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CONCRETE MECHANICAL MANUFACTURED HOME _
i Footings d Setbacks Date By Ribbons N
Gas Piping
o Inte Date By Interior-Date By Data By Z
01 Extemw Date By Exterior-Date B Set-up
INS UL A71ON CA
Point Load 1 Isolated Footings Date By 90
Date By BG 1 SLAB INSULATION'
Data By FIRE:.DEPARTMEhIT
Foundation walls Floors Date By
Date By Data By DECKS
FRAIW1NG Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Data By
Date By OTHER
Groundwork Attic
Date By Date By Type.,
bate By
i�.rrvu DRYWALL Type: O
Int Brace Wall pate By
Pate By ic
Date y FINAL INSPECTION c
Water Line Fire Separation
Data By bate By bate By C
Pasts air Request. Inspect.
CA
Type of Insp. Fall Date Date Done By Comments
�ML5�07'6�
K12-01/7
v
m
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. C01__� Z-0P'00() Sij
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584 � q�T�T
Shelton (360)427-9670 - Belfair (360) 275-4467 - Elma (360) 48f51Q6�6'>A►� NIN%j
On the web www.co.mason.wa.us
APPLICANT INF RIVI#TION CONTRACTOR INFORMATION
Owner v'o h K7 S 0 Yl Company Name 5�e l'� n s b n �N L
Mailin Address o X Mailing Address —
a l.�t Zi Code—� City r State _ Zip Code
City State p
Phone
3L6 2LOther Ph. PhonsA 73 V Other Ph.
Lien/Title Holder Contractor Reg.# t2oh ' ! At Exp. r ^6,
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic x
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description ZI y -�4
Site Address (Please include stye t name street number and city)
Directions to site/1,�,
Will timber be cut and sold in parcel preparation?YesZNV
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or BluffsT15%
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 PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building?rr 0 Ca.42 Describe Work Q o
No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor SO00 2nd Floor
3rd Floor Basement Deck Covered Deck'1,4tl _Other Sq. ft.
Garage Attached Detached Carport 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 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 PONTINUATION OF WORK IS BY
MEA APROG E INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X -r-��. Date: h`i / ,
eooyn owr6A Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by:
DEPARTMENTAL REVIEW APPROVED DENIED N
Building Department
Planning Department
Environmental Health 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 Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
+�
«S-7 TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
} (All references are per the 2015 International Building Code)
Project Name: eofat let-'s u
Project Address:
Building Permit Number<ahl 76 1 —•- _ Date Issued:
BEFORE A PERMIT CAN BE ISSUED: The registered Design Professional in responsible charge shall fill out the Agreement
and include the name and address of the company or inspector. Two(2) copies of this form are to be submitted to the
County prior to the issuance of a building permit. If changes are made as to who will perform the special inspections a new
form shall be submitted and turned into the Building Permits&Inspections Division for approval.
STATEMENT OF SPECIAL INSPECTIONS: In addition to this Agreement, a "Statement of Special Inspections" shall be
provided per IBC 1704.3. This Statement shall be made as part of the approved plans, and be placed in a conspicuous
location,such as the first page of the construction plans or the first page of the structural sheets.
SPECIAL INSPECTORS: All special inspectors shall be approved by the Building Division prior to performing any duties. The
special inspector shall provide proof of certification as a special inspector for each inspection item and be licensed by the
State of Washington.
SPECIAL INSPECTION REPORTS: Special inspection reports are to meet the requirements of IBC 1704.2.4. Copies of each
report are to be sent to the address listed in the letterhead noting the Project Address and Permit Number. A final report
shall be submitted stating that all special inspection and structural testing items were completed and are in conformance
with the approved design drawings and specifications. Items not in conformance,unresolved items,or any discrepancies in
inspection coverage(i.e. missing inspections, periodic inspections when continuous was required, etc.)shall be specifically
itemized in the final report.
Areas requiring special inspection: Name of Agency: Address&Contact Information
❑ Unapproved Fabricators(IBC 1704.2.5) /Y� " A R.OL►-Js Je
I a I?,e-
Other than Structural Steel(IBC Table 1705.2.2)
❑ Steel floor&roof decks
❑ Welding of reinforcement
❑ Cold-formed steel
Structural Steel
❑ Welding(Per N5.4 of AISC 360-10)
❑ Details(Per N5.7 of AISC 360-10)
❑ Nigh-strength bolts(Per N5.6 of AISC 360-10)
Concrete Construction(per IBC Table 1705.3)
❑ Reinforcement,embeds,anchors
❑ Formwork
❑ Materials
❑ Shotcrete
❑ Post-tensioned/Pre-stressed Concrete
❑ Erection of precast concrete
Page 1 of 3
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
TESTING AGREEMENT 360.427.9670 ext. 3522
www.co.ma5on.wa.us
Areas requiring special inspection: Name of Agency: Address&Contact Information
Masonry Construction(IBC 1705.4)
❑ Prior to Construction(Article 1.15,TMS-602)
❑ As Construction Begins(Article 1.19.2,TMS-402)
❑ Prior to Grouting(Table 1.19.2,TMS-402)
❑ During Construction(Per TMS-402&TMS-602)
Wood Construction
❑ High-Load Diaphragms(IBC 1705.5.1)
❑ Wood Trusses>60ft(IBC 1705.5.2)
❑ Soils(IBC Table 1705.6)
❑ Driven Deep Foundations(IBC Table 1705.7)
❑ Cast-in-place Deep Foundations(IBC Table 1705.8)
❑ Helical Pile Foundations(IBC 1705.9)
❑ Sprayed Fire-Resistant Materials(IBC 1705,13)
❑ Mastic&Intumescent Coatings(IBC 1705.14)
❑ EIFS(IBC 1705.15)
❑ Fire-Resistant Penetrations(IBC 1705.16)
❑ Smoke Control(IBC 1705.17)
❑ Structural Steel(IBC 1705.11.1&AISC 341-10)
❑ Structural Wood(IBC 1705.11.2)
Page 2 of 3
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Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder StreetShelton, WA98584
sw1:
154 TESTING AGREEMENT 360.427.9670 ext. 352
www.co.mason.wa.us
❑ Cold-formed Steel(IBC 1705.11.3)
❑ Mechanical&Electrical Components(1705.11.4)
❑ Architectural Components(IBC 1705.11.5)
❑ Storage Racks(IBC 1705.11.7)
❑ Other_ (IBC 1705.1.1)
❑ Other (IBC 1705.1.1)
Declaration by Architect/Engineer (SEAL)
I, the design professional in responsible charge for this project, declare that the
above listed special inspection and structural testing items are required for this
project in accordance with IBC Chapter 17.
Signature Date
Declaration by Owner
I,the Owner of the project,declare that the above listed firm(s)or individual(s)are hired by me to perform
special i ' ns s uctur I testing for the project pursuant to IBC 1704.2,
qfi,3//:z
Signature Da
CONTRACTOR RESPONSIBILITY: Each contractor involved with the construction of wind or seismic force-resisting
systems shall comply with the requirements of IBC 1704.4. The contractor is responsible for providing the
special inspector access to approved plans and contract documents at the job site. All special inspection records
shall be retained at the job site by the contractor and shall be made available to the Building Department upon
request.
Declaration by General Contractor
I, the General Contrac r of the project, agree to comply with the "Contractor Responsibility" items noted
abov .
Signature Date
Page 3 of 3
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Peninsula Topsoil Bolting - 18S036 - Field Report: Structural Steel, Job site: Report
#F180425
CLIENT Peninsula Topsoil DATE 01/31/2018
PROJECT LOCATION 50 NE Peninsula.Blvd Belfair WA PERMIT #COM2017-00054
Inspection Information:
Inspection Date: Time Onsite: 0<!15 Weather Clear
01,/31/2018 Conditions:
Inspection Performed: Structural Steel Job site
Comments:
Arrived on site to perform special inspection of A325 high strength bolts in shop/warehouse.
Details: general notes on high strength bolting.
Inspected primary bolted connections.Bolts were 1/2"x 1 1/4"A325.All faxing surfaces were in contact.All nuts
and bolts had been marked to indicate offset as would be consistent with bolts installed by turn-of-nut method.
Marked nuts appear to have been tightened one third to two thirds of a turn.All connections had been completed prior to
inspection.
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UPLOADED: 01/31/2018 20:50:36 UPLOADED: 01/31/2018 20:51:05
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Corporotr # 777 Cbr7sier Drive < Burlington, WA #8333 # Phone 340-75$_19"# Fax 360J55.1986
SW Region . 1 t Is 81akck (Ake Iklval_ :S W—Dlgpnpaw, WA 14$112 # phone �6tt144'97t"7 # FAA 1601 14,"19
NW Region • 005 Dopotit Styr-cat, Suitt 5 • 4etlte8hant, WA 9a8223 * P'h eke 460, 41" 604t - Fix 360*47 81 it
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Peninsula Topsoil Bolting-18S036,0113112018,#F180425,Page 1 of 2
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UPLOADED: 01/31/2018 20:51:41 UPLOADED: 01/31/2018 20:52:14
REPORTED BY:James Northouse REVIEWED BY:Sam Hyatt, Project Manager
Corporate * T?? Chrysler Drive * Sortinptoo, WA $3213 • Phone 3 -?55.10 Fax 366.7$5.1986
kel oo 2I t$ Wact 1"**r illvsi. :4 w-*Olympia, WA 9$112 * i5hweo 160,134,9111 * Fax 360, 34,9710
Nw Region * 805 Dapoilt 31rotelF 5oi1v 3 * ellioiiham, `d4'A #d21 * Phomo 360.641 6041 - fax 36ti"14I l i
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Peninsula Topsoil Bolting-18S036,0113112018,#FI80425,Page 2 of 2