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Home My WebLink AboutCOM2012-00015 Final Dairy Queen with Drive-Thru, Improved Parking Area - COM Permit / Conditions - 1/8/2013 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 COM2012-00015 OWNER: OLYMPIC HOLDINGS LLC RECEIVED: 2/22/2012 CONTRACTOR: LICENSE: EXP: ISSUED: 5/29/2012 SITE ADDRESS: 51 NE STATE ROUTE 300 STE A BELFAIR EXPIRES: 11/29/2012 PARCEL NUMBER: 123294200190 LEGAL DESCRIPTION: P A#01-21 PTN OF NW SE SURVEY 26/167 & 168 N /_ ];�Wl� OJECT DESCRIPTION: DIRECTIONS TO SITE: Restaurant with drive-thru aisle; improved parking area; LOCATED AT THE INTERSECTION OF SR 3 AND STATE ROUTE 300 connection to site stormwater system. General Information Construction&Occupancy Information Type of Use: RESTAURANT Insp.Area: No. of Units: 1 Type of Constr.: VB Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: 2 Occ. Group: A-2 Valuation: $ 364,560.00 No. of Stories: 1 Exit Design. Load: Building Height: 20 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: Model: - Width: Building: 3,000 Year: Serial No.: Basement: Parking Spaces: Setback Information Shoreline&Planning Information Front: E 20.00 Ft. Shoreline: Ft. Rear: W 250.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable Side 1: S 140.00 Ft. SEPA?:No Comp. Plan Desig.: Urban Growth Area Side 2: N 220.00 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?: COM2012-00015 Please refer to the following pages for conditions of this permit. Page 1 of 7 Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Backflow Devices 1 Heat Pump 2 Plan Check Fee TnN n 9i99n1g m a1n r)a g19ni9nn Dishwasher 1 Ventilation Fan 2 IFC Plan Check Fee Tw 9n9i9n1? cRRnr,97 g19ni9nn Floor Drain 2 Planning Review Fee Tw 9n9nn19 RR�n nn �1,?n19nn Floor Sink 2 Water Adequacy Plan Re KKK 9i79nntl? mwi nn SR9n17nn Grease Traps 1 EH Plan Review KKK 9/129/9n17 R1nA nn CRgn17nn Hosebibs 1 Planning Stormwater Rev AHR A/7,i/7n19 R7rr,nn S1,>n19nn Kitchen Sink 1 Non-Res. Energy Code I Aw xiannlq �7A nn .;19ni9nn Lavatories 2 Building State Fee I Aw wAl9n1? �a rn -;1?n19nn Lavatories 2 Building Permit Fee I AW s/A/7n17 40 A77 7ri C19n19nn Water Closets (Toilets) 2 Mechanical Permit Fee I Aw Fidnnlg ORa an q1?n19nn Mechanical Base Fee I Aw cuwgnlq a9R rn S1?n19nn Plumbing Permit Fee I Au,/ ri1d17n17 R17A nn g19n17nn Plumbing Base Fee I Aw Rrd19nl,2 _M 7n S19n1gnn Non-Res. Energy Code ni r. fi/9r,/9ni9 (4919 nn S19n1?nn Total $6,216.66 CASE NOTES FOR COM2012-00015 CONDITIONS FOR COM2012-00015 1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at(360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has been "finaled"and approved. X :X 2) 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 44 J 3) Approv X 9d per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. � 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 system installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information. x_/4 COM2012-00015 Page 2 of 7 A knox box is required to be installed per section 506 of the 2009 International fire code. Please contact the local fire district for more information and inspections. 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 to top of the unit with a maximum travel distance of 75 feet in any direction. X A UL 300 fire suppression system is required to be installed in the type 1 hood and duct system. A separate permit application and plans is required be submitted and approved prior to any work being done. X The existing fire hydrant must be flow tested to confirm fire flow at the site. If fire flow demand is not met the building must equipped with a fully monitored NFPA 72 automatic fire alarm system. X o,6;L!:' Duct detectors are required to be installed in all HVAC systems with a cfm ratings of 2,000 and greater, a separate permit application is required to �jbe suand approved prior to any work being done. The system is required-to be fully monitored by a UL certified monitoring company. X All interior w I and ceiling finish is required to be a minimum of a class C with a smoke development index of 0-450 and aflame spread index of 76-200. X `—' 6) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will charged 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 i 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 Building 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 THAT WILL BE REQUIRED TO BE SUBMITTED TO THE SITE INSPECTOR FOR THE VERIFICATION OF MATERIAL USED. 10) Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed, approval will not be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collect d by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 11) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilationrequirements), C Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. COM2012-00015 Page 3 of 7 12) 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 C unty Building Inspector shall be made prior to requesting additional inspections. X 13) All property lines shall be clearly identified at the time of foundation inspection. Xi;� 14) 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. 15) 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 Xtheit holder have prevented action from being taken. No more than one extension may be granted. 16) 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 ±, 17) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Belfair UGA Festival Retail zone. 1VX� Parking shall be sufficient for at least 25 standard parking stalls (9 feet by 20 feet) and 2 handicap parking stalls (12.5 feet by 20 feet)with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest to the building entry, and shall be signed with the International Symbol of Access. Landscaping along property lines is required. 19) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X/1�--' 20) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure t ese structures meet the setback conditions listed. 21) All construction and demolition debris must be removed from the site during and 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 /2� 22) Must connect to Belfair Sewer prior to any temporary or final occupancy. X14L___ COM2012-00015 Page 4 of 7 23) The type 1 hood and duct along with the heated make up air system is deferred, no work is allowed to be preformed unit reviewed and approved by Mason County. X A soils report is required at the time of the footing inspection, a minimum 1,500 PSF is required per the design engineers calculations. If the report shows a value of less than 1,500 psf, submitted the new report to the design engineer, any changes will need to be resubmitted to Mason County for review and approval. No concrete will be allowed to be poored until county approval. X ,24 Commissioning shall be required of the lighting controls in accordance with WSEC 1513.8 in order to verify that the lighting controls have been installed, and function properly, in accordance with operational requirements. A commissioning compliance checklist completed in accordance with WSEC 1416.4, shall be submitted to the Mason County Building Department upon substantial completion of the building. See Compliance Checklist in the 2009 WSEC, Figure 14B. X COM2012-00015 Page 5 of 7 I 215) WSEC COMPLIANCE: This project is approved for compliance to the 2009 Washington State Energy Code, components shall be installed as follows: ENVELOPE: Compoenent performance 588/593 Roof deck minimum R-30, Wall insulation R-21 or better, slab insulation R-10 or better installed in around the entire perimeter from the top of the slab edge to the bottom of the footing and in for a total of 24-inches, and 3-inch concrete perimeter wall R-0. All windows, including store door(s) shall have a U-Factor of.35 or less and one exterior door, foam core insulated, shall have a u-factor of.16 or less. Windows shall be manufactured by an approved small business using LOW-E wih .07 emissivity, argon and aluminum thermal break.(See WSEC Table 10-6(B)) LIGHTING: Total interior lighting shall not exceed 3400 watts. Wattage shall be calculated using the lamp and ballast or for incandescent fixtures, using the maximum labeled wattage allowed and is approved as follows: 23-2-lamp 32 w fixtures, 21-32 watt can lights, 8-8 watt LED sconces, and 8- max. 66 watt hanging lights. Lights used to warm food or specifically for food preparation and not used in addition to general area lighting is exempt. All daylight zones shown on on plan sheet LS shall be provided separate control in accordance with WSEC 1513. Zone 1, the primart daylight zone shall be controlled separately from the secondary daylight zone. Automatic daylight sensing controls shall be capable of reducing light out put, control luminaires only within the daylighted area, and time delay circuits in accordance with 1513.3. Controls shall be equipped with separate automatic controls to shut off the lighting in all spaces during unoccupied hours. Occupancy sensors shall be capable of automatically turning off all lights in an area, no more than 30-minutes after the area is vacated, or as specified in accordance with WSEC 1513.6. Exterior lighting shall not exceed 500 watts as proposed in the WSEC lighting summary. All exterior lighting shall have automatic controls capable of turning off exterior lighting when sufficient daylight is available or when lighting is not required during night time hours. Lighting not designated for dusk-to-dawn operation shall be controlled by either: a)A combination photo-sensor and a time switch; or b)An astronomical time switch. MECHANICAL SYSTEM: The mechanical system is approved as proposed shown on Sheet M1.0 and the WSEC mechanical summary. 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 Masop County ccesss the above described property and structure for review and inspection. OWNER OR AGENT: � DATE: o COM2012-00015 Page 6 of 7 MASON COUNTY Department of Community Development INSPECTION CARD and CERTIFICATE OF OCCUPANCY* t PO BOX 186, 426 W Cedar ST, Shelton WA 98584 General Questions: (360) 427-9670 ext 352 Inspection Requests: (360) 427-7262 Permit Number COM2012-00015 Date 05/29/2012 Issued By Project Restaurant with drive-thru aisle; improved parking area; connection to site stormwater system. Site Address 51 NE STATE ROUTE 300 STE A BELFAIR Applicant OLYMPIC HOLDINGS LLC Contractor License Number Con. Phone Expiration Date Primary Code Occupancy A-2 Division Use RESTAURANT Type of Construction VB Exit Design Load Public Works Access/Driveway Other Health Dept Septic Well Planning Dept Site Inspection ` Fire Marshal Fire Apparatus Access Z Fire Sprinkler Auto Fire Alarm --Hood and Duct $ti�tK Final — - — - Building Dept Building Official.- Community Development Designee Concrete Setbacks 4 —f `�/ —j�� Slab Footing Perimeter Ili Ret. Wall / Bulkhead Footing Interior T Footing Decks/ Porches Foundation Stern) Walls &I--2c-;._1 Z T Other Rough-In Groundwork Plumbing c/_j 2 �` Q Plumbing u/ Groundwork Mechanical Other Groundwork Gas Pipe Gas Pipin y—"z / Framing - /,Z j 1 _ Mechanical _ 3_/L Insulation Slab Ceiling Floor Vaulted Ceiling Walls / /�7Q Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire walls Nailing 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. ,s � -7r2 O , CONCRETE MECHANICAL MANUFACTURED HOME 4� N Footings Setbacks Date By Ribbons Gas Piping _ o Interior Date By interior-Q to BY Oattr By n Exterior Date -�L By Exterior-Date_/ By �� Ln Set-up = Point Load I Isolated Footings INSULATION Date By O BG I SLAB INSULATION 0 Date By Data tv�q/L By 2 FIRE DEPARTMENT Z Foundation Wails Floors Date By 0 Cl) Date _ZGj�1� By Date By DECKS r- FRAMING Walls Date By r Date By Data -2 1 L_ By PROPANE TANKS Vault Date d/'�/(BS✓�`'�O PLUMBING Date By OTHEOo �✓ `h�L— Groundwork Attic �f► -��+'�7 � / 6�-`Z Date y Tyke 7 Date B y B _,�,,.----• Date / By D.W.v DRYWALL Type- 0 By O Int.Brace Wall Date By 8' � �Date /� ogle By FINAL INSPECTION c Water Line p Fire Separation -a Date O -?Q- LBy Date By Date I -� By o 0 Pass or Request Inspect. o Type of Insp. Fail Date Date Done By Comments v, J a fG�% G`Jplg C/,-9 , Td Soon -2 - L Q,01 c /J Aqwtj (D �Ivr/,5"',T r F/�✓� I h `T hN� `_lG�" MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 426 West Cedar Street ♦ PO Box 186 • Shelton,WA 98584 H Cu;y a.• (360)427-9670 EXT. 352 FAX(360)427-7798 HOME PAGE—www.co.mason.wa.us Special Inspection Authorization Project Owner ;6Wab "1•1GS U —Building Permit Number C4ti2o e�tS Project Address S r_ ►lT ?tyj Engineer Architect of recor�h,i'�/3►g STr A . �Clr2 c,�9 M,GHEc �SGw In addition to the inspections required by International Building Code (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 special inspections during construction on the types of work listed under IBC Section 1704. This form must be completed by the owner or the engineer or architect of record, prior to permit issuance, indicating who will perform the required special inspections for this particular project. The specified special inspector(s) shall perform the required special inspections during construction of the project, submit all inspection reports to the Building Department and provide a final signed report stating whether the work requiring special inspection was, to the best of the inspector's knowledge, in conformance to the approved plans and specifications and the applicable workmanship provisions of the IBC. The following checked items require special inspection: �1,1. Concrete. During the taking of test specimens and placing of reinforced concrete. (IBC 1704.4) 1 2. Bolts installed in concrete. Prior to and during the placement of concrete around bolts when stress increases permitted by Table 1912.2 and section 1912.5 are utilized. (IBC 1704.4) ❑ 3. Erection of precast concrete members. Periodic inspection perACl 318: Ch 16. (IBC 1704.4) 0 4. Shotcrete. Continuous inspection perACl 318: 5.9, 5.10 and IBC Chapter 19. (IBC 1704.4) 141 Reinforcing steel and prestressing steel tendons. Inspection of reinforcing steel including prestressing tendons. (IBC 1704A) D 6. Welding of reinforcing steel. Inspection of the welding of reinforcing steel according to AWS D1.4,ACI 318: 3.5.2, and IBC 1903.5.2. (IBC 1704.4) 0 7. Structural welding. Welding inspection shall be in compliance with AWS D1.1. (IBC 1704.3.1) D 8. High-strength Bolting. The installation of high-strength bolts shall be periodically inspected in accordance with AISC LRFD Section M2.5. (IBC 1704.3.3) C 9. Structural Masonry. Masonry construction shall be inspected and evaluated with the requirements of IBC section 1704.5. '_ 10. Soils. Inspections for fills 12 inches or greater to be performed in accordance with IBC Section 1704.7. ❑ 11. Pile foundations. inspector to be present when pile foundations are being installed and during tests. (IBC 1704.8) n 12. Pier foundations. Special inspection of pier foundations for buildings are required in seismic Zone D. (IBC 1704.9) n 13. Spray-applied fire resistant materials. Inspections shall be in accordance with sections 1704.11.1 through 1704.11,5. D 14. Exterior insulation finish system (EIFS). Special inspection shall be required for all EIFS systems. (IBC 1704.12) Continued on reverse side 0 15. Smoke-control system. Smoke control systems shall be tested by a special inspector per IBC Section 1704.14. 0 16. Special cases. Special inspection shall be required for proposed work that is, in the option of the building official, unusual in its nature such as alternative methods and material of construction, unusual design applications, and materials and systems required to be installed in accordance with additional manufacturer's instructions that prescribe requirements not contained in the IBC or referenced standards. Installation of structural epoxies 0 Installation of"high-load shear panels' 0 Structural Observation(IBC1709) UOther: Special Inspector Selection: The special inspection agency and special inspector shall be registered by the Washington Association of Building Officials(WABO)for the particular type of construction or operation requiring special inspection. Such inspector(s) shall be selected by the owner or the owner's agent and approved by the Building Official prior to issuance of the building permit. The owner's agent shall not be acting as,or employed by the special inspection agency or the contractor for this project. Name of Special Inspector or Agency: Type of Inspection: Registration Number:Authorization: I hereby state that I am the legal owner of the project property, or that I am the legal owner's agent who is not employed by a special inspection agency or contractor associated with this project. In addition, I agree to comply with the special inspection requirements established by Chapter 17 of the International Building Code as adopted son County. �s t��►42r �•t3-ZotZ. Sibrrg ure Printed Name irbwner O Agent Date PURPOSE OF SPECIAL INSPECTION Special inspection is the monitoring of materials and workmanship which are critical to the integrity of the building structure to assure that the approved plans and specifications are being followed and that relevant codes are being observed. Special inspections are in addition to those conducted by the county building inspector and by the engineer or architect of record. Special inspectors furnish inspection at all times that their presence is required by the code, the plans and specifications, and the enforcing jurisdiction. Good communication between the special inspector and the designer,contractor, and building department is essential. DUTIES AND RESPONSIBILITIES OF THE SPECIAL INSPECTOR: Special inspectors are individuals with highly developed, specialized skills who observe those critical building or structural features which they are qualified to inspect. Duties of special inspectors and/or inspection agencies include the following: 1.General Requirements Special inspectors shall review approved plans and specifications for special inspection requirements. Special inspectors shall comply with the special inspection requirements of the enforcing jurisdiction. 2.Signify Presence at Job Site Special inspectors should notify contractor personnel and the enforcing jurisdiction of their presence and responsibilities at the job site. 3.Observe All Work for Which They Are Responsible Special inspectors shall inspect all work and perform or observe all tests requiring inspection and testing for conformance with the building-department-approved (stamped)drawings, specifications and applicable provisions of the code. • 4. Notification of Discrepancies Special Inspectors shall bring all nonconforming items to the immediate attention of the contractor. If any such item is not resolved in a timely manner or is about to be incorporated in the work,the engineer or architect of record and the building official should be notified immediately by telephone or in person,and the item noted in the special inspector's written report. The special inspector shall write a separate report to be posted at the job site regarding noted discrepancies which should contain,as a minimum, the following information about each nonconforming item, •Description and exact location, •Reference to applicable detail of approved plans/specifications, •Name and title of each individual notified and method of notification,and •Resolution or corrective action. S. Reports A. Inspection reports The special inspector should complete written inspection reports for each inspection visit and provide the reports on a timely basis determined by the building official. The special inspector or inspection agency shall furnish these reports directly to the building official,engineer or architect of record,and others as designated. These reports should be organized on a daily format and may be submitted weekly at the option of the building official. In these reports,special inspectors should: •Describe inspections and tests made with applicable locations; • List all nonconforming items; • Indicate how nonconforming items were resolved; • List unresolved items, parties notified, and time and method of notification; and • Itemize changes authorized by the architectlengineer of record and approved by the building department, if not included in the nonconformance items. B.Final reports Special inspectors or inspection agencies shall submit a final, signed report to the building department stating that all items requiring special inspection and testing were fulfilled and reported and,to the best of their knowledge, in conformance with the approved design drawings, specifications, approved change orders and the applicable provisions of the code. Items not in conformance, unresolved items or any discrepancies in inspection coverage(i.e., missed inspections, periodic inspections when continuous was required,etc.)should be specifically itemized in this report. DUTIES AND RESPONSIBILITIES OF THE CONTRACTOR: The contractor's duties include responsibility for notifying the special inspector or agency regarding individual inspections required by the Building Department, or required by the International Building Code, Chapter 17. Adequate notice shall be provided so that the special inspector shall have appropriate access to the approved plans at the job site prior to the required inspection. The contractor shall not perform any work that requires special inspection without the special inspector present. Completion of this form, and the performance of special inspections does not relieve the contractor's responsibility to schedule required inspections by the Mason County Building Department prior to concealing any work. DUTIES AND RESPONSIBILITIES OF THE ENGINEER OR ARCHITECT OF RECORD: The engineer or architect of record is responsible for identifying which special inspections are necessary, developing a schedule of required special inspections, and assisting the owner in the selection of the special inspector. The engineer or architect or record shall review the special inspection reports to determine that all required special inspections have been performed and that all discrepancies(if any) have been resolved. DUTIES AND RESPONSIBILITIES OF THE PROJECT OWNER: The project owner, or the engineer or architect of record acting as the owner's agent, is responsible for the funding of all required special inspection activities in accordance with International Building Code Section 1704. } MASON COUNTY PERMIT NO.I�P_Ot ! ) — JLSCJIJ 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 INFORMATION CONTRACTOR INFORMATION Owner 0:/41;f OLyM/!t_ E{or. mrj% u e- Company Name Mailing Address 30-X 679"1 Mailing Address City Q State 0 Zip Code Y639V City State Zip Code Phone 1 S1 `{ns `f`t' Other Ph. 25'3 6S7 ey8a Phone Other Ph. Lien/Title Holder SX''`'`fT_&A Contractor Reg. # Exp. E mail address G4+4rs(12 E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic S4"Kt Existing Septic Connect to Water System X Name of Water System 456�~ c-1411UL Buse Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No, iz32sr t oorgo Fire District z- Legal Description Site Address(Please include street name,street number and city) 2-1 tit- Sr*m Directions to site (-°GAj-*o /ff- J�tG or Toti Will timber be cut and sold in parcel preparation?Yes/ o Is property within 200'of Saltwater n-t� Lake River/Creek Pond ^}� Wetland Iva Seasonal Runoff _Stream No Slopes or Bluffs ] 15% tJa Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JO - New Add Alt Repair_Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Buildin ` 'r Describe Wor rl tl,l� �- No.of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. 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 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 is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF EO NUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X / c Date: 2-1 2��Zor 2- Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department g Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES 3 M• B•A a r c h i t e c t s A R C M I T E C T U R E. A N 0;' P L A N N I N G 606 NORTH 2N0 STREET TACOMA WA 9B403 P: 253.752.9409 F: 253.752,0538 April 12,2012 Mr. Larry Waters, Mason County DCD RL' Building/Fire Inspector IV �V.:rteLIV ED , .ERR 10, 2012 RE: Dairy Queen,Belfair WA MASON COUNTY Dear Mr.Waters: We have reviewed your Compliance Report emailed and dated March 20, 2012 and have responded below and/or made changes as requested. I have listed each of your comments by sheet number below with our response. COMMENTS 1. Per your phone call with Norm Olson, "a Geotech investigation/confirmation can occur at a later date. "At Our Risk". 2. See revised sheet A5.2.A plumbing diagram has been added. 3. Per a phone call between you and I, Mechanical design and layout can be deffered. This is being granted in order to keep the building permit review going. Mechanical plans must be submitted within a few weeks. 4. . 5. D APA"w-s- %s 6. See revised sheet A2.1. Fire Extinguisher locations have been called out. 7. See Attached Special Inspection Form. ✓ (uk�&V 4,UPIt&i7—) 8. Fire Flow testing will be conducted neXper Tom Peadon.Fire flow and hydrant location will be submitted at a later date. 9. See revised sheet AT 1. Exit signs are now shown. 10. See revised sheet AT 1. Emergency backup lighting is now shown. 11. See revised sheet T1. Plumbing Calculations are now shown. 12. See revised sheet AT 1.A ceiling grid installation detail has been added. 0 Page 2 April 12, 2012 13. This project does not have a specification book. The drawing sheets that have been revised are being submitted along with this letter per your request and should be inserted in the drawing sets. If you have any questions regarding the above responses, please do not hesitate to call. Sincerely, Lawrence Aranda Project Manager Attachment: (2)sets of revised Architectural Sheets Light Power Allowance Analysis Date:4-12-12 Project: Belfair Dairy Queen Address: 21 NE State Route 300, Belfair, WA 98528 Total Area of Building 2833 Less exempted area 0 Total Area for Calcualtion 2833 Table 15-1 watts/sf allowable 1 Total Watts allowable for Building 2833 Light Fixture Schedule IType Quantity Watts/fixture Total Watts A Metallux 2gr8 232 (2) Tube 23 68 1564 B Metallux 32 watt can 21 32 672 C Specialty walls sconces 8 8 64 D Hanging lights 8 60 480 Total Actual Watts 2780 Conclusion:2780 is less than 2833 Therefor the light complies with table 15-1 (4/17/2012) Larry Waters- Dairy Queen - Belfair Page 1 j From: "Chris Reanier"<Chris@reanieradvisors.com> To: Larry Waters" <Law@co.mason.wa.us> CC: "Debbera Coker"<Dlc@co.mason.wa.us> Date: 4/17/2012 7:03 AM Subject: Dairy Queen - Belfair Attachments: Christopher Reanier.vcf Larry. The corrected plans arrived back to your office via UPS yesterday. From the architect's letter, it appears that all items were addressed in these corrections, except for mechanical, energy code compliance and fire flow/hydrant location. The energy code information will come with the deferred mechanical submission, which I expect to submit by the end of this week or early next week. For the fire flow information, the fire department and Belfair Water District are testing the hydrant this week. I will make sure that a revised site plan is turned back in with the hydrant location identified. In the meantime, please let me know if you need any further information and I will round it up ASAP. Thank you. Regards, Chris Reanier Reanier Advisors 3304 Rosedale St NW, Suite 201 PO Box 997 Gig Harbor, WA 98335 p. 253-857-8580 1 f. 253-276-5072 1 e. chris@reanieradvisors.com Unless expressly stated otherwise, any federal tax advice contained in this communication (including attachments) is not intended to be used, and cannot be used, for the purpose of avoiding federal tax penalties. This communication may contain privileged and/or confidential information. It is intended solely for the use of the addressee. If you are not the intended recipient, you are strictly prohibited from disclosing, copying, distributing or using any of this information. If you received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. You may not directly or indirectly reuse or redisclose such information for any purpose other than to provide the services for which you are receiving the information. -----Original Message---- From: Larry Waters [mai Ito:Law@co.mason.wa.us] Sent: Tuesday, March 20, 2012 10:19 AM To: Chris Reanier Cc: Debbera Coker Subject: Chris, Chris, Re: Dairy Queen, Belfair WA. (4/17/2012) Larry Waters - Dairy Queen Belfair Page 2 Please see pre-application meeting notes under PAR2011-00025 for code sections and the specific information required for submittal. www.co.mason.wa.us I am missing the following information to complete the plan review: 1. Geo-tec investigation report per section 1803.5.11 and 1803.5.12 of the 2009 IBC. 2. Plumbing riser diagram and layout. 3. Mechanical design and layout, duct fabrication and installation requirements. Type 1 hood and duct fabrication and installation specifications. UL 300 fire suppression system installation specification. Wall clearance and fire protection. 4. Washington state Energy code compliance information. 5. Lighting budget compliance. 6. Fire extinguisher type and location. 7. Special inspection form completed. 8. Fire hydrant location and fire flow information, gpm and psi at hydrant. 9. Exit sign layout and illumination and battery specifications. 10. Emergency power for exit illumination ( emergency back up lighting). 11. IBC chapter 29 calc's for number of plumbing fixtures. 12. Suspended ceiling fabrication and installation specifications. 13. Spec book Larry Waters Mason County DCD Building/Fire inspector IV 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Mechanical Summary MECH-SUM.i 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Project Info Project Address Date For Building Dept Use Applicant Name: Applicant Address: Applicant Phone: Project Description Briefly describe mechanical system type and features. ❑Includes Plans Include documentation requiring compliance with commissioning requirements,Section 1416. Compliance Option O Simple System Q Complex System C Systems Analysis (See Decision Flowchart (over)for qualifications. Use separate MECH-SUM for simple&complex Equipment Schedules The following irdormation is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans,fill in the required information below. Cooling E ui ment Schedule Equip. Equip Capacit/ OSA CFM SEER Econmizer Heat ID Type Brand Namet Model No.' Btu/h or Econo? or EER IPLV3 Option or Recovery Exception Y/N Heating Equipment Schedule Equip. Equip Capacity2 OSA c1m Heat ID Type Brand Namet Model No.' Btu/h or Econo? hlput Btuh Output Btuh Efficiency4 Recovery Y/N Fan Equipment Schedule Equip. Equip ID Type Brand Name' Model No.' CFM Spt HP/BHP Flow Controls Location of Service tlF available. 2 As tested according to Table 14-1A through 14-1 G. 31 required. 4 COP,HSPF,Combustion Efficiency, or AFUE,as applicable. 5 Flow control types:variable airvolume(VAV), constant volume (CV),or variable speed(VS). 6 Exception numberfrom ' 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Mechanical Summary (back) MECH-SUM 2009 Washington State Energy Code Compliance Forms for Nonresidential and Mufteamily Residential Revised February 2011 All Systems: ❑No humidification? []No Reheat? System Description If Heat ng/Cooririg ❑Constant vol? ❑Split system? ❑<=84,000 Btuh? ❑Economizer irrduded? See Section 1421 for full description or Cooririg Only. ❑Air cooled? ❑Packaged sys? ❑<=135,000 Btuh? of Simple System quarifications. z? Heating Ca >0&—10 BtutA2 ❑Coodng Cap<=15 Btuh/fl . ❑ n9 P• 6Heating Only. ❑<1000 cfm? ❑QO%outside air?❑Heating Cap.—10 Btuh/ftz? Decision Flowchart Use this flowchart to determine if project qualifies for Simple System Option. lif not, either the Complex System or Systems Analysis Options must be used. START ap<-15 or Humid•Ificalion Heat(Cool Eq.wit Yes or Reheat? Cap—10fft2? Yes No HeatingrCooling Air Coded, 0 System Type or Cooling Only onstant Volu Yes Heating Only Reference Section 1421 Total <1000 CFM Serving N cfm? Single Roo IF 0.00 Ys Yes ckage Unit Split System No— Btu <3090 OSA Cap<-135,000 <=84,000 Btuh? h Yes Yes Yes eatin lifies Cap—10 Ye Econo Economizer uh/ft� ncluded? Exception ( on 1 Yes Yes Simple System Allowed (section 1420) Use Complex 10- Systems (section 1430) Complex Systems Refer to MECH-COMP Mechanical Complex Systems for assistance in determining which P y Complex Systems requirements are applicable to this project 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Mechanical - • • MECH-COMP 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Project Address Date The following additional information is necessary to check a mechanical permit application for a complex mechanical For Building Department Use system for compliance with the mechanical requirements in the Washington State Nonresidential Energy Code. Use the checklist as a reference for notes added to the mechanical drawings (see the MECH-CHK checklist for additional requirements). This information must be on the plans since this is the official record of the permit Having this information in separate specifications alone is NOT an acceptable alternative. Applicability Code Location Building Department (yes,no,na) Section Component Information Required on Plans Notes ADDITIONAL CHECKLIST ITEMS FOR COMPLEX SYSTEMS ONLY 1431.1 Feld aysem.sys. Provide calculations for total onsite energy inputfoutput to equip. 1431.2 System Sizing Indicate equipment&system sizing complies with 1431.2 1432.1 Setback&shut-off Indicate separate systems or show isolation devices on plans 1432.2.1 Air system reset Indicate automatic temperature reset&operation sequence 1432.2.2 Hydr.Sys.reset Indicate automatic temperature reset&operation sequence 1432.3.1 Hydr.Var.Flow Indicate variable flow method for all applicable systems 1432.3.X Hydronic Isolation Indicate method of isolation for all applicable systems 1432.4 DDC Capabilities Indicate control capabilities including demand response setpoind adj. 1432.4 DDC data mgmt Indicate metering and trending capabilities. 1432.5 Pressure Reset Indicate static pressure reset for VAV systems 1433 Air Economizer Indicate economizer on equipment schedule or provide calculations to justify exemption.Demonstrate higher efficiency equipment if required. 1433 Water Economizer Indicate water economizer and provide calculations showing compliance with 1413 if 1433 Exception 3 is utilized 1434 Separate air sys. Indicate special requirement zones and indicate systems 1435 Simul.htg.&clg. Indicate method of prohibiting simultaneous heating and cooling,or state excpetion and show supporting calculations 1436 Heat recovery Indicate heat recovery of all applicable systems on plans;complete and attach heat recovery calculations 1437 Elec.motor effic. MECH-MOT or Equip.Schedule with hp,rpm,efficiency 1438 Variable speed drives Indicate VS control or equivalent on schedules for all applicable equip. 1438.1 Heat Rejection Indicate heat rejection equipment types and fan types 1438.2 Hot Gas Bypass Indicate cooling equipment staging and capacity modulation abilities 1438.3 Large Volume sys Indicate multiple system rooms&indicate ventilation control 1439.1 Kitchen Hoods Indicate source and conditioning of make-up air 1439.2 Laboratory Exhaust Indicate HR,VAV,semi-conditioned makeup,or CERM talc If"no" is circled for anv question, provide explanation: Decision Flowchart Use flowchart to determine how the requirements of the Complex Systems Option apply to the project Start Here Refer to the indicated Code sections for complete information on the requirements. Section 1411.1 Equipment Efficiency s10H 25,0 No ny Fuel Fuma e i 50 ield-Assembl Air System input>225,000 N with Design>25 N N Serving Multiple No Shall Meet Tables uh or Any U ' input>225'� people per Equipment? Zones? Ple 14-1A through 141G Bate Stuh? 000S Yes Yes Yes Yes Yes 1411.1 IID&Power Section 1411.1 Section 1412.8 Section 1431.1 Section 1432.2.1 Venting or Damper. 0.75%Maximum Ventilation Controls Calculations of Total Su If input>225,000 Jacket Loss for High-Occupancy On-Site Energy Input Supply Air Reset p Areas &Ouput Required Controls Btuh then 1412.E Required Modulating Controls Required (continued on back) 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential -Mec • • • • 2D09 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Section 1432.32 Total Section 1432.2.2 Section 1432.3.1 dronic Syst <;Hydronic Yes through 1432.35 unIPHP>3H Water Device Isolatbn or HP>1.5 and Yes Variable Fknv Heated or Cooled Temperature Required > ntrol v Design Required 300,000 Bt Reset Required No N Section 1433 ]*>fa� Section 1432.4 MechanicalDDC Required With Cooling? Economizer Trending and Required Demand Response N Supply OSA Section 1436.1 Section 14362 >-_5000 CFM Ye 50%Effective Heat Steam ct� Y Condensate Recovery Required Recovery Required No — No 4. 1. emot Section 1436.4 Section 1436.3 Refrigeration yes* Refrigeration or Condenser Heat Condensers Condenser Heat >1, r Recovery Required >500kBt Recovery Required No Section 1435 ystem o Section 1438.3 ystem or Zones Zone Controls Must Controls Must Y Reduce Su Ai ystems serving w/Simultaneous PPN r a room have Ye Reduce Airflow When g.&Clg.? Quantity Before 10,000 C System In Not Reheating/Re000ling PPI Heating or Cooling No Fan or Pump Section 1438 otor Ind.in Multi-speed Section 1437 P Y Variable Flow E nd.Covr'd b N Motor in Multi- N Motors Must Meet Motors >=7.5 qP Y HP? Devices Required Tbl 141A-14 system Efficiencies in 1G? Table 14-4 Yes N yes Y otal Bid . Laboratory Y Section 1439.2 Exhaust>5,000 dm? One Required: a. Heat Recovery per No 14392 b. 50%VAV Exhaust& Make-up chen Exhau Section 1439.1 c. 75%Direct Makeup w/ Hood>1,000 -Yesli, No Heating or Tempering Only dm? Cooling for at Least d. Combined Energy 50%of Make-up Air Reductio n Oert-0min I No Yes Yes DONE 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential lEc• • • 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Economizer Summary ❑Full Air Econo: Check box(es)for exceptions being ❑EX 1: ❑Ex 5: []Ex 9a: claimed. List the system/equipment that qualifies for each exception. See ❑Ex 2: ❑Ex 6: ❑Ex 9b: Section 1433 for full description of Economizer requirements. ❑Ex 3: ❑Ex 7: ❑Ex 9c: ❑Ex4: ❑Ex8: ❑Ex10: Decision Flowchart Use this flowchart to determine if project complies with Economizer requirements. If not,the Systems Analysis Option must be used. START Reference Section 1433 100%Air a Full Air Economizer- conomizer Complies N 1<72B : Group R Ooc. Yes00 Ye ified Un' --:777 F m Table 14-1A, , Yes ception S /EER 15% r e d Cap<54,000 B Yes OF R not Exterior No ception ace it Cap<33,00>Bt er not ExteriYes or Yes— nit djacen ptio #25% Yes er Cooled Re. / cce lion 3 S ste Idg Cap wo Econ P y Ye aterside Economize Ca <=500 tons a 80,000 Btu or 2 o ing chiiled b Yes p• Sys N No No No ception Exception 4: Exception 5: ception 7: P Dehumidification Yes Yes Cooling 75%Site 7Ye&---- Special OA Yes with supporting Heat Pump Loop HR or Solar filtration Need rgy anal ting All Crite No No Na No ception 9: erved b c.9a: Dedicated Server or Ye 14-1A or 14-1B Yes EER&IPLV Ye Eq Rm quipme Over e No No No &&IPL P L. N Yes ote C or belt Yes f cap>65,00C. tu IF ception 10: E RF System Meeting NO RAE 127 Ye No All Criteria Yes is 14-1A/14- P No Qualifies for Full Air Economizer Does Not Comply Exception- Complies 2009 Washin ton State Ener Code Com liance Forms for Nonresidential and Multifamily Residential Electric Motors MECH-MOT 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Project Address Date Complete the following for all design A&B squirrel-cage, T-frame induction permanently wired For Building Department Use polyphase motors of 1 hp or more having synchronous speeds of 3600, 1800 or 1200 rpm(unless one of the exceptions below applies). Motor Min.Nom. No.or Type Synch. Full load Location HP (open/closed) Description of Application or Use Speed Efficiency 24nimanNorrinal Full-Load Eftcienraes C%)As of i2ti9t2010 Open Mors Enclosed Motors Synchrcnous 3,600 1,800 1200 3,600 1.900 1200 Exceptions: Ski r'Rpli", 1. Motors in systems designed to use more l.letcr H P than one speed of a multi-speed motor. 1.0 77.0 85.5 82.5 77.0 S`.5 82.5 2. Motors already included in the efficiency 15 84.0 W.5 85.5 84.0 86.5 g7.5 requirements for HVAC equipment (Tables 14- 20 55.5 i?8.5 $7.5 $5.5 s,6:5 8,5 1A or 14-1B). 3. Motors that are an integral part(i.e.not 3A $5.5 89.5 $8.5 86.5 89_5 89-5 easily removed and replaced) of specialized 5.0 96.5 89.5 09.5 W.5 89.5 5 process equipment(i.e.equipment which 75 M5 91.0 902 8 9.5 91.7 91.0 requires a special motor, such as an explosion- 10.0 89.5 91.7 91.7 902 91.7 91.0 proof motor). 15.0 90.2 93.0 91.7 91.0 S2.4 91.7 4. Motors integral to a listed piece of nZ "si 0 93.0 92 t 91.0 93 0 91.7 1 equipment for which no qualifying motor has 255.0 91.7 93.6 93.0 91.7 03 6 93.0 been approved (i.e. if the only U.L.listing for the �0 0 91 7 9=1 °3 6 91 7 G3 0" 0,0 equipment is with a less-efficient motor and there is no energy-efficient motor option). 40.0 92.4 94.1 94.1 92.4 94.1 94.1 50.0 93.0 94.5 94.1 93.0 94.5 94.1 For motors claiming an exception, list motor and 60:0 93.6 95I 94.5 93.6 9`_0 94.5 note which exception applies. 75.0 93.6 95.0 9.4.5 93.6 95.` 95 4 100.0 93.6 9-.4 95.0 94.1 9rs.4 95.0 12S.0 94.1 95.4 95.0 95.0 ac 4 95.0 150.0- 4-.1 95.8 95.; 95:0 95.8 9<.8 200.0 95.0 95.8 °5.4 95 a %-2 95-6 250.0 95.0 °5.8 95.4 95.8 9-32 95.8 300..0 95.4 95.8 95.4 95.8 562 95.8 350.0 95.4 95.8 9e.4 95:$ 952 0`.3 `00.0 95.$ 9 .$ 95.8 95.8 96.2 95.$ 50.0 9 .8 96.2 96.2 95.8 9`.2 SC-1.9 500.0 95.8 9c2 962 S-155.8 1 96.2 °4.8 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Mechanical Permit Plans Checklist MECH-CHK, 2D09 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Project Address Date The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the Washington State Nonresidential Energy Code. Applicability Code Location Building Department (yes,no,na) Section Component Information Required on Plans Notes HVAC REQUIREMENTS(Sections 1401-1424) 1411 Equipment Performance 1411.1 Minimum efficiency Equipment schedule with type,capacity,efficiency 1411.1 Combustion htg. Indicate intermittent ignition,flueldraft damper&jacket loss 1411.1 Air-cooled chiller Provide total air and water chiller capacity 1411.2.1 Water-cooled chiller Full-load and NPLV values adjusted for any non-standard conditions 1411.4 Pkg.elec.htg.&clg. List heat pumps on schedule 1411.5 Unenclosed Heat Indicate radiant heat system and occupancy controls 1412 HVAC Controls 1412.1 Temperature zones Indicate locations on plans 1412.2 Deadband control Indicate 5 degree deadband minimum 1412.3 Humidity control Indicate humidistat 1412.4 Setback and Shutoff Indicate thermostat with 7 day program capability&required setback 1412.4.1 Dampers Indicate damper location,leakage rate,control type,&max leakage 1412.4.2 Optimum Start Indicate optimum start controls 1412.5 Heat pump control Indicate heat pump thermostant&outdoor lockout on schedule 1412.6 Combustion heating Indicate modulating or staged control 1412.7 Balancing Indicate balancing features on plans 1412.8 Ventilation Control Indicate demand control ventilation for high-occupancy areas 1412.9 Loading Dock& Indicate enclosed loading dock&parking garage ventilation system Garage Ventilation activation and control method. 1422 Thermostat interlock Indicate thermostat interlock on plans 1432.2.1 Temperature Reset Indicate temperature reset method 1413 Air/Water Economizers 1412.1 Single zone systems Indicate multiple cooling stage control capability. 1413.1 Air Econo Operation Indicate 100%capability on schedule 1413.1 Wtr Econo Operation Indicate 100%capacity at 45 degF db&40 deg F wb 1413.2 Wtr Econo Document Indicate max OSA condition for design clg load&equipment performance data. 1413.3 1 Integrated operation Indicate capability for partial coding 1413.4 Humidification Indicate direct evap or fog atomization w/air economizer 1414 Ducting Systems 1414.1 Dud sealing Indicate duct design pressures,sealing,and testing requirements 1414.1.2 Low press.duct test Indicate applicable law pressure duct systems shall be leak tested Indicate high pressure dud systems shall be leak tested,and identify the 1414.1.3 High press.dud test location of this ductwork on plans 1414.2 1 Dud insulation Indicate R-value of insulation on dud 1416 JPiping Systems 1415.1 1 Piping insulation Indicate R-value of insulation on piping 1416 Completion Requirements 1416.3.2 System Balancing Indicate air and water system balancing requirements 1416.3.3 Functional Testing Provide sequence of operations and test procedures. 1416.3.4 Documentation Indicate O&M manuals,record drawings,staff training 1416.3.5 lComm.Report Indicate requirements for final commissioning report 1416.4 lCompliance,Chklist Submit to building official upon substantial completion. Mechanical Summary Forth Completed and attached. Equipment schedule with types,input/output, efficiency,dm,hp,economizer 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Mechanical Permit Plans Checklist Continued 2009 Washington State Energy Code Compliance Forms for Nonresidential and Multifamily Residential Revised February 2011 Project Address Date The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the Washington State Nonresidential Energy Code. Applicability Code Location Building Department es no na Section Com onent Information Required on Plans Notes SERVICE WATER HEATING AND HEATED POOLS Sections 1440-1454) 1440 Service water htg. 1441 Elec.water heater Indicate R-10 insulation under tank 1442 Shut-off controls Indicate automatic shut-off of circulators or heat trace 1443 Pipe Insulation Indicate R-value of insulation on piping 1444 Pump Energy Indicate method of pump energy management(Sec 1438) 1445 Heat Recovery Indicate preheat capacity as%of peak service water demand. 1460 Heated Pools 1452 Heat Pump COP Indicate minimum COP of 4.0 1452 Heater Efficiency Indicate pod heater efficiency 1453 Pod heater controls Indicate switch and 65 degree control 1454 Pod covers Indicate vapor retardant cover 1454 Pools 90+degrees Indicate R-12 pool cover 1455 Heat Recovery Indicate method and capacity of exhaust air temperature reduction COLD STORAGE(Sections 1460-1465) 1460 Cold Storage 1463 Evaporators Indicate motor type and speed control 1464 Condensors Indicate condenser cooling type,design wb temp and control 1465 Compressors Indicate design minimum condensing temp and control. If"no"is indicated for any item in Sections 1401-1424 or 1440-1465, provide explanation: 5r� - ( ---) �6 --- � S z Is r C6 �c- r 1� erg ce_ c_.zs 'LjC ,�h C C- . �- v3 C, ( ) CL L7 l , 3 Z© L-) L cs- 4-. e-- 1 e—?< 6-3 ;;000- - .. 2 COO i C �..� 27 T,7L a I asJ � d i ILI- LAE wv� CLs Up—.E-- en-n C-) Lz C— r c-4 JxL4r-,4r-,Pr t, 4- ro c� h s 4,-5 ACC N 4 Aw- 1 I.N11- L—v From: Debbera Coker To: chris@rainieradvisors.com Date: 5/9/2012 11:58 AM Subject: WSEC compliance - Dait Queen Hello Chris, Larry Waters has asked me to review the Dairy Queen plans for Washington State Energy Code (WSEC) compliance. I find the mechanical summary forms referencing compliance to WSEC chapter 14 but did not find compliance forms and information/plans related to the envelope, Chapter 13 and lighting, Chapter 15. Our office will need compliance forms in order to proceed. Do you recall whether they were submitted? Debbera Coker Mason County Building Department Building Inspector IV/Code Enforcement Phone: (360)427-9670 ext 510 FAX: (360) 427-7798 e-Mail: DLC@co.mason.wa.us PO Box 186 426 West Cedar Street Shelton, WA 98584 From: Debbera Coker To: chris@rainieradvisors.com CC: Waters, Larry Date: 5/9/2012 12:27 PM Subject: Fwd: WSEC compliance - Dait Queen Taking the review further I have the following comments related to WSEC compliance: ��1 appears that envelope compliance may be met prescriptively using WSEC Table 13-1 provided the owing components are adjusted or modifications are made. Otherwise a component performance calculation may be required: A) Prescriptively, R-10 slab insulation around the entire perimeter shall be installed with a thermal break. Note that sections and details depict R10 slab insulation but does not extend up to slab edge in detail 10/A4.1 B) Minimum R-21 wall insulation shall be required where the concrete stem wall extends above the slab. See details on Sheet A4.1. C) Minimum ceiling insulation shall be min. R-30 when installed above the ceiling deck or R-38 in single- rafter applications. Detail 1/4.1 specifies that R-23 is proposed. D) Windows/Vertical fenestration shall have a U-factor of U-.32 or less and glazed entrance doors U-.40 or U-.60 depending upon solar orientation. Please clearly identify windows proposed. E) All other doors shall have a U-factor of.60 or less. Please identify U-factor of proposed doors. '�PThe plans did not contain a lighting layout and control sheet required in order to verify compliance to hapter 15. Please provide along with required compliance forms. >>> Debbera Coker 5/9/2012 11:58 AM >>> Hello Chris, Larry Waters has asked me to review the Dairy Queen plans for Washington State Energy Code (WSEC) compliance. I find the mechanical summary forms referencing compliance to WSEC chapter 14 but did not find compliance forms and information/plans related to the envelope, Chapter 13 and lighting, Chapter 15. Our office will need compliance forms in order to proceed. Do you recall whether they were submitted? Debbera Coker Mason County Building Department Building Inspector IV/Code Enforcement Phone: (360)427-9670 ext 510 FAX: (360) 427-7798 e-Mail: DLC(aDco.mason.wa.us PO Box 186 426 West Cedar Street Shelton, WA 98584 Materials Testing & Consulting, Inc. Gewtchnkal E:nghAvring&Consultiog•Speefal ln4xv ims 0 NlaterUk Tossing•Ent ironmental Consulting ,M Engineered Assuranee 5iare 1981 Starbucks Coffee - 12SO51-01 -Compression Test: Concrete: Report#C30707 CLIENT Bailey General Contractors,LLC DATE 06/13/2012 PROJECT LOCATION Lacey WA 98503 PERMIT# 12-351 Inspection Information: Inspection Date: 06/13/2012 Time Onsite: 0700 am Weather Conditions: Partly sunny Inspection Performed: Compression Test:Concrete Field Data: Location of Placement: Slab on grade and plumbing pour backs. Sample Location: Slab on grade - . Contractor alley General Contractors Subcontractor: Supplier/Plant:Miles Sand and Gravel/206A _ _. ............ Qty Placed,Cu.Yd.:33 Slump,Inches(ASTM C-143)or W/C Ratio: ,523 Concrete Temp,OF(ASTM C 1064): 701, Delivery Ticket#: Job Spec.Slump 4+4 Ambient Temp,°F: $2 I Truck# €� Air Content,%(ATSM C-231) 1h Min Temp,°F: � 1 Batch Time: 7:57 am Job Spec.Air: g+-1 I Max Temp,°F:� Sample Time: 9:00 am Mix#and Proportions: 01500C Cement,lbs.:468 Coarse Agg,lbs.: 14494#571 _j Admixture,ozJcwt: Flyash,lbs.: Coarse Agg,lbs.:412(pea) Admixture,oz./cwt: Water,gals.: 29 Coarse Agg,lbs.: Admixture,oz./cwt:. Fine Agg,lbs.: 1520 Coarse Agg,lbs.: Admixture,ozJcwt: Observations s Samples made by a MTC representative ®Samples picked up by a MTC representative ®Reinforcing steel was visually inspected and found to comply with project plans and specs Sample Type & Compression Test Results: Received 06/14/2012 Sample Set I of 1 Type of Compression Test: Concrete(ASTM C-39) Lab Tests: Test Total Sample Dim. Sample Comp. Break ASTM ASTM New Log# Age Date of Test Load Area(Sq. Strengtd Tested By (Days) (Lbs.) (In') In.) (PSI) Type C-617 C-1231 1990 7 06/20/2012 47,902 4.01 12.63 3,790 Josh Luck 4 0 1991 28 07/11/2012 ' 53,206 4.00 12.57 4,230 William Swartz 5 ❑ 99 1992 28 07/11/2012 54,483 4.00 12.57 4,330 William Swartz 5 ❑ 1993 28 07/11/2012 52,788 4.01 12.63 4,180 William Swartz 5 0 1994 H 0 ❑ O _ .. REQ'D 28 € 3000 Remarks: Reinforcement inspected by Larry Nypa d.gonerete placed by pump truck&was mechanieal�consolidated. AN ,W) u `y[Vf—Aftv.—aTrxA��MdmAK,¢+.MwQ'M�al�n�{ely.M<4p#tY.rJ.roNknrMlMrkrgalt.�vRsy4`®Fu..�Y.,.wa.as NYaarn lnvq W+rtt 'Y cnr xt*vv*re re*sir.sx-�M1cwa+nrxve, rm ,1(1004.2612 re Pi,.#d¢ 0- .n iF.«2�M�rs ezebca Corporate * 777 Chrysler Drive * Burlington, WA 99233 * Pbone 360.7SS.1990 * Fax 360.755,1980 SW Region * 2118 Black Lake Blvd. S,W.* Olympia. WA 98512 * Phone 360.534.9777 * Fax 360,534.9779 NI`i` Region + 21.16 Last Bakerview Road * Bellingham. WA 98226 * Phone 360,647.6061 * Fax 360.647.8111 Visit out webcite: c��sTu�tal0� i. Starbucks Coffee-12S051-01,06/13/2012,#C30707,Page I of 2 Materials Testing & Consulting, Inc. NITC Geotechnical Engineering Conwhing*Special ln%pecfiHm 0 Xlateria4Tvting 0 F.mismmmalconsulling Enginrrtr4 A suframer Since 1981 REPORTED BY:Jared Jacobski REVIEWED BY:Jason Dearborn,Project Manager 1., 01 llz*l. Corporate # 777 Chrysler Drive * Burlington, WA 98233 * Phone 360.755.1990 o Fax 360.755.1980 SW Region • It IS Black Lake Blvd, S.W.- Olympia. WA 99512 - Phone 360.534,9777 # Fax 360.534.9779 NW Region 2126 East Bakerview Road # Bellinllham WA 98226 - Phone 360,647A()61 * Fax 360.647.81 11 Visit our websitc: Starbucks Coffee-125051-01,0611312012,#C30707,Page 2 of2 Materials Testing Consulting, Inc. N„ � Geot"linkcal Vnginrering&Coosulting•Specisi Inspot6on 0iaierisslc Triting a F;nsiixnlro<irtat C'onsutthrg Engine Aasurancr Since 1981 �� a Belfair Dairy Queen - 12SO51-02 -Compression Test: Concrete: Report#C30750 CLIENT Bailey General Contractors,LLC DATE 06/18/2012 PROJECT LOCATION Belfair WA PERMIT# Inspection Information: Inspection Date: 06/18/2012 Time Onsite: 11:00 am Weather Conditions: Overcast with showers Inspection Performed: Compression Test:Concrete _.. .._._._.__._.......... Field Data: Location of Placement: Building footing Sample Location: North West and South sides Contractor: j Subcontractor: . Qty Placed,Cu.Yd.:']-0 of 12.5 - Slump,Inches(ASTM C-143)or W/C Ratio:15 Concrete Temp,OF(ASTM C-1064): 65 Delivery Ticket#:J 54610 Job Spec.Slump:.4+/-1.5 Ambient Temp,OF:157 Truck#: M005 Air Content,%(ATSM C-231): Min Temp,OF: 55 Batch Time: 11:26 Job Spec.Atr _ Max Temp,OF:j 90 Sample Time: 12:45 Mix#and Proportions: 1840OF Cement,lbs.: 148 Coarse Agg,lbs.: 1554 Admixture,ozJcwt: „ Flyash,lbs 7 Coarse Agg,lbs.: 295 Admixture,oz./cwt: Water,gals 29 Coarse Agg,lbs.: _ Admixture,oz/cwt Fine Agg,lbs.: 1464 Coarse Agg,lbs.: Admixture,ozJcwt: Observations®Samples made by a MTC representative ®Samples picked up by a MTC representative ®Test results comply with applicable specification ®Reinforcing steel was visually inspected and found to comply with project plans and specs 12 Gallons of water were added H Prior to sampling Sample Type & Compression Test Results: Received 06/19/2012 Sample Set 1 of 1 Type of Compression Test: 'Concrete(ASTM C-39) Lab Tests: Test Total Sample Comp. Sample Dim. Break ASTM ASTM New Log# Age Date of Test Load Area(Sq. Strengtd Tested By (Days) (Lbs.) (In.) In.) (PST) Type C-617 C-1231 2060 7 06/25/2012 48,909 4.01 12.63 3,870 William Swartz 4 0 2061 28 07/16/2012 65,619 4.01 12.63 5,200 William Swartz 3 0 2062 =< 28 07/16/2012 67,175 4.00 12.57 5,340 William Swartz 3 ❑ 2063 1 28 07/16/2012 64,577 4.01 12.63 5,110 William Swartz 3 0 2064 ! H �,... 0 ❑ ❑ REQ'D 28 3000 i Remarks: !M MMs+YN!mJ.vW vxd k,rtx-,asA w+weaad.Km t A,a-auwi,nvcoc<e to<AR A,,Ar pdtK my iwmW,r.,a4 rtry.sx re+�W4�5W s+.�«k+u+�i aY+++'+Y�dM+�.,wY.�Leiiraunekx�aMadaad +.a+wMw,-.ar raaw^ca Mr+ra.ka^scwv�.ttA+raf^'A'*fx ar+ex.-e4 p±ueaF�cerxaxaa � ;n4% P�9S M aaa,6�)*teas+�t Ji{'s.wc�}x+qy,-fnr. .art 4s�t.va+c r.eel, Corporate - 777 Chrysler Drive • Burlington, WA 98233 • Phone 160.755.1990 • Fox 360.755,1980 SW Region 2118 Black Lake Blvd. S.W.- Olympia, WA 98512 • Phone 360.534.9777 • Fax 360,534.9779 NW Region 2126 Bast Bakerview Road • Bellingham, WA 98226 + Phone 360,647.6061 • Fax 360.647.8I11 Visit our websitc. Bey'air Dairy Queen-12S051-02,0611812012,#C30750,Page 1 of 2 Materials Testing n onsult n , Inc. UM Geatechnieal rnglmvring&C'oawltiog•Specisd Ithpectiwr•XtatrrisK Te>ting•t minrental Comulti" Engineerrd,issurance Since 1981 MTC on site as requested for concrete placement and testing.Concrete was placed by pump and mechanically consolidated. i At contractors request the building set back was verified to be 13'from surveyed hub to edge of bldg. REPORTED BY:Trish Beals REVIEWED BY:Mark Gordon,Technical Director .i�tywvk5 ggip egi�e.aeHeat k..un+ee� �ku`r.�z.,t... Ata asm2u,:je ro.x�£u'atie lia feA➢»;tom,...rear. a`.ht rtedn vvelxote'3x.tlk<�iFiW+�paipvjyeY.2q+*ti,afdaMfvai.axr+ehvpw4t>y.Y cox rY.ka€ u..x�a.aysvua e� t'aMxM1lakva.+r w}tagLa,wr xp.9x so-hvprr EOpt a +tMispa,pihw,bp_t .oflM 2012 Offtiel♦1c1—j A{'.,>�Eyl tie(, 1n All 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 2126 Last Bakerview Road • Bellingham, WA 98226 • Phone 360,647,6061 • Fax 360,647,81 It Visit our w°ebsite. ysLvt Belfair Dairy Queen-125051-02,0611812012,#C30750,Page 2 of 2 IA Materials 'besting Consulting, Inc. '�� Geolechnieal Engineering A Comuhing•Special Imtxrtiwi•Material*Tessin •Emironmentat comutting h'aglnetrrd tssurancrSincr1481 1" src.r�"'"i Belfair Dairy Queen - 12SO51-02 -Compression Test: Concrete: Report#C30786 CLIENT Bailey General Contractors,LLC DATE 06/20/2012 PROJECT LOCATION Belfair WA PERMIT# Inspection Information: ______ Inspection Date: 06/20/2012 Time Onsite: 11:30 am Weather Conditions: clear skies Inspection Performed: Compression Test:Concrete _ Field Data: Location of Placement: Stem walls for building Sample Location: Same Contractor:Bailey Subcontractor:Gordon Gayle Supplier/Plant:Miles 208 Qty Placed,Cu.Yd.: 10.5 Slump,Inches(ASTM C-143)or W/C Ratio: 7.75 Concrete Temp,IF(ASTM C-1064): 74 Delivery Ticket#: 154635 Job Spec.Slump: +/-1.5 Ambient Temp,IF: 68 Truck#: M085 Air Content,%(ATSM C-231): 5.8 Min Temp,IF: Batch Time: 1 1:34 Job Spec.Air: 5+2/-1.5 Max Temp,IF: Sample Time: 12:45 Mix#and Proportions: 0950AFG3 Cement,lbs.: 514 Coarse Agg,lbs.: 1453 Admixture,oz./cwt:'MBAE 90.4.7 Flyash,lbs.: 100 Coarse Agg,lbs.:347 Admixture,oz./cwt: NIB POLY 997.37.3 Water,gals.: 27 Coarse Agg,lbs.: Admixture,oz./cwt: GLENIUM. 19 Fine Agg,lbs.: 1329 Coarse Agg,lbs.: Admixture,oz./cwt: Observations E Samples made by a MTC representative E Samples picked up by a MTC representative ®Reinforcing steel was visually inspected and found to comply ®Test results comply with applicable specification with project plans and specs 10 Gallons of water were added E Prior to sampling Sample Type 8t Compression Test Results: Received 06/21/2012 Sample Set I of 1 Type of Compression Test: Concrete(ASTM C-39) Lab Tests: Test Total Sample Dim. Sample Comp. Break ASTM ASTM New Log# Age Date of Test Load Area(Sq. Strengtd Tested By (Days) (Lbs.) (In.) In.) (PSI) Type C-617 C-1231 2107 7 06/27/2012 45,659 3.99 12.50 3,650 Josh Luck 4 0 E 2108 28 07/18/2012 56,587 4.00 12.57 4,500 Alex Quiring 4 0 E 2109 28 07/18/2012 57,150 4.00 12.57 4,550 Alex Quiring 4 0 E 2110 28 07/18/2012 56,591 3.99 12.50 4,530 [ Alex Quiring 4 ❑ E _j.___._ 2111 A L _ 1 _ _ 0. ❑ ❑ Q� i _ RE D 28 ....,..; ._..4500 Remarks: MTC on site as requested for concrete placement and testing.Concrete was placed by pump and mechanically consolidated.Unable to locate approved mix design,contractor plans to contact engineer to obtain a copy.Status of test results pending mix design. A.iA-wJ,a.tS`_irien.�fuM M��r-e:WO M+.aMt'�Bx R'&d Axa aew9p�9 tn!IS\�W WCrrt3Y,YKs''�ri Tila�eKls1+,1NM�wt NAw1Mf�#)Mlt '•'1TfM74t'Lt32.l1w�kf NlM�apt�te�P14M*.i''�k#uPw ti ewe.t,-e.r atw:a.ry cesrn +s.ece .eAi rse au++era«ny...;a a t#ae- jolt"......1.itro.0 %Caa 01—t.fsc Ail.ighf.atia-4 Corporate - 777 Chrysler Drive • Burlington, WA 98233 • Phone 360.755.1990 • Fax 360.755.1980 SW Region 2118 Black take Blvd, S.N%' - Olympia. WA 98512 • Phone 360.5,14.9717 t-ax 360.534,9779 NW Region 2126 East Bakerview Road t Bellingham, WA 9£226 • Phone 360.647.6061 Fax ,160,647.8111 Visit our ucb itc: gyuu:..t3,t.Li.._i.P;f...t3.L.l Belfair Dairy Queen-12S051-02,0612012012,#C30786,Page 1 oj2 Materials "besting & Consulting, Inc. Geatechnical Engintrring&Cmwltior•Slxvial lns{xcticw•Nta1er4KT^6ng•f;nriromnemal Consulting 1.'ngintfnJ Astutanrr Since 1981 ' REPORTED BY:Trish Beals REVIEWED BY:Mark Gordon,Technical Director caas�.�.tsa��+e rcgiedr.a sWe.epan.rs rr a,ed{pr+axy pp eaeepi: w..#.+F W11 . lot:�f arrrrisis ie.e�a#t Crawwttia;-i�r. 441.il�t•rs.er.e1. Corporate • 777 Chrysler Drive • Burlington. WA 98233 • Phone .460.755.1990 • Fax 360.755.1980 SAY Region + 2118 Black Lake Blvd, S.W.• Olympia. WA 98512 • Phone 360.534,9777 • Fax 360.534,9779 NW Region 2126 Fact Bakerview Road • Bellingham. WA 9$226 • Phone 360,647.6061 • Fax 360.647,81 t l Visit our a e b+s i t e: ss,,L)L!a�tC}.L§�.1.11,C..,= Beljair Dairy Queen-125051-02,0612012012,#C30786,Page 2 of 2 Materials Testing & Consulting, Inc. Geotechnical Fogim—ritra It Consulting•tidal Inspection•&lairrials Te+tioa*f nviranaaental Consulting Bagincrnrd Assumner Since 1981 Belfair Dairy Queen - 12SO51-02 - Compression Test: Concrete: Report#C30888 - DRAFT CLIENT Bailey General Contractors,LLC DATE 07/06/2012 PROJECT LOCATION Belfair WA PERMIT# Inspection Information: Inspection Date: 07/06/2012 Time Onsite: 08:00 AM Weather Conditions: sunny,56 deg Inspection Performed: Compression Test:Concrete Field Data: Location of Placement: Slab on grade Sample Location: middle of north 1/4 of slab Contractor:T Bailey Inc. Subcontractor:Gordan Gayle Supplierli'lant:(Miles Sand and Gravel/Shelton Qty Placed,Cu.Yd.: 10 yards of Slump,Inches(ASTM C-143)or W/C Ratio:',6.5 Concrete Temp,OF(ASTM C-1064): 72 50 yards Delivery Ticket#: 154763 Job Spec.Slump ;-t/_ I Ambient Temp,OF: 56 Truck#: 1227 Air Content,%(ATSM C-231): Min Temp,IF: Batch Time: 7:06 am Job Spec.Air; Max Temp,IF: Sample Time: 8:15 am Mix#and Proportions: 1240OF Cement,lbs.:448 Coarse Agg,Ms.: 457- 1554 lh Admixture,oz./cwt: ......... .. Flyash,lbs.: 112 Coarse Agg,lbs.: 0-,354 lb Admixture,oz./cwt: Water,gals.: 28 Coarse Agg,lbs.: Admixture,oz./cwt: Fine Agg,lbs.: 1382 Coarse Agg,lbs.: Admixture,oz./cwt: Observations®Samples made by a 11'('rc p excntativc ®Samples picked up by a MTC representative ®Reinforcing steel was visually inspected and found to comply with project plans and specs 15 Gallons of water were added ®Prior to Sampling Sample Type & Compression Test Results: Received 07/09/2012 Sample Sct 1 of 1 Type of Compression Test: ?Concrete(ASTM C-39) Lab Tests: Test Total Sample Sample Comp. Break ASTM ASTM New Log# Age Date of Test Load Area(Sq. Strengtd Tested By (Days) (Lbs.) Dim.(In.) In) (PSI) Type C-617 C-1231 2257 7 07/13/2012 47,675 4.00 12.57 3,790 Josh Luck 4 0 IR 2258 28 08/03/2012 0 ❑ 0 2259 28 08/03/2012 0 ❑ 0 2260 28 08/03/2012 0 ❑ 0 2261 H 0 ❑ O ... .. ....i REQ'D 28 4000 Remarks: S::rt-«*1n�Y..«ciy o,ueied ka-atuxa aucl m+Nrui.t+ttcv�.taxorYli�3fq}{S�tk.YBJ#N,A1`W�'<1N.N u+mY.r..+�RS ti*'�'.R��+kA d�k�idt+�`.7trz'p[n>r�.'fl1*.+.+.A a6xiswrrbe'pefri<�+rvf ayep'+ro�r`+.F�wcRawva as rsu�.N€,,3n xa.eFGwa.rx fixr+4�wa.eaa • i? +R aw•r ed.0 Y--li fi far+m icier iwf. .rit rdfkl.r.-1-e4_ Corporate + 777 Chrycier Drive • Burlington. WA 98233 • Phone 360.755.1990 • Fax 360.753,I980 SW Region • 2118 Black Lake Blvd, S.W.• Olympia. WA 98512 • Phone 360.534.9777 • Fax 360.534.9779 NW Region 2126 Bast Bakerview Road • Bellingham, WA 98226 • Phone 360.647,6061 • Fax 360.647.8111 Visit out websitc: +i v�iA11t tll 1lt. Beljair Dairy Queen-12S051-02,0710612012,#C30888,Page I oj2 Materials Testing & Consulting, Inc. c Geateehnical Engineering&Cun uhlog•Special Inspretirut•%latrrials Testing•F;nsirnnnrrnral Comulting ae� Engineered Assurance Since 1981 As requested,MTC Inspector on site to inspect and sample placement of(50)yards of Miles Sand and Gravel concrete in building slab on grade.Placement was by pump truck. To the best of my knowledge,work complies with plans and specifications. REPORTED BY:Craig Williams REVIEWED BY:, r �3 4 :, Ai3 n.,�h.y.�y aM+.,.va.k w.�xr.anr aue(sr,r ,la n esvr�pst�-w r,s,mv_�.{�trC sib weft+'ew,alt a¢}x'na as»I�eriar Mt exwekanr pr,rpaw,d c4a._c+t s?thcr+.tx.re P..rxlesww nl•+e(nr�'•a»&`tarss..� ee�eu asks ar m•saNxa,�azaern r<se.en��c+A•r w+w +vfw*+�t�atM -Y&#��l are+s a4,i<taai k<'oxaolxt•g.IwG A!t rEt�.rc cc r.<d- Corporate • 777 Chrysler Drive • Burlington. OVA 98233 • Phone 360.755.1990 • Fax 360.755.1930 SIV Region 2118 Black Lake Blvd, S.W.• Olympia.WA 98512 • Phone 360.534.9777 • Fax 360.334.9779 NW Region 2126 Bast Bakerview Road • Bellingham. WA 98226 • Phone 360,647,6061 • Fax 360.647.8111 Visit our website: cstLu tt#ti it ..li.fi.l Beljair Dairy Queen-I2S051-02,0710612012,#C30888,Page 2 of 2 Materials Testing & Consulting, Inc. Gtot chnical Unginrering R Otn%ulting 0 Special Impeetian+tlateriak Testing•En%ironmentat CorKulling Engineered Asaaraarr Since 1981 Belfair Dairy Queen - 12SO51-02 - Field Report: Nailing: Report#F46213 CLIENT Bailey General Contractors,LLC DATE 07/19/2012 PROJECT LOCATION Belfair WA PERMIT# Inspection Information: Inspection Date: 07/19/2012 Time Onsite: 08:00 AM Weather Conditions: Sunny Inspection Performed: Nailing Comments: __.............._.___ .___..._ —. _._ _.. �.__ -- MTC arrived on site for nailing inspection of exterior walls at entire perimeter.Reviewed plans&specs.Observed all nailing to be visually acceptable per contract documents at above noted locations.Only exterior walls were inspected on this day.Observed hold downs,'; roof ledger blocking in place.No exceptions noted. REPORTED BY:Mark Gordon REVIEWED BY:Mark Gordon,Technical Director �3A rtw+`vh.appfy«wt,ao aria.i Sr+uanw anA wwwsFttratr+ean! A.anWvu}salt¢W.wa_eY�rix,'f\�ifitk-s*d+vw4.W.i gpvhR Wiw'iMNa14 PMedisuai gw+�ari x/.Ke+•'t.,iwtamb'evawa[.x gukbtuk+.v<E mrcw<a�..vat�u.t e4xn4ry 4x*naw wMEl.+v�.v+ rnrs rr.�tA i�'* t "*+ « aw x[+: ,-Mll 2012 wavvrbts t .—t d[fs+e<ne,s J-lac An r.fF.rrecr.ed. Corporate • 777 Chrysler Drive * Burlington, %VA 98233 * Phone .160.755.1990 * Fax 360.755.1980 S1V Region * 21 IS Black Lake Blvd.S.»',• Olympia. W'A 98512 * Phone 360.534.9777 • Fax 360.534.9779 NW Region 2126 Fast Bakerview Road * Bellingham, WA 08226 * Phone 360,647,6061 * Fax 360.647.111 It Visit our websitt: l+u' Bey'air Dairy Queen-12S051-02,0711912012,#F46213,Page 1 of I . Materials Testing & Consulting, Inc. "T` (k1tvhnic:d F iixina•rinx K Comulling•SlMvcial Imllrruon•Vaterial.'Irslinl:•t nuronlnrnlal('on.ulliFig Engineered 1..urvnce Since 19.41 y'"+b.«•rc.rrl•� Belfair Dairy Queen - 12SO51-02 - Field Report: Nailing: Report #F46316 CLIENT Bailey General Contractors,LLC DATE 07/30/2012 PROJECT LOCATION Belfair WA PERMIT# Inspection Information: Inspection Date: 07/30/2012 Time Onsite: 12 PM Weather Conditions: overcast 60 to 75F Inspection Performed: Nailing Comments: On site as requestted by the contractor for special inspection of lateral framing of roof structure.Reviewed the approved plans with the contractor. Did a lateral framing inspection on the roof diaphragm for nails,straps and clips. As per the approved plans the roof diaphragm has the correct nail type,size,and spacing. All clips and strap for the roof were installed per the approved plans. This inspection visually conforms with all approved applicable plans. Images: r I UPLOADED: 07/30/2012 20:31:00 Exterior shot of structure. REPORTED BY:Jonathan Pink REVIEWED BY:Mark Gordon,Technical Director All n..O..rpl..W,..«.wl�a r•..xa•uw.u1.rw.l A.,«.w.J a.•n•.«a.4µ....4 PrW.r0..w.r1...,r wp++.Ma.MrN..W arf1.•ra1 M.TM.d.M.n•.W.rl.a........I.v p.M..«.v.a rr.�w..c.r.M•..r.n a.x..levw.vHs+.l••t•.r.q.w,..wr...�1.wM.M.r.....MM.•..r . ZOOM .012 M......-1. I...uM A /burlu•M,1•, All r.M►.• 1. 1. 41 Corporate • 777 Chrysler Drive • Burlington. WA 98233 • Phone 360.755.1990 • Fox 360.7SS.1980 KN Rvgion 21 18 Black Lake Blvd. S.W.• Olympia. WA 98312 • Phone 360.534.9777 • Fax 360.334.9779 Kvgion 2126 East Bakerview Road • Bellingham. WA 98226 • Phone 360.647,6061 • Fax 360.647.8111 VU11 our webslte: 4Y 4444.I11IC-111'. Belfair Dairy Oueen-12S051-02.0713012012.#F46316.Pare I of I From: Debbera Coker To: Wes Rhodes CC: Hicks, Jeromy; Waters, Larry Date: 9/25/2012 1:08 PM Subject: Fire protection requirements- Belfair, WA Dairy Queen Hello Wes, This email is in response to your inquiry yesterday concerning fire protection requirements for the Dairy Queen located at 51 NE St Route 300, Belfair WA. The permit number for this case is COM2012-00015. During the plan review the plan reviewer, Larry Waters added conditions to the permit. One of the conditions addressed Fire Marshal comments . The condition is pasted below. A NFPA 13 fire sprinkler is not required because of the size of the building. A NFPA72 monitored fire alarm system is required if the existing fire hydrant does not meet minimum fire flow requirements. Larry Waters, who represents Fire Marshal activities in Mason County, has not heard whether the existing fire hydrant meets required fire flow. I recommend that you contact the Fire District representative Jeromy Hicks to arrange for a fire flow test. This message has been cc'd to Mr. Hicks. In addition please provide a copy of the test report to our office so that we can add it to our file. A knox box is required to be installed per section 506 of the 2009 International fire code. Please contact the local fire district for more information and inspections. 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 to the top of the unit with a maximum travel distance of 75 feet in any direction. X A UL 300 fire suppression system is required to be installed in the type 1 hood and duct system. A separate permit application and plans is required to be submitted and approved prior to any work being done. X The existing fire hydrant must be flow tested to confirm fire flow at the site. If fire flow demand is not met the building must equipped with a fully monitored NFPA 72 automatic fire alarm system. X Duct detectors are required to be installed in all HVAC systems with a cfm ratings of 2,000 and greater, a separate permit application is required to be submitted and approved prior to any work being done. The system is required to be fully monitored by a UL certified monitoring company. X All interior wall and ceiling finish is required to be a minimum of a class C with a smoke development index of 0-450 and a flame spread index of 76-200. X Debbera Coker Mason County Building Department Building Inspector IV/Code Enforcement Phone: (360)427-9670 ext 510 FAX: (360) 427-7798 e-Mail: DLC@co.mason.wa.us Logged By: Job Number Job Nams Raaw# WRJ 7730 DID 1 j!`AN.L.Olson&Associates,Inc. Start rime Engineering,Planning and Surveying End Time Cale Day a tAbek 2453 BETHEL AVENUE 745 0815 6/1/2012 FRI P.O.BOX 637 Site Time Mies weather PORT ORCHARD,WASHINGTON 95366-0637 0.5 hours 25 40's to 50's partly cloudy Total (Daily Field Report) Hours Total Hours= 1.0 hrs(with Drive Time) Job Locabon Near Belfair St and Belfair Highway Cey Belfair,wa ClientlOwnct Olympian Holdings,LLC Contractor General Contractor Superintendent Chalked By Dab BGC WES RHODES(360)915 4673 NLO was on-site at the request of BGC's superintendent, Wes Rhodes to collect proctor samples for in-place density testing. During today's site visit, NLO was on-site to collect one (1) soil sample. NLO brought the collected samples to a lab for processing. i NLO will return to the site at the superintendent's request. t I Are approved plansrpermts on-she p YES NO ll NO.contact the building department or explain: EQUIPMENT Project No. Pemut No. Was Rep�reeSerr5abve C"actcr r Logged By: Job Number Job Name Report tl A WRJ 7730 Do 2 A'-`A N.L.41son&Associates,Inc. Engineering,Planning and Surveying Start Tube End time Date Day of week 2453 BETHEL AVENUE 745 0815 6/4/2012 mon P.O.BOX 637 ——TSite Time Iles Weather PORT ORCHARD,WASHINGTON 96385-0637 0.5 hours 25 49s to 50's light rain Total Hoes (Daily Field Report) Total Hours=1.0 hrs(with Drive Time) Jot)Location Near Belfair St and Belfair Highway Coumr Belfair,wa CkenfAONmerOlympian Holdings, LLC Pile Contractor General Contractor Superintendent Chacked By Date BGC WES RHODES BLDG FOUNDATION ALIGNMENT i PLIANT SOIL CONDITIONS ENCOUNTERED BUILDING FOOTPRINT (APPROX) PENDING EXCAVATION i i i i Are approved plansrpermits on-site Q YES Q NO if No.contact the building department or explain EQUIPMENT Project No. Permit No. NL9's Representative Contractor ` i Lop98d By Jab Number Jab Name _ Report A A WRJ 7730 DO 2 L!-`AN.L.Ofson&Associates,Inc. Sled TM End Tim Dare oayavwel Engineering.Planning and Surveying 2453 BETHEL AVENUE 745 0815 6/4/2012 mon i P.O.BOX 637 Site Time miles VJJeadw , PORT ORCHARD,WASHINGTON 9836&0637 0.5 hours 25 40's to 50's light rain (Daily Field Report) TatalHours Total Hours= 1.0 hrs(with Drive Time) Jab Location County Ceent0mier i Near Belfair St and Belfair Highway Belfair,wa Olympian Holdings,LLC I Pile Co,rtractor General Comrades Superimendenl Checked Fly Date i BGC WES RHODES(360)915 4673 1 I i NLO was on-site at the request of the general contractor to verify the proposed building's subgrade i area. At the time of our site visit, the building's subgrade area was excavated. NLO representative evaluated the exposed portion of the building's foundation subgrade area with a half inch diameter ! steel T-Probe with soil penetrations of about 1 to 3 inches observed. NLO representative generally encountered poorly graded sand with gravel along the building's foundation subgrade area. A portion of the building's foundation was not excavated along the southern portion of the building because of an existing foundation protruding into the proposed building area. The existing foundation presently supports a sign that is in the process of being decommissioned. However, deeper soil penetration of one (1) to four (4) feet were observed along the building's east i foundation subgrade area_ NLO representative observed relatively soft fine grained soils with organic that would not provide adequate foundation support for the building. At the time of our site visit, the foundation subgrade excavation has not been completed. Once the entire foundation subgrade area has been excavated down to proposed bottom of foundation depth, NLO will reevaluate and provide recommendations for foundation subgrade improvement. NLO will return to the site at the superintendent's request. Are approved plans/permits on-site [3 YES 0 NO If NO,Contact the bui�ng department or explain EQUIPMENT Project No. Permil No NLO's Represetutne Contractor I i - Logged By: Job Number Job Name Report# A WRJ 7730 DO 3 4'-`A N.L.Olson&Associates,Inc. Engineering,Planning and Surveying Start Time End Time Date Day of Week 2453 BETHEL AVENUE 0830/1200 0900/1230 6/11/2012 mon PORT ORCHARD,WASHINGTON 98366.0637 Site Tine Miles 2.0 hours 50 Partly cloudy 60 to 7 Weather I s 0's (Daily Field Report) TotalHows Total Hours=2.0 hrs(with Drive Time) I Job Locabon Near Belfair St and Belfair Highway County Belfair,wa Cllere/Owrrer Olympian Holdings,LLC Pile Contractor General Contractor Superintendent Checked By Date BGC WES RHODES BLDG FOUNDATION ALIGNMENT r T O F- p r hQ �a N Q PLIANT SOIL CONDITIONS ENCOUNTERED (AREA OF SUBGRADE IMPROVEMENT) A A0 nQ�Q X BUILDING FOOTPRINT (APPROX) OVEREXCAVATION(OX) fL >C , O rf 4 x Q GROUND FOUNDATION IMPROVEMENT 1.5 FT WIDTH CONCRETE 1,500 PSF BEARING UNDERLAIN BY SPALLS 41- 0 a NONREINFORCED CONCRETE 4a CONCRETE 1, 1.5 FT(MIN) SPALLS OR RECYCLED THICKNESS CONCRETE THICKNESS -2' 2500 PSI WILL VARY ALONG AREA OF GROUNDIMPROVEMENT 4 TO 6"PARTICLE SIZE WASHED OF FINES SECTION A-A FOUNDATION SUBGRADE IMPROVEMENT I Are approved plans4mmits on-site E] YES O NO If NO,contact the building department or explain. EQUIPMENT 1 Project No. Permit No. 7 NLO s Representative Contractor 1 Logged By: Job Number Job Name Report N A WRJ 7730 DQ 3 k AN.L.01 son&Associates,Inc. Engineering,Planning and Surveying Stan Tirne EM TNne Date Day of Week 2453 BETHEL AVENUE 0830/1200 0900/1230 6/1112012 mon P.O.BOX 637 Site Time Miles Weather PORT ORCHARD,WASHINGTON 98366-0637 2.0 hours 50 Partly cloudy 60 to 70's Total Hours (Daily Field Report) Total Hours=2 0 hrs(with Drive Time) Jab Location Courly C5enti0wr r Near Belfair St and Belfair Highway Belfair,wa Olympian Holdings, LLC P�.le Contractor General Contractor SupennteMent CneUcM By Date BGC WES RHODES(360)915 4673 Fle= G eneral Contractor NLO was on-site at the request of the general contractor to verify the proposed building's subgrade area. Upon completing the building's foundation subgrade area excavation, NLO was on site to reevaluate the building's subgrade area. NLO representative evaluated the exposed portion of the building's foundation subgrade area with a half inch diameter steel T-Probe with soil penetrations of about 1 to 3 inches observed. NLO representative generally encountered poorly graded sand with gravel along the building's foundation subgrade area. Unless otherwise noted, the area verified today should provide adequate support for the proposed building. However, deeper soil penetration of one (1) to four (4) feet were observed along the building's east i foundation subgrade area. Please see page 2 of 2 this DFR for illustration of foundation subgrade area requiring overexcavation and backfill. NLO representative observed relatively soft fine grained I soils with organic that would not provide adequate foundation support for the proposed building's foundation. NLO has recommended that the east foundation subgrade area should be over excavated down to the stiff soil conditions and brought back up to the desired bottom of proposed foundation elevation with a 1.5 ft layer of concrete underlain by either recycled concrete or quarry spalls. The foundation ground improvement will utilize quarry spalls or recycled concrete 1.5 feet below anticipated bottom of foundation elevation. the particle size of the spalls or concrete should be about 4 to 6 inch and washed of fines. After placement of the spalls, the zone between the spalls and proposed bottom of footing level can be backfilled with a 2,500 psi non reinforced concrete. The purpose of the concrete is to minimize ground water seepage along the bottom of the foundation. The layer of concrete between the foundation and spalls will have a minimum thickness of about 1.5 feet. NLO has provided an illustration of the foundation subgrade improvement, Section A-A, on Page 2 of 2 of this DFR. Upon implementation of our recommendations, the building foundation subgrade should provide adequate foundation subgrade support of 1,500 psf. NLO will return to the site at the contractor's request. Are approved plans"writs on-sne O VFs NO If NO.contact the mudding department or explain. EQUIPMENT Prgecl No Permit No NLQ's Representat Contractor Logged By Job Number Job Name Report N I` WRJ 7730 DQ 4 ♦'`AN.L.Olson&Associates,Inc. Engineering,Planning and Surveying Start Tana End Time Date Day of Week 2453 BETHEL AVENUE 0800 1100 6/13/2012 WED P.O.BOX 637 Site Time Miles Weather PORT ORCHARD,WASHINGTON 98366-0637 Partly cloudy 60 S a 3 hours 25 (DailField Report) Total Hours y p Total Hours=3.5 hrs(with Drive Time) Job Location Near Belfair St and Belfair Highway Cowry Belfair, Belfair,wa Olympian Holdings,LLC Pee Contractor General Contractor 7WES Checked ByBGC RHODES(360)915 4673 BLDG FOUNDATION ALIGNMENT PLIANT SOIL CONDITIONS ENCOUNTERED U (AREA OF SUBGRADE IMPROVEMENT) � X S� BUILDING FOOTPRINT a (APPROX) OVEREXCAVATION(OX) Are approved plans/permits on-sde Q YES O NO If NO,contact the building dapartmeM or explain. EQUIPMENT Project No. Permit No NLO's Representative Contractor l Logged By. Job Number Job Name Report M A, WRJ 7730 DO 4 N.L.Olson&Associates,Inc. Engineering.Planning and Surveying Start Time End Time Date Day of week 2453 BETHEL AVENUE 0800 1100 6/13/2012 WED P.O.BOX 637 Site Time Miles Weather PORT ORCHARD,WASHINGTON 98366-0637 3 hours 25 Partly cloudy 60's Total Hours (Daily Field Report) Total Hours=3.5 hrs(with Drive Time) Job Location County Belfair, Near Belfair St and Belfair Highway Belfair,wa Olympian Holdings,LLC Plle Contractor General Contractor Supenntendent Checked By Date BGC WES RHODES(360)915 4673 NLO was on-site at the request of the general contractor to observe overexcavtion procedures along the east side of the new Dairy Queen building. Previously, NLO observed soil penetrations ranging up to four (4) feet along the building's east foundation subgrade area. The subgrade soil condition consisted of relatively soft fine grained soils with organic that would not provide adequate foundation support for the proposed building. NLO recommended overexcavation of this material down to the underlying stiff soil condition and the subsequent excavation could then be brought back up to the desired bottom of proposed foundation elevation with a 1.5 ft layer of concrete underlain by either recycled concrete or quarry spalls. Please see page 2 of 2, DFR #3, for illustration of foundation subgrade area requiring overexcavation and backfill. Today, NLO observed the overexcavation that extended down roughly 4 feet below bottom of foundation level along the entire east side of the building. NLO representative evaluated the subsequent excavation with a half inch diameter steel T-Probe with soil penetrations of about 3 to 6 inches observed. !n our opinion., the bottom of the overexcavated footing area will provide adequate support for the proposed building when back filled per our foundation ground improvement recommendations. The foundation ground improvement will utilize asphalt spalls with a particle size of about 2 to 4 inches washed of fines to backfill the subsequent excavation up to about 1.5 feet of bottom of footing level. The remaining area between the bottom of foundation and the spalls will be brought up to construction elevation with a 2,500 psi non reinforced concrete. The layer of concrete will have a minimum thickness of about 1.5 feet. NLO has provided an illustration of the foundation subgrade improvement, Section A-A, on Page 2 of 2 on DFR#3. Upon implementation of cur recommendations, the building foundation subgrade should provide adequate foundation subgrade support of 1,500 psf. NLO will return to the site at the contractor's request. i Are approved plans/permits on-site Q YES Cl NO If NO,contact the building department or explain EQUIPMENT Project No Permit No NLO'S Rep,es�alive Contractor