HomeMy WebLinkAboutBLD2022-00278 Final SFR - BLD Permit / Conditions - 4/6/2023 Mason County
Masop County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2022-00278 NEW SINGLE FAMILY RESIDENCE
PROJECT DESCRIPTION: NEW SFR ISSUED: 05/06/2022
SITE ADDRESS: 1161 NE COLLINS LAKE DR TAHUYA
EXPIRES: 11/02/2022
PARCEL: 223315100004
APPLICANT: HARN COLETTE NOELLE OWNER: HARN COLETTE NOELLE
1825 ANN ST NE 1825 ANN ST NE
OLYMPIA,WA98506 OLYMPIA,WA 98506
425-442-6679
GENERAL CONTRACTOR'S LICENSE: TRUE BUILT HOME INO License: TRUEBBH925CD
3403 N PROCTOR ST Expires: 02/05/2024
TACOMA,WA98407
253-292-9092
VALUATIONS: F ES: Paid Due
R-3 VB Residential, one- 793.00 $117,625.69 Plan Check Fee $790.61 $0.00
and two-family Mechanical Base Fee $30.00 $0.00
Covered Deck/Carport 153.00 $3,366.00 Pl�lmbing Base Fee $25.00 $0.00
Building Plan Review/Change of $125.00 $0.00
Use- Onsite Sewage
Planning Review Fee $240.00 $0.00
Technology Surcharge $45.96 $0.00
S ate Fee-Residential $6.50 $0.00
Mechanical Fees $157.00 $0.00
B jilding Permit Fee $1,216.32 $0.00
P umbing Fees $79.00 $0.00
Total: $120,991.69 Totals : $2,715.39 $0.00
FIXTURES
(fit Mechanical Fixtures Qty Plumbing Fixtures
1.0000 Dryer Vent(s) 1.0000 Number of Hose Bibs
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Bath Tubs
1.0000 Ductless Heat Pump 1.0000 Bathroom Sink
Printed by:Amber Selby on:05/06/2022 03:22 PM
Page 1 of 7
Mason County
Maso i County - Division of Community Development
I' 615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SIN LE FAMILY RESIDENCE BLD2022-00278
-ty Mechanical Fixtures (sty Plumbing Fixtures
1.0000 Propane Tank(s) 1.0000 Number of Clothes Washers
2.0000 Gas Outlet(s) (1-5) 1.0000 Number of Dishwashers
2.0000 Spot Vent Fan(s) 1.0000 Number of Kitchen Sinks
1.0000 Number of Showers
1.0000 Number of Toilets
1.0000 Number of Water Heaters and or Vent
REQUIRED INSPECTIONS
Setback Inspection raming Inspection
Footing Inspection ough Plumbing Inspection
Foundation Wall-Pre-Pour Inspection Mechanical Inspection
Underfloor Inspection Insulation Inspection
Shearwall Inspection BLD-Final Inspection
CONDITIONS
Contractor registration laws are governed under RCW 18.27 an enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and mo ietary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1- 00-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor ac ording to WA state law.
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Page 2 of 7
Mason County
Masom County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2022-00278
" Installation of heating equipment in a single-family residence sh all meet the requirements of the current IECC/WSEC
R403, applicable sections of the IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.7. Heating and design load calculations for the
purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including
infiltration and ventilation. Design calculations shall be available f r inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers, filter boxes, anc building cavities shall be sealed. All joints of duct
systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other
approved closure systems. Closure systems used with rigid fibrou glass ducts shall comply with UL181A and shall be
marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used
with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-
sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings
shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B
and shall be marked 181 B-C. Crimp joints for round metal ducts s all have a contact lap of at least 1-1/2 inches (38 mm)
and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint.
Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When duc, are located in unheated spaces the ducts hall be
insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit
documenting test results in accordance to IECC/WSEC Section R 03.3.3 shall be provided to the Mason County Building
Department prior to the final occupancy inspection. Affidavit form are available on at the WSU-Energy Program website
titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results Existing Construction)." Duct tightness testing is not
required if the air handler and all ducts are located within the heat ad space.
* All property lines shall be clearly identified at the time of founda ion inspection.
* A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space
where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel,
the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired
Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab,
basement wall, crawlspace wall and/or floor), and ducts outside tir e conditioned spaces; U-factors for fenestration; and the
solar heat gain coefficient (SHGC) of fenestration. Where there is more than one value for each component, the certificate
shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service
water heating equipment, duct leakage rates including test conditi ns as specified in WSEC Section R401.3 & R402.4.1.2,
and air leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air
changes per hour when tested with a blower door in accordanve ith IECC/.WSEC Section R402.4.1.2.
The blower door test results shall be recorded on the permanent ertificate required located near the electrical distribution
panel. Air leakage testing is not required for additions less than 00 square feet. Reference IECC/WSEC R402.4.1.2.
Compliance certificates are available online at the WSU Energy p ogram website titled, " WSEC 2015 Certificate" and are
available in '/or%sheets. The Mason County Permit Center will also have some available.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
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Page 3 of 7
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
r Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SIN LE FAMILY RESIDENCE BLD2O22-00278
* 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 ob in 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.
" A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
* The plan review check list and corrections are part of the appro ed plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required correcti ns indicated on the plans. Once the plans are marked
"APPROVED", they shall not be changed or altered without autho ization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site fc r the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required bl.ilding inspections.
* All construction must meet or exceed all local and state ordinan es 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 woLild result in permit revocation.
* When parcel development requires direct access to state road( ), 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.
* Provisions for surface/subsurface drainage control must be imp emented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirE ments of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwat r ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific r urpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the ir stallation/construction of a driveway or access connecting
from a Mason County Road, Contact the Mason County Public W rks Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25' of a Maso County road right of way, it is suggested to contact that
office to review future planned work which may affect your project
* When parcel development requires direct access to county roa (s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. For more information contact Public Works, at (360)427-9670, ext. 450 or
100 W Public Works Dr. Shelton. The building permit will not be fi aled until the permit holder can show proof that the
access permit from Public Works has been finaled and approved.
* 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 reCE ipt 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.
* OWNER/ BUILDER acknowledges submission of inaccurate in ormation 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 permi and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easemen 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 1 0 days or if construction work is suspended for a period of
180 days. PROOF OF CONTINUATION OF WORK IS BY MEAN OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* 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 4 of 7
Mason County
Masoili County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2O22-00278
* Concrete encased grounding electrodes must be installed and L sed at each new building or structure that is built upon a
permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor
& Industries (L&I).
For more information contact L&I for additional information. In OI mpia call (360)902-6350 and in Bremerton call (360)415-
4000.
* The stamped approved site plan is required to be on-site for ins ection purposes. If an inspection is requested and the
approved site plan is not on site, approval will not be granted. In ddition, a re-inspection fee (refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Bui ding 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 road 3 connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit
application. Design, sizing, placement, inspection and maintenan a of stormwater management systems shall be the
responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that
Mason County Department of Public Works has approved the sto mwater site plan for this parcel prior to the commencement
of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled"Mana ing Storm Drainage on Small Lots, The Small Parcel
Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the
development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other,
parcel. You may also wish to consult with the septic design profe sional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stor water site plan.
Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the requirE ments of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwat r ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the i stallation/construction of a driveway or access connecting
from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that
office to review future planned work which may affect your project;
* Owner/Agent is responsible to post the assigned address and/j or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
* 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.
* 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.
* 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.
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Page 5 of 7
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
NEW SINGLE FAMILY RESIDENCE BLD2022-00278
" Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer
specifications and in accordance with IRC Section R315.
Alarms shall be installed outside of each separate sleeping area hi the immediate vicinity of the bedrooms and on each level
of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of
fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or
created.
* The foundation/footing must be placed on undisturbed, firm-native soil.
* 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.
* WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind
speed for Mason County is 85 MPH.
* Adopted IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: P escriptive option Marine -4C, Window (Max U-
Factor):0.30, Skylight (Max U-Factor):0.50, Doors (Type/Max U-F ctor):0.30 or less, Wall insulation R-21, Floor insulation
R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Sla Insulation R-10.
* Retaining walls needed to support a surcharge such as structur s, roads, or to support slopes, shall require a separate
building permit and approval prior to construction of the retaining wall.
* The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.
* 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.
* Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site
plan. Please check your"Approved Site Plan"to ensure these st ctures are shown and meet the setback conditions listed.
* REQUIREMENTS FOR ROOF COVERINGS. Roof coverings c hall be applied in accordance with the applicable
provisions of the current code and the manufacturer's installation nstructions.
A drip edge shall be provided at eaves and gables of shingle roofs.
* No clearing of vegetation is approved within the buffer of the la a (currently set at 35 feet but subject to further code
amendments).
* On-site Septic System final installation approval required prior tp temporary/final occupancy of the residence.
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Page 6 of 7
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
NEW SINGLE FAMILY RESIDENCE BLD2022-00278
* Applicant/Owner assumes all responsibility if On-site Sewage omponents are encumbered.
A.) Drainfield/ Reserve requires a 1 Oft setback from all footing/fOL ndations.
B.) Septic tank(s) requires 5ft setback from all footing/foundations'
C.) No foundation/ Perimeter Drains within 30ft, down gradient ofDrainfield/ Reserve area.
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/ Reserve area.
* 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 d cuments are removed, approval will not be granted. In
addition, a re-inspection fee (refer to current fee schedule, miniML m 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being perforrr ed or approvals granted.
* A separate inspection in addition to the inspections required in tie IBC, Section 110 shall be required in accordance with
the 2018 IBC, Section 1705.12.2 and Section 1707.1. The additic nal inspection is required when shear wall fastener
spacing is required to be 4 inches or less. The shear wall schedu a shown on sheet S2 designate wall(s)type Mud Sill with
fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified
to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
inspection, special inspection reports shall be submitted to the Meson County Building Department, 615 W Alder St, Shelton,
WA98584 and also available on site for review by the Building Of icial. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project.
I hereby certify that I have read and examined this app ication and know the same to be true and correct.
All provisions of Laws�tfiier
d Ordinances governing this type of work will be complied with whether
specified herein o nohe granting o permit does of presume to give authority to violate or cancel
the provisions f ,y stat ocaw regulating c nstruction or the performance of construction.
Issued By
Contractor or Authorized Agent:r Date: 2'w
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Page 7 of 7
�7 /
11 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASOl`�I�7 COUNTY SHELTON:360-427-9670,EXT 352
+a
COMMUNITY SERVICES
BELFAIR:360-275-4467,EXT 352
Building,Planning,Envieonmentnl Health.Community Health ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY"
To schedule an inspection call or visit http://www.co.masoii.wa.us/community-servi7ces/bid-inspection.I php
Permit Number BLD2022-00278 Date Issu 05/06/2022 Issued B
Project NEW SFR
Site Address 1161 NE Collins Lake Dr
Applicant HARN COLETTE NOELLE
Contractor TRUE BUILT HOME INC
Contractor Phone 253-292-9092
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Tyf e
Permit Type NEW SINGLE FAMILY RESIDENCE Occupan y
-APPROVED PLANS 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, FRON 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 OCCUPIEM 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
Concrete Setbacks 8 Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-in Groundwork Plumbing Framing -ZKIJU
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping 1.27-7:Z2 E t , Shear Wall Nailing a 6- Z
Underfloor 01 3Z-7 ZNIN
Other F
insulation Slab Ceiling
Floor Vaulted Ceiling 2LL_
yL Vapor Barrier'
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building -62 p,c-S K022
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
Foo4 �.7I 8�s/�,L ?q S�.Rff
� CoY)&, ��S S
s-13- SckS hl� ro-� 'k SS
'�i N��- i^�4i I! 3--�?-a3 aF� ,�-9�t` r•,ok v�r ��-�,`C� No- �,u�-�,�1t
r +
MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY SERVICES 360-482-5269 Elma ext. 352
Building, Planning,Environmental Health, ommunity Health
615 W.Alder St. Bldg.8 - Shelton,WA 9854 www.co,mason.wa.us
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: PAZ 9==2L -coo
ADDRESS/LOCATION: 11 NE I! a,
FINDINGS: . I • R o .l
o r
W,
Z, is
?�n
"g �r
Yo
2
-V
} m
rr� a
Items listed above must be cor ected to imin compliance.
THIS IS NOT A COMPLETE INSPECTION
This structure has been inspected by Mason County 3uilding Department and the items listed
above are in VIOLATION of Mason County laws d/or ordinances.
Call for re-inspection when corrections are made bel ore proceeding with any further work.
Make corrections, items will be checked on the next inspection.
® OK to Sj 6-c o
Date: lease contact our office regarding possible
Department: a(,p Is,tr tural damage incurred by recent
na ural/man made"disasters.This is NOT a
Inspector: CO RECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14. 2
r -
MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY SEW ICES 360-482-5269 Elma ext.352
Building,Planning,Environmental Health,Community Health
615 W.Alder St.Bldg.8 - Shelton,WA 985 4 www.co.mason.wa.us
CORRECTIONANSPECTION
REPORT
PERMIT/CASE NUMBER.�) A �OZ
ADDRESS/LOCATION:
FINDINGS
�Mca r nS
TsAA
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COM LETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County lawsand/or ordinances.
all for re-inspection when corrections are made be re proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
❑ OK to
Date: "I-�� ❑ ease contact our office regarding possible
Department: stru turaI damage incurred by recent
"natlural/man made"disasters.This is NOT a
Inspector: w✓ CO"ECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14. 2
MASON COUNTY 3 27 Shelton ext.352
360-60-275-4465-4467 Belfair ext.352
COMMUNITY SERVICES 360-482-5269 Elma ext.352
Building,Planning,Environmental Health,C mmunity Health
615 W.Alder St. Bldg.8 - Shelton,WA 9858 www.masoncountywa.gov
CORRECTIONANSP CTION REPORT
PERMIT/CASE NUMBER: „S1,Q D0;r2, a-78
ADDRESS/LOCATION: 116t 4A'f=C PF�
FINDINGS:
Ol n ✓J x 1
Au polo -n ct:r a^d afoVA k �•n e l«t
�LI+ASE s€n1a Fdms a: nnoss o^'&QA)C0VoVT7t0A ,6,00
Items listed above must be corr cted to gain compliance.
THIS IS NOT A COMP ATE INSPECTION
This structure has been inspected by Mason County I uilding Department and the items listed
above are in VIOLATION of Mason County laws ani Uor ordinances.
Call for re-inspection when corrections are made befc re proceeding with any further w
Make corrections, items will be checked on the next i ispection.
a1W OK to A-1— ZtJMS TO K A
Date: .�-17-,;3 ❑ Please contact our office regarding possible
Department: Eu') structural damage incurred by recent
Inspector: DE(] ,nat ral/man made'disasters.This is NOT a
CORI 1,ECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC 14.1
a_7
PLANNING: oun tamp
ALL SETBACKS ARE MEASURED FROM Draft Proposed Site Plan
THE FURTHEST PROJECTION OF THE p
t BUILDING
`'I e
t�J
p el474'
Proposed reserve
Drainfi area(11 6 w/Pressure disrtiubtion
Lo r TH1 Type 3 soil Design mp
med loamy sand
e 6' 35' �� 0-36" over compact til
TH2 Type 3 soil @i
a' 4 ` med loamy sand
0-38" over compact til
APPROVED �� TH3 Type 3 soil Designer Info:
• MASON COUNTY DCD PLANNING med loamy sand Jim.Zixnr3
SITE PLAN REQUIRED TO BE ON SITE (j_34" over compact tit A.PD
CHANGES SUBJECT TO APPROVAL t
By:. ��_ ..DateQL /2022 �� 1 v' 7178 IIIdf101trcrPL Ali{%
` � h_ 105
'°`,�. 1' Oc�• Seabeck,WA 9$380
PLANNING SETBACKS Proposed i 445' TH4 Type 3 soil
Front: 25' 2 bedroo a med loamy sand APDdesigacloud co
Rear: 50' (lake) -��, 0 0-32" over compact til
Side: 6' c` 10'
"Subject to EH setbacks 0' Applicant Info:
Note: No vegetation clearing within 35'of lake H 1 Colette Ham
1161 NE Collins lake Dr'
#223315100oD4 -
EH Setbacks -
A.)Dminfield/Reseme requires 10'setback from footing/foundations
B.)Septic tank(s)requires 5'setback from all footing/foundations i>
C.)No foundatkxVPedmeter Drains within 30ft,downgradient of �,t lr
iv E
Drainfield/Reserve area o. 39
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within q,. �.•.
50ft,down gradient of Drainfield/Reserve area \ j
Date:
12/4/21 ,.
EH APPROVED J �,� 1427' Page
L SLR
Rhonda Thompson 04/29/2022
62' Scale
el Collins Lake 1" = 40'
Not A Survey
Name���� t' �`tC�r�n Parcel# �a3y�'(` - BLD#����� ���
� ,� " Mason County BUILDING
2►2� Department of Community Development
Snaw arcel St water Management Application/Worksheet (page 2 of 2)
�5 W
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)� The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850,Shelton WA 98584
Physical:415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
Xrtf-, � �}� lil,-���g,� (v�4/Agent/Contractor(circle one)Date: 31�2) CP�
Page 2 of 2
Name �lei Cfl a r"y\ Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet(page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings " X 3'$ = j p Q o 1
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
—Driveways (PUS X 10 , _
X = Length of drive begins at the right of way
X
Parking Areas �� X oZ4`� _ �}aD
X = Any paved, gravel or packed area per definition
above table
X
' X
ati /Walks 7 Any paved, gravel or packed area per definition
X =
above table
X =
Others X
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) �1 54c)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Imperviious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Pagel of 2
MASON COUNTY COMMUNITY SERVICES Permit No: aq D22 rCCR-
PERMIT ASSISTANCE CENTER:.BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL R E C�•Q r—
LE i% D
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone MAN — 4 2022
Belfalr.(360)2754467•Phone Elms:(360)482-5269
BUILDING PERMIT APPLI6 ffIRIAJder StreeP U'L D I N G
PROPERTY OWNER INFORMATION: CONTRACTOR
�INF fOITRMATION:
NAME:C-O 1 e}�� i Q)((�� NAME: I GA Y -E 7(/�1 I �- 0 M P
MAILINGADDRESS: vt +Nl% MAILINGADDRESS: 0 Fr-pcfur
CITY: O[yr►1Pi� STATE: k- ZIP: q?r%�(p CTTY;Ta,CnMG, STATE: ZIP:
PHONE#1.4.,9,Gt PHONE: - - oCELL: d53- �'r70c�Z
PHONE#2: EMAIL: _ <tA
EMAIL: ('n t-0 C_D 0 e.L-0M L&I REG#-r EXP.�/�/•
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL '01e c[acu i•tfi Y►oel)z.�or�
MAILIN CITY 1 n STATE ZIP
PHONE CELL IV�
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) r�a���J - i-o o o 4 ZONING
LEGAL DESCRIPTION(Abbreviated) L-of oC i);n p 2 FIRE DISTRICT
SITE ADDRESS IL I N E CD I L ns L DC `5� CITY j 0� U L�"
DIRECTIONS T6SITE ADDRESS pJF jyl�u�v^- 1 ct� a R 21Ly✓ts I.K- ;
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO�Z
IS PROPERTY WITHIN 20 FT OF THE FOLLOWING: (Checkanthat apply):
SALTWATER❑ LAKE RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATIION❑ REPAIR❑ OTHER ❑
m t�l USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) eS en u
IS USE: PRIMARYWi SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATHROOMS_
HEATED STRUCTURE? YES(whole Bldg) YES(Part[s)of Bldg)❑ NO❑
DESCRIBE WORK
SQUARE FOOTAGE:(propose+existing)
I ST FLOOR_J�J�sq.ft. 2ND FLOOR- sq.ft. 3RD FLOOR sq.fL BASEMENT '— sq.ft.
DECK ' - sq.ft. COVERED DECK I jr sq.ft. STORAGE sq.fL OTHER'-- sq.ft.
GARAGE =sq.ft. Attached❑ Detached❑ CARPORT ram` sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED-
MAKE i'l MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ If yes,attach completed Water Adequacy
Fornf-
PERIMETER/FOUNDATION DRAINS PROPOSED? YES NO[] EXISTING S .FT.
EXISTING BEDROOMS_J �)(�� PROPOSED BEDROOMS 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.1 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 fora 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)
xC r
Signature of OWNER(Must be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: j9a?)aa-oba78
PERMIT ASSISTANCE
EN : - � V BUILDING •PLANNING FIRE MARSHAL i-�
615 W.Alder St-Shelton, WA 98584 I'.1�K ' 4 2022
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Belfair(360)275-4467• Phone Elma:(360)482-5269 615 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICAT�'L D I N C,
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: C'keAit 00LcV-\ NAME:::fr„e P�«i �{ l� �w►t
MAILING ADDRES : 1Ja5 pry 9c tJE MAILING ADDRESS:3q-u� N I�t-c�r�yr Sf
CITY: STATE:WIk ZIP:gg5o6 CITY:TLC,o r►me- STATE: l +A ZIP: el
1`PHON : 42t;-4 4-a-to 19 PHONE:a,5 -el3cc CELL: a53-(ng&-6NA
2nd PHONE: EMAIL :,j�t,,c1 e_(i plc e +y'4e bc.:,tf home•corm
EMAIL: ColeA4<e colc Feylocl(t,ec)w\, L&I REG#T l'RukRBll ga5Cn EXP. h;,-1 P;i 4L;q-
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): �),J 531-51-DO 00 - Zoning:
LEGAL DESCRIPTION(Abbreviated):_( o} y- nF C�I I i n$ Irk N o -I,
SITE ADDRESS:Jl i.D) CITY: in
DIRECTIONS TO SITE ADDRESS: � e
TYPE OF JOB: II
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I sT FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:ElectricCSPLPG=Natural Gas�uctlessl);]
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs ( Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank/a�(7 Att
Clothes Washer �— Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher l Kitchen Exhaust Hood
Hose bibs 1 Dryer Vent
Other Solar Panel _)
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 permittapplication 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X C I J�-FLA'r' 3 I a'g,
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
I
00 aV..................... oid 8/2-3 IZZ Tat-
DAILY FIELD REPORT
............. .............. -
PROJECT NO,: Harn.NEC o I I i n s L a keDr
REPORT DATE. Wednesday,August 17"' 2022
G E 0 R E S 0 U R Q E S REPORT NO.: 01
earth science & geotechnical engineering GR FIELD REP.: MMM ......
4809 parific Hwy.E. I fife,WA 98424 1 253-996.1011 1 www.georesourcesiocks PERMIT NO.:
P OPOSED SINGLE FAMILY RESIDENCE
1
PROJECT NAME/LOCATION 1161 NI-'COLLINS LAKE Dlli,TAHUYA,WASHINGTON
JURISDICTION: MASON COUNTY
REPORT SUBMITTED TO* Contractor Name and Contact: WEATHER Clear,80s
Client Colette Harn General: &TEMP.
cc Sulatontractorsfoi Geotechnical.Construct,on TIMES OF SITE VISITS:
Drilling! From 0830 To .0930
Earthwork: from TO
From TO
WE
We arrived onsite at the request of Colette to evaluate bearing surfaces for the proposed single-family
General residence being constructed, at 1161 NE Coll ns Lake Dr in Tahuya, WA, The approximate location of the
bearing surfaces evaluated today are shown o page 2. A site photo is included on page 3.
At the time of our arrival, the bearing surfaces for the proposed SFR had been prepared and forms were
placed.The subgrade soils consisted of a red c ish-brown to gray silty sand with gravel. Minor organics were
Bearing surface noted in cut portions of the site. We probed he prepared bearing surfaces with a Y2-inch diameter steel T-
evaluation probe in random locations and found them to De firm and unyield ng,and suitable for further construction.in
the finished conditions, ail exterior footings should be �d such that a minimum of 12 inches of
embedment is achieved for frost protection.
No grading plans were available at the time c if our site visit or preparation of this field report. It appeared
that the clownslope (south)side of the buildbig envelope had been filled with on-site soils to a thickness of
about 6 feet. We did not observe surface pieparation, placement, or compaction of the structural fill but
noted evidence of mechanical compaction equipment utilization. All fill within the building envelope should
Structural Fill have been placed as structural fill in horizonto I lifts of adequate thickness to promote uniform compaction to
a dense, unyielding condition. Deviation I-om the above may result in total or differential settlements
higher than estimated. Provided the expose I bearing surfaces are representative of the density of the total
thickness of structural fill, and the structura fill was placed o an appropriately prepared subgrade, the
structural'fill soils should be suitable for further construction.
We noted that the proposed foundation ext ds to Within approximately 6 horizontal feet of a constructed
Foundation fill slope that is approximately 6 vertical feet in height. The constructed fill slope appeared to be in a
Clearances from temporary 1H-1V condition at the time of our visit. it is our opinion that this geometry is suitable for further
Siopes construction, However,the constructed fill slope should be no steeper that 2HJV in a permanent condition
or be supported by an appropriately designed retaining wall that accounts for all surcharges.
�
UMMA VOW The 45eiiResoui field representative is present on site solely to observe the field cavities of the co ntractia f li entiftied.dkeep i RMEW BY(PM initial/date)
our client informed of the Progress and quality of the work, The presence and activities of V v GeoResourres field rroroentative and out
acceptance of any non-carfarrining work or failure to reject any moor oonjiarmiing war*does not vSteve the contractor from corai with its
contract documents, Geaftesourcirs does trot have the authority to dwert the contractor's warIi ,Iny Wormation provided by the ceoResoul-ces WRrrTEN BY(inwal/date)
field iii intended solely to advise the contractor of the technical retruirematift afthe plant and Vecli midlor design cqncept. The tf
tontractm is solely responsible for in means,niediods,sequences, consfMcPan Pye safety, hy of work, and adherence to the contract
docurnerim
Page 1 of 3
r �
DAILY FIELD REPORT
PROJECT NO.: Hari NEColllnsLakeDr
REPORT DATE: 1�kednesttay,AugUSt 17t10 2022
G E 0 R E S 0 U R C E S REPORT NO.- Ol
earth science & geotechnical engineering GR FIELD REP.: MMM
4009 Pacific Hwy.E. I Fife,WA 98424 1253,896,1011 I www.georesources.rocks PERMIT NO,.*
® PR POSED SINGLE-F MILY RESIDENCE
PROJECT NAMEJLOCATION 1161 NE OLLINS LAKE DR,TA UYA,WASHIN'GTON
JURISDICTION:MASON COUNTY
ge.
tN
el 4 4'
Pros rsee
DTainfl ► are&f�Tig W1>Pre�sure dssdiubdon
TRI"Cype 3 suit
tried loamy sated
TH2 Type soil
tat4 red loamy sand
-38" over C m as
,t TH Type 3 soil
ON COUNTY D PED IN IN � � � � med loamy sand
cHAN sS mCC-rTGAPP VaI s
wTr ?? S' EieCl t3 t
NNIN ETBACKS a wK T s
e; 61 V
bject to EIS setbacks
°
No vege raticlil cleadng NVithin 35,c€Jake
H Setback
Note:Motto Scale
Approximate location of bearin surfaces evaluated 0 /17/2022 c
-
i.1MITA TIONS: Fhe GeoResources field representative is present on site solely to observe the field a vities of the contractor id tlfied qnd eep REVIEW BY(PM'initial/date)
our client informed of the progress and quality of the work. The presence and activities of the GeoResources field repres motive and our
acceptance of any non conforming work or failure to reject any non-conforming work does not ieve the contractor fronm c rnplyini;with iti
contract documents. GeaResources does not have the outharity to direct the contractor's work. A i formation provided to tAe Gearlesources WRITTEN BY(initial/date)
inspector is intended solely to advise the contractor of technical requirements of the plain d specifications and/ordesign concept. The
contractor is solely responsible for its means,methods,sequences,construction site safety,qua`ty of work,and adherence to the contract
documents;
Page 2 of 3
HELL? REPORT
• DAILY HE ...............
PROJECT NO,'
Harn.�j�ojlinsl.aketir
...........______REPORT DATE: Wedn
esday,August 17th,2022
E .... ..............
GEoRE 0 U R S GR FIELD REP-: ... .............
e�oejh'niial engineering
earth science & 9 ,w,georesOuttes.rocks PERmt'r NO-,
Fife,wA9$424 1 2,53.896-10
41809POCIlit"Y'E' p tOpOSEDI SINGL& AM Ly RESIDENCE
11.61 Ni: COLLINS LAKED TAHUYA,WASHINGTON
PROJECT NAME/LOCATION JURISDICTION: ASON COUNTY
44
Exposed bearing surface and footings-Facing northwest the field activities of the 010tractor identified and keep REVIEW By(PM initial/date)
tatke js pm,,5cnt on site 50ttly to abservt of tj,, Seoft,111115 Ocid repesef1tative and our
oMiTATIONS; The eeaftsou--field rep re`— resence and acth Itics , I f OM CoMplyl,bg With its
,,r dient iftflormed of the progress and 4--f-Y of the wark' The p i Ig work does not relieve the contro�tor r "s ITFEN By tj nitial/date)
roect any r#on'c0r`1a'rM' work. Any j,,f.,_fjr I by the Geoftes-rcL
,,.pj,ov!dLd
- n Ming work or follare 10 to direct the cOntracto"S tjon$ao41brd_,54'1 concept. TM
acceptance of 0 ts oRes ources doeS not have the outt*dt)' ica I req vire I C05 the pions and specificO
contract documents. Y, ..jity of_.,k,-0 adherence to the contract
to ad,11;e'he oontactor Of the tachn
fmid inspector is j""Inded 01 14 S' o,,t,,,Cfj*n site$Oft
controcz0f is solely mpon$j�k for its Means,methods,SOQUenc i Page 3 of 3