HomeMy WebLinkAboutBLD2007-01291 Final SFR and Geologic Assessment - BLD Permit / Conditions - 10/14/2007 °° Z
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Date By OTHER
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MASON COUNTY PERMIT No. �'
FORM MUST BE COMPLETED IN„1l�KILDING
CS PERMIT APPLICATION
PLEASE PRESS HARD 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 l� ,t��
Shelton (360) 427-906n t0he web w.Irw 360 275 on wa.usma (360) 482-5269
A FORMATIO CONTRACTOR IN ORMATI9N
APPLICANT I
Owner A ii✓I Company �Name � C
Mailing A dress
Mailing dre city C St to Zip Co e
City t t Zip Code Phone Other PhV
Other P ►
Phone pK Contractor Reg.# Exp.
Lien/Title Holder
C.D � E Mail Address _
E mail address Drivers Lic.# (,(� DOB
Drivers Lic. DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic7=7 Existing Septic
Conine Water System Name of Water System 0
Well V Sewer System Name of Sewer Syste Fire District
PARCEL INFORMATION - 12 Di i Parce
Legal Description
Site Address (Please include street name, street number and city) 2
Directions to site
Will timber be cut and sold in parcel preparation?Yes No �Riverreek Pond
Is property within 200'of Saltwater LakeSlop es or Bluffs�l5%
Wetland Seasonal Runoff Stream p
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye No
TYPE OF JOB - New dd Alt Repair Other PRIMA Y ID ENCE ❑ SEASONAL
Use of Building- escribe Work 2nd Floor
No. of Bedrooms 2 No. f B rooms— Square Footage- 1st- 7`v
3rd Floor Basement Deck Covered Deck Other Sq. a
Garage Attached
Detached Carport Attached Detached
Model Year
MANUFACTURED HOME INFORMATION - Make No. of Bedrooms No. of Bathrooms
Length_Width—Serial No. Replacement Unit? Yes/ No
Type of Heat Purchase Price$
Certification No.
Installer Name work order or permit revocation.
OWNER/BUILDER Acknowledgenatube below. I decla a that information
owner owners legal result in a �eprese tat ve,orr the co tractor. I further declare
Acknowledgement of such is by s g have obtained the
that I am
ce entitled toes iflv is required frohe work as m any easements holder or any otherparty in terestiregarding this application or thrmission e workom )
the necessary part permission
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work propo access sed. The owner or
tion r agent on owners behalf, represents that the informal
ection�Th sdperm t/applicat o grants is accurate and becomeemployees
Inull &vooid f wok or af Mason uthor zedtconst ue t on is
described property and structure for review and p for a
not commenced within 18 IN days
or if construction INACTIVITY OF THIS endedPERMI APPLICATION o OF180 DA S WILLL INVALIDATEAT EAPPL CATION OF TION.K IS B
MEA OFAPROGR
/� Date:
G4 f
X ne /!Owners Repres ntative/Contractor (indicate which one)
Accepted b L� Date
FOR OFFICIAL USE BEYOND THIS POINT NOTES
DEPARTMENTAL REVIEW APPROVED DENIED
Buildin Department +a
Plannin De artment
Environmental Health Department
Fire Marshal FEES
Site Ins ection
Buil ing Permit Fee EH Review Fee
Plan Review Fee
Plannin Review Fee
Plumbin & Base Fee Other
Mechanical & Base fee State Fee
Wood/Gas/ Pellet Stove Fee Pre-Paid at Submittal
Violation Fee TOTAL FEES
Valuation $
PERMIT NO.f`` �,
MASON COUNTY
BUILDING PERMIT APPLICATION r �
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (3,60) 427-96 0 ew eb Irvwv 60))mason wa.usma (360) 482-5269
On CONTRACTOR INFORM N
APPLICANT I FORMATIO ATIO
Gt1 f;Vi Company Name
Owner `
.., ., Mailing dr ss
Mailing P�ddre °- City /1 - State r3 Zip Code
City e � t, tZip Code . "�, Phone �j , ),./ �;` Other Ph.,'
Phone Other P .
�`�"��"'` v` Contractor Reg.# Exp.
Lien/Title Holder
E mail address tti" Y°. �.t 4 a1C1 E Mail Address
tt; ` F 1
Drivers Lic. - r— t � .t DOB '" `" �J '
Drivers Lic.# f ,� /l` '[ ' DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Conne Water System Name of Water System .
Well Sewer System Name of Sewer Syste
PARCEL INFORMATION - 12 �ii,,Parce Fire District
Legal Description Site Address (Please include streeme, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes No River/Creek Pond
Is property within 200' of Saltwater Lake
Wetland_ Seasonal Runoff Stream Slopes or Bluff 5%
I Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye ,
TYPE OF JOB - e �E�'Ll dd Alt Repair Other P�MA { rt�CE �IGt�NCF'rAL
Use of Buildings a � Describe Work
Square Footage- 1stFl 2nd Floor
No. of Bedrooms No. JIB?�}rooms q g S ft.
3rd Floor Basement Deck Covered;Oet: Other q
I j Attached Detached Carport Attached Detached
Garage
Model Year
MANUFACTURED HOME INFORMATION - Make No. of Bedrooms No. of Bathrooms
Length Width Serial No. Replacement Unit? Yes/ No
Type of Heat Purchase Price$
Certification No.
� Installer Name
OWNER/BUILDER Acknowledges submission of inaccurate information may result stop work order or permit revocation.
in a
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I acmessa entitled
arties.clfipermis pon its equi ed fro the
m any easement holder orr annosed in the ylication. I other party nIa tere restat l have obtained the regard ng th s application or thermission from
orkall
the ne necessary p ( for this permit and conduct the work proposed. The owner or
proposed in the application, I have obtained permission from them to app y access
described owners behalf
represents
forthat eviewe informationand inspection.This d is accpermit/application urate and g becomerants s employees
&�oid f work or author iedtconst ue above
is
for a
not comOFAPROGRESS I d PECTION.INACTIVITY OF THIS PERMITAPPLICATION OF period of 180180 DAYS Wconstruction work is suspended ILs.PROOF�INVALIDATEAT EAPPL CATION OF T ON.BY
i MEA ] tL .
X Sd' �.. (. Date: T
ne /Owners Repres ntative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted b � �-- Date y A
DEPARTMENTAL REVIEW AP ROV D DENIED
NOTES
Building Department
Planning De artment yis 0
Environmental Health Department
Fire Marshal I t
FEES
Site Inspection
Building Permit Fee EH Review Fee
Plan Review Fee
�. - Planning v Review Fee
Plumbing & Base Fee
Mechanical & Base fee
lal. SV Other _ S
d_ (� State Fee
Wood/Gas/ Pellet Stove Fee Pre-Paid at Submittal
` Violation
F Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO. "E —
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 1""'
r On the web www.co.mason.wa.us
APPLICANT I FORMATIO CONTRACTOR INFORMATION
Company
Owner a' t ' 1t#i,: P Y Name
Mailing P?ddre -' ,.
Cit
. Mailing Address
city '" 'r`;F lt= atat� '' Zip Code - Y State Zip Code__r____
Ci Phone Other Ph. %r
Phone aT- Other P ` ` ` s"
Lien/Title Holder " ` / ' ° ` ¢ ° Contractor Reg. # Exp.
E mail address ' at t�+ ` f' ` '` f ^` `} 'p E Mail Address
'" Drivers Lic.# • ! DOB ,-
Drivers Lic. --r .4 /' DOB l i ``
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Conne tp Water System Name of Water System Well Sewer System Name of Sewer Syste �'
PARCEL INFORMATION - 12 Digit Par e N . - Fire District
Legal Description `
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes No_)
Is property within 200' of Saltwater Lake River/Creek Pond
LZL— S15%
Wetland - Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye
TYPE OF JOB -,,NeW did Alt Repair_ Other PRIMA Y�-F�E�SItD1tCEt�]`�SfF`� AL
`-T "�f:"`-F r l 1 —Describe,Work t' i.,ut i Y�
Use of Building e-
No. of Bedrooms '� No. o Bathrooms �-- Square Footage- 1 st�lp 2nd Floor
3rd Floor '�""' Basement If 6C Deck Covered-flQ e '1 ' Other Sq. ft.
Detached
Garage e Attached Detached Carport Attached
Model Year
MANUFACTURED HOME INFORMATION - Make No. of Bedrooms No. of Bathrooms
Length Width Serial No. Replacement Unit? Yes/ No
Type of Heat Purchase Price $ p
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
ure below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
Acknowledgement of such is by signat
that I am entitled to receive this P i rend ito do ced the
any easementprsholder oin r any otherparty nla tehestlregard regarding this application or then work
the necessary parties. If permissionq
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
urate and agent on owners behalf, represents
for reviewe information and i spection. This sd is accpermit/application becomerants s Inull &vees ooid f wok or af Mason uthor ied access tconst co the onstruction above
is
I described property and structure
not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
ITAPPLICATION OF 180 DAYS WILL IN
MEANS OFAPROGRESS I SPECTION.INACTIVITY OF THIS PERMV LIDATE THEAPPLICATION.
. Date: tF
'nef/Owners Repres ntative/Contractor (indicate which one)
Accepted by:` .. ., : ;, ,.t. Date
FOR OFFICIAL USE BEYOND THIS POINT NOTES
DEPARTMENTAL REVIEW APPROVED DENIED
Buildin Department
Planninq Department E,n
Environmental Health Department
Fire Marshal I
FEES
BuildingPermit Fee
Site Ins ection
Plan Review Fee EH Review Fee
Plumbin & Base Fee
Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Pre-Paid at Submittal
Violation Fee
Valuation $ TOTAL FEES
MASON COUNTY
PERMIT NO.�D
BUILDING PERMIT APPLICATION . n
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 0,h oc
Shelton (360) 427-906n 10 e web
�air (360) 275-4467 - Elma (360) 482-5269
CONTRACTOR IN ORMATJQIN�
us
APPLICANT I FORMATIO Company Name � Y /
Owner A f%Vl P Y
Mailing dre 1 2 Y Mailin A ss ,
$ ,
City `tf�. tt _�Zip Code City ' t to Zip CAd
Phone i Other Ph.,
Phone Other P t7vA Contractor Reg. # Exp.
Lien/Title Holder v
E mail address fn G� E Mail Addres _
Drivers Lic.
DOB Drivers Lic.# / �L) DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Conne Water System Name of Water System 0
Well Sewer System Name of Sewer Syste
PARCEL INFORMATION - 1 Dj i Parcel N Fire District
2
Legal Description 2
Site Address (Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland - Seasonal Runoff Stream Slopes or Bluffs �15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye
TYPE OF JOB e Add Alt Repair Other G PR MA R&SI SINCE `=AL
Use of Building V —Describe Work wt
�w Square Footage- 1 stFlp 1 2nd Floor
No. of Bedrooms No. o�B�tJ}rooms �jl
3rd Floor Basement (p�—� Deck Covered Deck Other Sq. a {
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model YearNo. of Bedrooms No. of Bathrooms
Length Width Serial No.Type of Heat Purchase Price$ Replacement Unit? Yes/ No
Certification No.
Installer Name
OWNER/BUILDER Acknowledges submission of inaccurate information may resuf(in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described not commenocedltwi hi n 180 days o structure orrif conew and struction oln work is suspenection. This ded for permit/application e iod ofb 80 days.Pecomes IROOFId if work or authorized OF CONTINUATION OF WORK construction is BY
M1;ih;
GRESSI PECTION.INACTIVITYOFTHISPERMIT APPLICATION OF180D��I LINVLIDATETHEAPPLICATION.
X ! Date
/Owners Repres ntative/Contractor (indicate which one)
Accepted b LA— Data. 1-0
FOR OFFICIAL USE BEYOND THIS POINT NOTES
DEPARTMENTAL REVIEW APPROVED DENVIED
BuildingDepartmentCOP I r) d
PlanningDepartment !/ j
���' U�Q Gj8-C�I�j�
Environmental Health Department
Fire Marshal IY1
ta
FEES
Building Permit Fee
Site Inspection
Plan Review Fee
EH Review Fee
Plumbing & Base Fee
Planning Review Fee
Mechanical & Base fee
Other
Wood/Gas/ Pellet Stove Fee State Fee
Pre-Paid at Submittal
Violation Fee
TOTAL FEES
Vatuation $
FORM MUST BE COMPLETED IN INK PERMIT NO.
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL ox 6PERMIT APPLICATION
Shelton (360)427-�6710•Belfa'r(360)275-4467•Elma(360) 482-5269
n the we
www.co.mason.wa.us
APPLICANT INFQRMATION CONTRACTOR INF RMATIOQL
Owner avv MwgLn Company Name
Mailing A dre Z Mailin Ad ss
City tate l�_Zip Code City late Zip Cod- e
Phone Other P ► 7� Phone Other Ph
Lien/Title Holder Contractor Reg.4 Exp.
E mail add re C E Mail Addres
Drivers Lic.# DOB — - Drivers Lic. .. DOB
SEPTIC INFORMATION - Connect to New Septic_ Existing Sept' Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 D' i P el No. Fire District
Legal Description
Site Address (Please include street name, street number and city)
a
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
If Wetland Seasonal Runoff Stream Slopes or Bluffs 15%
TYPE OF JOB - New Add A —Repair Other Use of Building
{ Location of Fixtures/Units- 1 st Floors�lt Ind Floor Basement Garage—Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPC_ Natural Gas _ Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs 2 Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer - Gas Outlets
Kithen Sinks - Wood/Gas/PelletStove
Dishwasher —1.— Kitchen Exhaust Hood
Dryer Vent
Hosebibs
Other
Other
Base Fee Base Fee
TOTAL PLUMBING-4TOTAL MECHANICAL
O MER/BULDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Admowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am
entitled�m receive ion is this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary pa Pe
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on sown nd�behalf,represents for�ew a to i�rmation
provided is accurate and grants employees of Mason County access to the above described property
PR OF CONTI UA�DhAF WORK IS BY MEANS OF A PROGRESS INSPECT n
j X a►._ L C Date: ''C/
ner/Owners Represen alive/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Grou T e Constr.
Plannin Department
Environmental Health Department
FEES
iPlumbina &Base Fee Site Inspection
Mechanical &Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
THIS PARCEL
INCLUDES
PLANS, BLUEPRINTS
OR OVERSIZE
IMAGES� - .
LARGE ' FORMAT
IMAGES HAVE BEEN STORED IN
FILE CABINETS) UNDER
PARCEL NUMBER
PARCEL # Z215_z - 15-0
CASE #
Mason County Planning Intake Checklist.
Owners Name: Date: 7-1-V 6:7
Project: Reviewed By:
Commercial Developmen • S 0 D Comments:
PLANNER: GBM TSC MM B RDH REC
Site Plan:
North Arrow
f,- Property Dimensions: Sh X I La S
Streets and Driveways Shown. Road name: 4hqVkyi L A y E- D r i LI E-
,d ' n s s wn tbacks
II o at'on, eptic and Drain-field hown with setbacks
' e a r r , ponds, shoreline, wetlands, natural or historic drainage,
defined drainage ditches)
Topography (slopes) 1 d N M mo n L i rLk-.)
Proposed Structure Setbacks ection/Setback):
p D
(F: 12 ;a R: � _1: 5 I S2: 5 w
Utility and Drainage Easements: Yes No)(if yes enter condition #5022)
tee(' Other Easements
Accessory Appurtenances: P e / �=eatpu3mp!�
❑ Variance applied for: Yes No parking spaces allotted-()es No
county Access Permit Needed a condition #0010�
State Access Permit Needed (add condition #0020) P
Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700
Site Access: Are there anv impediments (dogs/gates) that my restrict access to your site?
na
Is the site clearly marked? How? Address ?
❑ Name
Critical Areas: ❑ Other:
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rural Zoning:
❑ Not Applicable ❑ Agricultural RR 2.5.5 10 20
Urban ❑ In-holding ❑ RMF
❑ Rural ❑ LTCFL ❑ RC 1 2 3
❑ Conservancy Rural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body (type named):
SEPA: Yes/ No Unknown Flood Plain: YES/N Unknown Map#
Aquifer Recharge: YES/N own .
Unkn Map#
Tags/Cases:
RLC/SPI Case: SP I D-M I ---COfXD 6-Year Dev. Moratorium: YES
Eagle Nest Tag: YES O Other YE N
Revised: 07-10-2007
Memo
RECE V
Date August 14, 2007
Job No 426 W.
To Rich
Mason County Building Department
From Justin J Franklin
Re Tangen Vacation Home
Comments
Rich
I understand that you have requested that we review the structural calculations that
were prepared on June 28'h for the Tangen Vacation Home located in Tahuya
Washington for conformance with the 2006 Washington State Building Code. The
original calculations were prepared under the 2003 Washington State Building
Code. We have reviewed these calculations under the 2006 Washington State
Building Code and found that the original design will be sufficient to resist all lateral
and gravity loading of the 2006 code. Please accept this memo as record of this
review.
Sincerely
Justin Franklin
Copy to:
4
ADO .p�,C 2284 �, {' �°•�
a S'T�4 p
`rsICNAL E�
I ES 12I1Q" -�
TO BE KEPT IN THE
PARCEL FILE
i
I
■
August 21,2007 Project No.SC 07-24
Mr.Bryan Tangen
7729 Forest Drive NE
Seattle,WA 98115
Subject: Geologic Assessment EM
Parcel#223305000111 421 NE Haven Lake Drive
Tahuya,Washington
Mr.Tangen,
I
Presented herein is Spring Creek Consulting Corporation's geologic assessment for the subject parcel. It
is our understanding that the proposed development is a single family residence with an onsite septic
system already installed. This investigation was conducted in accordance with our contract agreement
dated August 15,2007. The Mason County Resource Ordinance 17.01.100 for Landslide Hazard Areas
was reviewed in preparation of this report. This geologic assessment has been performed in general
compliance with Mason County Resource Ordinance 17.01.100.
This geologic assessment is based on observed conditions during Spring Creek Consulting Corporation's
site reconnaissance of the parcel on August 7,2007 and a review of readily available reference resources.
The readily available resources listed below were reviewed.
• The Washington Division of Geology and Earth Resource(WDGER),Geologic Map of
Washington-Northwest Quadrant.
• Online"Soil Survey of Mason County Washington",United States Department of
j Agriculture.
• Mason County Online Parcel Maps
• U.S.G.S.7.5 minute series topographic map"Lake Wooten,Washington Quadrangle"-
The Washington Division of Natural Resources,Division of Ecology and Earth Resources,
Folio of the Southern Hood Canal Area,Washington dated 1977.
Soil and slope conditions of the subject property were visually examined and evaluated by observing
shallow cuts from previous grading on the property and performing a slope reconnaissance. This
evaluation combined with available reference material on the site provided a basis for a general
understanding of the surface and subsurface conditions as discussed below.
3610 Green Mountain Road NW
Bremerton,WA 98312
Phone: (360) 710-2883
dhurumO-wavecable.com hftp://www.sprinqcreekconsulting.net SC07uffa�LNL-SM
SC 07-24
Haven Lake SFR
Page No.2
August 21,2007
Site Characteristics
The subject parcel is located in Mason County northwest of NE Haven Lake Drive in Section 30,
Township 23 North,Range 2 West,as shown on Figure 1,"Vicinity Map". The subject parcel is
currently mostly cleared and graded with primitive roads. A water well and onsite septic system are
currently in place and an existing building is in the process of demolition. The parcel is bound to the
southeast by NE Haven Lake Drive with forested parcels beyond and to the northwest by Haven Lake.
The parcel is bound to the northeast and southwest by single family residences. The site slopes
downward to the northwest. Natural slopes do not exceed 40 percent for more than 10 vertical feet.
Some minor grading has resulted in a steeper temporary soil stockpile slope in the area of the demolished
building. The site is mostly cleared with remaining vegetation consisting of Douglas fir,pine,madrona,
and cedar trees. Understory vegetation consists of sword fern,bracken fern,salal,and huckleberry and
grass.
Based on these site characteristics,it is our opinion that the hill slopes on the subject property are not a
"Landslide Hazard Area"based on the following:
• Slopes impacting the subject property are less than 40 percent except for steeper slopes less than
10 vertical feet.
• Slopes are greater than 15 percent,but without groundwater springs or seeps and without
permeable materials overlying impermeable materials(except for topsoil overlying glacial till).
Site Surface and Subsurface Conditions
The subject site lies within the central Puget Lowland. The lowland is part of a regional north-south
trending trough that extends from southwestern British Columbia to near Eugene,Oregon. North of
Olympia,Washington,this lowland is glacially carved with a depositional and erosional history including
at least four separate glacial advance/retreats. The Puget Lowland is bounded on the west by the Olympic
Mountains and on the east by the Cascade Range. The lowland is filled with glacial and nonglacial
sediments consisting of interbedded gravel,sand,silt,till,and peat lenses.
The Washington Division of Geology and Earth Resource(WDGER),Geologic Map of Washington-
Northwest Quadrant,dated 2002,indicates that the site lies on glacial till. In general,glacial till consists
of an unsorted,unstratified,highly compacted mixture of clay,silt,sand,gravel,cobbles,and boulders
deposited by glacial ice and may contain interbedded stratified sand,silt,and gravel.
The United States Department of Agriculture(USDA) Soil Survey of Mason County Area, Washington,
indicates that Alderwood soil with 5 to 15 percent slopes underlie the site. Alderwood soil originated in
glacial till.
The area is mapped by the Folio of the Southern Hood Canal Area map as Class 1 slopes. Class 1 slopes
are generally less than 15 percent,but may be steeper in localized areas and are believed to be stable.
Site soils appear to be generally consistent with the mapped soils. The surficial soils appear consistent
with glacial till. The soils were dense and partially cemented at approximately 2 to 3 feet below original
ground surface. Neither surface nor groundwater seepage was observed on the subject site except surface
`1 water associated with Haven Lake. Variations in groundwater can fluctuate with temperature and
precipitation.
3610 Green Mountain Road NW
Bremerton,WA 98312
Phone: (360) 710-2883
dhurumOlwavecable.com http://www.springcreekconsulting.net
inf�YrY W I��f•Y�I
SC 07-24
Haven Lake SFR
Page No. 3
August 21 2007
Conclusions and recommendations
Based on Spring Creek Consulting Corporation's site observations,available topographic data,and
review of pertinent materials,the subject property does not appear to meet the requirements of the Mason
County Resource Ordinance as a Landside Hazard Area. Native slopes are between 15 and 40 percent
(with steeper slopes less than 10 vertical feet)with no signs of springs or seepage or significantly
permeable deposits overlying impermeable deposits. No upland water bodies were observed in the
vicinity. The liquefaction potential appears low due to the dense nature of the till deposits. Based on our
observations and research of well logs in the vicinity,groundwater may be present more than 30 feet
below the elevation of the proposed building site site. Grading is expected to be minimal and dense soils
will likely be encountered at 2 to 3 feet below original ground surface. Features such as hummocky
topography,tension cracks,or other indications of instability were not observed. The impacts of the
proposed development are expected to be minor and the glacial till is expected to be stable. Spring Creek
Consulting Corporation recommends that vegetation may be removed as needed during construction,but
disturbed areas in the construction area should be vegetated with a minimum of a grass lawn as soon as
possible once construction activities are complete.
The Washington Division of Geology and Earth Resource(WDGER),Geologic Map of Washington-
Northwest Quadrant,dated 2002, indicates that there is a concealed fault within 5 miles to the west of the
subject site. For seismic design consideration,the site class C from Table 1615.1.1 of the 2003
International Building Code should be applied(very dense soil and soft rock).
Based on our understanding of site conditions and the intended use of the property, Spring Creek
Consulting Corporation does not recommend that a more detailed investigation be prepared to further
evaluate site conditions.
REPORT LIMITATIONS
Spring Creek Consulting Corporation's geologic assessment has been prepared for the exclusive use of
Mr.Bryan Tangen and his agents for use in obtaining a building permit for the subject parcel. The
conclusions and recommendations in this assessment are based on our interpretation of site conditions as
they presently exist,anticipated future construction activities,and the expectation that the evaluation
adequately defines the subsurface conditions across the site. The soil conditions described in this
assessment and the conclusions and recommendations contained in this assessment are provided for this
specific site only and should not be expanded for use on adjacent properties without additional
exploration and review of those sites by Spring Creek Consulting Corporation. The assessment should be
provided to prospective contractors for their bidding or estimating purposes,but the conclusions and
interpretations should not be construed as a warranty of the subsurface conditions. There are possible
variations in subsurface conditions. In the event that the subsurface conditions different from those
encountered during this study be observed or suspected, Spring Creek Consulting Corporation should be
advised. At that time a review of the changed conditions will be made,and alternative or remedial
recommendations given as required. Spring Creek Consulting Corporation has examined subsurface
conditions to a limited extent as part of this study,but we have not evaluated the site for the potential
presence of contaminated soil,nor have we evaluated or addressed groundwater conditions or concerns
except as noted in this assessment. The evaluation of possible environmental or geo-environmental
considerations is beyond the scope of this assessment. The owner and any contractor should make
themselves aware of and become familiar with applicable local,state,and federal safety regulations,
including current WISHA excavation and trench safety standards. Construction site safety generally is
the sole responsibility of the contractor. The contractor shall also be solely responsible for the means,
method,techniques,sequences,and operations of construction operations. Spring Creek Consulting
Corporation is providing the preceding information and recommendations solely as a service to Mr.Bryan
3610 Green Mountain Road NW
Bremerton, WA 98312
Phone: (360) 710-2883
dhurum -wavecable.com http://www.springcreekconsulting.net
SC 07-24
Haven Lake SFR
Page No.4
August 21,2007
Tangen. Under no circumstances should the provision of this information or recommendations be
construed to mean that Spring Creek Consulting Corporation(or subcontractors)are assuming
responsibility for construction site safety or the contractor's activities;such responsibility is not implied
and should not be inferred. Within the limitations of scope,schedule,and budget for this work, Spring
Creek Consulting Corporation's work has been done in accordance with generally accepted practices
followed in this area at the time this assessment was generated. No other warranty,expressed or implied
is made.
Should you have any questions or concerns,which have not been addressed,or if we may be of additional
assistance,please call our office at(360)710-2883.
Sincerely,
� 7
David Hurum,L.G. � 1121'
President Sed GP,o °
Licensed Geologist
DAVID C. HURUM
Attachments.
Figure 1 -Site Vicinity Map
Figure 2-Site Plan J' 2 7
�I
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3610 Green Mountain Road NW
Bremerton,WA 98312
Phone: (360) 710-2883
dhurum(c-wavecable.com http://www.springcreekconsulting.net
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FIGURE 1 VICINITY MAP
Spring Creek Consulting Corp. Project Name: Haven Lake SFR N
Geologic Assessments and Consulting Services Location: Mason County,Washington
Project No.: SC 07-24
Client: Mr. Bryan Tangen
Date: 8115/07
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E M 6 1 N E E R t i 6\ 1 A t
309 WASHINGTON STREET NE • OLYMPIA WA 98501• TEL:360 352-2477• FAX: 360 352-0179
www.vectorengineeringinc.com
RECEIVED
September 14,2007 SEP 19 2007
Mr.Robert D.Fink,AICP MCCD - PLANNING
Mason County—Department of Community Development
Mason County Bldg 1
P.O.Box 279
Shelton,WA 98584
Subject: Geological Assessment
Permit#:BLD 2007-01291
Parcel No.223305000111
Applicant: Bryan Tangen
Planner: Chuck McCoy
VEI#: 7054-014
Dear Mr.Fink,
The Geological Assessment dated August 21,2007 and addendum letter dated September 10,
2007 prepared by Spring Creek Consulting Corp., 3610 Green Mountain Road NW,
Bremerton, WA 98312 for a proposed single-family residence with a garage at 421 NE
Haven Lake DR, Tahuya WA 98588-9689 was received and reviewed by Vector
Engineering,Inc.
It is recommended that the geological assessment and addendum letter be accepted. No
further review by Vector Engineering is necessary.
We have enjoyed working with you on this geotechnical review to support
to
Department of Community Development of Mason County,Washington' e look forward
cooperating with you on any future project or review.
The invoice, the geo tech work order, the geological assessment, addendum letter, and our
review are enclosed.
Please feel free to contact me if you have any questions regarding these comments, or if you
feel any features need further discussion or attention.
Sincerely,
:;9fVX41
Russell W.La Force,P.E.
Design Engineer
Enc.
Page 1 of 1
X:\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review Cover Letter.doc
r
6 1 N E E R 1 N 6 \1 N t
309 WASHINGTON STREET NE • OLYMPIA WA 98501• TEL:360 352-2477• FAX: 360 352-0179
www.vectorengineeringinc.com
Review of Geological Assessment
September 14,2007
Permit#:BLD 2007-01291
Parcel No.223305000111
Applicant: Bryan Tangen
Planner: Chuck McCoy
VEI#: 7054-014
The Geological Assessment dated August 21,2007 and addendum letter dated September 10,
2007 prepared by Spring Creek Consulting Corp., 3610 Green Mountain Road NW,
Bremerton, WA 98312 for a proposed single-family residence with a garage at 421 NE
Haven Lake DR, Tahuya WA 98588 - 9689 was received and reviewed by Vector
Engineering, Inc. The Department of Community Development requested the review for the
purpose assisting the Department in determining the amount of potential for landslide activity
and the proposed development would not cause significant adverse impacts or there is
adequate geological information available on the area to determine the impacts of the
proposed development and appropriate mitigating measures. The Department of Community
Development reviews all development applications to determine if they are likely to be in or
near a landslide hazard area per Mason County Resource Ordinance (MCRO), Geologically
Hazardous Areas, Landslide Hazard Areas 17.01.100, Seismic Hazard Areas 17.01.102, and
Erosion Hazard Areas 17.01.104 approved.December 27,2006.
The Geological Assessment states the proposed development will be in an area of residential
development. A site plan with locations of the existing drainfield and proposed residence was
provided with the assessment.
Findings
1. Areas identified on the Mason County Soil Survey Map as having slopes greater than
15%is one guide used by the County to indicate areas t hMCRO 1ve a higher likelihood
100 ood f
meeting the classification criteria for landslide hazard
2. Development proposed within 300 feet of areas with slopes between 15 percent and
40 percent will require a Geological Assessment.MCRO 17.01.100 E.l.d.
• The site has areas with slopes up to 25 percent.
3. The preparer of the geological assessment is required to be either a licensed civil
ialized knowledge of geotechnical/geological engineering or a
licensed geologist or engineering geologist with special knowled
engineer with spec ge of the local
conditions. MCRO 17.01.100 E.3
Page 1 of 4
X:\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review.doc
• David C.Hurum,a licensed geologist.
4. The assessment includes a discussion of geologic conditions in the general vicinity.
MCRO 17.01.100 E.4.(1).
• The assessment states the site is overlain with Alderwood gravelly sandy loam
above glacial till. The assessment also mentions a concealed fault 5 miles to the
west.
5. The assessment includes a discussion of the ground water conditions at the site.
MCRO 17.01.100 E.4.(2).
• The assessment states no surface nor groundwater seepage was observed at the site
except surface water associated with Haven Lake.The depth to water in the well is
168 feet but a water-bearing layer was encountered during drilling between 138
and 155 feet.
6. The assessment includes the depth to hard or dense competent soil. MCRO 17.01.100
E.4.(3).
• The assessment states the depth to dense and partially cemented soil is between 2
and 3 feet.
7. The assessment includes a discussion of any geomorphic expression of past slope
instability.MCRO 17.01.100 E.4.(4).
• The reviewer went to the site as part of the assessment. Features such as
hummocky topography, tension cracks, or other signs of instability were not
observed. No photos were in the assessment.
8. The assessment includes a discussion of the history of landslide activity. MCRO
17.01.100 E.4.(5).
• No mention of the discussion of the history of landslide activity was in the
assessment.
• The addendum letter states that no indications of landslide activity were observed
during the reconnaissance and the Class I slopes are believed to be stable. The
response is adequate.It is suggested in future assessments,a paragraph is included
if landslide activity and/or surface movement has been reported in the vicinity.
9. The assessment includes an opinion on whether the proposed development is within
the landslide hazard area or its setback.MCRO 17.01.100 E.4.(6).
• The assessment states the subject properly does not appear to meet the
requirements of the Mason County Resource Ordinance as a Landslide Hazard
Area.
10. The assessment includes a recommendation by the preparer whether a Geotechnical
Report should be required to further evaluate site conditions. MCRO 17.01.100
E.4.(7).
Page 2 of 4
X:\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason_Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review.doc
• No recommendation was in the assessment that a Geotechnical Report is not
warranted.
• The addendum refers back to paragraph 3 on page 3 in the assessment that Spring
Creek Consulting Corporation does not recommend that a more detailed
investigation be prepared to further evaluate site conditions. The response is
adequate. It is suggested in future assessments,the recommendation is specifically
written to include a more detailed investigation,including a geotechnical report.
11. If the presence of a hazard is determined within 300 feet of the proposed development,
then the area of the proposed development, the boundaries of the hazard, and
associated buffers and setbacks shall be delineated on a geologic map/ site map.
MCRO 17.01.100 E.4.(8).
• No hazards were identified in the assessment. A map showing the area of the
proposed development.
12. The assessment includes a site map drawn to scale showing the property boundaries,
scale, north arrow, and the location and nature of existing and proposed development
on the site. MCRO 17.01.100 E.4.(9).
• A site map showing the property boundaries, scale, north and the location and
nature of existing and proposed development on the site was provided.
Haven!a he /
/�61 ME IIAYEI/
/ 441.IIEiLAVEM LAKE OR
{211Rj,lUI i/ A§W- /
l4il W'1MI&L"
qt IIE KWM LAKE W
3111E K%V"Uk*at
Ili EW LAKE LV ,
EDR
Parcel 223305 000111,421 NE Haven Lake Drive
Page 3 of 4
X:\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason_Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review.doc
Conclusions and Recommendations
In the reviewer's opinion, the assessment was prepared by a qualified geologist and does
provide sufficient information to determine the proposed drainfield and residence will not
decrease slope stability at the site or on adjacent properties and the risk for such occurrence
would be minimal.
It is recommended that the Geological Assessment be accepted. No further review by Vector
Engineering is necessary.
Adequate erosion and sediment control features need to be implemented during land
disturbing activities to protect neighboring properties and State waters from adverse
stormwater runoff impacts. The migration or release of silty water or mud from the
applicant's property will be considered a violation of County and State water quality
protection regulations.
The conclusions presented in this assessment are based on Vector Engineering, Inc.'
understanding of the project requirements. Vector Engineering, Inc. warrants that its services
were performed with the level of care and skill ordinarily exercised by members of the same
profession currently practicing in the same locality under similar conditions. No other
warranty or representation,expressed or implied,is included or intended hereunder.
Sincerely,
'S11 Y � I q
(Signature) (Date)
Russell W. La Force, P.E. Seal:
Design Engineer
Vector Engineering, Inc.
309 Washington Street NE d�
As"
Olympia,WA 98501 c,,�' oF /yam 0
(360) 352-2477 c 14
o s+ rr
42651
9��F 9fGISSFP�O G\
SSIO►d A1-
EXPIRES 05-25-
Page 4 of 4
K\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason_Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review.doc
W
.� a r
E N 6 1 N E E t I N 6\ I N
309 WASHINGTON STREET NE • OLYMPIA WA 98501• TEL:360 352-2477• FAX: 360 352-0179
www.vectorengineeringinc.com
RECEIVED
September 24,2007 FSEP2 22007
Mr.Robert D.Fink,AICP MCCD - PLANNING
Mason County—Department of Community Development
Mason County Bldg I
P.O.Box 279
Shelton,WA 98584
Subject: Geotechnical Report,Additional Information Requested
Permit#: GRD 2007-00025
Parcel No. 12321-75-00020
Applicant:Bret Schwarz
Planner: Chuck McCoy
VEI#: 7054-017
Dear Mr.Fink,
The geotechnical report dated August 29, 2007 prepared by Envirotech Engineering, 74 NE
Hurd Road,Belfair, WA 98528 for a proposed multiple office/industrial buildings along Log
Yard Road,Belfair WA 98528 in the
receW�on Septem 1/4of the NE ber 21, 2007 and renewed by Vechip 23 tor
Range 1 West, Mason County was P
Engineering,Inc.
As the report is incomplete,we regret to say that we cannot recommend approval of the report.
Additional comment regarding the followings items are needed:
1. It is recommended the report be retitled as a Geotechnical Report instead f a
Geotechnical Assessment. The special reports are either geological assessments
or
geotechnical reports.
2. It is recommended that more complete explanation be given why a geotechnical report
was done instead of a geological assessment.
3. A 50-foot buffer of undisturbed natural vegetation is required aroROun7 O1 a D.6.Landslide
Hazard Area or as recommended by the geotechnical engineer.
• The landslide hazard area was not identified on the site plan. On the Washington
Department of Natural Resources Forest Practices Resource Map, an area of high
slope instability was identified on the parcel.
4. The report includes a discussion of geologic conditions in the general vicinity, including
soil types, groundwater conditions, upslope geomorphology, location of upland
waterbodies and wetlands, and a history of the landslide activity. MCRO 17.01.100 E.5.
(I)
Page 1 of 3
X:\7000 Files\7054 Mason County Geotech Reviews\7054-017 Mason_Co(Schwarz)\Admin\Transmittal Letters\Geotechnical Report
GRD 2007-00025 Review 1st request Letter.doc
September 10,2007 Project No.SC 07-24
Mr.Bryan Tangen
7729 Forest Drive NE
Seattle,WA 98115
Subject: Geologic Assessment Addendum Letter
Parcel#223305000111
421 NE Haven Lake Drive
Tahuya,Washington
Mr.Tangen,
This letter is provided based on your request for a request of a response to a letter of incompleteness you
received from Mason County personnel The letter of incompleteness was in reference to.our.original
geologic assessment dated August21,2007. It is our understanding that discussion of landslide history
and recommendations tegarding the need or lack of need for a geotechnical report are required.
No indications of landslide activity were observed during our reconnaissance. Paragraph 6 on page 2 of
our original geologic assessment states: The area is mapped by the Folio of the Southern Hood Canal
Area map as Class l slopes. Class 1 slopes are generally less than 15 percent,. but may be steeper in
localized areas and are believed to be stable.
The above referenced map is a landslide hazard map with 5 levels of stability. Class i slopes are the
highest level of stability with no observed or inferred indications of inability or landslides.
Paragraph 3 on page 3 status: Based on our understandmg of site conditions and the intended use of the
property,Spring Creek Consulting Corporation does not recommend that a more detailed urvestigation
be prepared to further evaluate site conditions.
As long as permanent slopes greater than 10 vertical feet are less than 40 percent there is no need for
further investigation. More specifically,there is no need for a geoteci nicat report
Should you have any questions or concerns,which have not been addressed,or if we may be of additional
assistance,please call our office at(360)710-2883.
Sincerely, ,�•
Gg
David Hurum,L.G. rc 1121 - ~
President sue• rho
Licensed Geologist
DAVID c. MMM
3610 Green Mountain Road NW
Bremerton,WA 9012
Phone:(360)710-2883
dhurum@wavecable.com http://www.springcreekconsultin-g.net
U
r
E P 1 3 2007ENGINEERING, INC.
• The report states the site is situated within moderately sloping terrain up to 35%with a
vertical relief of about 20 feet. The project is located in the Puget Lowland with
sedimentary rocks dominated by glacial drift.No water bodies or wetlands are located
upslope. The soil types are a moist,brown silty sand or sand with silt. The NRCS soil
type is Indianola loamy sand. No mention was made of any history of landslide
activity.
5. The report is to include the locations and logs of exploratory holes or probes. MCRO
17.01.100 E.S.(3).
• The locations of the 5 exploratory holes are shown on the site plans. One log of Test
Pit Number 3 was provided in the report.The other test pit logs need to be included.
6. The report is to include a geologic map of the site showing the area of the proposed
development with the boundaries of the hazard, and associated buffers and setbacks
delineated on the map.MCRO 17.01.100 E.S.(4).
• A geologic map of the site showing the area of the proposed development with the
boundaries of the hazard, and associated buffers and setbacks delineated on the map
was found in the report. The landslide hazard area,buffer, site-or project-specific soil
and rock units were not shown on the site plan.
7. The report is to include a cross-section at a scale adequately depicting the subsurface
profile.MCRO 17.01.100 E.S.(5).
• The cross-section in the report is at a scale adequately depicting the subsurface profile.
A building was shown. The retention facility was not shown. The location of the
cross-section was not identified on the site plan.
8. The report is to include a description and results of the slope stability analysis. The
analysis used the Simplified Bishop's Method of Circles. The minimum static factor of
safety is 1.5. The minimum seismic safety factor is 1.1. The quasi-static analysis
coefficient should be 0.15.MCRO 17.01.100E.5. (6).
• The report states slope stability was modeled using the Simplified Bishop's Method of
Circles and ASCE stability charts. The summary did not state the minimum factors of
safety. The analysis appears to have been done without the proposed retention pond.
The cohesion values of the soil types SPM of 600 psf and SM of 200 psf appear to be
high. The unit weight of 140 pcf appears to be also high. Justification is needed for
the soil parameters. The summary needs to state the minimum factors of safety.
• It is recommended the slope stability analysis be revised to include calculations using
the 2003 International Building Code criteria.
9. The report is to include recommendations for the preparation of a detailed clearing and
grading plan which specifically identifies vegetation to be removed, a schedule for
vegetation and replanting, and the method of vegetation removal. MCRO 17.01.100 E.S.
(8).
• The report does include a reference to an erosion/sediment control plan.
Recommendations are needed in the report.
Page 2 of 3
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GRD 2007-00025 Review 1st request Letter.doc
a..
10. The report is to include recommendations for the preparation of a detailed temporary
erosion control plan,which identifies the specific mitigating measures to be implemented.
MCRO 17.01.100 E.S.(9).
• The report does not directly include recommendations for the preparation of a
temporary erosion plan. The only recommendations found in the report were that the
removal of natural vegetation is minimized,temporary and permanent erosion control
measures should be implemented and maintained, conventional construction
equipment may be utilized and that earthwork is undertaken during favorable weather
conditions. No general erosion control notes were included in the site plan.
11. The report is to include specifications of final development conditions, such as,vegetative
management,drainage control,and buffer widths.MCRO 17.01.100 E.S.(10).
• The report includes recommendations for vegetation management and drainage
control. No mention was made of buffer widths.
We have enjoyed working with you on this geotechmcal review to support the goals of the
Department of Community Development of Mason County,Washington. We look forward to
completing this review when the requested items are provided.
Please feel free to contact me if you have any questions regarding these comments, or if you
feel any features need further discussion or attention.
Sincerely,
Russell W. La Force,P.E.
Design Engineer
Page 3 of 3
XA7000 Files\7054 Mason County Geotech Reviews\7054-017 Mason_Co(Schwarc)\Admin\Transmittal Letters\Geotechnical Report
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MASON COUNTY AL.
DEPARTMENT OF HEALTH SERVICES _
Environmental Health Personal Health
PO BOX 1666 SHELTON,WA 98584
LOCAL(360)427-9670
BELFAIR (360)275-4467
Application for Determination of Adequacy FAX (360)427-7798
Instructions
1. Complete Part 1. No determination can be made until Part 1 is fully completed.
2. Complete only the portion of Part 2 applying to the type of water system utilized.
3. Submit completed application,with attachments to the health de artment for review.
PART 1: Applicant/Parcel Identification 7
Name of Applicant -j
` ` Date - /3 -07
Mailing Address- 721 f"fT4Ff_ PVI Jet , 52e4&-618Ae'ephone 2)& 7719 ' —
Assessor's Parcel Number 2531�05 00111
Type of Water System Check One): Reason for Application Check One
❑ Public/Community Water System (2 or more Building permit
connections)~ ❑ Land use application, if so..
Individual water source (one connection), ❑ Division of land:
if so..
Wel #of Parcels?_____ SPL__-_—
Spring/surface water ❑ Boundary line adjustment
❑ Other(explain)-------- ❑ Other(explain)-------
**If you have more than one residence ❑ Replacement(please indicate name of water system
connected to this well, check the Public box. below if applicable-no signature required)
PART 2: Water System Information
Complete the section appropriate for the type of water system being evaluated:
Public Water System
Name of Water System
Water Facility Inventory (WFI) Number:
(write "none" for two party)
❑ I am the manager of this water system_The water system has been approved forT services.
There are presently coimection(s)in use.This will be the connection.
❑ 1 am the manager of this system.This connection will be to upgrade or change the use of an
existing connection on this system(ie: recreational to full time). Please indicate on the following
line the nature of this change:
This water system is able and\&Tilling to provide water to this(these)connection(s)without
exceeding the limits of the water system or any limits set by state and local regulation.
Signature of Water System Manager Date
op I
UINtate:April 20t16
y
(9/17/2007)Charles�Mcuo III -BLd 2007-01291 Tan en Invoice-1.pdf y.
Y 9 . _.. .x .P. _ _ a
Page 2 '.
l
z Invoice441
y
E N 6 1 N E f R I N 6\N C
309 WASHINGTON STREET NE Number: 7-903
OLYMPIA WA 98501
L � Date: 9/17/2007
TEL:360 352-2477 FAX: 360 352-0179
Q rNi
www.vectorengineednginc.com ,v Due Date: 10117/2007
BILL TO: �' `� Job 7054-014 Mason Co(Tangen)
Mason County 4
Dept of Community Development co t�
PO Box 279 PO# BLD2007-01291 \
Shelton WA 98584 0
Project Manager: Russell
SHIP TO:
SERVICED ITEM DESCRIPTION QUANTITY RATE AMOUNT
9/14/2007 31 Eng 3 Engineer III 5 $0.00 400.00
8/31/2007 50 Proj Ad... Project Administrator 0. 40.00 40.00
1
9/14/2007 51 Admin... Administrative Assistant 1 0.00 .00
,1
f
i
Terms: Payment due 30 days from the invoice date. 1%discount if payment Total $465.00
received 15 days from date of invoice.
Payments Applied $0.00
Credit Cards: We are now accepting MasterCard and Visa. Balance Due $465.00
Please call to make payment using your card.
.+o r
E N 6 1 M E E R 1 0 6\\! C
309 WASHINGTON STREET NE • OLYMPIA WA 98501• TEL:360 352-2477• FAX: 360 352-0179
www.vectorL,ngineeringinc.com
September 4,2007 RECEIVED
Mr.Robert D.Fink,AICP Es EP 0 5 2007
Mason County—Department of Community Development
Mason County Bldg 1 MCCD - PLANNING
P.O.Box 279
Shelton,WA 98584
Subject:Geological Assessment,Additional Information Requested
Permit#:BLD 2007-01291
Parcel No.223305000111
Applicant: Bryan Tangen
Planner: Chuck McCoy
VEI#: 7054-014
Dear Mr.Fink,
The Geological Assessment dated August 21, 2007 prepared by Spring Creek Consulting
Corp., 3610 Green Mountain Road NW,Bremerton,WA 98312 for a proposed single-family
residence with a garage at 421 NE Haven Lake DR,Tahuya WA 98588 - 9689 was received
and reviewed by Vector Engineering,Inc
As the assessment is incomplete,we regret to say that we cannot recommend approval of the
report. The incomplete items are:
• No mention of the discussion of the history of landslide activity in the vicinity was in
the report.MCRO 17.01.100 E.4.(5).
• No recommendation was m the assessment whether a Geotechnical Report should be
required.MCRO 17.01.100 E.4.(7).
It is recommended the assessment be revised to include a discussion of landslide activity in the
vicinity and a recommendation whether a Geotechnical Report is required.
We have enjoyed working with you on this geotechnical review to support the goals of the
Department of Community Development of Mason County,Washington.We look forward to
completing this assessment when the two missing items are provided.
Please feel free to contact me if you have any questions regarding these comments, or if you
feel any features need further discussion or attention.
Sincerely, ^,�
Russell W.La Force,P.E.
Design Engineer
Page 1 of 1
X:\7000 Files\7054 Mason County Geotech Reviews\7054-014 Mason_Co(Tangen)\Admin\Transmittal Letters\Geological
Assessment BLD 2007-01291 Review 1st request Letter 070828.doc
yON.S7ATFO� MASON COUNTY
ALP Mo DEPARTMENT OF COMMUNITY DEVELOPMENT
C A U = Planning Division
y' N Y Y P O Box 279, Shelton,WA 98584
of to (360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
July 31, 2007
BRYAN TANGEN
7729 FOREST DR NE
SEATTLE WA 98115
Parcel No.: 223305000111
Project Description: NEW SFR
Dear Applicant:
You have submitted a permit application (case no. BLD2007-01291)for proposed
construction or development in the county. Upon review of your application, I have
determined that the contents of the application are incomplete or do not provide
enough detail for review.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360)427-9670, ext. 294 if you have questions..
Sincerely,
i
Charles McCoy 111
Land Use Planner
Mason County Planning Department
Comments: See comments in completed SP12007-00066; needs geologic
assessment due to existing site alterations. AHB 7/23/07. Site visit
7/27/07. Needs shoreline distance verified to determine setback
and/or buffer requirements.
7/31/2007 Page 1 of 1 BLD2007-01291
MASON COUNTY
I)EPARTMENT OF HEALTH SERVICES i
July 31, 2007 PO BOX 1666 Shelton WA 98584
Shelton (360)427-9670
Fax (360)427-8442
BRYAN TANGEN Elma (360)482-5269
7729 FOREST DR NE Belfair (360)275-4467
SEATTLE WA 98115
Case No.: BLD2007-01291 Parcel No.:223305000111
Dear Applicant:
Your building permit cannot be approved by Mason County Environmental Health until
the following are completed and turned in:
Report within the last three years from either a septic tank pumper or an Operation
and Maintenance Specialist.
Water bacteriological analysis.
Please call me at(360)427-9670, ext. 554 if you have any questions.
Sincerely,
Trish Woolett
tw@co.mason.wa.us.
Environmental Health
Mason County Health Services
Comments:
7131/2007 1 of 1 BLD2007-01291
j
i
z
PC00-STgT�o� MASON COUNTY
o n v H DEPARTMENT OF COMMUNITY DEVELOPMENT
Y s N Planning Division
N Y Y P O Box 279,Shelton,WA 98584
(360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
September 05, 2007
BRYAN TANGEN
7729 FOREST DR NE
SEATTLE WA 98115
Parcel No.: 223305000111
Project Description: NEW SFR
Dear Applicant:
You have submitted a permit application (case no. BLD2007-01291)for proposed
construction or development in the county. Upon review of your application, I have .
determined that the contents of the application are incomplete or do not provide
enough detail for review.
® Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information-
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360)427-9670, ext. 294 if you have questions.
Sincerely,
Charles Mead McCoy III
Land Use Planner
Mason County Planning Department
Comments: Please find enclosed a letter that ig requesting revisions to your
Geological Assessment. Please send the revisions back and I will
forward them to Vector.
9/5/2007 Page 1 of 1 BLD2007-01291