The URL can be used to link to this page

Home My WebLink AboutBLD2023-00915 Dock, Pilings - BLD Inspections - 5/9/2024 'Ad MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584 SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES `'•, ; BELFAIR:360-275-4467,EXT 352 - jr' Building,%ming,Environ WlHt IthCommunityHealth ELMA:360-482-5269,EXT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php Permit Number BLD2023-00915 Date Issued 1 0103/2 0 2 3 Issued By 0�ssob�A P Project REPLACE EXISTING SOLID DECKED TIMBER FLOAT&6 CREOSOTE PILINGS WITH NEW FULLY GRATED FLOAT&3 GALVANIZED STEEL PILINGS WITHIN THE SAME FOOTPRINT Site Address 1370 E TREASURE ISLAND DR Applicant PARKER DAVID A&VELMA L Contractor MARINE FLOAT Contractor Phone 1.253.383.2740 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type BULKHEAD OR DOCK- Occupancy RESIDENTIAL -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF MST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.— PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks - _Z e— Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Z(1pSc- Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building 5- -Zq DEC— Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other `�L lµ 'A { C_-3-Z K b MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY DEVELOPMENT 360482-5269 Elma ext.352 Building,Planning,Fire Marshal 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: DZ�Z.3-(�9TS ADDRESS/LOCATION: IS70 f!� 'rf1,A,s&re T�Z5 UWJ Pr— FINDINGS• tom- r t`�erw�.J.f Co /�,/oti,S /bt/��e SpcGft �GrS,oe I' Pr��.S .uric!u� t✓ � er � rc rewc _ �t�I�G,Cor��GJrt, gr,✓ Items listed above must be corrected to zain compliance. ❑ 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: �.3'Z 7 ❑ Please contact our office regarding possible Department:_ F11J57 structural damage incurred by recent 'natural/man made"disasters.This is NOT a Inspector: �.� CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 SittS&hill Brent K. Leslie,P.E.,S.E. Kathy A. Hargrave,P.E. 4815 Center Street Larry G. Lindell, P.E.,S.E. Michael A. McEvilly, P.L.S. Tacoma,WA 98409-2319 (253) 474-9449/sittshill.com Andrew J. Boileau, P.E.,S.E. David C. Boileau,A.I.A. November 21, 2023 MARINE FLOATS CORPORATION t 313 East F Street Tacoma, Washington 98421 !, C�,./+,�`� TO: Mr. Logan Brown �3.W SUBJECT: PARKER RESIDENT/AL PIER PILE LOGS LOCATED INALLYN, WASHINGTON l� S/TTS&HILL PROJECT#20,127 Dear Mr. Brown, As per your request,we have reviewed the pile driving logs submitted for the pier noted above.Three (3) 12-inch diameter galvanized steel piles were installed to support the float.The piles were installed to penetration depths ranging from 19'-0" to 22'-0".Based upon our review, the embedment depths shown in the pile driving logs are structurally acceptable to support the imposed loads. Please feel free to contact our office if you have any questions. Sincerely, SITTS&HILL ENGINEERS,INC. Azar 'i� J. TIC Solomon Schlenker, P.E. Q��of WAS Project Engineer 0 Na a Reviewed by: °.� �� 47 s T�RAL t tiy4 /J Qler, 0NAL V, u--��Caleb Ti P.E.,S.E. 11/21/23 Senior Project Engineer p20,127/Correspondence/Structural/Letters/Parker Pier Pile Log Review Letter Civil I Structural I Architectural I Survey t � A 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 BLD2023-00915 BULKHEAD OR DOCK- RESIDENTIAL PROJECT DESCRIPTION: REPLACE EXISTING SOLID DECKED ISSUED: 10/03/2023 TIMBER FLOAT&6 CREOSOTE PILINGS WITH NEW FULLY GRATED FLOAT&3 GALVANIZED STEEL PILINGS WITHIN THE SAME EXPIRES: 03/31/2024 FOOTPRINT SITE ADDR ESS: 1370 E TREASURE ISLAND DR ALL PARCEL: 121055200004 APPLICANT: PARKER DAVID A&VELMA L OWNER: PARKER DAVID A&VELMA L 1370 E TREASURE ISLAND DR 1370 E TREASURE ISLAND DR ALLYN,WA 98524 ALLYN,WA 98524 253.405.8432 OWNER'S REP: MARINE FLOATS 313E"F"ST TACOMA,WA 98421 253-383-2740 GENERAL CONTRACTOR'S LICENSE: MARINE FLOAT License: MARINF*085QP 123 XXX XX,XX.00000 Expires: 03/30/2025 1.253.383.2740 VALUATIONS: FEES: Paid Due Project Valuation (BID, 80000.00 $80,000.00 Planning Review Fee $240.00 $0.00 ESTIMATION..) Technology Surcharge $30.74 $0.00 Building Permit Fee $931.42 $0.00 Plan Check Fee $605.42 $0.00 State Fee-Residential $6.50 $0.00 Total: $80,000.00 Totals : $1,814.08 $0.00 REQUIRED INSPECTIONS Setback Inspection 3rd Party Inspection Report Framing Inspection BLD-Final Inspection CONDITIONS Printed by:Cassidy Perkins on:10/03/2023 11:32 AM 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 BULKHEAD OR DOCK- RESIDENTIAL BLD2023-00915 * 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. * 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 contact the Mason County Public Works Department prior to construction at Ext 450 * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. * 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. * 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 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. * All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. * Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, 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 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. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * 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. Printed by:Cassidy Perkins on:10/03/2023 11:32 AM Page 2 of 3 Mason County Mason County - Division of Community Development 615 W. Alder St. Building 8 4k Shelton,WA 98584 360-427-9670 ext 352 www.masoncountywa.gov BULKHEAD OR DOCK- RESIDENTIAL BLD2023-00915 * 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. * 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. * Comply with Ecology comments from letter dated 8/04/21 * A Hydraulic Project Approval from the Washington State Department of Fish and Wildlife must be granted prior to commencing work. wdfw.wa.gov * Dock facilities must be maintained in a safe and sound condition. * Owner shall provide pile drivers report on all piles. Any pile supporting structure and over 10'in height from floor of body of water shall require engineered design and special inspection. Engineer of record (or certified special inspector)shall provide verification at time of inspection that piles are driven to point of refusal and/or installed per design. * In addition to the inspections required in IBC, Section 110, the owner, 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 and as specified by the design professional. The special inspectors duties &responsibilities shall be as specified in Chapter 17. Special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton WA 98584 and available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing and final occupancy inspections. PILE DRIVING REPORTS REQUIRED PRIOR TO FINAL INSPECTION. SEE ATTACHED SPECIAL INSPECTION AGREEMENT. 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: r Date: Printed by:Cassidy Perkins on:10/03/2023 11:32 AM Page 3 of 3 ®M ISTI2D.S 1W_ _ _'/ MARINE FLOATS T/t, 2-S Q MF 2(j SPECIFICATION: AWS 1211.2-2014 ! WELDING PROCEDURE SPECIFICATION(WPS) PREQUALIFIED❑ QUALIFIED BY TESTING ® Company Name Marine Floats Identification# MF-ALUM-2G-01 WeldingProcess(es) GMAW-Spray Revision 0 Date 11/12/21 By D.W. Supporting PQR No.(s) MF-ALUM-2G-01 Authorized By Zach St John Date 11/12/21 Type— Manual ❑ Semi-Automatic® JOINT DESIGN Machine❑ Automatic❑ Type CJP or Pip,V or Bevel,T,Y,or K POSITION See Notes Below for Joint Constraints Position: Groove 1 G,2G Fillet 1 F, 2F See drawings for specific joint requirements Vertical Progression NA Horizontal Progression Forehand ELECTRICAL CHARACTERISTICS Transfer Mode(GMAW): BASE METALS Short-Circuiting ❑ Globular❑ Spray Material Spec. M23 to M23 Current AC❑ DCEP® DCEN❑ Thickness: Groove 1/8"-1I2" Fillet Unlimited Diameter(Pipe) 24"and over Tungsten Electrode(GTAW) Size N/A FILLER METALS Type N/A F-Number 22 Filler Metal Dia. 3164"±1/64" TECHNIQUE Stringer or Weave Bead As Required SHIELDING Multi-pass or Single Pass(per side) As Required Flux N/A Gas Argon Number of Electrodes Single Composition 100% Number of Passes per Area Var Electrode-Flux(Class) N/A Initial Cleaning Chemical(e.g Acetone) Flow Rate 32-60 Gas Cup Size As Needed Interpass Cleaning Mechanical(e.g.Grinder) PREHEAT POSTWELD HEAT TREATMENT Preheat Temp., Min 65°F Temp. None Interpass Temp. Min 100°F Max 348 OF Time None WELDING PARAMETERS AND TECHNIQUE Joint Type Pass Amps Volts Travel Speed (ipm) CJP Root 156—305 20-28 7-18 CJP Fill/Cap 168—300 20-28 7-18 PJP Any 140—222 19-27 7-18 Fillet Any 140-305 19-28 As Required WELDING JOINT REQUIREMENTS Groove Angle Root Opening Root Face Groove Detail CJP Groove 55°Minimum Any,w/backing 1/8" Max Annex B1,except sq.grooves Pip Vee 55°Minimum 0 to 1/8" Max 1/8" Max Single Vee PJP Bevel 25°Minimum 0 to 1/8" Max 1/8" Max Single Bevel Fillet Any(T,Y, K also) 0 to 1/16" NIA Fillet David Les Warren CM 10120441 QC1 EXP.12/1/2022 ♦p WOMEN MARINE FLOATS PROCEDURE QUALIFICATION RECORD(PQR) Q 1� AWS D1.2 -2014 i�► Recorded are the actual conditions used to weld test coupon Company Name: Marine Floats Date: 1 111 2/2 0 21 Procedure Qualification Record No.:MF-ALUM-2G-01 WPS No.:MF-ALUM-2G-01 Welding Process(es): GMAW Types: ❑Manual ®Semi-Automatic ❑Automatic JOINT DETAILS a= 60' f= 1/16" R=3/8" t� �R BASE METALS POSTWELD HEAT TREATMENT Material Spec: 6061 6061 Temperature: N/A Type or Grade: T6 T6 Time: N/A M No. M23 M23 Other: Thickness of Test Coupon: .250" .250" Diameter of Test Coupon: N/A N/A GAS Other: Gas(es) Mixture(%) Flow Rate(CFH) Shielding Argon 100% 40 FILLER METALS Trailing N/A Process: GMAW Backing N/A SFA Specification: A5.10 AWS Classification: ER5356 ELECTRICAL CHARACTERISTICS Filler Metal F-No: F22 Process: GMAW Weld Metal Analysis A-No.: NIA Current: DC Size of Filler Metal: 3/64" Polarity: EP Deposited Weld Metal: .250" Tungsten Electrode Size(GTAW): N/A Other: Transfer Mode(GMAW): Spray Contact Tube to Work Distance: 3/8"-1/2" POSITION Other: Position of Groove: 2G 2G-Forehand TECHNIQUE Weld Progression: Process: GMAW String or Weave Bead: String PREHEAT Oscillation: None Preheat Temperature: 65°F Multipass or Single Pass(per side): Multi Interpass Temperature: 120°F to 248°F Single or Multiple Electrodes: Single Other Orifice or Gas Cup Size: 1/2" w' �i MISTI:D.S F NOON MEOW MARINE FLOATS PROCEDURE QUALIFICATION RECORD (PQR) A AWS D1.2-2014 Recorded are the actual conditions used to weld test coupon Filler Metals Current Travel Pass or Weld Layer(s) Type& Amps or Wire Volts Notes/Interpass Class Diam. PolarityFeed Speed Speed ROOT ER5356 3/64" DCEP 240—270 23—25 12 120F FILL ER5356 3/64" DCEP 250-290 23—25 11 194F CAP ER5356 3/64" DCEP 230-260 23—25 18 248F MACRO 1 MACRO 2 � a r � s MARINE FLOATS S PROCEDURE QUALIFICATION RECORD(PQR) AWS D1.2-2014 a Recorded are the actual conditions used to weld test coupon Tensile Test Specimen No. Width Thickness Area Ultimate Total Load Ultimate Unit Type of Failure& (Inch) (Inch) (Sq.In.) Lb. Stress,psi Location Tensile 1 1.500 0.218 0.3270 8449 25,838 Ductile/Weld Metal Tensile 2 1.502 0.215 0.3229 9433 29,213 Ductile/Base Metal Guided-Bend Tests Type and Figure Number Result Type and Figure Number Result 2G-Face Bend 01,Fig 3.12 Acceptable 2G-Root Bend 01,Fig 3.12 Acceptable 2G-Face Bend 02,Fig 3.12 Acceptable 2G-Root Bend 01,Fig 3.12 Acceptable Other Tests Visual: Acceptable Lab#J586 X-Ray: Lab# Ultrasonics: Lab# Magnetic Particle: Lab# Penetrant Test: Lab# Macro Etch: Acceptable Lab#J602 Hardness: Lab# Welders Name: Daniel Matsuda Tests conducted by: Dave Warren,CWI Laboratory No.: J586,J602 We certify that the statements in this record are correct and that the test welds were prepared, welded, and tested in accordance with the requirements of AWS D1.2-2014. Witnessed b . Manufacturer: Marine Floats Signa r / 2'1__0L/L — By: Dave Warren AWS CWI Zach St John Date: 11/12/2021 Date: (Details of record of tests are illustrative only and may be modified to conform to the type and number of tests required by the Code.) David Lee Warren CWI 101204/1 QC1 EXP.12I1/2022 w , Special Inspection Requirements MASON COUN-r y COMMUNITY SERVICES BLD2023-00915 Parker Ramp & Float Replacement 1370 E Treasure Island Dr,Allyn,WA 98524 Permit Number Project Title Project Address/Parcel Number Applicants of projects requiring Special Inspection or Testing per Chapter 1704&1705 of the International Building Code, as amended by Washington State. Please acknowledge and return this form to the Mason County Permit Center. THESE INSPECTIONS ARE NOT PERFORMED BY THE BUILDING DEPARTMENT AND MUST BE PERFORMED BY QUALIFIED SPECIAL INSPECTORS, HIRED BY THE OWNER AND APPROVED BY THE COUNTY PERMIT CENTER. Individuals certified in a special inspection category by Washington Association of Building officials(WABO)or individuals employed by a recognized testing laboratory and under the direct supervision of a Registered Professional Engineer are typically considered qualified at the discretion of the local jurisdiction having authority for enforcement. BEFORE A PERMIT CAN BE ISSUED: The Owner or his/her representative, on the advice of the responsible Project Engineer or Architect, shall fill out completely, sign and submit two (2) copies of the attached "Structural Tests and Inspection Schedule"to this Department for review and approval including any requirements related to the Mason County Municipal Code. The Owner, General Contractor, and Inspection/Testing Agency, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing. 1. Inspection/Testing Agency shall submit names and qualifications of on-site Special Inspectors to the Building Inspection Permit Center for approval PRIOR TO PERMIT/S BEING ISSUED. 2. All Special Inspections shall be noted on the approved plans or attached approved documents. 3. All special inspections shall be approved by the County or as recommended by the Engineer of Record (EOR). 4. It is the responsibility of the General Contractor to review County approved plans for additional inspection or testing requirements that may be noted or required per IBC as noted on approved plans. 5. The General Contractor is responsible for proper notification to the Inspection/Testing Agency for items listed on this form. 6. Special Inspectors shall provide detailed reports on company letterhead to the Building Inspector of all required inspection activities. These may also be provided when the inspector visits the jobsite for the scheduled inspection but must be completed before the subject of inspection is approved by the building inspector. 7. Copies of all ongoing laboratory and testing reports shall be sent directly to the Building Inspector by the Inspection/Testing Agency or other responsible party within a reasonable time to test results. 8. BEFORE A CERTIFICATE OF OCCUPANCY APPROVAL CAN BE ISSUED: The Inspection/Testing Agency shall submit a FINAL REPORT LETTER stating that all items requiring testing and inspection have been fulfilled and reported and a final inspection report shall be provided. A copy of the statement is to be maintained at the jobsite for the Building Inspectors review prior to final inspections. Page 1 of 4 NW Special Inspection Requirements MASONCOUNTY COMMUNTIY SERVICES ACKNOWLEDGEMENTS Prior to issuance of a building permit, the Owner, on the advice of the Project Engineer or Architect, shall complete,sign,and submit this form to the County Permit Center. Declaration of Owner I,as the owner of the project,declare that the testing agency firm/s or individual/s listed herein are hired by me to perform"Special Inspections" and/or"Structural Testing" in accordance with the provisions of the International Building code(IBC)Chapter 17. Dave Parker 9/23/23 Owner(print) Ow na it (date) Declaration of Registered Professional Architect/Engineer I, as the design professional in responsible charge of the project listed herein, declare that the special inspection listed herein are required for this project in accordance with the provisions of the International Building Code(IBC) Chapter 17. Caleb Timmer, Sifts & Hill Engineers �B J. III Architect/Engineer(print) ��oe WAsg,�c 0,y Architect/Engineer Stamp/Signature(date) �Q 473 9 0 'Q@ STE4�9 �SSIONAL E��'`� To be determined. Applicant shall provide the County with the Testing Agency Name/Contact firm and qualifications of the special inspection agency prior to info: work being performed. The Special Inspection/Testing Agency listed above must have a current Portfolio of Qualifications on file with the County prior to performing work. Declaration of the General Contractor I, as the General Contractor of the project, agree to comply with the"Contractor Responsibility" items noted herein. Marine Floats Corp. LC [�Ovvo- 9.20.23 G r1 General Contractor(print) General Contractor Signature (date) Page 2 of 4 w o Special Inspection Requirements MASON COUNTY COMMUNITY SERVICES Required Special Inspections International Building Code; Chapter 17: A completed and signed copy of pages 1 through 4 of this form shall be submitted to the "Permit Center" prior to building permit approval. Engineer shall check the applicable items: ❑ Special inspection of fabricated items 1704.2.5 ❑ Submittals to the building official 1704.5 ❑ Structures over 75' in height located in Seismic Design Category D, 1704.6.1 ❑ Structures classified as Risk Category III or IV located in Seismic Design Category D, 1704.6.1 ❑ Steel construction& structural Steel 1705.2.1 ❑ Cold form steel deck 1705.2.2 ❑ Open-web steel joists &girders 1705.2.3 ❑ Cold form steel trusses spanning 60 feet or greater 1705.2.4 ❑ Concrete construction 1705.3 &Table 1705.3 ❑ Shotcrete 1705.3 ❑ Welding of reinforcing bars 1705.3.1 ❑ Material Tests 1705.3.2 ❑ Masonry Construction 1705.4 ❑ Empirically designed masonry, glass unit&masonry in Risk Category IV 1705.4.1 ❑Vertical masonry foundation elements 1705.4.2 ❑Wood construction 1705.5 ❑ High Load Diaphragms 1705.5.1 ❑ Metal-plate connected wood trusses spanning 60 feet or greater 1705.5.2 ❑ Soils 1705.6 &Table 1705.6 ❑Driven deep:foundations Table 1705.7 Sitts & Hill Engineers ❑ 4815 Center Street, Tacoma WA Cast in-place deep foundations 1705.8 & Table 1705.8 8409 ❑ Helical pile foundations 1705.9 Sitts & Hill Engineers to review pile ❑ Fabricatemms 1M logs and verify required embedment depths have been reached. Page 3 of 4 r Special Inspection Requirements MASON COUNTY COMMUNITY SERVICES ❑ Special inspections for wind resistance 1705.11 ❑ Structural wood 1705.11.1 ❑ Wind resisting components 1705.11.3 ❑ Cold formed steel light frame 1705.11.2 ❑ Special inspection for seismic resistance 1705.12 ❑ Special inspection for structural steel per 1705.12.1 ❑ Seismic force-resisting systems 1705.12.1.1 ❑ Structural steel elements 1705.12.1.2 ❑ Special inspection for structural wood per 1705.12.2 ❑ Special inspection for cold-formed steel per 1705.12.3 ❑ Designated seismic systems 1705.12.4 ❑ Architectural components 1705.12.5 ❑ Plumbing, mechanical &electrical components 1705.12.6 ❑ Storage racks 1705.12.7 ❑ Seismic isolation systems 1705.12.8 ❑ Cold-formed steel special bolted moment frames 1705.12.9 ❑ Testing for seismic resistance 1705.13 ❑ Structural steel 1705.13.1 ❑ Seismic fore-resisting systems 1705.13.1.1 ❑ Structural steel elements 1705.13.1.2 ❑Nonstructural components 1705.13.2 ❑ Designated seismic systems 1705.13.3 ❑ Seismic isolation systems 1705.13.4 ❑ Sprayed fire-resistance materials 1705.14 ❑ Physical and visual tests 1705.14.1 ❑ Structural member surface conditions 1705.14.2 (1705.14.3 through 1705.14.6.3) ❑ Mastic&intumescent fire-resistance costings 1705.15 ❑ Exterior insulation&finish systems(EIFS) 1705.16 ❑ Fire-resistance penetrations and joints 1705.17 ❑ Penetration firestops 1705.17.1 ❑ Fire-resistant joint systems 1705.17.2 ❑ Testing for smoke control 1705.18 ❑ Testing Scope 1705.18.1 Page 4 of 4