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Home My WebLink AboutBLD2021-00051 SFR - BLD Inspections - 4/24/2025 16wwLl-ooc)1 J1'V N �Lv►arlo SEAtti Vic, uALT-!> CONCRETE MECHANICAL MANUFACTURED HOME Footings !Setbacks Crate ByGas Piping Ribbons lcrterior Dare �1-L1 By e) Interior-Date By Da By Exterior Date BY S Exterior-Date By Set-up Point Load I Isolated Footings INSULATION Date By BG i SLAB INSULATION D By Data By FIRE DEPARTMENT Foundafioa�WallssFloors Dale By Date. By Da 2 BY DECKS FRAMING walls Date By Date By Data By PROPANE TANKS PLUMBING Vault Date 9y rate By OTHER Groundwork i Attic Type= Dattk By Date By I Dale By DRYWALL fnt Brace Wall DS'w a! ay, Dam BY FINAL INSPECTION cm m Water line Fire Seperation m Date By. Date By D210 By cu o Pass or Request Inspect. Type of Insp. Fail Date Date Done By Commerds CD c tHr,.r �.►4 s 4-27-2-1 J7' - S ec#,cWLO y �`�C1.fi v�l�t L �� Z -� '� S✓Sr.<< f {� v'��x-t ( �•.r�lt�r �, �s LA �S J N a N/k L ,L 0 MASON COUNTY 615 W.Alder 5t.Bldg 8,SHELTON,WA 98584 360-427-9670,EXT 352 j COMMUNITY SERVICESn SBELFAIR: 360 275 4467 EXT 352 BuildingPlannin9,CnvonmenlniNaalth,Communitylleeltli ELMA:360482-5269,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/bid-inspection.php Permit Number BLD2021-00051 Date Issued 06/07/2021 Issued E( Project NEW SFR (REPLACEMENT) Site Address 810 NE Dewatto Beach Or Applicant POWELL CHRIS Contractor Contractor Phone Primary Code 2015 IBC, IRC,IFC, IEC,IMC,& Type UPC yp Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy -APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS. -DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED. -THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY. -ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION. -OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION. **THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED." PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET Public Works Access/Driveway Other Health Septic Well Deptartment Planning Site Inspection Department Fire Marshall Fire Apparatus Access Fire Sprinkler Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee Department Concrete Setbacks Slab Footing Perimeter Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor Vaulted Ceiling Walls Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other ' MASON COUNTY 360-427-9670 Shelton ext.352 7 Belfair ext.352 COMMUNITY SERVICES 360-275 60-482-269 Elma ext. 352 Building, Planning, Environmental Health,Community Health 615 W.Alder St. Bldg. 8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: 2- - CZ�)� � ADDRESSILOCATION: FIN GS: V- Y, C� 4 (� 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: 2-!Z ❑ Please contact our office regarding possible Department. C. structural damage incurred by recent Inspector: p Y ,� "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 67 Belfair ext.352 0-275- ate, COMMUNITY SERVICES 36 60-4822--5269 Elma ext. 352 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. ADDRESS/LOCATION: FINDINGS: 1ccw- i Irl L- r Y " kSDfl r r� `C J r i A. - -1--- It ms listed above must be corrected to gain co plia ce. ❑ 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. `�4ake corrections, items will be checked on the next inspection. ❑ OK to Date: � (0 �,a ❑ Please contact our office regarding possible structural damage incurred by recent Department: "natural/man made" disasters.This is NOT a Inspector:n, 0r J ; CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY DEVELOPMENT 360-482-5269 Elma ext.352 Building,Planning,Fire Marshal 615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.masoncountywa.gov CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: RGDW1021_ 000.51 ADDRESS/LOCATION: !&IQ N ,D&w A7TO Z&W-M RD FINDINGS• — SO c. ,Oe.f✓l� f �0 6e CLOS'GO • G6,,%4tc1t 4-na rd t,%&Ah c c.-+ t".-,l0 /ve-( O JN J WA .4aV v/- a0 -1$9 �1"Iq 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 Co n1.C.4 c�►nc.- C OS t V Date: (2-2 8'/Z 4 ❑ Please contact our office regarding possible Department: BLD 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 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 B DD2021-00051 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW SFR (REPLACEMENT) ISSUED: 06/07/2021 SITE ADDRESS: 810 NE DEWATTO BEACH DR TAHUYA EXPIRES: 12/04/2021 PARCEL: 323283100170 APPLICANT: POWELL CHRIS OWNER: POWELL CHRIS 26012 SE 252ND ST 26012 SE 252ND ST RAVENSDALE,WA98051 RAVENSDALE, WA98051 1.206.719.1976 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 3286.00 $406,412.48 Plan Check Fee $1,991.81 $0.00 and two-family Plumbing Fees $210.00 $0.00 Covered Deck/Carport 634.00 $13,948.00 Mechanical Fees $359.00 $0.00 Technology Surcharge $113.60 $0.00 Planning Review Fee $240.00 $0.00 Building Plan Review/Change of $120.00 $0.00 Use - Onsite Sewage State Fee-Residential $6.50 $0.00 Plumbing Base Fee $25.00 $0.00 Building Permit Fee $3,064.32 $0.00 Mechanical Base Fee $30.00 $0.00 Total: $420,360.48 Totals : $6,160.23 $0.00 FIXTURES City Mechanical Fixtures Qty Plumbing Fixtures 1.0000 Gas Outlet(s) (1-5) 1.0000 Number of Clothes Washers 1.0000 Dryer Vent(s) 1.0000 Number of Dishwashers 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Showers 1.0000 Furnace(s) 1.0000 Number of Water Heaters and or Vent 1.0000 Heat Pump(s) 2.0000 Number of Bath Tubs Printed by:Amber Selby on:06/07/2021 02:29 PM Page 1 of 7 , d ' ��UIG•PLA Mason County i 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 SINGLE FAMILY RESIDENCE BLD2021-00051 Cat Mechanical Fixtures City Plumbing Fixtures 1.0000 Liquid propane tank, above ground tank, below 3.0000 Number of Hose Bibs ground fuel storage tank (Residential Only) 3.0000 For each repair or alteration of drainage or vent 2.0000 Wood/Gas/Pellet Stove(s) piping, each fixture 5.0000 Spot Vent Fan(s) 3.0000 Number of Kitchen Sinks 4.0000 Number of Toilets 5.0000 Bathroom Sink REQUIRED INSPECTIONS Setback Inspection Framing Inspection FEMA Pre Construction Elevation Certificate compliance Rough- Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Underfloor Inspection FEMA Post (Final) Construction Elevation Certificate Sheanvall Inspection compliance BLD-Final Inspection CONDITIONS " A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel, the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside 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 R401.3 & R402.4.1.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4.1.2. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 500 square feet. Reference IECC/WSEC R402.4.1.2. Compliance certificates are available online at the WSU Energy program website titled, " WSEC 2015 Certificate" and are available in or sheets. The Mason County Permit Center will also have some available. " 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. Printed by:Amber Selby on:06/07/2021 02:29 PM Page 2 of 7 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 xrav�" Shelton, WA 98584 360427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2021-00051 * When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (360)427-9670, ext. 450 or 100 W Public Works Dr. Shelton. The building permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled and approved. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your "Approved Site Plan"to ensure these structures meet the setback conditions listed. * 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. * 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/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the 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. * OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * 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. * When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at (206)357-2620, ext. 630. Printed by:Amber Selby on:06/07/2021 02:29 PM Page 3 of 7 Mason County ' ��°�► Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Hawn` Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCEBLD2021-00051 * 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. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28 and 14.17. * The foundation/footing must be placed on undisturbed, firm-native soil. * Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. * 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 shall be provided at eaves and gables of shingle roofs. * 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. * A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. * Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. * 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):0.30, Skylight (Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. * Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). * The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections. * Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. * 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. * 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. * All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way. * All 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. Printed by:Amber Selby on.06/07/2021 02:29 PM Page 4 of 7 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCEBLD2021-00051 ' All property lines shall be clearly identified at the time of foundation inspection. ` Concrete encased grounding electrodes 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. Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. Alarms shall be installed outside of each separate sleeping area 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), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created. . CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. 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. Printed by:Amber Selby on:06/07/2021 02:29 PM Page 5 of 7 Mason County I ' Mason County - Division of Community Development `"ram 615 W. Alder St. Bldg.8 a Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCEBLD2O21-00051 Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the IRC, and IMC. Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.7. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure- sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or "Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B.) Septic tank(s) requires 5ft setback from all footing/foundations. C.) No foundation/ Perimeter Drains within 30ft,down gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/ Reserve area. * Geotechnical * Must enact mitigation as is described in HMP dated 05-29-2021 Printed by:Amber Selby on:06/07/2021 02:29 PM Page 6 of 7 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2021-00051 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws a d Ordinances governing this type of work will be complied with whether specified herein or not he grantinT mit does not presume to give authority to violate or cancel the provisions any her state ogulating construction or the performance of construction. Issued 13 Contractor or Authorized Age • Date: Printed by:Amber Selby on:06/07/2021 02:29 PM Page 7 of 7 U.S. DEPARTMENT OF HOMELAND SECURITY OMB Control No. 1660-0008 Federal Emergency Management Agency Expiration Date 06/30/2026 National Flood Insurance Program ELEVATION CERTIFICATE , nD IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2) insurance agent/company, and (3) building owner. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name: Chris Powell Policy Number: A2. Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No.: Company NAIC Number: 810 NE Dewatto Beach Dr City: Tahuya State: WA ZIP Code: 98588 A3. Property Description (e.g., Lot and Block Numbers or Legal Description)and/or Tax Parcel Number: Tax parcel No. 323283100170 A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.): Residential A5. Latitude/Longitude: Lat.47.452204 Long.-122.072610 Horizontal Datum: ❑NAD 1927 ®NAD 1983 ❑WGS 84 A6. Attach at least two and when possible four clear photographs(one for each side) of the building (see Form pages 7 and 8). A7. Building Diagram Number: 5 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s): sq.ft. b) Is there at least one permanent flood opening on two different sides of each enclosed area? ❑ Yes ❑ No ❑ N/A c) Enter number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade: Non-engineered flood openings: Engineered flood openings: d) Total net open area of non-engineered flood openings in A8.c: sq. in. e) Total rated area of engineered flood openings in A8.c(attach documentation-see Instructions): sq. ft. f) Sum of A8.d and A8.e rated area (if applicable-see Instructions): sq. ft. A9. For a building with an attached garage: a) Square footage of attached garage: sq.ft. b) Is there at least one permanent flood opening on two different sides of the attached garage? ❑Yes ❑ No ❑ N/A c) Enter number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade: Non-engineered flood openings: Engineered flood openings: d) Total net open area of non-engineered flood openings in A9.c: sq. in. e) Total rated area of engineered flood openings in A9.c(attach documentation-see Instructions): sq.ft. f) Sum of A9.d and A9.e rated area (if applicable-see Instructions): sq. ft. SECTION IS- FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1.a. NFIP Community Name:Mason County B1.b. NFIP Community Identification Number: 530115 82. County Name:Mason B3. State:WA B4. Map/Panel No.: 280 B5. Suffix: E B6. FIRM Index Date: 06/20/2019 B7. FIRM Panel Effective/Revised Date: 06/20/2019 B8. Flood Zone(s): VE B9. Base Flood Elevation(s) (BFE) (Zone AO, use Base Flood Depth): 17 B10. Indicate the source of the BFE data or Base Flood Depth entered in Item 139: ❑ FIS ® FIRM ❑ Community Determined ❑ Other: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ® NAVD 1988 ❑ Other/Source: B12. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? ❑Yes ® No Designation Date: ❑CBRS ❑ OPA B13. Is the building located seaward of the Limit of Moderate Wave Action (LiMWA)? ❑Yes ® No FEMA Form FF-206-FY-22-152 (formerly 086-0-33)(10/22) Page 2 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building 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,AO,A(with BFE), VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO, A99. Complete Items C2.a—h below according to the Building Diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: GPS Observation Vertical Datum: NAVD88 Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 ® NAVD 1988 ❑Other: Datum used for building elevations must be the same as that used for the BFE. Conversion factor used? ❑ Yes ® No If Yes, describe the source of the conversion factor in the Section D Comments area. Check the measurement used: a) Top of bottom floor(including basement, crawlspace, or enclosure floor): 20.70 ® feet ❑ meters b) Top of the next higher floor(see Instructions): 30.00 ® feet ❑ meters c) Bottom of the lowest horizontal structural member(see Instructions): 19.20 ❑ feet ❑ meters d) Attached garage(top of slab): ❑ feet ❑ meters e) Lowest elevation of Machinery and Equipment(M&E) servicing the building (describe type of M&E and location in Section D Comments area): 18.70 ® feet ❑ meters f) Lowest Adjacent Grade(LAG) next to building: ® Natural ❑ Finished 12.40 ® feet ❑ meters g) Highest Adjacent Grade(HAG) next to building: ® Natural ❑ Finished 13.20 ® feet ❑ meters h) Finished LAG at lowest elevation of attached deck or stairs, including structural support: 12.70 ® feet ❑ meters SECTION D—SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by state law to certify elevation information. 1 certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? ® Yes ❑ No ❑Check here if attachments and describe in the Comments area. Certifier's Name: Steven E. Ottmar License Number:20795 Title: Vice President ��.`J�N 0 �•'•. Company Name:AES Consultants Inc. Q Address: PO Box 930 •N O City: Silverdale State: WA ZIP Code: 98383 •�.! TE��•'��•� Digitally signed by Steven E.Ottmar •,��•.�lll,as$ Signature: Steven E. Ottmar Date:2024.07.2413:53:47-07'00' Date: 07/24/2024 Telephone: (360) 692-6400 Ext.: Email: Place Seal Here Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. Comments (including source of conversion factor in C2;type of equipment and location per C2.e; and description of any attachments): The elevations reported for the lowest mechanical unit is the heat pump attached to the outside of the building. FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 3 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: SECTION E— BUILDING MEASUREMENT INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO,ZONE AR/AO, AND ZONE A (WITHOUT BFE) For Zones AO,AR/AO, and A(without BFE), complete Items El—E5. For Items El—E4, use natural grade, if available. If the Certificate is intended to support a Letter of Map Change request, complete Sections A, B, and C. Check the measurement used. In Puerto Rico only, enter meters. Building measurements are based on: 0 Construction Drawings' ❑ Building Under Construction" ❑ Finished Construction `A new Elevation Certificate will be required when construction of the building is complete. E1. Provide measurements (C.2.a in applicable Building Diagram)for the following and check the appropriate boxes to show whether the measurement is above or below the natural HAG and the LAG. a) Top of bottom floor(including basement, crawlspace, or enclosure) is: ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor(including basement, 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(C2.b in applicable Building Diagram) of the building is: ❑ feet ❑ meters ❑ 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 AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A (without BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge ❑ Check here if attachments and describe in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Signature: Date: Telephone: Ext.: Email: Comments: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 4 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O.Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: SECTION G—COMMUNITY INFORMATION (RECOMMENDED FOR COMMUNITY OFFICIAL COMPLETION) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Section A, B, C, E, G, or H of this Elevation Certificate. Complete the applicable item(s)and sign below when: 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 state law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.a. ❑ A local official completed Section E for a building located in Zone A(without a BFE), Zone AO, or Zone AR/AO, or when item E5 is completed for a building located in Zone AO. G2.b. ❑ A local official completed Section H for insurance purposes. G3. ❑ In the Comments area of Section G,the local official describes specific corrections to the information in Sections A, B, E and H. G4. ❑ The following information (Items G5—G11) is provided for community floodplain management purposes. G5. Permit Number: G6. Date Permit Issued: G7. Date Certificate of Compliance/Occupancy Issued: G8. This permit has been issued for: ❑New Construction ❑ Substantial Improvement G9.a. Elevation of as-built lowest floor(including basement)of the building: ❑ feet ❑ meters Datum: G9.b. Elevation of bottom of as-built lowest horizontal structural member: ❑ feet ❑ meters Datum: G10.a. BFE(or depth in Zone AO) of flooding at the building site: ❑ feet ❑ meters Datum: G10.b. Community's minimum elevation (or depth in Zone AO) requirement for the lowest floor or lowest horizontal structural member: ❑ feet ❑ meters Datum: G11. Variance issued? []Yes ❑ No If yes, attach documentation and describe in the Comments area. The local official who provides information in Section G must sign here. 1 have completed the information in Section G and certify that it is correct to the best of my knowledge. If applicable, I have also provided specific corrections in the Comments area of this section. Local Official's Name: Title: NAP Community Name: Telephone: Ext.: Email.- Address: City: State: ZIP Code: Signature: Date: Comments(including type of equipment and location, per C2.e; description of any attachments; and corrections to specific information in Sections A, B, D, E,or H): FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 5 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: SECTION H— BUILDING'S FIRST FLOOR HEIGHT INFORMATION FOR ALL ZONES (SURVEY NOT REQUIRED) (FOR INSURANCE PURPOSES ONLY) The property owner, owner's authorized representative, or local floodplain management official may complete Section H for all flood zones to determine the building's first floor height for insurance purposes. Sections A, B. and I must also be completed. Enter heights to the nearest tenth of a foot(nearest tenth of a meter in Puerto Rico). Reference the Foundation Type Diagrams(at the end of Section H Instructions) and the appropriate Building Diagrams(at the end of Section I Instructions) to complete this section. H1. Provide the height of the top of the floor(as indicated in Foundation Type Diagrams) above the Lowest Adjacent Grade (LAG): a) For Building Diagrams 1A, 1B, 3, and 5-9. Top of bottom ❑ feet ❑ meters ❑ above the LAG floor(include above-grade floors only for buildings with subgrade crawlspaces or enclosure floors) is: b) For Building Diagrams 2A, 213, 4, and 6-9.Top of next ❑ feet ❑ meters ❑ above the LAG higher floor(i.e., the floor above basement, crawlspace, or enclosure floor) is: H2. Is all Machinery and Equipment servicing the building (as listed in Item H2 instructions) elevated to or above the floor indicated by the H2 arrow (shown in the Foundation Type Diagrams at end of Section H instructions)for the appropriate Building Diagram? ❑ Yes ❑ No SECTION I— PROPERTY OWNER(OR OWNER'S AUTHORIZED REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and H must sign here. The statements in Sections A, B, and H are correct to the best of my knowledge. Note: If the local floodplain management official completed Section H,they should indicate in Item G2.b and sign Section G. ❑ Check here if attachments are provided(including required photos) and describe each attachment in the Comments area. Property Owner or Owner's Authorized Representative Name: Address: City: State: ZIP Code: Signature: Date: Telephone: Ext.: Email: Comments: FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 6 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS See Instructions for Item A6. Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: Instructions: Insert below at least two and when possible four photographs showing each side of the building (for example, may only be able to take front and back pictures of townhouses/rowhouses). Identify all photographs with the date taken and"Front View,""Rear View," "Right Side View,"or"Left Side View." Photographs must show the foundation.When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. o-. - - ..may __.. Photo One Photo One Caption: Front of house Clear Photo One Y a �r as -- c a Photo Two Photo Two Caption: Side of house Clear Photo Two FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 7 of 19 ELEVATION CERTIFICATE IMPORTANT: MUST FOLLOW THE INSTRUCTIONS ON PAGES 9-19 BUILDING PHOTOGRAPHS Continuation Page Building Street Address(including Apt., Unit, Suite, and/or Bldg. No.)or P.O. Route and Box No.: FOR INSURANCE COMPANY USE 810 NE Dewatto Beach Dr Policy Number: City: Tahuya State: WA ZIP Code: 98588 Company NAIC Number: Insert the third and fourth photographs below. Identify all photographs with the date taken and "Front View," "Rear View," "Right Side View," or"Left Side View." When flood openings are present, include at least one close-up photograph of representative flood openings or vents, as indicated in Sections A8 and A9. T r Photo Three Photo Three Caption: Side of house Clear Photo Three 7 _ t r� r Photo Four Photo Four Caption: side of house Clear Photo Four FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 8 of 19 DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency INSTRUCTIONS FOR COMPLETING THE ELEVATION CERTIFICATE The Elevation Certificate is to be completed by a land surveyor, engineer,or architect who is authorized by state law to certify elevation information when elevation information is required or used for Zones Al-A30,AE,AH,AO,A(with Base Flood Elevation (BFE)), VE,V1- V30, V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO, or A99. Community officials who are authorized by law or ordinance to provide floodplain management information(herein referred to as"local floodplain management official") may also complete this form. For Zones AO,AR/AO,and A(without BFE), a local floodplain management official, a property owner, or an owner's authorized representative may provide floodplain management compliance information on this certificate in Section E, unless the elevations are intended for use in supporting a request for a LOMA, CLOMA, LOMR-F, or CLOMR-F. Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a LOMA, CLOMA, LOMR-F, or CLOMR-F. The property owner,the owner's authorized representative, or local floodplain management official can complete Section A and Section B. The partially completed form can then be given to the land surveyor, engineer,or architect to complete Section C.The land surveyor, engineer,or architect should verify the information provided by the property owner or owner's representative to ensure that this certificate is complete. For insurance purposes only, a local floodplain management official, a property owner, or an owner's authorized representative may provide First Floor Height details in Section H for any zone. In Puerto Rico only, elevations for building information and flood hazard information may be entered in meters. Note: Section C can be used for insurance and compliance in any zone; however, Section E can be used only for compliance in Zone AO and Zone A. SECTION A-PROPERTY INFORMATION Items Al-A4.This section identifies the building, its location, and its owner. Enter the name(s)of the building owner(s),the building's complete street address or property description (e.g., lot and block numbers or legal description), and/or tax parcel number. If the building's address is different from the owner's address, enter the address of the building being certified. If the address is a rural route or a Post Office box number, enter the lot and block numbers,the tax parcel number, the legal description, or an abbreviated location description based on distance and direction from a fixed point of reference.For the purposes of this certificate, "building"means both a building and a manufactured(mobile) home. For properties with multiple buildings, include a description for the specific building. A map may be attached to this certificate to show the location of the building on the property.A tax map, Flood Insurance Rate Map (FIRM), or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections, and bodies of water. For building use, indicate whether the building is residential, non-residential,an addition to an existing residential or non-residential building, an accessory building (e.g., garage), or other type of structure. Use the Comments area of the appropriate section if needed, or attach additional comments. Item A5. Provide latitude and longitude coordinates for the center of the front of the building. Use either decimal degrees(e.g., 39.504322°, -110.758522°)or degrees, minutes, seconds(e.g., 39'30' 15.56", -110°45'30.68")format. If decimal degrees are used, provide coordinates to at least six decimal places or better.When using degrees, minutes, seconds, provide seconds to at least two decimal places or better. Provide the datum of the latitude and longitude coordinates(FEMA prefers the use of NAD 1983). Indicate the method or source used to determine the latitude and longitude in the Comments area of the appropriate section.When the latitude and longitude are provided by a land surveyor, check the"Yes"box in Section D. Item A6.The certifier must provide at least two and when possible four photographs showing each side of the building taken within 90 days from the date of certification.The photographs must be taken with views confirming the building description and Building Diagram number provided in Item A7.To the extent possible,these photographs should show the entire building including foundation. In addition, when applicable, provide a photograph of the foundation showing a representative example of the flood openings or vents.All photographs must be in color and measure at least T'x3". Digital photographs are acceptable.Additional photographs may be requested by local floodplain management officials or for insurance purposes to show additional detail regarding the building characteristics or features. Item A7. Select the Building Diagram(shown on pages 17-19)that best represents the building.Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C2.a-h. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified. Item A8.a. Provide the square footage of the crawlspace or enclosure(s) below the lowest elevated floor of an elevated building with or without permanent flood openings.Take the measurement from the outside of the crawlspace or enclosure(s). Examples of elevated buildings constructed with crawlspace and enclosure(s)are shown in Diagrams 6-9 on pages 18-19. Diagram 2A, 2B,4, or 9 should be used for a building constructed with a crawlspace floor that is below the exterior grade on all sides. If there is no crawlspace or enclosure, enter"N/A"for Items A8.a-f. Item A8.b. Indicate if there is at least one permanent flood opening within 1.0 foot of the adjacent grade on at least two exterior walls of each enclosed area identified in A8.a.A permanent flood opening is a flood vent or other opening that allows the free passage of water automatically in both directions without human intervention. If the crawlspace or enclosure(s) have no permanent flood openings,or if none of the openings are within 1.0 foot above adjacent grade, enter"0" (zero) in Item A8.c-f. If there is no crawlspace or enclosure, enter"N/A". FEMA Form FF-206-FY-22-152 (formerly 086-0-33) (10/22) Page 9 of 19 Note: The V Zone design certificate is not a substitute for the NFIP Elevation Certificate (see Fact Sheet No. 1.4, Lowest Floor Elevation),which is required to certify as-built elevations needed for flood insurance rating. V ZONE DESIGN CERTIFICATE Name CHRIS POWELL Policy Number(Insurance Co.Use) Building Address of Other Description 810 NE DEWATTO BEACH DR Permit No. City TAHUYA State WA Zip Code 98588 SECTION I: Flood Insurance Rate Map (FIRM) Information Community No.530115 Panel No.5304560280 Suff-JFIRM D teY"' 19FIRM Zone(,)VE SECTION II: Elevation Information Used for Design [NOTE: This section documents the elevations/depths used or specified in the design—it does not document surveyed elevations and is not equivalent to the as-built elevations required to be submitted during or after construction.] 1. FIRM Base Flood Elevation(BFE).................................................................................................................................. 17.0 feet* 2. Community's Design Flood Elevation(DFE).................................................................................................................... 18.0 feet* 3. Elevation of the Bottom of Lowest Horizontal Structure Member.................................................................................... 18.0 feet* 4. Elevation of Lowest Adjacent Grade.............................................................................. ......................... 12.58 feet* 5. Depth of Anticipated Scour/Erosion used for Foundation Design.................................................................................... 2.0 feet 6. Embedment Depth of Pilings of Foundation Below Lowest Adjacent Grade................................................................... 10.58 feet * Indicate elevation datum used in 1-4: ❑NGVD29 ® NAVD88 ❑Other SECTION III: V Zone Design Certification Statement certify that: (1) 1 have developed or reviewed the structural design, plans, and specifications for construction of the above- referenced building and (2) that the design and methods of construction specified to be used are in accordance with accepted standards of practice—for meeting the following provisions: • The bottom of the lowest horizontal structural member of the lowest floor(excluding piles and columns)is elevated to or above the BFE. • The pile and column foundation and structure attached thereto is anchored to resist flotation,collapse,and lateral movement due to the effects of the wind and water loads acting simultaneously on all building components.Water loading values used are those associated with the base flood***.Wind loading values used are those required by the applicable State or local building code.The potential for scour and erosion at the foundation has been anticipated for conditions associated with the base flood, including wave action. SECTION IV: Breakaway Wall Design Certification Statement [NOTE. This section must be certified by a registered engineer or architect when breakaway walls are designed to have a resistance of more than 20 psf(0.96 kN/m2)determined using allowable stress design] certify that:(1)1 have developed or reviewed the structural design,plans,and specifications for construction of breakaway walls to be constructed under the above-referenced building and(2)that the design and methods of construction specified to be used are in accordance with accepted standards of practice**for meeting the following provisions: • Breakaway wall collapse shall result from a water load less than that which would occur during the base flood***. • The elevated portion of the building and supporting foundation system shall not be subject to collapse, displacement, or other structural damage due to the effects of wind and water loads acting simultaneously on all building components(see Section III). SECTION V: Certification and Seal This certification is to be signed and sealed by a registered professional engineer or architect authorized by law to certify structural designs. I certify the V Zone Design Certification Statement (Section III) and X the Breakaway Wall Design Certification Statement(Section IV,check if applicable). Certifier's Name JESSE CHASE License Number 47564 Title PRINCIPAL ENGINEER Company Name MC SQUARED INC. Address 1235 E.4TH AVE SUITE 101 City OLYMPIA State WA Zip Code 98506 0 5 � o i 47564 n> Signature Date Telephone 360-754-9339 L—_ --- -- -- — S� — Mason County ONAL Permit Document