HomeMy WebLinkAboutBLD2008-00824 Cancelled SFR and Water Adequacy - BLD Permit / Conditions - 6/6/2008 Inspection Line(360)127-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186' 1
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2008-00824
OWNER: DAN RODIUS RECEIVED: 7/3/2008
CONTRACTOR: PACIFIC BUILDING 360-280-0256 LICENSE: PACIFB'0131_4 EXP: 12/13/2009 ISSUED: 10/7/2008
SITE ADDRESS: 530 E DARTMOOR DR EXPIRES: 4/7/2009
PARCEL NUMBER: 321275300136
LEGAL DESCRIPTION: LAKE LIMERICK 4 TRACT 136
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR Lake Limerick
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3/U Lot Size: Deck: 96
Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 c. L Building:2,370 Garage-Attached 483
Valuation: Building Height: O St u Prima Basement: cov deck 36
Manufactured Home Information Setback Inform tin Shoreline&Planning Information
Make: Length: Ft. Front: W $0.0 Ft. h Water Body: Cranberry Creek eli e: 10 SEPA?: NO
Model: Width Ft. Rear: E 105.0 Ft. lop Ft. Shoreline Desig.: Conservancy
Side 1: N 6.0
Year: Serial Side 2: 6. Ft. Comp. Plan Desig.: Rural
Plumbing Fix res ec anic I Fixt s,/ FEES
Type Qty. pasOutlets
Qty. Type By Date Amount Receipt
Dishwasher 1 ood 1 Plan Check Fee KKK 7/3/2008 $999.02 S22008000
Hosebibs 3 100K 1 Plan Check Fee KKK 7/3/2008 $999.02 S12008000
Kitchen Sink 1 3 EH Plan Review KKK 7/3/2008 $40.00 S220b8000
Lavatories 4 Tank 1 Water Adequacy Plan Review KKK 7/3/2008 $40.00 S22008000
Water Closets (Toilets) 3 Ventilation Fan 1 Planning Review Fee KKK 7/3/2008 $190.00 S22bb8bbb
Water Heaters 1 Heat Pump 1 Address Fee CMH 7/15/2008 $162.00 S22bb8bbb
Building State Fee MAL 7/16/2008 $4.50 522008000
Bath Tubs Propane Stove 1
Building Permit Fee MAL 7/16/2008 $1,536.95 S22008000 Clothes Washer 1 Dryer Vent 1
Mechanical Base Fee MAL 7/16/2008 $26.60 S22o08000
Mechanical Fee MAL 7/16/2008 $205.00 S22008000
Plumbing Base Fee MAL 7/16/2008 $23.10 S22008000
Plumbing Fee MAL 7/16/2008 $120.01 S22008000
EH Plan Review CEW 9/4/2008 $60.00 S22008000
Total $4,406.20
BLD2008-00824 Please referto the following pages for conditions of this permit. 1 of 5
I/-fir®I�YI IIYI�II�Y�YIYIIYIIi ���s/�Ii OIWYI�i��lll��"
CO
v
N
O
O
co
ono XW� CA 0
m xm m �v m a) ° � v ° M °1 = x ,.. omi n�i � < � cn
N < c to CD p 0 cn 7 >•� n fl I n C
o o (a 0) CL cn
m m m m M:3 CL M �, 0 rtN � 3 = � N m fD '
o mr' Lcn s � C � md a) � cnd 0m o oaoL m � ?
j -D �m 0 CL mm3c 3 m r: m cn
T. � m cn ni
cr
� dv 3mo°i m O0 3 fl � � n3i mcmn � < a �
fD O a: O m O N G C ZU1 S U (--'D' a 0
0 P• m rt m m � .'* O o y �' m 3 °c U0 O� � Cr CL
> > -0 rt d O 0 (DD X ~`O N s o 0 N m � O N 0
0 3 mar0n (nM P. - Nm M � v Oa =
CL CL .� 0) � m 0 CD mo (D a — (a xcn cn � 3 �lu CL ' S' m m ^� m
. _CD 0cr s X m ' °' m a' 3 s = m a ? c .m°. m x (a
CD cn o m
N O 0 ° 0 N 0-0 CD 0+ CO N N m N C- N
m ? �. < � 0 3 v, 3 c o d < CL 3
cn m 'D .+ m m y m v CD
' m o ° O M O N '+CD � d 3 ('� cc (Do m
s 3 �c — _ o
w � cn -" 0 m < - 3 m m tu - cn sQ � a
N O 0 ;� 0 m"O ,0. r_► (D :� m. O m 0 � (D
'O N n O N CL N O cOn O M. Q' j C 3 O N cn
1
o CD S Z, 7 9Z3 ,N-' 0 O `er (D C D 0. rt (n
s �. OCD (a S (D � a1 O 0 (D m ,ny C (D -n ca w 0 S
o m � a � mp� omma CNN Nam a0 � 3 WQ W
'• � (D vm mac° =,c`� mfD m' m CD 0. m 6 6Zrn
a (D 2 cn a (D a O
0 0 Cl) rt N O (D S 0 a O O (D 0 S Q
w � `n � o ('0. � =°CD M CD o3dm � am3 vo�, �� � vo CD o�oZZ ono
_ _ a- (a N N m , =h 3 cmn 0 3 d 3scn o tw Q � m
O N N O O (p (D ~• (D N m c0 N 0 <. M. O a T N -1
p<j (D O N O N .�+ N ('D j cn CL (n (D S fn co 00CD < CD .. cn
a (0 �"a O N CL N (D O j O ° (Oi, -a O •< N N \ CD CC
:3 :3 3
CL (a (o m
01 CL m o vm, � m m v a N.-0 nmi 3 .+ a 3 0 �• o
~ a ^' m � cnNpOm � a0) cn cn cn CA
CD CL to
o a� m o : a 3 �' — � m 0 o m O
3F Nvus' 0 � csD3cnm �`< o 0mn, cnp ' a, -
n m3 � 0 3 ter. cam �
3 CD
' CD- 3 < o s v � � m c N � m 0 °► 0
C ° N r S Cn m ,h N N O m
CD CL 3 cn < cn O_ O
Cl n (�D G N O to N 0 7 -0 CD Q'0 CD N m
0m m 3 � � 0) CD vv4 roc', � a
0 0 o N S cn c (D N -0 0 C c 0 (D N
= ° :3 �N � � umi < m m R.
m m U D a `� �
� _ (a camm < 3Nm53 (0cn - gym — :3 :3 M'
— m 3v 3 m °' m a0_ -- 00 S a- § c (a. o
c, � w nCD 0
:3 CD m mcn 0) (n m — � 8 CD � � v, a cn
} v < o ^' off $ o o 3 m o00 0 @ v
aQ j Waco Tr * T ? nv m
CL 30mv. 3mm-o No ° � = m � o m
am < m ~' � 3 aC = m � m cmi CL
CS
� o o Qo v ° C = m m � m = a- rt -1 o
N Nfl, NcoU? v� N Nix 0 vN N
N O 0 N � 3 0 —(p Ncn
m , N
O n N m N (D 0 = N h cn N ^ C ° a. 0 m
v, m a,m a 0 3 � m 0 x � v �• m
Q- v 00' m a i d m 0 acr CA cn su . 0 0
CA
(D O < C 7 cnO O N
CD � o cn
N
O
O
O
o Xo w D X@ Oo � XOo D_ Xa X3 D D X ;' So $ � X � X CD D3 m XD
O C O p 30 n N m S 0 j N N '0 "O O .�. O N N
rl) CD °_ � < v 0 � ma m U) o 0 om d N ?_• wco:ml
c o
on�i < fD 0) CD mo c 3w
coS (nm Om 4 (Do m < � o — 0 pN 50
m5.� vCm CvCD :3 mcC. = U C ,
C 3 m S ° ° � 3 s °' °: � m m Z mC n CD
O p S C n CU Q �1 � O C (n' ° m N 0) v Np N
m n o a � am C m ° m v m OL v cOo wm O
as"
(D (nva CD CD ° C, 3 (n n) NCB cow mM (� mo a
m r. m w@ C. m m 3 m m OC. (D v,
� (C � N to 00 — .�. `< CO O cc O p Z S , �p
"-a
• O In N S 3 N C N C N < N < C v (�D Q
Cr CO
N �O0 m m v CD
Qom. �•? CD Xc CA. c �' Z
(0 N _» um, — 0 O' O O" 0 3 0 (D CDcn — CD cn ' v v,
N CA cn " '"' (n cn :3 .N—: C " j. ° C n c O Z O O
� 'am •»hm -0m fDCDo cmi ca) g a � CD Cl)3 mmv Q
� CD �' v co � -' @ w 3 0 m o m �• y 3
O S O (D •• N C -h N N N m 3 O 0 n m a cn -' (D r.
CD O N -1 O� �, N -0 -' Q .•' m N CD N < CU ^ cn j' OO C.
-mow o Q O (D O m (D O .•► O O 0 S O S S - N 7 0 COD :E ^N.'
(DCL C) O O cnCD CD (D
O. S ,..t �•'O �.'O C. -O C. N j O •-� CD v n C' o O
CD j O N G. N C 0 O j O0 N N' N CD ° N C ? O fl
O p) CU = < N Z,8 `< . O S a lD m 0) Cl)
o CD v ym CD CDa m �, c av o m m N 3 m N = CD
m 7 �'Z7 O n N N = j N O 0 7 Z N
cp N m O < p<j S % „n. 5; 3 N '0 C. �. n O n
C G) 0 C
'a m p) m v, CD S m T C O N' a to cn c • CO N
co N. � a ONrnm (CCO co � N � coQ c , ONc v
o ON cmi " CD
� ° = (DO mac) ca0 ' co � � ° -1. 0 vi3M 3
N O m O O 3 C 0CA CD cn
CD cn . 7'N m > > C X 3 c CD c yo CD . OD a N (D
(D CD O O N fD C 3 c O cC D O N :0 0
3 N S _ C C- O c N
(C N O C)) 3su 3 ? � , v O
N CD 0 N m O' N (D ((DD � O O (D c
o rt Z to S ui C N O m m -0 O C10 (D m °
:+
a O . CD '' S. C CD O� N m O 7 a 0 cmn 5 cn N (DU N ..
N3 CACD O 0 C N �C
O � S � 0 C ON n m
p 010
O O.(13 = N OL ((DD O N (D 0 ?
S _M (D I In m " — (D CD
N
C CS � —
m N —
N
rr '
m 0 S N N (D S 6 0 N' -n �
Q. C_ - O 7 a) - N O .. C CU (D CD O
O (D O
O
S
n � CD CU
CU CD C 0 m CDC < O
N cn -w fD'
it C 0. _
cn
3 N r► _0 0) m 3 C C j C) C CD 0 :3 �7 O •C1•
to W CD C. :3C O.. ("D C �.`� O cCn �1 0 CD CL
N :3fl v
� oc O o< o1m
m CD u CD c ° mm o X ° _
or o c m
Er n (D
0
cn. CA
O -n c CD Cr
O CD n > >' N N C
O (�. N .* m O p N c q cC cn CD (�
C. 0) — S � O p) c N -0 0 C_ G
.« cav nN C_ r. D QQn
(D 3 (D N'� r« m O — 3' (D -0 O (D
cr CD
w ° CD =r CD 3m � M Na w
o � °� O om �Er m N -o CD "
C �
U, w 3m c°� m = ° ° m3
m a m CD ° < � U) m < rn m
.0
i (D m = (D cC �. X � c<-i► -o ca
O (C
i
1
0
0
co
CD -0 X � � ooC� -I X '" D Xcaa) -I X ° T X p dy' � � � cx X �
o � O c 0 S o c m � �, aF)
Cl O M. Cl) sm CO m N m 0m m � CD m o < m -o 3 0 0 0 <
N N. � (D n r z O � c N CD ap m 3 �' N• m
A ? O n j -1 O N a y CD v' 'a p a0 n. 0) O.
-0 c z ,� C O 3 l3n 7 3 r N ° Na N
O N z N 0) a X 0. '+ N
� w 3c°-. 00 y �m Q3 � � r► � ooc� o0o
._. co a m
N �' to
-_I o) 3 p v • O — cn chi m N N c
o � O mZ 0 . 9' u, °' ' m c o °' a : v
^ < v --h z v, a0 � � C
_ ° cn m CA r: CD co
o m � N N ? o m
CD °a-a 0 _ � m w Na m „� a � c m
C� Cn cD o N s
c v m m v, b n� " � c� _ ° c ooc. ° CCL
0. M. m m c :'a .. CD
N ° v 3 co m S O N 00 c N -0 cn N 0. „� a -, -,
o a 0a) a fn cr0 Qo C2; C m N,ZMv c c°D m
v c o o m � CL v °� 03) ° co � N 0 CD
m � o ° < v 0
din comma T r f° � 53a) a) CD O � on � °1m :3
° = a 0D my my �' = 5' Co O- � = � m
a) cn coa) N' � rn coati CD ((D � Hai wow = NCD a
c ° ca m S a) m a ° cD
° � n ° c p voo CD m o (D
moo- ;:w 0 � � = c3 �' mmo CL �„ m�on�i � 3
w m
Xo o -°p O .(l m g.N = 2. o � N fD O 0 , 00)7 o ° �
0) CD m O N O m o cn,� ° O mom ° 3 0
Q " o rn Ste, 3 anc
-�. cn `< cn Z m CD 0. 3 O- � CD 3 N ic O c �+ S
N 'COD a m C Oa a O O N �.O CD a°) O m c m
$ yam p 0 c ? " y Q a�v_' :3 CLN n � CD
,. _. to _ " o cn 3 c
m O O O' � cn 3 a 0 O O N N•cc O 0 c O 3 o a �:
cnC) cn 'l] C a O_ Om -oNU) y OOm3 3 CD
m n
°c `a p m ao S � m no o ° � �, CD �
CD v M
o m p rta � CD
i o o -a �_ � � m n o
w cn m � � min. l<0 = r: m � � 0
2 � N p D m � v m , d m D v v; � D - o m
ga n CA Mo ' < vO — , c (a U) CD w
:3 (� m a S CD C) cmnO v a c oa 0) :3 NCa-
j n° cn cn to CD 0 O o :3 a -0@ m M�
cn CD _ c= r a - m cn c0 A
cn � o = 3 m 0 v, X a 3 co c
o cn c c t w m � m o° . ti ao co S Q n QcN
CD
a m v � O o � oU) = 0 ° aoM :3
� mp z �' W o. 00 N � d 0 . -1 a
m `n m ° g -n - D3 ° .. � S3 cLa
; �' CQ O — � 0
<
� CDN t0 ^N P. C m � y m 08 afD
r m O �m m CD N ma
fl :3 0 C � a) NS O to 0. C N R
m,n+.
Ito S
to = 0 N O S m � O O- N O
M �
9 n0m Du' Doc uo -
m '0 , ) N
' 0.
a a) 3 � m mE= m 5a
n� _ No .N — =a 8n ) c = N
u'av m = m m< < 0m Z o �v
CD M
A ca<i a9ic co °m ,o= m 'a•ar� m � � Zu D mm cn z m
to CD
0CD
S � am0 3a
jo5 CL CA CD
m m CD -
CD 8 m a) <
s Cl o <
o O f -
-no m
cn .g Wo 0 3 -I 0 ,Cnm 00 � c0iwoK �
a cn . ,_. S,
m Qa3) � � �, S < m D D 3 m � � m
rn m 3 r. a) S 3
I cam p X �' � cuo. Ns � s m a
o)
sm vm
W O n --j W W W N N N N
o O v0 0�0 J
O Q q
O O _ N
W X < cr
o aQ X ��oo X j XS X � XM cnD Xo D X =r
N m 8 N v n O 3 N o S cQ CD d A
V, s. _., p S' p O d N m 0 A. �
z 00 m cc -.. ca
-^ O cn = cn =ti c�
,. CL CO)
co3 3 °
y. 8 o
o
c 3 mm o O3 CD8o o m c
° a amm nov-
? ca cn 3 0 c " c Q o 2 0
� a o ° m o m -a � SCD 0) . m fD � o
� is 0 n :� o o n x m CY
c o mm ? �CO) . m @cc '< m c
c $ v m N U) �' n < � m nDo
� a v Q � m m d m
a nc � 3 m m 3 - mcn �� � N
CO v =' 3 c m m v m CL �• � cg �
O N (n O. O -O 0 In O CO) n ° 3 _n ° 7 N
cn p� O O N N c rt CD 41 fn .+ 8 �fu .� � N m Q
_ m �Q' m -O O nm =. m
O (P (p CD M
'y N n p m 3 a O m v
(� 7 0 n - < n m 3 "O rt 'a : N <
o a fl -0 m N O 7 CD
N fl O 7 N o 3 Q p m
m O O m O o n3 m m n
m > > 8 m 2 O' d co f<D �► O cp N r
M s 3 cn � w n m .� v' .<
m cn oo ' ? n cOn n Q ? p� o Q CD
m
v =• o 0 v c p m m c� m
m � w : 3 m `< m 5.
CL :3 CD ' ? npi � co
s C
' m n0
co m3 m n = � C°
O
m m O °m m
c 5r cn N y O co O .O+ �• N 7 c�
v CD n � v n No N � & S
$ ' Cr m ° m ~' Q. o o �. N M
O m n O ,� O O m n M n 7 0
fl 8 X Q c O j n r►.o p
m v No > > (1) ' O" P0 2m
c v a
o
=r ° mo CL
a v o N3 m � 3 � cn Co CD
o go �, m e -., ° p m v m = m
< v nU) o a ? 3 � � m a
ago Cr
3 N Nm
o m m ca' N n pa)T m � c
y < a) U) CO) m ccn O O a. 3 •» O 3
c v = O C.'°C O c r o. CD
Ep
0m CD n N .-+
( m a 0 OQ. _ � n � m. N N M (D
ado O O = p�j CL p
C C > cD m O CD "a cz
CO p N Q N CAfl1 CO
3
@ C m cm o y =r
CD v
3 ° -. S m m 7 p� O- M �
'0 O -Ow C N O n •< C n m
3 -+ m O m CD N
vcl. n O fppl � 0. 3 N d
CD CD
aKi 0 w m 0 c c3i :3m
ca80, 7 S N O `< 0 o 3 � c
O n O n c O C 0 =r a)O o �' X CD r: c :30 p ff ca
� > > m � o Q m ° ` s5.
a m cD o.
wpm C n as NQ JCL
0co
o X 5' m m
I
2/6/2009
Conditions Associated With 9:12:20AM
Case#: BLD2008-00824
Permit Condition Status Updated
item# Code Title Status Changed By Tag Date By
1) 5004 WSEC RESIDENTIAL HEATING EQUIP. NOT MET 7/16/2008 MAL
Installation of heating equipment in single family residences shall meet the requirements of the current
Washington State Energy Code.
The furnace to be installed shall not exceed 150%of the heating and cooling design load. Heating and design
load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance
with accepted engineering practice,including infiltration and ventilation. Design calculations shall be available
for inspection during the framing inspection.
Warm-air furnaces shall have a minimum efficiency of 78%AFUE or higher or 80%combustion efficiency.
All ducts shall be securely fastened and sealed with welds,gaskets,mastics(adhesives),
mastic-plus-embedded-fabric systems or tapes installed in accordance with manufacturers installation
instructions. Duct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated
t
X
2) 5100 Tips for Propane Tank Placement NOT MET 7/16/2008 MAL
The placement of small propane tanks are not normally subject to a permit review by the Planning Department;
however,propane tanks are subject to Planning Department regulations. Such regulations primarily consist of -
setbacks from shorelines and features considered to be critical areas(streams,wetlands,slopes,etc.) If you
think such features exist on or nearby your the Planning Department so that exact
setback requirements can be determined.X pr ct
3) 1700 Stormwater Management Worksheet NOT MET 7/16/2008 MAL
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/drainfreld 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 oft uilding permit the owner/agent/contractor is acknowledging that all components of the
stormwate mana em have been installed as approved on the stormwater site plan.X
4) 5020 Slope Setback NOT MET 7/16/2008 MAL
Placement of structure must comply with standards set forth per the international codes regarding descending
an r asc es.
X
5) 1012 SITE PLAN REQUIRED ON SITE NOT MET 7/16/2008 MAL
The"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,then 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
t tions being performed or approvals granted.
X
6) 200 SIT AN NOT MET 7/3/2008 KKK
AP r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest
pr ection o cture.
X
Page 1 of 5 CaseConditions..rpt
2/6/2009
Conditions Associated With 9:12:20AM
Case#: BLD2008-00824
I ,
1�
Permit Condition Status p to
item# Code Title Status Changed By Tag Date By
7) 1500 ROOF WIND LOADS NOT MET 7/16/2008 MAL
Per 2003 IRC-SECTION 1609- WIND LOADS- 1609.1 Applications. Buildings,structures and parts
thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall
not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WIND SPEED
the wind speed for Mason County is 85 MPH.
—z-
8) 1510 ROOF COVERINGS REQUIREMENTS NOT MET 7/16/2008 MAL
Per IRC-SECTION R905 -REQUIREMENTS FOR ROOF COVERINGS-R905.1 Roof covering
application. Roof coverings shall be applied in accordance with the applicable provisions of this section and
the on instructions.
X
9) 6000 RETAINING WALLS NOT MET 7/16/2008 MAL
Retaining walls needed to support a surcharge such as structures,roads,or to support slopes,shall require a
se ermit and approval prior to construction of the retaining wall.
10) 700 RCW 7 NOT MET 7/3/2008 KKK
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 pondWon is either the homeowner,agent for the owner or a registered contractor according
to WA state law.
11) 5510 Property Lines NOT MET 7/16/2008 MAL
All 7mshall be clearly identified at the time of foundation inspection.
X
12) 5090 PROP TANK NOT MET 7/16/2008 MAL
All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason
County ordinances. All propane tanks must meet the installation requirements and minimum setbacks as listed
in my Fire Marshal's Standards for the Installation of Propane Tanks.
X
13) 5700 PRESSURE TREATED LUMBER NOT MET 7/16/2008 MAL
Pressure treated wood manufactured after January 1,2004 may contain high concentrations of copper which
could quickly corrode metal fasteners,connectors,an stall metal connectors approved for contact
with the new types of pressure treated material.X
14) 1001 PLANS REQUIRED ON SITE N E 7/16/2008 MAL
All 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
furt s eing performed or approvals granted.
X
15) 1003 PLAN REVIEW CORRECTIONS NOT MET 7/16/2008 MAL
The plan review check list and corrections are part of the approved plans and must remain thereto. It is the
responsibility of the applicant to make the 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.
Fa' or removal of approved documents will result in failure of required building inspections.
X
Page 2 of 5 CaseConditions..rpt
2/6/2009
Conditions Associated With 9:12:20AM
Case#: BLD2008-00824
i�
Permit Condition Status Updated
item# Code Title Status Changed By Tag Date By
16) 5610 PERMIT EXPIRATION NOT MET 7/16/2008 MAL
All permits expire 180 days after permit issuance,or 180 days after the last inspection activity is performed.
The Building Official may extend the time for action for a period not exceeding 180 days,upon the receipt of a
written extension request indicating that circumstances beyond the control of the permit holder have prevented
a i en. No more than one extension may be granted.
17) 34 No Degradation of Water Quality NOT MET 9/16/2008 RDH
Wabe degraded to the detriment of the aquatic environment as a result of this project.
X
18) 5019 MCPW Development Requirements NOT MET 7/16/2008 MAL
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 revi d work which may affect your project.
X
19) 1000 HABITAT MITIGATION NOT MET 9/16/2008 RDH
Development is subject to all the conditions and recommendations of the Habitat Management Plan prepared
by June 2008. All recommendations in the HMP are REQUIRED.
X
20) 5095 FUEL PRANG NOT MET 7/16/2008 MAL
Fuel piping shall be inspected after the installation of fuel piping is complete,and before the attachment of
fixtures,appliances,or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi
held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used until the
fina s been performed and approved by a Mason County building inspector.
X
21) 4998 FIRE WMA RATUS ACCESS ROADS NOT MET 7/3/2008 KKK
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
p ]c
X
22) 5600 FINAL INSPECTION REQUIRED NOT MET 7/16/2008 MAL
All building permits shall have a final inspection performed and approved by the 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
Co d building regulations.
X
23) 1011 F I L NOT MET 7/16/2008 MAL
THE N SYSTEM SHALL BE PLACED ON UNDISTURBED,NATIVE SOIL.
X
Page 3 of 5 CaseConditions..rpt
2/6/2009
lipConditions Associated With 9:12:20AM
Case #: BLD2008-00824
,
Permit Condition Status Updated
item# Code Title Status Changed By Tag Date By
24) 5045 FIELD CORRECT NOT MET 7/16/2008 MAL
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
pri q itional inspections.
X
25) 60 Erosion Protection NOT MET 9/16/2008 RDH
Prior to final approval,all upland areas disturbed or newly created by construction activities shall be seeded,
ve at an equivalent type of erosion protection(silt fencing or straw matting).
X
26) 5002 ENGINEERING OR ARCHITECTURE NOT MET 7/16/2008 MAL
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 a and shall be collected by the Building Department prior to any further inspections being
pe o d r vals granted.
X
27) 5030 CHANGES TO APPROVED PLANS NOT MET 7/16/2008 MAL
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
C n nstruction.
X
28) 5003 ALL CONSTRUCTION NOT MET 7/16/2008 MAL
All construction must meet or exceed all local ordinances and the international codes requirements as adopted
and amended by Mason County and the State of Washington. Occupancy is limited to the approved and
pe ation. Any non-approved change of use or occupancy would result in permit revocation.
X
29) 1002 ADD OAD SIGNING NOT MET 7/16/2008 MAL
Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in
acco ce on County Title 14.28.
X
30) 1000 SETBACK FROM STREAM NOT MET 9/16/2008 RDH
The Variance(VAR2008-00010)has been approved for a structure setback of at least 105 feet from the
Ordin ► Mark of Cranberry Creek.
X
31) 6550 LANDI S AND STAIRS NOT MET 9/17/2008 CMH
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
setb�listed.
X
Page 4 of 5 CaseConditions-rpt
2/6/2009
Conditions Associated With 9:12:20AM
Case #: BLD2008-00824
i ,
Permit Condition Status Updated
item# Code Title Status Changed By Tag Date By
32) 6500 ACCESSORY STRUCTURE NOT MET 9/17/2008 CMH
By definition,propane tanks and heatpumps are structures,which must meet setback conditions. Please check
yo Plan"to ensure these structures meet the setback conditions listed.
X
33) 1000 SEPTIC SYSTEM NOT MET 2/4/2009 CEW
FOUNDAITON MUST BE 30'FROM DRAINFIELD.
x � �
Page 5 of 5 CaseConditions..rpt
CONCRETE MECHANICAL MANUFACTURED HOME
Footings f Setbacks Date 'Gas Piping lay Ribbons
lnteriorDate By Interior-Date By Date I3y1
Exterior Date By Exterior-Date B Set-LIP
Point Load I Isolated Footings BG I SLLAB I INSU SULATION Date gy 'ems
/S
Date BY Date By FIRE DEPARTMENT
Foundation Walla Floors Date By
Date By Date' By DECKS NA
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Type
Data By Date By Date By
D.W.1f DRYWALL Type: —�
Int Brace Wall date By
Dace 6y Date By-0 FINAL INSPECTION
2 Water Line Fire Seperation
8 Date By Data By Date By
m
I Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
CD . .� ( 1-2ct-/3 7-30' 6--)
1
8
N
O
0
MOW`
w �2
.0i _-V V��
CONCRETE MECHANICAL MANUFACTURED HOME M
Date By Ribbons
J Setbacks Gas Piping Ribbons E
O interior Date By interior-Date BY Date By Cl)
o B INSULATION _ +
00 Cxtefw Date y Exterior-Date B
-41
Point Load 1 Isolated FootingsDate By Z
BG f SLAB INSULATION --- -�—
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Gur•sPs gcd.4 MIOF4 LJW Date By
Date By G,AtL/ Data By DECKS
FRA Mi ING Walls Date By
Date I P°L By Wit Data 2. `t ey PROPANE TANKS
PLUMBING Vault Data By
Date By OTHER
rData
ndwork Attic
Date By Type.
BY __._._ -. Dates By
RYWALL type
V
InL Brace Wail Date By W
Date ale"I Ofj BY�/�12 Date By
r
v FINAL INSPECTION
CD Water Line Fire Seperation
Date 2f L1 By LPL Dates By Dates By Q
Pass or Request Inspect. c
0 Type of insp. Fail Date Date Done By Comments co
s � �-� (D�1 ti v� L-�IL Cc7XAM
m OL8 m :71.-F c L u c r_AA I
peas, � ��''`� ► 3�' ,� ENDS o uNEJ -t �
oEn
5 , Gk 2 Z % ZZV
c
&will
W4�( Pow Z3p9 dY L-011
r l I I Z!I 04 l II'Z-31 LVIJ 1-0k
�SI^���UIi CND rj,tri r. IInS�.lv���
o L 01 1,,O) ,
0
fo 4
Permit#
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
sT =cT�
/ 1
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Cell for re-inspection when corrections are made before continuing ❑ Please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑Q*F4O 4�2 T S/'Z7:;C V Cr— damage incurred by recent
y "natural/man made"
This is not a complete inspection �i'l� T disasters.This is NOT a
Date /Z—Lam/ Department ����� � RRECT/ON NOTICE.
Inspector
NO* w� N*�T `IMI� *4 ' ' THIqx T" _ *
l �
Permit# MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location �6)y e a 1-1 r"`eV(�-
This structure has•been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be Corr cted to gain compliance
r.� lc 4-li IC4.1 v.— <.e,-, 1 e,f 1,j, S �s
pew vi a e of I I a,I e ' 4 1t -'0 ✓, I I A T T
All 31At>
r++, hs %I AK
� I 11 �i+., IZ rl,4 Gn, I430c— c,rvw
a I All fA4jk /III ,tnt„Yrat�tr c,nn Grr i.11 (^-fv cy.37 �x S �'
C1'r n h r�✓til �>'' Q✓✓` �U�^'�'Z.c�
A ►fi &W e7a v.'l otr PO/a. -zpr,.q <x' at C d k v,7,4A
7 ct't''�rL- ��(s.�� �i•s� i'n�..�.ti �'!�. f :.ra.mot-�.� -7'c!
� H M\ J .�! �n7 G.i l's. � � ,mil G.'r �,'r t✓�. 7v5..�S �r3
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
❑This is not a complete inspection disasters.This is NOT a
Date 11�IbGt Department 1I1- CORRECTION NOTICE.
Inspector
N O* 0I ,�T , �-�l�,�� ' THIqx T. , -* qff
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS HARD BUILDING PERMIT APPLICATION ?)
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 CAL
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLIC�KT INFO 121us
ON CONTRACTOR I OR�VI TIOOwner J—X-x Company Name
Mailin Address_ Mailin t
res
City State��Zip Code City State�°' _ Zip Code
Phone 6-U2? 0 1 e r P 2 "O Phone D-U7I 6T Othe Ph. —ALien/Title I-Inlriar V1 SBA 1 U Contractor Reg. xp.
E mail address — E Mail Addres
Drivers Lic.# ff DOB fl Drivers Lic.# U OB
SEPTIC /WATER SYSTE*INFORMAT N - Connect to N w Septic Existin Septic
Connect to Water System 41 Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORM TION - 1 Digit Parcel No.,—e I Fire District
Legal Description y
Site Address (Please include street name, street number and city) a f V
Dire tions to site Ki •r f 1 ♦ �m 'c
Will timber be cut and sold in IYarcel preparation?Yes/Q o `
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 150%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o
TYPE OF JOB - New Add Alt Repair Other PRIMARY SIDENCE SEASONAL ❑
Use of Building e-� Describe Work JU61 nia 2 R b
No. of Bedrooms_ No. of Bathrooms—a—Square Footage- 1sttfloor _ . 2nd Floor /077
3rd Floor Basement Deck Covered Deck 36f Other Sq. ft. �-
Garage Attached �Detached Carport Attached Detached
M Uth
CTUR HOME INF ATION - M�a Model Year
Len idt S I No. of Bedr ms No.VN
athro s
Type of Hea Purchase Replaceme ? Yes/
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above
described property and structure 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
P%( I Tlo"i ACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date: �� 6
wner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department t__
Environmental Health Department l L " (Y)3
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee
Planning Review Fee
' Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
lluation $ TOTAL FEES
l� o
MASON COUNTY PERMIT NO. -�J
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLIC T INFO CONTRACTOR IOR TIO
Owner c�I Company Name _� tLit
Mailin Add s / C Mailing�ddres
city of j—State "-k* 7ip Code City - State �_ Zip Code w �
Phone 4 O er Ph - "b Phone Othe Ph. 0
Lien/Titles Holder- t�'1 des I V Contractor Reg. /X%xp.
E mail address E Mail Addres
Drivers Lic.# C> 0 DOB V Drivers Lic.# KOVLTU OB
SEPTIC /WATER SYST 11NFoRMATI N - Connect to N w Se tic ExistingSeptic
Connect to Water System fF Name of Water System �
Well Sewer System Name of Sewer System
PARCEL INFORM TION - 1� Digit Parcel No. ► Fire District
Legal Description I. y
Site Address (Please include street name, street number and city) ca r 0N_ f'1r
Directions to site 'r 41 f i 1 m Gre
ri
Will timber be cut and sold in Parcel preparation?Yes/ o
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 15%
Is this permit submittal the reQ estop Work Notice,Correction Notice or other enforcement action?Yes o
TYPE OF JOB_ NeW A d Alt Repair Other PPdMA�RY SIDENCE X SEASONAL ❑
Use of Building• t , er- —Describe Work
No. of Bedrooms__ 7 o. of Bath room s—S are Footage- 1st,. II 2nd Floor.
3rd Floor Basement Deck overed Deck. Other Sq. ft.
Garage.. Attached �Detached Carport—.,Attached Detached 4P
M U CTUR HOME INF ATION - Ma Model Year
Len th dt Se I No. . of Bedr ms ` No. f Bathro s
Type of Hea Purchase � Replaceme ? Yes/ N
Installer Name Certification.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop(w "k ord r'or.permit revocation.
' Acknowledgement of such is by signature below. I declare that I am the owner, owners legaf rep seMt tiv gr the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare#haul v obtained the permission from all
{ the necessary parties. If permission is required from any easement holder or any other party in intere r arding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and cond t the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employ%�v
Mason County access to the above
describedvproperty and structure for review and inspection. This permit/application becomes nurd if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days.P OF CONTINUATION OF WORK IS BY
P I TIOALINACTIVITYOF THIS PERMIT APPLICATION OF180DAYSWILL INVALIDATE THEAPPLICATION.
X Date: -� �
caner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPRO D DENIED NOTES
Building Department
Planning Department rr��?
Environmental Health Department " W�
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Planning
Plumbing & Base Fee
Review Fee
Mechanical & Base fee Zlo�— a= Other
Wood/Gas/ Pellet Stove Fee State Fee
i
Violation Fee Pre-Paid at Submittal
TOTAL FEES
Valuation $
4
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair(360) 275-4467 - Elma (360) 482-5269 I
On the web www.co.mason.wa.us
APPLICAIT INFO MATION CONTRACTOR I OR�1AT�IO
Owner J—X-x 1 S Company Name
Marlin Add s C Mailin dres
City Statel19 Zip Code City State L _ Zip Code
Phone 0-U2 — Other P 2 "0 Phone - 7I Othe Ph. "0
Lien/Title Holder VN ;2 Bd I U Contractor Reg. xp.
E mail address — E Mail Address
Drivers Lic.# t5, DOB �/ Drivers Lic.# U OB
SEPTIC /WATER SYSTEM*INFORMAT N - Connect to N w Se tic Existin Septic
lam,— � .
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 1? Digit Parcel No 2- I Fire District
Legal Description • Y
Site Address(Please include street name, street number and city) a {' V
Dire tions to site r' fL. + - m '
oifik± h
Will timber be cut and sold in arcel preparation?Yes/ o `
Is property within 200'of Saltwater Lake River/Creek7.
Pond
Wetlan d Seasonal Runoff Stream Slopes or Bluffs 159%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes
TYPE OF JOB - New Add Alt Repair Other -GIB
SIDENCE SEASONAL ❑
Use of Building ?-� �•--Describe Work�,l� �'►�� 77�V
No. of Bedrooms No. of Bathrooms—�S are Footage- Istt IIPc r 7%2— 2nd Floor
3rd Floor— --Basement Deck hovered Deck�Q—Other Sq. ft.
Garage�� Attached —Detached Carport Attached Detached
M U CTUR HOME INF ATION - Ma Model Year
Len th dt S ' I No. of Bedr ms No. f Bathr s
Type of Hea Purchase Replaceme ? Yes/ N
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. 1 declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure 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
PR- I TIOI�NACTIVITYOFTHISPERMITAPPLICATIONOF180DAYSWILLINVALIDATETHEAPPLICATION.
X Date Gl6, O�
caner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department � Uy Lg
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee I U U
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other L4 a 40
L
d/Gas/Pellet Stove Fee State Fee
tion Fee Pre-Paid at Submittal
ation $ TOTAL FEES
MASON COUNTY PERMIT NO. ILL
•
BUILDING PERMIT APPLICATION
.
426 W. Cedar P.O. Box 186, Shelton, WA 9858
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLIC�NFORMATION CONTRACTOR I ORTIO
jOwner g tj Company Name C ►"F
Mailin Addr s / �' /� ' Mailin dre
City �� _State kjZip Code f/ = City State Zip Code
Phone .ta•t 1 " ° = Ot�ier Ph - `0 � Phone 0-L122: 4 Oth r Phi. 'G2.
Lien/Title Holder '" !��� 1 Contractor Reg. 1 Exp.
E mail address E Mail Addres
Drivers Lic.# lL> "� DOB / Drivers Lic.# DOB
SEPTIC /WATER SYSTEA INFORMATION - Connect to N w Se tic Existin Septic
Connect to Water System 1, _Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORM TION - 12 Digit Parcel No t Fire District
Legal Description + I ,.
Site Address (Please include street name, street number and city) • "
Directions to site Kt >ri c
r Y'
Will timber be cut and sold in Orcel preparation?Yes/ o
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasol to ff Stream Slopes or Bluffs 15% '
Is this permit submittal`the `esult of a Stop Work Notice,Correction Notice or other enforcement action?Ye No
TYPE OF JO .- New X Add Alt Repair Other IMARY ESI ENCE tZ SEASONAL ❑
Use of Building '/J �' yes• describe Work— '+�
No. of Bedrooms__-7 No. of Bathrooms—Square Footage- 1 s Fop 2nd Floor
3rd Floor Basement Decker overed Deck Other Sq. ft.
Garage Attached —Detached Carport Attached Detached
M NURACTUR HOME INFORMATION - Mike �` Model Year
Lertti Widt Serial No o. of Bed oms�''-No. of Bathm
Type of He � Purchase $ Replaceme nit? Yes/ N ��
Installer Name Certification No.
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 the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare.thatl,h,ave obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest'r6garding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the informaticn provided is accurate and grants employees oVMason County access to the above
described property and structure for review and inspection. This permit/application becomes null $..vdid 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
Pk0GRF6q1 TIOI-LNACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X Date:
_ '
nwner/Owners Representative/Contractor (indicate which one) C1
FOR OFFICIAL USE BEYOND THIS POINT Accepted by' L&I �. Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
PlanningDepartment f f
Environmental Health Department � �� -
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH.Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
FORM MUST BE COMPLETED IN INK PERMIT NO.
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar•P.O.Box 186, Shelton,WA 98584
Shelton (360) 427-9670• elf (360) 275-4467•Elma(360) 482-5269
on the web www.co.mason.wa.us
APPLI T INFO Ip�S CONTRACTOR IN MAT N
Owner Company Name ' t I S
Mailing ddr MailingAdd ss
City tate Zip Code City toe Zip Code
Phone - _ ther Ph -O Phone - 7- 40 O her Ph.
Lien/Title Holder Contractor Reg.4 FhAOI!LLLExp.
E mail address E Mail Address
Drivers Lic.# Drivers Lic.# '"MUM 33&f DOB 1'9"-67
SEPTIC INFORMATION - Connect to New Septic Existing Septi Connect to Sewer System
Name of Sewer System
PARCEL INFOR ATIO 12 Digit Par el No. — Fire District
Legal Description iV� LC- IG
Site Address (Please includp street name street num er and city)
Direc 'ons site aKt 9' C 1 w
to
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 1 %
TYPE OF JOB - New-K Add Alt Repair Other Use of Building ftelull
Location of Fixtures/Units- 1 st Floor � 2nd Floor_ Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG,_ Natural Gas_ Heat Pump_
Toilets AILType of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs -- Heatpumps
Showers Spot Vent Fan
Water Heater �— Propane Tank Z
Clothes Washer —� Gas Outlets 3
Kithen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs 4= Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OVVNER/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 the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
prowde employees of Mason County access to the above described property and structure for review and inspection.
PR OF CO Tt K IS BY MEANS OF A PROGRESS INSPECTION. tj
X Date: Q
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Constr.—
Planning Department
Environmental Health Department
FEES
Plumbing& Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
Look Up a Contractor,Electrician,Plumber or Elevator Professional License Detail Page 1 of 3
Information in Spanish I Topic Index I Contact Info
Home Safety Claims$Insurance Workplace Rights Trades&Licensing
................................................................... ......................................................
Find a Law(RCW)or Rule(WAC) :Get a form or publication
:.................................................................. .....--....................................
......:
Return to List > Start a New Search > Printer friendly
Genera USpecialty Contractor
A business registered as a construction contractor with I-Ed to perform construction work
within the scope of its specialty. A General or Specialty construction Contractor must
maintain a surety bond or assignment of account and carry general liability insurance.
Business and Licensing Information
Verify Workers' Comp Premium Status Check for Dept. of Revenue Account
Name PACIFIC BUILDING UBI No. 601388025
Phone No. (360) 426-7418 Status ACTIVE
Address 2501 SAINT ANDREWS License No. PAC IFB*013L4
DR N
License Type ;. CONSTRUCTION
Suite/Apt. CONTRACTOR
City SHELTON Effective Date 6/24/1999
State WA Expiration Date 12/13/2009
Zip 98584 Suspend Date
County MASON Previous License DANROCH088KJ
Business Type INDIVIDUAL Next License
Parent Associated
Company License
Specialty 1 10 GENERAL
Specialty 2 UNUSED
Business Owner Information >f Hide All
Name Role Effective Date Expiration Date
RODIUS, DAN OWNER 01/01/1980
Bond Information
https://fortress.wa.gov/lni/bbip/Detail.aspx?License=PACIFB*013L4 9/17/2008
ru
Proposed Mitigation Area
Approximately 2500Ft2
(Native vegetation Enhancement)
o I I I I
GR
y APPROVED o
W Wo
MASON COUN d Y aCD PLANNI
NG o x Uj
SITE PLAN REQUIRED TO BE ON SITE o o xUj
RANGES SUBJECT TO APPROVAL '
By
W
U
z;Q
p Ll: s
-.
to Z i
1110
J W',
CD'
Q
U-;.W
W; >
0
g Z? �.
x 0
0
t5 a proposed Impact Area zQ c
�PgQc � r�rl►rFt"d�
Approximately 2165 Ff m p Ln
0 a -�
zW
tar
oc�N
�---- Gwo�
LLI W turi
3z3ti�
HCA Buffer 0 z;�-
• af,Uo1--u-
�. w:7'
-[tea-ram aaa ;e-
r
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
July 16, 2008 PO BOX 1666 Shelton WA98584
Shelton (360)427-9670
Fax (360)427-8442
DAN RODIUS Elma (360)482-5269
181 PEEBLES CT
SHELTON WA 98584 Belfair (360)275-4467
Case No.: BLD2008-00824 Parcel No.:321275300136
Dear Applicant:
Your building permit cannot be approved by Mason County Environmental Health until
the following are completed and turned in:
Application for Water Adequacy
Please see comments at the end of this letter.
Please call me at(360)427-9670, ext. 554 if you have any questions.
Sincerely,
Trish Woolett
tw@co.mason.wa.us
Environmental Health
Mason County Health Services
Comments: SYSTEM INSTALLED 1996. NEED INSPECTION OF SEPTIC
SYSTEM TO VERIFY IT IS IN GOOD WORKING ORDER.
I
7/16/2008 1 of 1 BLD2008-00824
I
i
E
I
f
f'
MASON COUNTY
DEPARTMENT OF HEALTH SERVICES
Environmental Health - Personal Health
PO BOX 1666 SHELTON, WA 98584
LOCAL (360)427-9670
BELFAIR (360)275-4467
Application for Determination of Adequacy FAX(360)427-7798
Instructions
t Complete Part 1. No determination>can I be made-until Part 1 is fully completed.
2. Complete only the portion of Part 2 applying to the type of water systerri utilized.
3.: Submit completed application, with:attachments to the health department for review.
PART 1: Applicant/Parcel Identification
Name of A licant ;OS Date G"U�
PP ���
Mailing Address )V ?t e_6YeS C- -. Telephone AZ— 2-'K0•-02"
Assessor's Parcel Number 3 `�?-�� l
Type of Water System Check One): Reason for Application Check One):
Public/Community Water System (2 or more Building permit
connections)— ❑ Land use application, if so..
❑ Individual water source(one connection), ❑ Division of land:
if so..
❑ Well #of Parcels? SPL -
❑ Spring/surface water ❑ Boundary line adjustment
❑ Other(explain) ❑ Other(explain)
**If you have more than one residence ❑ Replacement(please indicate name of water system
connected to this well,check the Public box. below if applicable-no signature required)
PART 2: Water System Information
Complete the section appropriate for the type of water system being evaluated:
Public Water System ,
Name of Water System
Water Facility Inventory(WFI) Number:
(write"none"for two party)
❑ I am the manager of this water system. The water system has been approved for services.
There are presently connection(s) in use. This will be the connection.
❑ I am the manager of this system.This connection will be to upgrade or change the use of an
existing connection on this system(ie: recreational to full time). Please indicate on the following
line the nature of this change:
This water system is able and willing to provide water to this(these)connection(s)without
exceeding the limits of the water system or any limits set by state and local,regulation.
Signature of Water System Manager Date
I.IEH FORAMWATERAD4.DOC Update:April 2006
MASON COUNTY
DEPARTM4g NTH SERVICES
JL. Personal Health
Environmental Health
pO R_nX 1666 SHELTON, WA 98584
LOCAL(360)427-9670
MA �� COUNTY BELFAIR(360)275-4467 &4468
Application for Determination of Adequacy
Instructions
1. Complete PatC 1. No determination can be made until Part 1 is fully mom lep ted-
2 Complete only the porti a health ent for review;
on of Part 2 app]ying to the type owater system utilized.
3;j Submit com leted a lication,with ttachments to the ailm
PART I: Applicant/Parcel Identification
Date
Name of Applicant
Telephone
Mailing Address ,
Assessor's Parcel Number
Type o Water System Check One): Reason One):
orA lication Clieck
❑ Building permit
❑ Public/Community Water System (2 or more ❑ Land use application, if so..
connections)
❑ Individual water source(one connection), if so.. ❑ Division of land
❑ Well #of Parcels?
SPH9 -
❑ Spring/surface water ❑ Boundary line adjustment
❑ Other(explain)
❑ Other(explain)
PART 2: Water System Information
Complete the section appropriate for the type of water system being evaluated for adequacy:
Public Water System
Narne of Water System A < `,p
Water Facility Inventory (WFI)Number: i s -r
❑ The water purveyor has filed a letter granting blanket hookups to this water system.
10 services. There are
I am
es the manager of this water system. The water
Th s will be thee t has been apopnnection.ved for /water system is able and
presently t O connections m the limits of the water system or any
willing to prove a water to this(these)connections without exceeding
limits set by state and local regulation.
Date � 2Z
Signature of Water System Manager
H..1WDATAWRCHIVEIWATERAD3.WP Update:March 22,1999
w - 7
Name EL LA �� Parcel# J�1 G22 0��l B '`
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet(pagi 2 Of
Based Upon the information you have provided a Storinwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
htti)//www.co.mason.wa—us/Code/Commissioners/index.htin
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
'These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
-BEL- THE ST IiMWATER
A) V The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
I
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
i
If this development has,or will have,a septic/drainfield system you may need to contact 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.Mason
County Division of Environmental Health can be reached at:
Phone: (360)427 9670 EXT. 352
Mail:P 0 Box 1666, Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I
cknowledge that the ' n provided is accurate and employees of Mason County are granted access to the above-
described p for w ec may be required.
Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
I
r
Named A/J Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet(page 1 of 2)
Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
ME
Surface Type Length X Width = Area "All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways - --
Length of drive begins at the right of way
X =
—Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others
X =
u ..
_;. .............................................. .. ........................
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2