HomeMy WebLinkAboutBLD2024-00128 Foundation - BLD Inspections - 6/27/2024 t �
MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584
i SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES
BELFAIR:360-275-4467,EXT 352
Building,Plamting,Environmental 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:lfwww.co.mason.wa.us/community-services/bid-inspection.php
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Permit Number BLD2024-00128 Date Issued 04/25/2024 Issued By 4-H(/I(l:
Project FOUNDATION REPAIR/ TABILIZATION-HELICAL PIERS
Site Address 640 E Pickering 0 R6
Applicant SZLOSEK EDWARD 8r JACQUELYN M
Contractor TERRA FIRMA FOUNDATION SYSTEM
Contractor Phone 1.541.229.4050
Prima Code 2018 IBC,IRC,IFC,IEC,IMC,& T
Primary UPC Type
Permit Type REPAIR-RESIDENTIAL Occupancy
-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,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
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building 0..7-7-7- DLL
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
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MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352
Building,Planning,Fire Marshal
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: 3(DZ(.r-q1-GC1z8
ADDRESS/LOCATION: 6,�(a C ;Z�ejze7
FINDINGS• al
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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: to—tq—Z Z/ ❑ Please contact our office regarding possible
Department: L structural damage incurred by recent
Inspector: - "natural/man made"disasters.This is NOT a
� CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Portland,Oregon VISTA Kansas City, Missouri
—STRUCTURAL-
6NGtNEErtING, LLC
V�
6/19/2024
Terra Firma Foundation Systems n�
10111 S Tacoma Way D5
Tacoma,WA 98499
Re: 640 E Pickering Rd.
Shelton,WA 98584
Permit#:BLD2024-00128
Final Summary Letter:
This letter certifies that we have performed an inspection of the above-referenced project with respect
to the approved structural plans dated November 1, 2023. Due to field conditions,with the approval of
Vista Structural Engineering, LLC all piers with the exception of pier#3 were changed to pin piles.
On June 13, 2024, a representative of Vista Structural Engineering, LLC observed the installation of one
Foundation Supportworks Incorporated model HP288 helical pier and two PP237 pin piles(periodic
inspection per adopted code). In addition,Vista Structural Engineering has examined the job photos,
drive logs and pier locations as provided by Terra Firma Foundation Systems and approves of the
installation means and methods for this project. During installation a foundation crack was seen
between piers 1 and 2 and the foreman was advised to install angle iron to provide additional support.
Pier#3, helical, exceeded the minimum specified Ft-Lbs of pressure torquing out at only 6' and was
advised to receive a concrete pourback. Piers 4, 6 and 7 achieved refusal short of 7'-6" and were also
advised to receive a concrete pourback.All other piers are approved having achieved refusal per plan.
Inspection has been provided in an effort to meet the requirements of the building code and does not
constitute a guarantee of the installed work. It is the responsibility of the contractor to execute the work
in accordance with the approved structural drawings.On-site inspections were not performed by Vista
Structural Engineering, LLC.
Our firm appreciates the opportunity to serve you. If you have any questions or if you need anything
further, please feel free to contact us.
IS M
Sincerely,
Vista Structural Engineering, LLC
47866
r» x
Dennis Heier, P.E.
06/19/2
VISTA STRUCTURAL ENGINEERING, LLC
11575 SW Pacific Hwy#2262 PHONE: 971.233.6099
Tigard, OR 97223 - 1 - VISTASTRUCTURAL.COM
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Mason County
Mason County - Division of Community Development
615 W.Alder St.
C Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
E
4-00128 REPAIR - RESIDENTIAL
ESCRIPTION: FOUNDATI�O REPAIR/STABILIZATION - ISSUED: 04/25/2024
ERSESS: 640 E PICKERING �SHELTON EXPIRES: 10/2212024
PARCEL: 221295000016
APPLICANT: SZLOSEK EDWARD&JACQUELYN M OWNER: SZLOSEK EDWARD&JACQUELYN M
PO BOX 1766 PO BOX 1766
ALLYN,WA 98524 ALLYN,WA 98524
360-229-3852
CONTRACTOR: TERRA FIRMA FOUNDATION SYSTEM
10111 S TACOMA WAY STE D4
LAKEWOOD,WA 98499
1.541.229.4050
GENERAL CONTRACTOR'S LICENSE: TERRA FIRMA FOUNDATION SYSTEM License: TERRAFR931LH
10111 S TACOMA WAY STE D4 Expires: 06/16/2025
LAKEWOOD,WA 98499
1.541.229.4050
VALUATIONS: FEES: Paid Due
Project Valuation (BID, 16131.98 $16,131.98 Planning Review Fee $240.00 $0.00
ESTIMATION-) Plan Check Fee $189.65 $0.00
Building Permit Fee $291.77 $0.00
Technology Surcharge $9.63 $0.00
State Fee-Residential $6.50 $0.00
Total: $16,131.98 Totals : $737.55 $0.00
REQUIRED INSPECTIONS
General Inspection BLD-Final Inspection
- - - - - -- - - - -- -- - - - - - -- - - -- - -
3rd Party Inspection Report
CONDITIONS
Printed by:Annie Wilson on:04/25/2024 10:25 AM
Page 1 of 3
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton,WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
REPAIR - RESIDENTIAL BLD2024-00128
* 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked
"APPROVED",they shall not be changed or altered without authorization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
* 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.
* 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.
* 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.
* 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.
* 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 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.
* 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.
* 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 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.
.. .. .... .. ... ..... .. . . . .. . .. .. . . .. ... . . . . . .. .. . .. . . . .. . ... . . .. .. .. .. ... .. .. . . . .. .. .. .. . . . ... . .. .
Printed by:Annie Wilson on:04/25/2024 10:25 AM
Page 2 of 3
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncoun"a.gov
REPAIR - RESIDENTIAL BLD2024-00128
The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical
report or assessment.All applicable recommendations and specifications shall be applied to the development on this site.
Any deviation requires stamped written approval from the registered design professional responsible for the
report/assessment, and may require special inspection by same. Structures and/or land modifications(grading, cuts,fills,
etc.)required in the geotechnical report/assessment, may require a separate permit.The geotechnical report/assessment
shall remain attached to the approved building plans.
" 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.
* 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 WA 98584
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.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
1 ^- fI �
Issued By: I' -f v ( 3nn
Contractor or Authorized Age a W, CL 7i�— Date: a2
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Printed by:Annie Wilson on:04/25/2024 10:25 AM
Page 3 of 3
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RECEIVED
DocuSign Envelope ID:476C9505-BB16-4A55-A1CA-BB52715F2A76
JAN 3 0 2024
MwSU\COUNT'
COMMUNIM SERVICES
Szlosek 121380 640 E Pickering Rd
Permit Number Project Title Project.Address/Parcel Number
Applicants of projects requiring Special Inspection or Testing per Chapter 1704&1705 of the International
Building Code,as amended by Washington State.Please acknowledge and return this form to the Mason
County Permit Center.
THESE INSPECTIONS ARE NOT PERFORMED BY THE BUILDING DEPARTMENT AND MUST BE
PERFORMED BY QUALIFIED SPECIAL INSPECTORS, HIRED BY THE OWNER AND APPROVED
BY THE COUNTY PERMIT CENTER. Individuals certified in a special inspection category by
Washington Association of Building officials(WABO)or individuals employed by a recognized testing
laboratory and under the direct supervision of a Registered Professional Engineer are typically
considered qualified at the discretion of the local jurisdiction having authority for enforcement.
BEFORE A PERMIT CAN BE ISSUED: The Owner or his/her representative, on the advice of the
responsible Project Engineer or Architect, shall fill out completely, sign and submit two (2)copies of the
attached"Structural Tests and Inspection Schedule"to this Department for review and approval including
any requirements related to the Mason County Municipal Code.
The Owner, General Contractor, and Inspection/Testing Agency, where applicable, shall also
acknowledge the following conditions applicable to Special Inspection and/or Testing.
1. Inspection/Testing Agency shall submit names and qualifications of on-site Special Inspectors
to the Building Inspection Permit Center for approval PRIOR TO PERMIT/S BEING ISSUED.
2. All Special Inspections shall be noted on the approved plans or attached approved
documents.
3. All special inspections shall be approved by the County or as recommended by the Engineer
of Record(EOR).
4. It is the responsibility of the General Contractor to review County approved plans for additional
inspection or testing requirements that may be noted or required per IBC as noted on
approved plans.
5. The General Contractor is responsible for proper notification to the Inspection/Testing
Agency for items listed on this form.
6. Special Inspectors shall provide detailed reports on company letterhead to the Building
Inspector of all required inspection activities. These may also be provided when the inspector
visits the jobsite for the scheduled inspection but must be completed before the subject of
inspection is approved by the building inspector.
7. Copies of all ongoing laboratory and testing reports shall be sent directly to the Building
Inspector by the Inspection/Testing Agency or other responsible party within a reasonable
time to test results.
8. BEFORE A CERTIFICATE OF OCCUPANCY APPROVAL CAN BE ISSUED: The
Inspection/Testing Agency shall submit a FINAL REPORT LETTER stating that all items
requiring testing and inspection have been fulfilled and reported and a final inspection report
shall be provided. A copy of the statement is to be maintained at the jobsite for the Building
Inspectors review prior to final inspections.
Page 1 of REVIEWED FOR
CODE COMPLIANCE
MASON COUNTY
BUILDING DEPARTMENT
DocuSign Envetope ID:476C9505-BB16-4A55-A1CA-8652715F2A76
= �-
coH4+t:.ynv s�vires
AC KNOW LEDC E.-MENTS
Prior to issuance of a building permit, the Owner, on the advice of the Project Engineer or Architect, shall
complete,sign,and submit this form to the County Permit Center.
Declaration of Owner
I,as the owner of the project,declare that the testing agency firm/s or individual/s listed herein are hired by me to
perform "Special Inspections" and/or"Structural Testing" in accordance with the provisions of the International
Building code(IBC)Chapter 17. EO
ocusronodby:
Edward Szlosek 1/29/2024 1 5:52:21 Pm
CC S ( kOwner(print) wner igriature) (date)
Declaration of Registered Professional Architect/Engineer
1, as the design professional in responsible charge of the project listed herein, declare that the special
inspection listed herein are required for this project in accordance with the provisions of the International
Building Code(IBC)Chapter 17.
Vista Structural Engineering,LLC(Dennis Heier, PE) 1sM
I
Architect/Engineer(print)
Architect/Engineer Stamp/Signature(date) 47
>
01/26
Vista Structural Engineering,LLC(EOR)
Testing Agency Name/Contact eric@vistastructural.com
info: 971-233-6098
The Special Inspection/Testing Agency listed above must have a current Portfolio of Qualifications
on file with the County riur to performing work.
Declaration of the General Contractor
1,as the General Contractor of the project, agree to comply with the"Contractor Responsibility"items
noted herein. t
A N
General Co ractor(prin ) General Co actor Signatut (date)
Page 2 of 4
DoCUSign Envelope ID:476C9505-BB16-4A55-A1CA-8B52715F2A76
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Required Special Inspections
International Building Code; Chapter 17:
A completed and signed copy of pages 1 through 4 of this form shall be submitted to the
"Permit Center" prior to building permit approval.
Engineer shall check the applicable items:
❑ Special inspection of fabricated items 1704.2.5
❑ Submittals to the building official 1704.5
❑Structures over 75' in height located in Seismic Design Category D, 1704.6.1
❑ Structures classified as Risk Category III or 1V located in Seismic Design Category D. 1704.6.1
❑ Steel construction &structural Steel 1705.2.1
❑Cold form steel deck 1705.2.2
❑Open-web steel joists& girders 1705.2.3
❑Cold form steel trusses spanning 60 feet or greater 1705.2.4
❑Concrete construction 1705.3 &Table 1705.3
❑Shotcrete 1705.3
❑ Welding of reinforcing;bars 1705.3.1
❑ Material"Pests 1705.3.2
❑ Masonry Construction 1705.4
❑ Empirically designed masonry,glass unit& masonry in Risk Category IV 1705.4.1
❑ Vertical masonry foundation elements 1705.4.2
❑ Wood construction 1705.5
❑ High Load Diaphragms 1705.5.1
❑ Metal-plate connected wood trusses spanning 60 feet or greater 1705.5.2
❑Soils 1705.6& Table 1705.6
❑ Driven deep foundations 1705.7&Table 1705.7
❑Cast in-place deep foundations 1705.8&Table 1705.8
® Helical pile foundations 1705.9
❑ Fabricated items 1705.10
Page 3 of 4
DocuSign Envelope ID:476C9505-BB16-4A55-AtCA-8B52715F2A76
MARIN C'DUAT
COMAIUNRY ti1:QYICCS
❑ Special inspections for wind resistance 1705.11
❑ Structural wood 1705.1 1.1
❑ Wind resisting components 1705.1 1.3
❑ Cold formed steel light frame 1705.1 1.2
❑ Special inspection for seismic resistance 1705.12
❑ Special inspection for structural steel per 1705.12.1
❑ Scismic force-resisting systems 1705.12.1.1
❑ Structural steel elements 1705.12.1.2
❑ Special inspection for structural wood per 1705.12.2
❑ Special inspection for cold-formed steel per 1705.12.3
❑ Designated seismic systems 1705.12.4
❑ Architectural components 1705.12.5
❑ Plumbing, mechanical &electrical components 1705.12.6
❑Storage racks 1705.12.7
❑Seismic isolation systems 1705.12.8
❑Cold-formed steel special bolted moment frames 1705.12.9
❑Testing for seismic resistance 1705.13
❑ Structural steel 1705.13.1
❑ Seismic fore-resisting systems 1705.13.1.1
❑ Structural steel elements 1705.13.1.2
❑Nonstructural components 1705.13.2
❑ Designated seismic systems 1705.13.3
❑ Seismic isolation systems 1705.13.4
❑ Sprayed fire-resistance materials 1705.14
❑ Physical and visual tests 1705.14.1
❑ Structural member surface conditions 1705.14.2 (1705.14.3 through 1705.14.6.3)
❑ Mastic& intumescent fire-resistance costings 1705.15
❑ Exterior insulation & finish systems(EIFS) 1705.16
❑ hire-resistance penetrations and joints 1705.17
❑ Penetration firestops 1705,17.1
❑ Fire-resistant joint systems 1705.17.2
❑Testing for smoke control 1705.18
❑'testing Scope 1705.18.1
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