footings !Setbacks Ws Piping By Ribbons m p Interior Date By Interior-Date By Date By rn_ ccn Exterior Date —5"41sy Exterior-Date_ By Sot-up ��— INSULATION N Point Load J Isolated Footings Date By m BG!SLAB INSULATION Date By Data By FIRE DEPARTMENT X Foundation Walls Floora Date By Date, By Date By DECKS F RAM INGc ;p_la,�c4-^'O -TR Walls Date By Date By Date By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date B y Type_/�t_, /2 Date B y Dale y�/l � /� D.w.v DRYWALL Type: / ay7� n Date B Int.Brace Wail Date By 3 y Date By N FINAL INSPECTION Water Line Fire Seperation Date By y Data By Date By IV O Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments pis Lv-/L rM�v,� - o� _4402 •sc- EES i Ono r��1 pass v s� 6 -L q sZ12 C42i, i, r Fi yos11 AC_A0« i �y�l I A? S7Zt- 0 CA 141 — e_ V,_ i:�✓ o�2 off rCLs C S 4��c zc dkC�C-G cm Z�S,3- 7'ytp 0"'rC7 r T<:it-G ifiM jr, ?G �P,e✓ �j►E IJ 13 !� /?X a �iT Building Permit # Z -z%? MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 2 yz c%'7-' 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 code compliance / X S 2 V 4is-Z 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department .16 L-;00 Date - J S Inspector T,fc, DU NOT REMUV THIS TAU- Building Permit # OUNTY . MASON C BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Z '�zdo sT /,?i 3 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 code compliance 1 o G N o�✓ Sr� — a T"sFi o7c c.5��r �� Cc_ O '? J, G �i�/�A52 , ror= G i✓I EST ?Moir/ G o v 621 J o,✓1 G,O�XTy ,�o�s //�� r/�iYc y-✓�/f c F�ll►'1 T-/ 2 /7� Opib F -o S%C,O G/1L 7-t-E /O z",,2 `f2'9 6 7G EXT You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FU THER WORK ® Call for re-inspection when corrections are made before continuing ® Make corrections, items will be checked on next inspection L /�O /ius c ,v This is not a complete inspection Department 113 � Date / Inspector i/y ■ �� :� k �T MO AV THI —No& TA �* mi MAYES TESTING ENGINEERS, INC. seaffile«fte UUVWMZI�a =Cedar Vale„Rued Sub 110 Ly"flood,WA98036 ph 425.742-9360 Project No.: T12178 fax425.745.1737 Project: McDonald's Belfair Remodel #46-0290 Offim Address: 24200 NE State Route 3, Belfair, WA 10M9►S.Ta 10029 S.Taoorna Way Permit No: COM2012-00051 Sii9E-2 Bldg Dept: City of Belfair TaoomaWA98499 REVISED ph253.5�.37� Owner: McDonald's Corporation W253.584.3707 Engineer: Dibble Engineers 9:53 am, Nov 07, 2012 Poreandofte 7911 NE 33rd Drive Architect: Freiheit and Ho Architects SLAB190 Contractor: EM Precision Portland,OR97211 ph 503281.7515 fax 503281.7579 Record No: 011 EMAILED Date: 10/10/2012 By Nancy Simmons at 11:03 am,Nov 07,2012 Weather: Partly Cloudy Inspection: Structural Steel Inspected welding of butt joint splice welds for three Type 1 Grease Duct& Exhaust systems. Welds were found to be visually acceptable and made in compliance with IMC-2000 Section 506.3.3. Welds have been completed and were inspected with the aid of portable light. Light to was performed and verified that there were no voids in welded metal. Confirmed installation of Acce s anel. Pease see figure an below. Figure 1: Access Panel Figure 2: Typical Weld Appearance To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. Inspector: Jonathan Peters Reviewed by: Timothy G. Beckerle, P.E. Branch Manager Page 1 of 1 i MERIDIAN SECURITY SERVICE FOR: Ng &ELECTRIC, INC. (253)638-1792 P �h% 0 . (fax) 638-0396 SILL TO: Account OF Date: • / Service Number: Service Tech: Contact: Order received from: PO Number: Customer's system request!complaint: 5 T We gurantes Q*that the Arts instaW and tabor dons by us wM perform satjsfectm*under ow4bon of namai usage rot a Pffw of(90)*wKY d8P aiter ft day of repair. Except as prwided above, there is w vmrra*or gua w*"of 110 Cl M ftbft,or!Roses for a Pwoudw purpose,of or any idnd,wpws or imp W,with respect to the services performed or parts by us,and wee do not,or cares,mdw arty yuwarrtee of other pe ft, if repak later beoorrres necessary due to other defective Pam,OW wW be dwVed NVWM*.Each Service Cat!wN r4kWe,but nit be br&d to,a mir*n m one haw trip dwWr Accepted&Approved: Service Technician: of o.a L Meridian Security, Inc. Invoice PO Box 7171 Kent WA 98042 Date Invoice# 2/1/2013 5066 Bill To EM Percision LLC Tim Nemeth PO Box 2266 Sumner WA 98390 P.O. No. Terms Project Due on receipt Item Description Est Amt Prior Amt Prior% Qty Rate Curr% Total% Amount Service... Service Call for Belfair 440.00 4 110.00 100.00% 100.00% 440.00 McDonalds Service... Heat Detector 85.00 1 85.00 100.00% 100.00% 85.00 Total $525.00 Payments/Credits $0.00 Balance Due $525.00 I Please Print Date: 2/1/2013 Testing Preformed At: Preformed By: Name: Belfair McDonald's Store# 13376 Name: Meridian Security& Electric, Inc Address: NE 24200 State Route 3 Address: PO Box 7171 Belfair WA 98528 Kent WA 98042 Telephone: 360-275-9293 Telephone: 253-638-1792 Contact: Sean Hunter Technician (43kue� t M P/f License No: ugsv 9 0 R-rm Signature: (This is to certify that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent with the NFPA Fire Alarm Maintenance Standards) Monitoring Acencey Service Quarterly Semi-annually Name: General Monitoring Services X Annually Account# 29-2986 Other Telephone: 1-800-634-3915 Panel Manufacturer: Ademco Model No.: Vista 128FB No. of Initiating Circuits: 8 No. of Signal Circuits 2 Battery Voltage: volts Charge Circuit Voltage: /3, (p volts Battery Voltage Under Load f2, r volts(signals operating) SATISFACTORY SYSTEM POWER CHECKS YES NO N/A Trouble signal with AC off X ISystem operates satisfactory on stand-by power All signals operate on AC power All circuits checked for electrical supervision Control panel checks made per NFPA& manufacturer's instructions All auxiliary equipment operates elevators, fans, dampers) All alarm notification appliances checked for proper o eraction Key to panel available .Operating instructions at panel Test record posted at panel TYPE OF EQUIPMENT TESTED #UNITS SATISFACTORY (All devices must be tested) TESTED YES NO N/A Bells, Horns, Chimes, Voice Alarm Speakers 9 Visual Alarm Devices 11 Circuit Trouble Indicators 6 Automatic Fire Sprinkler Supervisory Switches Automatic Fire Sprinkler Flow Switches Heat Detectors 7 Smoke Detectors 3 Manual Pull Station 4 Ventilation Controls Operate Annunciators 1 Elevator Call Down Automatic Door Release V� Fire Dampers/Smoke Dampers 1` Phone Jacks 2 Automatic Door Unlocks Failsafe Other/Duct Detectors 3 CENTRAL STATION MONITORING Alarm Signal Alarm Restores Trouble Signal Supervisory Signal Supervisory Restorable Noify Monitoring Agency that testing is complete Problems Found: j 601 �p7c�T0� Corrections Made: +cc,' � Date Corrected: By: (9/17/t '�1 Waters - McDonald's Belfair Remodel T-12178 9-13-2012.docx Page_1_,f-E_1 - ' -1��fi€Sfi1l��EldfY1VE€�— �� FIELD COPY/SUBJECT TO REVIEW Ta20225 Cedar Valley Road,Suite Ph 425.742.9360 .110 Fax 425.745.1737 Lynnwood,WA 98036 Project No.: T-12178 Date: 9-13-2012 Ph 253.584.3720 10029 S.Tacoma Way,Suite E-2 Fax 253.584.3707 Project McDonald's Belfair Remodel Tacoma,WA 98499 ; Ph 503.281.7515 Permit No.: COM 2012- Weath sunny 7911 NE 331"Drive,Suite 190 Fax 503.281.7579 Portland,OR 97211 00051 er: Project 24200 Ne State Route 3 Belfair, WA Address: INSPECTOR TIME HOURS Owner: McDonald's Daniel Quehl Engineer: Dibble Eng. Architect: Freiheit and Ho Architects Contractor: EM Precision Type of Inspection: RS and SM Samples: 1 set of three 4x4x8 grout prisms SUMMARY: Inspector tested and monitored the placement of Hard Rock Inc. mix #4500 70/30 2,000 psi grout. This was for the grouting of 8" CMU block walls for the Trash Enclosure from full height of the walls at an elevation of 0 to 8'. The reinforcing steel was inspected prior to the concrete placement verifying the size, grade, proper spac nd clearances referencing details on 1/T1.1 in the approved contract documents. Preliminary- The subcontractor high lift grouted to an elevation of 0 to 8' for this grout placement with any cleanouts. This is pending the approval from the Structural Engineer. The concrete was placed by a line pump and was mechanically consolidated with reconsolidation using a vibrator with a total of 7.75 cubic yards placed. Inspector cast 1 set of three 4x4x8 grout prisms for strength verification with the test results for these samples as follows: Slump I Mix Temp. Ambient Temp. Time Batched Time Sam led Yarda e 9" 76 degrees 81 degrees 3:15 pm 4:00 pm 7.75 cu yards These test results were given to the contractor. To the best of our knowledge, all items inspected today are in conformance with approved plans and specifications. YES NO x PRELIMINARY INSPECTION Preliminary- The Subcontractor high lift grouted to an elevation of 0 to 8' today for this grout placement MTE 1000-2C,Rev4, 10/14/11 (9/17/ 1 Waters - McDonald's Belfair Remodel T-12178 9-13-2012.docx Paae 1�� -TTESTING-ENG11 € FIELD COPY/SUBJECT TO REVIEW without any cleanouts. This is pending the approval from the Structural Engineer. MTE 1000-2C,Rev4, 10/14/11 From: Debbera Coker To: fireguard@techline.com CC: Larry Kelly; Ryan, Terry; Waters, Larry Date: 10/9/2012 9:27 AM Subject: Belfair McDonald's inspection This email is written to confirm our meeting at the permit center counter this morning concerning special inspection(s) performed by Maye esting of the MacDonald's Restaurant in Belfair, permit numbers COM2012-00051 and FIR2012-0�28. Below is a recap of our expectations: 1 - Install the commercial hood and fire-extinguishing system in accordance with the 2009 International Mechanical and Fire Codes, applicable NFPA, and Manufacturer specifications. 2 -Mayes Testing, an authorized special inspection agency, shall verify that the hood and fire suppression system is installed in accordance with code and manufacturer specifications including fire resistive assemblies as needed, and the fire-extinguishing system. A written report, prepared by the Mayes Testing, referencing fire protection permit number FIR2012- 00028, shall be provided to the Mason County Building Department to be added to parcel file and permit records. A satisfactory report, without corrections, will be required in order to operate the hood and duct system. The permit (FIR2012-00028) for the fire protection elements of the hood will be reviewed and approved by staff. Operation of the system prior to permit approval will be done at owner's and contractor's own risk and is subject to corrections by Mason County. 3 -A final inspection of the permit for structure remodel, permit number COM2012-00051, shall be performed and occupancy approval shall be required to operate the business beyond prior approvals. Temporary occupancy may be granted for permit number COM2012-00051, subject to review and inspection approval by Mason County staff for the hood & fire-extinguishing system, permit number FIR2012-00028. Hope this information is helpful so that restaurant operations can continue as planned. I look forward to receiving the written report prepared by Mayes Testing. 'N Debbera Coker Mason County Building Department Building Inspector IV/Code Enforcement Phone: (360)427-9670 ext 510 FAX: (360) 427-7798 e-MaiI�.PLC@co.mason.wa.us PO Box 2 426 West Cedar Street Shelton, WA 98584 Seafde office MAYESWO110 �'' TESTING ENGINEERS, INC.1NC. s�it1,0 M . , Ly mood,WA98036 ph 425.742.9360 fax 425.745.1737 Taco=Ofte October 29, 2012 10029S.TwomVY* Suit E-2 Taooma,WA W99 ph 253.584.3720 Mason County Building Department fax253.584.3707 PO Box 186 Pofdxdofflce Shelton, WA 98584 7911 NE33rdDrne suit 190 Portland,OR 97211 ph 503.281.7515 Attn: Building Official fax5W281.7579 FINAL LETTER Re: McDonald's Belfair Remodel 46-0290 Permit# COM 2012-00051 24200 NE State Route 3 Belfair, WA Project No. T12178 To Whom it May Concern: This is to inform you that registered special inspections have been completed for this project as per our reports, copies of which have been sent to you. Special inspection was provided for: • Reinforced Concrete • Lateral Load Resisting Framing • Proprietary Anchors • Reinforced CMU Masonry • Soil Compaction To the best of our knowledge, all work inspected was either performed in accordance with, or corrected to conform to, the county approved drawings, or engineer approved changes. We trust that this provides you with the information which you require. Should you have any questions give us a call. Sincerely, Mayes Testing Engineers, Inc. I666 f'-n' MASON COUNTY PERMIT NO.�� /�'�z-'00051 BUILDING PERMIT APPLICATION ��-A n 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 ?)�,)F�L/� (,! Vt- On the web www.co.mason.wa.us A ALVTINF MATION fd } eA'-4'A— CONTRACTOR INFORMATION TBD Owner Sherri Grueneisj c?2'ucaC_`�M�-I iL. Company Name Mailing Address 5209 Lake Washington Blvd. NE, suite 200 Mailing Address City Kirkland State WA Zip Code98033 City State Zip Code Phone (425) 827-2100 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address grueneis@fhoarch.com E Mail Address Drivers Lic.# N/A DOB N/A Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No. 12328-23-90002 Fire District Mason county Legal Description SEE ATTACHED Site Address (Please include street name, street number and city)24200 NE STATE ROUTE 3, BELFAIR, WA 98528 Directions to site Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt x Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building RESTAURANT Describe Work SEE ATTACHED. No. of Bedrooms 0 No. of Bathrooms 2 Square Footage- 1st Floor 3 , 267 2nd Floor X 3rd Floor Basement Deck Covered Deck Other Sq. ft. 3 , 267 Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. 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 the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained perm' sion from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provi ed is apWrate and grants employees of Mason County access to the above described property and structure for review and inspection. PR OF PONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. II-uCN�� It r PO WDate; Ps Owner O ners Re resentati Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date " DEPARTMENTAL REVIEW AjPPjROVED DENIED NOTES Building Department 7.-/2 Planning Department Environmental Health Department Lk 1.Qo 1 , Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee ' Mechanical & Base fee Other T- 7 I"T" 7T""T1 Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES Freiheit a Ho s . �hit 24200 NE State Route 3, Belfair WA McDonald's Restaurant Remodel Scope of Work Work to include eliminating the mansard roof and replacing with parapets, updating the restrooms to meet accessibility requirements, residing the wood exterior, removing bay windows, painting the existing building, adding updated corporate branding elements, optimizing the drive-thru lane, and updating the site. Legal Description That portion of section 28, Township 23 North, Range 1 West, W.M., in Mason County, Washington, Described as Follows: Commencing at the west quarter corner of above said Section28; thence S89° 09; 28" E-1051.36 Feet to an existing 1/2" iron pipe, this being the northeast corner of parcels surveyed under survey in volume 4, page 109, records of said county; thence N890 09' 28"W550.40 Feet to point on the Southeasterly margin of right-of-way of SR3; thence Northeasterly on said margin of Highway along A 1482.50-foot radius curve to the left, the center of which bears N 56013' 36"W, through a central angle of 51 16' 25", for an arc distance of 136.45 feet to point of tangency; thence N 280 29' 59" E-20.10 feet; thence S 611 30' 01" E-10.00 feet and thence N 280 29' 59" E-78.00 feet to the true point of beginning; thence continuing along said margin of highway N 280 29' 59" E172.00 feet; thence leaving said margin of Highway S 630 31' 08" E-146.50 feet to point of curvature of a 45-foot radius curve to the right; thence Southerly on said curve, through a central angle of 930 01' 07", for an arc distance of 72.27 feet to point of tangency; thence S 280 29; 59"W-132.79 feet; thence N611 19' 22"W-193 feet to the true point of beginning. 1LD1i RECEIVED APR 17 2012 426 W. CEDAR ST. 425 8272100 p^425 8£+28 6#,899,q ��* www`.Fg,H pO�ARpC�H.C�g'kO gMmg q$ghr:a�:-_ 10y230&NE{Paoin�tss,�!Drrive I Ste �':3g00[:1 Kirkland I WA', 98y0�3g&3 I' 3'33 LfBf kkBY£ b%6 9"ES�Bi) E S£Ff 1ri'H311BH1ii ftr., tiT&3I kA€FASB9i£E4s Y�i"1£`£!££PL& I£$z�si�S iLf::n£3i� R F'V;�E d"£,dd.i i^i £dAS3£ FREIHEIT b HO ARCHITECTS,INC.,P.S. NFreiheit & Ho architects TRANSMITTAL VIA FEDEX 360-275-4467 + 1 + ex352 DATE: APRIL 6, 2012 TO: Mason County Building Department 426 West Cedar St. Shelton, WA 98584 ATTN: Permit Center RE: McDonald's, Belfair WA - Building Permit Submittal PROJECT NUMBER: A11-566 NUMBER OF PAGES: 213 WE ARE SENDING YOU: (5) Full size set of Construction Documents (41 pages each) (2) Structural Calculations (1) Building Permit Application (1) Environmental Health Review Application (1) Plumbing/ Mechanical Application (3) Project description (1) Environmental Health Submittal Check ($103.00) (1) Building Permit Submittal Check ($1,339.94) THESE ARE TRANSMITTED: FOR REVIEW AND COMMENT REMARKS: Sincerely, FREIHEIT& HO ARCHITECTS, INC., P.S. C . -7Z .I Derek C. Smith Architectural Designer RECEIVED CC: File APR 17 2012 (IFINFORMATION IS NOT RECEIVED AS INDICATED, KINDLY NOTIFY US AT ONCE.) FHO TRANSMITTAL 2011 420 W. C'FDAR ST TEL:4258272100 FAX:4258286899 NEB www.FHOARCH.COM auo„ts� 5209 Lake Washington Blvd N.E.I Ste200 Kirkland I WA1 98033 PPRPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPRfCfCFCfCRfCP:PRiCRfCfCfCF:f'rFCFCf`r PPPPPPPPPPPPPPPPRPPPPPPPPPPPPPPPPPPPPPPPPPPPRPPPPPPPPPPPPPPPPPRRPPPPP FREIHE IT E.HO ARCHITECTS.INC.,IRS. PPPPPP.P.PP.P.PP.PPPP.PPP.PPPPPPPPPPPPPPPPRPPPPPPPPPPPPPPPRPPPPPPPPPPPPPP.PP.P L ll � I Arlo (Of s-� -� ------- / (cam oc, �^ 4-4 -13 I- ( 117 d o -�o� o cc /Oc� o �5 �l- a3 9000 9 Please Print Date: 4/20/2010 Testing Preformed At: Preformed By.- Name: Belfair McDonald's Store# 13376 Name: Meridian Security& Electric, Inc Address: NE 24200 State Route 3 Address: PO Box 7171 Belfair WA 98528 Kent WA 98042 Telephone: 360-275-9293 Telephone 253-638-1792 Contact: Sean Hunter Technician Steve Delimont License No: DELIMSM98ORG Signature: (This is to certify that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent with the NFPA Fire Alarm Maintenance Standards) Monitoring Acencey Service Quarterly Semi-annually Name: General Monitoring Services X Annually Account# 29-2986 Other Telephone: 1-800-634-3915 Panel Manufacturer: Ademco Model No.: Vista 128FB No. of Initiating Circuits: 8 No. of Signal Circuits 2 Battery Voltage: /Z- 9/ volts Charge Circuit Voltage:/3. 4,Z volts Battery Voltage Under Load J Z• '7 Z volts(signals operating) SATISFACTORY SYSTEM POWER CHECKS YES NO NIA Trouble signal with AC offX/ System operates satisfactory on stand-by power All signals operate on AC power �( All circuits checked for electrical supervision Control panel checks made per NFPA& manufacturer's instructions All auxiliary equipment operates (elevators, fans, dampers) All alarm notification appliances checked for proper o eraction Key to panel available Operating instructions at panel Test record posted at panel TYPE OF EQUIPMENT TESTED # UNITS SATISFACTORY (All devices must be tested) TESTED YES NO N/A Bells, Horns, Chimes, Voice Alarm Speakers 9 Visual Alarm Devices 11 Circuit Trouble Indicators 6 Automatic Fire Sprinkler Supervisory Switches Automatic Fire Sprinkler Flow Switches X Heat Detectors 7 Smoke Detectors 3 Manual Pull Station 4 Ventilation Controls Operate x Annunciators 1 Elevator Call Down X Automatic Door Release 1� Fire Dampers/ Smoke Dampers Phone Jacks 2 Automatic Door Unlocks(Failsafe) Other/ Duct Detectors 3 CENTRAL STATION MONITORING Alarm Signal Alarm Restores Trouble Signal Supervisory Signal Supervisory Restorable Noify Monitoring Agency that testing is complete Problems Found: Corrections Made: Date Corrected: By /o23 � 53'-023 — 6 L. Please Print Date: 8/18/2011 Testing Preformed At: Preformed By: Name: Belfair McDonald's Store# 13376 Name: Meridian Security & Electric, Inc Address: NE 24200 State Route 3 Address: PO Box 7171 Belfair WA 98528 Kent WA 98042 Telephone: 360-275-9293 Telephone 253-638-1792 Contact: Sean Hunter Technician: L;r Voq Skerr,3 License No: .SU F_ RI2 t3W 114// b Signature: (This is to certify that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, is consistent with the NFPA Fire Alarm Maintenance Standards) Monitoring Acencey Service Quarterly Semi-annually Name: General Monitoring Services • X Annually Account# 29-2986 Other Telephone: 1-800-634-3915 Panel Manufacturer: Ademco Model No.: Vista 128FB No. of Initiating Circuits: 8 No. of Signal Circuits 2 Battery Voltage: ► volts Charge Circuit Voltage: ) volts Battery Voltage Under Load i2 ' volts(signals operating) SATISFACTORY SYSTEM POWER CHECKS YES NO N/A Trouble signal with AC off X System operates satisfactory on stand-by power All signals operate on AC power All circuits checked for electrical supervision Control panel checks made per NFPA & manufacturer's instructions All auxiliary equipment operates (elevators, fans, dampers) All alarm notification appliances checked for proper operaction Key to panel available Operating instructions at panel Test record posted at panel TYPE OF EQUIPMENT TESTED # UNITS SATISFACTORY (All devices must be tested) TESTED YES NO N/A Bells, Horns, Chimes, Voice Alarm Speakers 9 Visual Alarm Devices 11 X Circuit Trouble Indicators 6 Automatic Fire Sprinkler Supervisory Switches Automatic Fire Sprinkler Flow Switches Heat Detectors 7 Smoke Detectors 3 Manual Pull Station 4 Ventilation Controls Operate Annunciators 1 � Elevator Call Down Automatic Door Release Fire Dampers/ Smoke Dampers Phone Jacks 2 . Automatic Door Unlocks(Failsafe) Other/ Duct Detectors 3 x CENTRAL STATION MONITORING Alarm Signal Alarm Restores Trouble Signal Supervisory Signal x Supervisory Restorable Noify Monitoring Agency that testing is complete X Problems Found: Corrections Made: Date Corrected: By: Feb. 6, 2012 11 :43AM, No. 4706 P. 1 FIRE SUPPRESSION SYSTEM CHECKLIST j:tjAPJSUL.jd t� 3,2 5-a-3 - C/o 0 A fy;,o/stems�oro Cor^va+Y Date McDanald's Restaurant - Authorized ANSUL Distr hutor- Store No. 133 rp Company C� -5-,C-A-e— Ucensee McCopco Address 2_&b k t— C Store Man r City,state Address tP_ tom, Zip Code hone )390 - V300 City,State .4- Inspected By Zip Code hone Q �7 Z ❑ S/A Insp. ❑12 Year Insp. ❑Recharge COOKING STATION/FIRE SYSTEM INFORMATION HOOD 1 1 HOOD 2 1 HOOD 3 HOOD 4 Cooking Equipment Identification e.g.1 G.2G,2V,3V,4V,Combo,Other ........................ L4 V 1 7_G_� R-102 System Size(e.g.3 pal.,6 gal.,Other (p Q1 1 sce'r Last Tank(s)Hydro Date(s)............................................................. Nate;Follow all current requirements in McDonald's Store Checklist Instructions(F-2011201) and R-102 Design,Installation and Maintenance.manual(Part No.418087). A. Pre-Inspection YES NO YES NO YES NO YES NO 1. Has System discharged/tampered with....................... ....................... 2. Inspection seals have been removed/replaced .......................................... 3. Has equipment changed(if yes,explain below) ............... ......................... 4. Hood not experiencing excessive vibration;Cooking equipment/ventilator properly cleaned....... 5, Distribution piping secured,unobstructed,sealed ........................ .,, 6. Correct nozzles,properly located and aimed,clean and unobstructed........................ / 7. Detector/Pull Station/Gas Valve cable,conduit,pulley wheels secured,undamaged,unobstructed. 8. Interlock,Shutoff,Fan,Accessories operate properly..................................... 9. System meets ANSUUUL300/NFPA design criteria ...................................... 8, Operation Testing 1. Cook release mechanism and install look bar;Remove cartridge,install Safety shipping cap,and safely set aside; Remove agent tank(s) ............... ...,,..................... 2. Manual Pull Station Operation.. .. ..11................. a. AUTOMAN regulated release operates properly....................................... b. Switches operate shutoff,tan,accessories .......................................... c. Install break rod and service tag;Cock release,install lock bar........................... 3. Automatic Operation-Cut terminal detector link;Verity steps 2a and 2b .................. .. 4. Gas Valve Operates and so indicates.................................................. a. Mechanical-Manually operate air cylinder,If valve closes properly,recock valve;Reinstall Cover,screws,and seals..., It. Electrical—Valve automatically closes(Reset relay—RED)with Steps 2 and 3 above; To open valve(Reset relay-GREEN)depress reset button.............................. IV c. Gas valve and gas line properly supported...................................... , C. Component Check and/or Replacement 1. Replace fusible links(Refer to temperature selection chart)................................ 2, Check wire rope condition;Replace if frayed ........................................... 3. Check clearance between trip hammer and cable lever.................................... 4. Check o-drigs/flat gaskets/burst discs;Replace if necessary............................... 5. Check tank condition,agent quality and fill level ........................................ 6. Check nozzles/piping for residue;Clean/replace;Verify nozzle aiming;Replace caps annually...... 7. Re-install tank,recock release,and install lack bar ...................................... 8. Inspect cartridge and seal,and verify weight;Then install................................. 9. Sign/date chart on AUTOMAN cover,install,and seal if applicable........................... 10.Reset pressure switches,if applicable ........................... .................... 11.Verify proper portable extinguishers(K-Class/Dry Chemical);Inform-System back in operation . 12.12-year inspection completed,if applicable(Red tanks replaced) ........................... Note;Based on local code requirements,other tests or services may need to be performed. COMMENTS: Quotation for additional requir service as noted in comments above: $ Store Manager JA Service Technician Signature: ORI CO FIRE PROTE I N PRODUCTS, CANARY-McCONALUS MANAGER, PINK-DIS7 i �[�CO Flee Protection One Stanton Street +1-715-735-7411 Copyright®20�1 Tyco Fire Protection Products All rights reserved. Products Marinette,Wl54143-2542 www.ansul.com r Form No,F-2o11200