HomeMy WebLinkAboutCOM2015-00157 Final Playground Equipment - COM Permit / Conditions - 1/5/2016 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
co°�Tt Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
/ Shelton, WA 98584
1854
COMMERCIAL BUILDING PERMIT COM2015-00157
OWNER: BEARDS COVE COMMUNITY ORG RECEIVED: 10/30/201E
CONTRACTOR: LICENSE: EXP: ISSUED: 11/19/2015
SITE ADDRESS: NE SANTA MARIA LN BELFAIR EXPIRES: 5/19/2016
PARCEL NUMBER: 123305300075
LEGAL DESCRIPTION: BEARDS COVE DIV 6 BILK: LOT: 75 COMMUNITY PARK
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
INSTALL NEW PLAYGROUND EQUIPMENT FOR WA ST RT 3 N, LEFT ONTO WA-300 W, RIGHT ONTO NE SAND HILL RD,
COMMUNITY USE - located in the community park on Santa LEFT ONTO NE LARSON BLVD - located in the community park on Santa
Maria Ln Maria Ln
General Information Construction &Occupancy Information
No. of Units: Type of Constr.:
Type of Use: PLAYGROUND Insp. Area: No. of Bathrooms: Occ. Group:
Type Work: ACC Fire Dist.: 2 No. of Stories: Exit Design. Load:
Val
uation:
Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building:
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: SE 25.00 Ft. Shoreline: Ft.
Rear: NW 100.00 Ft. Slope: Ft. Water Body: Shoreline Desig.: Not Applicable
Side 1: E 100.00 Ft. SEPA?:No Comp. Plan Desig.: Rural
Side 2: W 15.00 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?:
COM2015-00157 Please refer to the following pages for conditions of this permit. Page 1 of 6
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee TlA/ 11/171gni !ZTi nn Gi?mrnn
Building Permit Fee Tw 11/171gni ZiAi nn gi9nirnn
Building State Fee TIN 11i17/9nl oa Fn gignirnn
Planning Review Fee TA^/ 11/17/9ni Sgnr,nn q»nunn
Total $423.50
CASE NOTES FOR
COM2015-00157
CONDITIONS FOR
COM2015-00157
1) Approved per dimensions and setbacks on submitted playground site plan; new equipment in area provided. Setbacks are measured from the
furt projection of the structure.
X
2) roposals to expand land uses or the footprint of the existing structures shall be reviewed by the Dept. of Community Development prior to work
startin such development.
X
3) ontractor 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- 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X
4) All approved pans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will charged and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted.
5) 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
6) 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 USE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE.
COM2015-00157 Page 2 of 6
7) 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
Mas ounty Building Inspector shall be made prior to requesting additional inspections.
X
8) I build`ngper�mitsall 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,p,
.Oiant with Mason County ordinances and building regulations.
X
9) II permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the rmit holder have prevented action from being taken. No more than one extension may be granted.
X
10) ressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal
fasten s, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X �
COM2015-00157 Page 3 of 6
11) 1.Fire-retardant-treated wood complying with Section 2303.2.
2. Light-transmitting plastics complying with Section 2606.
3. Foam plastics (including the pipe foam used in soft-contained play equipment structures) having a maximum heat-release rate not greater than
100 kilowatts when tested in accordance with UL 1975 or when tested in accordance with NFPA 289, using the 20 kW ignition source.
4. Aluminum composite material (ACM) meeting the requirements of Class A interior finish in accordance with Chapter 8 when tested as an
assembly in the maximum thickness intended for use.
5. Textiles and films complying with the flame propagation performance criteria contained in NFPA 701.
6. Plastic materials used to construct rigid components of soft-contained play equipment structures (such as tubes, windows, panels, junction
boxes, pipes, slides and decks) exhibiting a peak rate of heat release not exceeding 400 kW/ m2 when tested in accordance with ASTM E 1354 at
an incident heat flux of 50 kW/m2 in the horizontal orientation at a thickness of 6 mm.
7. Ball pool balls, used in soft-contained play equipment structures, having a maximum heat-release rate not greater than 100 kilowatts when
tested in accordance with UL 1975 or when tested in accordance with NFPA 289, using the 20 kW ignition source. The minimum specimen test size
shall be 36 inches by 36 inches (914 mm by 914 mm) by an average of 21 inches (533 mm) deep, and the balls shall be held in a box constructed
of galvanized steel poultry netting wire mesh.8. Foam plastics shall be covered by a fabric, coating or film meeting the flame propagation
performance criteria of NFPA 701.
9. The floor covering placed under the children's play structure shall exhibit a Class I interior floor finish classification, as described in Section 804,
when tested in accordance with NFPA 253.
424.4 Separation. Children's play structures shall have a horizontal separation from building walls, partitions and from elements of the means of
• egress of not less than 5 feet(1524 mm). Children's playground structures shall have a horizontal separation from other children's play structures
of not less than 20 feet(6090 mm).
12) All equipment must be installed per UltrPlay PlayCore Installation Guidelines and Specifications. Detailed prints and instructions are included in the
back of the manual, arranged in numerical order by the component number which can be found on the site plan drawing which are the every end of
the manual.
X.
13) A proper safety surface, as recommended by CPSC Guidelines for Public Playground Equipment and ASTM-F 1487 Standards or CSA/CAN Z614
Standards.
X
COM2015-00157 Page 4 of 6
OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
ignature Date
JW &A c�(r✓otI OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
COM2015-00157 Page 5 of 6
0
9 CONCRETE MECHANICAL MANUFACTURED HOME m
dale IQ >
C) By ;0
T Footings I Setbacks Gas Piping Ribbons 0
C)C? Interior Date By Interior-Date By Data By cn
Cn Exterior Date I BY Exterior- Date By
4 Set-up 0
Point Load/Isolated Footings INSULATION Date By <
m
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT 0
0
Foundation Walls Floors Date By ic
Date By Data By DECKS ic
C:
FRAMING Walls Date. By z
Date By Data By PROPANE TANKS
Date, By <
PLUMBING Vault 0
Date By OTHER X
Groundwork Attic G)
Date By Data By Type,
Date By
D.W.V DRYWALL Type- 0
Int Brace Wall Date By 0
Date ByDate By 0
FINAL INSPECTION
Water Line Fire Separation
Date By Date By Date 131 V
Q
Pass or Request Inspect.
Type of Insp. Fail Date Date Dane By Comments CA 4
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Permit# do►-, Zocs— oo t 57 MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location !JE� ��rJ7.a r,K�►/1�.a
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑This is not a complete inspection disasters.This is NOT
Date 12 0 3 U 5- Department C -C-71 CORRECTION NOTICE.
Inspector `-5 L—,r-,
1 ,0�, 0 Noiw*T ' 'Imit 011r 1 ' TH/ .Pill T ' —* qff,
�0 I? 5 2i )� 333G 2 43 5 1
3
-- Kerr
40 �
12
1800"
21
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24 A e A
27 — ------ - - -
30
33 -
36 �a Y, ��� A LA1N�E,
39
42 FR'.`Mi t
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45
48 The LV,kAC W Lk t \D ��U P 1�-1 Sr i i w ► c�t, s 0- e cl— L•�
51 covAcr �z. �0ai,kY
P,PROVED PLANNING
64 MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
_ CHAN E:S SUBJECT TO APPROVAL
57 By rl - tvDateVVI 9w �t S-j cool 2015or 00's
60
RECEIVED
63
_ OCT 3 01015
66 426 W. CEDAR ST.
69
PLAY
u TODAY N NING
BIGHORN
RECEIVED
OCT 3 0 2015
426 W. CEDAR ST.
{
MODEL # UPLAY-008-N
MODEL # UPLA Y-008-P
Issued/Revised: 07/18/14 d ,'
800.458.5872 www.ultraplay.com
YIMYTm
Uo e adbW;EEM
P L A Y S Y S T E M 5
UPIayToday""Product Specifications
General System Specifications:
UPla Toda TA features 312"O.D. uprights with a high-strength aluminum alloy clam fastening system
Y YY p 9 Y
finished with a polyester powder-coat.All uprights shall receive factory installed deck clamps located at the
appropriate deck heights.
All decks and components shall connect using the aluminum clamping system.All climbing attachments
shall include either upright-mounted grab bars or a 15"wide deck entry archway to control deck access to
one child at a time and help prevent inadvertent falls.
UltraPlay shall offer the following warranties on the materials and components of the UPlayToday`"playsys-
tems:
• 10-Year limited warranty on support posts (uprights)
•5-Year limited warranty on metal parts including decks, pipes, rails,loops and rungs
• 3-Year limited warranty on rotationally molded polyethylene components
• 1-Year limited warranty on all hardware and all UltraPlay products in general
Clamps
All clamps are die cast,high-strength 102 aluminum and are powder-coated to match the post color. Fas-
teners for clamps are stainless steel special tamper-resistant pinned bolt with locking patch,and a heavy
hex Iocknut,which fits into either a hex or round shaped recess,cast into the clamp. The pinned bolt head
requires a special tool for fastening (provided with each structure),thus ensuring vandal-resistance.
Plastisol Coating
All metal deck platforms,steps and stairs are plastisol-coated. Each part is chemically washed and com-
pletely submerged in a special heat-activated primer and allowed to dry.Parts are then pre-heated and
immersed in liquid polyvinyl-chloride(plastisol).The PVC coating shall have a nominal thickness of.080"and
a hardness of Shore A 83 +/-5 normal durometer range.This material is classed as"Self Extinguishing",meets
or exceeds automotive specifications NVSS302,and contains ultraviolet inhibitors to help prolong the life of
the coating. Standard color is brown.The following characteristics apply:
Tensile Strength-2,800 psi
Elongation -290%
Tear Strength-420 lbs/in
This product meets or exceeds the heavy metal requirements of the CPSIA Act of 2008.
Powder-Coating Process
Powder-coat shall be an electrostatically applied formula of polyester powder. All components will be free
of sharp edges and excess weld spatter and shall be cleaned in an iron phosphate wash,as a rust inhibitor,
and a sealer to prevent flash rusting before coating.The coating shall have a super tough finish with maxi-
mum exterior durability and will have superior adhesion characteristics.
Rotationally Molded Plastics
All Rotationally Molded Products are manufactured from medium density polyethylene(UV-stabilized color).
The tensile strength of this material is to be 2500 PSI as defined by ASTM D638. The nomimal wall thickness
will be.250"(Ya"). All rotationally molded products shall meet or exceed the following specifications:
Melt Index (ASTM D-1238); Density(ASTM D- 1505);Tensile Values (ASTM D-638);Flexural Stiffness (ASTM
D-747); IZOD Impact Strength (ASTM D256);Vicat Softening Point(ASTM D-1525); Brittleness Temperature
(ASTM D746);Shore Hardness(ASTM D2240).
Blow Molded Plastics
All Blow Molded Products are manufactured from high-density polyethylene.The nominal wall thickness will
be.200". All blow molded products shall meet or exceed the following specifications:
ASTM-D 1248Type III,Class A,Category 5;Melt Index(ASTM D-1238);Density(ASTM D- 1505);Tensile Values
(ASTM D-638);Flexural Modulus(ASTM D-790); IZOD Impact Strength (ASTM D256);Brittleness Temperature
(ASTM D746).
HDPE Components
Climbers shall be precision cut from a single solid sheet of.59"thick UV-stabilized extruded high-density
polyethylene.All edges shall have radiuses and all corners rounded for safe play.
Hardware
All nuts,bolts,and washers,with exceptions noted,shall be stainless steel Grade 304 in varying lengths,with
a vandal-resistant button-pinned head configuration and factory-applied locking patch. When allowed a
72-hour cure time,the locking patch will prevent the bolt from loosening without at least 4 times the instal-
lation torque.UltraPlay will supply the special tool required to turn vandal-resistant hardware with each
shipment.
Uprights-Steel
The posts shall be 3 1/2"O.D. 13-gauge galvanized steel tubing. Entire post is powder coated after fabrica-
tion.
n;
UN
UPLA Y TODAY {k
•P�Ay�C.ewa ;�1�
BIGHORN
ROOF
(02-07-5015)
PANEL CLAMP 90'
DOUBLE(02-07-0041)
PANEL CLAMP
WINDOW PANEL (02-07-0040)
(02-07-5010)
SQUARE DECK
(02-07-5001)
BASS DRUM 4FT STRAIGHT SLIDE
(02-07-5023) (02-07-5004)
� r
RAINWHEEL
(02-07-5022)
BONGO DRUMS
(02-07-5024)
ULTRA MOUNTAIN CLIMBER
(02-07-5007)
11' UPRIGHT FINISHED ASSEMBLY
(02-07-5028) i MODEL#UPLAY-008-N
MODEL#UPLAY-008-P
TUBE CLAMP
(02-07-0039)
13' UPRIGHT
(02-07-5029)
p
II `
4FT ADA STEPS
(02-07-5000)
pp
p
p p 6FT WAVE SLIDE
(02-07-5006)
2 FT STAIRS
(02-07-5020) HDPE CLIMBER
(02-07-5018)
Issued/Revised: 02/13/14 Ift&".
"FLA CD.V.- www.ultra la com 27
800.458.5872 p y�
• r jiff 09PEAy.
UPLAY TODAY
+PLA+COrr car
USE ZONE
2 FT STAIRS
TOP VIEW (02-07-5020)
---
HDPE CLIMBER � \\
(02-07-5018) / 4FT ADA STEPS
ROOF
(02-07-5000)
�
(02-07-5015)
6FT WAVE SLIDE 11011 SQUARE DECK\
(02-07-5006) /
/ mmm (02-07-5001)
m \
6-0"
25-3"
6-0"
BASS DRUM 4FT STRAIGHT SLIDE
\ (02-07-5023) (02-07-5004)
RAINWHEEL
(02-07-5022)
WINDOW PANEL \
(02-07-5010)
BONGO DRUMS
(02-07-5024) ULTRA MOUNTAIN CLIMBER
(02-07-5007)
44'-6"
ZONE*MINIMUM USE REQUIRED
NOTE:
Equipment shall be positioned to eliminate conflicting traffic
*The USE ZONE is the area beneath patterns. As a general rule, allow at least T of freespace
and immediately adjacent to a play around the entire structure.
structure or equipment that is designed IMPORTANT: Never install play equipment over hard, unresilient
for unrestricted circulation around the surfaces such as asphalt, concrete, or compacted earth. It is the
equipment and on whose surface it is owner's responsibility to ensure the"minimum area required"
predicted that a user would land when contains an appropriate amount of resilient materal to cushion
falling from or exiting the equipment. accidental falls.
Issued/Revised: 02/13/14 a s:
d
.PLA`CORCc .., www.ultra la com 19
800.458.5872 P Y�
MASON COUNTY Permit No:
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING./'IRE MARSHAL (360)427-9670 Shelton ext.352 /S I�
- htto:/Jwww.co.mason.wa.us/community dev/ (360)275-4467 Belfair ext.352 60 l
7
sa 8 BUILDING PERMIT APPLICATION W Cedar Street,Shelton WA 98584 (360)482-5269 Elma ext.352
BU11 1 �` n CEIVED
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: OC 3 0 2015
NAME: (II Q NAME:
MAILING DRESS: MAILING ADDRESS:
CITY: i r STATE: 14A ZIP: CITY: STATE: ZIP: . CEDAR S T.
PHONEaQU-`f Uo-$pODCELL: PHONE: CELL:
EMAIL: nt�iG—�0-on6w.cniv\ EMAIL:
L&I REG# EXP.
CONTACT: OWNER❑ CONTRACTOR Be BELOW[-
NAME: Cet F MAILING ADDRESS:.Q.—V�QL 3-Vt
CTTY:Tg\fix'r STATE: tAA ZIP: PHONE:-A#o-915-f 19 CELL: 3UO-60 t-7-78
EMAIL:
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) - 7S FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED): D'i to
SITE ADDRESS o 5 r CITY 1 r
DIRECTIONS TO SITE ADDRESS"f ort 1-012
Le-pt } W h}o o Iota
IS PROPERTY WTTHIN 200 FT: AP(e- Ott JU9Kt Stick 0C ro
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER R
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) CorAiYlei'c►Q� 11lauiQratarv� cQuipmml
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS�— NUMBER OF BATHROOMS
DESCRIBE WORK Jac )i !R\0.►wAOkiYO�AY�d PLiUi OtY�Y M` cor iAItL USP—
SQUARE FOOTAGE: r4/a,
1ST FLOOR sq.ft. 2ND FLOOR sq.ft 3RD FLOOR sq.ft BASEMENT sq.ft
DECK sq.ft COVERED DECK sq.ft.STORAGE sq.ft OTHER sq.ft.
GARAGE sq.& ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
MANUFACTURED HOME INF ON: •4 COPIES OFT OR PLAN REQUIRED
MODEL GTH
DTH OOMS BA SERIAL NUMBER
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner or owner's legal representative.I further
declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the
necessary parties,including any easement holder or parties of interest regarding this project.The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection.This permittapplication becomes null&void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE 14.08A2)
X
Signature*VV QJ N R ,IS Cox Com mug 1
DEPARTMENTAL REVIEW APPROVE DATE DEkIEIV DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE