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COM2007-00035 Final Rite Aid with Drive Thru Pharmacy - COM Permit / Conditions - 1/8/2009
0 W CONCRETE MECHANICAL MANUFACTURED HOME m p Dale By D oFootings/Setbacks Gas Piping Ribbons X o Interior Date By interior-Date By Date BY --- _.._ r W Exterior Date By Exterior-Date B Sit-gyp r- Point Load/Isolated Footings INSULATION Date By BG f SLAB INSULATION ----- Date By Data By FIRE DEPARTMENT ) Foundation walls Floors Date Z- (o—OS, By 4, Date By Data By DECKS FRAMING./ ;r/-orlwaa walls Date By Date _ _ By Dat�Q-J p� B PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type.SHLGv/'��� 9yrCJ-T��r Data By Date By Date Z`r B Y D.w.v DRYWALL Type. 0 Int.Brace wall Date B Oate 8 Date v B y 9 y FINAL INSPECTION c Water Line Fire Seperation p Date -Q By/�f Dato By Date — ,G� By '� y O Pass or Request Inspect. CD Type of Insp. Fail Date Date Done By Comments CA 7 ZS 77 ..__.. O� Tor• Co•�PG,eTT /'+�Jv��!',�,,� '1 ^ G ✓ l•d f�L✓v �5(/ / r u r ram- / l') ,v cu 0 c�. O W N CONCRETE MECHANICAL MANUFACTURED HOME rn p Date By D C) Footings I Setbacks Ribbons Gas Piping 55 o Interior Date,S_-4J By Tf Interior-Date By bate By wExterior Datej- By%� Exterior-Date By Set-up Point Load I Isolated Footings INSULATION Date By BG I SLAB INSULATION --- - Date By Data By FIRE DEPARTMENT Foundation Walls Floors pate By Date By Data By DECKS FRAMING Walls Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork f/j-cS4 y Attic _ Type. Date S By 7/1 Data By Date By D.w.v DRYWALL Type n Int.Brace Wall Date By 0 Date By Dale e ic Y FINAL INSPECTION c Water Line Fire Sepe ration O Date g Date By Dat© By V y O Pass or Request Inspect. `C Type of Insp. Fail Date Date Done By Comments p4,V7,96 4S- 7_R ,dl✓v /WC, S��S` . -7�g7717 /roT I i �O�T �y' 7- I-- Ac7DZrg No ,1,14,KI „may -I9-O$ s.. _D$ GS7� ✓lel uiz,Bl-t3'" Coxiiv�3'C�T10YV TO Q��.�SJ� �' o b!_ Ei�bYl�r2 [�T1`1�Igs STILL l��w�'� GrIVcL �u � ice—✓' ._Y� S/i,C 4 v I 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 COM2007-00035 OWNER: BE FAIR LLC RECEIVED: 4/18/2007 CONTRACTOR: LICENSE: EXP: ISSUED: 3/26/2008 SITE ADDRESS: 23940 NE STATE ROUTE 3 BELFAIR EXPIRES: 9/26/2008 PARCEL NUMBER: 123294190190 LEGAL DESCRIPTION: TR 19 OF NE SE LOT: C OF SP#1059 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Rite Aid with Drive thru Pharmacy Intersection of State Hwy 3 and Clifton Ln. General Information Construction&Occupancy Information Type of Use: retail store Insp.Area: No. of Units: Type of Constr.: VB Fully Sprinklered Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: 2 Occ. Group: M Valuation: $ 1,289,417.30 No. of Stories: 1 Occ. Load: 505 Building Height: 26 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: mezzanine: 653 Model: Width: Building: 16,742 trash encl: 408 Year: Serial No.: Basement: Parking Spaces: 62 Setback Information Shoreline&Planning Information Front: N 82.00 Ft. Shoreline: Ft. Rear: S 20.90 Ft. Slope: Ft. Water Body:stream Shoreline Desig.: Not Applicable Side 1: E 76.00 Ft. SEPA?:Yes Comp. Plan Desig.: Rural Side 2: W 89.00 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?: COM2007-00035 Please refer to the following pages for conditions of this permit. 1 of 7 Plumbing Fixtures Mechanical Fixtures FEES . Type , Qty. Type Qty. Type By Date Amount Receipt Hosebibs 2 Additional Fixtures 4 Plan Check Fee KKK A/1A/,>nn7 �m 7nA 75 q,gnn7nn Kitchen Sink 3 Furnace<100K 1 Planning Review Fee KKK AllA/7nn7 4t7An nn C77nn7nn Lavatories 2 Unit Heater 1 EH Plan Review AnR C,nannn7 It75 nn S99nnAnn Water Closets (Toilets) 3 Ventilation Fan 3 UFC Plan Check Fee I AW 7/'A,/7nn7 Aq 1nd tR q,9nnAnn Water Heaters 3 Heat Pump 1 Non-Res.Energy Code n1 r Anannn7 tRd nn qg?nnRnn Floor Sink 1 Building State Fee ni r` Anannn7 �a An q79nnAnn Urinal 1 Mechanical Fee ni r. R/7annn7 077 7n S77nnAnn Drinking Fountain 1 Mechanical Base Fee ni r Andi7nn7 4tg5 An c77nnAnn Plumbing Fee ni r. Rnannn7 .t11,A An g99nnRnn Plumbing Base Fee ni r. Anennn7 T,,>9 nn q?gnnAnn Building Permit Fee ni r. Anannn7 4�s 599 9A R99nnAnn ADJUST—Plan Check ni r. Anannn7 Rsn 71 g99nnAnn Public Works Review IFS 11/13nnn T,1AR 1n S97nnRnn Total $13,668.99 CASE NOTES FOR COM2007-00035 CONDITIONS FOR COM2007-00035 1) 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 273, for further information. x tz 2) 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 shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in accordance with the approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the owner. Drawing notes shall require commissioning in accordance with WSEC 1513.7. X COM2007-00035 2 of 7 3) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area ' shall be designed to meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and haulers.X t z 4) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X . 5) All property lines shall be clearly identified at the time of foundation inspection. X 6) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X � 7) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quality Code (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X C-a—_ 8) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X 9) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF USE OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 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 collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X t- 11) The approved site plan is required to be on-site for inspection purposes. If inspection is called for and the site plan is not on site, Approval WILL NOT be granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X � L 12) 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 r_ COM2007-00035 3 of 7 13) 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 r 14) International Buildig Code CHAPTER 17: IN ADDITION TO THE INSPECTION REQUIRED IN IBC, SECTION 109, THE OWNER OR THE ENGINEER OR ARCHITECT OF RECORD ACTING AS THE OWNER'S AGENT SHALL EMPLOY ONE OR MORE SPECIAL INSPECTORS WHO SHALL PROVIDE INSPECTIONS DURING CONSTRUCTION ON THE TYPES OF WORK LISTED UNDER CHAPTER 17. THE SPECIAL INSPECTORS DUTIES & RESPONSIBILITIES SHALL BE AS SPECIFIED IN CHAPTER 17. Special inspection reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584 and available on-site for inspection. X 15) An inspection performed by a representative of Kane Environmental, Inc. or their authorized representative, shall be performed on-site as specified on page 16 of the Geotechnical Engineering Report, dated August 9, 2006, to verify that earthwork, pile foundation activities, soil compaction, and floor slab installation activities comply with geotechnical engineering report recommendations. In addition a final inspection report, prepared by a representative of Kane Environmental, Inc., or their authorized representative, shall be required to verify that erosion control, drainage and final work is completed in accordance to geologist recommendations. Reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584 and available on site during inspection. X - 16) Washington State Energy Code compliance is approved as follows: Component performance: 2696/2672 ENVELOPE: All glazing, including full-lite doors U-.40 or less. Doors U-.60 or less Roof insulation R-21 or better Wall insulation R-19 or better Slab insulation R-0 17) The approval of this project is subject to the recommendations and specifications outlined on page 16 in the attached geotechnical report dated August 9, 2006. Reports shall include verification that Adapt Engineering, Inc. has reviewed the final design and approved as specified or with modifications. The plan review report shall be submitted to the Mason County Building Department prior to the footing/foundation inspection. Reports shall be submitted to the Mason County Building Department, PO Box 426, Shelton, WA 98584 and available for inspection. Structures required in the geotechnical report, may require a separate permit. The geotechincal report shall remain attached to the approved building plans. X 18) 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 be charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X COM2007-00035 4 of 7 19) A fully monitored UL certified NFPA 72 fire alam system must be installed. A separate permit is required, application must be made and approved prior to installation and calling for inspection. X tti A fully compliant NFPA 13 fire sprinkler system must be installed. A separate permit is required, application must be made and approved prior to installation an inspection. X C -> A key box( knox box) must be installed on the exterior of the building, contact the local fire district for more information and inspection requirements. X .1(f .. Install 3A40BC fire extinguishers, installed in plain site and so the maximum travel distance does not exceed 75 ft. in any direction. Portable fire extinguishers having a gross weight not to exceed 40 lbs. shall be installed so that it's top is not more than 60 inches above the floor, Hand held portable fire extinguishers having a gross wieght of 40 Ibs shall be installe so it's top is not more than 3 ft. 6 inches above the floor. The clearance between the floor and the bottom of the installed hand held exinguisher shall not be less than 4 inches. X Clearly marked fire lanes shall be posted on site at the discretion of the Mason County Fire Marshall. X z— The owner/applicate is required to contact the local fire district for specific information regarding the type and location of the required fire hydrants. X L All commodities stored, used or sold on these premises are subject to the amount, type and height limitations set by the 2006 International fire code for M occupanies. And are subject to inspections and corrections as deemed necessary by the Mason County fire Marshal to meet the minimum fire and life safety requirements as adopted by Mason County. Any changes to the list of commodities that were submitted to the office are subject to resubmittal for review to the compliance requirements of Mason County. X = 20) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. O&M Agreement was recorded by the applicant to comply with these requirements. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X C-11 21) Per comment letter from Mason County Public Works Department, Programs Engineer, John Slivas, dated 11/13/07, The Strormwater Dtrainage Plan and Drawings should be incorporated into the site development plans and are hereby made conditions for permit issuance. X <- 22) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. Under the Mason County Resource Ordinance and Approved Mason Environmental Permit, the"Habitat Management Plan Mitigation Area" shown on site plan is to be planted with native vegetation the length of the south property line, between retaining wall and south property line as indcated in highlighted area shown on revised site plan, dated July 5, 2007.X e- - 23) Developers and individuals shall be required to control erosion during construction. Removal of vegetation shall be avoided and any areas disturbed should be restored to prevent erosion and other environmental impacts. X - COM2007-00035 5 of 7 24) The existing natural vegetative buffer shall remain undisturbed by any construction and/or development activities on the parcel. X �-.� 25) A detailed planting site plan, with species composition, number and distribution shall be provided to and approved by Planning staff prior to final inspection of the building permit. Site plan to indicate all native planting locations and a cost analysis for the restoration will need to be submitted and approved by the Planning Department PRIOR TO FINAL INSPECTION BY THE BUILDING DEPARTMENT. X t_ =. 26) A monitoring plan shall be enacted whereby a qualified biologist shall submit a report detailing the condition of the restoration area. This report shall be due on the anniversary date of the issuance of the building permit and shall be submitted annually for three years to the Planning Department. X L-'` 27) No degredation of water quality shall occur as a result of this project. X i_L 28) A"Declaration of Covenants Associated with Privately Maintained Storm Drainage Facilities"was recorded for this project by Be Fair LLC, Auditor's File No. 1910271, for compliance with the Mason County Public Works Stormwater requirements for this site. All development must comply with this Operations and Maintenance Agreement. X t 29) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection silt fencing or straw matting). X >: 30) Title Notification of Habitat Management Plan was recorded with the Mason County Auditor's Office, #1906946, Mason Envirronmental Permit #MEP2007-00059.This property is subject to the conditions, mitigation and/or conservation measures as contained within the Habitat Management Plan submitted to and approved by the Mason County Dept of Community Development. Restrictions on the use or alteration of the property may exist due to the contents, conditions, mitigation and/or conservation measures of the Habitat Management Plan which are to be maintained in perpetuity. The provisions and recommendations of the Habitat Management plan shall be implemented in its entirety and in a timely manner. X L 31) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X t_-- 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 Mason County access to the above described property and structure for review and inspection. OWN ER OR AGENT: �\ - C :' �,� DATE: ' L COM2007-00035 6 of 7 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 f Shelton, WA 98584 i� COMMERCIAL BUILDING PERMIT COM2007-00035 OWNER: BE FAIR LLC RECEIVED: 4/18/2007 CONTRACTOR: LICENSE: EXP: ISSUED: 3/26/2008 SITE ADDRESS: 23940 NE STATE ROUTE 3 BELFAIR EXPIRES: 11/15/200E PARCEL NUMBER: 123294190190 LEGAL DESCRIPTION: TR 19 OF NE SE LOT: C OF SP#1059 PROJECT DESCRIPTION: DIRECTIONS TO SITE: Rite Aid with Drive thru Pharmacy Intersection of State Hwy 3 and Clifton Ln. General Information Construction&Occupancy Information Type of Use: retail store Insp.Area: No. of Units: Type of Constr.: VB Fully Sprinklered Type of Work: NEW Fire Dist.: 2 No. of Bathrooms: 2 Occ. Group: M Valuation: $ 1,289,417.30 No. of Stories: 1 Occ. Load: 505 Building Height: 26 Pre-Manufactured Unit Information Square Footage Information Make: Length: Lot Size: mezzanine: 653 Model: Width: Building: 16,742 trash encl: 408 Year: Serial No.: Basement: Parking Spaces: 62 Setback Information Shoreline&Planning Information Front: N 82.00 Ft. Shoreline: Ft. Rear: S 20.90 Ft. Slope: Ft. Water Body:stream Shoreline Desig.: Not Applicable Side 1: E 76.00 Ft. SEPA?:Yes Comp. Plan Desig.: Rural Side 2: W 89.00 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?: COM2007-00035 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 Hosebibs 2 Additional Fixtures 4 Plan Check Fee KKK a/iR/9nn7 Ra 9nR 75 c99nn7n Kitchen Sink 3 Furnace<100K 1 Planning Review Fee KKK d/lR/7nn7 RgAn nn g99nn7n Lavatories 2 Unit Heater 1 EH Plan Review AnR 5/9d/9nn7 (t7F nn C99nnRn Water Closets(Toilets) 3 Ventilation Fan 3 UFC Plan Check Fee I AW 7/31/,?nn7 R7 ind 3R -;99nnRn Water Heaters 3 Heat Pump 1 Non-Res. Energy Code ni r. R/9d/9nn7 RRd nn C99nnRn Floor Sink 1 Building State Fee ni r. R/9a/9nn7 Ra rn g99nnRn Urinal 1 Mechanical Fee ni r R/9d/9nn7 R79 7n C99nnRn Drinking Fountain 1 Mechanical Base Fee ni r. R/9a/9nn7 R9F,in 4;99nnRn Plumbing Fee ni r R/9d/9nn7 Ri i i to C99nnAn Plumbing Base Fee ni r. R/9d/9nn7 R99 nn C99nnRn Building Permit Fee ni r R/9a/9nn7 Ra 599 95 ,;99nnAn ADJUST--Plan Check ni r. R/9d/9nn7 .tin 71 C77nnRn Public Works Review IFS 11/i3/Inn R1dR in g99nnRn Total $13,668.99 CASE NOTES FOR COM2007-00035 CONDITIONS FOR COM2007-00035 1) 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 2) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF OR OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 3) This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. Under the Mason County Resource Ordinance and Approved Mason Environmental Permit, the"Habitat Management Plan Mitigation Area" shown on site plan is to be planted with native vegetation the length of the�Ip roperty line, between retaining wall and south property line as indcated in highlighted area shown on revised site plan, dated July 5, 2007.X 4) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation and Indoor Air Quay ode (VIAQ), Building/Plumbing/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction. X COM2007-00035 Page 2 of 7 5) 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 collet of b he Mason County Building Department prior to any further inspections being performed or approvals granted. X 6) 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 Countv Building Inspector shall be made prior to requesting additional inspections. X 7) 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-co t�h Mason County ordinances and building regulations. X 8) A fully monitored UL certified NFPA 72 fire alam syste 32y be installed. A separate permit is required, application must be made and approved prior to installation and calling for inspection. X A fully compliant NFPA 13 fire sprinkler system must be installed. A separate permit is required, application must be made and approved prior to installation an inspection/,;24 X A key box( knox box) m t be installed on the exterior of the building, contact the local fire district for more information and inspection requirements. X Install 3A40BC fire extinguishers, installed in plain site and so the maximum travel distance does not exceed 75 ft. in any direction. Portable fire extinguishers having a gross weight not to exceed 40 lbs. shall be installed so that it's top is not more than 60 inches above the floor, Hand held portable fire extinguishers having a gross wieght of 40 Ibs shall be installe so it's top is not more than 3 ft. 6 inches above the floor. The clearance between the f the bottom of the installed hand held exinguisher shall not be less than 4 inches. X Clearly marked fire lanes shall be posted on site at the discretion of the Mason County Fire Marshall. X The own licate is required to contact the local fire district for specific information regarding the type and location of the required fire hydrants. X All commodities stored, used or sold on these premises are subject to the amount, type and height limitations set by the 2006 International fire code for M occupanies. And are subject to inspections and corrections as deemed necessary by the Mason County fire Marshal to meet the minimum fire and life safety requirements as adopted by Mason County. Any changes to the list of commodities that were submitted to the office are subject to resubmittal for revi�compliance requirements of Mason County. X COM2007-00035 Page 3 of 7 9) 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 sprinklers stem installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 273, for further information. x 10) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 11) Title Notification of Habitat Management Plan was recorded with the Mason County Auditor's Office, #1906946, Mason Envirronmental Permit #MEP2007-00059.This property is subject to the conditions, mitigation and/or conservation measures as contained within the Habitat Management Plan submitted to and approved by the Mason County Dept of Community Development. Restrictions on the use or alteration of the property may exist due to the contents, conditions, mitigation and/or conservation measures of the Habitat Management Plan which are to be maintained in perpThe provisions and recommendations of the Habitat Management plan shall be implemented in its entirety and in a timely manner. X 12) All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection silt ff�or straw matting). X 13) A detailed planting site plan, with species composition, number and distribution shall be provided to and approved by Planning staff prior to final inspection of the building permit. Site plan to indicate all native planting locations and a cost analysis for the restoration will need to be submitted and ap by the Planning Department PRIOR TO FINAL INSPECTION BY THE BUILDING DEPARTMENT. X 14) A monitoring plan shall be enacted whereby a qualified biologist shall submit a report detailing the condition of the restoration area. This report shall be d e anniversary date of the issuance of the building permit and shall be submitted annually for three years to the Planning Department. X 15) Thee tural vegetative buffer shall remain undisturbed by any construction and/or development activities on the parcel. X 16) No degre n pf water quality shall occur as a result of this project. X 17) Developers and individuals shall be required to control erosion during construction. Removal of vegetation shall be avoided and any areas distur Id be restored to prevent erosion and other environmental impacts. X �7 18) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. O&M Agreement was re zrded by the applicant to comply with these requirements. For any construction which is proposed to be located within 25' of a Mason Coun way, it is suggested to contact that office to review future planned work which may affect your project. X COM2007-00035 Page 4 of 7 1 19) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction w h is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned ay affect your project. X 20) A"Declaration of Covenants Associated with Privately Maintained Storm Drainage Facilities"was recorded for this project by Be Fair LLC, Auditor's File No. 1910271, for compliance with the Mason County Public Works Stormwater requirements for this site. All development must comply with this O io and Maintenance Agreement. X 21) 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 charged and collected by the Mason County Building Department prior to any further inspections being performed or approvals granted. X 22) All property lines shall be clearly identified at the time of foundation inspection. X 23) 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- he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 24) 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 Coun Department prior to any further inspections being performed or approvals granted. X 25) Rec clable materials &Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area shall be dew?,09 meet the needs of the occupancy, efficiency of pick-up, and shall be available to occupants and haulers.X 26) International Buildig Code CHAPTER 17: IN ADDITION TO THE INSPECTION REQUIRED IN IBC, SECTION 109, THE OWNER OR THE ENGINEER OR ARCHITECT OF RECORD ACTING AS THE OWNER'S AGENT SHALL EMPLOY ONE OR MORE SPECIAL INSPECTORS WHO SHALL PROVIDE INSPECTIONS DURING CONSTRUCTION ON THE TYPES OF WORK LISTED UNDER CHAPTER 17. THE SPECIAL INSPECTORS DUTIES & RESPONSIBILITIES SHALL BE AS SPECIFIED IN CHAPTER 17. Special inspection reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584 and available on-site for inspection. X COM2007-00035 Page 5 of 7 27) Site inspections shall be performed by a representative of Professional Service Industries, Inc. or their authorized representative, as specified in the Geotechnical Engineering Report, dated March 12, 2008. All recommendation contained in the report shall be completed and verified with an inspection report prepared accordance to specifications outlined in Chapter 17 of the 2006 International Building Code. Inspection reports shall verify that earthwork, foundation activities, soil compaction, and floor slab installation activities comply with geotechnical engineering report recommendations. In addition a final inspection report, prepared by a representative of Professional Service Industries, Inc., or their authorized representative, shall be required to verify that erosion control, drainage and final work is completed in accordance to geologist recommendations. Reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584 and available on site during inspection. X 28) P r comment letter from Mason County Public Works Department, Programs Engineer, John Slivas, dated 11/13/07, The Strormwater Dtrainage Plana �a*ngs should be incorporated into the site development plans and are hereby made conditions for permit issuance. X 29) Washington State Energy Code compliance is approved as follows: Component performance: 2696/2672 ENVELOPE: All glazing, including full-lite doors U-.40 or less. Doors U-.60 or less Roof insulation R-21 or better Wall insulation R-19 or better Slab insulation R-0 30) 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 shall be tested to ensure that control devices, components, equipment and systems are calibrated, adjusted and operate in accordance with the approved plans and specifications. A complete report of test procedures and results shall be prepared and filed with the own rawing notes shall require commissioning in accordance with WSEC 1513.7. X 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 Maso o ty a to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: COM2007-00035 Page 6 of'7 ' • g 58043 F sac;:)U".;att+ra.F'6+'l..•St+t:::• 3 asef•�trrs�4�s�zris•1x« �tnTAzs�a1`t.��xfY a TF#a.�'rf�r SEAI'rLE DIVISION :: TAc:C,.m OIV£siou 0 PORTLAND VIVISIiiAt 24;5 S p(H AVE V1 v::!it+:it7 TACiX,!A 1AY.SUM:H: E v2 NO L'i1!"£ER CM $;tiTE ANC: t;3UNi:ftiRE TFSPACT£.WA t.. 7+it(3.l a,N.'+'. 3RS5^ PORTUkNO aii. .,. . 2St 24 •24L>;'F:1,; ..,S 24S 2r95 ^E:i 5 iz.t _ 'I:1,?:(t8:ii^3r........ <3 3N'F'A.X.:: :.?t iF9•!.... CLIENT Nwtiu1san investments PROJECT NO. 742-80095 DATE June 24, 2OL18 ADDRESS 2.3333 Carillon Point PER%m'r NO. W.O. Kirkiandi WA,98033-7353 nrtIMICIPALI1 r ENGINEER ATTENTION Mr. Ilan Tayior AP-VHITECT p:4::111i). CONTRA('T0R fPROJECT Etfte Aid PROJECT ADDRESS 23940 Stats Ruute 3 -t elfalr FIELD REPORT .............................. _ ..............................................._••••- PSI ON SITE. 1•01c40NITOR ANO 9sktAPI.F.fiROI)T'Pt?13R AT EXTERIOR C IOU(WALLS AS RCQUESTEU OY C:LIE:N7. ........................... ....................................... LOCATIVNI GRID LINE A FROM A 1'0 1 ANf,GRO LINE t ALi)NG THE BUILDING UP TO THE TOP OF Mf WAIA. ------------ --. ................................................. RFBAR BEEN VERIFIED AND FOUND CORRECT PE.R APPROVED PI.ANS. f'()R SAMPLING SEE ioiR#11+:78.. ............................ f0 THE.SES-f OF THE,INSPE''C:1'R KNOWLEDGE ALL WORK CO r0A.'A4 TO FLANS AND CUBE'- EQUIPMENT IDENTIFICATION AND$IN#- COPIES TO: INSPECTOR: OATEN ITEMS INSPECTED TO :SEEN SAMAK June 24,2008 APPROVED PLANS ARE:' x CLIENT CONTRACTOR FIELD CONTACT: GATE: ENGINEER x BUILDING DEPT, ([1NFORMItVG3 r7X ARCHITECT SUPPLIER NONCONFORMING .Lj 't t t4+' U G 5. .l C�3':?4 C 'an..o: et G O)!' C^.tf i^eii}::a•:a:t1-}5r•.?i?>;?•a:e"•s Gil:'1 Fj/.�: news ea e: •l,,,N+.:..it.e l,. 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FW'ANEER ATTENTION Mr.Dan Taylor AP,CiiITErT f T—)jt,T Rite Aid PR01EiCT ADPRESS 23910 Siate POWe 3-Belfair ,- ry» COtjl RESSION TESL'RESaJLTS d [ K K SAMPLE 1.4. 115 GROI7TED s17.c It.,w,I))� AREA(SO.IN.) DATE TE.STEO .Kii11.....:..........'t3 AGC AT TF aT "'I:a3S �P.5.£. CNECK£0 .......................................... AEtCtC tv1A ................................... .............. S BOX t},A 3X3XE� uil9i?I 20 ............................... ........... ....._............... .................... 3U) Pa:A _ 3X3Xei [3717£+itlt' t 28 _............ BOX ...\1A ?X3;tii dd.^,L£�... F N ...... ................................ ......... ?.. _ t........._.._._ ............................._...._ .,................•. ........ .... is ' Stia4:rl) lr i.lftii9t>i>ttaa4E KRk.ilXttJf Y13I:(:Y,R -£tCKfl•R 40011 $l�£hr l'> 7Sf)U i i iCU i' CEMEW1 11:'Sk:iv f lW AGio A0,13 1, MIX 4 raz�i�slsx::rta:l <i5A sc, 2.192 'N!A 57 %30.t 4"(VT.is CE!4:14I' f.'"sc.AraG. FINE Mick Aa1::taY. Mix A 1?RU;)taR'?ii;N" N,'A N144,_ Nlti Nhk .N?A . .._............... ............................. A&IMI C•£U34 AST C-I06•1 TI 1£:is:':ilA'H1t:R SUIy:d ,,r" t>,(t£YTuta-ums). Nle., (,mou'£T—m.P. 3•JII� il_RECl:iil:l) -hisoi 2:).20M ... .. . .. � [.S£?:..`S' � ........3.. t�.l :•6:Ss is°[. tL. <: .r.i� :4t ::i%, 1� •?:::i. �- ..•,.....,,,.,,.,,»,.,.._.._.... _.................................... .,,,,.............................. ......... F131 ON SITE TO SM:41PLE AND t ONITOR GI10U1 ',*QkJk A: ftl.awl-FiTE{t BY CLIENT SAMPLE WAS TAKEN l ROM 1 IOD�E £13 DF LOAD Al TAL cK CIAM'.. GROUT C0W;0U0ATED BY fi C.C: a.<'�£9I; ;al.ViBRA I OR FOR WCAVION AND:h-WRE INK-I SEE:FRO 58041. EQUIPMENT IDENTIFICATION AND WNtf: COPICS TO: INSPECTOR: 10Art:- ITEMS INSPECTED TO x CLtCNT CONTRACT R SE.AN SMAAK June 20.2008 APPROVEO PLANS AIDE ENGINEER x BUILDING OEPT. EICLD CONTACT: taAtE: ARCHITECT SUPPLIER Gt NFORAAl1:1G . NONCONFORMING NAME ON OFF 31 M MILES FR 5804E I'*TA;.HOUR,, Ciartifled Report by Pro£essirrota£al sarvire I»dHstries: -_ _ Onto T£>-VS•£ t•;kGsi:k�:'t�i:£•>+;iic�t+.;::Y i::0 sY� <i 7• :5:>:k < k �'. :arc:r.ttrJlx. F3$U41 ik •�. .x�i � ti: Sf' j F1t f 4 Y tf n ti£asgxrr-rrr:.xSs•a� « �:xt��rks4.�T29si!{Ik a 31Yt�>Fs?»•� SeAl me Division (� TA MIAMiSM �....� PORTLAND 01VISION ;k4. ?;�:?f•t aV�tV 'CiF...[ii)TAP,0LIA SIAY SUITE fit G 2 Kn Ctf`e T;i%2 C:k $e i1?k;!?^ ,,:.'•L;.'Gc:A%t$:TCORACY:_ TAM.MA r`:A V846^J Pii;ATLAWO OR.?"a ..T:So ... F ) ...a:::.. ,....i::<z•i8i:' 1qa .. i :?+tk'Fi,):; od ...... eeeexeeoemeroeeaeeeroeaeeeee..er�bseHtea AM+:+?m:,aoawe000caaw moeeerooeooaoaxaoawew:e xeo�.»ooeeeece000nn« CLIENT. N:ct:otsun Investiviant> PROJECT NO: Y42.80(Y93 DATE June 20. 2008 ADDRESS 2333 Carillon P001, PF.Rtti'i1T No. W,O, 93574 ♦irklar.a.WA 980334,S53 MUNICIPALITY ENGINEER. ATTENTION h4r. Dan T.I iot AAfi iITECT CONTRACTOR f+ftOJECT' Rita A d PROJECT ACIDF2LS' l3940 5taw Route 3-8P.1fair FIELD REPORT ON SITE TO PEIRFORM RE BAR INSPECTION AW)Si4>tPi.i.allCiifT AT CMIL3 INAI.ES AS REQUESTED BY CLIENT. _ ._................................ t-.C-GA TION- FRGM M AND 3 1'0 tvI AND 3.3 UP TO TAIL TOP Or 1,14ALL. 1-*$'(Ott4 A A,40 3.5 TO A ANC)A.O UP'1* 2'5'WiVF:.FINISH;=.3 Fi-.00R. Ff:OM A .._--....__............................................. AND 4.0 T()113IDWA`!BETWEEN F AND Lt UP TO 23V ABOVE.FHMSHIE D F1.00R. .................................. ........................._.......... A.'..i.VC-.R'I'ICAI..fiOFVZCIPITAL,CO ITRCIL J-'I)I T,:.3 it);)K$LtNi')i;i;t21Vt H�F.iAI;'S Ff5lftli)Cf)RIiE C3'feNG t:L3N1 t�R?:,•TCb F�t.latd6 ANi:I ft<I'FaC}`lJ D ............................................. CODE. ........................................................................................ FOR SAMPLING.SEE MP 11476. ............................_•• .................................................................... TO T14E BEST OF THE INSPECTOR'S tCNt7ir'dL T.G.F,At.l.lnJORK CONFORMING TO f4.ANS AND s~00E. ....................... _— ..........................................................••............ E-QUIPMENT IDENTIFICATION AND SINM C0PIES TO, IN5PECTQR: DATE: ITEMS INSPECTI+O TO SEAN SAMAK .Katie 20,2008 APPROVED PLANS ARE:: x CLIENT r;:OW'RACTOR FIELD CONTACT: DATE: ENGINEER x BUILQiNG UEPT. CONFORMING El ARCHITECT SUPPLIER NONCONFORMING ....,... f.::rr.. .. � ..:.5+'y 2:<e vyr^...,.:2r.�a a!:,.. :,:;, .. >^y:5:,eke:. S:;a a 2::•O.SX.:•r 9a� ,. ? . > .acs<:.:a:e: >:as ..s. .•�• NAME 014 OFF ST OT FAR. S ..... :.a;:: .. ...:z can n,mom:.^,a a�sva::,e;ga.^.e•rca a^.�v a�it t:ve�^s e:r.:a�n;r.a toa.:af^zf tca:<:? .. ... .. _. .. s.. ......:¢.rasret:v^s.v-•a'c<a:;ar:z<cr.a?c::x:ast^ta1iA :::rasa: . °s•>t<:csP;;>.+: 3,SAMAK 6:30 12;30 1 -ILL TOTAL HOURS Certified Report by Professional Service Industries: Edward A. Smith Date _ June 27, 2008 TS•98.4 JSy 1a s a�Y9( )fit �pw ♦ .•-`;••, sty�sr yf i �t k d s acs Y<::::>::.t:z t.,Jb.�.•�7�'.it �.n. c:'`xs�xF3n .ur.Etx:f d �2�4�ifrXBt�>F>rx>;{t W I�:t.xdilkc93 El S£:AMT:DIVIMON l TACOMA C'IVIBIVIN C PORTLAND DIVISION ^,.•t£13 r&i hf AVf i; 4::C2 SO.I'AC:C3kfA WAY.SLUE:1 S F:,?No CU 1?{:IY C111 Si M 4.3 dc;C.£itdTMAKE 1011 ;C:£:Y;A W--,Q c•i?:ii^3•r;.;. •'rf't:.:Jt.s:'..._:�•;.•:G: to:.I.;ug:4Nj �fA%::13j::$`i•i;.,. ';:Z{!2k:'47`8.'s;r:W,&0!2tii•1�53 .. rocmai, CLIENT..: Nic;Iwlson Investments PROJECT NO....... 74 y 80095 DATE June 17. 2008 ADDRESS 233: Carillon Pdat. PERMIT N:3 WO. Kiiklami.WA,98CI33-7363 M6140PALITY _.. _ ENGINEER ATTENTIION Mr. ran Taylor ARCHITECT P.O:NO: CONTRACTOR. PROjEC'I Rite Ai.J PROJECT ADURt,SS ::'J.3+14?"itatfa R£!We 3• Oelfeir � < FIELD REPORT PSI ON:SITE TOl SAMPLF(3)RO J-F AND F'F RFORIA RLINFOPCIN'G SICEI.INSPECTiO N AS PEOLIESTED'EtY CiJF:fdf. ................ .............. _.._ t.(.)CATIM.. FROtY!A iANC13 TO A AND A UP TO-I'OP OAF b'1ALL. FROM A AND 410 4 AND M•170 M3.:3 UP TO TEST'OF 1WALL. ....................... _ ......-.... ........................-....- AJ.l..R:'-bAR!�Rlz TOP'O WALL PIXIES HAVE'.t,t:L=.N VERIFICD AND F OUND CORRECT RRECT MER STNUC T;JRE DC-TAILS 1WS-3.3fi,WS-305,Ory-303. ................ .................... ...,-....................................... .. GRO111Y HAS BEEN SAMPLED AND COtWOUDAt' S)BY MECHANICAL VIBRATOR. _................ ............... ........... TO THE BEST(Jf'TME'It:SP:O'VOIR`S KNOWLEDGE.ALL WORK CONFO1RMS 10 PLANS ANO CODE. EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: INSPEGT•OFt: OATS: 11'EMS INS'Pt- .PD TO FAN SAMAK •Joao.-17. 2008 AiP'PROVECf PLANS ARE: x. CLIENT CONTRACTOR FIELD CONTACT: DATE, ENGINEER x BUILDING DEPT. CONFO#iMNG L.Y.i ARCHITECT SUPPLIER NONCONFORMING •ir=tQt to n• ded fa � nd! )C• a< ra.r a r^Ct G 4 in y ]r.,?:$•S.if•:•:..32.>.'.A:i^9!.^..'�iaZj.:y'i'y PIN A,:: NAME ON OFF ST 01' . NILES-------------- ' •YM,.:f ri'%:J::xit.•:dwa]:i 10 2ry,il•:C:::d:y S::r+i rr] :3 d:•2D'rt:.:rSY:Spa 6::vit::Z?I�.!t.il:K:.tN{.y r,LRd'.ia: t!t 1.+5:6:'.•;"•:Z nd v1trJ:d:t D•:Ci:a a! SiY•i:>.:+.Fr;n•lta:::a•'.iI:4 :'d::'a•.•!hd:+ awa!•a,t7:.!CW.,gxnr S.SAMAK ? A9:!Yb�:)0`tl:0]a:a:i:Y:d:rY.t:G:W:'a:r•4r•!F' TOTAL HOURS Certified Report by Professional Service Irrcitfst£ies: Edward a. Srriitir _ Date June 27; 2008 ..... I$-'Ra- R 1..1476 Y)Build On Cif $R•:iiv:LX4X:ii:..'ad?GR! t`.'xlT 6lS'ie'at9'11Y$iia cs134';*n6WfPg a Tks->X4:f!fxjv SEATTLEDIVIVON TAtif]MAVVISION � IJOIxT3.AI:LifiM)ILiN !i>9,.....,....,.,•,..'4'. .SL'tT£Mt .32::".tC:i3f Fi::fR.)?i3tE.S_ 241^* PAY i,*Z,;2-*2401 f,.))5.a.:.nA f-%Y. �:e.:'%•...,. ::a?:ig.t?;.. .:.:<;.?•35'n,<y:a CLIENT N:Cho%wil Investments P116JECT NO, 742.80085 DATE June 17..200?3 _... .............. ADDRESS .2333 C061101)F-Wilt PERAIT NO. W.O. Kii•Klatid,WA.88033.7363 MUNICIPALITY £NGINF f:k: ATTI Nl'IL?t3: :: Mt.():InTaylor ARCHITFCC P.CI.NO. CONTRACTOR ...... . _.... PRO.JEG i• ;Eiji Aid pRO.iEcr ADORES$ 123940 Slate Route 3-Belfair COMPRF.SSIgN TEST RESULTS L1L?li!Shl'C SI32£:f@iiF14 SAMPLE:F.47. TYPE GROUTED SIZE(L,LV,Lt) ARIEA(30,W.) UA•IE3 TESTED AGE AT?EST '"��5...............P.S.3. �~ CHECKED .............._ ....................... A BOX 7NfA 3X3x£ tyJ4 (W.Q..41(ta 7 4021R 3G43i! F .............UK ..._... ............. B BOX NtA 3.6.4 IF71t;10$ 2S ................................... G BOX IVA E 3xkx6 071i5108 28 .............. ......................-- .............. _ ......... 17 BOX NIA _3�;rfi .HOW H ........................... _,....._-...... ...................... ................... ,,,,.,.,... 3)£::ilC\ ti?XINC_;M-ANT KR MIX IN TRUCK z 224 IT X::T X 49817 STRENI{,Tf4 2500 GROUT C1 3:!{:t4T C.•SF:ACM. FWE AG(i. !irj;,llX A344 &ID11 it PROPORTION:i >y:i^ J 21$5 39.a0z WWII) MORTAR t EI5>E NT E:UE:AGG. RNF AGG. AUMIX fr.tX C PFxCE£t{iR3'lOfiS ................�:t�............ NIA .-.........�lla........... �A ...................NIA C1.001)Y AST35!C•1 ,, A STMC-1064 TIME&VVE TTI3 R 1.2E3Pbh 6.5" MORTAR TF.?:tR NIA- Gf2JtF3'3'£:!lI>. 701; DATE RECOVE0 AM,-17.2C.D8 y,•r:t• rJA OT St.^,.O 3.! f1T:.a CRO;I ?);+Fv�At. :rt;.GCCtxr:4..:£Yi)rri :srtas>,;, i 1 4s6'.).t :s f!1 ai ttt.tut3 Fie iifs 2:.ss ] kssr,!^!3ta t1•'s.,^t•r C3 VOL,R Lt-P ATION ANO NO I'£:I:. .................................--------- ._................................. ........................... PS!ON S fff.-'TO Ak;PLE L12OU I'POUR AT CNILI A f2f C)ilf>IEia BY C.LILNT SAMPLE TAKEN FRC>34 THE kIlLAD,E iiS OF TI-E[LOAD ANE)Comm;T CONSOLIDi%TLO BY NIE;C%HANIvAi.V48RATOR. FOR l(:CATION St;E£R,1.,7749 EQUIPMENT IOENTIFIGATION AND SINM: COPIES TO: INSPECTt7a:ir JDATF-, f-77tTBlwS f115NEC7£FJ 7Cf x. CLIENT CONTRACTOR SE:AN'SAMAK 5/17t2008 APPROVED PLANS ARL: ENGINEER x BUILOING C)IFPT. FIEDCONTAM. OATE:: ARCHITECT SUPPLIER CONFORNIft3 . NONCONFORMING ..t:•.<)>r,;.r.>.t:-w>s.a.o-.•.}: tv.o..e<.er«arrt ?rx!<iw,W.:.. .,_ >.u'r.•:,.t:5>Fes.)f.:,.,�•+�s<tva•,..� Y NAME on:. OFF iT OT MILES III patfj.4'f Nry.r.<.s.?,1,tf•:x.!�r:.A..\^.t.:�.rr.'•fi>':h:iS.::n•::YtO:e»"i;, .... r,.,f}`.5<N: it Y!!,;y.,�. FR$1741 •A?}<N>�!J:..7<^>.l!�:O Jfi 4::)iA!'r O:t::ti)S oi>K t>•.>:S t:4:1.r+4 J'.':..::••::i'N:Cti•:F.31:A'K 4DJihY.hK:t):•:!•f.T'(5••)t.',t .fir^t44:cje 4f i^ay.:.i Gn.E;4>fnxrs;rya:r<4.>:cG:..frs;:c)ir�:a.>c:;zt.>ar,'a::4o-S:•�>!•::x::e�:.':,.4f c:>o•aa<c:!.:c? ,!..n.�i tiC:!t>:',4:r0):x O:O;,k-0t•iif::.•e:yt4':e:�.:+5:.>'�M.�':N.'J` 7 f?Idi.rfi)t)k5 Celif;ed Report by Professional Sarvice Industries: Date t T5-N-1 t f " tiolFR 67739 Zb Build On k er�Prrss �!rr t« 0w-i'x msimi, T ed€rs{ SMILE Q:'diMEM TAXONIA 0PMON � FG>'TI.t3ti�f MVIS:QN 315SO.FACj"Nb.. ,50:TEi':s ?!. +:>V,i'f::Re;ifi.S;i3:00 .`.'.:iii!:'iG.%, ::.FEE?r:4?ai vir: $,��d_ FF.L'{��7a '.`1:. `„••FAia e-i3itT:i,`i:i.G•R.2':^s•: i-0^•5^.•7"•?4CC'F'e1,C;.;St 2•:B-^.•�u7 :•�:;:%�4�1fs.^.d'LYa\i:i t:!:LG�?7>. c:{� r .f � ;t., 7 id.. . i ia2,9.111ia ;.1;35'�:I�4 'it> CLIENT Nicholson InvosUT:EnIB PROJECT NO. 742-8-0Ca35 DATE Jump 13,7+)C18 ................... ADDRESS 2333 Garitloat Pviral PERMIT NO W-0, 93,181 ............. ...... Kirkland.bNA,98033.7333 MUNICIPALITY ENGINEER _...__ _. ATTENTION Mr.Darn Taylor ARCNITEGT P.O.NO, CONTRACTOA: f.1304ECT tlite Ad PROJEG:T:;. RESS 23940 Slate.Route 3 8elfair FIELD REPORT -- .......................................... :il rii I SITf^TO PI.RFORM REt'9AR AND 310,11FI.ING INSPECTION AT CMU WALLS AS REQUESTED BY CLIC N—'-- .................................... LOCATIONI FROhil GRID A4'1 TO A1-M 51 H LET1 UFI;'tit ----- ............................................. -- FROM GRID LINE A+VI TO 4+?J 5I'Ii EF FUP TO 21'6"PLR.DETAILS 10,'S3.06.CiS3 06 AND VS3.0 . ..—............................ _ .............................. ALL'arKFICAL.REEIAR.NN,'.RIZONTAL.I.ENTELS AND DOWELS AT EXPANSION JOINTS FOUND 10 BE CORRECT, ALSO 0At EDED PLATES.SIZES ................................ ....—.......................—......... AND NUk4E3E R IS CORRECT. ..................................... ................................................................................... .....- GROUT HAS 85EN CONSOLIDATED LISING A MI.CH.ANICA1.VI8W0'OP I'0 THE BEST OF THE INSPECTORS K%N0WLFME WORK.CONFORMIS ........................................... TO PLANTS AND CODES. ............................... .............. - -- _ ••••..................................................- EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO., INSPECTOR-1DATE: ITEMS:INSPECTED:-TO SE.AN SAMAK June'13,2008 APPROVED PLAN$'ARE::...::.... x, CLIENT CONTRACTOR FIELD CONTACT: DATE: ENGINEER r. BUILDING DEPT. CQNFOR?l1ING . .0 ARCI17EC•T SUPPLIER: NO. NCONE:ORMING t 1,S..g?o�sa3 t+::1» o. s::::.r.::+s+ t .a.` 01+ .. .sa`:>:.:.L'!A•?;r.!'•.35e .. ..>...2.;. �.d�:. .�1t•t: .� �I r.,z s.<.s,f?,�ns,v. roe,r-rm.•sswar:Sr'<sa..e 3?•.•.>, ... sG•ta:•,?,t- RAW: ON QP_f. 31' OT MILIcS •1A:4?PlA1:?\.98 AP>{`�.:�fM1h n!:K•a:Y:StM1Y.:C?.�1s:a.a.x:.Ix.3;1:,a.aF t,..fxA:'n::N.x:•1? " :.?d v-.—Y: Sxa?.;* Cal "n n1�r: ?t e:•>e1 i.a.Yx ea.,af a:uasg..'o.;a s>c<c•,a.•:.,,�,,a:;a;•.• :.x i .<sra:��?.• 3,SAMAK 1200 Soo S ,102v:?f J!Mn xrCt21�f2::9^tcyx:•1r,,a'L.1` IOTAL HOURS 6 Certified Report by Professional Service InJustries: F-D"RD SMITH ;s Date June 18,2008 TS•sea ........."..,,..".......-..�.... ��� • C':�;i::G:::•J.>.'fiL'io::i;ei:•i7Ril Rt=f .• {1 4 l 'T' MR_ ftTr4�,�s?�f:Wf:�^so��cz;�•�ICE�'�1..�'d�C�lr•.�I'1. kssx.(dfsYcxt�1'>tss{d �g7osrxR•fzT�Y,�vTX 4?$bid$rif'fgY SEATTLE DIVISION :' TACOMA O:VISION €.�. PORTLAND 01WSI01i ",•�S`..l'&fli:i+lt.:; ti:f?:: 0 ;....i:�::aii'r:.Y.C:i:Ii:?i9: c:_3 :::l.CL!�•:c{!L:52 3:;t7-'^•�;:`:: i.p-:5!2.8.�r C@•.;%R IS^5f'-QB.e Fist`.•;;g.•,t6.'i:A:<t23f S584K.• ..C3i'i3z: ?8.. ..:.:f;::$i!•...... CLIENt7', :. Nicho;son Invostnlents ORojEcT I•f£�. 742-80Ot95............. .. MATE June 13,2008 AWRESS 2333 Caril'on Point F'ERThI r NU, KAlanrl,WX 98033-73.53 NIUN1ICWALtTY EtfGiNELR ATTENTION Mr.Dan Taylor ARCH(TI:0 i P'.O:tOc7' CONTRACTOR f Rite.!Sift PR45k CT ADDRESS :31;40 Stale Route 3•803:r COMPRESSION TEST RESULTS .. . UL-f)JAATE STRENGTH SAMPLE.1.0. TYPE E,ROVI'Ev SIZE IL,W,U) AREA(SQ.W.) DATE:IFS Ift? AGE Al YE:SY Los. f>.S.t. CHECKED ............ ..................... v^ ...... ........._........I........ A GROU1' NfA 3X3x(l. 10.72 0612010v 7 41570 3880 RK. .W................ ................... ...................... ... (3 _GROUT IVA 3XZXG 10.72 il7ll1106 28 i ....... ....._............... .. ........................... C GPOUT NIA s 3X3XG 10,t2 o7h 1108 28 ........... ........................ O GPOUT NIA E 3KsX13 10 72 Ho") ti ............E..............__ _ ... _............. ................ .. ....... 1 DESIGN..-.. .. _.... SWMP £f` E.::K:N`v PLAW KR WX.INC TRUCK N 223 '£:cxf t fI 2888+1 fi3'Rt:NF:I'EE Zfi(IE) CRCUY Cf f:ii N3' C'fif'.s1G36 F&EF AGG A(VelX A140 U.-Ix L PRt)flt;31?'ONS $&1 LfIIY fltO LWY 2199 E.Ii1Y 40OVY 570A.10.' lJORIAR Cfif?.ENT l':3ik A(iG. F:`Ii AGG. ALWAIX Ed:XA, f!F OPORTIONS NIA NIA NIA NIA. AS!?AC-I(,,(A A;'ifr.f(:-.I.34 7fE:3f:Y S°!i:?�YE1F3 CLOUDY.2i?iRtrlW 7dORIAR,1141t:'. Wk GROUTTFOP. E370 1)AI'f:Fif:t'E::IiH U June 1G.2000 .s PtFD?r.rf 3r;>>Yf n %,11ATAR v i4s/+ PR.'Sm SSTR ('•'£ ASW.C;t80 ("j i3:rc.2?•ld eI l.Silt.C:C79 Rl F3E.:?;.I(,t :.S'f�:..i;.:34+ („f-'f fif1L"a:Y E::t ............................... POUR',ff(WO.0N AND NOTE..S. _.............................. PSI ON SITE TO SJQPLE.AND%lQNIT0R GROUT POOR AT<^.3:3IJ WAti.3 AS REWESTEX)UY CILH:NY ;«ii,1Pl.£3AE4E tt F't2f13d f;!'1;?C1Lt ft3 4F E'EGE ..... ....... ......-.. lOADA,NU GROUT CONSOLIOATI:II 1)°iNCi A&ii G;rIAf91 Al VEE3t7A 1'Ui�. FOR.MORE IN£f:IRNIAl"ION ABOUT LOCATION ANG RE BAR INSPECTION SEE FR ft 57735 EQUIPMENT IDENTIFICATION AND SINN, COPIES TO: INtSPGCTOR: DATE: ITEMS INSPECTED TO.- c CLIENT CONTRACTOR SEAN SAMAK 611W(108 AI?P.ROVELI PLANS ARE;;.'.' ENGINEER >. BUILDING DEPT. FIELD CONTACT: DATE:: ARCHITECT SUPPLIER GC)NFORMING:: NONCONFORMING Q ....... NAME: ON Off $T EYE MILES S.SAMA,K f PM 5NA 5 88 :4': ..:11t 4:!y<!y::S':,`i:r,•/4C(4f.:..�. .'. ... :.y4C': ) .�!,.,...:!iy:!4":}:•.;:3+::y.: •w.).t O:Sr::ti:Wi sfyc:4 P.[.vi(:.:.. .. �. ,t.: . a:..)..::. .:...�..... ......:.. h..<..h..•45:..i.Sh:.:.b.; 1'0YAL HOURS 5 Certified Re£sofl by Prafsssional Sorvk a In<IHstries: Data T;3 si8•i :T:SlT p•.+.� ` `? tfr}rtrrtt,�t<tt50947 �8:r•Y,a'•`'2 sfi�G.+s� rl, }�,.� ................................ -f P dlSr'??+.ik i?a<Yekix a l i) 6J t••i•�l i,U C F 7 1 �-�s��}Ps};a"�.sitif � y tAtra'}-t34a�x8is&r «�h:nEli-rgs Y._.r 5EAv nx fJI anion ( rferr,:;1r,riviStOV � fiUftTLAtiD D3i1fS:ON :!•�E'..-.,.... ',:WzSS0 f!:<•n>:' W,.'.gt,::�g Ht !J•'s %:^:.','i;:';t::^ JZ ze. ..- :it3 i, XF.1L'Rk:a.$:. :':j r.;,r;+13 t.:,r;{4.(.;.-<... .:.>:•3 i>t3:2'�;.-o-J•�!t 9... "12'i:2t3 Ax s2 2t3•::i a.5.,.. . :... t;t.;i.S Si;•2s-:<. t:'8'F;,Y:(: Cl:IEtJT N1rho1:>on hlyestments PROJECT NO. 7d2,80495 DATE Jsine 1 0"" _,... .. :. ........... ......... __ .......... AC30RI:.SS: 2.333 Gatiltan Point PERMIT NO. W.O. ............ . .......................... - _ Y.itk.land•WA.9�:133•?353 phJi�J3Cl}'hL.31 Y ENGINFLR ATTENTION Mr. Dan Taylor All 11Tf;f 1 ._ .._. .............._ P."0 No<aCS7N"FHA(T<332 I Rite Aid jP00JECT ADDR.ES8 2394,0 State Route 3-Relfaif COMPRESSION TEST RESULTS SAMPLE 1.0. TYPE: GROG"r3:D S E(L.CJ,D) 1 ULTIMATE$TRLNOTH AREA too$0.W. GATT;TEST[O AGE AT TEST•••,..3.t3&................ i;' 1••• - CRE:CKED A L3taIU'I' rV1A 3Yac i t 1.20 ra>i18rJ#3 ? 39,?3n :930 iiK ..----............ ............... ........ .........-}__ N GROUT NUA ;Y,3 Cii i 11?J C:it19"a 28 .................................................................................................................... C. GROOT WA 3X311(E i 11.2(1 (ETI(19K)a, 28 -.-........:................•••...... O GR%0U1' NJq 3xaxt: 1 11.').33 3ICJi.i) H - .............................. ........... -..•.................... .................................•......................... O£:tiE(4) SLUMP 3" Is3 XINf PLAX YT R LUX I'RUCK# 226 •}3(:3(rA 49473 STRENGTH 2500 ;3ltOUT (;);mfitd-( C131:Aiifi. F3NE A04'. AUMIX t,'•Ix x I%ROPORY;ONS 6501131Y ?a3 LF31Y 2,85 NiA 570 A30 1 MOk3'AF? C,RAENT VSU AGG. £i E:AW, ADMIX .'.?la# f-INXIO)VIONS ...................NA MIA -- NiA NIA N1A CLOUDY A.S111 C-10$S AST,t�'•1664 TI!1[$.Nr.A.HER 24;sAri w* 3'UR3'AR 3'1:Er"..` MIA t ROI%IT TEMP SS' BA1E"Rf-if.F.ef'.0 AM* . .i;t>R9A 2ti.?<r T,:.1 rtaKt+• L.' t1.3C, ... L-1. �537;_. .... n t,fir .•:$f,,,,,1' :"•t A(.^•1`s4 POUR LOCA 11014 1:S' PSI ON SITE TO SA-)APLE AND f ONROR GROUT ROUR AT 1;M?Vy/%I.F.S AS RPr2UE57f.D BY CLIENT'. SAC IDLE IAKEN FROIVI f-AIDOLL 113 OF YHE LOAD Al'TkUCK..CF1UTr': GRt_33JT COt4SOI.ID/.T1'()FAY t"llIc IANlid%t yisfRAl'OR FO R f.ORE INFORMATION ABOUT REBAR Ai`I47 LfCATION SEE FR x i7 T37 F,OUIPMENT IDENIVICATION AND SfN#: COPIES TO: INSPECTOR: DATE: ITEMS!NSP .i Tru).4o CLIENT CONTRACTOR SEAN SMOAK Julie 11,2008 APPROVED PLANS ARE: ENGINEER x BUILDING DEPT. FIELD CONTACT: DATE ARC1.11'F'EC'I' SUPPLIER CONF6k iNG NONCONFORMING „r.:. vit,it. to ::..:t.v.: ::]::i d;>:.:.,..:h: s:..: :^••r NAME ON OFF ST OT fR 5TT17 .... ......:c u:c;:at:7ol c:+.::.•::>.>: ...;.i.:oe�»T i:ks:L:S::.::.. .......:•wr,;::so:;-:t-•;Y;:.:r..t. .. ..,......• .•. 3(n:ac s::u'ttc:,.,:.�f;. .. tr!+•rt•M..n.<.,:...!r: TOTAL HOURS Cetl.ffled Report by Professional Service Ipdusiries; (late T;3-98.1 ;tt:7LllJtl. 773 IbBuild On c81"tttad)`000 '° �...� SrAME WISION TACOMA DIASION � PORTLAND INYWON N11,39".14;Nlf$V11 SO.TACOMA1,%AY.SUM—iiI ul32NO GU1,;ER lf?.Ullr.;nr MOIJIMA#:rfRRAi E.Y"A vfS0113 eACGlIJt.WA Wf:3 PORTLANG.OR iii:'.: FAX 3- :;:I :2a3fcv K FAX WS;`8,'f:%$36 i'Wj 26ti•t?7i;'szilX('-_:3'r Ii•tF3?i CLIENT Nicholson Investments PAOJECT N0. 7424 j095 DATE Jultr3 11, )GC:b AODRESS 2333 Carillon Print: PERMIT NO W.O. 93454 Klrltlarld.WA.980:Y3-735.3 MUNICIPALITY ENGINEER:'::: ....... .. _ ATTENTION I•*. £)an Taylor ARCHrrECT P.O>NO. CONTRACTOR ...._. _ . ... PRC)JFCT lRite Add PROJECT-ADDRESS. 23^40 Stag Route 3,eef;<:IE FIELD REPORT ...... ,,,,,,,,,,,,,,,,,, ----- PSI ON SITE FOR REfSAP ii�);ib�eCI'i0N AND SAMPUNG GROUT FOR CMi)AS,REQUESTED BY CLIENT. ............. ..............— LOCATION I:i FOURTH i tf T f-OR ALL.EXTERIOR WALLS AND REBAR AT TRA'tH ENCLOSURE FOOTWO. .......... ............ P£ R S I'RUCTURE OFT AILS AT W3.07 FOR WAE LS,ELEVATION$,ALL VEN,TICAL AND HORIZONTAL DOWELS AT EXPANSION.10INTS AW)I•:OOKS .......................... .....I........_ .......... AT CORNER WAS FOUND CORRECT AND IvtI:.F:'f 1'I4E APPROVED PLANS. ................ _.................. ................ .......... FOR TRASH ENC LnSURIi:PER C)f:TAII..J;7 A.T:i2Jii A-i L REBAR ME.T THE DETAIL. .......... ................... _._..... TO THE BEST CIF THE INSPf:'t't•L.f'S KNOWLEDGE WORK CONFORMS.-TO PLANS AND COZIES. ............. .............. -------- .................... EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: INSPECTOR: DATE,. SE;AN SAMAK June: 11,2008 APPROVED PLANS ARE: X CLIENT CONTRACTOR FIELD CONTACT: fJATF: ENGINEER X BUILDING DEPT. CONFORMING LAj ARCHITECT SUPPLIER NONCOW—ORMIN'(3 'ir. cy.F :a a:a.:6t4::::tos n aa<ret ...a^� -e<a ev�c vtf- a..+ S)a,:et�J.asdsi a•bm::a::4 ato.<6 Sx4j:oy xoy e�r•.nt xu.s}:;:SS:;:.r.;f:a:<t.<.:fc.•�;'.:Sc.,..e.F:c:esac.i.,.z.s::r t.y,}.t.. :.. .,f.-tl c'•�d NA'ME ON OFF sT OT MILES `f'r,:;{p,t+.:a.za>a:test)W thx RthRa::;et 1A2 R bv:t3 aaa'::aL Srcra:ex a":4x::e�t t•'+.it•Yr;5�a.•�:'M+YNO.`;?:9t,f<;,flyi g::T:n li>t.ad."•!:<a.i.:::,:F t6 tc:ar..:a ,x.t:8^Mt�sae::h�:CbbCast�.t•GaraF:ascrtxnoap<?tx.•r.,at:;•:a,•a3.::a:<a;;a,•e.'c:>.y:,t>!.::•r:a:e•aa+<o:a,a:rosy:::a.:ri;•:r S.SAMAK 1200 600 & 1 !34 .ca:WL:'Gy e<'$:$brdf:!;tb'tJ9 J4� !b<:•raY.tb' TOTA),HOUR$ 6 Certified Report by Professional Service Industrles: EDVt'ARD Si'WITH � Date .................June 23, 2008 TS..S!B-•I ilclOn x>ar{y�Aaa�a�a8s8{8 a Cccs�£�;<f3'ffs?��«Tlkarced�ai�t SEATTLE DIVISION Q I'ACOh1AL1kVIVON S`D PORTIANDOMSION ,at3 .'$4AVz,. 10= T"40$.-AWAY.S*AH:(3: 0,02NO;V £R;;p?"."ME ... %!UiO.MAxl; T"'ct—A vw.. ::'v$ rrR?i.rstiCi.:.R 6". 78::. .Y3' _ .:?r, _•ed CLIENT::::: Nic:t?olson lnlvealll3eflls Pl'<t jEi 3 NUJ. ;42-80095 DATE .Rifle.f-"20.0f; _........ ADDRESS 2332 Caril:osl Point PERMIT NO. W.0, .........._ KifkiB?td,VVX 980,- 363 MUNIa (PALITY _. .. _ _._ ENGINE&R ATTC0IOt7 Wer.Dan Taylor ARCHITECT. ... P.O.W.I. t6NTRAC TOR PROJECT 1PROJECT A66RM 1231440 State Route £4elfair COMPRESSION TEST RESULTS A(it:A"f 3_ILTIMATE STRENGTH SAti1PLI:I.D. ITPF. i C.f?Ot)TF_a SIZE(L.W,0) AREA(SQ.IN.) DATE TESTED TEST LBS. P.S.1. CHECKED w .................................... A BOX t-Im, 3x3XG 11.09 06/12/08 7 37650 3390 UK 6 fl(TX i MI!3 3X�:396 11.00 07103" 28 +................. C. BOX 1 NIA 3XX 1111I OlT008 28 -....-----. ......+ .............. L1 (lr)X N/A 3X3X6 11.09 HoW H ..... .............................. ..... a DE.uIC]N J' MIXING f%ANT KR MIX INC T:+IJCY is 221 VCKE T 1! 49201 £i l'f>.3:,Vt>I I i 25fY0 (TROUT CEMENT C'3F AGG. NNI::AGG. AI:MIX A340 I)11l.ff F`ROPCr1TI()NS 653 L.=W 948 LEW 21m LfRY 40 0ZfY 570 A30.1 M-DRTAR CEti-ENt CS11A G. f'%tE::4C,t3 AMAIX MIX PI1•OPORTIC('ll. NJA Nlf% Nffe MIA NIA CLOUOY AS MA(,•1064 ASTI:f C•IU64 'I IkSEE F,VVCHATHF.R 11 i.'ifeKfit?t'' MORTAR TEMP, MIA GROUT%?,P. 650 DAI'(:RKEIv's:?) •Juft 5 2008 5�'.!aCii.3 r.:it33E:STtiFS ?r4:ift?}:.R ¢.Rt;;f: 3];?itif.{ :31':1L6. � IV;.CCCRDAI I-f.1, ¢T:4 0 •;3'•!!%;]37 f..l !;w `?•t0 ti9 AE>'.'!f.: a3::i 0 tA3C.1,18 Q AV-0-I_•.-Im oz)-. t3 ....... VtX i.3. 1CA PION AND N07F5' PSI ON,SITE TO Bf I-el":r AND M,0141TOR GROUT POUR FOR(3011 WALLIS AS kk QUESTED BY CL.IEN-£. SAfelF'LL fJE:GM TAKEN FROt,4 fi41oi)LE 113 OF T14E LOAD AND CONTRACTOR USED A MECHANICAL.VIBRATOR TO CONSOIJDATE THE.GROW. FOR MORE:INFOFRArVO KLIM SEE F-R#56707. EQUIPMENT IDENTIFICATION AND$1N#: COPIES TO: INSPECTOR: DATE: ITEMS INSPECTED TO x CLIENT CONTRACTOR SEAN SAMAK W5121M APPROVi:O PLANS ARC: ENGINEER X BUILDING DEPT. FIELD CONTACT: DATE; ARCHITECT SUPPLIER CONFORMiN NONCO?FOAMING. •TY.•aao:Y]SK Y-o:•!+•i::r.Fa:n:eaF.,.. .. .. .. <a.L?.q:'•..a...;{e Sa: NAMr .... ON Curl° CT OT 14UI-FS ;n,.i F•>.S:.Cr a•{+)r.{a^ .. ...... ...... ) ..«.•c ,)�.. ...,... ,o{... . ...*,ic{•f_' FR 36%07 1T 'iFA ra:G!.:a:.•)9. ..itt d:{'..r1.�lCf,:.r�i{:�:{{C::..•c.•]f):`).:F+it•: .,.... .i:t;tr{I:.F1:{^ x ta4gY.%':�Vth JY:nY•f i{<I/i 4i..9,.'<t t.C.r .-..'•)•.>.:..`>:{.:ha« ..v«ISr ta'.'"<hf,. .�.: :.. d';'{•:�v a. .f...,4{)yS:;:Y.a:$te•^:i4+j .....^:a f?aqb�:{7!:z:.y::L'.�A;..:%j:t<!�ti•ro�:a`:^1:Q.yv:'Fn:C::.. TUTAL 14OURS Certified Roport by Professional Service Industries: — - - �- Date TS•98-f R z:4-S;1:))r`):f�4:=st'x'sf7 a €:s�ri�liditdYs'ifi�t�.'4.YxFs[Jyi :}CATTLE.micro!! 0- TAJOW'SA mussop. L...] PortTS.AND 1Xy1310N ..?.13 8`.3>?1.Vi`s. .':52'�Sf7' ...Y't..�..;:'t . R .,.'C.V-SER Ctx: :kr;io L9'v YO ii'•.. ?:3i.1)??-9'%:!'-' 3> .:�. .;;'t;•X, :fo;:;?C•da:;t gy-1@,^,4 AY ?63)"5' ii :e?fs.,7A'F!•Y:.... CLIENT Wholson Intie5iments PROJECT NO.:::: 742-800195 DATE June 5 2008 ............... ADDRESS 2333 L:afil€tar?poillt PERM€'"No, W.O. ... ............... ... ....... _ _............... . Kifidand.WA.98t};'.;s-%353 Mi3N€CIPALr1Y ENGINEER AT.TENTICIN: Mr DanTaylrt iiTtClII[ECT 0.6.No. G<fHT1tACTOR:. PRGJEC-f Rile Aid) PROJECT ADORE?S', : 23940 States Route 3-Tie€€air COMPRESSION TEST RESULTS AGEAT U).Ti?�tATS STRI:14GT)4 ;iA6SY).C:M. TYPE: C)ROi)'rEfa SIZE(I.,V11,Di AREA{5Q•IN,1 t3AT1;:71 uTla) :----------• CHECKED TEST L.SS. f+.S.t. A BOX NIA 3X3Xfi 11.09 06112ios 7 3T1351D 3390 i3K .,.-.--1........... _..... ....................... ...•---•----. B E3?,X NIA 3 X. 11.09 07ft3WS 28 50900 4400 RP _..__. .................... ............... ........................ .................................. C a(V NIA 3X3X0 11.09 0710308 28 5:3410 4090 RP n BC)X fdfA :3X3XCiI 11,09 1It:TL0 11 DISCARD SL.Li1 G' 6AIMNGPLAANT KID Wl1X-'N- TRWX4 221 llcii)::1'ss 453205 STkr:A:C:TH 2500 GPOUT CEI%iENT C:lf:AL:iii. F:NE AGG. AOMiX A340 ''.IX# Wopf.'W'811vS Rfi3 I.Illy 94£L81Y 2ICQ LE3fY 40O7..ff 670 A30 I MORTA1; CEMENT C SI A(X'i. F:N,r.AG . AWAM YIY,N PROPORTION$ NIA N/A NIA NfA WA CLOUDY AS-ftA C.MA AsTm C.-.10oa TIV.F&vIVEATHER 1115PQAEiU`' MO RFAR 1L:fl . NIA GR.Oui TEIv 6sl U;%TE f<EC.ElliEnC Jirltf:5.:10Ub 5A!.tf°6.8LT»}tt}?�SiCE?. tt^:�?.1? Lii?i;tj( •r12:'3!d ^3a�.C:. 2:•9'i C AST:^,.1firi 0 urn i.:aL.1 Asr:!;-ss:. POUR UXATION AND NOTES. P51 CAN SITE TO SA14'IPL ANDi t;ONIYOR GRIOUT POUR FOR CPAV WALLS.AS REQUESTED D RY 01JE iT. SAMPI.F BEEN TAY.E:N FP0319 MIDDLE 113 O •f11E LOAD AND CONTRACTOR USED A MECHANICAL VlBr4fiI'i?K*i'fJ CONSOLIDA-f£11-IL GROUT. FOR MOPE Id1FORMATION SEE EQUIPMENT IDENTIFICATION AND SIN#: COPIES TO: INSPECTOR: DATE: ITEMS INSPECTED TO X CLIENT CONTRACTOR SEk::AN SAMAK 0/512006 APPROV-J.PLANS ARE :::: ENGINEER > BUILDING DEPT. FIELD CONTACT:� DA'i&; ARCHITECT SUPPLIER :CONFORMING, t.t:..f�-q-� . NON:dIJF(9fiftlitNfa t :. r{� .. . - :+ •:.r.^:y St•+rr,t✓7 crc.r hn a^e. : >' .x.o 14AME ON OFF ST QT MILES .to 1-S r.:,:O:M:tt:^0! Phi . , .{ .v• s(,. / �... ...,3.• (iJt +.ti4.::..yc J,:.a...3f,J.rl:':r...ia' ..Si•4n::S•t.n'+Fhwh:�. :F:•:0::0•::/6Q vb't4 ...,.- •<st•a:M.I CP C:r.'r,�lJtM:at}... •,.yv... .. n'•.�<:,.:.:j•:Ti'.+.c Of i....a�i0::..!.:1 '. :i✓:eraaansap'attloasi�a..n:7>di':io!L•:c.<ps4t::ai::n'a4:i:ae+.o:�..•.�: TOTAL HGL:F?S Certified Report by Professional Service Indtistries: EDWARD A. S&VTH € Date July 7, 20U8.. ............ TS-38.1 :s..;� ax. :, <• ... ......................... W)Build On SS°.rr�gF>xfi*t;;rittsl3+ � G�ssa�ifBitiTf)Tg a Ykxf:is.{a<i! SEA)'itkE?VYISW tAC0MA02Y151L11I CL)I2TiAt1p(yIY1S)tJN sse:::•llTi:AV S, f6 Za S%3.VACVAII +'AY SL;TE K! 61M its.^;:Ti is GA.S,1`•F.a.., ........ L.2 ttL•'• f'f::.CE.'Ji:I,$•:�+ ?'.:,CC,1Yi:. 4r!iS.. Tt>:i QiH, :5`?:..eF-;:,... ':.>:<L;±j;niR•3�C: ..!?>^38,:S�L•I:�'!;2^:..^E?L55 r.:'3;:3La`;%E' .-i:gl�i? it'v.:C%'.f: CLIENT Nicholson Investments PROJECT AM 742430095 DATE: May X 2008 AUDRE:SS 2333 Carillon Point PERMIT.NO Kirkland,INA 98(33.735 iM 3 UNK',WALITY ............._._. _.._. . ENGINEER ATTE NTIOt4 )YTr: Dan Taylor ARCHITECT P.O.140: GtSNTRhGTCif2 pf7pJECT Rile Aid PROJ.ECT ADDRESS 2:,',)40 State Route:3 f elfair COMPRESSION TEST RESULTS AGE t+7 �+LTlrenrF s'rr�t=t;;cTH SAMPLE I.D. TYPE GROUTED SIZE(L.W,0) ARFA(SQ.;N•) OATETE311-E> T12St' I.I�S. P.5.1. CHECY!EG _- A 3 X 3 X}, YEIS WA 10.72 0W0fjj08 7 ............. S 3X3X6 YES NIA ttE30W'.6 28 ......................-- ................ . C. 3 X 3 X.t; YES WA 061271G8 2$ ..................... ...................................._. 3X3xr, YES 1Gf.+D H ............................................. .... ID E;:ilCii 1 :i3.)11J1? J' MIXII':iiPLANT K1113,f T31�.iCX3 78 i;�:K3"rX 48903 :>;i2f'ti:y'sr? 2500 GROUT 43 iAENT is%,;:AGO. FINE AGC>. ADMIX fi7:?C d f2:)f OriTEpNEi 653 941 1087 40 02-A340 57DA30.1 MORTAP CEMENT VU:A<;(, €I141:AU AUA4Iz MEK it P)tC)POR:IION's NIA NIA PIA WA NIA ASTIMC-1064 ASIMC-1964 T1A4E iS Nt +7H!R 9:15 AP.T 5J'F CLOUDY fi+lr3E?7A T F;?�1>. NIA tYfii:+i)T TEif!P. 64'i: DATE RECEIVED flsty 3L1.L00II 6<:ir5>';,E•i):.1.:.Y y%ca L!ri•R1:4K Cif2L)i;T I%itite!.'• OT140? ACCOR.-ANi"f:V,i�!I f.T Ii:.:bIf1(•j 4STIMC•1214 0 .1C.C21-.11P CJ POUR l0CA TION AND Nf)TE PSI ON SVIE.YO SAMPI.f:.AND Rr ONIFOR GROW FOR Ctv l�'%Hl.f.- SA,APIX.TAkFN FROM I'llF MIDDLE 1,3 OF"I*HE TI+`.UCIS AT"i'RUCK C:iUTE. CONTRACTOR USED A tAE'(.HANl(,AI.VIURATOR I"L)C O N501-1 AFE.,GROUT. SEE FR 516671 rOR Ms:It E INFORMATION. EQUIP1MENI IDENTIFICATION AND$/t4#: COPIES TO: INSPECTOR: ITEMS INSPECTED TO X CLIENT CONTRACTOR SEAN SAMAK 5i31012008 APPROVED PLANS ARE; ENGINEER BUILDING DEPT. FIFLD CONTACT- DAT>c ARCHITECT SJPPLIER CONFORMING 0 NONCONFOAMING::[� • o-;t• >uL•,.:j,,y,;ad:i419Fr: a:t•:.:..7:}4to:-,:dxti4:n:!;harst4+!.}r T aK:.+3tfARf!rY,2T..^a•;9p NAME ON OFF ST OT MILFS SEC FR$6677 •1Mi C.++}:':.:a:r,.Y.:!t:t:::n;Xtt::%wty4!N:4:•:ist::44:!T'n:;.1T::4:1•.rti:vM:i!e:i:4:t4:Maa:tn:1':':41:.1.:%i4}:41:i-725Y%.•ly 4.`.•.r.12.••...••:f:l:e::.:.::..C.4�:'':a<".+inY::C4'h4 G4:.SY45+Tth:6S:C35'Ci}rt...a:/.M.L!1dS.:t::i:r.!tltf4Gtq:v,44:G7:C:a}yam{}:v9 ....:�4:a,c.;vaa'74!•�.S.r::ra:>:4G:!f.:?:^%.>�s+::;:nk�i:r:a'.v:!p�t a. TOTAL W)URS Certified Report by Profassional Se(vice industries: TS 5e i w i I U.-Itiol I M R__�l 248 0 SEAT)1,45;VIVIMN TACOMACIVISIOt, 0 PORTLAND DIVISION 24;^;h.*KA1!-.,."'. it'.021i SICK TAC.,P,".-OVAY Siff TE i1i -M2 ci-TER.CR 9:bc TAC0MA!A(, OR 9721 v*f,;7044*1,PAX oe".1 M CLIENT:: Nicholsoti Investmesits PRQJVCT'N0. 742-80095 DATE Mav 30,2000 ............ .. ........... ...... AQDRE3$ 2333 Carillon Point PERMIT NO. W.O. ..........I.......... Kirkland,WA.980,33-i3s3 MUNICIPALITY .......... ATTENTION: -W Dan Taylor ARCHITECT. P,0.. A le A;d P R OJ E C T. 0 CI R ESS PI OJECT ----------------- JWNTUICT Rit , 1,23940 State Rok:16 3-Belfair COMPRESSION TEST RESULTS --- AGUAT---- -----GLIMIATE STRENGTH SAMPLE I.D. TYPE GROUTED SIZE(L,W.D) AREA MO.W.' DATE TESTED L P. , ............................................................................................................I M �U__ A BOX YES 3X3.)(6 0.72 4w)(110-0 1 2(1880 2790 RK .............................................................................. .............. a BOX YES 3X3X6 10.57 OW27108 28 WSW 6760 ................ C BOX YES 3x3x6 11.16 MMOS 28 07510 6060 1) BOX YES 3=6 HOLD 14 I I DISCARD I ................... .....................I................... ........................ .............................................................. 1 —1 DRSIGN SLUNAP W MIMIG PUINT KI I'SAP TRUCK 76 PME-TH 46903 5TREINGM 2500 ................. ...................... ....................... MOM Uhs.-MI, C'SE.AGG. FINIF.AGG. A014M %Vx 9 PROPORTIONS 651 943 1087 40 UZ-A340 MAMA ........... ..................................... ............................................. M'OR IAR CEMENT Clit:AGG, FINE Ai:i(N At MIX M:X ft NY% Met NMI NO% NIA ................ ASTM.C,1064 ASTMC-1064 TIME&ke%,EA'fWU? 9*11 15 AM 59'r-CLOUDY m*RTm, TEmp. NIA i*;Row yi:ms). C.4'F DAMRIECOVID) Ma X 31),2008 ............................................. ..... IVIMPi P0,14-110,M'Wro MMMA GRSEt PRISM I:sAiCOfdtJ.etft'E. ................. POUR LOCATION AND NO FES: K3.1 ON SITE TO$AMPLE AND MONITOR GROUT FOR CMU WALLS. CONTRACTOR USED A MECHANICAL VIOWOR TO CON%ILIDATE GROUT. SEE FIR 56671 FOR MORE INFORNO.TION. ... ........................................ ...................................................................................................... ....................................... ............................. EQUIPMENT IDENTIFICATION AND SINM COPIES TO: INSPECTOR. JDATE' ITEMS INSPECTIEUTO CLIENT CONTRACTOR SEAN SAMAK 5130/2(X)8 APPROVII56 PLANS'Apji: ... ..... ... ENGINEER ILDING DEPT. FIELD CONTACT; j ARCHITECT 9 BU 8UPPUER :Jb6NFOkWk3: ?:�M NONCONFORMING ....... ..... u's %vz NAME ON ()F-F- S T %�1 MILES SET FP 56677 HOURS C ertifled Report by Profossional Service Industries; EDWARD SWTH—K ........ Date Julm 30,2008 .... .............. lnft�v mation, FR 56664 SEA]TLE OMSION TACOJU CAVISION P*Ryown mviscou 6iTH AVF kl, ::>.s25 57 YAr (33:1:12 NO r0 TlK.-R lrlfk 01AA l.PY.Wlti:Il M,'AJNl k.eWt,I I'AAAC.C.,',-JA P.*<A3 TACOMA X11,,5?84eS PORTtAND OR 4-,257, (7$3i VAX 120' ------------ ------------------------------- ----------- C.L(ENX Nicholson Investments PROJECT ............... Y42-A009.5...... DATE ay 27 2008 ......... ...... .. .ADDRESS 2333 Carillon Point PERMIT NO :::::' W.01 93189 .................... ........... Kirkland.WA 98033-7 153 ENGINEER ATTENTION Mr. Dan Tnyiot P.*O.NO. .......................................................... PffojEcT .::.Rite Aid PROJECTADDRESS 23940 Stato Route,3 -Aeffair FIELD REPORT PSI ONI SITE FOR RENFORCIN-0 STEEL INSPEC TION AT CNIIJ WALIS AS RE TED BY Ci-111-7:NT. LOCAI'ION: FROI-A NOR7WVVESTCORNER Al TO SOUTHWEST Wl ANE,FROM SOUTHWEST CORNEP,%41 TO SOUTHEAST IvI,,,,AND FRO"VI m.4 TO A4 FIRST 48"OFF THE EXTERIOR WALLS ABOVE FOUNDATION. ...................... .............................................................................................................................. PER DETAILS WS3.06t S101. ALL REBAR VERTICAL AND HORIZOINTAL. ALSO REBAR AROUND DOORS OPENING.AT COLUMNS FOUND CORRECT ..........-......................................................................................................................................................... AS FAR AS SIZES AND NUMOCRS AND MEET THE REOUIROVIENTS OF THE CODE. ................................................................................................................................................m......................................................... .................................................................---..................................................................................................... TO THE BEST OF THE IN$PFCTOfrS KNOWLEWE.ALL WORK CONFORMS TO PI-ANS AND APPLICABLE CODES. .................................................................................................................................................................................................................................. ......................................................................................................— ........................................................................................... .................... ............................................................................. ------------------ ............................................................. EQUIPMENT IDENTIFICATION AND SIN#, COPIES TO: INSPECTOR: DATE, ITEMS:IN$paClTEo TO Si AN SAMAK May 27.2008 APPRdVM5 PLANS ARE, r-171CLIENT CONTRACTOR FIELD CONTACT: -A DATE, ENGINEER x BUILDING DEPT. CONFORMING ARCHITECT SUPPLIER NONCONFORMING ...... .... .. .... ke covoz�--!:It;V13 K.&N.!j onj NAME ON OFF: ST OT MILES S.SAMAK 4 TOTAL HOUR$ Coillfied Report by Professional Service Industries; Edward A. Smith Date jolle 16 ................. In jbnnation MR 7961 <•,j) 4:Sf"{Z+aG.•:J�"S.3}}�tt•• f�� T kif`.;c4:i47.5ki'J:3SniiNr'.Ib Build Of b�Jsf{,ffsi�`.s�fSps£,r b wwrsrk: f�s�g; «TZc>+m�l�x�y .._'� iFATTLL fil+liSiO'M n TAftiAlA pRtISIUtt -_-� PORTI.Atip rltVf$(ON .:t4:33.. 5::,...:� !>;��;;SO<:iC:ii'�..Y.'�v,•>' .Eo-iS Sl3iM�.i::ii3r^nf-.Iw ci:L.R�3s: :lUl?rr:::�F-.Y£RkfiF.J:.7: a^^ ^;? i;lGr•,3..'i 930 1:JE!Tirt:p::t bi;.> :v 23-UD,FAX!,;)248.246' i.:3t tsJB•fE4. F.:x;237.:�4 �:3> fL:"233.f F;x; i's:.....vss CEIENT Nichofsorf Pf2COJECT f40: : 74.2-E00!:15 DATE May 23,2008 ADDPESS :: 2333 Caril:an Point PERMIT.NO. W.O. c}3tEt1 Kirk?and.WA.980''�3.;3,''• Mi31IIGIPAt1TY ............ Et1GINL•'ER ATTENTION Mr.Dan Tayto( ARCHITECT P.U.NO. CONTRACTOR PROJE1.1 l2oi+;Aid PROJEC"I ADDRESS 23940 State Roule 3.Belfaif -cO?APRES'-lQN TEST RESULTS M AGC AT UL.TI&JATE STRE.NG r{t SAMPL.EF.D. 1'YPt: GROUTED SIZE IL,W,D) AREA(SOAN) DATE FESTED ........ CHECKED TEST L88. P.S.I. ............. ....... ....... .............. . A Box N:h 3x3xK 14.87 D5:30108 7 37240 3140 OK ----------------- _.... 0 SQx NIA 3x3x6 11.43 OW201fob 28 46ft5U 088 6K ............... . c Box NIA 3x3x6 11,01.4 ..._... . OkS1?N(% 28 46leO _4160..— 6M .......... . F) .0 x rllA I 3X3x6 Iifst.l? N £3lSCn�C� ......... _ — DESIGN SLUMP !I PEiY.It.C>f I:ANr n:s!.i:+r c> s:.c 3'FIUCxs: N/A 1;rKET9 48463 srai:Nc>,(m 4400 ...... ...... _.. ( R!XjT CEMFNT VICE:A{Eta. FINE AGG ADMIX 1^IR A 34f%V F'r^CyPQR'FifJ243 653 943 39.7'JL SlfFwOI MORt'AR CEMENT C15C AGG. FWE AGO. AUW,:X mix 0 PROPORT14ONS � NIA RIA .NIA NIA NIA ASTM C•10rpp AST C-I t:&i TWE.9 Vvl:AI'>IF.11 2:00Phl OVERCA�F MORTAR.;W-P NIA GROUT TE,,,!P. 57" DAI'E.RI::C.E3VED 1Aily V,2[Hf!i '�!d?R.£::?i.`f:1 HESY,:;, }L'ytT.+•r:. �R(?-,fI" Li;15}�< OTHER ;i3tr".S.ln{.J...:i7!!i,•73Si POUR LOCn f it.)N ANt31••3f,!T£3: ...................... PI:RFF:1RI,ED GROUT FLµ!:I;IVIENT WATCH ANO TES I'FOR,"WU BLACK VVA1.1-8 AT GRID 4fp-M.4`LIF 1'S AND vla•14 f-IR$T 2 COURSES. GR01J'I't'JtiS PtA(,r.!)BY PUi• P AND MECHANICALLY i:f.?NSOLIDATED. EQUIPMENT IDENTIFICATION AND$IN#, COPIES TO: INSPECTOR: DATE: rrEMS:JNSPEC:T'Et?T0, x CLIENT CONTRACTOR W11A.IE[100Xr-P, 5123/2006 jl:PfYFtOVEP.Y1:ANS ARE ENGINEER x BUILDING DEPT. FIELD CONTACT: DATE: ARCHITECT SUPPLIER rfJNFL1RMIN Nt�tdGC1NFC7�i�tUIINC� ta.>:a .r os:a,ge•j+,<,a o.c.:••. :_.t r:e: n;a ! •:•i ::r e..,,... :!•a•.o-x•:Sx:A:a NAME ON OFF ST 01 MILES 'd.f•%/,.CiJ/>ai iY;SJt S f ."ilN < .. J!Y "-. - .r$ '. FR S698D 1 T (I n,•iC...:...A.Sf f!•h!�A.CO A.;st:.c SP:bs at-s..i b..a.1......vA t...Iw.A.<�7 a'9 C :,suvs::}MA ji >.aa:i:J <..:•s:•f<taw++.ht e;o wja�.re::�.*[a:�::n.aw:i�,;.:N,<:,:s•.;a.+:;k t6F':a>rN 4.,Y t�sr,q.xr:�::.�s Ga A<vp:Jx;J Ji eS:a Jays:J:<J TOTAL HOURS Certified Report by Professional Service industries: L-DWAF0 A. SMITt! A Pate June 24. 2008 • ;` r> 56986 fill On ?s't�gy1`sasirs.a'�xrs„e r �'>"vr'r'¢M�tnl�,fat'�' a "t;�-+�fr{3�•{� FF smur[ei4lStOf! j TACOMA01VISIM RORTLtikl(MVIS:Qtt E... 24!1:':'iYti AVV IN tC:?C;:S(.TA-Cal"o,WAY.I;111 :H?. >.":,'•7.NO Of I l l:R 0111 SUM 15;, ;,+.[SiMRAKE TEfRRAC:£.t A Q3f.43 TAIX),SA.NA y,:5i IrOkl'i:tM).UIF i sa 2•eE<�.;eT`FAX ii if i�G! "..��>fF!•^,!"f ABC.'7.'_vi `2*;- cr.'.i�3`•:•'�I'd"r'r 7,:a::ti 2$`i.:.g,•' WENT.. Nicholson Investmi-rits pRt7JEC7 fJO ': ?42.80 95 t?kTE tday'?3. 2r�Ji� ...... ......_........ ADDRESS: 2333 Catillon flowlt PERMIT NO W.O. 93160 KithEand.WA.WO'33 7353 ENGINEER: : ........ ATTENTION.:: Mr. Dan Taylor ARCHITECT . ... ..... P,O:NCB: CONTRACTOR ......._ ...... PROJECT Rite Ai;€ PROJECT ADDRESS 13-1 State Route 3-Bellair FIELD REPORT CMU SLOC:It IAAl A C A1J-?vI.44 LIFT.143-H,2 r;€3l)RSE.S 191S3.01,2CIMS Clt USINC>S i F+MPED APPROVED A-T SET €AT ED 04130108. A31S005.616306. ............. l+E'KFC�Khi£D RONFORCING STEEL iwSPECTION AND E`O1.1ND THE ELEME-NTS FOR THIS INSPECT ION TO BE IN ACCORDANCE V VI I.H THE .........................._ ............ ....... AFIt'R(Mo C+."`,CUMENT'S,STAN€)ARIA�AND u€aCi If'ECf.flONS. EQUIPMENT IDENTIFICATION AND SINM COPIES TO: INSPCCTOR: BATE: ITEh'}S INSPECTS£TO...:. WILLIE T.BOOKER May 23.. 2008 APPROVED PLANS ARE;-' Y CLtENT CONTRACTOR FIELD CONTACT. HATE: � ENGINEER x BUILDING DEPT. CONFORMING ;: l.:,.t ARCHITECT SUPPLIER Iw[ONCO ORMING ?f•<i ti: 'C orat,l S+tJ Q,d 47,tf 7! y.., f < R[ta•7t AZAIAtSMNOW dti:n::pny.Ur:w" ::X t ztt.-.IMM:5$6. .,: :...ass,.e..w..., .t .. ..+ .upi..:ri:v.. NAME ON OFF ST OT MILLS 'Yr'S Citt -. i>llt.l.ttecy,s:rRf3 SG^.:r d4t'.+t t,'It '. t^. b39•S74:SQ7'r$!Jn2�d3'.A.'. 1 it-�f SLJ::+,J' hs.,..< ...:,.:+......t.a.J✓esaaeylo e oseEl -rof..... ,:v.<,:. .v...s.3.rs ssmaslsraedd,.h..xa.t, lyess_c-g•.o, W..HOOKER M30 3:30 4 AOa,C4::.<p•;'+:co•,:;;:'.n.!:tECy:ia%4h:5.` TOTA1.HOURS Certified Report by Prolessiona:l Service Industries, Edward A. Smith Date June 13,2008 hijbnnalion MR 10618 0 StAl MV MVISIOU TACOMAOMISKM PORTLAW nPASIWI 24 1 A'vz: 5C4,11,C037,-R.(:N S: J FAA GLIENT Nictiolson Investmeril-S PROJECTAO, 742-60095 DATF May 20, 200 ................ .................. AJDDRESs 2333 Carillon Point 00vw No, W.O. .............. KirWancl,WA 9,8033-7363 MUNICIPALETY ............. ...... ENGINEER ........... ATTENTION Mr. Dar..Taylor ARCHITECT: P.O.No. CONTRACTOR 1PROJECT I Rite Aid ........ IPROJECT ADDRE$S 123940 State Route.3-Belicsir COMPRESSION TEST RESULTS I.D. TYPE WtOUTED SIZE(L,W.01 ARKA(SQ.IN.) DATE TESTED AGE.AT ULTWATE STRF,46TH CRECKED TEST LOS. P,S,% ........................... ...........----------......-------- A PRISM YES 60)(16 66.2.2 06117108 28 134810 2040 BK ............................. ___-_--------------...............................___ 8 PRISM YE$ WX 16 ccl.on. 06117106 28 1685711 2660 "Bif ...................... ........ PRISIM YES WWI 16 64.18 OW17108 28 16685-1) 2600 FJK ....................... ................. ............................ .......... —----------- KITSAP VIF3101 sump FL.01WABI.E PLANT...READY MiX TRUCK,; 22q TICK-FT 0------48381....... SIRL-NGY14 1600 .......... GROUT CEMENT C'SE A GG. FINE AGG. AMMIX MIX 9 PROPORMNS 3 5V40 5720 14240 NA 570A30.1 ................ '.,.ORTAR cE?VFW C 1311.AGG. FiNEAGG A01MIX MIN R PROPO;k I IONS NA NA NA 2.5 GAt..WO NA A'—','r&l C-)0:54 AK V,1 A^o 4 1*.'W.3:&VVEATHC-A I 1:1 vw.i 65, MORI'Af?Tel m" <"scw Tvv% fuV wo'k NA 3HrA 0 0 vec "4 kN7�,I c!,.vs nY ?i.:,3 c, ----------'------------------- 3rOUR LOCATION AND NOTES,PERIW T ER BOTTO N10 COURSE W HIGH AROUND EfflIRE SITE. P'Sil ON SITE IZOR SAMPLING AND TESTING OF CMIJ GROW'. f,.ROIJTWA3 Pl_ACEOVIAL LIK PUMP ANO MECHAVIICALLY CONSOLIDATED. REINFORCED 8ftE.O.V41NS ALSO INSPECTED AND CONFOPNIED TOS)301-S306 OF:APPROVED KANS AND SPECS. ........................................... ...................... ........................... ............. .......................... .................. ............................ .............................. ............... ....................... E.01APMENT IDENTIFICATION AND SIN#: COPfLS TO: INSPECTOR:1 JDATE: ITEMS INSOt''TED TQ,- x CLIENT CONTRACTOR TOIA RECORDS 512012OL18 APPROVED PLANE ARV: ENGINEER x BUILDING DEPT. FIELD CONTACT: ARCHITECT SUPPLIER CONFORMING ...... ...... ...... .... . NAME ON OFF ST OT VNILES RECORDS 8 12 4 IT TOTAL HOURS 4 Certified Report by Professional Servire Industries; EDWARD A.SMITH Date June 23, 2008 ............. ......... ...... 9h_1 t ` , JAN-°J7-09 10:31AM FROM-SIERRA CONSTRUCTION CO, INC 425 487 5290 T-154 P.002/002 F-249 TERRAFOR.MA DESIGN GROUP January 7, 2009 Mr. Fred Perryman Mason County Engineering Department 415 North 5" Street Shelton,WA 98584 RE: NEW RITEAID #6544 — BELFAIR(BLD92-01211) STORM SYSTEM CONSTRUCTION APPROVAL Dear Mr. Perryman, The storm drainage system for the RiteAid#6544 in Belfair was constructed according to the approved engineering plans. The storm system will function in accordance with the design and in compliance with the Mason County engineering standards_ Please contact me if you have any further questions or comments_ Sincerely, Terraforma Design Group, Inc_ Pedro DeGuzman, PE President 116 (:[V [ [. F=NG[NEL- RING .� LANll5CAP[_ /\ RCIII'i 1:C'f 1, I'.1' 5212 17"'As�nw Sly' %mule WA`)912<, plione 211h.923.059i1 1'a,20(,.92i.i51)7 00 C n, (12/23/2008) Debbera Coker- Page 1 From: Dewatto Boads <boad40@peoplepc.com> To: Grace Miller<gbm@co.mason.wa.us> Date: 12/19/2008 10:13 AM Grace, We have completed the planting as part of the HMP for the Rite Aid property. We needed to modify the planting scheme due to the presence of a constructed curtain drain behind the cement wall, which was the area identified as the planting zone in the HMP. As we couldn't plant over the curtain drain, we planted the entire area along the bank behind the curtain drain, which is of equal or greater surface area. As this area contains more volunteer native shrubs than the original planting zone, we didn't plant as many shrubs, but increased the number of trees planted. We removed over 90 percent of the Himalayan blackberry from the planting zone as well, and plan on conducting a supplemental removal in the spring. All plants were installed from potted containers and all trees have been flagged for monitoring. My only concern is the idea that the restoration can somehow be finaled by the planning dept. prior to the completion of the three year monitoring program. This seems inconsistent with how the county has dealt with other projects requiring habitat mitigation. Lee Boad The Wetland Corps 360-620-0618 PeoplePC Online A better way to Internet http://www.people pc.com (1/5/2009) Debbera Coker- Fwd: _ Page 1 From: Grace Miller To: Debbera Coker Date: 12/23/2008 11:31 AM Subject: Fwd: Here is the e-mail that I have recd from Lee Boad, Rite Aid's Biologist.Thanks. (12/23/2008) Debbera Coker- Re: Rite Aid project From: Grace Miller To: Debbera Coker Date: 12/23/2008 11:29 AM Subject: Re: Rite Aid project One of the conditions of the permit requires a 3 year monitoring plan.This does not have to be done before the final inspection. I will forward the e-mail I received from Lee Boad to you. Lee is Rite Aid's Biologist so you understand what I mean and I will re-visit the conditions on the Bldg permit BUT I think I marked all of them as"MET'If there is one that requires 3 year monitoring,the Building Inspector does not have to wait on that,OK? Let me know and I will get back with Lee.thanks. >>> Debbera Coker 12/17/2008 8:20 AM >>> The building dept.will not approve a final inspection until ALL planning conditions are approved. Would you please review the conditions on the permit(COM2007-00035)and let me know the status? Thank you. >>> Grace Miller 12/16/2008 2:59 PM >>> I think I signed it all off.I dont remember... >>> Debbera Coker 12/16/2008 2:55 PM >>> Did you get the planting information for the RiteAid project and/or have all Planning conditions been approved?