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BLD2017-00426 Cancelled Demo Replace SFR - BLD Permit / Conditions - 2/25/2021
Inspection Line(360)427-7262 �6aN °pUmfF MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St _s Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2017-00426 OWNER: WILLIAM SARI RECEIVED: 5/12/2017 CONTRACTOR: LICENSE: EXP: ISSUED: 5/17/2018 SITE ADDRESS: 330 N AYOCK BEACH DR LILLIWAUP EXPIRES: 11/17/2018 PARCEL NUMBER: 323035001004 LEGAL DESCRIPTION: AYOCK BEACH BLK: 1 LOT: 4 PROJECT DESCRIPTION: DIRECTIONS TO SITE: DEMO OF EXISTING SFR AND REPLACE WITH 2240 SQ FT SFR. US-101, R ON N PEBBLE BEACH DR, R ON N AYOCK BEACH DR. General Information Construction&Occupancy Inf Lion Square Footage Information No. of Bedrooms: 3 Type of Const Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Gro Lot Size: Deck: Type of Work: NEW Fire Dist.: 17 No. of Stories: 2 Oc o 6 Building:2,240 None Valuation: $ 260,121.16 Building Height: . t s: asonal Basement: covd Ofthe 382 Manufactured Home Information Setback fo Shoreline&Planning Informttew Water Body: HOOD CAN Make: Length: Ft. Front: S 30. F reline: Ft. SEPA?: No lone Rear: N t. Slope: Ft. Model: Width: Ft. Shoreline Desig.: Urban Side 1: Ft. Year: Serial No.: Side 2: 1 1 1 Comp. Plan Desig.: Rural Plumbing Fixtures nical Fixtures FEES Type Qty. T e Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furn 100K 1 Plan Check Fee AMP 5/12/2017 $ 1,231.98 S3201700000001 Lavatories 3 ea urnp 1 Planning Review Fee AMP 5/12/2017 $205.00 S3201700000001 Bath Tubs 1 Ven elation Fan 4 EH Plan Review AMP 5/12/2017 $210.00 S3201700000001 Showers 2 Propane Tank 1 Building State Fee TW 5/17/2018 $4.50 S2201800000001 Water Heaters 1 Gas Outlets 2 Building Permit Fee TW 5/17/2018 $ 1,895.35 S2201800000001 Water Washer 1 GasOExhaust Hood 1 Mechanical Permit Fee TW 5/17/2018 $ 173.90 S2201800000001 CloKitchen Sink 2 Dryer Vent 1 Mechanical Base Fee TW 5/17/2018 $28.50 S2201800000001 shwasher 1 Plumbing Permit Fee TW 5/17/2018 $ 128.00 S2201800000001 Dish s bib was 2 Plumbing Base Fee TW 5/17/2018 $24.70 S2201800000001 Total $3,901.93 BLD2017-00426 Please refer to the following pages for conditions of this permit. Page 1 of 8 CASE NOTES FOR BLD2017-00426 CONDITIONS FOR BLD2017-00426 rior to temporary/final occupancy.Drainfield area must be protected by baracades. 1) The existing shed and garage will be removed p i X 2) Prior to final approval,all upland areas disturbed or newly cipezLed by construction activities shall be seeded,vegetated or given an equivalent type of erosion protection(silt fencing or straw matting).X 3) Approved per di ns and setbacks on submitted site plan.Setbacks are measured from the furthest projection of the structure. X /r i 4) ALL SURFACE WATER AND POTENTIAL CINOFF T`Y FLOWWILL ENTERIING OR ABUTT NG TO ANY STATE OR COUNTY CULVERT G/D TCHING SYSTEM PROPERTIES NOR I EASE THE VELOCITY a OR ROAD WAY. U� _ X 5) By definition,propane tanks and heatpumps are structures,which must meet setback conditions. Please check your"Approved Site Plan"to ensure ;<<j these structu s eet the setback conditions listed. X 6) 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 P ensure these structures are shown and meet the setback conditions listed. r 7) 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.The b ' in permit will not be"finaled"until the permit holder can show proof that the access permit from Public Works has i been"finaled"and approved.2 � ✓�^ "i X , ;a 8) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. to the homeowner for using an unregistered contractor. Further information can be obtained at There are potential risks and monetary liabilities 1-800-64 0. 2.The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X BLD2017-00426 Please refer to the following pages for conditions of this permit. Page 2 of 8 =' 9) All 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 further inspections being performed or approvals.granted. X r Aa— / 10) Owner/Agent is resp le to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 11) The plan review check fist and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the _ corrections indicated on the plans. Once the plans are marked"APPROVED", they shall not be changed or altered without authorization frorri 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 appro cuments will result in failure of required building inspections. ( z 12) THE FOUNDADON SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. "+ X 13) The"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, then 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 Departryre� rior to any further inspections being performed or approvals granted. X /�1) :r i7 'v �a BLD2017-00426 Please refer to the following pages for conditions of this permit. Page 3 of 8 14) Adopted IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C,Window(Max U-Factor):028, Skylight(Max U-Factor):0.50, Doors(Type/Max U-Factor):0.30 or less,Wall insulation R-21, Floor insulation R-38, Ceiling Insulation min. R 49,Vault Insulation R 38, and Slab Insulation R-10. In addition the following credits from WSEC table R406.2 shall be completed as follows: EFFICIENT BUILDING ENVELOPE 1a: Prescriptive compliance is based on Table R402.1.1 with the following modifications:Vertical fenestration U =0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab HIGH EFFICIENCY HVAC EQUIPMENT 3b: Air-source heat pump with minimum HSPF of 9.0 =' & EFFICIENT WATER HEATING 5a: All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or ~i :•y less. & EFFICIENT WATER HEATING 5c: Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water >f� Heaters =' .C•i •M1I X 15) A permanent certificate,completed by the owner, builder or registered design professional,shall be posted within three feet of the electrical distribution panel.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 the 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 conditions as specified in WSEC Section 105.4, and air leakage ;vxj 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 with IECC/.WSEC Section R402.4. ertificate required located near the electrical distribution panel. Air leakage te The blower door test results shall be recorded on the permanent c sting is not required for additions less than 750 square feet. Reference IECC/WSEC R401.3. Compliance certificates are available online at the WSU Energy program website titled,"WSEC 2015 Certificate"and are available in Y4 or sheets. The Mason Cou olv,Permit Center will also have some available. X 16) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/VVSEC Section .. R404.1. X BLD2017-00426 Please refer to the following pages for conditions of this permit. Page 4 of 8 .i 17) WINDOWS IN HIGH EXPOSURE AREA All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during inspections. In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference IRC R301.2.1. 1 1609.4. The design criteria for this project is established at 85 mph wind speed, exposure— �i X ` 18) 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. E ,tr X 19) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the < ' manufacturer's installation instructions. A drip edge all be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5) X 20) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the . owner/agent/contractoes responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel r 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"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan"constitutes 'f an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septiGdrainfield 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 =i of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of a the building permit the owner/agent/contractor i owledging that all components of the stormwater management system have been installed as approved on the stormwater site plan.X / 21) A concrete encased grounding electrode must be installed and used 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 Olympia call(360)902-6350 and in Bremerton call(360)415-4000. X Please refer to the following pages for conditions of this permit. Page 5 of 8 ''! BLD2017-00426 ''``. 22) A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with the 2015 IBC, Section 1706.12.2 and Section 1707.1. The additional inspection is required with fastener herwall fastener spacing is required to be 4 inches or less. The shear wall schedule shown on sheet E-1 designate wall(s)type C aspacing The require inspection may be rfzsrmed-bythe-Mason-C-ounty-Building-Departmeat,a-�BQC i ed inspector, certified to inspect lateral connections, the Engineer of record(FOR), 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 Mason County Building Department,615 W Alder St,Shelton,WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitte a Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said project. X .,j 23) Concrete used for basement walls,foundation walls,exterior walls, porches,carport slabs,steps exposed to the weather, garage floor slabs and other vertical conc a ork exposed to the weather shall have a minimum compressive strength of 3000 psi(IRC Table R402.2). X Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC s 24) Section R315. ' Alarms shall be installed outside of each separate sleeping area in 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), r repairs,o dd ions requiring a permit occur,or when one or more sleeping rooms are added or created. 25) The international code requires a fire apparatus access road for every facility,building,or portion of a building that is more than 160'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 roadci with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X , !�3 26} 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 f 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 a collected by the Building Department prior to any further inspections being performed or approvals granted. 27) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the --; mitted classification. Any non-approved change of use or occupancy would result in State of Washington. Occupancy is limited to the approved and per r permit revocations� X !c, 28) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted,or any other Mason County ordinance lation, must be reviewed and approved by Mason County prior to construction. J X Please refer to the following pages for conditions of this permit. Page 6 of 8 BLD2017-00426 '" 38) Landings and stairs must meet the same setback conditions as any permitted structure- and, must be shown on your site plan. Please check your e te-Plan"tq ensure these structures are shown and meet the setback conditions listed. "Approv . x 39) FOUNDATION IN FLOOD HAZARD(A)ZONE -- ---- - - -- This project is approved construct a dwelling structure with a new foundation system in accordance with the Mason County Flood Damage Ordinance and the 2015 international Residential Code Section R322. The location of the structure is identified as an AE ood Hazard area in accordance with FEMA determination. Minimum construction criteria are as follows: >:• The floor of the structure shall be elevated at least one-foot(1'0')above the base flood elevation(BFE)_ } The design professional that prepared the Elevation Certificate must perform a inspection of the foundation and placement prior for pour. '• The crawlspace shall be provided with at least 2-openings on each side of the enclosed crawl space and be equal to at least 1 sq. inch for each sq.ft. of enclosed area. The openings shall allow for the automatic entry and exit of floodwaters and be placed such that the bottom of each flood vent is not more than 1-foot above the lowest adjacent exterior grade. Electrical systems, equipment,heating, ventilation, air conditioning,plumbing appliances and plumbing fixtures, duct systems,and other — similar systems shall be located at or above the BFE unless designed to prevent water from entering or accumulating within the components and to resist hydrostatic and hydrodynamic loads and stresses.lRC R322.1.6) >^ All building materials used below the BFE shall be pressure-preservative treated in accordance with AWPA U1 or be naturally resistant to 1 decay. in addition, materials and installation methods used for flooring and inferior and exterior walls and walls coverings shall conform to the provisions of FEMA/FIA-TB-2. (/RC R322.1.8) ILI r x 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 1 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 :;>s 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 permitlapplication 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 APPL C ION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Date Signature • 5 2 1 OWNER REPRESENTATIVE - CONTRACTOR r` (Circle one to Indicate) Print Name i BLD2017-00426 Please refer to the following pages for conditions of this permit. Page 8 of 8 ==:ia CONCRETE MEDiANICAL. MANUFACTURED HOME Fao�ings r-�-�� Comte EBY Gas Piping tIliborrs 1.7tere�Ida to .gy InLrior-Date ,/ / By , ^ �� Exte�icr Dale ay Extriar-D af=_ �// - By'r/J (� Sant-tom Point Inad 1 Isdatod Fc�ngs INSULATION Date BY BAG 1 SL 9 IUSULATIC IN Data By FIRE DEPARTMENT Foundationtiry.�lis D,t_. By nat.- Ry DECKS FRAMING - � Walls Date By Data BY - By PROPANE TANKS PLUMBING vw1t c�ft By Date ay OTHER Ditto Date gy b gy Types CC DaEe Sy DRYWALL — t Typo 1 irbt Grace Wall DateBy � Ds� By Dot= sy FINAL INSPECTION fe<r Lim- Fire Seperabon CD m = By Date By Dw.9 ny cn s Pass or Request frt €ct. TYM of IMP- Fall Date Data tone Isyfit e e s 0 �Iel 4a 4 li(I 40 4lot vI CD E-N4 i CD I I QNCRETE MECHANICAL MANUFACTURED HOME D Footings f Setbacks Gas Piping By Ribbons -cc o Interior Date r By Interior-Date By Date By G N Exterior Date Z$' /�By Exterior-Date By r Point Load f Isolated Footings INSULATION bate By D BG I SLAB INSULATION - ic Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Da,_ ZS-t By,_ Data 2-2f-ff By DECKS FRAMING Watts Date By Date Z-S-/S By .J7Z Data -z t-► 9 BY J7Z PROPANETANKS PLUMBING Vault Data _ By Date Z-Zt-t By J-fz-- OTHER Groundwork Arc Date By Type Date By Date By D.W.v DRYWALL Type= Int Brace Wall Date 2�?(-(� ey Date By Date BY W m FINAL INSPECTION 0 Cn Water Ling Fire Separation N @ Date Z-Z/--\II By� Date By Date By V m s Pass or Request Inspect. c Type of Insp. Fail Date Dated Dane By Comm__4e--ntts CD b N � (14 r Y lS [L4v rn CD l5, N SS r2 = J Q �` (/i/Ir/VIO N"' �6rH't rd1 ✓ S p �/ ° 4�v Err ti a fJw lk CD Lew hs� l2-Z-R J7,? -e Gl/I kJ s 2-21-IQ J o A l I k%/I&.4 r c,-i JAA Z -L-t� ({va-{t�„� C-C✓�ti,/a �{ �C L !/(/l(X 'T"'/S CLi� 7K , it VAf C U10 b, sUbM w ► 14 ceg owe a/t efutro"' ' MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 ISO I Inspection Hotline 360-427-7262 WrBuilding,Planning, Environmental Health,Community Health 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTIONANSPECTION REPORT PERMIT/CASE NUMBER: 64D Z0I9-- OD e-1Z10 ADDRESS/LOCATION: 3 JU o �� �ti.L Ll 1✓ L���i VA /Z F GS• 1 a l t✓-1-c a<, 1' � -f- S e- L�S V4%I P4 1 r t--e- o-.---I- i /' s rr y ✓t Qom- pull- &V1 6 O ° eY le d4 Li vv a e S L !�! i (�LI t� G •� �fCc1' L'Yq / s � eel yr O(e*clo -e t. X�-Cr-r�i k !/1 0" 141h /C Ylil/IG[� YLC A ✓t r�✓!a , 4a r4 421 w�5 C ✓h w1/H 4/h Items'listed above must be cor ected to gain p'Hance. ❑ 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:_ f 7,f-/ ❑ 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 MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 360-275-4467 Bel ext.352 � 360-482-5269 Elmama ext.352 Inspection Hotline 360427-7262 Building,Planning,Environmental Health,Community Health 615 W. Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: 6L7> 'Zp1'7 - QD t4Z C:2 ADDRESS/LOCATION: A�i oc. wc.V� FINDINGS• ( `j a 3 2 o(jevta r I Cv✓v K !e/ �' H ram! 15 get--}" t,, 1-ea ✓ �✓4 Sc Lt t It D it t! S C vvve /-etl C o H-A6 Al ff vt S Le L c1 T)e- vt S eV Pe �ep Gr ti CV✓Ylr�7 � C r� ���� 15 Items a 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: 1 Z"7'� _ ❑ Please contact our office regarding possible Department: L structural damage incurred by recent "natural/man made"disasters.This is NOT a Inspector: J! c. CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 WASH#6846 GENE T. STRADER ENGINEERING STRUCTURAL—SOILS -CIVIL P. O. BOX 957 KELSO, WA 98626 (360)431-5198 To: Pat Sari; 330 N.Ayock Beach drive. Lilliwaup, WW Re: shear walls Date: December 13,2018 The 7/16"OSB APA rated sheathing will be sufficient for the shear panel for shearwalis B,C, and D. Nailing will need to follow the schedule for each shearwall. Any overpenetrated nails will need to be renailed. Gene T. Strader.. PE yam- - RECEIVED �� OF 14 DEC 18 2018 ' ' ° $15 W.Aklor cS c,s �r ' MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 3360 48-269 Elma ext.352 Building, Planning, Environmental Health,Community Health Inspection Hotline 360-427-7262 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: /3 L 7P 2. 0 / —7 — QO y Z (p ADDRESS/LOCATION: 3 3 z> ✓y A a�� �l4 L� �,•, 1,�/, t,,4 v�� FIN GS: l w vYt �'v,��«-did ko, -I, t 4 * 1P7 yyiW-7�L ilG a t4 7tvA-7 S 1. V/ I. i-fi r 1e4 n art f/C 14 In u � ✓—Ae-7 / s listed above must be corrected to lain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection. ❑ OK to Date: l 2 - 2- Please contact our office regarding possible Department: L structural damage incurred by recent Inspector: J "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 ' MASON COUNTY 360-427-9670 Shelton ext.352 COMMUNITY SERVICES 3360 482 5269 Elma ext.352 Inspection Hotline 360-427-7262 Building, Planning, Environmental Health,Community Health 615 W. Alder St. Bldg. 8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: rj L-D Z p J$'— OD 9Z(p ADDRESS/LOCATION: p G 13-e4 G k )/ Z/ W-► v4--> FIN INGS: L D S C 1 15 K- Sf S I .111 4e h.c-4tdca n 4 H ors _ ro M /c -[r✓.t �>I o rim, N a —f- 1 W,l I e le e, S-e_ O L -t L-fit i N 5 0-0-5 4 +� v, t 14"S 411,d4Z AQV-52 h s s h / s q He s A W/H . v Items listed above must be corrected to gain compliance. IVIHIS 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. 'ETMake corrections, items will be checked on the next inspection. OK to Date: P51 ❑ Please contact our office regarding possible Department: L structural damage incurred by recent natural/man made"disasters.This is NOT a Inspector: , CORRECTION NOTICE. DO NOT REMOVE THIS TAG T,q5e I W -2- MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 67 Belfair ext.352 COMMUNITY SERVICES 360-275 360-482 5269 Elma ext. 352 Building, Planning, Environmental Health,Community Health Inspection Hotline 360-427-7262 615 W. Alder St. Bldg. 8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: �jL Zv/�f� 4 D yZ l0 ADDRESS/LOCATION: 330 N 14-7a tk- ?e&C47 Dr Zi�/iwt v,7 FI S:01 S V 0 "� v�^ Gt�✓ -f ��, G Y/ q 41 I? ✓OrJi�c r Pvr 1 ydv L' 6t 0 fly -{ r^ / �.1 r -tt- ?,v r S C 1�7 llo WOM-1d✓t (' wk�ri A J c vlS� �l4 ✓ /GW h7 4 0 L /r A, ,/! i`r / ✓ ✓�Ll�r��� ,� Items listed above must be corrected to gain compliance. WTHIS IS NOT A COMPLETE INSPECTION This structure has been inspected by Mason County Building Department and the items listed ove 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: E] Please contact our office regarding possible Department: C I structural damage incurred by recent Inspector: "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext. 352 60-275-4467 Belfair ext. 352 COMMUNITY SERVICES 3360 48-269 Elma ext. 352 Inspection Hotline 360-427-7262 Building, Planning, Environmental Health,Community Health • 615 W. Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: 13 L 7] Z O/S- 00 y2.(a ADDRESS/LOCATION: ,A-) A4 i tj Lk FY-4 [/„ FINDINGS: !'�O/�,4�rc �'rr ti�-�•?-� ��rJv t /��� r�t�S,e 9!'!��S 5 l h a i //+-s r4 w -7 �i-c ,�� of—� 3Z " `Y!,vi . R l v<ss ✓ ✓/ r ✓t 4 {�!!//C Ln r/re l i e4 �C L i !,✓ o �O < vvt,tk 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: L D structural damage incurred by recent Inspector: "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 Belfair ext. 352 COMMUNITY SERVICES 360-275-4467 360-482-5269 Elma ext.352 Inspection Hotline 360-427-7262 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: 9j L-I)2 Or? — r)Dy Z (p ADDRESS/LOCATION: !-�>g AJ A!j o r�A-- Edt se- , 4 �//o,*t� F I N D I N Z 1Z9✓� ( k-r- YtS t�5 't C !0,L4 ,XY vt�ut die tAn. e te ac. ti ✓+t la 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 Q Date: / — l —� �/ ❑ Please contact our office regarding possible Department: TTL l structural damage incurred by recent Inspector: —��C� "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 Point & Pay - Create Order Page 1 of 1 Thank you for your payment! This service has been provided by Mason County Community Development Dept, WA and Point& Pay. We value your business. Please keep this receipt for future reference. You have made a payment to Mason County Community Development Dept, WA . The Mason County Community Development Department thanks you for your payment. Name: P Sari Columbia Ford Address: 700 7th ave, longview WA, US, 98632 Contact: 3604234321 Comments: Payment ID: 44134037 Date: 05/17/18 04:13 PM Subtotal: $2254.95 Fee: $56.37 Total: $2311.32 Method: Credit Card(************4422) Item Purchased Transaction Description Account Amount Permits Mason Co CDD bld2017-00426 $2,254.95 _� b� Signature: Date: By signing thi recei you agre to a terms and conditions of this service. You will see one line item on your credit or debit card statement indicating the amount you paid and will be identified as Mason Co CDD. If you have any questions about the charges please call 1-888-891-6064. Print Receipt Close Window https:Hagent.pointandpay.net/pointandpay_counter/viewReceipt.do?method=viewPayment... 5/17/2018 A, Lumber design values are in accordance with ANSI/TPI 1-2007 section 6.3 These truss designs rely on lumber values established by others. MiTek S RE: 184572 -Vacation Home MiTek USA, Inc. 250 Klug Circle Corona, CA 92880 Site Information: 951-245-9525 Project Customer: Project Name: Lot/Block: Subdivision: Address: City: State: Name Address and License#of Structural Engineer of Record, If there is one, for the building. Name: License#: Address: City, County: State: General Truss Engineering Criteria & Design Loads (Individual Truss Design Drawings Show Special Loading Conditions): Design Code: IRC2012/TP12007 Design Program: MiTek 20/20 8.2 Wind Code: ASCE 7-10 Wind Speed: 110 mph Design Method: MWFRS(Directional)/C-C hybrid Wind ASCE 7-10 Roof Load: 42.0 psf Floor Load: N/A psf This package includes 5 individual, dated Truss Design Drawings and 0 Additional Drawings. No. Seal# Job ID# Truss Name Date 1 K5325772 184572 A01 10/26/18 2 K5325773 184572 A02 10/26/18 3 K5325774 184572 A03 10/26/18 4 K5325775 184572 BP01 10/26/18 5 K5325776 184572 BP02 10/26/18 G The truss drawing(s)referenced above have been prepared by SAD wAs 290 MiTek USA,Inc.under my direct supervision based on the parameters �wo4c provided by Trus-way Inc. Truss Design Engineer's Name: Zhao,Xiaoming My license renewal date for the state of Washington is September 28,201 �r 54 4 NOTE:The seal on these drawings indicate acceptance of o�� �'isrFR professional engineering responsibility solely for the truss components shown. The suitability and use of this component for any particular building is the responsibility of the building designer, per ANSI/TPI-1 Sec. 2. October 26,2018 1 of 1 Zhao,Xiaoming Job Truss Truss Type Qty Ply Vacation Home r r K5325772 184572 A01 Common Supported Gable 1 1 Job Reference(optional) Trus-Way, Vancouver,WA-98661, 8.220 s Oct 6 2018 MiTek Industries,Inc. Fri Oct 26 16:22:05 2018 Page 1 ID:ODT9cFKZHg2lj5kejwO9cWySXoE-XThW 1?XuT_6JukGDzjPF6TOUZgQOTcoOoWJfDyPUiO 17-0-0 34-0-0 17-M 17-M PER ICC CODES(IRCABC),TPI 1 AND REFERENCED BCSI, 3x6= Scale=1 56.5 FLAT BOTTOM CHORD GABLE TRUSSES ARE NOT TO BE INSTALLED ADJACENT TO SCISSOR TRUSSES UNLESS L M N SPECIAL OUT OF PLANE WALL BRACING IS SPECIFIED BY THE ENGINEER OF RECORD. K O J P 6.00 12 I Q AW H RAX G S F T E U D V C W B. X A Y up I US= AV US - AU AT AS AR AD AP AO AN AM AL AK AJ Al AH AG AF AE AD AC AS AA Z 3x6= 32-0-0 34-M , 32-M 2r-OA Plate Offsets(X.Y)- fM:D-3-O.Edael.fAK:0-2-0.D-0-111 LOADING (psf) SPACING- 2-0-0 CSI. DEFL. in (loc) I/deft Ltd PLATES GRIP (Roof Snow-40. TCLL 40 7) Plate Grip DOL 1.15 TC 0,30 Vert(LL) n/a n/a 999 MT20 2201195. TCLL O Lumber DOL 1.15 BC 0_31 Vert(TL) Na n/a 999 Rep Stress Incr YES WB 0 14 Horz(TL) -0.01 Z n/a n/a BCLL 0.0 Code IRC2012/TP12007 Matrix-S Weight:236 lb FT=8% BCDL 10.0 LUMBER- BRACING- TOP CHORD 2x4 DF No.1&Btr TOP CHORD Structural wood sheathing directly applied or 10-0-0 oc puffins. BOT CHORD 2x4 OF No.1&Btr BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. OTHERS 2x4 DF No.1&Btr WEBS 1 Row at midpt L-AL,N-AK REACTIONS. All bearings 28-0-0. (lb)- Max Horz AU=159(LC 11) Max Uplift All uplift 100 Ib or less at joints)AM,AN,AO,AP,AQ,AR,AS,Al,AH,AG,AF,AE,AD,AC,AB except AT=323(LC 16),AU=230(LC 12),AA=157(LC 10),Z=146(LC 9) Max Grav All reactions 250 lb or less at joint(s)AM,AN,AO,AP,AQ,AR,AT,All,AH,AG,AF,AE,AD,AC,AB except AL=367(LC 16),AS=262(LC 16),AU=81 O(LC 16),AK=338(LC 1),AA=302(LC 16),Z=501(LC 17) FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-6=196/430,B-C=168/430,C-D=-81/328,D-E=-86/400,E-F=50/387,F-G=20/388, G-H=0/388,H-1=0/388,I-J=0/388,J-K=0/389,K-L=0/400,L-M=0/288,M-N=0/288, N-0=0/400,O-P=0/389,P-Q=0/388,Q-R=0/388,R-S=0/388,S-T=20/388,T-U=50/388, U-V=-81/388,V-W=111/390,W-X=143/385,X-Y=196/429 BOT CHORD A-AV=322/202,AU-AV=322/202,AT-AU=324/202,AS-AT=324/202,AR-AS=324/202, AQ-AR=324/202,AP-AQ=324/202,AO-AP=324/202,AWA0=324/202,AM-AN=324/202, AL-AM=-324/202,AK-AL=324/202,AI-AK=324/202,AH-AI=324/202,AG-AH=324/202, AF-AG=324/202,AE-AF=324/202,AD-AE=324/202,AC-AD=324/202,AB-AC=324/202, AA-AB=324/202,Z-AA=324/202,Y-Z=324/202 WEBS L-AL=340/0,C-AU=390/185,N-AK=312/0,X-Z=343/93 NOTES- 1)Wind:ASCE 7-10;Vult=110mph(3-second gust)V(IRC2012)=87mph;TCDL=4.2psf;BCDL=6.Opsf;h=25ft;B=45ft;L=34ft; eave=2ft;Cat.11;Exp C;Enclosed;MWFRS(directional)and C-C Exterior(2)zone;cantilever left and right exposed;C-C for OTILWNG 9> members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60 2)Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry O Gable End Details as applicable,or consult qualified building designer as per ANSI/TPI 1. iC� Ql 3)TCLL:ASCE 7-10;Pf=40.0 psf(flat roof snow);Category II;Exp C;Fully Exp.;Ct=1.10 y� O� 4)Unbalanced snow loads have been considered for this design. 5)All plates are 2x4 MT20 unless otherwise indicated. 6)Plates checked for a plus or minus 4 degree rotation about its center. 7)Gable studs spaced at 1-4-0 oc. 8)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. Q� '�crs 74 74 9)•This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. SSFONAL v'O 10)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)AM,AN,AO,AP, AQ,AR,AS,AI,AH,AG,AF,AE,AD,AC,AB except(jt=lb)AT=323,AU=230,AA=157,Z=146. October 26,2018 A WARNING-Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE 114II-7473 rev.1"312015 BEFORE USE. waree Design valid for use only with MiTeke connectors.This design is based only upon parameters shown,and is for an individual building component.not a truss system.Before use,the building designer must veriy the applicability of design parameters and properly incorporate this design into the overall building tlesign. Bracing indicated is to prevent buckling of individual truss web and/or chord members only.Additional temporary and permanent bracing MiTek' is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication,storage,delivery,erection and bracing of trusses and truss systems,see ANSVTPII Quality Criteria,DSB-89 and SCSI Building Component 250 Klug Circle Safety Information available from Truss Plate Institute,218 N.Lee Street,Suite 312.Alexandria,VA 22314. Corona,CA 92880 Job Truss Truss Type r—TtyFV3-bon:HomeK5325773 184572 A02 Roof Special ef o tion I Trus-Way, Vancouver,WA-98661. 8.220 s Oct 6 2018 MTek Industries,Inc. Fri Oct 26 16:22:07 2018 Page 1 ID:ODT9cFKZHg2lj5kejwO9cWySXoE-TspHPj 1 oQ5EgYCueLOnid=aINHEsGE5L16?Qk6yPUi_ 4-5-8 10.8-12 i 17-0-0 23313 29-0-15 131:8 34.0-0 634 6-34 6313 5-9-2 2-5-9 4x - Scale=1:57.5 D 6.00 12 3x4 3x4 C E `b 316 1:r- 3x6 B K F 2.4 II 6x10 = G o_ A it L 3x4= H 1 dddd 3x5= M 3.00 12 34= 6x10 6x10 Z� 345— 4.0-0 2-8-12 Plate Offsets(X.Y)— ILD-5-5.0-2-61 fM:D-5-2.0-2-51 LOADING (psf) SPACING- 240-0 CSI. DEFL in (loc) I/defl Ud PLATES GRIP TCLL 40.0 7. Plate Grip DOL 1.15 TC 0.92 Vert(LL) -0.23 K-L >999 240 MT20 220/195 (Roof Snow--40. Lumber DOL 1.15 BC 0.55 Vert(TL) -0.60 K-L >544 180 TCLL 0 Rep Stress Incr YES WB 0.52 Horz(TL) 0.18 1 n/a n/a BCLL 0.0 ' Code IRC2012/TPI2007 Matrix-MS Wind(LL) 0.04 J-K >999 360 Weight:154 Ib FT=8% BCDL 10.0 LUMBER- BRACING- TOP CHORD 2x4 DF No.1&Btr TOP CHORD Structural wood sheathing directly applied. BOT CHORD 2x4 DF No.18Btr BOT CHORD Rigid ceiling directly applied or 6-M oc bracing. WEBS 2x4 DF No.18Btr REACTIONS. (lb/size) M=2081/0.5-8,1=1795/0-5-8 Max Horz M=159(LC 10) Max Uplift M=262(LC 12),1=133(LC 12) Max Grav M=2081(LC 1),1=184D(LC 17) FORCES. (Ib)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=237/609,B-C=1394/114,C-D=2147/338,D-E=2480/363,E-F=2776/396, F-G=117/436,G-H=1521387 BOT CHORD A-M=-454/243,L-M=596/292,K-L=135/1833,J-K=288/2778,I-J=200/1692, 1-1-1=308/156 WEBS B-M=1911/414,D-K=120/1417,E-K=705/260,C-K=187/360,C-L=1184/343, B-L=221/1828,E-J=-488/138,F-J=0/827,F-1=2771/509 NOTES- 1)Wind:ASCE 7-10;Vult=110mph(3-second gust)V(IRC2012)=87mph;TCDL=4.2psf;BCDL=6.Opsf;h=25ft;B=45ft;L=34ft; eave=4ft;Cat.II;Exp C;Enclosed,MWFRS(directional)and C-C Exterior(2)zone;cantilever left and right exposed;C-C for members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60 2)TCLL:ASCE 7-10;Pf--40.0 psf(flat roof snow);Category 11;Exp C;Fully Exp.;Ct=1.10 3)Unbalanced snow loads have been considered for this design. 4)Plates checked for a plus or minus 4 degree rotation about its center. 5)This truss has been designed for a 10.0 psf bottom Chord live load nonconcurrent with any other live loads. 6)'This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide �ojJiING ZU will fit between the bottom chord and any other members. O 7)Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)except Ut=lb) Q�4 WAS R M=262,1=133. ?G 1Z r 4 w� NALU October 26,2018 ®WARNING-Verily design parameters and READ NOTES ON TWS AND INCLUDED MITEK REFERENCE PAGE MII-7473 rev.1"312015 BEFORE USE. Design valid for use only with MiTek®connectors.This design is based only upon parameters shown.and is for an individual building component,not a truss system.Before use,the building designer must verify the applicability of design parameters and properly incorporate this design into the overall •�building tlesign. Bracing indicated is to prevent buckling of individual truss web andlor chord members only.Additional temporary and permanent bracing Mi lek is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication,storage,delivery,erection and bracing of musses and truss systems,see ANSUTP11 Quality Criteria,DSB-89 and BCSI Building Component 250 Klug Circle Safety Information available from Truss Plate Institute,218 N.Lee Street,Suite 312,Alexandria,VA 22314. Corona,CA 92880 Job Truss Truss Type Oh Ply Vacation Home K5325774 184572 A03 Common Supported Gable 1 1 Job Reference(optional) Trus-Way, Vancouver,WA-98661, 8.220 s Oct 6 2018 MiTek Industries,Inc. Fri Oct 26 16:22:12 2018 Page 1 1Y-0-0 ID:ODT9cFKZHg2lj5kejwO9cWySXoE-gpcA Q5wEdt7ezmc7xL2laGbjO32XdLgdOiBOKyPUhv 34-0-0 17-" 17-" PER ICC CODES(IRCABC),TPI 1 AND REFERENCED BCSI, 3x6- Scale=1:56.5 FLAT BOTTOM CHORD GABLE TRUSSES ARE NOT TO BE INSTALLED ADJACENT TO SCISSOR TRUSSES UNLESS SPECIAL OUT OF PLANE WALL BRACING IS SPECIFIED L M N BY THE ENGINEER OF RECORD. K O J P 6.00 12 Q AW H RAX G S F T E IJ D V C W B X A Y I$ 3x6 = AV US - AU AT AS AR AQ AP AD AN AM AL AK AJ AI AH AG AF AE AD AC AB AA Z 3x6 = _0 32-0-0 2-0-0 Plate Offsets(X.Y)- fM:0-3-0.Edael.fAK:0-2-0.0-D-111 LOADING (psf) SPACING- 2-0-0 CSI. DEFL. in (loc) I/defl Ud PLATES GRIP TCLL 40.0 Plate Grip DOL 1.15 TC 0.30 Vert(LL) n/a n/a 999 MT20 2201195 TCDL (Roof Snow-40.0 a 7.0 Lumber DOL 1.15 BC 0.31 Vert(TL) n/a n/a 999 Rep Stress In YES WB 0.14 Horz(TL) -0.01 Z n/a n/a BCLL .0 B DL 10.0 Code IRC2012/TP12007 Matrix-S Weight:236 lb FT=8% LUMBER- BRACING- TOP CHORD 2x4 OF No.1&Btr TOP CHORD Structural wood sheathing directly applied or 10-0-0 oc purlins. BOT CHORD 2x4 DF No.1&Btr BOT CHORD Rigid ceiling directly applied or 6-0-0 oc bracing. OTHERS 2x4 DF No.1&Btr WEBS 1 Row at midpt L-AL,N-AK REACTIONS. All bearings 28-0-0. (lb)- Max Horz AU=159(LC 11) Max Uplift All uplift 100 lb or less at joint(s)AM,AN,AO,AP,AQ,AR,AS,AI,AH,AG,AF,AE,AD,AC,AB except AT=323(LC 16),AU=230(LC 12),AA=157(1-C 10),Z=146(LC 9) Max Grav All reactions 250 lb or less at joint(s)AM,AN,AO,AP,AQ,AR,AT,At,AH,AG,AF,AE,AD,AC,AB except AL=367(LC 16),AS=262(LC 16),AU=810(LC 16),AK=338(LC 1),AA=302(LC 16),Z=501(LC 17) FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. TOP CHORD A-B=196/430,B-C=1168/430,C-D=-81/328,D-E=86/400,E-F=50/387,F-G=20/388, G-H=0/388,H-1=0/388,I-J=0/388,J-K=0/389,K-L=0/400,L-M=0/288,M-N=0/288, N-0=0/400,O-P=0/389,P-Q=0/388,Q-R=0/388,R-S=0/388,S-T=20/388,T-U=50/388, U-V=81/388,V-W=1111390,W-X=143/385,X-Y=196/429 BOT CHORD A-AV=322/202,AU-AV=322/202,AT-AU=324/202,AS-AT=324/202,AR-AS=324/202, AQ-AR=324/202,AP-AQ=324/202,AO-AP=324/202,AWA0=324/202,AM-AN=324/202, AL-AM=324/202,AK-AL=324/202,AI-AK=3241202,AH-AI=324/202,AG-AH=324/202, AF-AG=324/202,AE-AF=324/202,AD-AE=324/202,AC-AD=324/202,AB-AC=324/202, AA-AB=324/202,Z-AA=324/202,Y-Z=324/202 WEBS L-AL=340/0,C-AU=390/185,N-AK=312/0,X-Z=343(93 NOTES ILK A - 1)Wind:ASCE 7-10;Vuft=110mph(3-second gust)V(IRC2012)=87mph;TCDL=4.2psf,BCDL=6.Opsf;h=25ft;B=45ft;L=34ft; eave=2ft;Cat.II;Exp C;Enclosed;MWFRS(directional)and C-C Exterior(2)zone;cantilever left and right exposed;C-C forOMWG Zzi members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60 `�0 2)Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry O Gable End Details as applicable,or consult qualified building designer as per ANSUTPI 1. f 3)TCLL:ASCE 7-10;Pf=40.0 psf(flat roof snow);Category II;Exp C;Fully Exp.;Ct=1.10 O 4)Unbalanced snow loads have been considered for this design. 5)All plates are 2x4 MT20 unless otherwise indicated. 6)Plates checked for a plus or minus 4 degree rotation about its center. 7)Gable studs spaced at 1-4-0 oc. O 54074� 8)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 9)`This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide fi Gj$ it will fit between the bottom chord and any other members. �SSIONALG 10) Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 1 DD lb uplift at joint(s)AM,AN,AO,AP, AQ,AR,AS,AI,AH,AG,AF,AE,AD,AC,AB except(jt=lb)AT=323,AU=230,AA=157,Z=146. October 26,2018 ®WARNING-verify design parameters and READ NOTES ON TINS AND INCLUDED MITEK REFERENCE PAGE MII-7473 rev.10/03/2015 BEFORE USE. Design valid for use only with MiTek®connectors.This design is based only upon parameters shown,and is for an individual building component,not a truss system.Before use,the building designer must verify the applicability of design parameters and properly incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only.Additional temporary and permanent bracing M i!�• ekis always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication,storage,delivery,erection and bracing of trusses and truss systems,see ANSI/rPh Quality Criteria,DSB-89 and BCSI Building Component 250 Mug Circle Safety Information available from Truss Plate Institute,218 N.Lee Street,Suite 312,Alexandra,VA 22314, Corona,CA 92880 •ob Truss Truss Type Qty Ply Vacation Home K5325775 57 1842 BP01 BLOCKING SUPPORTED 19 1 Job Reference Optional) Trus-Way, Vancouver,WA-98661, 8.220 s Oct 6 2018 MiTek Industries,Inc. Fri Oct 26 16:22:14 2018 Page 1 ID:ODT9cFKZHg21j5kejwO9cWySXoE-mCkwt66BmE7quHw FMOW7?L?aBol?Zu75tBHSCyPUht • 0�11 1-9-0 1-10r1 0�1-0 1-8-0 0.1-0 2x4 3x4 = A B C Seale=1:14.8 D 1 0 0-if KFJ G F E 3x4 = 2x4 II 0�1�0 1-9-4 1AV 0. 18 0. LOADING (psf) SPACING- 2-0-0 CSI. DEFL. in (loc) Vdefl Ud PLATES GRIP TCLL 40.0 7) Plate Grip DOL 1.15 TC 0.02 Vert(LL) ri n/a 999 MT20 220/195 (Roof Snow--40. Lumber DOL 1.15 BC 0.01 Vert(TL) n/a n/a 999 TCDL .0 Rep Stress Incr YES WB 0.01 Horz(TL) -0.00 H n/a n/a BCLL 0.0 Code IRC2012/TP12007 Matrix-P Weight:13 lb FT=8% 1 0 LUMBER- BRACING- TOP CHORD 2x4 DF No.1&Btr TOP CHORD 2-0-0 oc purlins:A-D. BOT CHORD 2x4 DF No.1&Btr BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing. WEBS 2x4 DF No.1&Btr REACTIONS. All bearings 1-10-4. (lb)- Max Uplift All uplift 100 Ib or less at joint(s)A,D,H,E,G,F Max Grav All reactions 250 lb or less at joint(s)A,D,G,F FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. NOTES- 1)Wind:ASCE 7-10;Vi 10mph(3-second gust)V(IRC2012)=87mph;TCDL=4.2psf;BCDL=6.Opsf;h=25ft,B=45ft;L=24ft; eave=2ft;Cat.11;Exp C;Enclosed;MWFRS(directional)and C-C Exterior(2)zone;cantilever left and right exposed;C-C for members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60 2)Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry Gable End Details as applicable,or consult qualified building designer as per ANSI/fPI 1. 3)TCLL:ASCE 7-10;Pf=40.0 psf(flat roof snow);Category It;Exp C;Fully Exp.;Ct=1.10 4)Provide adequate drainage to prevent water ponding. 5)Plates checked for a plus or minus 4 degree rotation about its center. 6)Gable requires continuous bottom chord bearing. 7)Truss to be fully sheathed from one face or securely braced against lateral movement(i.e.diagonal web). 8)Gable studs spaced at 1-4-0 oc. 9)This truss has been designed for a 10.0 psf bottom chord live load nonconcurent with any other live loads. 10) `This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 11) Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)A,D,H,E.G,F. 12) Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. �ON"tIN G 2z, O Q Q� 1p r0�+ 54074 y` �`'�S"ONAL G October 26,2018 ®WARNING-verify design parameters and READ NOTES ON THIS AND INCLUDED WTEK REFERENCE PAGE MII-7473 rev.10/03/2015 BEFORE USE. Design valid for use only with MiTek®connectors.This design is based only upon parameters shown,and is for an individual building component,notwt a truss system.Before use,the building designer must verify the applicability of design parameters and property incorporate this design into the overall ;�ek` building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing Ml l is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication,storage,delivery,erection and bracing of trusses and truss systems,see ANSVTPII Quality Criteria,DSB-89 and BCSI Building Component 250 Klug Circle Safety Information available from Truss Plate Institute.218 N.Lee Street,Suite 312,Alexandria,VA 22314. Corona,CA 92880 Job Truss Truss Type Qy Py Vacation Home + K5325776 184572 BP02 BLOCKING SUPPORTED 1 1 Job Reference(optionalli Trus-Way, Vancouver,WA-98661, 8.220 s Oct 6 2018 MTek Industries,Inc. Fri Oct 2616:22:16 2018 Page 1 I D:ODT9cFKZHg2lj5kejv,09cWySXoE-jbsgloBR I sNY7a4 NMnQ_CQQL7?UoTTOQYOgOX5yPUhr 011,0 1-7-12 1-4-12 02110 1512 0-1-0 2x4 11 3x4 = A B C Scale=1:14.8 D LJ G F E 3x4= 2x4 II Olt i0 1-7-12 1-$-12 0 -0 16-12 0-�0 LOADING (psf) SPACING- 2-M CSI. DEFL. in (loc) I/deft Ud PLATES GRIP TCLL 40.0 7. Plate Grip DOL 1.15 TC 0.02 Vert(LL) n/a n!a 999 MT20 220/195 (Roof Snow-40. Lumber DOL 1.15 BC 0.01 Vert(TL) n/a n/a 999 TCDL 0 Re Stress Incr YES WB 0.01 Horz BCLL 0.0 p (TL) -0.00 H n/a n!a Code IRC2012/rP12007 Matrix-P Weight:12 lb FT=8 LUMBER. BRACING- TOP CHORD 2x4 DF No.1&Btr TOP CHORD 2-0-0 oc puffins:A-D. BOT CHORD 2x4 OF No.1&BIT BOT CHORD Rigid ceiling directly applied or 10-0-0 oc bracing WEBS 2x4 OF No.1&Btr REACTIONS. All bearings 1-8-12. (lb)- Max Uplift All uplift 1001b or less at joint(s)A,D,H,E,G,F Max Grav All reactions 250 lb or less at joint(s)A,D,G,F FORCES. (lb)-Max.Comp./Max.Ten.-All forces 250(lb)or less except when shown. NOTES- 1)Wind:ASCE 7-10;Vuft=110mph(3-second gust)V(IRC2012)=87mph;TCDL=4.2psf;BCDL=6.Opsf;h=25ft;6=45ft;L=24ft; eave=2ft;Cat.11;Exp C;Enclosed;MWFRS(directional)and C-C Exterior(2)zone;cantilever left and right exposed;C-C for members and forces&MWFRS for reactions shown;Lumber DOL=1.60 plate grip DOL=1.60 2)Truss designed for wind loads in the plane of the truss only. For studs exposed to wind(normal to the face),see Standard Industry Gable End Details as applicable,or consult qualified building designer as per ANSUTPI 1. 3)TCLL:ASCE 7-10;Pf=40.0 psf(flat roof Snow);Category 11;Exp C;Fully Exp.;Ct=1.10 4)Provide adequate drainage to prevent water ponding. 5)Plates checked for a plus or minus 4 degree rotation about its center. 6)Gable requires continuous bottom chord bearing. 7)Truss to be fully sheathed from one face or securely braced against lateral movement(i.e.diagonal web). 8)Gable studs spaced at 1-4-0 oc. 9)This truss has been designed for a 10.0 psf bottom chord live load nonconcurrent with any other live loads. 10)`This truss has been designed for a live load of 20.Opsf on the bottom chord in all areas where a rectangle 3-6-0 tall by 2-0-0 wide will fit between the bottom chord and any other members. 11) Provide mechanical connection(by others)of truss to bearing plate capable of withstanding 100 lb uplift at joint(s)A,D,H,E,G,F. 12)Graphical purlin representation does not depict the size or the orientation of the purlin along the top and/or bottom chord. NLG i110 WAS o Co °x 54074 Off, ��GISTER� �' �SS10NALE„� October 26,2018 ®WARNING•Verify design parameters and READ NOTES ON THIS AND INCLUDED MITEK REFERENCE PAGE 11,111-7473 ray.fONJ/2015 BEFORE USE. Design valid for use only with Ivi connectors.This design is based only upon parameters shown,and is for an individual building component,not es a truss system.Before use,the building designer must verify the applicability of design parameters and properly incorporate this design into the overall building design. Bracing indicated is to prevent buckling of individual truss web and/or chord members only. Additional temporary and permanent bracing MTek• is always required for stability and to prevent collapse with possible personal injury and property damage. For general guidance regarding the fabrication,storage,delivery,erection and bracing of trusses and truss systems,see ANSI/TP11 Quality Criteria,DSB-89 and BCSI Building Component 250 Klug Cirola Safety Information available from Truss Plate Institute,218 N.Lee Street,Suite 312,Alexandria,VA 22314. Corona,CA 928W Symbols Numbering System A General Safety Notes PLATE LOCATION AND ORIENTATION Center plate on joint unless x,y 6-4-8 1 dimensions shown in ft-in-sixteenths Failure to Follow Could Cause Property 4 offsets are indicated. (Drawings not to scale) Damage or Personal Injury Dimensions are in ft-in-sixteenths. Apply plates to both sides of truss 1 2 3 1. Additional stability bracing for truss system,e.g. and fully embed teeth. TOP CHORDS diagonal or X-bracing,is always required. See BCSI. rr c1-2 C2-3 2. Truss bracing must be designed by an engineer.For �'�16 4 wide truss spacing,individual lateral braces themselves WEBS �3,4 may require bracing,or alternative Tor I Ow p bracing should be considered. M ��1 O 3. Never exceed the design loading shown and never O stack materials on inadequately braced trusses. p 4. Provide copies of this truss design to the building For 4 x 2 orientation,locate 7-e C6- CS-6 � designer,erection supervisor,property owner and plates 0- 'lid'from outside BOTTOM CHORDS all other interested parties. edge of truss. 8 7 6 5 5. Cut members to bear tightly against each other. 6. Place plates an each face of truss at each This symbol Indicates the JOINTS ARE GENERALLY NUMBERED/LETTERED CLOCKWISE joint and embed fully.Knots and wane at joint required direction of slots In AROUND THE TRUSS STARTING AT THE JOINT FARTHEST TO locations are regulated by ANSI/TPI 1. connector plates. THE LEFT. 7. Design assumes trusses will be suitably protected from CHORDS AND WEBS ARE IDENTIFIED BY END JOINT the environment in accord with ANSI/TPI 1. Plate location details available in MiTek 20/20 NUMBERS/LETTERS. software or upon request. 8. Unless otherwise noted,moisture content of lumber shall not exceed 19%at time of fabrication. PLATE SIZE PRODUCT CODE APPROVALS 9. Unless expressly noted,this design is not applicable for ICC-ES Reports: use with fire retardant,preservative treated,or green lumber. The first dimension is the plate 10.Camber is a non-structural consideration and is the width measured perpendicular ESR-1311,ESR-1352, ESR1988 responsibility of truss fabricator.General practice is to 4 x 4 to slots.Second dimension is ER-3907,ESR-2362,ESR-1397,ESR-3282 camber for dead load deflection. the length parallel to slots. 11.Plate type,size,orientation and location dimensions indicated are minimum plating requirements. LATERAL BRACING LOCATION 12.Lumber used shall be of the species and size,and in all respects,equal to or better than that Indicated by symbol shown and/or Trusses are designed for wind loads in the plane of the specified. by text in the bracing section of the truss unless Otherwise Shown. 13.Top chords must be sheathed or purlins provided at output. Use T or I bracing spacing indicated on design. if indicated. Lumber design values are in accordance with ANSI/TPI 1 section 6.3 These truss designs rely on lumber values 14.Bottom chords require lateral bracing at spacing, ns BEARING g y or less,if no ceiling is installed,unless otherwise noted. established by others. 15.Connections not shown are the responsibility of others. Indicates location where bearings 16.Do not cut or alter truss member or plate without prior (supports)occur. Icons vary but ©2012 MiTek®All Rights Reserved approval of an engineer. reaction section indicates joint number where bearings occur. 17.Install and load vertically unless indicated otherwise. Min size shown is for crushing only. .x, 18.Use of green or treated lumber may pose unacceptable environmental,health or performance risks.Consult with Industry Standards: project engineer before use. ANSI/TP11: National Design Specification for Metal 19.Review all portions of this design(front,back,words Plate Connected Wood Truss Construction. and pictures)before use.Reviewing pictures alone W1 is not sufficient. DSB-89: Design Standard for Bracing. BCSI: Building Component Safety Information, 20.Design assumes manufacture in accordance with Guide to Good Practice for Handling, ANSI/TPI 1 Quality Criteria. Installing&Bracing of Metal Plate Connected Wood Trusses. MiTek Engineering Reference Sheet:MII-7473 rev. 10/03/2015 N 0 28-00-00 4-00-00 O FLAT GE-OSB 5/8" DROP A01 r Z w Q N Q C O 0 O O O m X m (D i i FLAT GE -C SB 5/8" DROP A03 HAND-CUT RAFTERS TOTAL TRUSSES: 41 SF ROOF AREA: 1968 CUSTOMER: JP WRIGHT CONSTRUCTION LLC PITCH: 6/12 JOB NAME: PAT SARI CANT OPTION OVERHANGS: 2' - 0" (360)750-1470 Vancouver - (503)285-2615 Portland PLAN: VACATION HOME LOADING: 25-7-10 1-877-TRUS 3 Fax JOB NUMBER: 184572 WIND SPEED: 140 TRUS-WAY`_' 3901 NE 68th Street RUSWAY Toll Free WWW.TRUSWAY.COM Z O Vancouver,WA 98661 SALESMAN VINCE ROGERS BUILDING EXP: B a RECEIVED FEB 0 6 2010 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from ection FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number. 0 Al A- O City / State ZIP Code Company NAIC Number SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: 7 Construction Drawings* Fe.?<1lding Under Construction* ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item AT In Puerto Rico only, enter meters. Benchmark Utilized: fy&5 W0 eP $CW Vertical Datum: Indicate elevation datum g for the elevations in items a}through h)below. ❑ NGVD 1929 LVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 1 Z __ eet ❑ meters b) Top of the next higher floor �31r` ;cc * (,t c - t 5., /� ?,(� Meet [] meters c) Bottom of the lowest horizontal structural member(V Zones only) ❑ feet ❑meters d) Attached garage(top of slab) ❑ fee, ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building (LAG) (�feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) / �:3 ©'feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including � feet �1 meters structural support SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information. i certify that the information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by rine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? des ❑No ❑Check here if attachments. Certifier's Nammey}� ! l License Number - -�1.-_1!S/15�-G—� s��v r l�iG:t�l111-rt�!�.•��..CS�, n A. Company Name `j 1 `' Address 5 ., l re+•s C z 't, City State C JJ ZIP Code J k Signature Date Telephone Copy all pa s of this Elevation Certificate and all attachments foe(i)community official,(2)insurance agent/company,and(3)building owner. Comments(including type ofinent and r Fey, if applicable) FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 U.S..DEPAFRTMEW OF HOMELANb SECURITY Federal Emergency Management Agency OMB No. 1660-0008 National Flood Insurance Program Expiration Date: November 30,2018 ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9, Copy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent/company,and(3)building owner. `,'ZCT'ION A-iPROPERTy mi`oRt~4ATtON FOR tNSt RHNCE COMPANY t)3E Al. Building Owner's Name Policy Number: rA2. �T� C-l� Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No. Company NAIC Number: 30 vc t G 4 lok City State ZIP Code L—1 a IX14 5 A3. Property Description(Lot and Block Numbers, Tax Parcel Number, Legal Description,etc.) A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) A5. Latitude/Longitude: Lat. 7, d y Long.-%�3,05 � Horizontal Datum: ❑ NAD 1927 Q-NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. CAT Building Diagram Number A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1O`6 sq ft b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade �[ c) Total net area of flood openings in A8.b 7(-;&; sq in d) En gineered,flood,a erring-? _=ves _l! ,, A9. For a building with an attached garage: a) Square footage of attached garage sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total net area of flood openings in A9.b sq in <1) Erlgi7eeredf flood openings? ❑Yas 3'No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number _ B2.County Name B3. State WW O/J B4. Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number t Date Effective/ Zone AO,use Base Revised Date loud Depth) vcv B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: ❑ FIS Profile ❑ FIRM ❑ Community Determined ❑ Other/Source: rn�r G/m %%4,V!7 51314&' B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 Ep`tiAVD 1988 ❑ Other/Source: 812. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area (OPA)? ❑Yes CVO Designation Date:_ ❑ CBRS ❑ OPA FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 pBuilding RTANT: In those spaces,copy the corresponding information from Section A, Expiration Date: November 30,2018 Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P,O. Route and Box No. F71N6URANCE Polic COMPANY USE GK v State / ZIP Code Company NAIC Number SECTION E—BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT FIFE) For Zones AO and A(without BFE),complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, eompi@tL'SBCtibtlS A. Band l FOr 1femS E1—EQ•use natural grade, if available. Check the measurement used. In PR F RICO Only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawlspace,or enclosure)is b) Top of bottom floor(including basement, ❑feet []meters ❑above or []below the HAG, crawlspace, or enclosure)is ----- ---___ ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters E]above or ❑below the HAG. E3. Attached garage(top of slab)is -- ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? Yes [ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B,and E for Zone A(without aFEMA-issued or community-issued BFE)or Zone AO must sign here. The statements in Sections A, B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous eclttlons. Form Page 3 ore ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date:November 30,2018 IMPORTANT:In theso spaces;copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: A/ A -OG 1 e,- G.1-1 iQ City State ZIP Code � Company NAIC Number SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B,C(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3_ ❑ The following information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: F New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑ meters Datum G10. Community's design flood elevation: J feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments(including type of equipment and location,per C2(e), if applicable) Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE See Instructions for item A6. OMB No. Date:Nov Expiration Date:November 30,2018 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZIP Code —— Company NA1C Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View";and,if required, 'Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8.If submitting more photographs than will fit on this page, use the Continuation Page. mrr .< !aa aa! , MOM 02 3 ■■m mom ■p mammon F am IHIME MEN _ J � tCs -yMdF P 71 r }xr Photo One Caption ---- -- MIMM t- i K a.r . � � Mi4 rt M �. '* Pnotc Two Photo Two Caption E�?R E G✓ FE%1A Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30,2018 IMPORTANT:In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number: City J State ZIP Code Company NAIC Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear Vie&',* and, if requlred, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. saw i . p m2... - Photo One Caption �( slD�'• (//E�/ T ©O dole i 77, 00 �-1 5- r� Photo Two _Z— Si Photo Two Caption FEMA Form 086-0-33(7115) Replaces all previous editions. Form Page 6 of 6