HomeMy WebLinkAboutCOM2019-00134 Final Portable Classroom - COM Permit / Conditions - 4/7/2020 615 W.Alder St.Bldg 8,SHELTON,WA 98584
gyp., MASON COUNTY
ps COMMUNITY SERVICES SHELTON:3B0-427-9670,EXT352
BELFAIR:360-275-4467,EXT 352
Builliny,Planning.Environmental Healt€t,Cnnmrunity He Idi ELMA:360-482-6269,EXT 352
www.00.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY"
To schedule an inspection call or visit http://www.co.mason.wa.us/community-servicestbid-inspection.php
Permit Number COM2019-00134 Date Issued 04/07/2020 Issued By
Project INSTALLATION OF A PORTABLE CLASSROOM(1)EDUCATIONAL CLASSROOM WITH 2 BATHROOMS AND
CLASSROOMS,2ND MOBILE ON SITE WILL BE PERMITTED LATER
Site Address 22871 NE State Route 3
Applicant NORTH MASON SCHOOL DISTRICT#403
Contractor
Contractor Phone
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type MANUFACTURED MODULAR Occupancy
STRUCTURE COMMERCIAL
-APPROVED FLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.—
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrate Setbacks Slab
Footing Perimeter Point load Footing "z4-Lo2v J7?
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing e(-Z,i-z rn,) j7Z, Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor %_ I+ Goi►Mac. t��l Q.l,V Other
Insulation CL—
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building (Z. (L(-Z,pyp
Manufactured Setbacks Setup
p �-ui-LUzv J7L
Concrete Foot/Runners Final
Other
MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
Igo COMMUNITY SERVICES 360-482-5269 Elma ext. 352
Building,Planning, Environmental Health,Community Health
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: COW7.01-T - p0 t 34
ADDRESS/LOCATION: zZ$Z 1 NE 5-1,�e 4.4e_ 3 i3G
�FIINDINGS
Q 4 4 ck,140✓r C C}OZ f t a u Lt' C 110Z.S— 1.Z ✓re t✓��
lk
-cf-1a2� f
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
Make corrections, items will be checked on the next inspection.
OK to
Date: Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
f 1
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 WAiderstreet
Shelton, WA 98584
TESTING AGREEMENT 360.427.9670 ext.352
www.co.mason.wo.us
(All references are per the 2015 International Building Code)
Project Name °r#1.` MAy001 5(�601 ,5}rto qry ( X 6 J,;it,5root+►ri
Project Address: `� ' �y 1..__.��( o:°'" A
Building Permit Number: ,.0 Q go I Sq Date issued:
BEFORE A PERMIT CAN BE ISSUED: The registered design professional in responsible charge shall fill out the Agreement and
include the name of each inspector as well as their appropriate license/certification number. 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 INPPECTION 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
iternixed in the final report.
GENERAL SPECIAL INSPECTION ITEMS(per iBC Chapter 17)
it7nly checked items are required]
Art s i ecaaidng gw.(Yal inspection: Name of Agency: Name of Inspector: License/Cert,No.
F) Unapproved fabricators(113C 1704.2.5)
Other than Structural Steel(IBC..Table 1705.2.2)
Steel floor&roof decks
0 Welding of reinforcement
0 Cold-formed steel
Structural Steel
E,) Welding(Per N5A of AISC 360-10)
CJ Details(Per N5.7 of AISC 360-10)
0 High-strength bolts(Per N5.6 of AISC 360-10)
..._..._. _ _..
Concrete Construction(per IBC Table 1705.3)
El Reinforcement,embeds,anchors
E I formwork
0 Materials
1.1 Shotcrete
E] Post-tensioned/Pre-stressed Concrete
(71 Erection of precast concrete
Page I of 3
Mason County Community Services
Building Division
SPECIAL INSPECTION & 61S WAlderStreet
Shelton, WA 98584
TESTING AGREEMENT 360.427.9670 ext.352
www.Co.mason.wa.us
GENERAL SPECIAL INSPECTION ITEMS(per IBC Chapter 17)-continued
[Only checked Items ore required]
Areas requiring special inspection: Name of Agency: Name of Inspector: license/Cert.No.
Masonry Construction(IBC 1705.4)
.l Prior to Construction(Article 1.15,TMS-602)
U As Construction Begins(Article 1.19.2,TMS-402)
U Prior to Grouting(Table 1.19.2,TMS-402)
I During Construction(Per IMS-402&TMS-602)
Wood Construction
C.l High-Load Diaphragms(IBC 1705.5.1)
L:,' Wood Trusses>60fft(IBC 1705.5.2)
n Soils(IBC Table 1705.6)
U Driven Deep foundations(IBC Table 1705.7)
C+ Cast in place Oeep Foundations(IBC Table 1705.8)
L,..) iielical Pile.foundations(16C V05.9)
L Sprayed firs Resistant Materials(IBC 1705,13)
LJ Mastic&Intumescent Coatings(IFIC 1705.14)
1.1 FIFS(IBC 1705 1S) 4
U fire-Resistant Penetrations(18C 1705.16)
LJ Smoke Control 08C 1705,17)
3 Other ..__ ._ (IBC 1705.1.1) Blazer Industries,Inc Rock M.Shetler,PE WA PE 35006
U C)ther._.._...._� {IBC 1705.1.1)
SPECIAL INSPECTIONS FOR SEISMIC RESISTANCE(IBC Section 1705.11)
jonly checked items are required)
Areas requiring special inspection: Name of Agency: Name of Inspector: License/Cert.No.
0 Structural Steel(IBC 1705AIA&AISC 341-10)
U Structural Wood(IBC 1705.11.2)
Ej Coid-formed Steel(IBC 1705.11.3)
[I Mechanical&Electrical Components(1705.11.4)
C_1 Architectural Components(IBC 1705.11.5)
{ I Storage Racks(iBC 1.705.31.7)
page 2 of 3
G`
Mason County Community Services
Building Division
SPECIAL INSPECTION & 615 W Alder Street
Shelton, WA 98584
TESTING AGREEMENT
360,427.9670 ext.352
www.co.mason.wa.us
Declaration by Architect/Engineer
1, the design professional in responsible charge for this project, declare that the G`�' was fit
Tl
above listed special inspection and structural testing items are required for this F,4o4 brc
project in accordance with IBC Chapter 17,
_ x
04/07/2020 Cn
Sig ature Date .n p� 35006 k4
GISTS
I
Declaration by Owner
1, the Owner of the project, declare that the above listed firm(s) or individual(s) are hired by me to perform
special inspections and structural testing for the project pursuant to IBC 17042
..............
Signature - Date f
rf��
CONTRAC1"OR 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 Contractor of the project, agree to comply with the "Contractor Responsibility" items noted
above.
_sae _ a o
Signature Date
Page 3 of 3
503-749-1900 ♦Fax:503-749-3969 ♦ Instant Buildings,CCB#0050106
INDUSTRIES,INC4 000�—.
Special Inspection
For Blazer Job 419581
Please be advised that I performed special inspections of the building in the manufacturing plant, as detailed
below.
January 14, 2020
- Installation of Berc2 clips and seismic clips in suspended ceiling—OK.
No deficiencies noted.
Rock M. Shetler,PE
01/14/2020
M S IMF
0 0� wAs�J�l�
'Q;-
CIO
}ll
,p 35006
t �C1ST'0'
�SSIONAL ''-
945 Olney St. ♦ P.O. Box 489 ♦ Aumsville,OR 97325-0489
Manufacturers of Relocatable and Modular Buildings
y
Mason County
Mason County - Division of Community Development
\ v 615 W.Alder St. Bldg.8
^� Shelton,WA 98584
---- 360-427-9670 ext 352
www.co.mason.wa.us
FCLASSROOMS,
0134 MANUFACTURED MODULAR
STRUCTURE COMMERCIAL
CRIPTION: INSTALLATION OF A PORTABLE ISSUED: 04/07/2020
)EDUCATIONAL CLASSROOM WITH 2 BATHROOMS
2ND MOBILE ON SITE WILL BE PERMITTED EXPIRES: 10/04/2020
: 22871 NE STATE ROUTE 3 BELFAIR
PARCEL: 123325000055
APPLICANT: NORTH MASON SCHOOL DISTRICT#403 OWNER: NORTH MASON SCHOOL DISTRICT#403
71 E CAMPUS DRIVE 71 E CAMPUS DRIVE
BELFAIR,WA98528 BELFAIR,WA98528
360.487.9973
FEES: Paid Due
Building Plan Review/Change of $110.00
Use-Onsite Sewage
Modular/Manufactured Home $275.00
Fee-2nd half collected at ready
to issue
Modular/Manufactured Home $275.00
Fee- 1 st half collected at
submittal
Technology Surcharge $11.00
State Fee-Commercial $25.00
Planning Review Fee $380.00
IFC Plan Check Fee $80.00
Totals : $1,156.00
REQUIRED INSPECTIONS
Setback Inspection Mechanical Inspection
Footing Inspection Plumbing Inspection
Set-Up Inspection BLD-Final Inspection
Printed by:Genie Mcfarland on:04/07/2020 12:55 PM
Page 1 of 5
' /e�a1"nG,rLli lid
Mason County
Mason County - Division of Community Development
A i
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MANUFACTURED MODULAR STRUCTURE COMMERCIAL COM2019-00134
CONDITIONS
* Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
* All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and
plans are not available on site,then approval will not be granted. In addition, a re-inspection fee (refer to current fee
schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections
being performed or approvals granted.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
* Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly
corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of
pressure treated material.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* The foundation/footing must be placed on undisturbed,firm-native soil. Bottom of footing/Pads must be a min. of 12"below
grade.
* All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* Concrete used for basement walls, foundation walls, exterior walls, porches,carport slabs, steps exposed to the weather,
garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of
3000 psi (IRC Table R402.2).
* CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING
DEPARTMENT AND THE ADOPTED BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All
construction must be in conformance with the international codes as amended and adopted by Mason County. Any
corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting
additional inspections.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* All property lines shall be clearly identified at the time of foundation inspection.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
* By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback conditions listed.
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Page 2 of 5
- TAG Mason County
/cam e g<
Mason County - Division of Community Development
<; ^ 615 W.Alder St. Bldg.8
Shelton,WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MANUFACTURED MODULAR STRUCTURE COMMERCIAL COM2019-00134
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at(206)357-2620, ext. 630.
* The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the
approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* From Michele Morris at Utilities"CFC due$11,300 before permit can be issued"
* FIRE:
A fire alarm and fire sprinkler system are required. Add fire extinguishers to each side of the portable
A deferred permit for each fire alarm and fire sprinkler system required.
* 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
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this
proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION.
* Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to
the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of
the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In
addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
* The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* In accordance with the Standards for Apparatus Access Standards, Mason County Code, Chapter 14.17 Section 110, an
automatic fire sprinkler system shall be required and installed in this structure.
A separate fire protection permit for the fire suppression system shall be required and submitted for review and approval
prior to installation of the required system.
Inspection of the installed fire suppression system shall be performed and approved by the Mason County building
department/fire marshal office prior to the framing inspection of this structure.
* Lever hardware is required at doors. The unlatching of any door shall not require more than ONE operation. Hardware with
locks must open with a single action from the egress side of the door. Door hardware shall allow egress doors to be readily
open able from the egress side without the use of a key or special knowledge or effort. Handles, pulls, latches, locks and
other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight-
grasping, pinching, or twisting of the wrist to operate. X %—�
Printed by Genie Mcfarland on:04/07/2020 12:55 PM
Page 3 of 5
i+0%Mc'PLAA,1
e y Mason County
Mason County -Division of Community Development
\'
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MANUFACTURED MODULAR STRUCTURE COMMERCIAL COM2019-00134
* This project is approved, subject to the NLEA report prepared by Labor& Industries. The NLEA report shall be available to
the Mason County Building Inspector during inspections.
* Parking shall be sufficient for standard parking stalls (9 feet by 20 feet)and handicap parking stalls (12.5 feet by 20 feet)
with sufficient maneuvering aisles. Handicap stalls shall be of a smooth surface at level or ramped to entry, located closest
to the building entry, and shall be signed with the International Symbol of Access. Screening from adjacent residential
properties is required.
* In addition to the inspections required in IBC, Section 110, the owner, the engineer or architect of record acting as the
owner's agent shall employ one or more special inspectors who shall provide inspections during construction on the types of
work listed under Chapter 17 and as specified by the design professional. The special inspectors duties& responsibilities
shall be as specified in Chapter 17.
Special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton WA98584
and available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall
be submitted prior to the framing and final occupancy inspections.
* Compliance with an approved Storm Water Plan shall be subject to an on site inspection, or inspections, by the engineer
of record or an authorized representative. Said inspection(s)shall be performed in accordance with the approved plan, and
prior to any modification that would make a determination of compliance impossible.
Inspection reports and as-built drawings shall be submitted to verify all engineering requirements have been completed in
accordance with the approved storm water plan. Reports shall be submitted to the Mason County Department of Community
Development prior to each corresponding inspection and final permit approval. Copies of all special inspection reports shall
be made available at time of inspection.
* Air barriers. n continuous air barrier shall be provided throughout the building thermal envelope. The air barriers shall be
permitted to be located on the
inside or outside of the building envelope, located within the assemblies composing the envelope,or any combination
thereof. The air barrier shall comply with
Sections C402.5.1.1 and C402.5.1.2.
C402.5.1.1 Air barrier construction.The continuous air barrier shall be constructed to comply with the following:
1. The air barrier shall be continuous for all assemblies that are the thermal envelope of the building and across the joints
and assemblies.
2.Air barrier joints and seams shall be sealed, including sealing transitions in places and
changes in materials.The joints and seals shall be securely installed in or on the joint for its entire length so as not to
dislodge, loosen or otherwise impair its ability to resist positive and negative pressure from wind, stack effect
and mechanical ventilation.
3. Penetrations of the air barrier shall be caulked, gasketed or otherwise sealed in a manner compatible with the construction
materials and location. Joints and seals associated with penetrations shall be sealed in the same manner or taped or
covered with moisture vapor-permeable wrapping material. Sealing materials shall be appropriate to the construction
materials being sealed and shall be securely installed around the penetrations so as not to dislodge, loosen or otherwise
impair the penetrations'ability to resist positive and negative pressure from wind, stack effect, and mechanical ventilation.
Sealing of concealed fire sprinklers, where required, shall be in a manner that is
recommended by the manufacturer. Caulking or other adhesive sealants shall not be used to fill voids between fire sprinkler
cover plates and walls or ceilings.
4. Recessed lighting fixtures shall comply with Section C402.5.8.Where similar objects are installed which penetrate the air
barrier, provisions shall be made to maintain the
integrity of the air barrier.
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Page 4 of 5
Mason County
Mason County -Division of Community Development
rf_
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
MANUFACTURED MODULAR STRUCTURE COMMERCIAL COM2019-00134
5. Construction docurnents shall contain a diagram showing the building's pressure
boundary in plan(s)and section(s)and a calculation of the area of the pressure
boundary to be considered in the test.
C402.5.1.2 Building test. The completed building shall be tested, and the air leakage rate of the building envelope shall not
exceed 0.40 cfm/ft2 at a pressure differential of 0.3 inches water gauge (2.0 Us x m2 at 75 Pa)at the upper 95 percent
confidence interval in
accordance with ASTM E 779 or an equivalent method approved by the code official.A report that includes the tested
surface area, floor area, air by volume, stories above grade, and leakage rates shall be submitted to the building owner and
the Code Official. If the tested rate exceeds that defined here, a visual inspection of the air barrier shall be conducted, and
any leaks noted shall be sealed to the extent practicable.An additional report identifying the corrective actions taken to seal
air leaks shall be
submitted to the building owner and the Code Official and any further requirement to meet the leakage air rate will be
waived.
1. Test shall be accomplished using either(1)both pressurization and depressurization or(2)pressurization alone, but not
depressurization alone. The test results shall be plotted against the correct P for pressurization in accordance with Section
9.4 of ASTM E779.
2.The test pressure range shall be from 25 Pa to 80 Pa per Section 8,10 of ASTM E779, but the upper limit shall not be less
than 50 Pa, and the difference between the upper and lower limit shall not be less than 25 Pa.
3. If the pressure exponent n is less than 0.45 or greater than 0.85 per Section 9.6.4 of ASTM E779, the test shall be rerun
with additional readings over a longer time interval
Feby certify that I have read and examined this application and know the same to be true and correct.
rovisions of laws and Ordinances governing this type of work will be complied with whether
cified herein or not.The granting of a permit does not presume to give authority to violate or cancel
provisions of any other state/local law regulating construction or the performance of construction.
Issued By: _� ,
Contractor or Authorized Ag nt: ;i Date:
L
Printed by:Genie Mcfarland on 04/07/2020 12:55 PM
Page 5 or 5
MASON COUNTY COMMUNITY SERVICES Permit No: 6j% 7b ig-r&0l 4
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL RECEIVED
616 W.Alder Street,Shelton,WA 98684
Phone Shelton:(360)427--9670 ext 352•Fax:(360)427--7798 Phone
Belfa!_r IV75-4467•Phone Eima:(360)482-5269 -'`J DEC 3 0 2019
\11R0N BUILDING PERMIT APPLICATION15 W. Alder Street
PROPERTY O FORMATION: CONTRACTOR INFORMATION:
NAME: 1&/1.` M r}So eJ Se 2tt&L `O)b`TAI C-M NAME:
MAILING ADDRESS: 25 pt MAILING ADDRESS:
CITY: U-(-A�STATE: WA ZIP: CIT
Y: STATE: ZIP:
PHONE#1: G'-oZ —a tC PHONE: CELL:
PHONE#2• EMAIL:
EMAIL: L&I REG# EXP. / l
PRIMARY C NTACT: OWNER❑ CONTRACTOR❑ OTHERZ
NAME EMAIL
MAILING DDRESS��G��1'� I CITY STATE ZIP
PHONE �3�(�"�-7��. -o�•oL CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 1?.�37_S dr7�iG�� ZONING
LEGAL DESCRIPTION(Abbreviated)T&A.,-� Z4 oil� b ,��,ZS min - FIRE DISTRICT S-
SITE ADDRESS Z 7 es A - (L I WA q24 4 2 CITY b U-14-1 6_._
DIRECTIONS TO SITE ADDRESS apKD I}U,Ynj 1,<*L Z, 5-M.Y Qnf i-1-PJY 3 AA,,o S)
is 00 Yot 1L 1 '� Ac/ ,C(' gaoAi 6 LEA-►/L `G MGAM-44'' b je in) f�a6f1/(
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO 0
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkau that apply): i
SALTWATER❑ LANCE❑ RIVER/CREEK❑ POND❑ WETLAND[] SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW g ADDITION❑ Al'r'Fp A-ION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Gardge,Commercial Bldg Era) F t 1 C.I�tSS� ?M S U h LT"
IS USE: ,,;PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[,]of Bldg) ❑ NO ❑
DESCRIBE WORK
SQUARE FOOTAGE: (proposed
1ST FLOOR
_L3�Z sq.ft. 2ND FLOOR sq.ft.' 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF TIRE FLOOR PLAN REQUIRED*
MAKE �iaC\ r L MODEL YEAR__I_ LENG'TH �
WIDTH ZT BEDROOMS BATHS Z SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER / NEW❑ EXISTING
PLUMBING IN STRUCTURE? `YES NO❑ Ifyes, attach completed Water Adequacy Form
PERRAETER/FOUNDATION D S PROPOSED? YES ❑ NO� EXISTING SQ.FT.
EXISTING BEDROOMS--��t'P PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate Information may result in a stop work order or pemtft revocation.Acknowledgement of such Is by
signature below.I declare that I am the owner and I further declare that 1 am,andtled to receive this permit and to do the work as proposed.I have
obtained permission from all the necesspry parties,Including any easement holder or parft of interest-regarding this,project The owner or legal
representative,represents that the Information provided Is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspectiorl. This permittapplication becomes null&void if work or authorized construction is not commenced withln 180
days or if construction work Is suspended for a period of 180 days -
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY,MEANS OF INSPECTION. INACTIVITY OF THIS
P RMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
( COUNTY CODE 14.08.42) �,� /3a1 4�16(
X 7
Signature of OWNER be O ate
DEPARTMENTAL RE APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMEN
PLANNING DEPARTMENT
FIRE MARSHAL '
PUBLIC HEALTH %0 20
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PR"CT PRWAREO FOR PREPARED!Y —1101 SEAL APPNOVALS REN9aN5
F.76 —7EARLY LEARNgVC1`CENTER NORTH MASON $I1 1 S + ;I" ILL yA HA "�"D AS
DOUBLE WET PORTABLES SCHOOL DISTRICT ��'
00 BELFAIR, WASHINGT(N ENGINEERS, INC. ~ � oaA»� As
SHEET TIRE 71 EAST CAMPUS DRIVE C CHECKED SNA
O0 OCIVIL8TRUCTURAL • SURVEYING
$ 1f UUM PLAN BELFAIR, WA 98528 GATE tl/ts/sots
(� ' I IR1e CENTER RTREET I 7ACOMA,WA.SRAM hy 1 gYts •'�
PHONE:(293)47441449 1. FAR:(353)4744193 /�NAI.`G�? SCALE AS NOTED
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STATE OF WASHINGTON-Department of Labor and Industries
FACTORY ASSEMBLED STRUCTURES
P.O. Box 44430,Olympia,Washington 98504-4430
Web Site www.ini.wa.gov/tradeslicensing/factory assembled structures/
11-Dec-19
To- Mason County
d 5 W Alder St
Shelton, WA 98584 RECEIVED
Kristopher Nelson
DEC 16 2019
Re: Modular Building 615 W. Alder Street
Site location: 22871 HWY 3
Shelton, WA 98584
This letter is to inform your department of a modular building being shipped to the
address above. Enclosed is a copy of the Department of Labor and Industries, Factory
Assembled Structures Section approved plans for your use. Attached is a list of items
that will require review, inspection and approval by Mason bounty. Blazer Industries
is the manufacturer, they may be contacted at 503-749-1900. The Department of Labor
and Industries, Factory Assembled Structures Section has informed the manufacturer
that permits,review and inspection of on site construction, conditions and completion
of the building will be required by the Mason County. If you have any questions or
concerns please fe�elnfr^ee to contact me.
Krv`
Kelly Mayo
Plans Examin
WA State Dept of Labor& Industries
(360)902-6096
mayx235@lni.wa.gov
Gfi�n 1�E�
�,��0 DO1:31
MASON COUNTY COMMUNITY SERVICES Permit No:(it)jM A6,6oi 4
PERMIT ASSISTANCE CENTER:
" •BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
VCE<on:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone
•
Beltair:(360)275-4467•Phone Elma:(360)482-5269 13UILDING
C 3 U 2019 BUILDING PERMIT APPLICATION
PROPEFI MMVNFORMATION• CONTRACTOR INFORMATION:
NAME: 1JOrQTt•1 Mt}SJ/J S(�rEt,b(_ 0)sT(jiG`[ NAME: -)%i-
MAILING ADDRESS: Z5G [. CAmPti� D Av MAILING ADDRESS:
CITY: i�Ll-�A STATE: WA ZIP:gq,�6 CITY: STATE: ZIP:
PHONE#1: O-a --p -a PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# EXP.
PRIMARY CONTACT: OWNER ❑ CONTRACTOR❑ OTHERxf
NAME ,;�, ". /` /it/`F EMAIL
MAILING "DDRESS -7 CITY ( STATE +fir— ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 17-';37-5 CA )0 5-5 ZONING
LEGAL DESCRIPTION(Abbreviated)"::: Z4 0i�' Sj" 6 T�- s 4w - FIRE DISTRICT
SITE ADDRESS-7 7 � --7 �JA - t(� ViA CITY 6Et FA-"I I�
DIRECTIONS TO SITE ADDRESS FQ�M I}LL't1J 1 Srh=� 5T4 Y rJ ttO'( S AAV St 7 IS 0,3 ' Le A((a )cf 42-041 6E1,14A-f 2 u l MCA A 2`i 5U400L i J (�6-6f1d
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): } C
SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW& ADDITION ❑ AI TRIP A-ION ❑ REPAIR❑ OTHER ❑ q 1
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Ems,.,.;` F}► UAIrS twIM S �vi• Q.A ,
IS USE: .PRIMARY ❑ SEASONAL ❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part[.]of Bldg) ❑ NO ❑
DESCRIBE WORK{ ,��r t t,eq-i-1,a v ,�F A A �. &L t - ,«,t"SS,2,-
SQUARE FOOTAGE: (proposed)
1 ST FLOOR ;- ` sq. ft. 2ND FLOOR sq. ft. ' 3RD FLOOR sq.ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUHtED*
MAI{E ; I�Ct l L tv1 p�) _MODEL �I,1�SS l 01 1}�Gili2 YEAR j-A-`,9 LENGTH
WIDTH 7 BEDROOMS BATHS 7 SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER'T_ / NEW ❑ EXISTING,
PLUMBING IN STRUCTURE? YES'2_ NO ❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO�f EXISTING SQ.FT.
EXISTING BEDROOMS _ PROPOSED BEDROOMS L-� TOTAL BEDROOMS
OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed. I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X
Signature of OWNER(Must be si ned by the OWNER) Date
DEPARTMENTAL REVIEW -'APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
LEGEND
FED FEAR,FES-
— — - - _ SS SANITARY SEWER PIPE CJ.t
361E 8'f PVC SOR-35 Ry=4 SCO#022 531E B�f PVC SDR-35 SSC0#03 — _ — — — — — _ _ 5S SANITARY SEWER FORCE MAIN Olt
RIM=47.903ME
0 5=0.01FT/FT IE=44.34 0 S=O.OtFT/FT i4LF 8'o PVC - - - - - � .. - � —— ——-- — � 62
IE=43.81 .
SSCOi01(2 FROM _ �-�0 -_ _ - -_ W DOMESTIC WATER SFRMCE �t
EDGE OF BUILDING) S•O.OtFT/FT -- - �t! - _ - - - SANITARY SEVER CLEANOUT GTH
ItIM=47.37 - - - - 06a] 2-0I -d013d .
IE=44.70 __ 90'TEE AND THRUST BLOCK
E=43.67 T - /
SS
SSFwRECEIVED
i: O N:n6a2o.B2 j; ssco#04
j E 1062288.40 RIM=47.88
E 4'x6"AND 6*x8' � I �� PROPOSED OWBLE
REDUCERS TO ! ! +� y ^ PORTABLE i 4%6'AND VxB' .- D E C 3 tl 2019
UPSIZE DOTING REDIRECT FORCE 0. �•. �,y FG=407.89
EWER REDUCERS TO EXISTING FIRE HYDRANT / q o W
-- S (UP TO 8"f) MAIN AROUND /'V ! UPSIZE:XIRNC w/ o
BUILDING PAD SEWER(UP TO 8'f)
13U 6•0 PVC - /.SOR-35 615 W. Alder Street
'I PROPOSED DOUBLE GENERAL NOTES
- N PO FF=49.97 RTABI '
N
FG=47.47 j l J /
t� 3 _ / 1. THE BURIED UTILITIES ON THIS PROJECT ARE SHOWN IN THEIR APPROXIMATE LOCATION WHERE KNOWN.OTHER Q
35J 3 P EXISTING BURIED UTIUTIES MAY NOT BE SHOWN ON THESE PLANS.THE CONTRACTOR SHALL CONTACT ALL UTILITY -+ • '_C i
COMPANIES AND HAVE THEIR LOCATION MARKED ON THE GROUND PRIOR TO CONSTRUCTION.THE CONTRACTOR d o
��/ \' SHALL PROTECT OR IMMEDIATELY REPAIR,ANY DAMAGED UTILITY'DISCOVERED"ON THIS PROJECT WITHOUT
C 9 1 j
1 = I( s ' W � ADDITIONAL COST TO THE OWNER. 6, �o
h „ 2. TRENCHING FOR SEWER PIPE SHALL BE IN ACCORDANCE WITH DETAILS A2 AND A3/C3.1 AND NOTES ON C3.1.
=6 10'MIN.
,
-- f 3. DIMENSIONS NOTED ON THE PLANS ARE TO THE CENTERLINE OF PIPE OR STRUCTURE,OR EDGE OF BUILDING,
CROSSING
® G�. WATEP.IE-43. t j
UNLESS OTHERWISE INDICATED.
VVV SSFN CROWN=10.72.72
4. FIRE AND DOMESTIC SERVICES MUST BE KEPT OPERATIONAL AT ALL TIMES OTHER THAN FINAL CONNECTIONS.
MIN.SEPERATION=3' .. TIME SHALL N OWNER THAN 12 HOURS AT A TIME.THE CONTRACTOR SHALL PROVIDE 72 U Y
- j MAXIMUM SHUTDOWN E Ll 8E 0 L
d ti
1 N:776344.45 I -- - s HOURS NOTICE TO OWNER,ENGINEER,AND WATER PURVEYOR PRIOR TO ANY SHUTDOWNS AND RECEIVE WRITTEN J Z LU
LU 3 e
O E:1062234.43 - J APPROVAL FROM THE OWNER.
_ N O o
I 5. IN ALL DISINFECTION PROCESSES.THE CONTRACTOR SHALL TAKE PARTICULAR CARE TO ENSURE THAT CHLORINATED C'^
/ WATER DOES NO PHYSICAL OR ENVIRONMENTAL DAMAGE TO PROPERTY,STREAMS,57ORM SEWER OR ANY = V/ _
A66[[[ WATERWAYS.THE CONTRACTOR SHALL CHEMICALLY OR OTHERWISE TREAT THE CHLORINATED WATER TO PREVENT y
I DAMAGE TO THE ENVIRONMENT,PARTICULARLY THAT OF RECEIVING STREAMS,PONDS,OR WETLAND AREAS.DISPOSAL
/ OF CHLORINATED OR DE-CHLORINATED WATER SHALL BE THE CONTRACTOR'S RESPONSIBILITY.METHODS AND w W
3 , MATERIALS SHALL CONFORM TO ANY SPECIAL REQUIREMENTS AND PERMITS MANDATED BY MASON COUNTY PUBLIC W r
} J WORKS AND/OR THE STATE OF WASHINGTON DEPARTMENT OF ECOLOGY L z ' 1° m
rLL K ¢ '�
6. SEE SHEET C2.0 FOR GRADING.
I APPROVED �. / / UTIL[TY KEY NOTES � Z J
t- W °
C�Dt1NTY DCD pLANNINC _ 0 CONTRACTOR TO PO7HOLE TO LOCATE SAMTARY SEVER FORCE MAIN.
} SITE PLAN REQUIRED TO BEON SITE O CONTRACTOR TO LOCATE WATER METER AND POTHOLE TO 11E INTO EXISTING WATER UNE.
VAL
1 I CH GES SUBJET TO APPRO Zd / / O CONTRACTOR TO INSTALL WATER LINE PER DETAIL 82/C3.1
F-
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_ PLANNING Ens on 00
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J CIE
a / F=- O "
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L I�� � II�� : 1 Z ° 03
W W
ALL SETBACKS ARE MEASURED
J FROM THE FURTHEST
PROJECTION OF 1 1 = BUILDING
/ HJ
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EXISTING FIRE HYDRANT
z 0
JW3 J
NORTH J m a F
HORIZONTAL SCALE: 1"=20'
20 O 20 40 a Q 0
UflLfiY PLAN w o DO
SCALE.I'•=20• .
SHEET�.
• Cali 8jdays
C3.0
i• two business PROJECT NO.
before you di 18583
0 0
1 64'-0" �
c
17'-10" 23'-9" 31'-9" 40-3" 46-2" ! ^
PL WAINSCOT A j[,�•
-TO-4'-0" AFF WASTE/ G /�
WATER STUB -
-- --------- ----- -- - ---...........................
- ------------- ---------- -- -O---------------
-- ------------------
5 HCRR !1O HCRR l2 ® 2b
3' 2a i �� 3 i� , B 1 3.1 WHITE BOARD
i 8' x 4'WHITE BOARD A-3.1 �TII i m I �. w/MARKER TRAY DO
MARKER
AR E R TRAY(DO
NOT 1 i 1 NOT GLUE) /
xWw =�w
. __ e171
Lf
_ _ _ -----
r -------CLASSROOM ------_---_---_ ----- _ _-_-- CLASSROOM --_-
A� ,—Rll UNFACED FIBERGLASS BATT INS 6
INSULATION AT CROSSWALL 8' x 4'WHITE BOARD �
i
8' x 4'WHITE BOARD AND RESTROOM WALLS w/MARKER TRAY(DO
w/MARKER TRAY(DO TO BOTTOM OF RAFTERS NOT GLUE)
j NOT GLUE) I
i 5 �
� e e e
3• 3, 3.
i I
i
PANEL
12" 2 A-� PATCH��l
PANEL
i I
O 0
______________________________ ______________________
A 12" OVER
12'-0' 20'-6" 27'-0" 32'-0" 37'-0" 43'-6" 52'-0"
FLOOR PLAN
SCALE:114"=V-T