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Home My WebLink AboutBLD2025-00031 Foundation Stabilization - BLD Inspections - 4/28/2026 MASON COUNTY Department of Community Development 615 W.Alder St.Bldg 8,Shelton,WA 98584 COMMUNITY DEVELOPMENT 360-427-9670 ext.352 Permit Assistance Center,Building,Planning www.MasonCountyWA.gov INSPECTION CARD AND CERTIFICATE OF OCCUPANCY** To schedule an inspection call or visit https://masoncountywa.gov/departments/community_development/building/inspections/index.php Permit Number BLD2025-00031 Date Issued 06/16/2025 Issued By fl Project FOUNDATION STABILIZATION FOR PORTION OF HOME.NO CHANGE TO EXISTING FOOTPRI OR MECHANICAL/UTILITY WORK. Site Address 22630 N US HIGHWAY 101 Applicant LINDBERG ET AL THOMAS C&DAWN M Contractor RAM JACK WEST Contractor Phone 1.541.729.7776 2021 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type Permit Type ADDITION OR REMODEL- Occupancy RESIDENTIAL -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 -282 Gr . Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other Ft ( '?111u. 3 EoFt.c �i�4 Ok) INSPECTION RESULTS Pagel MASON COUNTY Department of Community Development COMMUNITY DEVELOPMENT 615 W Alder St, Shelton, WA 98584 Permit A�sutdnce Center,Building,Planning (360) 427-9670 ext. 352 Application# BLD2025-00031 Application Type ADDITION OR REMODEL- Owner LINDBERG ET AL THOMAS RESIDENTIAL C & DAWN M Parcel# 422235000045 Site Address 22630 N US HIGHWAY 101 SHELTON, WA 98584 Inspector Inspection Type Date Status Comments 4-14-26-JQ /1: No one available at the time of inspection ,Z No plans and/or permit available on site ,Z. Work was completed without inspections being conducted- Please provide all Joshua Photos and Special inspection documentation/reports per permit condition Quarders BLD-FINAL INSPECTION 04/14/2026 FAIL requirements. (for Helical Pile installation per Ch17 of the IBC) along with FOR letter indicating the install was performed at their direction and per their designed plan. EMAIL PHOTOS AND REPORTS TO JQUARDERS@MASONCOUNTYWA.GOV PLEASE ADD PERMIT NUMBER AND ADDRESS TO EMAIL 3(.D2O2s- OOO31 olden,PE,SE VVOLDEN ct Tim w34 34930 Hwy 53 Nehalem,OR 97131 STRUCTURAL (541)915-6389 cell (503)368-7962 office ENGINEERING, LLC (503)368-7963 fax Practical Structural Engineering Solutions tir(woldense con April 26, 2026 Bijoy Ferrer Ram Jack West PO Box 11701 Eugene, OR 97440 Re: Special Inspection Report for the Lindberg Beach House at 22630 Highway 101 in rural Shelton, Washington (Permit#BLD2025-00031) Dear Bijoy: We have verified that the helical piers described in our October 24th, 2024 repair plan for lifting the front and the rear sides of the single-story Lindberg beach house at 22630 Highway 101 in rural Shelton, Washington have been installed in accordance with our design. The right front or SW comer had settled by as much as 4'/-inches and the rear left or NE comer had settled causing cracks to form in the concrete block foundation. The Homeowner wanted the foundation at these sides and the interior floor to be lifted as much as practical and for this portion of the home to be permanently stabilized against any future settlement. I had originally specified the use of fourteen (14) hydraulically driven helical piers to be installed under the foundation with six piers along the two sections of rear wall, three piers along the south side wall, two piers at the front or west side, and three at the inside of the south section of the home. During the installation, the crew noted that they would have to dismantle a large shelving system for the three interior piers so the agreement with the Homeowner was to eliminate those three piers. These 2'/8-inch diameter steel piers used eight of the modified standard brackets (RD.3177) , two of the 4040 flat top brackets, and one low profile 4036 bracket along with sections of steel angle on top of the brackets. In addition to the piers and brackets, we had specified the use of three adjustable post bases and pad footings under the floor beam in the center section of the structure. The north and south sections were concrete slabs and a polyurethane filler was injected under these slabs after the foundation was lifted. The piers were installed with the 7k driver to pressures varying from 1000 psi to 1800 psi which exceeds the required capacity of 10,000 pounds that was specified in the engineering. The depth for the piers varied from 5 feet to 11 feet and they terminated in the rocky glacial till soil common in the Puget Sound area. The foundation was lifted about 2 inches at the SW comer and the eastern and southern sides were lifted slightly to stabilize the structure. The weight of these portions of the home are permanently stabilized against settlement. In conclusion, the installation of eleven helical piers and foundation support brackets along with three adjustable post bases was completed by Ram Jack under the front and rear sides of the Lindberg beach house at 22630 Highway 101 in rural Shelton, Washington. The work was �� completed in a professional and workmanship manner. In all cases the pier installation was / conduce er the Special Inspection criteria listed in the Ram Jack Legacy Report and is in lac my recommendations and the standards of the steel pier industry. Tim den P. r• •, Mason County 0 Mason County - Division of Community Development 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov B DD2025-00031 ADDITION OR REMODEL- RESIDENTIAL PROJECT DESCRIPTION: FOUNDATION STABILIZATION FOR ISSUED: 06/16/2025 PORTION OF HOME. NO CHANGE TO EXISTING FOOTPRINT OR MECHANICAL/UTILITY WORK. EXPIRES: 12/13/2025 SITE ADDRESS: 22630 N US HIGHWAY 101 SHELTON PARCEL: 422235000045 APPLICANT: LINDBERG ET AL THOMAS C&DAWN M OWNER: LINDBERG ET AL THOMAS C&DAWN M M E LINDBERG&L M BERNAHL-LINDBERG;K M E LINDBERG&L M BERNAHL-LINDBERG;K &TNO &TNO REDMOND,WA 98052 REDMOND,WA 98052 425-328-5280 CONTRACTOR: RAM JACK WEST PO BOX 11701 EUGENE, OR 97440 1.541.729.7776 GENERAL CONTRACTOR'S LICENSE: RAM JACK WEST License: RAMJAW*852PW PO BOX 11701 Expires: 05/28/2027 EUGENE,OR 97440 1.541.729.7776 VALUATIONS: FEES: Paid Due Project Valuation (BID, 34000.00 $34,000.00 Building Permit Fee $519.25 $0.00 ESTIMATION..) Technology Surcharge $17.14 $0.00 Planning Residential Review $275.00 $0.00 Fee Residential Energy Code Fee $25.96 $0.00 State Fee-Residential $6.50 $0.00 Plan Check Fee $337.51 $0.00 Total: $34,000.00 Totals : $1,181.36 $0.00 REQUIRED INSPECTIONS BLD-Final Inspection Printed by:Genie Mcfarland on:06/16/2025 08:52 AM Page 1 of 3 QC Mason County Mason County - Division of Community Development H 615 W. Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov ADDITION OR REMODEL- RESIDENTIAL BLD2025-00031 CONDITIONS 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 UNLESS OTHERWISE APPROVED. * Disclaimer: Mason County does not require a survey to obtain a building permit. As a result, site plans may not reflect accurate data. It is the applicant's responsibility to comply with setback requirements. " 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 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 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. * 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 permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being taken. * Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Code 14.28 and 14.17. 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. " All property lines shall be clearly identified at the time of foundation inspection. Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the farthest projection of the structure. Front setbacks are measured from the front lot line or road easement boundary, whichever is closer. ------------------------ ------------------- ...._......_. * 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:Genie Mcfarland on:06/16/2025 08:52 AM Page 2 of 3 Mason County 0 Mason County - Division of Community Development 615 W.Alder St. Building 8 Shelton, WA 98584 360-427-9670 ext 352 www.masoncountywa.gov ADDITION OR REMODEL- RESIDENTIAL BLD2025-00031 The use, handling and storage of hazardous materials or flammable and combustible liquids is not allowed without the approval of the Mason County Fire Marshal. 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 other necessary permits from Mason County, Washington State, Federal Agencies, and/or other agencies/groups that are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND CONSTRUCTION. * 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 WORK SHALL TAKE PLACE WITHIN THE EXISTING FOOTPRONT * 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. * 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. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state/local law regulating construction or the performance of construction. Issued By: Contractor or A t orized Agent: Date: - ((g -2 Printed by:Genie Mcfarland on:06/16/2025 08:52 AM Page 3 of 3 w wwwt ' pedal inspection Rey a cement , MASON COUNTY COMMi NrrY SERVICES BLD2025-00031 Lindberg Foundation Repair 22630 N US-101 /422235000045 Permit Number Project Title Project Address/Parcel Number Applicants of projects requiring Special Inspection or Testing per Chapter 1704 &1705 of the International Building Code, as amended by Washington State. Please acknowledge and return this form to the Mason County Permit Center. THESE INSPECTIONS ARE NOT PERFORMED BY THE BUILDING DEPARTMENT AND MUST BE PERFORMED BY QUALIFIED SPECIAL INSPECTORS, HIRED BY THE OWNER AND APPROVED BY THE COUNTY PERMIT CENTER. Individuals certified in a special inspection category by Washington Association of Building officials(WABO)or individuals employed by a recognized testing laboratory and under the direct supervision of a Registered Professional Engineer are typically considered qualified at the discretion of the local jurisdiction having authority for enforcement. BEFORE A PERMIT CAN BE ISSUED. The Owner or his/her representative, on the advice of the responsible Project Engineer or Architect, shall fill out completely, sign and submit two (2) copies of the attached"Structural Tests and Inspection Schedule" to this Department for review and approval including any requirements related to the Mason County Municipal Code. The Owner, General Contractor, and Inspection/Testing Agency, where applicable, shall also acknowledge the following conditions applicable to Special Inspection and/or Testing. 1. Inspection/Testing Agency shall submit names and qualifications of on-site Special Inspectors to the Building Inspection Permit Center for approval PRIOR TO PERMIT/S BEING ISSUED. 2. All Special Inspections shall be noted on the approved plans or attached approved documents. 3. All special inspections shall be approved by the County or as recommended by the Engineer of Record (EOR). 4 It is the responsibility of the General Contractor to review County approved plans for additional inspection or testing requirements that may be noted or required per IBC as noted on approved plans. 5. The General Contractor is responsible for proper notification to the Inspection/Testing Agency for items listed on this form. 6. Special Inspectors shall provide detailed reports on company letterhead to the Building Inspector of all required inspection activities. These may also be provided when the inspector visits the jobsite for the scheduled inspection but must be completed before the subject of inspection is approved by the building inspector. 7. Copies of all ongoing laboratory and testing reports shall be sent directly to the Building Inspector by the Inspection/Testing Agency or other responsible party within a reasonable time to test results. 8. BEFORE A CERTIFICATE OF OCCUPANCY APPROVAL CAN BE ISSUED. The Inspection/Testing Agency shall submit a FINAL REPORT LETTER stating that all items requiring testing and inspection have been fulfilled and reported and a final inspection report shall be provided. A copy of the statement is to be maintained at the jobsite for the Building Inspectors review prior to final inspections Page 1 of 4 n....In ..107AA-M7..An..n/V.n AOO..ni..lo A n7on.L.O.A l.7n7 • w pecia aspect on equirer e Co' 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 Permit Center. Declaration of Owner I, as the owner of the project,declare that the testing agency firm/s or individuals 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. Tom Linberg °f�/p�ii . 01 / 09/ 2025 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. Architect/Engineer(print) Architect/Engineer Stamp/Signature(date) vikllfiienK� Wolden Structural Engineering Testing Agency Name/Contact info: 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. Korey Yada/ Ram Jack West �� 01/08/24 General Contractor(print) Genera tractor Signature (date) Page 2 of 4 Doc ID:e1324daf97e40e00b9488e9fcf849789ab3db792 / V 1 • 1 • a r . pecia1 inspection Re uIrements MASON COUNTY COMMUNITY 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 El Helical pile foundations 1705.9 ❑ Fabricated items 1705.10 Page 3 of 4 n....Ir ..io,ea.sn7..en..nnLnAoo,.rusoemon..ho.8.7n') _____ • __________________ peciai Insp5Y Req. .0 re er�fis MA SON COUNTY cO SERVICES ❑ Special inspections for wind resistance 1705.11 ❑ Structural wood 1705.11.1 ❑ Wind resisting components 1705.11.3 El 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 El 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 O 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 O Penetration firestops 1705.17.1 ❑ Fire-resistant joint systems 1705.17.2 O Testing for smoke control 1705.18 ❑ Testing Scope 1705.18.1 Page 4 of 4 in. 47 IA 1 F(l�.A/ AOO..f1F GOAT OfL O.FL.7lV) X Dropbox Sign Audit trail Title Special Inspection File name Special_inspectio...2630_N_US-101.pdf Document ID el 324daf97e40e00b9488e9fcf849789ab3db792 Audit trail date format MM / DD/YYYY Status e Signed Document History O 01 /08 /2025 Sent for signature to Tom Lindberg (tomlindberg@gmail.com) SENT 2130:09 UTC from josht@ramjackwest.com IP: 73.118.213.242 01 /09 /2025 Viewed by Tom Lindberg (tomlindberg@gmail.com) VIEWED 20:1950 UTC IP: 98.165.181.122 _. 01 / 09/2025 Signed by Tom Lindberg (tomlindberg@gmail.com) SIGNED 21:30,16 UTC IP: 98.165.181.122 �✓ 01 /09/2025 The document has been completed. 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