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Home My WebLink AboutCOM2023-00006 Cellular Tower - COM Inspections - 9/30/2024 CAS� INSPECTION CARD Mason County 615 W. Alder St. Building 8, Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov PERMIT# COM2023-00006 PROJECT ADDRESS 175 E PENZANCE RD SHELTON, WA 98584 PARCEL # 321280000000 PROJECT DESCRIPTION NEW CELL TOWER OWNER FRANK FAMILY FOUNDATION/T-MOBILE ADDRESS P O BOX 789 PHONE CONTRACTOR ADDRESS PHONE CONTRACTOR LICENSE LENDER INSPECTION INSP DATE Comments INSPECTION INSP DATE Comments Setback Inspection )jZ •�2- KNOX BOX VERIFICATION Footing Inspection Jjj_ -� -2 BLD-Final Inspection ✓tLttv�� S"3o'�-i -7-I2 -2_; �Vlh � /it tAf ,e- 640 4 vtv( �a -kdN �e � �CC SN•fa..-�F70✓ KO�*S ll-v 7,3 37-L- �iv,a ( / kN O1C 96)C.- (/Lk I-ly6, �c/� r � 4/12/23 COM2023-00006 Frank Family Foundation/T-Mobile New Cell Tower 175 E Penzance Rd,Shelton Onsite this date for the requested footing inspection for the proposed new cell tower. While onsite I was given structural plans by the jobsite foreman (Tracy Hermann)that were not approved by Mason County and were completed and stamped by an Oregon Engineer. All Structural plans must be reviewed and approved by the Mason County Building Department and are required to be designed and stamped by a Washington State licensed Engineer. Contractor and owner are to consult with a Washington State engineer and have onsite supplied plans or new structural plans designed, stamped, and submitted for review and approval. Footing inspection failed due to the lack of approved structural plans/documents. At the request of the contractor and owner, rebar cage and footing hole were looked at using the unapproved supplied drawings. Inspection was not passed or approved. Owner and contractor stated getting the plans stamped by a Washington State Engineer was not going to be a problem and are going to proceeding at their own risk. If submitted structural design does not match installed rebar cage or footing requirements additional engineering and approvals will be required. Plans must be submitted as soon as possible for review and approval. No other structural inspection will be conducted until all required documents have been approved for use by the Mason County Building Department. OWNER/CONTRACTOR ARE PROCEEDING AT THEIR OWN RISK Footings NOT approved this date Joshua Luck AbMASON COUNTY 360-427-9670 ext.352 COMMUNITY DEVELOPMENT www.masoncountywa.gov Permit Assistance Center, Building,Planning CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: COM2023-00006 ADDRESS/LOCATION: 175 E Penzance Rd, Shelton FINDINGS• **Permitted work not complete this date** **Not a Complete Inspection** 1) Complete all permitted work to include installation of all proposed equipment, equipment slabs, and all antennas. 2) Knox box required on the entry gate at the beginning of the access road. Be sure key is placed in knox box prior to final inspection. Contact the Fire Marshal and/or local Fire Department with any questions. 3) Provide all County approved documents (Plans, Site Plan, etc) onsite at time of next inspection. 4) Provide Engineer of Record final approval report addressing all structural install. Special inspection reports required for proposed equipment pad, please provide. 6) Complete the installation of all reau ira ed signage. Items listed above must be corrected to gain compliance. ✓Z THIS IS NOT A COMPLETE INSPECTION This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ✓❑ Call for re-inspection when corrections are made before proceeding with any further work. ✓� Make corrections, items will be checked on the next inspection. OK to Date: 11/6/23 ❑Please contact our office regarding possible Department:Building structural damage incurred by recent Inspector:J. Luck "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov FPROJECT 3-00006 NEW COMMERCIAL PERMIT DESCRIPTION: NEW CELL TOWER ISSUED: 04/05/2023 ESS: 175 E PENZANCE RD SHELTON EXPIRES: 10/02/2023 PARCEL: 321280000000 APPLICANT: FRANK FAMILY FOUNDATION/T-MOBILE OWNER: FRANK FAMILY FOUNDATION/T-MOBILE 500 EAST 84TH AVE SUITE C10 P O BOX 789 THORNTON, CO 80229 SHELTON, WA98584 1.720.378.2817 VALUATIONS: FEES: Paid Due Project Valuation (BID, 50000.00 $50,000.00 Building Permit Fee $697.01 $0.00 ESTIMATION..) Technology Surcharge $23.00 $0.00 Plan Check Fee $453.06 $0.00 Planning Commercial Review $380.00 $0.00 Fee State Fee-Commercial $25.00 S0.00 Total: $50,000.00 Totals : $1,578.07 $0.00 REQUIRED INSPECTIONS Setback Inspection KNOX BOX VERIFICATION Footing Inspection BLD-Final Inspection CONDITIONS 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. Printed by:Genie Mcfarland on:04/11/2023 12:25 PM Page 1 of 3 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW COMMERCIAL PERMIT COM2023-00006 * 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. * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at (206)357-2620, ext. 630. * All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. * 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 and 14.17. * All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * When parcel development requires direct access to county road(s), 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 or 100 W Public Works Dr. Shelton. 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. * All building permits shall have a final inspection performed and approved by 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. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor & Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415- 4000. Printed by:Genie Mcfarland on:04/11/2023 12:25 PM Page 2 of 3 Mason County 10 Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov NEW COMMERCIAL PERMIT COM2023-00006 * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * All property lines shall be clearly identified at the time of foundation inspection. * 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. * Must comply with Ecology comments from a letter dated 3/29/23 * The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: Printed by:Genie Mcfarland on:04/11/2023 12:25 PM Page 3 of 3 A :N 14 May 26,2023 \� Mason County,WA Tower Engineering Professionals, Inc. 411 N 5`�St 960 Industry Dr Shelton,WA 98584 Tukwila,WA 98188 Subject: Certificate of Compliance Permit Designation: Building Permit Number: 40WWv12 -00006 Owner Designations: Site Name: Mason Lake Site Number: US-WA-7014 Engineer Designation: Project Number: N/A Inspector Designation: TEP Project Number: 309272 Site Data: 110 East Tintagel Place, Shelton, WA 98584 150—Ft Monopole Tower Dear Mason County, Tower Engineering Professionals(TEP)is pleased to submit this `Wertificate of Comm lm W" to Mason County for the special inspections performed on April 13, 2023 and May 15, 2023 at the subject structure. The purpose of the inspection was to verify proper installation and material use of the new cell phone tower and foundation. The tower and foundation specifications are detailed in the documents listed below. • Construction Drawings by B&T Group dated April 23,2023. The purpose of this letter is to confirm that all required final reports have been received, reviewed, and accepted as complete by TEP. Based on our observations, we have determined that all work was completed in accordance with 2021 International Building Code and the permitted plans. To the best of my knowledge and belief, the construction of all load bearing components comply with the permitted documents. Material Type of Inspection Reference Arent Phase Steel Material Identification Markings 1705.2.1 TEP Tower Installation Steel Connections 1705.2.1 TEP Tower Installation Steel Structural Steel 1705.2.1 TEP Tower Installation Soils&Foundation Excavation,grading,and fill 1705.6 TEP Foundation Installation Soils&Foundation Shallow foundations 1705.6 TEP Foundation Installation Soils&Foundation Deep foundations 1705.6 TEP Foundation Installation Concrete Materials and testing 1705.3 TEP Foundation Installation Concrete Durability 1705.3 TEP Foundation Installation Concrete Anchorage to concrete 1705.3 TEP Foundation Installation If you have any questions or comments,please contact our office. s r£�� Sincerely, �k, OF _WA Fy Tower Engineering Professionals,Inc. (TEP) c- y Reed Stelten,PE, CWI `1i i - Reed Digitally signed by Reed Steffen 't DN:cn=Reed Stelten,SUS, email=rsteften@tepgroup.net 56958 4. 2023.05.26 14:49:21- Stelten 07'00' O� PE Is EREO es, �-�� Date: May 26, 2023 A Tower Engineering Professionals 23831 Tiger Mountain Road SE Issaquah, WA 98027 (919) 661-6351 (Office) Foundation Inspection Report ;\\ Crown Castle Site Information I T O W E R POC: Justin Owen \ ENGINEERING PROFESSIONALS 750 Park of Commerce Drive, Suite 200 Boca Raton, FL 33487 Site Number: US_WA-7014 Site Name: Mason Lake Site Address: 110 East Tintagel Place, Shelton, WA 98584 150 Foot—Monopole Tower Building Permit: COM2023-00006 Jurisdiction: Mason County Tower Engineering Professionals (TEP) is pleased to submit this 'T'oundatlon Inspection eporr' to Vertical Bridge for the installation of the subject structure. The purpose of this foundation report is to confirm that the foundation was installed and the workmanship is in accordance with Vertical Bridge standards, the 2021 International Building Code, and the structural foundation drawings by B&T Group dated April 23, 2023. Based on our inspection, Tower Engineering Professionals determines this project: Z,PASSING The configuration, materials and/or workmanship of the modifications are installed in accordance with the Contract Documents. Inspections Vendor Information: Dates on Site: April 12, 2023 MI Crew Lead: Reed Stelten, PE, CWI We at Tower Engineering Professionals appreciate the opportunity of Providing our continuing professional services to you and Crown Castle. If you have any questions or need further assistance on this or any other projects please give us a call. Respectfully submitted, <" . STET WAS,�,� Fy H y Digitally signed by Reed Stelten '? Reed DN:cn=Reed Stelten,c=US, Qz�0 roup 56958 �� Stelten DateI212305.22614:49:04et ISTER�� \� 0r00' FSS��NA'L�-�G -42 Reed Stelten, PE, CWI PNW Division Manager Table of Contents PAGE NO. 6.8.1 FOUNDATION EXCAVATION AND SOILS INFORMATION 5 6.8.2 REINFORCING STEEL INFORMATION & INSPECTION 6 6.8.3 CONCRETE TESTING & DELIVERY TICKETS 7 Tower Engineering Professionals 23831 Tiger Mountain Rd SE, Issaquah,WA 98027(o)919-661-6351 (f)919-661-6350 www.tei)groupnet 150-ft Monopole Tower—Foundation Inspection Report May 26, 2023 TEP Project Number 309272.842864 Mason Lake—US-WA-7014 6.8.1 FOUNDATION EXCAVATION AND SOILS INFORMATION Photographs Observation ` Observation: A 31' deep x 7' diameter excavation was performed. Excavated soils typically matched the conditions noted in the Geotechnical .E Evaluation and Investigation Report provided by B&T Group dated April 23, 2023. i r.. �41 � �... ,j•.-1�Y�! .cam-"` �C\� 1, �i. ti Tower Engineering Professionals 23831 Tiger Mountain Rd SE, Issaquah, WA 98027(o)919-661-6351 (f)919-661-6350 t www.telp_qroup.net ��i 150-ft Monopole Tower—Foundation Inspection Report May 26, 2023 TEP Project Number 309272.842864 Mason Lake—US-WA-7014 6.8.2 REINFORCING STEEL INFORMATION & INSPECTION Photograph Observations and Recommendations Observation: Thirty-five (35) #10 vertical reinforcing bars, thirty-nine (39)#4 horizontal ties, and six (6) U- ;,P. bar horizontal rebars were installed for the new foundation along with corresponding tower anchor rods. All rebar was confirmed to be ASTM A-615 (Grade 60)with a 3" minimum clear cover. This was completed in accordance with the modification drawings provided by B&T Group dated April 23, 2023. Tower Engineering Professionals 23831 Tiger Mountain Rd SE, Issaquah,WA 98027(o)919-661-6351 (f)919-661-6350 www.tepgroup.net 150-ft Monopole Tower—Foundation Inspection Report May 26, 2023 TEP Project Number 309272.842864 Mason Lake—US-WA-7014 6.8.3 CONCRETE TESTING &DELIVERY TICKETS Photograph Observations Observation: Minimum 4,000 PSI concrete for the new tower foundation was poured against earth. This was completed in accordance with the modification _" - drawings provided by B&T Group dated April 23, 2023. f - e I �t"•'r' F *"'gyp � � � b �•4 f } rt � �y� �1 ,fir � � • Tower Engineering Professionals 23831 Tiger Mountain Rd SE, Issaquah, WA 98027(o)919-661-6351 (f)919-661-6350 www.tepctroup.net INTERNATIONAL CODE COUNCIL' INTERNATIONAL CODE COUNCIL REED STELTEN The International Code Council attests that the individual named on this certificate has satisfactorily demonstrated knowledge as requited by the International Code Council by successfully completing the prescribed written examination based on codes and standards then in effect,and is hereby issued this certification as. Reinforced Concrete Special Inspector Given this day June 16, 2020 Cert ficate No. 8491598 i Greg ' eler,CBO President, Board of Directors Dominic Sims,CBO Chief Executive Officer This certificate is the property of ICC and must be returned to ICC in the event of suspension or revocation of the certificate. '�� Gl��lll� CONCRETE &Associates, Inc. REPORT NO.: 06623126CRO41223-CC -1 Geotechnical Engineering.Environmental Engineering Construction Testing and Inspection DATE: 4/12/2023 CONTRACTOR: PROJECT#: 06623126 PERMIT#: PROJECT: US-WA-701 Mason Lake INSPECTOR: Client Cast LOCATION: 171 E Penzaze Road Shelton JURISDICTION: Shelton KA P.M.: WBT WEATHER: TEMP- Field Data Reported Batch DATA Concrete: Piere footing Other: Cement Type suppliers -� Plant No.�--� Site Mix: n/a Design Actual Slump Mix Air Unit KxNc 04C3A 04C3A Time Truck 4 Ticket# °,a Air Inch Temp(F) Temp(F) Weight Cem.Lbs 1:OOpm I I 5.0 1 6.5 76- F ASh cs C.Aqg.Lbs C.Agg,Lbs C.Agg.Lbs Placement Area sandibs Location Piere footing for cellphone tower water Admixture Admixture Admixture Arc Ent (oz;CM ) Water Added On Job Site Remarks. Client cast(6)4X8'cylinders for compressive strength analysis (Gals.) Field Test ASTM Method Please Refer To Field Repot Number: C172 HC143 C138C1064 C231 Inspector : Client C31 Other Laboratory Data Design Strength: 4500 @ 28 days Date Specimens Rec'd: 4/13/2023 Cyl. Test Field Wt. Max Comp. Set Tested Brk Test Method Code Date Cure Age Dia. Area # Load Strength # By Typ ASTM C39 230503-1 4/17/23 5 4 00 12.57 - 38455 3060 1 MS 3 ASTM C109 230503-2 4/19/23 7 4.00 12.57 - 44020 3500 1 MS 3 ASTM C617 230503-3 5/10/23 28 4.00 12.57 - 62590 4980 MS 4 ASTM C1231 230503-4 5/10/23 28 4.00 12.57 - 61890 4920 1 MS 3 ASTM C1019 230503-5 5/10/23 28 4.00 12.57 - 62365 4960 1 MS 4 1 OTHER 230503-6 H Test Results Remarks: I Conforming Results Reviewed By: Date.[i Codes for Break Types: U I I \ 1 2 3 4 SLLL...___ttt 6 Offices Serving The Western United States Concrete Repert Effective 12115,12020 Lynnwood(425)485-5519 • Poulsbo(360) 598-2126•Tacoma(253)939-2500 Tn[n!amabr,po.,a•am nm reemwp•pvee!a!ne•kw[..ers•aue ce•n..,ar„«.ao•nym�.ansr!arrw.nrowrne«.meo.+rrwsc•am:[r,v.na wum e..arcw« Tma r•nen.bcx..a..uo«!>soeur.>,ar,a•e!«erp r.sws a.wwaea[om,wm •ra m+e•c.>se..e«in[nlvm•M re wepn b reMw•!a b!rntl wMxea'BV�Tl b't repp!.Oe nspety Coe[rw!su[Or respm:[!h la NMr M rewR-Tire n�m•,fam«m M[E•m>c�tle°Dy tlnev m sM X 1 Date: May 26, 2023 ;1 Tower Engineering Professionals , 960 Industry Dr. Seattle,WA 98188 (919)661-6351 (Office) k�� T O w E R \� ENGINEERING PROFESSIONALS Structural Steel and Bolting Inspection Site Information POC: Justin Owen 750 Park of Commerce Drive, Suite 200 Boca Raton, FL 33487 Site Number: US_WA-7014 Site Name: Mason Lake Site Address: 110 East Tintagel Place,Shelton, WA 98584 150 Foot—Monopole Tower Building Permit:"COM2023-00006 Jurisdiction: Mason County Dear Mr.Owen Tower Engineering Professionals (TEP) is pleased to submit this 46iructural Steel and Bolting Report*to Vertical Bridge for the installation of the subject structure. The purpose of this letter is to confirm that all bolts were tightened and installed in accordance with the structural design drawings completed by Black & Veatch, dated April 12, 2023. The required special inspections were performed per Chapter 17, sections 1704 and 1705, of the 2021 International Building Code. All observations were performed during the construction phase. Tower Engineering Professionals, Inc. was present during the construction phase. The inspection was performed by Reed Stelten, P.E., C.W.I. of Tower Engineering Professionals,Inc.All bolts were found to be properly installed per manufacturer recommendations. We at Tower Engineering Professionals, Inc. appreciate the opportunity of providing our continuing professional services to you. If you have any questions or need further assistance on this or any other projects,please give us a call. Sincerely, Tower Engineering Professionals,Inc.(TEP) Reed Digitally signed by Reed Stetlen DN:cn=Reed Stelten,SUS, Reed Stelten,PE,CWI Date:2023.05.2E 1P4:4938 mup.net lt Steen 07,00, Inspections Division Manager �'61OIt)4Qi� 11'li� W- 1 f l' , �! -Y-• _� ram= � r Ff``�� - �, k Y>. . IL 1 Tower Engineering Professionals 23831 SE Tiger Mountain Road, Issaquah,WA 98027(o)919-661-6351 (f)919-661-6350 tow- www.tepgrour).net ' INTERNATIONAL CODE COUNCIL REED STELTEN - The international Code Coc,n++t ett-i,ru+;r1:c❑d w wi;r:wnrd on this certificate has satisfactorily - demonstratrd knowirdgr as requirrd by the International Code Council by successfully completing the prescribed --- written examination based on codes and standards then in effect,and is hereby issued this certification as: i - f STRUCTURAL STEEL AND BOLTING SPECIAL INSPECTOR _ Given this day of July 04, 2018 -- Certificate No.84915N] Jay Elbettar Dominic Sims President,Board of Directors Chief Executive Officer _ � r ICCINTERNATIONAL -- CODE COUNCILmuss Al r .•, .• s. .. - .. rM1u cxYMule rsfbe i' ^v or rCC anC most[e 2tu nea lc Ice.. Tower Engineering Professionals 23831 SE Tiger Mountain Road, Issaquah,WA 98027(o)919-661-6351 (f) 919-661-6350 top- www.tepqroup.net w, Kraz an GEOTECHNICAL ENGINEERING ENVIRONMENTAL ENGINEERING CONSTRUCTION TESTING AND INSPECTIONS September 19, 2024 KA Project No.: 10624031 Joshua Luck Email:jluck@masoncountywa.gov Mason County(Deputy Building Official) Phone: 360-427-9670 3670 W Dayton Airport Rd Shelton, WA 98584 Project: SE05432F Lake Limerick 175 E Penzance Rd Shelton, WA 98584 Subject: Final Special Inspection Letter Mason County Permit No.: COM2023-00006 Dear Mr. Luck, In response to the request and authorization of Jay PerryCook representing Eagle Commercial Services, Inc., Krazan & Associates has provided special inspection and related construction materials testing services for the SE05432F Lake Limerick project located at 175 E Penzance Rd, in Shelton,WA 98584. Our services were performed by our staff on February 14, 2024 under the supervision of a State of Washington registered engineer. Our observations were documented in our inspector's daily field reports which have been submitted the owner, structural engineer of record, contractor, and the Mason County building department. Krazan provided special inspection for the following types of construction at the project site: 1705.3 Concrete Construction In accordance with Chapter 17 of the 2018 International Building Code,the work requiring special inspection was performed in conformance with approved plans and applicable standards of workmanship at the time of completion. Limitations We have performed our services in a manner consistent with the standard of care and skill ordinarily exercised by forms of our type practicing under similar conditions at the time and locality our inspection was performed. Please recognize that construction monitoring is a technique employed to reduce the risk of problems arising during construction. Provision of construction monitoring by Krazan &Associates personnel is not insurance, nor does it guarantee the construction of any type. In all cases the contractor shall retain sole responsibility for the quality of their work, adhering to the approved project plans and specifications and for repairing any defects,deficiencies or omissions, regardless of when they are found. Our services were limited to the work documented in our reports. We do not undertake the guarantee of construction or completion of a completed project conforming to the plans and specifications. No warranty expressed or implied. ,..Krazan Closing We trust that this report is sufficient to meet your needs and appreciate the opportunity of working with you on this project. Should you have any questions, comments or if we may be of additional service to you, please feel free to contact us at your convenience. Respectfully submitted, Krazan &Associates, Inc. Dipt a a .ght David DD9lS Kaza8A i s WrightDate 2024 99t1�64343-07'00' David Wright, P.E. Operations Manager Olympic Peninsula Division Page 1 of 1 �'��1ClL�G111&Associates, Inc. Field Geotechnical Engineering • Environmental Engineering Report NO.:106240332142024JV Construction Testing and Inspection DATE: 2/14/2024 Set Count: CONTRACTOR: Eagle Commercial Services,Inc. PROJECT#: 10624033 PERMIT#: COM2023-00006 PROJECT: SE05432F Lake Limmerick INSPECTOR: Jorge Vargas LOCATION: 175 E Penzance Rd,Shelton,WA JURISDICTION: Mason County KA P.M.: DW WEATHER: Clear TEMP:37"F As dispatched,I arrived at the SE05432F project located at 175 E Penzance Rd in Shelton.Upon arrival,I met with Jay PerryCook,the owner of Eagle Commercial Services,Inc.(ECS,Inc.),and we discussed the scope of services for this visit. The scope of services entailed a steel reinforcement inspection and the observation of the concrete placement for the outdoor slab and thickened edges,as well as sampling fresh concrete and casting one set of five(5)4"x 8"inch cylinders to test at l- and 28 days. The perimeter of the work area was walked and the#4 rebar and#4 stirrups were noted for the top slab and thickened edges with the correct spacing,lap splice,and coverage per details found on the structural plans prepared by Tower Engineering Professionals on Sheet C-13.The plastic cover was also noted per the details on the sheet as well. The 16 cubic yards of Miles Sand&Gravel Mix Design ID 0360A50 was observed as it was placed via boom pump by Brundage-Bone Concrete Pumping and mechanically consolidated by ECS,Inc.The composite concrete sample was collected at approximately 6 cubic yards of the total placed from the northwest corner of the thickened edge and tested for slump,air content,temperature,and one set of five(5)4"x 8"inch cylinders were cast for compression testing.The cylinders were then placed inside an insulated box on leveled ground located next to the cell tower fence.Refer to Concrete Report 10624031 CR2142024JV for the test result data. Prior to leaving Jay was informed of today's inspection. Geoffrey a. Reviewed By: Fisher a- -m- ASTM Test#: Asset Numbers : To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and regulatory requirements. Superintendent/Representative: Technician: Jorge Vargas Krazan and Associates, Inc. Offices Serving the Western United States Lynnwood(425)485-5519 •Poulsbo (360) 598-2126 • Tacoma(253) 939-2500 The information provided on this report is prepared for the exclusive use of the client.This report may not be reproduced in any format Without the written permission of the client and Kraran&Associates.This report indicates our inspectors observation and testing results based on site conditions and contractor activities.This information is subject to review prior to final submittal.By signing this report,our inspector does not accept responsibility for validity of results.The same information has been provided by others on site.The test results apply only to the specific locations,and items inspected or tested. �-=j�aZ�111 CONCRETE i &Associates, Inc. REPORT NO.: 10624031CRO21424-JV Geotechnical Engineering a Environmental Engineering Construction Testing and Inspection DATE: 2/14/2024 CONTRACTOR: Eagle Commercial Services, Inc. PROJECT#: 10624031 PERMIT#: COM2023-00006 PROJECT: SE05432F Lake Limmerick INSPECTOR: Jorge Vargas LOCATION: 175 E Penzance Rd, Shelton,WA JURISDICTION: Mason County KA P.M.: DW WEATHER: Clear TEMP: 37 ° Field Data Reported Batch DATA Concrete: 6SK 3/8"50/50 AIR Other: Cement Type Supplier: Miles Sand&Gravel Plant No. 208 Site Mix: Design Actual Slump Mix Air Unit Mix No. 036OA50 0360A50 Time Truck# Ticket# %Air Inch Temp(F) Temp(F) Weight Cem.Lbs. 564 561.6 8:13 1 1150 1 1092042 4.9 1 2.5 61 ° 37° N/T F.Ash lbs. C.Agg.Lbs C.Agg.Lbs C.Agg.Lbs 1513 1535.5 Placement Area Sand lbs 1493 1598 Location: Concrete placement of outdoor slab and thickened edges for cell Water 292 265 tower cabinets. Admixture Admixture Admixture Air Ent. 4.9 4.9 (Oz/cwt.) Water Added On Job Site Remarks: Concrete placed via boom pump and mechanically consolidated. (Gals.) �o Sampled at approximately 6 cubic yards of the total placed from the northwest corner of the thickened edges. No gridlines available. Field Test ASTM Method Please Refer To Field Repot Number: 10624031 DFR2142024JV C172 C143 C138 C1064 C231 Inspector: Jorge Vargas C31 Other Laboratory Data Design Strength: 3000 @ 28 da s Date Specimens Rec'd: 2/15/2024 Cyl. Test Field Wt. Max Comp. Set Tested Brk Test Method Code Date Cure Age Dia. Area # Load Strength # By Typ ASTM C39 1673 2/21/24 7 3.99 12.5 65860 5270 JP 2 ASTM C109 1673 3/13/24 28 4.00 12.57 87730 6980 AC 4 1 ASTM C617 1673 3/13/24 28 4.00 1 12.57 1 83220 6620 AC 4 ASTM C1231 1673 3/13/24 28 4.00 12.57 84910 6750 AC 4 ASTM C1019 H OTHER Test Results Remarks: Conforming Results Reviewed By: Date: 3/137202 1 Codes for Break Types: INN RE IEE E 1 3 4 5 6 Offices Serving The Western United States Concrete Report Effective 02/22/2018 Lynnwood(425)485-5519•Poulsbo(360)598-2126•Tacoma(253)939-2500 TM infanra0m ProiUed on Rra report is PrepazeE fa Cie eaGuue use of the ciee[,rd nay rq be reppdPCM in arty farrrai vYlnrl Ne Witten permiuicn a1[M cunt ertl Krazan 8 AaaociYa.TFu repM iMir.Yea ov ImpectMs ebsawum and tntrp mrb based m aile cmGNms Yd corfncta acti.Aea.The Inlomabm h aWivcss to rerkvr pry fa MY wbrtimL eY apnry Mu repoR,ov irapeclY Foes M accept resporuibdby for relitlM d resY4.TM name infomafiori fm bear prvitled by alrvt on site. Page 1 of 1 �j�'aZc111 &Associates, Inc. Field Geotechnical Engineering - Environmental Engineering Report NO.:106240312162024JV Construction Testing and Inspection DATE: 2/16/2024 Set Count: CONTRACTOR: Eagle Commercial Services,Inc. PROJECT#: 10624031 PERMIT#: COM2023-00006 PROJECT: SE05432F Lake Limmerick INSPECTOR: Jorge Vargas LOCATION: 175 E Penance Rd,Shelton,WA JURISDICTION: Mason County KA P.M.: DW WEATHER: Partly Cloudy TEMP:36'F As dispatched,I arrived at the SE05432F Lake Limmerick project to collect one set of five(5)4"x 8"compressive strength test cylinders by J.Vargas on 2/14/2024.The insulated box was located in its initial cure location and the specimens did not appear to have been tampered with.The specimens were secured inside the Krazan company vehicle and transported to the Krazan laboratory in Poulsbo,for further curing and testing. t Geoffrey-w- '.ram. Reviewed By: Fisher ASTM Test#: Asset Numbers : To the best of my knowledge,the above WAS performed in accordance with the approved plans,specifications and regulatory requirements. Superintendent/Representative: Technician: Jorge Vargas Krazan and Associates, Inc. Offices Serving the Western United States Lynnwood(425)485-5519 -Poulsbo (360) 598-2126 - Tacoma(253)939-2500 The information provided on this report is prepared for the ecclusive use of the client.This report may not be reproduced in any format without the written permission of the client and Kra rot&Associates.This report indicates our inspectors observation and testing results based on site conditions and contractor activities.This information is subject to review prior to final submittal.By signing this report,our inspector does not accept responsibility for validity of results.The same information has been provided by others on site.The test results apply only to the specific locations,and items inspected or tested. A^ Washington State Department of CALabor & Industries Your jobsite for permit number 4278525E was inspected 8/30/2024 by Electrical Inspector Jeffrey Zellerhoff. The results of inspection are listed below: Inspections: Inspection Date Inspection Result Inspection Comment 8/30/2024 C ircuitNewUnderground,<=1 20V,<Approved Complete I -2EA. 20A 100A CIRCUITS FOR GEN LOCK HEATER AND ATT. CHARGER 8/30/2024 Generator,New,240V,101-200A Approved Complete KTEI -48K GENERATOR /200A BREAKER The following corrections were written on this inspection today. The following corrections were marked completed on this inspection today. You can view all inspection information on this permit online at Labor and Industries, electronic permit and inspection system.Additional fees may be assessed and will not appear until they are processed by our support team. If you do not have any correction(s), no further action is needed at this time. You may have one or more correction items needing attention: The results of your inspection request are attached. Your installation did not meet minimum safe-wiring standards required by Washington state law. [National Electrical Code,RCW 19.28, and/or WAC 296- 46B] Please note that per RCW 19.28.101(3); all corrections must be made within 15 days of the date issued. For correction items notated"Reinspect on Final"; you must complete the corrections within 15 days of the date issued and request a progress inspection or final inspection within 45 days of the date of this letter.