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Home My WebLink AboutCOM2006-00056 Stand Alone Bldg with Drive Through - COM Permit / Conditions - 10/9/2006 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 COMMERCIAL BUILDING PERMIT COM2006-00056 OWNER: STARBUCKS COFFEE CO. RECEIVED: 5/5/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 7/5/2006 SITE ADDRESS: 23965 NE STATE ROUTE 3 BELFAIR EXPIRES: 1/5/2007 PARCEL NUMBER: 123294190024 LEGAL DESCRIPTION: TR 2-13 OF NE SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: CONSTRUCT NEW STAND ALONE BUILDING WITH DRIVE NORTH ON STATE ROUTE 3, NE CORNER OF INTERSECTION AT SR 3 THROUGH SERVICE. AND CLIFTON LANE - SAFEWAY PARKING LOT. General Information Construction &Occupancy Information Type of Use: COMMERCIAL Insp.Area: No. of Units: Type of Constr.: VB Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: 2 Occ. Group: M Valuation: $ 131,892.48 No. of Stories: 1 Occ. Load: 45 Building Height: Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: Width: Building: 1,926 Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline& Planning Information Front: N 100.00 Ft. Shoreline: Ft. Rear: S 25.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: W 33.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: E 12.00 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?: COM2006-00056 Please refer to the following pages for conditions of this permit. 1 of 6 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt !dishwasher 1 Furnace<100K 2 Plan Check Fee ni r. 9;r9;r9nnR R7R,?a9 R19nnRnn Grease Traps 1 Ventilation Fan 2 Planning Review Fee ni r rvr;19nnA 09rr,nn C1,)nnrnn Kitchen Sink 1 Heat Pump 2 Non-Res.Energy Code nl rr an»nnr, RSR nn qg,>nnRnn Kitchen Sink 3 UFC Plan Check Fee ni r RnrgnnR PAR1 ?1 gggnnRnn Lavatories 2 Building State Fee ni r. A/7/9nns U rm -,,9nnRnn Water Closets (Toilets) 2 Building Permit Fee ni r. Rni,>nnR S1 179 raR c;,9nnrnn Water Heaters 1 EH Plan Review AnR 8/19/9nnR RJR nn g99nnRnn Floor Sink 1 Mechanical Fee N r R1991?nnR aaa 1n q9,>nnrnn Mechanical Base Fee ni r. Ri99nnnrl Sn C9,>nnrnn Plumbing Fee ni r. R1991qnnR 5.Rd nn q,2,)nnRnn Plumbing Base Fee ni r R1991?nnR �9n nn gg,?nnrnn Total $2,880.68 CASE NOTES FOR COM2006-00056 CONDITIONS FOR COM2006-00056 1) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUI MENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 2) Changes to approved buildi, plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quality Code (VIAQ), Buil /Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X 3) 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 ngineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed, app 1 will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by Mason County Building Department prior to any further inspections being performed or approvals granted. X i' 4) Prior to final approval, all upland areas disturbed or newly cr ed by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X COM2006-00056 2 of 6 5) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of a permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County B ing Inspector shall be made prior to requesting additional inspections. X 6) All building permits sh have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a fi inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with son County ordinances and building regulations. X 7) Fire Apparatus Access Roads standards chapter 14.17 of the Mason Count Building Code shall be adhered to. X w An automatic fire alarm system meeting NFPA 72 and Mason County St dards and monitored bu a UL certificated monitoring company shall be installed in this building. Separate plans and permit is required. X A rapid access"Knox" bo required for this building. Contact Mason County Fire District#2 at 360-275-6711 for an application and mounting instructions. X Minimum 2A10BC rated fire extinguishers are required to be within 75 fe/vel distance in approved locations and mounted no more than 48 inches from the finished floor to the top of a extinguisher. X A type 1 hood and approved suppress'/ uppress' system shall be installed at or above all commercial cooking appliances used for commercial purposes that produce grease vapors. X 8) The approval of this project is subject to the recommendations and specifications outlined in the attach If eotechnical report or assessment. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/a sment, may require a seperate permit. The geotechincal repo assessment shall remain attached to the approved building plans. X 9) Water quality is no a degraded to the detriment of the aquatic environment as a result of this project. X 10) Parking shall be sufficient for normal parking stalls (9 feet by 20 feet)and handicap parking stalls (12.5 feet by 20 fe ith sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the ing entry, and shall be signed with the International Symbol of Access. Screening from adjacent residential properties is required. X 11) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans r of on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be c ed and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 12) PURSUANT TO INTERNATIONAL CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PL INLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMEWr REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RA AS ADOPTED BY THE JURISDICTION AND THE INTERNATIONAL CODE LL BE ASSESSED IF OWNER/CONTRA R FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPE7S. X 13) All property lines shall be clearly identified at the time of foundation inspection. X COM2006-00056 3 of 6 14) Contractor registration laws are verned under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-098 a person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 15) Per 2003 IRC -S ION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accor ce with the applicable provisions of this section and the manufacturer's installation instructions. X 16) Per 2003 IRC - S TION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the 0-1 minimum wind us prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC D SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 17) Approved per di nsions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 18) The approved site py 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. ddition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County Building partment prior to any further inspections being performed or approvals granted. X 19) Recyclable materials & d Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area shall be designed to m the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and haulers.X 20) The mechanical system for which energy consumption, performance, or mode of operation are regulated by the 2001 Washington State Energy Code (WSEC) and Ventilation And Indoor Air Quality Code (VIAQ) shall be tested to ensure that control devices, equipment and systems are calibrated, adjusted and operate in accordance with approved plans and specifications. Drawings and notes shall require commissioning in accordance with WSEC section 1416.4. Lighting controls sh be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in accordance with pproved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the owner. Drawin es shall require commissioning in accordance with WSEC 1513.7. X 21) An approved b low prevention device shall be installed. Refer to approved plans foe additional comments. X 22) This parcel is locate n a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. X COM2006-00056 4 of 6 This permit becomes null and void if work or onstr'ction 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 rk is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied.Proof of continuation of wn,k-is�•y means of a progress inspec' The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and str re for review and inspection. OWN ER OR AGENT: _ DATE: d r COM2006-00056 5 of 6 MASON COUNTY Department of Community Development INSPECTION CARD and CERTIFICATE OF OCCUPANCY* PO BOX 186, 426 W Cedar ST, Shelton WA 98584 General Questions: (360) 427-9670 ext 352 Inspection Requests: (360) 427-7262 Permit Number COM2006-00056 Date 07/05/2006 Issued By Project CONSTRUCT NEW STAND ALONE BUILDING WITH DRIVE THROUGH SERVICE. Site Address 23965 NE STATE ROUTE 3 BELFAIR Applicant STARBUCKS COFFEE CO. Contractor License Number Con. Phone Expiration Date Primary Code 2003IBC Occupancy M Division Use COMMERCIAL Type of Construction VB Occ. Load 45.00 Public Works Access/Driveway Other Health Dept Septic Well Planning Dept Site Inspection Fire Marshal Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Dept Building Official: Emmett Dobey Concrete Setbacks Slab Footing Perimeter Ret. Wall /Bulkhead Footing Interior Footing Decks/ Porches Foundation Stem Other Rough-In Groundwork Plumbing Plumbing Groundwork Mechanical Other Groundwork Gas Pipe Gas Piping Framing Mechanical Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Nailing Interior Wall Brace Panels Fire walls Other Final Building Manuf. Home Setbacks Setup Concrete Foot/ Runners Final Other APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS *THIS STRUCTURE MAY NOT BE USED FOR OCCUPANCY UNITL ALL APPLICABLE FINAL INSPECTIONS ARE COMPLETED DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVALS ARE GIVEN. POST THIS CARD IN A CONSPICUOUS PLACE ON THE FRONT OF THE PREMISES CONVENIENT FOR MAKING REQUIRED ENTRIES. ALL PERMITS EXPIRE 180 DAYS AFTER PERMIT ISSUANCE OR 180 DAYS AFTER LAST INSPECTION ACTIVITY IS PERFORMED. OWNER/AGENT IS RESPONSIBLE FOR CALLING FOR ALL INSPECTIONS PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET. Case Activit Listin 2/22/2007 y g 1:58:51PM Case#: COM2006-00056 P10 Assigned Done Activity Description Date I Date 2 Date 3 Hold Disp To By Updated Updated By COMA010 Application Received 5/4/2006 5/5/2006 None DONE CMH 5/5/2006 CMH COMB201 EH More Info Letter 5/9/2006 None DONE ADR 5/9/2006 ADR I am checking on your connection to the on-site sewage system with the state department of health. COMB130 Planning Review 5/5/2006 5/17/2006 None DONE CMM CMM 5/17/2006 CMM No issues. COMB210 Water Adequacy 5/5/2006 6/9/2006 None DONE TW 6/9/2006 TW Need signed water adequacy application.06/09/06 be]fair water compliant at this time. tw COMB200 Environmental Health Review 5/5/2006 6/12/2006 None DONE ADR 6/12/2006 ADR Checking on septic connection with DOH Richard Benson. E-mail sent 5/9/2006. 6/12/2006 Letter from engineer provided.This will be connecting to the smaller 2000 gallon system. Testing results from Aquatest also provided. COMB009 Fire Marshal Review 6/6/2006 6/14/2006 None DONE CJH CJH 6/14/2006 CJH Return to do-thanks! An Automatic Fire Alarm system meeting NFPA 72 and Mason County standards and monitored by a UL certificated monitoring company shall be installed.A separate plan review and permit is required. X A rapid acres"Knox"box is required for this building.Contact Mason County Fire District#2 at 360-275-6711 for an application and mounting instructions. X Minimum 2A 1 OBC rated fire extinguishers are required to be within 75 feet travel distance in approved locations and mounted no more than 48 inches from the finished floor to the top of the extinguisher. X Fire Apparatus Access Roads standards chapter 14.17 of the Mason County Building Code shall be adhered to.X A type 1 hood and approved suppression system shall be installed at or above all commercial cooking applinaces used for commercial purposes that produce grease vapors.X Pagel of 5 CaseActivity..rpt 2/22/2007 Case Activity Listing 1:58:51PM Case#: COM2006-00056 P10 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By COMA900 Telphone Call 6/14/2006 None DONE CJH CJH 6/14/2006 CJH Phone contact with Jeff Strockbine regarding the requirement for a monitored fire alarm system,key box(Knox),fire extinguishers,No grease laden vapors,and the potential conflict of a permited fireworks stand scheduled to be located at the Starbucks construction site until July 5th. COMB007 Plans Revision Submitted 6/19/2006 None DONE DLC 6/22/2006 DLC Received revised plans inlcuding eng.calculations COMB007 Plans Revision Submitted 6/27/2006 None DONE DLC 6/27/2006 DLC COMB120 WSEC Compliance Review 6/27/2006 None DONE DLC DLC 6/27/2006 DLC see letter prepared 6/6/2006 6/20/2006: Lighting budget on sheet E 1.0 and lighting list on revised sheet E3.0 was not changed and the response letter indicated that the proposed lighting was changed to 2729 watts.LMOR for Jeff Strockbine who responded stating that he will take care of COMB 110 Building Plan Review 5/5/2006 6/27/2006 None DONE DLC DLC 6/27/2006 DLC A letter was prepared for mail and faxed to Jeff Strockbine.do 6/6/2006. See documents 620/2006:All issues from the letter were addressed except the lighting budget on sheet E1.0 and lighting list on revised sheet E3.0 was not changed and the response letter indicated that the proposed lighting was changed to 2729 watts.LMOR for Jeff Strockbine who responded stating that he will take care of. ALSO...calculations specifiy 5-1/4"material and plans show 3) 1-3/4"material. Requested calculations and connection details or revised plans. Could not locate MSU48 straps on plans. Did not include calculations for 5-1/8x19-1/2 GLB at drive and entry and 3-1/8"x10-1/2 curved member. E-mailed Jeff and LMOR for engineer who prepared calcs. Jeff will follwo-up with engineer.do 6/202006 COMA100 Approved for Issuance 6/28/2006 None DONE CMH 6/28/2006 CMH COMA500 Issue Commercial Permit 7/5/2006 None DONE KKK 7/5/2006 KKK COMA540 Print Inspection Card 7/5/2006 None DONE KKK 7/5/2006 KKK Page 2 of 5 CaseActivity..rpt 007 Case Activity Listing 2/22/2 1:58:51PMPM Case#: COM2006-00056 P10 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By COMC110 Footing Inspection 7/7/2006 7/13/2006 None PASS TFR 7/14/2006 KLW FOOTING SETBACKS PASS COMC116 Below Grade Insulation 7/24/2006 7/26/2006 None COND RLS 8/1/2006 KLW THERMAL BREAK DIDNT EXTEND TO TOP OF SLAB INFORMED CONTRACTOR TO VEVEL TOP OF INSULATION TO 45 DEGREE TO FILL 4"TO 5"VOID OK TO PHOTO AND PROCEED OR CALL FOR INSPECTOR COMC120 Underground Plumbing 7/24/2006 7/26/2006 None PASS RLS 8/1/2006 KLW WRAP ALL PIPE THAT WILL COME IN CONTACT WITH CONCRETE. COMC116 Below Grade Insulation 7/26/2006 7/27/2006 None PASS RLS 8/l/2006 KLW COMA720 Special Insp.Report Received 7/27/2006 None DONE DLC 7/27/2006 DLC Notice of concrete placement and sample pickup.Reports dated 7/13,7/19,and 7/20/2006. COMA720 Special Insp.Report Received 8/11/2006 None DONE DLC 8/11/2006 DLC compaction dated 7/282006 and 7/24/2006. COMA720 Special Insp. Report Received 8/11/2006 None DONE DLC 8/11/2006 DLC floor flatness and level test dated 7/31/2006 COMA720 Special Insp.Report Received 8/17/2006 None DONE DLC 8/17/2006 DLC Concrete test from 7/132006 5440 psi at 28 days. CONIA720 Special Insp. Report Received 8/31/2006 None DONE DLC 8/31/2006 DLC received special inspection reports as follows,beginning with date of report: 1)8/17/2006 concrete veri fying>3000 psi(4830 psi) 2)8/212006 concrete samples and varified footing reinforcement and anchor bolts in accordance to plan. 3)8/282006,concrete test @ days 3710 psi Page 3 of 5 CaseActivity..rpt Case Activity Listing 2/22/2007 1a8a1PM Case #: COM2006-00056 t� Assigned Done Activity Description Date l Date 2 Date 3 Hold Disp To By Updated Updated By COMC140 Framing/Plumbing/Mechanical 8/30/2006 8/31/2006 None FAIL LDK 9/l/2006 KLW FRAME FAIL,PLUMB,EXT GAS PIPING PASS, 1.SWl REQUIRES 15/32 ON BOTH SIDES OF WALL SEE LOCATION ON PGS 101,2.WALLS AND ROOF FOR DRIVE THRU NOT COMPLETED AS WELL AS A ROOF OVER MAIN ENTRY,WAITING ON GLULAMS,3.NO MECHANICAL SYSTEMS INSTALLED,4.INSTALL BLOCKIGN AT ROOF CURB FOR HEATING AND AIR UNITS SEE S102, 5.NO WINDOWS,DOOR ETC,6.PROVIDE COPIES OF MAYES SPECIAL INSPECTION OF STRUTURAL TO COUNTY,7.PROVIDE FIRE MARSHAL OK PRIOR TO INSULATION OK TO INSULATE. COMA720 Special Insp.Report Received 9/6/2006 None DONE DLC 9/6/2006 DLC Diaphragm nailing inspection performed on 8.22.2006. To be addressed 2"plate washers& 1 hol down was not installed. COMC145 Insulation Inspection 9/8/2006 9/8/2006 None PASS TFR 9/13/2006 MRB 90%WALL INSULATION PASS EXCEPT AT DRIVE-THRU COMC150 Wallboard Inspection 9/8/2006 9/11/2006 None PASS TFR 9/13/2006 MRB 90%COMLETE EXCEPT AT DRIVE-THRU CONTRACTOR STATES MAYES WILL INSPECT FRAMING AND I TOLD HIM TO PHOTO AND INSULATION AND DRY WALL AND WE WILL PICK UP ALL AT MECH OR NEXT INSPECTION COMA720 Special Insp.Report Received 9/11/2006 None DONE DLC 9/11/2006 DLC shear wall inspections on 8242006&8/25/2006. COMC100 Inspection 9/22/2006 9/25/2006 None DONE RLS 9/26/2006 MRB PROGRESS OK DISCUSSED T-BAR INSPECTION AND HOW HE SHOULD CALL JESS IN HEALTH AND CRAIG(FIRE MARSHALL TO SET APPOINTMENT TO FINAL SIGN-OFF COMA720 Special Insp.Report Received 9/28/2006 None DONE DLC 9/28/2006 DLC 1)Report dated 9/8 stating 825 correcive actions completed. 2)Lateral wood inspection 822 corrective actions completed Also rear canopy installed per plan. 3)Concrete test from 8214700 psi @28 days. COMC140 Framing/Plumbing/Mechanical 9/25/2006 10/2/2006 None FAIL LDK 10/16/2006 MRB MANUFACTURE CALLS FOR 6 SETBACK TO UNITS ONLY Y OBTAIN MANUFACTURES APPROVAL CURVED CIELING OVER BAR AREA NOT COMPLETE HAD CONTRACTOR PHOTO INSTALLATION MEX NEED TO LOOK AT AT FINAL COMC157 Final Inspection-Failed 10/3/2006 10/4/2006 None FAIL TFR 10/16/2006 NM DID PRE FINAL WALK THROUGH ALL PLUMBING OK WITH EXCEPTION COUNTER SINK IN CENTERED NEED CAULKING SEVERAL COUNTERS NOT SET ADA PARKING AND SIGNME TO HAPPEN TOMORROW ADDRESS NUMBERS NOT UP DOUBLE CHECK TO BE CHAGED OUT FOR BURIED BOX TYPE PICKED UP LETTER FROM MECH MANUFACTURE OKING Y SEPERATION FIRE NOT OKD AT THIS TIME AND HEALTH DEPT HAS NOT BEEN TO SITE Page 4 of 5 caseActivity..rpt 2/22/2007 Case Activity Listing 1:58:51PM Case#: COM2006-00056 i� Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By COMC157 Final Inspection-Failed 10/5/2006 10/6/2006 None FAIL RLS 10/16/2006 MRB NONE OF TFR'S ITEMS ABOVE ARE COMPELTED NAD SUPERINTENDNET NOT ON SITE MADE PHOTO COPY OF TFR NOTES FOR WORKER ON SITE COMC155 Final Inspection-Passed 10/6/2006 10/9/2006 None PASS RLS 10/16/2006 MRB 1.L&I FINAL ON ELECTRICAL 2.HEALTH DEPT SIGN OFF 3.WET PAINT PREVENTED ADDRESS POSTED MAX OCC SIGN WILL BE DONE 10-10-06 4.A COPY OF PROPER WASTE BACK FLOW PREVENTOR MAILED TO COUNTY COMA720 Special Insp.Report Received 10/16/2006 None DONE DLC 10/27/2006 DLC Sample#0005, Concrete test @ 28 days 5140 psi COMA720 Special Insp. Report Received 11/21/2006 None DONE DLC 11/21/2006 DLC dated 1\9/21/2006:3000 psi concrete for trash enclosure. COMA540 Print Inspection Card 2/22/2007 None DONE KDM 2/22/2007 KDM Page 5 of 5 CaseActivity..tpt MASON COUNTY PERMIT NO. _ BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMAT ON 1_I / a(I,yp CONTRACTOR INFORMATION Owner : ,�M ZS-�l�7 b;v�/ ors Sd ` �, 5 Company Name To _ j Mailing t ss e • �Qf Mailing Address -7�j Ciy 0 Stat Zip Code 5�t a 9 City State Zip Code Phone2oG 04 _ 11 S Other Ph.2o—f ?,VS 43oD Phone Other Ph. Lien/Title Holder Contractor Reg. # Ex E mail address' to `t o � E Mail Address p Drivers Lic. _ Ogg. Drivers Lic. # DOB _ SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septi Exi'stin Se tic ✓ �.' Connect to Water System ✓✓ Name of Water System I �' Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No 12 Legal Description Fire District cct Site Address(Please include stree n =me, stre�et number and city) r W Directions to site � c --w. we.— CT Will timber be cut and sold in parcel preparation?Yes AZEd -P Is property within 200'of Saltwater _Lake pt River/Creek 1C�Pond-o Wetland .Ul.—Seasonal Runoff 1-Id Stream_14_Q_Slopes or Bluffs > 15%_ tA( 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 Repair Other PRIMARY R SIDENCE Use of Building�� e str�. _ Describe Work ) _ �1�_� w�� Li SEASONAL ❑ No. of Bedrooms _No. of Bathrooms 2 �"�' S��-� - Square Footage- 1st Floor 2nd Floor />. 3rd Floor � � Basement Deck in e Covered Deck `^ _Other S ft. Carport Garage Attached �(� Detached '� a- Car q P -�- Attached _y/�. Detached MANUFACTURED HOME INFORMATION -Make Model Length Width Serial No. Year 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.ff 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 permission from them to apply for this permit and conduct the work proposed- The owner or agent on owners behalf,represents that the information provided isn/owners tRepre mployees of Mason County access to the above described property and structure for review and inspection. PROOF F WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: 3 NMRNsentative/ indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APUDENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES 0 Ac=� 77- Buildin,q Permit Fee // r Site Ins ection Plan Review Fee 7 `� EH Review Fee Plumbing & Base Fee C Plannin Review Fee Mechanical & Base fee 1 f �{� Other Wood/Gas/Pellet Stove Fee State Fee -� • s� Violation Fee Pre-Paid at Submittal Valuation$ / /� x (p �r:�� ! TOTAL FEES 4 PERMIT NO.�&Yl MID MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar•P.O. Box 186, Shelton, WA 98584 Iton (360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 n the web www.co.mason.wa.us APPLICANT INFORMA I N p� � c CONTRACTOR INFORMATION Owner �t Company Name �� -=••�.� Mailing Address vbL.-*,nP,36 1 Mailing Address City State WA Zip Code l Y►O`j Ciry State Zip Code Phonrt�PCw &146 11 `T Other Ph" Phone Other Ph. Lien/Title Holder. 2!�A- Contractor Reg. # Exp. E mail addresstS s macaw• E Mail Address Drivers Lic. #STR+tic.JE*j*&XE _ DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic ✓ Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No.t 2.*,29' 44�es o sz. Fire District Legal Description Site Address(Please include street name,street number and city) tNrAr 't 2 Directions to site Is property within 200'of Salt0ater tA Lake River/Creek Pond bl Wetland Seasonal Runoff-t4xz,-Stream t. 6 Slopes or Bluffs J 15% TYPE OF JOB -New ✓ Add—Alt—Repair Other Use of Building C- Location of Fixtures/Units- 1 st Floor-i!!L 2nd Floor r u. Basement Garage Closet o. PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric—LPG—Natural Gas—Heat Pump_ Toilets 2 Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks l Wood/Gas/Pellet Stove Dishwasher t Krtchen Exhaust Hood Hosebi bs_11 Dryer Vent i„Oth '" 2 Other Base Fee Base Fee r'^o ;-,AC 1 TOTAL PLUMBING TOTAL MECHANICAL 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 requited from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided�isccurate and g employees of Mason County access to the above described property and structure for review and inspection. PROOFC NU=,TIOF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: �'t 'Lc�J C9 wners Re resentative/41� (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group Tvve Constr. Planning Department Environmental Health Department FEES Plumbing& Base Fee Site Inspection Mechanical &Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES MAYESTESTING ENGINEERS, INC Tacom S.aacoma Wav Suite E-2 -- Tacoma WA 98499 ph 253.584.3720 CONCRETE LABORATORY TEST REPORT tax 253.584.3707 Project Name: Starbucks Belfair Project No: T6143 Site Address., SR 3 & Clifton Lane Issued on: 10/06/06 Belfair, WA Sample Set ID: 11870 Client: Starbucks Coffee Company Permit#(s): Original: 9 RFCc 1 _ Engineer: </ Revised: El O�/ O Contractor: Jackson Dean Construction 16 - FIELD DATA 4?6 ,' CFO 06 ASTM C31 and C172 Air Temperature: 70OF Actual Mix Proportions: Weather: Sunny Product: Concrete Ingredient Weight(per cu.yd) Supplier: Hard Rock Coarse Aggregate 1,775.0 Ibs Ticket Number: 211394 Fine Agg Roan River 1,430.0 Ibs MixDesign ID : HDA3000 Water 237.0 Ibs - — -- - - - Cement--Type 1 517.0 Ibs Sample Temp. Initial Storage Temp. Entrained Air (ASTM C1064) (ASTM C31) (ASTM C231) A/E Admix 5.0 oz 80OF NR 5.2% Water/Cement Ratio:I Slump(ASTM C143) ' Sample(s) Rec'd: I 0.458 4" 09/07/06 Required Strength (f c): Placement Location and Notes:1 3000 psi @ 28 days Trash enclosure footing. Seven sono tube menu and light post footings. COMPRESSION S ON TEST RESULTS (ASTM C39,C1231,and C617 when applicable) Date Made Sample# Lab# Date Tested Age Size(in) Load(Ibs) Dia(in) Surface Strength(psi) Failure Code 09/06/06 0005 I 6833 09/13/06 7 4 x 8 I 49250 4.02 12.69 3880 NA 09/06/06 0005 ][ 6834 10/04/06 28 4 x 8 65105 4.01 j 12.63 5160 NA - - -_-- -— 09/06/06 ! 0005 L 6835 -10/04/06 „� 28 4 x 8�! 65060 4.01 [12.63 5150 NA 09/06/06 !- _ 0005�[_6836 10/04/06_ 28 � 4 x 8 _![ 64890 4.01 _j[_12.63 5140_ NA Remarks: Inspector(s): Evans, D. Reviewed by: Tested by: Gordon, M. Dennis Sanborn Branch Manager NOTES: Failure descriptions for samples tested with neoprene pads are not required per ASTM Std. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2-"recording field temperature Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers,Inc. MTE Form#150,Rev 3,7-0 MAYES Everett Office TESTING ENGINEERS, INC. 917-134th Street SW r ..,, - RECEIVED Suite A-1 Everett,WA 98204 ph 425.742.9360 MTE NO: T6143 SEP 2 12006 fax 425.745.1737 Tacoma Office PROJECT: STARBUCKS BELFAIR 426 W. CEDAR ST. 1002 S.Tacoma Way Address: SR3 & Clifton LaneSuite Belfair, WA Tacoma,WA 98499 ph 253.584.3720 PERMIT NO: COM2006-00056 fax 2 3584 3 07 Portland Office Page 11 7911 NE 33rd Drive Suite 190 Portland,OR 97211 Owner: Starbucks ph 503.281.7515 Architect: Cortland Morgan fax 503.281.7579 Engineer: Sterling Design Associates Contractor: Jackson Dean Construction Date: 9-6-06 Weather: Sunny Inspection: Reinforced Concrete Samples: (4) 4 x 8" MTE inspector arrived on site to reinforcing steel for a final inspection for the trash enclosure footing and the seven menu and light post sauna tube footings. The contractor placed 6 cubic yards of Hard Rock Concrete Mix#HAD3000, 3,000 psi. Concrete was placed directly from the truck chute and mechanically vibrated for consolidation. To the best of our knowledge, items inspected this date are in accordance with approved plans and specifications. INSPECTOR: Don Evans Reviewed by: _t�-6'6 Dennis Sanborn, Branch Manager cc: Andrew Page, Jackson Dean Construction Joseph Robbins,Starbucks Building Official, Mason County II acom MAYESTESTING ENGINEERS, INC r 029 S.Tacoma Wav Suite E-2 Tacoma WA 98499 ph 253.584.3720 CONCRETE LABORATORY TEST REPORT fax 253.584.3707 Project Name: Starbucks Belfair Project No: T6143 Site Address: SR 3 & Clifton Lane Issued on: 09/16/06 Belfair, WA Sample Set ID: 11870 Client: Starbucks Coffee Company Permit#(s): Original: d Engineer: Revised: Contractor: Jackson Dean Construction FIELD DATA ASTM C31 and C172 Air Temperature: 70OF Actual Mix Proportions: Weather: Sunny Product: Concrete Ingredient Weight(per cu.yd) Supplier: Hard Rock Coarse Aggregate 1,775.0 Ibs Ticket Number: 211394 Fine Agg Roan River 1,430.0 Ibs Water 237.0 Ibs MixDesign ID : HDA3000 Cement—Type 1 517.0 Ibs Sample Temp. Initial Storage Temp. Entrained Air A/E Admix 5.0 oz (ASTM C 1064) (ASTM C31) (ASTM C231) 80OF NR 5.2% Water/Cement Ratio:' Slump(ASTM C143) ' Sample(s) Rec'd: ' 0.458 4" 09/07/06 Required Strength (fc): Placement Location and Notes: 3000 psi @ 28 days Trash enclosure footing. Seven sono tube menu and light post footings. COMPRESSION TEST RESULTS (ASTM C39,C1231,and C617 when applicable) Date Made Sample# Lab# Date Tested Age Size(in) Load(Ibs) Dia(in) Surface Strength(psi) Failure Code Fo9/06/06_,_0005 ]L 68321C09/13/06 7 4 x 8 _' 49250 - 4.02 [12 69 [__ 3880 IA [09/06/06_ -0005 J 6834 10/04/06 -28 4_x 8_�; 0.0�L0.00 L NA _ [09/06/06_L 0005�L6835,__�0/04/06 _'`28 4 x 8 ��L o 0C F0.00 CNA r09/06/06 0005��6836� 10/04/06 - -�� - [—__ CNA -- - _ 28 �4 x s�� o.00 [o.00 Remarks: Inspector(s): Evans, D. Reviewed by: �'Qal Tested by: Gordon, M. Dennis Sanborn Branch Manager NOTES: Failure descriptions for samples tested with neoprene pads are not required per ASTM Std. All testing performed in accordance with applicable ASTM's except C-31, 10.1.2-"recording field temperature Information in this report applies only to the actual samples tested and shall not be reproduced without the approval of Mayes Testing Engineers,Inc. MTE Form#150,Rev 3,7-0