HomeMy WebLinkAboutBLD2004-00922 Final Barn with Carport - BLD Permit / Conditions - 8/20/2004 I
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. %''lUC C) CI
PLEASE PRESS HARD 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
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 1L WAwAzTew Company Name
Mailing Address—Y.0 O Mailing Address
City Az-z-Ya State L10A Zip Code City State Zip Code
Phone 3 GO-1-7. -2ee Other Ph. - 71-gq2,7 Phone Other Ph.
Lien/Title Holder taA4E -'5j: E gg _f BA&JK Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# 8AAkILaC_44Z'PZ DOB_ Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. la,93n 75 QQA O Fire District
Legal Description 7c3gAWiP 7-2/V P i LO 77-ACT ZS'
Site Address (Please include street n e, street number and city) tLIQ . _1-16RU20D _Rb SJ-4=VeV
Directions to site"514FRLocim GKM 40 5u€i2t ] li LEFT AT TnnP of Y LL- TN n) Z3Eq k 77,6,47
r t7U a otl ewtf I
Will timber be cut and sold in parcel preparation?Yes/
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?Yes/ o
TYPE OF JOB - New ✓ Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building ^R Describe Work 24X3(o BABA) u)lTN IZX,Z4 cAPPogr
No.of Bedrooms No. of Bathrooms Square Footage - 1 st Floor // Z 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport .- 1 Attached _jef�_ Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
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 the rq t f urther
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I h �tf I P is-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding t i lice
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and concur*eyvq � osed.
d
Date: g2e"o -//—Q!4
Owners Representative/Contractor (indicate which one) ` - r EDAR ST,
caner
FOR OFFI 1 L USE BEYONDTHIS.FOINT l
Accepted b fill- Planning Pd '� Ck# Date �f Bld Pd (-d, Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar • PO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner J AMsir- Company Name
Mailing Address '
' r�- L Mailing Address
City -`y' State WA Zip Code IR,541 City State Zip Code
Phone 2 "� `�Other Ph., i�c� "7 I -g�1� Phone Other Ph.
Lien/Title I older ���qe �r'k t-�r 1 aA,%jf. Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# Hilmj Lac 4' V.' DOB ` •`' Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 7.r 002-0 Fire District
Legal Description L2 MWA.�f,F 2-2. AJ Jq i LO 77-Ac r Z 4
Site Address (Please include street name, street number and city) .F 4;4t') Z�_YAi
Directions to site� EP't"N r. i�c'" c;. _. c.a . - >. _.. R.
^ ' _
Will timber be cut and sold in parcel preparation?Yes /
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?Yes/ o
TYPE OF JOB - Newer Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building``&3k .! Describe Work 24 X 34— bAkh-1 LOLIN 1'2X�,4 cr,K->nwr,
No. of Bedrooms No. of Bathrooms Square Footage - 1st Floor 115-Z. 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport 4Z_L2_1_ Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permitin ' �
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the conractor.I fu
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I ha tajn tqp rmis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in intei ce linTtl aplica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed.
r;�. 426 W_ CEDAR S7
X r.r-> .,:.,�v Date: CJ6, -A -s_ .fir
Qwner?Owners Representative/Contractor (indicate which one)
FOrR OFFICIAL USE BEYONDTHIS POINT
Accepted by:. t . Planning Pd Ck# Date Bid Pd {- r Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department-I /l/ 24 AJ?o s 0(Z- 6W;Q
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar • FO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ,J6A r,3 319. Company Name
Mailing Address {J< , ? ". Mailing Address
`
CityCity— State Zip Code
�`�� ••d-•�� a� State.�.:;`-} Zip Code � fi.`� �
Phoneme '"% - Other Ph. _�Le t ~ �jd,7 Phone Other Ph.
Lien/Title Holder ' :5z/Z E 4E,r f 4!f<' Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# iM AA t DOB - z`` Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 7.S .t: " :. Fire District
Legal Description ��° - `1<; ',<'<' '?:'.,c-tALe �dq..� 2 2 A.! A� / c ,'
Site Address (Please include street name, street number and city) �_>
Directions to site�. - 7�" r-' f�t� f-. Ec. 7`�-J'�,�. S k •-k5;-:
,r'i Y ..r.+d:'K:.[' i •Ci �fJ'.t.. 'K t «C ,
Will timber be cut and sold in parcel preparation?Yes/if-40
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% v'
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/ o.
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building " �''�+ :y Describe Work 2.4 X 3I- tAt L' 2 it f, f:� x 2.4 , f 1-4-r
No. of Bedrooms No. of Bathrooms Square Footage - 1st Floor 11.5 4- 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport Attached __Z Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or
Acknowledgement of such is by signature below.I declare that I am the owner,owners lega representative,l=tn.Qrther
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare tha ve obtained the permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in t le f rV is applica-
tion or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct e r proposed.
X !. �.:i� , f <.c- dl t� Date Jr ► a .. s" :Ef '§"
C bwne�;?Owners Representative/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
Planning Department Wlf W>Nj�j_
Environmental Health Department`
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee T Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION
426 W. Cedar • FO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner J`- kfi:: 9 ;. ; r Company Name
Mailing Address ' e -,, Mailing Address
City r 4 { State ZipCode ` ' - s City y State Zip Code
Phone 2 2 T Other Ph. - < Phone Other Ph.
Lien/Title Holder '' .t. _ Contractor Reg. # Ex
P.
E mail address E Mail Address
Drivers Lic.# ' ha' �,} 1 ee 444L,Z DOB ; Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city) = ,
Directions to site . s r ,; t. . ; t t ... f. 7,
Will timber be cut and sold in parcel preparation?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% w-"'
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No;,-
TYPE OF JOB - New V, Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building 4 Describe Work 2.,+ Y, 1,
No.of Bedrooms No. of Bathrooms Square Footage - 1 st Floor "f w 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached Detached Carport fry Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No.of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
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 the contr .tor. rther_
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have tl 0ermi -
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest reg is ap`0lica-
tion orthe work proposed in the application, I have obtained permission from them to apply for this permit and conducthAWo k proggsed.
X Date:
Owner/Owners Representative/Contractor (indicate which one) 426 W .,yM
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld I'd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee G
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
I �
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Building Permit number: Direction: '
Scale:
Approval: for office use
Owner/Applicant: �So� �� Building:
Date of Planning:
Parse! Number: !�a y
''5 application: Env: Health:
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'R E? ANFNDHFNT 10
RESTRICiIVF. ANn PRO rFCIIVE COVE iIANTS Ri11.387 FP 1.0-1.7
Or Si1F Rw00n TRACTS
JU 1
TIIIS nOCI1MENT amends and modifies the Restrictive and Protective
Covenants of Sherwood Tracts as recorded In the office or the Nason
County Auditor on Nov. 16, 1976. under Auditor's File No. )21676
This document Is exec Ited under the terms of the paragraph titled
"leans-Amendatents: In said covenants.
Paragraph "F" of those certain covenant-, are amended to Include
the following:
SUBORDINATION OF LIENS 10_MORTGAGES AND DEEDS Or TRUST.
The lien of the assessments provided for herein shall be
subordinated to the lien of any first mortgage or any first
deed of trust. Sale or transfer of any lot shall not affect
the assessment IIen. Ilowevei ,tlie sale or transfer of any
lot pursuant to mortgage foreclosure, deed of trust fore-
closure, or any proceeding in Ileu thereof shall extinguish
the lien of such assessments as to the payment which became
due prior to such sale of transfer. No sale or transfer
shall relieve such lot from liability for any assessments
thereafter becoming due from the lien thereof.
Said amendment is for the benefit of atilt pertains only to the
following described property located in llason County, Washington:
That portion of Section 30 n, Townehi 22 Ilorth Range 1 Nest, U.N., In
Ilason County, Na�shinyTun, lescr pees—TolT —
GEGINNING North 03' 24' 26" East. 800.33 feet end South 86' 00' 52"
East, 706.16 feet from the center of Section 30, Township 22 ilurtlp,
Range 1 Ne41 H.H.. in Hason Countyy, Washington; thence South 80' On'
62" East. 566.19 feet{ thence Soutlr 16' 36' 50" East, 195,9E feet;
thence South 14' I1' 11' cost, 04.11 feat thence 504th 10' 59' 25"
West. 610.21 feet{ thence North 77' 13' 0�" West, 126.92 feetl thence
Ilorth 1' 62' 26" East, 465.31 feet to the POiNT OF BEGINNING.
Commonly referred to as Tract 25.
PT A I F.OF WASIIING ITIN, .` 387 Fri SAFECO
Rill
cmmmy nI flason-- _--
Un Ati<day per<onnl ly I,prmed hrlorr m,Carolyn J._YounQ,-SCcletary-TreFiS ircr_ .--
rn me 6man ro he die iudie idunl __desr,ihr.l in nod ahu a—road dw-aW,ia mal ImrRniug 6--ment and
nrknnalydprd w me rhm__She <ixuul rh..aun,e n._,liar frre and—lnntnn err and fired Inr
d,r puq.n<r<J.nrin uu•ntionr.l.
Ir: n,r.•.,,I.",.r 2001 rh; J1,1nunry r., 87
Nnra.r Pddir in m..r/n.11-.C1n1.n/q'n.Ci..Rrnn,—idi..R m �SLLI
rt.1.at W. SAFECO Trna r..nn"nn Conn,..y ACKNOWLEDGMENT _OnDINAnY
ar6"•n{-lard n..nr d,ar_jwy, __.i�nr.l,hr.n.nr n.. _.l hCjC.__ I—and...I n,n:nr lit t nn.l.1. Inr
_20t .r.r.r..,imtunry et 17 '
cnmmission expires 1
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III1702575
Pape: 7 of 7 pill 11111 11/29/1999 12:56P
LAND TITLE CO DEDTR 14.00 Mason Cc, WA
EXHIBIT 'A'
DESCRIPTION:
PARCEL 1
Lot 25 of Survey recorded in volume 2 of Surveys, page 108, recorded
November 15, 1976, under Auditor's File No. 321604, being a portion of the
Northeast quarter of Section 30, Township 22 North, Range 1 West, W.M., in
Mason County, Washington.
PARCEL 2
An easement for ingress, egress and utilities, as described and delineated
on Survey recorded November 15, 1976 in Volume 2 of Surveys, page 108, .
under Auditor's File No. 321604, being a portion of the Northeast quarter,
Section 30, Township 22 North, Range 1 West, W.M., in Mason County,
Washington.
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t I REF. 013T. TO COR. a�
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SMRVETICS CFRTIFICATF
/,;. . . . ,Am of. This pop correctly represststs a super @We
foie• 1.� '. . .a! the r"Wit of �ir�tioo io coofor+s by er e1Mer aaf
a*t "ce with the reArirgeelte of the Sorrey
#IWdiw! Act at the refMt of, DAN SNUPflN
ig_ OCT. _ l! T6 . . . . . . . . . . . .
Mason County Permit Assistance Center
Planning Intake Checklist
Owners Name: Date:
Project: - Reviewed By:
Commerc' Development: i YES
Planner: SAL GBM RAM DMJ TSC Comments:
Site Plan:
North Arrow
Property Dimensions: X
Streets and Driveways Shod namS
-9:f All Existing Structures shown with setbacks
"Well Location, Septic and Drain-field Shown with setbacks
a--fdentify all surface water(streams,ponds,shoreline,wetlands, etc.)
Topography(slopes)
0, Proposed Structure Setbac4(Direction/Setback):
F: 5 _/ (e_ / S 1: / S2. /
-e®Utility and Drainage Easements: Yes No (if yes enter condition#5022)
Other Easements
GAccessory Appurtenances
V- County Access Permit Needed(add condition#0010)
o State Access Permit Needed(add condition#0020)
Standard Conditions to be added to all Building permits that planning reviews:#5019 and#0700
Shoreline and Planning Info
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rural Zoning:
❑ Not Applicable O Agricultural 0 RR 2.5 5 10 20
❑ Urban ❑ In-holding p RMF
❑ Rural ❑ LTCFL ❑ RC f 2 3
❑ Conservancy ❑ Rural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body(type of water if unnamed):
SEPA: Yes No Unknown
Flood Plain: YES NO Unknown Map#
Aquifer Recharge: YES NO Unknown Map#
Tags/Cases:
RLC/SPI Case: 6-Year Dev. Moratorium: YES NO
Eagle Nest Tag: YES NO Other YES NO
Addressing: Check box if needed 0 Reviewed by:
Revised:IM003
MASON COUNTY PERMIT ASSISTANCE CENTER PLANS SUBMITTAL FHECKLIST
Owners name: 1 /4 . Date '1 c I
a
Project: Zy Reviewed ily
Documents:
Accurate site plan attached to each set of plans (road setback /sideyards < 10? )
Topography attached to each set of plans
Energy Code application (heat fuel type )
Mechanical/Plumbing application c9mplete(water heater fuel type&location: )
Contractor registration#OR ovide written notice "Hiring a Contractor or Remodeler--�
!ram Engineering/design criteria: snow load,80 mph wind/exp,seismic zone 3 (Scope?.i
�r
Construction Plans: (3 sets)
'e Plans legible ?� _ Recognized scale Cross Section
Elevation Roof framing Deck framing
Foundation plan Floor framing,all levels Floor plan (use of rooms)
DETAIL: (Include wood species and grade,i.e. DF#2,HF#2,PT,etc.]
X Roof framing detail (species,size, &spacing)4'V&5
Wall framing detail (size,species, &spacing)
Bearing wall ht exceeding 10 ft requires engineering
Floor beams(size,species, &spacing)
Floor joists (size,spacing,species)
Header and beam (size &species for openings over 4 ft)
Foundation (size, steel,anchoring)
Concrete walls (Reinforcement detail, >8 ft requires engineering)
Non-conventional framing (steel structures,foam core, log, etc. requires full engineering)
Fire separation walls shown on plans
Point loads identified, calculations provided if needed.
Slab insulation shown
Stairs/Handrails on stairs with more than 3 risers
Guardrails on landings greater than 30" above grade
Location of furnace identified on plan, where?
Propane appliances in basement (3" screened floor drain to o/s,2 combustion vents)
Fireplace/Stove information shown
Window sizes marked
Covered porch detail (Use ICBO Chapter detail? )
Braced wall lines dearly marked on plans (Within 8 ft of corner, n.t.e. 25 ft o.c.,table 23-IV-C-1)
Interior braced wall lines required for boxes greater than 34 ft
Do plans meet UBC prescriptive braced wall line requirements?
UNUSUAL SHAPES:
Roof or floor extend more than 6 feet beyond brace wall line or ICBO detail. (2320.5.4.2)
Openings greater than 12 feet or 50% of the least floor area. (2320.5.4.4)
Braced wall lines do not meet in a perpendicular direction. (2320.5.4.6)
Braced wall lines offset the vertical plane from the foundation
(2x12 NTE 48", 2x10 NTE 40", no offset in 2x8 or smaller) (2320.5.4.1)
Floor and roof is laterally supported by braced wall lines on all edges (2326.5.4.4)
The end of a braced wall panel extends more than 1 ft over an opening in the floor below
(BWP may extend over an opening 8 ft or less in width wh n e header is 4x12 or more,
U.B.C. section 2320.5.4.3)
Engineered documents (Engineering required/included? )
J Design criteria-snow load , wind 80 mph, epic osure C. seismic zone 3
Engineered data transferred onto the plans d
v Structural general notes&calculations, 2 sets
(Specify scope of work, project location, design criteria, etc)
Washington State licensed engineers or ar itect signatureand a expiration date
COMMENTS: C