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May 5, 2009
South Shore Construction
230 E. Hillside Drive
Belfair, Washington 98528
RE: Building Pad and Fill Assessment for Property Located at 91 Pine Tree Place,
Tahuya, Washington.
Dear Mr. Moore,
Envirotech Engineering (Envirotech) completed a site visit and conclusions for the
planned foundation bearing strata for a single family residential structure located at the
referenced address. The site visit was conducted on May 4, 2009 in order to observe the
soil conditions, and assess the suitability of the founding soils for use as bearing strata.
Information pertaining to the project was provided by Mr. Moore, contractor for the
referenced property. Information collected from site observations, and field testing was
completed by Michael Staten with Envirotech.
The foundation bearing soils appear to be relatively undisturbed native so#$ on one end
of the bW'ding pad, and structural fill of no more than 24 inches on the other end of the
bulldin& pad. The planned footings are continuous runners typically uspd for
rhWwf&#Wed homes. The native and native fill soils directly beneath the anticipated
fourions are primarily a Poorly Graded Send with Gravel (SP), and Silty Sand with
Gravel (SM). The fines content exhibited none to low plasticity. The bearing strata were
field measured to be medium dense to very dense. Relative density was assessed by
measuring the resistance from pushing a 1-inch diameter rod with an estimated
predetermined force within several locations of the building pad.
It is concluded that the existing fill soils as inspected during the site visit generally
exceeded 95% relative density with relation to the standard Proctor, and is a suitable
bearing strata for a typical residential structure.
F°o'L?.w, h✓,;apt.✓�.,-^f. _5 :'
The conclusions presented above were derived from engineering judgment using
geotechnical standards in conjunction with the information collected from the site visit
and proponent of the Project.
If you have any questions or need any further assistance, please contact Michael Staten
at 360-275-9374.
Sincerely,
Envirotech Engineering
f` CLYDE S
G 0�WAS yI�rY
S'/5/o9
O�D �,�43045 �w4
.c GISTS
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Michael Staten, P.E.
Project Director
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ACCESS & GRADE INSPECTION PERMIT #.
DDRESS
INSPECTOR / DATE:
DRIVEWAY ACCESS
Length:��ox ,-_-a_` Width: i ? Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
vc-} ) need oost at end of driveway with reflective address numbers
GRADE,rOF DRIVEWAY e-5 — %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of shoulders:
Vertical clearance:
(�) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
( ) LOT INSIDE SMZ, 4X4 FIRES ONLY.
( ) LOT INSIDE UGA, NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES.
REMARKS_
(continue remarks on back)
MASON COUNTY PERMIT NO��t1r
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 Aj
On the web www.co.mason.wa.us
APPLICANT INFOR ATION CONTRACTOR INFORMATION
Owner C` Company Name
Mailing Address a Mailing ddres
City tate Zip Code City State Zip Code
Phone. >._ 15!r- -Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg.
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic— Existing Septic
Connect to Water System Name of Water System Cn d44T�
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name street number an city
Dir ctions to site
7—
Will timber be cut and sold in parcel preparation. Yes IS)
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluff—T/o
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB New Add Alt Repair Other -- PRIMA Y RESIDENCE SEASONAL ❑
Use of Building .t�Describe Work rn1e M
VY
No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model -Year_
Length W Wi t, -0 Serial No. No!"of No. of Qathrooms —
Type of Heat Purchase rice$ 4'C' Replacement Unit? Yes/ o
Installer Name " ev ' e�-d r 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 contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROMESS IN ECT N.INACTIVITY OF THIS PERMITAPPLICATION OF 180 YS WI INVALIDATE THE APPLICATION.
X �i'r ;C.._._ Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepte by: Date
DEPARTMENTAL REVIEW AP ROVED DENIED NOTES
Building Department G
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee (,; EH Review Fee
Plumbinq & 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