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COM2001-00143 Final Pre Made Modular - COM Permit / Conditions - 4/25/2002
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O � 2 � CXMG) M Q (D m m - Q � rz9rr° z CD z _ _ _ m Ov _ O Cl) No XZ -0Z -n 3 C) D :3 oCD D � � 000 � Xoo c Q v 0 cc» mO m CD cu o � � =r � 3 p � � o MOOD0 -� � � o N y Cl) � .-• -� m = O � D, or O 'D (D cCD m CD� � �' � c Or= mCn :. - m o 0 r o o c� o � o TI c 3• u) v m cn Q' CA) 70 m o. o A o C.0 j tU 3 -o C CCD 0- 0 FORM MUST BE COMPLETED IN INK PERMIT NO.. BLD PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 27-9670 Belfair 360 275-4467.Elma 360 2-5269 Seattle 206 4-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Own erMP" A4 K Ufc-H--r-5D 3I I Contractor Name Mailing Address 2,9&7 w /Y1PtTi:oc-K- Mailing Address City EL&II-A StateW&- Zip CodeargS t( City State Zip Code PhoneQ60 )4Xgk71W Other Ph.(2t n )42b-Lo r Ph.( Other Ph.(_� Lien/Title Holder 01� Contractor Reg.# Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. &�2o2LZ / 3J5_/fb ccon Fire District I Z egal Description S15?e- PrTrtgcAMEfl Site Address(Please include street name, street number and city)#1A,-rL.aG<-, &04 • Directions to site 2`t£-7 c4 A1001-oce- S ADY Ae Will timber be cut and sold in parcel preparation? (Yes/No)�AJ ') Is your property within 200' of the following: Body of Water(Name)-DT Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE I] SEASONAL RESIDENCE❑ TYPE OF JOB Newer Add Alt Repair Other Use of Building�PCQ:rA&Lk5::rAXTrM.L.AMel4 Describe WorkSrr - Pg�C- n^ortJE Mow Ep- d8x ipLi No. of Bedrooms No. of Bathrooms 1 SQUARE FOOTAGE-1st Floor 1-►92-- 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make A)A Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date 11-1Pr-0 l X Date �JFOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. :. wx Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal Valuation $ Building Permit Fee Site Inspection Plan Review Fee EH Review Fee 71 Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES jai` d FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD PLEASE PRESS HARD MASON.COUNTY BUILDING,PERMIT APPLICATION 426 W.Cedai1P4.Box 188,Shelton, 98M Shelton 360 27-9670 Belfair 40 2T5-4467.E1ma 60 4 • 9 2 968 APPLICANT INFORMATION CONTRACTOR INFORMATION l Owner f O-Y2 M..KJ-U(4 4- -T7 SDI i 1 Contractor Name Mailing Address 2991 LA> N)Pr-rWC Q� y &,L Mailing Address City E:L.&JA StatetIA- Zip C0de1 C.JF4( City State Zip Code Phone( )L4w -7k7 Other Ph.(sfo Ph.(_ Other Ph.( Lien/Title Holder [OC Contractor Reg. # Address T Expiration `SEPTIC/WATER SYSVEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. (o 2oZ7-. / 3-S /(0 OG1Dt) Fire District I Legal Description- P T LAUSQ Site Address(Please include street name, street number and city)MA-rLocac, k Directions to site !124 '7 " MA-ti oel- aAAOY A-1Q Will timber be out and sold in parcel preparation? (Yes/No)�N'l Is your property within 200'of the following: Body of Water(Name) L�r Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or . Bluffs PERMANENT RESIDENCE 0 SEASONAL RESIDENCE C) TYPr-OF J613 Newer Add Alt Repair Other Use of Building 6t� oN Describe Works ii-e- fxe M ort`lE r►toDul_A(L k2 Y. �y No. of Bedrooms No. of Bathrooms 1 SQUARE FOOTAGE-1st Floor1-1 2- 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make A)A Model 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. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date 11_ r-0 i, X Kt�-51;e A-�D Date OR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. Building Department Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department Fire Marshal (lt C Valuation $ ------------------- Building Permit Fee She Inspection 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 I Pre-Paid at Submittal ( ) r w TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: BLD PLEASE PRESS HARD MASON COUNTY BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98l84 Shelton 360 27-9670 Belfair 60 2754" Eima 360 482.6269 ba 1294)464.6968 APPLICANT INFORMATION CONTRACTOR INFORMATION OwnerMACY ft.1440(f."27 5VTP31 I Contractor Name Mailing Address:2z99 7 w 00AnrW9J=- getO e-A Mailing Address City Ct,MA Statel,16- Zip Codes rE I City State. Zip Code Phone(? 1 Other Ph.(a p )1•2.,6-4� Ph.( , Other Ph.( ) Lien/Title,Holder Contractor Reg. # Address Expiration SEPTICtWA'CEk*YSTEM INFORMATION-Connect to New Septic Existing Septic X Connect to Sewer System.,., , Mame of Sewer System Well Water System Name of Water System FARCE ,*POI . ION•12 digit Tax Parcel No. Cp2022. / 33 /�OUC>t� Fire District legal.DesCrhptlan, Pt-r Agdmw Site Address(P1eas include street name, street number and city)fi1A-r1..cGc e,,-A Directions to sibs A'i&"7 -0.Alit SA ADY Aza Will timber be cut-and sold in parcel preparation? (Yes/No) /Ub Is your property within 200' of the following: Body of Water(Name)—DP' Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Big ffsR p a SEASONAL RESIDENCE❑ PE 0 -�Ift*w Add Alt Repair Other Use of Building %R:TA% tJ Describe Worksi„ Ps:~ n�lor M-onut_PiL. dBx bLi No. of Bedrooms No. of Bathrooms_SQUARE FOOTAGE-1st Floors—► 2 2nd Floor Ird Floor.;-Loft easement Deck Other sq. ft. garage Attached DetatMfed Carport Attached Detached MOBILE HOME INFORMATION-Make Model Model Year Length____�_Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit ?(Yes/No) Installer Nan1e Certification No. NOTICE: THIS RM1T BECOMES NULL b VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUQTKaN WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF(W W*TINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information pttivided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIOAVIT4 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registratlep Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which thli permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval X Date 11^L,"0(� X K Date OR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. Building`Department Occ Group Type Constr. Planning Department Environmental Health Department Coe" Public Works Department Fire Marshal ValuationIN S y Building Permit Fee Site inspection Plan Review Fee - EH Review Fee f Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) TOTAL FEES Ay� �'..t9 ¢ g.u'�_. PERMIT NO.: BLD MASON COUNTY LoYVT �3 BUILDING PERMIT APPLICATION 428 W.C,edar/P.O.Box 1186,SheltaMl,WA 985&t Shelton 360 427-9670.Belfair 360 Z75-446T Ekna 360 48Z-5209 Seattle 206 64-6"8 APPLICANT INFORMATION CONTRACTOR`INFORMATION Owner3_.fg+iht ,� r 3;!! Contractor Name Mailing Address', g 1, r_4A Meal- r jNQj% &I^_� Mailing Address City Stater..#dL. Zip Code � City State Zip Code Phone(.)WU,6=,n Other Ph j3j,, ) Ph.( ) Other Ph.( 1 Lien/Title Holder{ Contractor Reg.# Address. Expiration - <l�t SEPTICJWATER SYSTEM INFORMATION-Connect to New Septic Existing Septic. '_Connect to Sewer System Name of Sewer System Well . 'Water-System Name of Water System' ` PARCEL INFORMATION-12 digit Tiax_.parcel Nm. / 1 Fiare District. I Legal Description Site Address(Please include street name,.street number and-city) AWIM Directions to site 4. 1 Will timber be, cut:and sold in parcel preparatioii? (Yes/No) Is your property within 200'of the following:.Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs _ PERMANENT RESIDENCE O SEASONAL FtEBIDENCE[„ TYPE OF JOB New Add Alt Repair Other Use of Buifdigg Describe Workj No. of Bedrooms" No. of Bathrooms.,_,A SQUARE FOOTAGE-1st Fioor�_2nd:Floor 3rd Floor Loft Basement_ _Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE'MOME INFORMATION-Make_ Model Model Year Length Width Serial No-, No. of Bedrooms : `No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit?(Yes/No) - Installer Narne ' : Certification No. NOTICE: TFIiS PERMIT BECOMES NULL 8>iO1p IF WORK OR CONSTRUCTION AUTFIO.RIZED is NOT CommENCEQ W111'"1tlQ,pAYS.OR.IF CONSTRUCTION WORK IS Sf75PENDED'OR ABANDONED FOR A PERIOD OF:180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED, PROOF OF CONTINUATION'OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that information I o�ided'is accurate and grant I employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of.such is.by signature below: OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT4 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am awaree of the ordinance contractor in the State of Washington and that 1 am aware of the ordinance requirements for Which this permit is issued and that all work will be done in requirements regulating.the:work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be dohe'in conformance therewith. No changes shall be made without approval. first obtaining approval. Date X 1 .. Date OR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. Building Department Occ GroupType Constr. Planning Department DI IL 115'4. Environmental Health Department .Pd1'blic Works Department Fire Marshal Valuation �e § Y R: IN Building Permit Fee Site Inspection u Plan Review Fee EH`Review Fee Plumbing&Base Fee Plarming Review'Fee - Mechanical&Base Fee :Other Wood/Gas/Pellet Stove Fee State Fee x Violation Fee 'Pre-Paid at Submittal ( ) � Ctad►'t2���� ► .. ,ouw t PERMIT NO.: 9LQ MASO"OUNTY BUILDING PERMIT APPLICATION 426 W.CedorR.O.Box 186,Shelton,WA.98584 Shelton 360 427-9670 Belfair §60 275-446T Eima` �) 82-5268 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Ownerowg M . A,te t-AT TYW?211 I Contractor Name Mail dress"Mg::2 w fnA nC C %*P-)e LZ Mailing Address ` City, _ Stag Zip CodelrSy l City State Zip Code Phone „n yj��-r��g Other Ph.( )��s,-��f,.T Ph.( Other Ph.( ) Lien/Title Holder ' .. Contractor Reg.# Address Expiration SERTIC/WATER'SYSTEM INFORMATION-Connect to New Septic Existing Septic-K ,_Connect to Sewdf* t. System Name of Sewer System Well Water System Name of Water Syatern PARCEL.INF6RMATION-12 digit Tax Parcel No. G,202-2. / /t-j 0=n Fire District egal Description.SME;- 00:1Ac IA ` Site Address(Please include street name, street number and city) "I'i.ec llirections to site „& "2 " /Y],A w- %9,&Ay An Will timber be cut and sold in parcel preparation? (Yes/No) AUn_ Is your property within 200'of.the fallowing: Body of Water(Name) bf Saltwater Lake River]Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PIE ANENT RESIDENCE Q SEASONAL RESIDENCE Q TY OF JOB New L4 Add Alt Repair Other Use of Building j!pR:rAgLj -rAIJ A-rioN Describe WorkSt-ra�_Pn rnAi MODUI.-Ai?.. ��x etj Urr � Si 4448••0 No.`of Bedrooms No. of Bathrooms SQUARE FOOTAGE-1st Floor rig 2, 2nd Floor : rd l*loor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOi3ILE HOME INFORMATION-Make A�* Model 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. NOTICE- THIS PERMIT BECOMES NULL t VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project.. Acknowledgment of such is by signature below OWNER AFFIDAVIT-I certify that I am exempt,from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently.registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date -- X y —. kCAAtDDate OR OFFICIAL USE BEYOND THIS POINT Accepted I Date Submittal Amount Due Receipt No. >... ` . wE�> _................................ ....... .. Building Depart ent Occ Groi •'I Type Constr. dZ Planning.Department Environmental Health Department P' lic Works Department Fire Marshal .'' �,t Valuation$ r Building Permit Fee Site Inspection Plan Review Fee EH''Aeview Fee Plumbing&Base Fee Planning Review Fee Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal ( ) k : TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO.: PLEASE PRESS HARD MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.06010 P.O.Box 1ss,SheftM WA 1141111114 Shelton(36011W4011 SeM* 6-44V EM'm -1120 968 APPLICANT INFORMATION CONTRACTOR INFORMATION OwnertOAP-y M.. K4UIZ,-4-r SC*�QQL-JDls T--W3I 1 Contractor Name Mailing Address 2 —r Mailing Address City ELM li State wf� Zip Code r1954 I City State Zip Code Phonel2&o )%7(.6-xo-i Other Ph.(_ Ph.( Other Ph.( ) Lien/Title Holder �t?l Contractor Reg.# Address Expiration,../ i SEPTIC INFORMATION-Connect to New Septic Existing Septic_�Connect to Sewer System�Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. Io 2o2z /3-A rvoedc-J Fire District_ 1 Legal DescdiptionSz-t c�it-Pta+j• -n Site Address(Please include street name, street number and city) Directions to site Is your property within 200'of the following: Body of Water(Name) A�C Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB Newer Add Alt Repair Other Use of Building 'R�-n4&-F' Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of F ure No. of Fixtures Fees LPG Natural Gas Heatpump Toilets �_ Type of Unit No. of Units Fees Bath Basins _ Furnace Bath Tubs Heatpumps Showers .2s- Vent Fans ? Water Heater I Propane Tank Laundry Wsher_217 Gas Outlets Sinks I Wood/Gas/Pellet Stove�— Dishwasher Jl Direct Vent?WL Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL 3 VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the Information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. Date \1-1 3"d k X S:9-v- Date (J FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. ..1 fF}": :•}'{'p': ::fi}}%{.}%??{{•%r,+•::.}}}Y{•:?1:iri;:}imi.::iirirr Y' .C}}''iYij•}:?::t?i?}Y.:i•:}'¢jS•?:'}.}}W}:r,;:i.};{; Department "},. '.i;#v{$$?+ Yvr •.Fi{}'.:i.?::;i::.:;r,:,v,.:.+.,. ::.J.%4:}:?i{.:{.,v,::.:?i??•::.}:{r, :..}4,}'::`:��:}:.j:?:•}:•:.•}}}:{:} � p y Occ Group Type Constr. Planning Department Other Other •... r:??rn}n}:ti:r.rr.ry•:.r.;.:.;•::rv:::r:•:. v:::.::.:r,•.i:'ti%::n..:. .......::r{.,v::::.:::::::::: •::{.;:...::::• t b f r r.:'1{: } +.r:• ro}`.#::ri:}r: :::!:}'•:::;'t}.::::'t}{;.i F:3 \ . 'f `d,: :•}:5}:•:,?>:{•:+•3f/ .::{n..<rnoyr,}r'�u,5,.::,:}:%::5.`•}::,::� ,:k w:. �.:. .::•.{;.4t•.,,},Y:':�.r. .,�;:::':::::: .......1.,.. .9. ....:. s:•r:•:{fi::,?}a£ r: ?•}.x�,' ::k#T<#'t'?S. vC'Yk k,.,,{. .:::oy ,{•..:: :x,.;:?t:.;;.::a:.w.2ccftae.:£��;#;+G,r':: :;:.'yii},yk{• ;.?¢h?•,"' ,�,;;:;t;{ {.; Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing S Base Fee Other Mechanical 3 Base Fee Other Wood/Gas/Pdet Stove Fee Pre-Paid at Submittal =atlon Fee TOTAL FEES PERMIT NO.: , MASC) ,,COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 4p 426 W.C at/P.O.Box 186,Shelton,;WA 88584 iE Shelton 60 27.9670,Belfaita 60 275-467 Eima 4., 2.6268 Seattle 204 646968 { APPLICANT INFORMATION CONTRACTOR 114FORMATION f Owne j ,tG +HIT"�+CI•kCaa. cr� 31 t Contractor Name Mailing Address r2q't-1 w fir1fA rc. ffgbM Ian Mailing Address City aL State.A Zip Code 419E 'I City -State Zip Code y Phane{ )4sc,6:&&- Other Ph.( ) Ph.( ) Other Ph.( ) r Lien(rdler Holder's Con#ractor Reg.# Address Expiration / SEPTIC.INIrORMATIO-- Connect to New Septic Existing Septic _Connect to Sewer System�Name of Sewer S stem • , PARCH INFORMATION-12 digit Tax Parcel No. (a 2.0,22 /ZA bcc:poc> Fire District I t2. Legal Description' AttAc�t C7 Site Address(Please include street name, street number and city) Directions to,Site Is your property within 200'of the following: Body of Water,(Name) Saltwater Lake_;,,_River/Greek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB'New,&_Add` - Alt Repair Other Use of Building A*-rAgt.0- Location of Fixtures/Units 1st Floor. 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No,of Fixtures Fees LPG Natural Gas Heatpump Toilets I ,_ Type of Unit No. of Units Fees Bath Basins ,Qr Furnace Bath Tubs 1W Heatpumps Showers Ar Vent Fans Water Heater t Propane Tank Laundry Wsher Or Gas Outlets Sinks 1 Wood/Gas/Pellet Stove Dishwasher _ Direct Vent? Other Por Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A'FLOOR PLAN AND PLOT.PLAN MAY BE REQUIRED DEPENDING ON:THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID F,WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 196 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 HAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK Is BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the Information provided is accurate and grants employees of Mason County access to the above described property and structures for review and Inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the.State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval Date X SP! Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No $�;, +• F+.i}..•. '. :}f r }n`„t. ., .1•j;3$ Building Department Planning Department - 4 Other s Other r. r.r 3 ... {.as ,..s{::v:•?•}.?.�:•i}n•:.vr..:::n:nn;.:::. :-: A , `, .•}:.•v:ne•...-r .r.....r.: ... {..:.+�:,.:\\vx::-:..:•:•:.,-:•:... ...r.r.................k?++C .. s:.,.:: :.............,.. •8::.. {::r}r:{4:{•: ..,....tr....r...r.,. ...r.......fi...v.Y.... , .....:... ........m....✓.:. '.....,..$................:{. ...5.... .....t..r........ u+.{,• :..4:.v's,S,+i>.v!?i a .. .... ....r..s.....,........ ... :.. r. .. : ... ::{sv':• ;:?:E:}::-}}:fiY..r?r`i:,?:.r....•:,?:+�' v{t;:'{•,•i.+�'r,}: ry v.}x{?.:ffi:^ •>'?: nh^'.:•3CfukaiC}}'{:..v..:.s....r•:.t r+r x•::..+m.;,{:4v:J-::::::::.,...u.. P.Lk. Yfi:.:'•:✓:•:y... .:::�}....::.. •}a.�'2-`.:^ ..k...., ::•:{'v::•'ti�iYi�::i•.....,-ar•:•:.:::S.r•�✓. r .,. ✓., ?:?•x•u•r•r?••::•.:t.:a •:•.. ..i•::ra:.+.•:: ,:.: •...}.r.. > L.. .. ..:<.:::,.},- r :x. .:.:>. a.:a.::a...}..,r}-,.{.:.,}..::,,,-:. ?.i....... :....✓.3}. ,•c:'{✓..3.v};:-:,+r......... r.:::-t..:::i%�rai::%::53.,•:::.••:.. r• ••.{.:::::�:•xro:.,?.::::::.};{.:?{,?•.:der+:.+•:+:?•s}x+i}r:'}}}x Permit fee Site'Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other #s Wood/Gas/Pellet Stove Fee Pre-Paid-at Submittal ( ) Violation Fee TOTAL FEES FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION e`saeo� Name+Y)Ptf-Y M, PARCEL NUMBER(P 20 2.---336225 Dote 1 L—13-0 a -s�eoen�.aas SHOW THE FOLLOWING ON SITE PLAN Show Direction by lndi tJm N.8, 11, W In rolation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent Properties if on shoreline or within 100 feet o adjacent property line4 4-adjacent 4—adjacent property llm@" 1 aco I I I I I I I I I � I I Ste- Pt- I 1 I 1 I I 1 I I I I I � I I I 1 I I I i � I I I a I I 1 1 I I 1 +mot Properly line-> ' ' py S ..E SIB PLAN v0poty _.. w r_... _. aso fit tx9Y .. . a 30 # I S>FlLeov,A� a Aw#ate �„ I Ott wim I. J 4Y4C�+1ttuT � � � I ya t� I I f/ 1 I I /gip I I , I I T IDSf HAY 11tE w:a ide,vtaw,of ax erty. :Sttow sicx ,s a l lls. if;] { I4t ude tVa"t*g0,4he <bf-slapes. SmsamplelopgWoh.y.profite:) S-AMFLUEIVP99RAP, f' 1 I—t3—O l Signature Date s ssF, r pf P S C O T S M A N ® Steve Yantzer Mobile Offices•'Storage Products Major Projects And More Sales Representative WILLIAMS SCOTSMAN, INC. P.O. Box 510 Customer Service Kent,WA 98035 800-782-1500 253-859-7950 FAX: 253-859-7994 E-mail: syantzer@willscot.com www.wubcot.com � off �, A -f Six i ( f f ��'t'���r > r.S'���" 't�F♦' * „ - ! '. ty,� i r> :�.� r� .ri 7 r '� 'fix �g,y;`S�s I �,yJ r�,l,x ?a• r � e •r N` `x - n , ` X ' P^ R - < sl F : i , Y � > fir_ r f c. ,Y _ THIS EL INCLt#DES Sf BLUEPRINTS OR�.- O-YE`RSXZE. IMAGES LARGE FORMAT IMAGES HAVE BEAN STORED IN FILE -CABINET(S) .UNDER _-- PAR- C.- E-L----N-U'M.- -BER- PARCE L #Lzo o?, - 33 - CASE Ft�o2 R*J FL£ WrTrohl� cr7G �a� few I�Cc.Cft/L� RECEIVED OCT 2 3 2001 ir-%Y; October 23, 2001 Mary M. Knight.School District - 2844 Double Modular Ciassroorn/Library Attn: Mr. Fred Yancey Prepared By: Steve Ysntzer,Modular Clasaroonn'§ales OescMpNon of Product: _.. .. . ..Gwntky.. .Prke Each Extended ; 28ic64 Double Classroom.KCDA Specs: _ _ 1 ..__S _.49.825.00 . t 49,1325.00 PT Skirling Package with Vents and Comers 1 included Included Options: ..... _ ADA Handicap Restroom Option,Single 1 S 3,415.00 : 3.415.00 5-Ton HVAC with Economiser vs 2-2.5 Ton noor Joists to 2x10 Vs 2xe=190 Lb Live•Load 1 .•�S• 920.00 s 920.00 U r : pgade Window.to 6x4 Vs 4x4 wlBNnd 2 ; S 100.00. S 200.00 . _ - - - • i._.. _. Add 6x4 Vinyl Midow with W*-ni-Blind 1 ± $ 476.00 $ 475.00 r Add J-Box and Aaceway -- - 4 _' S. _ .42.00 i 168.00 Additional Duplex Rei eptades I 8 $ 50.00 S 400.00 Remove Center wat&Add Header for Partldon ; 1 ± _ S (100.00) i (100.00) Add 12"Overhangs to an.sides j . 1 i $ 1,690.00 S 1,690.00 PT Pony Wal Foundation E Included Deliver to MBti(c*. 16.0MM6 from Oiy� 45 :5 10.00 S 450.00 Install by Nedh a Modular- 1 included :` Induded On New Style PT Foundation Add BkxdCi Devil BeM►een Base Pads 1 i •325.00 ; j : , 325.00 •ADA Deck and Ramp 1 undated ! included Add Stsirs to Landinj at ADA Entrance 1 s 576.00 ; S 575.00 5x5 landing and Stairs to Alternate t:ntrati_ •1 _S .1,t 00.00 is 1,1 o0.00 SIte'666rdinati6n and Per dim 1 Induded Included Add Gutters with PVC Downspouts 1 t R 425.00 : . 3 426.00 total PNce Each: _i.. i t 58,E 00 . I Tennis: ......, .. . .. _..... . . , Pricing does not n>dude V"_. Stan Sales Tex. ; PricMg based on sitk treir�Aat`lewt snd truck atxessible. Ground eompactloi n to 1500 Psf. Aq utnities cannacaoris by Customer. (Lie.water,sewer,efectricai)-• Ail permits do kscsl by customer. Fbtindation based pt wood pony waA, Any upgrades willi be tiagotisted. •ADA Deck and Rafnp based on l3x8 _^ us 28'of re t/t asad!LSS# FRM 10/$Z/Ot !6b96 IS9 096 t NVN91039 SAVIl1IM :AQ juag Nov 20 01 01 : 00p Mary M Knight SD 360 427 5516 p. 3 < <l Vol 1 U, co ._i m ' - U C3 y � a - Lr � Q oa o 0 u Ob� (n MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit ProcessingAnspections/Addressing Mason County Bldg.111426 W.Cedar P.O.Box 186 Stniton,WA 98584 (360)427-9670 Belfair(360)275-4467 Elma (360) 482-5269 Seattle (206) 464-6968 March 12, 2001 Mary M. Knight S.D. #311 W 2987 Matlock Brady Rd., Elma, WA 98541 RE: Temporary Occupancy and Use Dear Mr. Yancey, Based upon the engineering information received by this office, the Mason County Building Department has lifted the Do Not Occupy order from the Gymnasium, Locker Rooms and Mechanical Rooms which were posted at Mary M. Knight School due to the recent earthquake activity. The lifting of the order is temporary in nature for the following reasons: ♦ Occupancy shall be prohibited and cease in the event of a snowfall event which results in 2" or more of accumulation and windstorm with speeds of 70 miles an hour or greater per the engineering report provided by MC Squared, Inc. The policing and enforcement of this requirement is to be performed by the school district. ♦ This temporary occupancy will be for a period of 180 days or valid until September 12, 2001. This department will expect all necessary permits to be 6btained and repairs required by the engineer of record to be completed by this time. If I can provide you with any further information, please contact me at(360)427-9670 Ext 285. Sincerely,d ) Gzmz Larry Waters -; Building Inspector Cc: Property File Jul-17-01 12:58P MARY M KNIGHT SD 1-360-427-5516 P-01 *djW.v WT=K,WASHINGTTON IY rAncxY • 10�1X* �7a6 4l ROAM OF MRSOYM J"aumy FFM ��� �ottl9� rnraN,c PMiJI.mamm IQlIIT IglRMAN p m VLU Po" mo vamw armwom ltr��d�t�ewlliy `' FAX COVER x Z"TER MAjity K WaGIIT SCHOOL DISTRICT'S FAX NUMBER (36Q) 427 5516 TO: LAgo FROM fi y�..._ COMPANY: MA- co - DATE: -7-1 -7-c> RE:-MM IF YOB DO NOT R�CENE ALL OF THE PAGFj PLF+AS$ CALL WE ARF T ANSMTrMG _pAjGj& (sN iNCLvDING COVM LETn . CON NN TS: MM c 0. �S Ids 1S TBE IIUoRXA'»ON nN TWS FAX MSSAGE L9 PRIMEGED AND NM T GR ec ru IT Di ONLY vm m ru Oo 7m NASD AWVZ _ XWU RS I TO ' A ,I Aim�C '& OR YOU Of Tm A4 HY �itD11Y TAN Tws 1D m Ut SOD. pml� IT Xt?U RAV! ADS 1RA II.B. TZLZP$ Y,AM=TMK"itONGRUL 30.19AM TO IM AT TM ADS POSTAL 'z amax Waz OF c,ousm DZ 8Affy To MUM==YOU Wt ANY CWM y0'M ,,An Equal OPPOM V 0 Jul-17-01 12 :59P MARY M KNIGHT SD 1-360-427-5516 P.02 1235 EAST 4TH AVE SUITE 101 OLymKA.WA 98500 v • • (380)754.9M r2s. _ A FAX(3W)95?-P044 MC SQUARED �o zoos L.,n,,u: *„�:2 .�,n ' IN GAB PU1tATEP Mary M. Knight S.D. #311 f March 21,2001 W. 2987 Matlock Brady Rd, Elma, Washington RF,-. THE MARY M. KNIGHT GYMNASIUM, LOCKER ROOMS AND MECHANICAL ROOMS Dear Mr. Yancey, At the your request I visited the site on Tuesday March 5, 2001 and Wednesday March 14, 2001. The purpose of the visits was to determine the structural integrity of the building following the earthquake February 28, 2001. 1 examined the interior and the exterior of the building. Nick Iverson, a school representative was present during my investigation. You should understand that this report and the conclusions contained herein are the results of visual examination of the property. No calculations, measurements,tests,ca. other than those described below have been made. As a result,the report and its conclusions are circumscribed by the inherent limitations of the methods used. If you wish a more detailed investigation, we will be pleased to submit a proposal and cost estimate. ST UCTURALASSESSMLT The gymnasium,locker roosts and mechanical rooms are safe for use without restriction. The gymnasium is flramed with wood and steel,with the exception of the north portion of the building where the locker rooms and mechanical rooms are located,this portion of the building has reinforced CMU walls. The gymnasium roof has two 12 '/4"X7314" Glu- Lam beams spanning 101'-3" located approximately 27'-0" ftom the north and south walls with 34'-e between them. I observed the following items: o The 12 '/4"X 73 14" Glu-Lam beams have 1/32"to 1/16" wide cracks along the sides and the bottoms of the beams. The cracks along the sides of the beams are located over the exposed depth of the beam and very in depth from 'A"to 1 '/h". The lengths of the cracks range ftom 3'-0' to 34'-0" long. The cracks along the sT11m.- ORAL - FouNUATION • (avtL ENc1NRER5 Jul-17-01 12:59P MARY M KNIGHT SO 1-360-427-5516 P_03 bottoms of the beams very in depth from '/4"to 1 'A" and range in length from a few feet to the length of the beam. The majority of the cracks appear to be - existing cracks with paint in them and no signs of new glue separation. However, some of the cracks are new. (See photos 1,2&3) • There are cracks in the finishes of the gymnasium walls where the columns that support the Giu-Lam beams deflected differently than the rest of the wall supports and where some of the wall supports deflected more that others. (See photo 4) . • The CMU walls are cracked in several locations. Some.of the cracks are along the mortar joints and some of the cracks are through the CMU blocks. (see photos 5&6) • There are several separations between the CMU walls at the corners, where one wall is perpendicular to the other. (See photo 7) • The concrete slab at the mezzanine floor has cracked in several locations. (See photo 8) • The the surround in the shower, located near the clock and the crack in the north CMU block wall,has buckled. (See photo 9) • The seismic straps at some of the mechanical units have broken loose. (See Photo 10) • The play shed between the Elementary School and the Junior High/High School is in fair condition for its age. (See photo 11) CONCLUSION Some of the cracks and separations throughout the building may be new, or the existing cracks and separations are now wider. All of the cracks and separations are minor and have not substantially reduced the structural capacity of the buildings. The roof beams at the gymnasium were designed for 32 psf of roof live load and the actual dead load according to the plans. For my calculations T used a dead load of 15 psf plus the weight of the beams. 1 found that the beams were designed for a deflection of a little more than L/240. 1 also found that in shear and bending strength of the beams are more than 15%over the required capacity. R Mi • The cracks in the Olu-Lam beams do not require any repair, Jul-17-01 12:59P MARY M KNIGHT SD 1-360-427-5516 P.O4 • The cracks in the finish of the gymnasium walls can be filled and painted. • The cracks in the CMU walls can be repaired by two methods: 1. Epoxy inject to seal and bond the cracks together. This process involves sealing the crack joints,while leaving injection ports in place, and then pumping epoxy into the ports to bond the cracks together. The ports can be ground off after the injoction and repainted. The epoxy injection repair is usually stronger than the base material in most cases. 2. Chip out the CMU and mortar around the cracks fill the area with mortar. The mortar joint is not any stronger that the original joint and it is likely that during another earthquake the crack could re-occur. • The separations between the CMU walls at the comers, where one wall is perpendicular to the other, may be caulked. The cracks in the concrete slab may be patched to prevent the concrete ftom spalling in the fUture. • The tile surround in the showers,needs to be replaced. • The seismic straps at the mechanical units need to be repaired. if you have any questions, or if Y may be of further help, please call me at(360) 754- 9339. Sincerely, MC SRUAREID, IN Nanette S. Graham ., Associate Engineer 0o% ai _ Jul -17-01 12 :59P MARY M KNIGHT SD 1-360-427-5516 P.05 Jun 26 01 10:00a ttnrt �cv . r• • Washington State and Federal Disaster Field Office 625 Black Lake Blvd SW Suite 200 Olympia,WA 98502-8778 G-70 — @4, %;sum RzeD rY4 - 5 S rwom Cap- - Col 6 7 ode ro O p Ur"M 13 Per ROWWW G Messe,came Q Mesas atp4► t7 Plam"ft'WcW •co�..ese. n ,� l�� �° Ind• 91 � o ie me j��w. ham Z C yA-ucey all Jul-17-01 12 :59P MARY M KNIGHT SD 1-360-427-5516 P.06 Jun 26 01 103088 FEMR JGu/ r- -- FEDERAL EMBRf3ENCY MANAGE LENT AMNCV 0.1011.1111 No 30151-041 PROJECT WORKSHEET FxpiresAwd 10.2MI PAPERWORK BURDM A15CLOsm Nt)7-IC:E _ Public re.•porting burden for this form is w4no ed to average 30 mutuua. The burden esdmale includes the time for reviewing instructions,se whing existing data sources,gathering and umintaluft aw needed data.attd aaVi fling and submitting the firma. You are not roquired to teajsofiA to this collection of intornmtkm unless a valid OMH control iwtnbw is displayed in the upper right corner of the foam. %en l ao rents reprdirili the accuracy of the burden estimate and any suggestions for Tedtle)t1 die burden to: rm Infoaiion Collections 1�1 t,Meat Emergmy Management Agency.SW C Street'SW Washingtcui. IX 20472. Paperwork Re*ction ProfM 067-0I51). NOTM;: Do not send your t'kutcple:red form to this address. DECLARATK)N No. PROJECT NO. PIPS NO. DATE ^— �CAThGORY FEMR I=DR Y(A Final _ 04!�A785D-00 June 25,2001 DAMAGM FACILny 1NDRK COMPL[TE AS OF: High School Budding 518101 0% APPLICANT COUNTY — - Mary M Knight School N 311 Mawn LOCATION LATITUDE LONGITUDe 2987 W Mattock Brady Road. Elena,WA 98641 N 47.131476 W 123.475075 DAMAGE DESCRIPTION AND MANIIOMi —~ Nisquatty earthquake card damages to the High School Building in the gymnasium, boys and girls locker rooni areas, laundry room,storage!mnm,east stew", mechanical room,weight room and air-►twKXkmy roon, The damage Is mainly cosmetic In nature Typical damago are hairline cranks in the finishes of the gymnasium walls, east stairway and weight room arov;CMU wall Cracks nQ fittM bass than 1116"to 1W In 9Y ivMium,kicker room areas,storage room,laundry room and abed anical room,CMU wrtWshsetrock calling intersection cracks in locker room I rea:sheetrock corner cracking In storage room and gymnasium;damaged civamic On in Coaclh's shower by girls locker: 2 crackedidamaged windows in the gymnasium;loosened seismic straps in air handling room;cracks in glu4am beams In gymnasium SCOPE OF WORK -- - — 1. Cut and repoint about 173 LF tracks in the masonry walls(9 LF in hallway leading to the gins Wx.ker room, 10 LF in coach's office by girl locker room,30 LF in girls locker room,27 LF in laundry room,46 LF in boys locker room, 15 LF in coach's office by boys locker room,s LF in helhAny to the bays kx*er room and 30 LF in gymnasium) 2 Repair about 64F of sheetrodk am or shewock corner and eking crackinq(20 LF in east stairway,32 LF in gymnasium area and 12 LF in gymnasium storage area) 3. Repair about 30 LF shedroc k well separation(24 LF in storage room and 6 LF In east stairway),4 and S.Primelseal and paint 10,G00 SF i dwior walls(waifs with cracks less than W18"will be repaired by primerlaealer Coat and painting),6 remove and mosoe 4 SF of ceramic tiles in coach's shower room by girls locker room, 7.Replace 2 windows(5'x3')on go south sift over looking gymnasium,8. Reattach 4 ventilation unit seismic straps In the air handling room,9 Reattach 4 seismic straps in the air handling mono, 10. remove and re-install lookers(48 t.F)in boys and girls locker rooms. No repair is required for glu-lam beams. HMP—Provide two additional setlae W braes to the ventilation unit. Does the Saopa of Work chan$c the pre-dissieer eondltlom W ehC YIIC'? © yes ® No Special Considerations itisues cnClUded' Dg Yeas L] No I lamd MkiRatiou prop"Inaiuded? ® Yes [) Nu Is there insurance Coverasc:on this faaibty► ® Yes ❑ No PROJECT COST REM CODE NARRATt1/l�t QUAMnTV1UNR UNIT PRICE COST 1 1 con l _ Y. IILA _s10,440.00 $16 440.00 2 9995 Wash act sakes tax $1 4.44 s1 324 00 3 0009 Hazard Mi trios Proposal _ 1 /LS s.00 395 00 ' =: '' :_- +y}rr-.-*-- :•;Y....:.. TOTAL CWT s1s oa�.ou �•.-:f+�:,,� q,.. ..r.�i.i i.. •jai-'��. �. .. r � - 1 LP RerMitu wr:Anatnd►•fAg ynn POMW TITLE-.FEMAISTATE Project Officers f LvA rwm qi�e,."e ft ieaerucss ALL Ftrtvrow elirr 10M cdS Non-Corww Appacsnt's AuthenzOtl R.pe oeMaays Rim_ Jul-17-01 01 :OOP MARY M KNIGHT SD 1-360-427-5516 P.07 Jun tb us su:uoa Senn rEDEWLL FMFIIOVtCV M044FL1111SVI ACW.WY PROJECT WORKSHEET—Condnuatlat Shoo DECLARATKtN NO PRWECT NO, FIPS NO DATF Fel 045-0785D-00 5110/01 IN MAOED FACIL 11 Y figb School pmdftg APPLICANT COLwry -..M.Krj&Sdwxv N 311 1 Mason The applicant has received 2 proposals to repair the earthquake darttupea. The scope of work is based on the FEMA scope of work The Proposals Bom Johnson Painting Company is for$16,765 , tax. The proposal from Evergreen Erivinonrnental Inc Is$28,199+ The proposals proposes to furnish all materials and labor necessary to complete the scope of work explained in IOW. Fua this PW,the contrast from Johnson Painting Co.is racomma nded. The proposal is reasonable Compared to FEMA eslUnate(see back-up for details). Item 1-Contract Johnson Painting Company-$16.76b.00(see back-up for delsiled scope of work. This proposal includes HMP. For calculation purpose the HMP cost has begirt separated. the 516,76,5•$325=$1tf.M0.o0 for item 1. Note:The inspection team recommended 100%of the repair cost of re.ansch"seismic straps for HMP(see back-up) The estimated cost of repair is$240. This is about 1.94%of the total repair cost(8240/$12,3M). Item 2-Washington sales tax-The sales tax for mason county is 7.Q% The cost for thre deco is-d$10,768 x 7.9% $1.324.I4.. say $1,324.00. Item 3-FW.ard Mitigation Proposal-Use 1.94%of k*sl proposal of$16.765 y$325.40...say SM. Jul-17-01 01 :OOP MARY M KNIGHT SD 1-360-427-5516 r"P.08 May 16 O1 t78:2�a - • FprwRAI FMPRWswv MANAGWAVW AG&W.;v O.M.S.Nu we7-0IsI PROJECT WORKSHEET Expires"a0,2W1 PAPERWORK BURDICK DISCLOSURE NOTICE l�etblu rcporteng beuden fax this lnrm is catirnate el to average 30 mnsestes. lice burden estimatc includes tla tittle for revecwmg irrstrue bons.seaYcltlgg eocestirtg data sourres.gathering and m the gh maitttarning the needed data,and u)m�+ktin&and submitting the fame. Yew are not requited to r+tspontt to this eolkCtioa of ta5otmation tmlret+a a valid()Mkt e.-nnnol number is displayed n t coslner of the fcttugs. Send Ctt 'ds tcgantu►$that acctuacy of the bwden estiaute and any suggestim for redwing the Tden to: Irefos<tnatiem a sotto tinter llRtrptratrotenk Federal BnrrTk y MsnagetnortI.Agency,S00 C.gbvc,SW,Washrnxrvu,DC 204/2. Penerwark ItedtutrpnPia f(30b7.O1S1) Ntrl'l : Do riot seas your ee-ntplered torm to this address. _ _ - DECLARATION NO. PROJECT NO. FIP.S NO. DATE CATEGORY FFMA 1�61 DR WA Fined 04b-n785D-n0 May 10,2001 l5 DAMA EP PAcury WORK COME V 1L AS OF: High School Building S/8IOi _ - 0% .. APPi1CAtYT COUNTY Mary M.Knight School 0 311 LOCATION ._ LAIMIDE LONGITUDE 2987 W Matlock Brady Road N 47.131475 W 123.475075 Elms.WA 96541 _ DAMAGE DESCRIPTION AND DIM#NSIONs Nisqually earthquake Caused damages ht the Hinh School Building in the gymnasium.boys and girls locker room erase,laundry room, storago Thorn,east stairway,"sa hpnicat mom,v000t roam and air•ItsndMh9 morn. The damage mainly consists of cos TwW In nature. Typ"damages are hllitlMe cracks in the firwhes of the gymnasium walls.east stairway and weight room area;CMU wall cricks rwVN from lobs Mn Ui6"Ic Or in gymnsiblum.locker room areas,storage room. laundry room and mixhanical ropem;C'`WJ W8111000111ock Ceft9 iilliraection tracks In locker room area;shoetrock comer cradling in storage room and gymnasium:derneged Ceramic dies in coach's shomwby girls locker;cranks In 9k14arn beams:in gymnasium For details about Ww locatians,crack dimmisiwrei tied comments we attached spread shoots. sCOPS OF WORK 1.Cut and repoird about 173 LF cracks in the masonry walla(9 LF in hallway"ding to the girls locker room. 10 LF in coaclVs office by girls locker room.30 LF in girls locker room,27 LF in laundry room.46 LF in boys lodcor rrtnrrt, IS LF in coach's office by boys Io&ct room,6 LF in halhvay to on boya tads►room and 30 LF in Oyrnn ) 2•Repair about 64F of sh"Voak and of ahootrock comer and calling cracking(20 LF in"d stairway,32 LF In gymrtslsium area and 12 LF in gymneWum stoMe area) 3.Repair about 30 LP sheab'ock well separation(24 LF in smrage room and 0 LF in east stairway),4 and 5.PrWW*oM and paint 10,500 SF intewr Walls(Waft with tracks lass that 1116"will be t oored by PrItneffseeW Coat and P11"11y),C ren ve and replace 4 SF of ceramic Was in c oath's shower room by girls locker room. /.Keplace d windows(5'41 on the south We over looking gymnasium. /. Reattach 4 ventilation unit weenie straps in the aK hanAN room. S.Reattach 4 enhimic aft""an the air hAndlino ronnr A rwoovo and ro-iratsll lockers(48 LF)in bays and gk%locker rooms. No repair is required for ghriam beams. MMP-Pnwids two additional seismic bracse,tp the"nilliaton unit. Dora the Scope of Work chaegc the pre-disaster conditinn5 at the site? U Yes R No Special Carnsiduritions issues ineludod? ®Yes [] No Hazard Mitegatron pnvosil included) 99 Yea [] No Ix there insurance covonisC on this Lrcility? IN Yea ❑ No PROJECT COST REM CODE NARRATIVE QUANTRY/YNR UNIT PRICE COST 1 5255 Masonry crack repair-across CMU block 1731 iF — 2 5244 Crack re k interior wadi-crack<1/4* 64 ILF •-- 3 S244 Cr, repack Interior Wall-crack>V." 301 LF 4 5252 _Prlmerer Coat 10 i'SF S 5250 Paint One coat 1u 500/ F _ fi 0 Floor illsVe and r l§S: 4/SF .. 7 51 Roo doves 30/SF S 90t1r R' s -labor 1 I LS _ ---- 9 9007 Reirmove r a-install kxacers-labor 1 /LS 10 ONO momw INY PREPARED BY:Anand Riii lk.ynn Porter TITLE:FEMAISTATC Project Officers leGeA fame 110411.SEP atePLAcrss r►LL Ptettwous t>etttons. qsr Applicant's Autha iisd Reprewitrrtivo Date:_ — Jul-17-01 01 :OOP MARY M KNIGHT SD 1-360-427-5516 P.09 JOHNSON PAINTING COMPANY, INC. West 28,#8 Magna- rady Road din&, WA 98541 Phone(300)427-0190 790-1137 "HONEST HARD WORK" .lohnsonpaintcoe ol.com Contract Submitted tQM Mi tight Schaal#311 Phone 426-6767 Date Street, City, State,Zip 2997 ML MWInrk-Eiraft Road Elms_WA 98541 _ Job Name F MA Work Order f nW W3411ally EBdhWlake Johnson Painting CoMpany proposes to furnish all materials and perform all labor necessary to complete the following: 2 Repair abQW 64F of sheetroek and or cheetrock corner& ceiling cracl_c ng . 3 Repair ai xt 30 LF of aheetrock 1ws�1agVaratien 4- Awly Primer coat of latex paint to app=ingd& 10.50 SF interior wails • S AWWj On-cod sf 100% Acryic La=.Eaint to sipp-rMimately 10,500 SE of interior_W p side-of b1 ilding __ ••- 6. Remove and Rolace 44F of ceramic the :n cpach shower room by ldrl-.q locker roombap an ... A w o N O z _.... e above specified work will be completed in a workmanlike manner according to standard practices r the 3LUI1 of,c;,rtnwn thousand seven-hundred su[t�►-five D0118rS(_,,,, ,765 00 plus tax) �.. Payment will be made as follows;— Sfi-400 dompa=ent with rem*Wdgt Alain 111 upon compictim Any alterations or deviations from the above specifications involving extra cost will be executed only upon written order. Johnson Painting Company is a General Contractor;licensed, bonded and insured according to State of Washington Law your protection.License#JOHNSPC 0 14JT. Authorized Signat j r Proposal may be withdrawn by us if not accepted within Acceptance You are hereby authorized to perform the work specified above. Payment will be made as outlined above. Authorized Signature .�...-•� e .MAStN.COUNTY p DEPARTMENT OF COMMUNITY DEVELOPMENT 1�� Planning Mason County Bldg.I'411 N.5th~ P.O.Box 279 Shelton,WA 98514 (360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206)464-6968 November 21, 2001 Mary M Knight ._ uo F� Ya'viccy 2987 W Matlock Brady Rd On 11/2 �1/01 5 ��A� Elma WA 98560 wig Sob -✓� �- do a 15(� y or- Dear Representative, 65' � v 3� e,,,t( -b . 2f4 1n�m or p� ✓►'�' This letter is in response to your Initial Review Questionnaire(IRQ). You are proposing to bring 9-,^1 c-� in a new portable on parcel 22133-75-90052 to be used as a library. This parcel is located within t d/w-+ a portion of the county that has been designated as a Rural Area. &i.Z d e A . 4Q&-&-7(7 Currently there is an Order of Invalidity affecting Mason County's Development Regulations _ Matrix of Permitted Uses in Rural Areas.The Order of Invalidity was issued by the Western Washington Growth Management Hearings Board, effective December 15,2000.The effect of this order is that Mason County will not be able to determine the compliance status of some projects until the order is removed. Mason County Planning is currently revising the Matrix of Permitted Uses in Rural Areas in order to bring us back into compliance. Permits not exempted from the Order of Invalidity are put on hold until the order is lifted and we can determine the. compliance of the proposed development. There are several options for you to pursue. The first thing to consider is that the Order of Invalidity does not allow for new buildings but we can allow expansion of existing development. It has been the policy of Mason County to consider-buildings connected by breezewgy to be an expansion of existing development. If you could connect the portable to an existing building by breezeway we could exempt you from the Order of Invalidity. The next option is to wait and see if our current revisions to the Matrix of Permitted Uses are accepted by the Growth Management Hearings Board,we expect to hear early in March if the Order of Invalidity will be lifted. The last option is that Mason County can draft an interim ordinance to make schools a permitted use in the Rural Arcs. I am not sure what kind of time line you could expect if you choose to pursue this option.To pursue having an interim ordinance drafted you should contact Bob Fink,Head of the Planning at(360)427-9670 extension 366. Please feel free to call.me with any questions. I can be reached at 427-9670 ext. 281. Typically this letter would have come directly from Bob Fink,however he is out today and I wanted to give you the holiday weekend to consider your options. Bob will be back in the office on Monday, November 26,2001. Sincerely, Xr,7f�17 lw.4,14,i Kristin Riebli Planner III Dais v. Planner Area 2141 Parcel # ca— 33— CHECKLIST FOR PROPOSED CONSTRUCTION Comp .Plan Designation UGA RAC RCC _RA For IH Yes No [ ) j Within 200 FT of SMP designated shoreline, wetlands, etc. Where? [ ) [ Located near possible Critical Area, What Kind? (Wetlands, Streams, Lakes, Slopes) [ ] RLC already done? [ ] [ _) Proposed construction within floodplain F-�-- [ ] � Sagle nest Six year moratorium [ ) Multi-Setbacks [ ] ] State road access needed [ [ ) Commercial Development (parking standards, sign ordinance, public works review, other applicable agencies) Mobile Home or RV Park s NeQ s � o � v E -d 9TSS Lzlr 096 QS %42tum W Raww d00= 10 TO OZ now, ti. IM ' y �o n m m �c r n o � , o � �r R5 . From:Frank Hofineister To:Lary Water Date:3/10/2001 Time:9:50:30 AM Page 1 of 2 F date 3/10/2001 to Larry Water from Frank Hofineister company Mason Count Building Dept. company fax number 1-360-427-7798 fax number 1-419-730-9669 pages including this cover 2 subject Mary M. Knight School Symantec WinFax Starter Edition Cover Page From:Frank Hofineister To:Larry Water Date:3/10/2001 Time:9:50:30 AM Page 2 of 2 i MEMORANDUM Pacific Engineering Technologies DATE March 10,2001 1300 DEXTER AVE.N.SUITE 100 Seattle,WA 98109 (206)281-7500 FAX(206)281-4611 TO Mr.Larry Water, FAX Number: 1-360427-7798 Building Inspector Company/Address Mason County Building Department Phone 1-360427-9670 ext285 Number: Project Number 200150xx Operator: Project Name Mary M.Knight School Pages Faxed including transmittal 1 We are Sending it: US Mail ❑ Faxed X Remarks: Dear Mr.Water: This will cons firm our telephone conversation of March 9,2001. 1 visited the subject school on Such 7,2000 with Mr.Jerry Moran of Educational Servict DhOd 113,and fir.But Pajor,General Adjustor,of Coregis. We noted the splitting of the Concrete Masonry Units in the Gym Locher room area that support the surd floor mechanical rooms and weight rooms above the locker rooms. Observations of this ahafnatwd girders supporting the Gymnasium roof*om the floor ladicatsd that there are checks in the bottan lamination of the girder and possibly a separation between laminations. Based on our visual observations we do not beNeve the building was substantially damaged by the recent seismic event;and that the Gymnasium can be opened for occupancy provided thatit is dosed in the event of a wind or snowstorm. An additional site visit is scheduled for 11,00 AM March 14th when the school will have a lift onsite to allow a dose up examination of the Glued-laminated gkders. Please call 1-206-363-1957 if you have any questions. Faxed without signature E.Frank Hotlneister,P.E. Associate cc: Bart Pajor 1-3124W5400 Jerry Moran 1-360-586-4658 0.1LETTEMPacmgtmMMmry M.Knight Memo.dod/10/01 Mar-09-01 09:47A MARY M KNIGHT SD 1-360-427-5516 P.01 MATLOCK, WASHINGTO MM.9lxt/W.M9tlodt Wady Rwd•Chid.wom"ruji m 98541 �� ltUA1i0 Qf DInE G tUHti f HFI)YANi:CY (060)42"16/•rAX imol 427•bt.Hi JUDY CUN14Y toi i I•RFF 677•MMK4"1 R f'rvwdent Shpnnnimmimil;Pllocool - kURT KIMMAN I1A)It Nf I'ON YKryI-fh*$d(`nl :•newilml DIANA WLuY I IKI WII i fY 1OUIS HALL A WIM tiKrr.IniyTruzxirSS M�nflnr $TFVCN WO(V LLSLit•SKH 7ON I iPrincAi Srcaalnry LARRY WATERS MASON CONY BUILDING DEPT. DEAR MR. WATERS, MARY M. KNIGHT SCHOOI..,DISTRICT IS IN RECEIPT OF THE PREI.[!UNARY ENGINEERING ASSESSMENT FROM NC2. EITHER MYSELF, AS SUPERINT9DNENT, OR MR. PAUL NELSON, AS PRINCfPAL WILL BE RESPONSIBLE FOR MONITORING WEATHER CONDITIONS. SHOULD CONDITTUNS APPROACH THOSE MENTIONED- IN TIER REPORT, FTTHER OF US WILL THEN CLOSE THE GYM AND DRESSING ROOMS AND POST THEM CLOSED UNTTL SUCH TIME AS THE WEATHER CHANGES. rEN=T/ C-1PAL SUPE�i •An Equal opportunity Empkvyvr• _ I11111IIII9rl MAR-07-2001 16:09 MC SQUARED INC. 360 3522044 P.01i02 M YNCQ .. 1235 FAST 478 AVE s=101 (360)734-9339 FAX(360)352 Z044 FAX COVER SI EET From: Nanette Graham Date: March 6, 2001 Job Number: 21170 Project. Mary M. Knight School District#311 To: Mason County Building Department Attention: Larry Waters FAX#: (360)427-7798 #Of pages: 2 including cover shoat COMMMgTS: If you have any problems receiving this FAX please call me at(360)754-9339. Copy to: Fred Yancey(360)427-5516 O- 7 t ■ 1235 EAST 4TH AVE SUITE 101 ,' MW A O'LQO� OLYMPIA WA98506 (360)754-9339 FAX(360)352-2044 MC SQUARED vo1 E-mail:engamc2-inc.com INCORPORATED ►�� Mary M. Knight S.D. #311 $� March 21, 2001 W. 2987 Matlock Brady Rd. Elma, Washington RE: THE MARY M. KNIGHT GYMNASIUM,LOCKER ROOMS AND MECHANICAL ROOMS Dear Mr. Yancey, At the your request I visited the site on Tuesday March 5, 2001 and Wednesday March 14, 2001. The purpose of the visits was to determine the structural integrity of the building following the earthquake February 28, 2001. I examined the interior and the exterior of the building. Nick Iverson, a school representative was present during my investigation. You should understand that this report and the conclusions contained herein are the results of visual examination of the property. No calculations, measurements,tests, ect. other than those described below have been made. As a result,the report and its conclusions are circumscribed by the inherent limitations of the methods used. If you wish a more detailed investigation, we will be pleased to submit a proposal and cost estimate. STRUCTURAL ASSESSMENT The gymnasium,locker rooms and mechanical rooms are safe for use without restriction. The gymnasium is framed with wood and steel,with the exception of the north portion of the building where the locker rooms and mechanical rooms are located,this portion of the building has reinforced CMU walls. The gymnasium roof has two 12 '/4"X731/2" Glu- Lam beams spanning 101'-3" located approximately 27'-0" from the north and south walls with 34'-6"between them. I observed the following items: • The 12 '/4"X 73 '/2" Glu-Lam beams have 1/32"to 1/16"wide cracks along the sides and the bottoms of the beams. The cracks along the sides of the beams are located over the exposed depth of the beam and very in depth from'/4"to 1 I/2". The lengths of the cracks range from 3'-0' to 34'-0" long. The cracks along the STRUCTURAL • FOUNDATION • CIVIL ENGINEERS bottoms of the beams very in depth from to 1 1/2" and range in length from a few feet to the length of the beam. The majority of the cracks appear to be existing cracks with paint in them and no signs of new glue separation. However, some of the cracks are new. (See photos 1,2&3) • There are cracks in the finishes of the gymnasium walls where the columns that support the Glu-Lam beams deflected differently than the rest of the wall supports and where some of the wall supports deflected more that others. (See photo 4) • The CMU walls are cracked in several locations. Some of the cracks are along the mortar joints and some of the cracks are through the CMU blocks. (see photos 5&6) • There are several separations between the CMU walls at the comers, where one wall is perpendicular to the other. (See photo 7) • The concrete slab at the mezzanine floor has cracked in several locations.(See photo 8) • The tile surround in the shower, located near the clock and the crack in the north CMU block wall, has buckled. (See photo 9) • The seismic straps at some of the mechanical units have broken loose. (See Photo 10) • The play shed between the Elementary School and the Junior High/High School is in fair condition for its age. (See photo 11)_ CONCLUSION Some of the cracks and separations throughout the building may be new, or the existing cracks and separations are now wider. All of the cracks and separations are minor and have not substantially reduced the structural capacity of the buildings. The roof beams at the gymnasium were designed for 32 psf of roof live load and the actual dead load according to the plans. For my calculations I used a dead load of 15 psf plus the weight of the beams. I found that the beams were designed for a deflection of a little more than U240. I also found that in shear and bending strength of the beams are more than 15%over the required capacity. REPAIRS • The cracks in the Glu-Lam beams do not require any repair. • The cracks in the finish of the gymnasium walls can be filled and painted. • The cracks in the CMU walls can be repaired by two methods: 1. Epoxy inject to seal and bond the cracks together. This process involves sealing the crack joints, while leaving injection ports in place, and then pumping epoxy into the ports to bond the cracks together. The ports can be ground off after the injection and repainted. The epoxy injection repair is usually stronger than the base material in most cases. 2. Chip out the CMU and mortar around the cracks fill the area with mortar. The mortar joint is not any stronger that the original joint and it is likely that during another earthquake the crack could re-occur. • The separations between the CMU walls at the corners, where one wall is perpendicular to the other, may be caulked. • The cracks in the concrete slab may be patched to prevent the concrete from spalling in the future. • The tile surround in the showers needs to be replaced. • The seismic straps at the mechanical units need to be repaired. If you have any questions, or if I may be of further help, please call me at(360) 754- 9339. Sincerely, pE� MC SRUARED, IN f wA Nanette S. Graham cr- Associate Engineer 208 .off�F-tsr EXPIRES 07-11- 0 lw �y 71, ? RF 41 }.. .. - 2 I Photograph 3 -Mary M.Knight School, Matlock Photo graph ra ho - g p Mary M. Knight School, Matlock Y j Photograph 5 -Mary M. Knight School, Matlock 1112 '�' . O 2 � . -9 a Photograph 6-Mary M. Knight School, Matlock " I� J ;A 1 Photograph 7-Mary M. Knight School, Matlock 4 R _ ul ,y Photograph 8 -Mary M. Knight School, Matlock . . \� . . .. . . � Photograph Knight . , Matlock �m- � r \�\ ©a � - � ~�- . Photograph 1ISchool, . , ck Y' Photograph- i 1 _ 1 Knight 1 1Matlock 2 Feb 13 02 10: 26a Mary M Knight SD 360 427 5516 P• 1 MATLOCK,WASHWGMN FRED YAMCEY !AW•ttt7i7OK Mock a"Road•Bm4 Wwthirtbion Y8ti4i - /PdndP MMMIOM Ptl1Dti. •eT7�AYB 90AHC JUCY CUgRY Pdrrolpnit Pambdw KURT xwsmAN MKt WHAW Vb",M*wd AdWm Sw da*ftmkwn msmg r DIANA QOLOY LMUE QM=N LOUIS HALL. Ftn�nolel Y 9MVI!N WDOA FAX•COYM I X! 1'ER MAR'K KNIGHT SC E100L ]DISTRICT'S FAX NUMBFR (360) 4E27-5516 1/< TO: c.APP-Y FROM: f CO.1VTANY: FAX#; C3bo� DATE: a.•-—~7-7 8 RE:-Specs Pea, rrm 5— IF YOU DO NOT RECEIVE ALL OF THE PAGE(S),PLF..,A►►SE CALL. WE ARE TRANSMITTING P.A.GE (S), INCLUDING COVER LETTER. COAdav[ENTS: Co AA avo 1—oo t L+ 3 e&Az Fite 6Z70 2Z3 3 (.00•oej rJ THE WORMATIGN IN TH S FAX b SSAGE IS PRIVILEGED AND CONDOM AL. IT is Ilv'iINDO ONLY FOR TSZ M= OF TEM BECIMUNT KOM ARM (OS TSB NMMLOYEE OR AMNT RESPONUM TO DELIVER 13!TO TH8 MIENDED RXCIP7 U44 •IN YOU MW IN 1MMQ% YOU AM 113MWY ATO7MW Tl3AT ANY DISS M>AMON, DISTi�,Oi OIL COt G OF TFUS COMI IICATYON IS STRICTLY PROBMWME N YOU HAVE BECEIVF,D TM MES'SA►G$ M $BRO$ PLEASE NOTIB`Y Wl HY TELB.PHONE DIATELY,AND RET=N;�OWGIML MESSAGE TO US AT MM ABOVE AMR=VIA►V.S. POSTAL SERVICIL. EVE WIIZ,OF COURSE,AE SAPPY TO BEIMaUSM YOD 7M ANY COSTS. THANK YOH *An Equal QpportuNty Employer• Feb 13 02 10: 26a Mary M Knight SD 3B0 427 551G p• 2 GENERAL WOODEN CLASSROOM SPECIFICATIONS Code,Rules and Regulations: The building shall be constructed at the factory and installed at the site to comply with all federal and state codes and regulations including,but not limited to,the following: 1. Uniform building code,Washington Barrier Free Code,Uniform Plumbing Code,Uniform Mechanical Code. 2. Occupancy Group E 3. State Electrical,Fire and Health Codes. 4. State Factory-Built Commercial Structure Section. 5. The manufacturer is to have a minimum of 10 years experience building state approved,factory- built structures bearing gold labels. A minimum of 3 classroom project references must be supplied with your bid. 6. Contractor is to be a member in good standing of the Modular Building Institute. 7. The Buildings are to be manufactured off site and under cover to protect the moisture content rating of all kiln dried lumber,and lumber grading per the Western Grading Rules. Construction occurring outside or under tarps is unacceptable. General Conditions: l. All methods,materials and workmanship shall conform to industry standards. Structural design as per Western Wood Products Association,Western Woods Use Book Structure Data Design Tables,latest edition. 2. Design Criteria: Floor Live Load 40 psf Roof Live Load 30 psf Wind 90 mph,Exposure B Seismic Zone III 3. Lumber:All lumber is graded per Western Lumber Grading rules(latest edition)published by Western Wood Products Association. Dry dimensional framing lumber. 4. Sheathing:All sheathing shall be American Plywood Association performance rated panels Bearing an APA registered trademark. 5. Fastening to be in accordance with C.A.B.O. report#NER272,UBC Tablc 25-Q and UBC Table 47-G&J. 6. Where conflicts exist between codes and these specifications and accompanying drawings,they should be brought to the attention of KCDA and its representatives immediately,for resolution. Otherwise it shall be assumed that the more stringent requirements shall apply. Should code changes occur,pricing modifications will be made at that time. 7. Warranty: If within one year after the Date of Final Completion of the Work,or within one year after acceptance by the Owner's designated equipment or within such longer period of time as may be prescribed by law or by the terms of any applicable special warranty required by the Contracts Document,any of the work is found to be defective or not in accordance with the Contracts Document,the Contractor shall correct it promptly after receipt of a written notice from the Owner to do so unless the Owner has previously given the Contractor a written acceptance of such condition. This obligation shall survive the termination of the contract. The Owner shall give such notice promptly after discovery of the condition. 8. .� The contractor shall provide engineered building,foundation and deck/ramp plans stamped by the Building Manufacture's Engineer. Engineer must be licensed to do business in the State of Washington. Feb 13 02 10: 27a Mary M Knight SD 360 427 5516 p• 3 Site Work: 1. Manufacturer to provide delivery and set-up of building. �2. Site utilities are provided by owner 3. Site must have a minimum of 1500 psf of soil bearing capacity,provided by the Owner. 4. Unusual Conditions: If unusual conditions are encountered,such as rock formations,debris, unstable soil,etc.the extra materials and labor required to correct the condition including construction time as required will be billed on a"cost plus"basis. Owner to provide an all weather access to the building pad. 5. It is understood that all equipment necessary to complete this contract shall be able to move by its own power where needed while on the site. If additional equipment is required,such as but not limited to towing equipment or concrete pumps,the extra cost will be billed on a cost plus basis. 6. Installation Inspection:A representative of the building manufacturer must visit all installed buildings to verify that the buildings were installed per building manufacturer's engineered foundation plans and details. Daycare Building: It is the intention of KCDA to be able to offer its members a building that meets the requirements for a Daycare facility. The building is to include the basic specifications of the classroom buildings,(i.e.wall, roof,etc.)plus the items listed below and on the drawings provided. 1. Cabinets: Plastic laminate face,modular production type with upper and lower cabinetry as shown on plans. 2. Double compartment stainless steel sink 3. Single compartment stainless steel sink in classrooms 4. Appliances: • Slide-in 30"range: GE Model#JBS03GS or equal • Rangehood: GE Model#JV322 or equal • Refrigerator: GE Model#TDXI5SN or equal • Option: Dishwasher,GE Model 9GSD570 or equal Foundation: l. Footings: Pre-cast concrete pads and pressure treated wood pony wall for on grade foundation. Installer will provide and install 4"0"mid-span beam(no exceptions),for support. Wet Stamped Engineering to be provided with bid submittal that must conform to all criteria as outlined in the 1997 UBC. 2. Vents: Galvanized screen wire 3. Steel Tie-Downs: Per design engineers layout 4. Skirting: To be pressure treated,painted to match siding,bottom to be held 4"above grade. 5. Sod and loose soil to be removed by Owner. 6. Contractor to provide and install 6 mil.vapor barrier. Painting: 1. Wood on building: Face,back and edge,prime all plywood sidings and finish with two coats exterior solid body latex stain. Owner will select exterior body and trim color for each portable. 2. Metal: One coat primer and two coats finish paint. Floors: Joists: 2x8 @ 16"on center with joist hangers at all joists I Rims: Continuous single 2x8 microllam Note:Moist-stop water barrier applied to perimeter at rims and end joists Bottom Board: Class"A"woven polyethylene fabric Insulation: R25 cellulose blow in Decking(IS`): 3/A"Comply tongue and groove glued and nailed Decking(2"d): '/4"Fiberbond under sheet vinyl @ RR's and VCT @ kitchen(Daycare only) Feb 1.3 02 10: 27a Mari M Knight SD 360 427 5516 p- 4 Walls: Framing(ext): 2x6 @16"on center continuous single 2x6 microllam top plate;height--97" Framing(int): 2x4 @16" on center or @24"on center (excluding 28 x 32 single classroom) Plenum Wall: Standard for sound reduction—lined with 5/8"sheetrock Columns: Wood end columns and steel post @32' built into crosswall(delete steel post for 28 x 32 single classroom) Insulation(ext): R19 fiberglass bads Insulation(int): RI I mineral wool sound attenuated baits @crosswall to 8' (28 x 64 and 42 x 64 double classrooms only) Sheathing: 5/8"Type X gyplap Siding: 5/8"Stimson Duratemp Tl-I1 with grooves 8"on center Note:No horizontal breaks in siding except at endwalls—Use 4'x 9' panels Note: Moist-stop water barrier applied under gyplap and siding @ all corners from floor to roof Corner Trim: lx4 clear cedar;2"x2"galvanized flashing applied over siding and under corners Fascia Trim: lx6 clear cedar Window Trim: 1x4 clear cedar Mod lines Trim: lx4 clear cedar Skirting Trim: to be installed on site Roof: Framing: 28 x 32 Single and 28 x 64 Double and 28 x 64 Daycare:2x10 rafter @24"on center, 2/12 pitch 42 x 64 Double and 42 x 64 Daycare:2x10 rafter and Peak Trusses @24"on center, 2/12 pitch Ridgebeam: Continuous 1 '/a"x 24"Microlam(28 x 32 Single:continuous 1 '/<"x 24"Microlam) Insulation: R30 cellulose blow in Sheathing: 7/16"Oriented Strand Board Cover: Pabco"Premier"25 year architectural composition shingle High Wind Application Note:Mop tar under shingles from eave up 2'towards ridge-Typical both eaves Gutters: Optional,installed on site Venting: Continuous eave and ridge Building Ht: 13'2"@ middle module-Add trailer height—(42 x 64 double classroom only) Doors: 28x32 Single: One exterior door;3'x6'8"; insulated steel with steel jam,galvanized;BBH with non- removable pin hinges;painted;Schlage cylinder lock with LCN1461 closer and VonDuprin 221 panic bar. 28x64 Double; Same as above except two exterior doors 42x64 Double: Same as above except four exterior doors Daycare(s): Same as above except four exterior doors. Plus two interior doors;3'x6'8",pre-hung wood with wood jamb,hollow core vinyl wrap,standard hinges,VW Colonial Oak finish,A40L privacy lock. Plus,two interior doors;same as above except with A 1 OL passage lock. Butts: Exterior: 1 1/2 pair 4 x 4 NRP ball bearing. Interior: 3 %z x 3 ''h, 1 '/z pair per door Threshold: Pemco#172A Weather-Strip: Pemco#321CN x 36 1_,ockset: All handicap approved lever handle Finish: All hardware color US-26D finish Miscellaneous Metals: Flashings: 26-gauge steel with factory finish _'Cutters&Downspouts: Not required, listed as option. Feb 13 02 10: 27a Mary M Knight SD 360 427 5516 p- 5 Windows: Two exterior windows;46"x 48";Philips brand;with horizontal slider;dual glazing;vinyl finish;and mini-blinds. (except 28x32 Single Classroom which has only one window) Interior Fbishes all but Daycare Buildings): door Covering: phona,installed on s- Walls ''/z"Vinyl wrap tack board"Calcutta Tan"over 5/8"Type-X Sheet rock Base: Optional, installed on site Trims-Walls: Vinyl wrap corners and battens Windows: Pre-finished wood—vinyl wrap Colony Oak Door: Pre-finished wood—vinyl wrap Colony Oak(where applicable) Ceiling: 2'x4' suspended T-bar grid Height: 8'0"AFF Interior Finishes(Daycare Buildings): Restroom Floors: Congoleum"Diamond"sheet vinyl#9045 Kitchen Floors: Armstrong 3/32" VCT"Shelter White" All Other Floors: Optional, installed on site Restroom Walls: '/z"Vinyl wrap tack board"Calcutta Tan"over 5/8"Type-X sheet rock and plastic laminate wainscot per code All Other Walls: ''/z"Vinyl wrap tack board"Calcutta Tan"over 5/8"Type-X sheet rock Restroom Base: 6"rubber All Other Base: Optional, installed on site Wall Trim: Vinyl wrap corners and battens Window Trim: Pre-finished wood—vinyl wrap Colony Oak Door Trim: Pre-finished wood—vinyl wrap Colony Oak Ceiling: 2'x4' suspended T-bar grid Height: 8'0"AFF Daycare Building Accessories: Toilet Tissue Dispenser: 3 each,single roll Mirror: 2 each,24"x 36",glass Grab Bar: 2 each 36"and 2 each 42" Cabinets;Daycare Room: 2 each 45"base cabinets-full height doors with no locks—Hertco Laminate Kitchen: 10 If base cabinets plus space for a refrigerator and range—Hertco Laminate Water Heater: 2'x2'x6' plastic laminate with removable service panel Countertup: Custom with plastic laminate backsplash HVAC System: womb.Heat/AC: Bard wail hung heat pump 2.5 ton 10 kw with commercial room ventilator (42 x 64 Double Classroom and Daycare:4 ton. 15 kw) Note:28 x 32 Single Classroom requires one of the above,28 x 64 Double Classroom i and Daycare,and 42 x 64 Double Classroom and Daycare requires two. Ducting: Galvanized overhead with flexduct sound isolation sleeves Diffuser: 2'x2' T-bar with no dampers-flow controls at supply plenum Thermostat: 7-day programmable Bard 8403-034 Return Air: Thru grilles in plenum wall down low Fresh Air: As required to meet the Washington State Indoor Ventilation Code(s) for classrooms and/or daycares. 1 I Feb 13 02 10: 27a Marb M Knight SD 360 427 5516 p• 6 Plumbing(Daycare Only): Toilets: Two handicap,pressure assisted tank type;One kiddy,gravity flush Lays: Two handicap,wall hung Sink: Two stainless steel, 15"xl5"bar sinks with gooseneck faucets;One 33"x19"double compartment Floor Drain: One,set in concrete Water Heater: One 50 gallon electric in plastic laminate enclosure with removable service panel DWV: PVC Water: Copper and Wirsbo Note: Plumbing tree stubbed to one point connection,shipped loose with building Plumbing(As Option to Classrooms other than Daycare Buildings): Handicap water closet with flush valve and seat,Kohler or equal Grab bars per code Handicap wall hung lavatory Single handle faucet on lavatory Handicap single glaze mirror with clips 2.5 gallon water heater, 115V Platform,Ram,and Stairs: Base bid to include pricing for ramp at building standard height not to exceed 30" Pressure treated"Tuff Tread"landing and ramp,maximum 1/12 slope to meet A.D.A.requirements Handrails designed to meet A.D.A.requirements ADA access to one entrance point Electrical: This section sliall be construed to cover everything essential for the completion of the entire electrical system,ready for normal and proper operation. All work to comply with applicable state and national codes. Power supply to stub_ t not included. All circuits to be 412 or larger copper wire. Power Supply: 120/240 Volt, Single Phase,60 cycle Service: Single phase,stub thru Panel: One each 200 amp(28 x 32 Single Classroom,one each 100 amp) Material: Conduit Receptacles: 2802 Single: Four each 15 amp duplex;One each 15 amp clock;One each WP a HVAC 15 amp 28x64 Double: Eight each 15 amp duplex;Two each 15 amp clock;Two each WP @ HVAC's 15 amp 28x64 Daycare:Eight each 15 amp tamper proof duplex;Three each standard duplex 15 amp;One each dedicated duplex 20 amp;Two each 15 amp clock,Two each WP @ HVAC's 15 amp 42x64 Double: Twelve each 15 amp duplex;Two each 15 amp clock;Two each WP @ HVAC's 15 amp 42x64 Daycare:Twelve each 15 amp tamper proof duplex;Three each standard duplex 15 amp;One each dedicated duplex 20 amp;Two each 15 amp clock;Two each WP @ HVAC's 15 amp Switching: As required to meet Washington State Energy Code Wire For: 2802 Single:Automatic shut-off provided for classroom lights 27x64 Double: Same as above 42x64 Double: Same as above 28x64 Daycare:Range and range hood 42x64 Daycare;Range and range hood Light: 2'x4'diffused Troffers with three each 34 watt tubes and Energy Mizer ballasts 28 x 32 Single Classroom—nine total 28 x 64 Double Classroom—eighteen total 28 x 64 Double Daycare—eighteen total 42 x 64 Double Classroom—thirty total 42 x 64 Double Daycare—thirty total i Feb 13 02 10: 28a Mary M Knight SD 360 427 5516 p• 7 Porch Light: 100 watt vandal resistant lexan on photocell 28 x 32 Single Classroom—one total 28 x 64 Double Classroom—one total 28 x 64 Double Daycare—four total 42 x 64 Double Classroom—three total 42 x 64 Double Daycare—three total Exhaust Fans: One each 50 CFM and one each 110 CFM,each switched with lights in restrooms (28 x 64 Daycare and 42 x 64 Daycare only) Raceway Only: 28 x 32 Single—I ea smoke; 1 ea bell; 1 ea strobe; 1 ea pull station 28 x 64 Double—2 ea smoke; 1 ea bell;2 ea strobe;2 ea pull station 28 x 64 Daycare—2 ea smoke; 1 ea bell;5 ea strobe;4 ea pull station 42 x 64 Double—2 ea smoke; 1 ea bell;2 ea strobe;2 ea pull station 42 x 64 Daycare—2 ea smoke; 1 ea bell;5 ea strobe;2 ea pull station I I I i i i MASON COUNTY DEPARTMENT OF HEALTH SERVICES - Environmental Health Personal Health PO BOX 1666 SHELTON,WA 98584 LOCAL(360)427-9670 BELFAIR(360)275-4467&4468 Application for Determination of Adequacy Instructions t tt n:;. made:unttl;Par#::I:>»:: co 1 ::::::::::..:....................:...:..:.:............:.. T:;: act::d ..ca...o... n.1 .....:::::::::::::.:....................... ?11 ....1L� .��z...-..........::.::::::::::::::::::::.:::.:::::;;;;. .::: .....................:._.:::::::::.::::::.::_::.::::::.:..........................:..:.:::::::::::::::::::........................::::::::::::::.:::::.:..::::::::::................ :..:::.:::.::;;.;:... yyy}♦,y�,tc.�,rj...;�`�{»... :o1:I?arL: ::.}..(�.{�.l t ...... .:.....:::::::::::::::::::.::::..CY`.1F:::.. :.:........... .:::::::::::::::::.: :::::....:....::..:::::.:::::::::::::::::::..�:::::.�::.�.�::::.�:::...:............ :•:;;:i�:;:::: :.::>:::i ::: ' �:.:5i:>:-:r:::i':'::%:::::.:ii•>•::::::::>:::;::.;,>;:;:.::+.:;::..:.::::::'>;:.;::.:::..:::.:j:�::::::> :::::.>'.:.>'>'.:.:'.:::::::<::•;:;5::::>:::::::.';:::i::i::::i::ii;i:::;:i::i::::i::::;:::� PART 1: Applicant/Parcel Identification Name of ApplicantMAR-Y M. Kti Icy E+T S p#3 I l Date Mailing Address 2q8-7 w MRgLpc-K-6g-,i&4y A `Telephones 2J- �-1 G'7 t1�'1 w A Gt V S41 Assessor's Parcel Number Co LZ h 2 73 3-60QQ0 Typeo Water System Check One): Reason or Application Check One): Public/Community Water System(2 or more Building permit connections) ❑ Land use application,if so.. ❑ Individual water source(one connection),if so.. ❑ Division of land ❑ Well #of Parcels? ❑ Spring/surface water SPH9 - ❑ Other(explain) ❑ Boundary line adjustment ❑ Other(explain) PART 2: Water System Information Complete the section appropriate for the type of water system being evaluated for adequacy: Public Water System Name of Water System MAPLY M KA)1C H---r- SC440Ol-- Water Facility Inventory(WFI)Number: yl.84 5(2 ❑ The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for 1 services. 'There are presently I connections in use. This will be the I connection. water system is able and willing to prov3e water to this(these)connections wi out exceeding the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date -13—dk U U H.•IWDATd1ARCffIVE1W,4TMD3.WP Update:March A 1999 W - 7 Individual Water Well ❑ Water well report(attach to application) Depth '.3? ft. ❑ Well capacity test(attach to application) IQ S gpm Ud Well capacity tests are often performed by the well driller at the time the well is constructed Test results from these tests are noted on the water well report. Results from these tests will be accepted If the water well report cannot be located by the applicant or if the water well report does not have a capacity test, a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. ❑ Satisfactory bacteriological test(attach to application) Individual S rin /Sur ace Water N ❑ WDOE permit(attach to application) ❑ Method of disinfection a I have reason to believe that this water source can provide at least 800 gallons per day and/or provides water at a rate of 2 gallons per minute based on the following observations. AUTHOR OF STATEMENT DATE RELATIONSHIP TO APPLICANT In addition to providing the above statement, the applicant will need to arrange an on-site inspection by the health department prior to determination of adequacy. Departmental use only. Do not write below this line. :iiiiiiiiiiii:iiii::iiiiJi:Ci::i:iiiiiii iiiiiiiiis4iiii:•ism:?•isiii}i:.i::.}iiiii:•isii::i:.iii?i:aiii:<.iY is ' ::.i::i:.��.::�nY::?:.i:.i'.Y,.iii::'.�:::;:::i::i:::.:xi':..;.;i•::::i:::i':::: :::::::::i::i:: i::: :L::i!:::�.�nj}::y:: •::I�f nded.�ls.............:..........................................................................::................................................... n '€ttddrsde ... ..tx thefst ............... l�)? r14! :.:.::.:.:..:::::. mot ..::::.:.......:: ...::::::::.:::::::. healrle::::WIE::valer::raurt :r ....az..............................::..:::::::::.::::,:::.::::::.:::::::.::::..:................... ::::::::::::::::::::::::::::::::::::..:..:.............:..::..::::::.:::::::.::::::::::::............... d:: :ah ::: Qrlltl<S�E1� .1• �a,'�::::::»>;:>;:>:::>::>:::::»>;>::::»::;»::::>::»::>:: H.•IWDAT4URCHIVEIWATERAD3.WP Update:March 22,1999 dh Xer V�'�Q vi.d Ak ti. \ y :.•.-✓ mw ,.nth v •.,w w t�i * ♦ y =. y. 47M'.ry t'y.`+wr r 7'mow. ,. .r.,.w '' .�•»i rye! r m O o n < .,C) c n 2 Ti F D OQ .. Oco > C Y p O ` M1 CD ;Zr -,Ifoot DD rn A ,N Y r''4Ny%�° �� `fie .0 %yaf ." y,• ."e..._ -,aM� '79. '�°$s � �• • rotor ..•.�:.� •. GEOTECEMCAL TESTING LABORATORY SCHADE CONTRACTORS, INC. P. O. Box 1718 OLYMPIAD WA 98507 Re: 1**lace Density Test Report performed on 2/13/02 Project: Mary M.Knight school building pad Gentlemen: Inspedw. Harold Parks As requester) Geotechnical Testing Lab performed on-site density testing in accordance with current applicable standards. The results obtained were as follows: Test Test Percent Dry Material Percent Percent # Location Moisture Density Type Compaction Required 1 Foundation pad,see plan 3.4 131.9 A-I46.2 90.2 90 WC 2 3.8 132.3 90.5 Material Type: A: 1413®5.2Y%wdl gadcd gavel with wad If you have any questions concaving the test results,the procedures used,or if we can be of any further assistance please call on us at(360)7544612. Respectfully Submitted, GEOTECHNICAL TESTING LABORATORY !t Ct/1�0'r•O' �C� Harold Parks Engineering Geologist i i i 10011 Blomberg Street SW,Olympiet,WA 99512 Phone#:(360)754-4612 Fax#:(360)754-4848 - GEOTECHNICAL TESTING LABORATORY SITE PLAN WITH - TEST LOCATIONS Bldg.pad @ Mary'M. Knight school Feb. 13, 2002 f i #1 N #2 I0011 Blomberg Stroat SW,Olympia,WA 98512 • GEOTECHNICAL TESTING LAB . Datt RstdvW:Fcb.13,02 Sample W.Sch& Skvt Slav SpedRcatioas Sample a:8ravd boa S"Mw Mary W Knight us mm ASTM D-2487,UWrW$Wb CkuWrs=ti=Sysftm " Max AiL Poorly graded f"Vd%Ydb Sod 6A0 130.0 100.0% 0.0 F X 4.00" 100.0 1040% 0.0 Mood:X 3A0" 75.0 100.0%/lASIfIDT99. Merlmmcal. 2.50" 63.0 100.0% OAAASNIL)T 18D: Matted 2.OV 50.0 93.0% l00.0% 0.0ASTM D698 ASTM D IS57:X C L75" as.0Dry Dry IOOA% 0.0 Poiat Ptrrmt Devi I.SO" 37.5 100.0% 0.0 Dea:icY Maxlmamopt I.25" 3lS 100.ox oo Number MoWure Ibsne K8s/m' Dry Deadly %opt 1.25' 31.0 1 2.5% 132.4 2,121 141.3 ihwW 100.0% 0.0 2 3S% 1372 2,198 g'2% 7R" �'4 100.0% 0.0 2,2q Kgs/®� 3/4' 19.0 ".0% 100.0% 0.0 3 4.3% 141.9 2.272 aB" 16.0 100.0% 0.0 4 5.4% 140.8 7,256 l/2" 16.5 .100.0% 0.0 3W 9-5 100.0% 0.0 Iµ` 63 100.0% O.0 ___Moir MDtddtyRelatiomhip 04 4.730 31.0% IDOA% 0.0 ------- ------------ ------------r--------------- r.._____r___.__ U17 a8 2.3W tpA .__---�------ -----% t00.0% 0.0 y0. ?rwjo-CJoit�s--- - - - --- af0 2000 It10,0% 0.0 ute - - -p %-- -- r------ -- -------- 7 016 1 11s0 tOD.O% 0.0 --- - t:r7 020 0.850 100.0% 0.0 rs7e ----- - o- - -- --- ---- ------ ----- x a30 0.600 100.0% oo p --- -�- - -%• - - -------�---- -1---------------- ---- -r ---- Lis? r aao 0.425 1000x oA o --- - -----= - - 100.0% 0.0 Me ------- ------ ------ ..: -- Zsr7 2K7 a80 0.130 100.0% 0.0 M 3% 4% s% sx 71A >x stc roc rr% a100 0150 I00.O% 00 Percent Motslure 0140 0.106 100.0% 0.0 0 Data Points - •-----Zero Aw VoidsCove Curve Fit 0170 0.090 100.0% 0.0 a200 0.07S 100.0% 0.0 pecsr Meets Spas,°Yes ASTM D-4718.Correction for onwz a PariidesE3Z )47.3 n No Spaa x Reldned M 36.0% %Rctairrcd ConrMw DenstlY Opttmmnod Dfarstty Optimmn Nj Orawk 69 0% D' 1.532 fOr 3/4"Siavt IbsM Kpshrr' MDulumKpw Moisbxe ":Saad:30,5% Dtwt:4.597. S% 1421 2,272 5.0% 2,326 4.3% !isihSClay..0.3% 17.273 10% 1432 2.294 4.7% l�v.or 2343 4.0% Ct•:0.� 11.:0.0% 15% 144.2 2.310 4.S% 2,359 3.8% Cp: 11.27 Pl.:O.O% TMI:6.52 Ph 0.0% � 1pao Er�SrMliTe�lalry(prr f't�1996I0a1 1