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STATE OF WASHINGTON - Department of Labor and Industries
FACTORY ASSEMBLED STRUCTURES
P.O. Box 44430, Olympia, Washington 98504 -4430
Web Site www.Ini.wa.gov /tradeslicensing /factory assembled structures/
21- Mar -16
To- City of Yelm
105 Yelm Avenue W
Yelm, WA 98597
Gary Carlson
Re: Modular Building
Site location: 1315 Yelm Ave
Yelm, WA 98597
This letter is to inform your department of a modular building being shipped to the
address above. Enclosed is a copy of the Department of Labor and Industries, Factory
Assembled Structures Section approved plans for your use. Attached is a list of items
that will require review, inspection and approval by City of Yelm. MODERN BLDG
SYSTEMS is the manufacturer, they may be contacted at 503- 749 -4949. The
Department of Labor and Industries, Factory Assembled Structures Section has
informed the manufacturer that permits, review and inspection of on site construction,
conditions and completion of the building will be required by the City of Yelm. If you
have any questions or concerns please feel free to contact me.
Craig Sedlacek
Plans Examiner
WA State Dept of Labor & Industries
(360) 902 -5218
Sedc235 @lni.wa.gov
BY- ------------ - - - - --
n fL r an Industries
Department o Labor d s
a
b
Factory Assembled Structures
PO Box 44430 NOTIFICATION TO LOCAL ENFORCEMENT AGENCY
Olympia WA 98504 -4430 Date
www.wa.gov/lni/FAS/ 311012016 M 93
(case sensitive)
The Factory-Built unit identified below requires completion work at the site Mfg
as specified. Modern Building Systems, Inc.
Owner's name Mfgr's serial no. Dept. serial no.
Yelm School District 2016 -10 -2
Tnstallntinn addreaa Twe of construction Occuoancv ETA at site
1315 Yelm AVE
ve I E
YELM OR 97455 Thurston I 503 - 749 -4949
Installation site is in: City
STRUCTURAL:
1) 5/8" Dia. Threaded Rods with nuts and washers - 2' -0" fr
om 1) Connect to site power and completion of marriage lice cross-
overs.
Base Plan
2) (6) 5/8" Dia. Threaded Rods with nuts and washers - 1' -0"
from ends and center column and equall
y spaced at roof beams. 2) Review, inspection and approval of fire alarm system.
Detail 3 /54.3 on Base Plan
FIN
ISH:
1) Normal module close -up at interior walls and floor.
2) Completion of ceiling install
ation. Detail 3 /A5.0 on Base Plan
3) Completion of exterior wall finish at marr
iage lines.
4) Installtion of roof ridge vent. Detail 3/S4.3 on Base Plan
PLUMBIN
G:
1) Verify plumbing fix
tures required by 2012 UPC and not
provided in this building are available in an adjacent building.
Inspector's name (print /type) Ynone: (2S am to � pm) Ilvianutacnzrer's name (pnnurype)
Modern Building Systems Inc.
3/10/2016
For Dept.
Recd
File
By
Use ONLY
/ /
� County
STRUCTURAL:
1) 5/8" Dia. Threaded Rods with nuts and washers - 2' -0" fr
om 1) Connect to site power and completion of marriage lice cross-
overs.
Base Plan
2) (6) 5/8" Dia. Threaded Rods with nuts and washers - 1' -0"
from ends and center column and equall
y spaced at roof beams. 2) Review, inspection and approval of fire alarm system.
Detail 3 /54.3 on Base Plan
FIN
ISH:
1) Normal module close -up at interior walls and floor.
2) Completion of ceiling install
ation. Detail 3 /A5.0 on Base Plan
3) Completion of exterior wall finish at marr
iage lines.
4) Installtion of roof ridge vent. Detail 3/S4.3 on Base Plan
PLUMBIN
G:
1) Verify plumbing fix
tures required by 2012 UPC and not
provided in this building are available in an adjacent building.
Inspector's name (print /type) Ynone: (2S am to � pm) Ilvianutacnzrer's name (pnnurype)
Modern Building Systems Inc.
3/10/2016
For Dept.
Recd
File
By
Use ONLY
/ /
F623 -013 -000 (PDF) notification to local enforcement agency 11 -00
White - Olympia office
Green - Electrical section
Canary - Inspector
Pink - Building department
Goldenrod - Customer
§
Department of Labor and Industries
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Factory Assembled Structures �
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PO Box 44430 NOTIFICATION TO LOCAL ENFORCEMENT AGENCY
Olympia WA 98504 -4430 F Date
www.wa.gov/InUFAS/ 311012016 M 93
(case sensitive)
The Factory -Built unit identified below requires completion work at the site Mfg
as Specified. Modern Building Systems, Inc.
Owner's name Nggr's serial no. Dept. serial no.
Yelm School District 2016 -10 -3
Tnstnllation address I Tvoe of construction lOccuDancv I ETA at site
1315 Yelm A VE
V9 I E
YELM
OR
97455 Thurston
503 - 749 -4949
Installation site is in:
City
F-1 County
STRUCTURAL:
1) 5/8" Dia. Threaded Rods with nuts and washers - 2' -0" from 1) Connect to site power and completion of marriage line cross -
ends and 6' -0" O.C. at marriage line floor rims. Detail 4/S4.3 on
ovens.
Base Plan
2) (6) 5/8" Dia. Threaded Rods with nuts and washers - F -0"
from ends and center column and equally spaced at roof beams. 2) Review, inspection and approval of fire alarm system.
Detail 3/S4.3 on Base Plan
FINISH:
-1) Normal module close -up at interior walls and floor.
2) Completion of ceiling installation. Detail 3/A5.0 on Base Plan
3) Completion of exterior wall finish at marriage lines. I
4) Installtion of roof ridge vent. Detail 3/S4.3 on Base Plan I
PLUMBING:
1) Verify plumbing fixtures required by 2012 UPC and not
provided in this building are available in an adjacent building.
Inspector's name (print /type) Phone: (8 am to 5 pm) IManutacturer's name (pent /type) —
Modern Buildina Sygtelus, Inc.
3/10/2016
For Dept. Recd File By
Use ONLY I /
F623,013-000 (PDF) notification to local enforcement agency 11 -00
White - Olympia office
Green - Electrical section
Canary - Inspector
Pink - Building department
Goldenrod - Customer