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Home My WebLink AboutCOM2021-00072 Slope Stabilization - COM Inspections - 12/6/2024 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY COMMUNITY SERVICES SHELTON:360-427-9670,EXT 352 t BELFAIR: 360-275-4467,EXT 352 Building,Pldnning,Cnvir onmentdl l 1c Ith.Community l Iedlth 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.mason.wa.us/community-services/bld-inspection.php Permit Number COM2021-00072 Date Issued 1 010 6/2 0 2 1 Issued By Project INSTALL SOIL NAILING AND SLOPE STABILIZATION FOR AN AREA OF MARINE VIEW DR&VIEW RIDGE PLACE SLIDING ALONG THE RAVINE Site Address N Marine View Dr Applicant LAKE CUSHMAN MAINT CO Contractor Contractor Phone Primary Code UPC IBC, IRC,IFC,IEC,IMC,& Type Permit Type NEW COMMERCIAL PERMIT 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 Department Building Official: Community Services Designee 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 /2-(�_2 G 1�CV*8,k 4O �G �vr Slat Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other /1Y�1 1jM f0-ZZ-2L/ {/L .4*� MASON COUNTY INSPECTION RESULTS Page Department of Community Development COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584 Permit Assistance Centel;Building,Planning (360) 427-9670 ext. 352 Application # COM2021-00072 Application Type NEW COMMERCIAL PERMIT Owner LAKE CUSHMAN MAINT CO Parcel # 423325000043 Site Address N Marine View Dr Hoodsport, WA 98548 Inspector Inspection Type Date Status Comments 10-22-24 DEC PER SPECIAL INSPECTION REQUIREMENTS THE TESTING AGENCY SHALL SUBMIT A FINAL REPORT LETTER STATING THAT ALL ITEMS REQUIRING TESTING AND INSPECTION HAVE BEEN FULFILLED. PLEASE CONTACT THE Drew Carlson BLD-FINAL INSPECTION 10/22/2024 FAIL TESTING AGENCY FOR THE REQUIRED DOCUMENTS AND FEEL FREE TO EMAIL THEM TO ME DIRECTLY. INCLUDE WITH EMAIL THE PERMIT#, NAME ON PERMIT AND ADDRESS. DREWC@MASONCOUNTYWA.GOV THE PROJECT WILL FINAL WHEN I CONFIRM RECEIPT OF THE EMAIL MATERIALS TESTING i CONSULTING,INC. Marine View Drive Landslide Stabilization - 22S240 - Field Report: Shotcrete: Report #F296007 CLIENT DATE 10/25/2022 Company PROJECT LOCATION Marine View Drive Hoodsport WA PERMIT #GRD2021-00012 Inspection Information: Inspection Date: Time Onsite: 7:30 Weather Rain 50s 10/25/2022 AM Conditions: Inspection Performed: Shotcrete Comments: MTC Rep.was present at the project site to observe the placement of CalPortland 5000 AEA Shotcrete at the retaining wall for the landslide on Marine View Drive.Approximatley 20 yds.was placed by Noselmen Daniel Graner and Dylan Bence. All ShotCrete placement was found to be in accordancewithapprovedplansandspecifications. To the best of MTC inspector's knowledge, the above-described work was performed in general accordance with project specifications and approved plans. Images: -7- !aim,ice. . UPLOADED: 10/25/2022 14:29:24 UPLOADED: 10/25/2022 14:29:26 t � T" 2 UPLOADED: 10/25/2022 14:29:27 UPLOADED: 10/25/2022 14:29:29 REPORTED BY: Bryan Talley REVIEWED BY: Kevin Walters, Project Manager As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authonzabon for publication of statements,conclusions or extracts from or regarding our reports is reserved pending our written approval. Environmental•Geotechnical Engineering• Special Inspection is Non-Destructive Testing• Materials Testing Burl ingtonl0lympial Bell inghamlSilverdalelTukwila 360.755.1990 www.mtc-inc.net MATERIALS TESTING i CONSULTING,INC. Marine View Drive Landslide Stabilization - 22S240 - Compression Test: Concrete: Report #C296013 CLIENT T h A DATE 10/25/2022 PROJECT LOCATION Mar�w Drive Hoodsport WA PERMIT #GRD2021-00012 Inspection Information: Inspection Date: Time Onsite: 7:30 Weather Rain 50s 10/25/2022 Ab4 Conditions: Inspection Performed: Compression Test: Concrete Field Data (ASTM C-31): Location of Placement: Shot Crete wall Sample Location: Shot Crete wall Contractor: GIS Subcontractor: Supplier/Plant: CalPortland/778 Qty Placed, Cu.`20 0 0 Slump, Inches (ASTM C-143) or W/C 3 Concrete Temp, pF(ASTM C-1064): N/A Yd.: Ratio: Delivery Ticket 2888435 Job Spec. Slump: N/A Ambient Temp, °F: 52 Truck#: 6470 Air Content,% (ATSM C-231): N/A Min Temp, 'F: N/A Batch Time: 8:03 Job Spec.Air: N/A Max Temp, °F: N/A Sample Time: 10:20 Mix#and Proportions: 01 86540 Yds Cement,lbs.: 7410 Coarse Agg, lbs.: 8560 Admixture, oz./cwt: ZYLA 630-210oz Flyash, lbs.: N/A Coarse Agg, lbs.: N/A Admixture, oz./cwt: DARAVAIR 30 oz Water, gals.: 1680 Coarse Agg, lbs.:N/A Admixture, oz./cwt:ADVA 138 Fine Agg, lbs.: 21000 �� Coarse Agg, lbs.: N/A Admixture, oz./cwt: N/A 10 Gallons of water were added N Prior to sampling Sample Type & Compression Test Results: Received 10/27/2022 Sample Set 1 of 1 Type of Compression Other Test: Lab Tests: New Log Test Total Sample Sample Comp. Break ASTM ASTM # Age Date of Test Load Dim. Area (Sq. Strength Tested By Type C-617 C-1231 (Days) (Lbs.) (In.) In.) (PSI) 7699 28 11/22/2022 40,255 2.71 5.77 6,980 Renton Gordon 2 N ❑ 7700 28 11/22/2022 50,934 2.71 5.77 8,830 Renton Gordon 2 N ❑ 7701 28 11/22/2022 46,100 2.71 5.77 7,990 Renton Gordon 2 N ❑ REQ'D 28 4,000 Remarks: Average 28 day compressive strength = 7930 psi All results apply only to actual locations and materials tested.As a mutual protection to clients,the public and ounsel,es,all reports are submitted ss the confidential property of clients,and audronzabon for publication of statements,conclusions or e.tracts from or regarding our reports is reserved pnAng our written approval. Environmental•Geotechnical Engineering•Special Inspection • Non-Destructive Testing• Materials Testing Burl ingtonjOlympialBellinghamlSilverdale jukwila 360.755.1990 www.mtc-inc.net MATERIALS TUTIVIG 8 CONSULTING,INC. Marine View Drive Landslide Stabilization - 22S240 - Field Report: Sample Pick-Up: Report #F296135 CLIENT DATE 10/26/2022 PROJECT LOCATION Marine View Drive Hoodsport WA PERMIT #GRD2021-00012 Inspection Information: Inspection Date: Time Onsite: 8:30 Weather 50's Partly Cloudy 10/26/2022 AM Conditions: Inspection Performed: Sample Pick-Up Comments: MTC Rep. transported Shot Crete panel to lab for testing. REPORTED BY: Bryan Talley REVIEWED BY: Kevin Walters, Project Manager As a mutual protection to clients,the public and ourselves,all reports are submitted as the confidential property of clients,and authorizaton for publicabon of statements,conclusions or extracts from or regarding our reports is reserved pending our wnnen approval. Environmental•Geotechnical Engineering•Special Inspection •Non-Destructive Testing• Materials Testing Burl ingtonjOlympial Be]linghamlSilverdalelTukwila 360.755.1990 www.mtc-inc.net �,e Cos�wjw mAaf- 3(� ?? Z776� l C e� S ?gulf w m w zCaf td Special Inspection Requirements MASUY COUNTY CONfMNWN YSERVICES - _ _.. _ .. ...... . .....__. _ .:._ OR w Marine View Dr Landslide Stabilization MARINE VIEW DR!42332-50-nnnd3 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. Tlie General Contractor is responsible for proper notification to the Inspection/Testing Agency for items listed on this form. n. 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;t _ ,,E$ 1L REPORT I_17 TEP stating that all items requiring testing and inspection have been fulfilled and reported and a final inspection report ,4all 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 4 Spacial Inspe. .. 9�:� ..Requirements� 111MON COUN Y COKIMUNnY SERVICES ACKNOWLEDGEMENTS 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 Pen-nit Center. Declaration of Owner 1,as the owner of the project, declare that the testing agency firm/s or individuaUs listed herein are hired by the to perform "Special Inspections" and/or"Structural Testing" in accordance with the provisions of the International Building code(113(c)Chapter 17. )4-41'J-A) g r ,_ 0. _ Owner(print) wner(Signature) (date) Declaration of Registered Professional Architect/Engineer I, 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. Geostabilization International, LLC �r�MWd"w DN:GUS. �R, Earitl.ael.brey�praa, Architect/Engineer(print) Michael W Laney Dab:2012.07.12 r�u= w, I K GE 2539 07.12 0.+ Architect/Engineer Stamp/Signature(date) t71811,06D" pit �k (P,` qp TECHN �C- OF CALF/ Testing Agency Nacre/Contact Joe Prince,Estimator EMAIL:joe.prince@mtc-inc.net info: Materials Testing&Consulting,Inc. Cell: 360-421-1745; Phone: 360-755-1990 The Special Inspection/Testing Agency listed above must have a current Portfolio of Qualifications on file with the County Lior to performing work. Declaration of the General Contractor I, as the General Contractor of the project, agree to comply with the"Contractor. Responsibility" items noted herein. Hanson Excavation, LLC 7// c General Contractor(print) enerai Contractor Signature (date) Page 2 of 4 , ecial Inspection Requirements MASON COUNTY COM\UIMY SERVICES 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 t704.2.5 0 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 IV located in Seismic Design Category D, 1704.6.1 Cl 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 0 Shotcrete 1705.3 ❑ Welding of reinforcing bars 1705.3.1 0 Material Tests 1705.3.2 ❑ Masonry Construction 1705.4 ❑ Lmpirically 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 Special inspection Requirements 1 MASON COUNTY COMMUNM SERVICES ❑ Special inspections for wind resistance 1705.11 ❑ Structural wood 1705.11.1 ❑ Wind resisting components 1705.11.3 ❑ Cold formed steel light frame 1 705.11.2 ❑ Special inspection for seismic resistance 1705.12 ❑ Special inspection for structural steel per 1705.1.2.1 ❑ Seismic 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 ❑ Fire-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 Page 4 of 4 I A Mason County I ' 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 [SITE OM2021-00072 NEW COMMERCIAL PERMIT OJECT DESCRIPTION: INSTALL SOIL NAILING AND SLOPE ISSUED: 10/06/2021 ABILIZATION FOR AN AREA OF MARINE VIEW DR&VIEW RIDGE ACE SLIDING ALONG THE RAVINE EXPIRES: 04/04/2022 ADDRESS: N MARINE VIEW DR HOODSPORT PARCEL: 423325000043 APPLICANT: LAKE CUSHMAN MAINT CO OWNER: LAKE CUSHMAN MAINT CO 3740 N LAKE CUSHMAN RD 3740 N LAKE CUSHMAN RD HOODSPORT,WA 98548 HOODSPORT,WA98548 1.360.877-5233 X18 CONTACT: AARON NIX 3740 N LAKE CUSHMAN RD HOODSPORT,WA98548 1.253.225.3803 VALUATIONS: FEES: Paid Due Project Valuation (BID, 215000.00 $215,000.00 Building Permit Fee $1,795.36 $0.00 ESTIMATION..) Plan Check Fee $1,166.98 $0.00 State Fee-Commercial $25.00 $0.00 Technology Surcharge $59.25 $0.00 Planning Commercial Review $380.00 $0.00 Fee Total: $215,000.00 Totals : $3,426.59 $0.00 REQUIRED INSPECTIONS Special inspection final BLD-Final Inspection CONDITIONS " The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. Printed by:Genie Mcfarland on:10/06/2021 11:14 AM Page 1 of 3 i Mason County Mason County - Division of Community Development `lam 615 W.Alder St. Bldg.8 Shelton,WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW COMMERCIAL PERMIT COM2021-00072 * All property lines shall be clearly identified at the time of foundation inspection. * 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. * 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 requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater 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 installation/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. * 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. * The stamped approved site plan is required to be on-site for inspection purposes. If an inspection is requested and the approved site plan is not on site, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. * All 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 changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. * All RED stamped approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Department prior to any further inspections being performed or approvals granted. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. * All 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. * All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. Printed by:Genie Mcfarland on:10/06/2021 11:14 AM Page 2 of 3 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 COMMERCIAL PERMIT COM2021-00072 * Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. The 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. * 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 othe(state/local law regulating construction or the performance of construction. Issued By: Contractor or Aut ized Agent: Date: Printed by:Genie Mcfarland on:10/06/2021 11:14 AM Page 3 of 3 (P-V-d Special Inspection Requirement MASON COUNTY COMMVT M SERVICES COM2021-00072 Marine View Dr. Landslide Stabilization Marine View Dr/423325000043 Permit Number Project Title Project Address/Parcel Number GRD2021-00012, SEP2021-00072, GE02021-00093 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 4 MAW,'COUP fY CONCUUNM 6ERVIM ACKNOWLEDGEMENTS 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 firms 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. of A; /.... e. Nib' a' . 2r �y Owner(print) Owner(Signature) date) Declaration of Registered Professional Architect/Engineer I, 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. W. BL qC Timothy W. Blackwood, PE �� pF wAsy�RG��y Architect/Engineer(print) ,� °z o Architect/Engineer Stamp/Signature(date) s o RFo ;q- SS/OMAL 6�G, • fir- ' -- September 30, 2021 Testing Agency Name/Contact Pali Consulting, Inc info: Timothy W. Blackwood tim@pali-consulting.com The Special Inspection/Testing Agency listed above must have a current Portfolio of Qualifications on fde with the County/rior to performing work. Declaration of the General Contractor L as the General Contractor of the project, agree to comply with the"Contractor Responsibility" items noted herein. General Contractor(print) General Contractor Signature (date) Page 2 of 4 pecial Inspection Requirements MASON COUNTY COWRAO fft SERVICES 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 IV 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 Tests 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 19 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 Special Inspection Requirements MASON COUNTY COMMUNITY SERVICES ❑ Special inspections for wind resistance 1705.11 ❑ Structural wood 1705.11.1 ❑ Wind resisting components 1705.11.3 ❑ Cold formed steel light frame 1705.11.2 ❑ Special inspection for seismic resistance 1705.12 ❑ Special inspection for structural steel per 1705.12.1 ❑ Seismic 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 ❑ Fire-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 Page 4 of 4 aims MATERIALS TESTING L CONSULTING,INC. Marine View Drive Landslide Stabilization - 22S240 - Compression Test: Concrete: Report #C296013 CLIENT Lake Cushman Maintenance DATE 10/25/2022 Company PROJECT LOCATION Marine View Drive Hoodsport WA PERMIT#GRD2021-00012 COM2021-00072 Inspection Information: Inspection Date: Time Onsite: 7:30 Weather Rain 50s 10/25/2022 AM Conditions. Inspection Performed: Compression Test:Concrete Field Data (ASTM C-31): Location of Placement: Shot Crete wall Sample Location: Shot Crete wall Contractor.;GIS Subcontractor: --- i Supplier/Plant alPortlandR78 Qty Placed,Cu.r Slump,Inches(ASTM C-143)or W/C 20 of 20 Ratio: 3 S Concrete Temp, °F(ASTM C-1064):.N/At Yd.:; Delivery Ticket 2888435 Job S ec.Slum N/A Ambient Tenr � P P P, °F: 52 Truck#:!,6470 Air Content,%(ATSM C-231): N/A Min Temp, °F: N/A �._— Batch Time:`w8:0-3— Job Spec.Air: N/A 1, Max Temp, °F: N1A Sample Time: 10:20 .....__.._ Mix#and Proportions: C0865 10 Yds Cement,lbs.: 410 Coarse Agg,lbs.:,8560 1 Admixture,oz./cwt:ZYLA 630-210oz Flyash,lbs.: /A _ Coarse Agg,lbs.:N/A I Admixture,oz./cwt:DARAVAIR 30 oz I Water,gals.: 680 —T— Coarse Agg,lbs.:N/Aµ Admixture,oz./cwt:ADVA 138 j Fine Agg,lbs.: 1000 _.. _ .. Coarse Agg,lbs.:N/A _ Admixture,oz./cwt: /�I A _ 10 Gallons of water were added ®Prior to sampling Sample Type & Compression Test Results: Received 10/27/2022 Sample Set 1 of 1 Type of Compression ;they Test: 1 Lab Tests: New Log Test Total Sample Sample Comp. Break ASTM ASTM # Age Date of Test Load Dim. Area(Sq. Strength Tested By Type C-617 C-1231 (Days) (Lbs.) (In.) In.) (PSI) 7699 '-2 8 ; 11/22/2022 140,255 71. 5.77 !I 6,980 Renton Gordon no 2 ® ❑ 7700 ' 28 � 11/22/2022 lE 50,934;t 2.71 l 5.77 ', 8,830 1 Renton Gordon 2 ® ❑ 7701 —28 " 11/22/2022 46,100 'I 2.71 5.77 7,990 ! Renton Gordon 2 µm N ❑ REQ'D 28 4� 000 Remarks: 1 Average 28 day compressive strength=7930 psi N nO�ppy°M't°tlr bu.b w mW"WO&N mWrl P MAI Y dm.lhe pib Ytl auwNa. 1 reP rt wEmnlsa s me cmli°emui PmroM°I des.M.Nnor¢abon br pud�lien M mNmnb.mrwiulas a ub�ca h°m a npisiy ar oPu4 b nwwd O�bO°vwrn maµ Environmental•Geotechnical Engineering•Special Inspection•Non-Destructive Testing•Materials Testing Burlington jOlympialBellinghamlSilverdalelTukwila 360.755.1990 www.mtc-inc.net Marine View Drive Landslide Stabilization-22S240,1012512022,#C296013,Page 1 of 2 MATERIALS TESTING A CONSULTING,INC. REPORTED BY:Bryan Talley REVIEWED BY:Mark Peterson,Lab Manager N Ie�iYepplr ati/b eWl butbm eM me wn11M m"tpg rpp AB 0 mUu01 potetlron b dieKt,the P0p4'erd ouseNae,e0 npoRt ere e.OnitleE et Ule mnfbentiei VOPery'of otienh,eM eu1Mr¢epon br grOlioUon of Ynenror0t,corWueiom or eetreclt hom m ev Ip01b b reexvee peMep our onl. Environmental•Geotechnieal Engineering•Special Inspection•Non-Destructive Testing Materials Testing Burlington 10lympialBellinghamlSilverdalelTukwila 360.755.1990 www,mtc-inc.net Marine View Drive Landslide Stabilization-22S240,1012512022,#C296013,Page 2 of 2 Ad=_ MATERIALS TESTING All CONSULTING,INC. Marine View Drive Landslide Stabilization se 22S240 se Field Report: Shotcrete: Report #F296007 CLIENT Lake Cushman Maintenance DATE 10/25/2022 Company PROJECT LOCATION Marine View Drive Hoodsport WA PERMIT#GRD2021-00012 COM2021-00072 Inspection Information: Inspection Date: Time Onsite: 7:30 Weather Rain 50s 10/25/2022 AM Conditions: Inspection Performed: Shotcrete Comments: i MTC Rep.was present at the project site to observe the placement of CalPortland 5000 AEA Shotcrete at the retaining wall for the landslide on Marine View Drive.Approximatley 20 yds.was placed by Noselmen Daniel Graner and Dylan Bence.They said they are certified but no paper cent.on site. All ShotCrete placement was found to be in accordancewithapprovedplansandspecifications. To the best of MTC inspector's knowledge,the above-described work was performed in general accordance with project specifications and approved plans. Images: � `• 4 'a :lam ryE. f� "�tio-►Gti:7- t a c • ...ram. UPLOADED: 10/25/2022 14:29:24 UPLOADED: 10/25/2022 14:29:26 a UPLOADED: 10/25/2022 14:29:27 UPLOADED: 10/25/2022 14:29:29 REPORTED BY: Bryan Talley REVIEWED BY:Kevin Walters,Project Manager As a mutual protection to clkMe,line public and oursel,me.all reports are wW,ft d as the oonlMengal property of clients,and authorization for publicalion of somments,conclusions or eMtacts from or regarding our reports ts reserved pending our w en approval. Environmental•Geotechnical Engineering•Special Inspection•Non-Destructive Testing•Materials Testing Burlingtonl0lympialBellinghamlSilverdale jukwila 360.755.1990 www.mte-inc.net Marine View Drive Landslide Stabilization-22S240,1012512022,#F296007,Page I of 1 nmnrjm MATERIALS TESTING&CONSULTING,INC. Marine View Drive Landslide Stabilization - 22S240 - Field Report: Sample Pick-Up: Report #F296135 CLIENT Lake Cushman Maintenance DATE 10/26/2022 Company PROJECT LOCATION Marine View Drive Hoodsport WA PERMIT #GRD2021-00012 COM2021-00072 Inspection Information: Inspection Date: Time Onsite: 8:30 Weather 50's Partly Cloudy 10/26/2022 AM Conditions: Inspection Performed: Sample Pick-Up Comments: MTC Rep.transported Shot Crete panel to lab for testing. REPORTED BY:Bryan Talley REVIEWED BY:Kevin Walters,Project Manager As a mutual protection to chant,the public aM ourselves,all report are sudnitts i ea the m,M, ial property of chants,ant autorisatlon for pudipfion of attemaras,mnclusiena or eAmds from or regarcing our reports is re—W peMirg our written approval. Emviromnnental•Geotechnical Engineering•Special Inspection a Non-Destructive Testing•Materials Testing Burl ingtonIOlympialBeIIinghamISiIverdaIeITukwiIa 3 60.75 5.1990 www.mtc-inc.net Marine View Drive Landslide Stabilization-22S240,1012612022,#F296135,Page 1 of 1