HomeMy WebLinkAboutGRD2021-00012 Slope Stabilization - GRD Inspections - 4/21/2026 Special Inspection Requirements
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MASON COUNTY
COMMUNrfY S[RVICPS
M2 Marine View Dr.Landslide Stabilization Marine View Dr/423325000043
Permit uher Project Title Project Address/Parcel Number
EP2021-00072,GEO2021-00093
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
Special Inspection Require me .""
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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 firm/s or individual/s listed herein are hired by me to
perform"Special Inspections" and/or"Structural Testing" in accordance with the provisions of the International
Building code(IBC)Chapter 17.
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.
Timothy W.Blackwood, PE
a � r
Architect/Engineer(print)
Architect/Engineer Stamp/Signature(date)
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 file with the County prior 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.
General Contractor(print) General Contractor Signature (date)
Page 2 of 4
Special Inspection Requirements
MASON COUNTY
COMThMUNIlY 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
❑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
COMMUNM SIiRVICFS
El 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
MASON COUNTY 615 W.Alder St.Bldg 8,SHELTON,WA 98584
COMMUNITY SERVICES SHELTON:360-427-9670,EXT 352
BELFAIR:360-275-4467,EXT 352
Building,Planning,Environmental Health,Community Health ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php
Permit Number GRD2021-00012 Date Issued 10/06/2021 Issued By
Project INSTALL SOIL NAILING MESH WALL AND SLOPE STABILIZATION FOR AN AREA OF MARINE VIEW DR&
VIEW RIDGE PLACE SLIDING ALONG THE RAVINE
Site Address UNKNOWN
Applicant LAKE CUSHMAN MAINT CO
Contractor
Contractor Phone
2015 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type GRADING 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
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
G DD2021-00012 GRADING
PROJECT DESCRIPTION: INSTALL SOIL NAILING MESH WALL AND ISSUED: 10/06/2021
SLOPE STABILIZATION FOR AN AREA OF MARINE VIEW DR&VIEW
RIDGE PLACE SLIDING ALONG THE RAVINE EXPIRES: 04/04/2022
SITE ADDRESS: UNKNOWN MASON COUNTY
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
FEES: Paid Due
Grading Plan Review Fees $60.00 $0.00
Planning Stormwater Review $300.00 $0.00
Planning Commercial Review $380.00 $0.00
Fee
Grading Permit Fee $150.00 $0.00
Totals : $890.00 $0.00
REQUIRED INSPECTIONS
BLD-Final Inspection
CONDITIONS
Access Roads to the site must not be degraded as a result of work.
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Mason County
Imo' 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
GRADING GRD2021-00012
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit
revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)for review and inspection. This permit/application becomes null &
void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
* ALL CLEARING,CUTTING, GRADING, EXCAVATING, TERRACING, FILLING AND SIMILIAR WORK WILL BE
REGULATED BY THE REQUIREMENTS PURSUANT TO THE MASON COUNTY GRADING PERMIT STANDARDS
ADOPTED BY RESOLUTION 141-96 and MASON COUNTY CODE, TITLE 14, CHAPTER 14.44.
* If fill or excavation exceeds 500 cubic yards, a SEPA checklist will be required.
* 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.
All culverts shall be maintained in perpetuity to ensure that drainage will not overflow.
All upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given some other
equivalent type of protection against erosion.
* A 20 foot wide fire apparatus access road is required to extend within 150 feet of any portion of the exterior walls of the
building. An unobstructed vertical clearance of 13 feet, 6 inches is required. Dead-end fire apparatus access roads longer
than 150 feet are required to have an approved turnaround. The maximum grade of a fire apparatus access road is 14%.
* Approved per site plan and topographic cross-section.
* An inspection performed by a representative of the geologist, their authorized representative, or engineer of record, shall
be completed on-site prior to the footing pour to verify that earthwork and foundation installation activities comply with the
Geotechnical report or assessment recommendations.
In addition a final inspection report, prepared by a representative of the geologist,their authorized representative, or
engineer of record shall be required to verify that erosion control, drainage and final work is completed in accordance to the
Geotechnical report or assessment recommendations.
Reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584, prior to the footing and
final inspections and available for inspection.
* Compliance with an approved Storm Water Plan shall be subject to an on site inspection, or inspections, by the engineer
of record or an authorized representative. Said inspection(s)shall be performed in accordance with the approved plan, and
prior to any modification that would make a determination of compliance impossible.
Inspection reports shall be submitted to verify all engineering requirements have been completed in accordance with the
approved storm water plan. Reports shall be submitted to the Mason County Department of Community Development prior
to each corresponding inspection and final permit approval. Copies of all special inspection reports shall be made available
at time of inspection.
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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
GRADING GRD2021-00012
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other§tate/local law regulating construction or the performance of construction.
Issued By: ill LI )
Contractor or Aut h r zed Agent: Date: d l0 Z
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