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CEDAR SHELTON, WASHINGTON 9SS84 (360) 427-9670 C Job Location ino:/ r/s 2,57 6 41cz ow 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 code compliance a' d/✓ ?!o 0 Erf c� a �sv 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 ❑ Make corrections, items will be checked on next inspection OK to ❑ This is not a complete " spection Department Gtf� Date y'Zd—�'R' Inspector TC%f'r R✓ DO NOT E THIS TAG Building Permit # t3 MASQN COWNTY BUILDING IIIr"'426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 IRMO, I . Ps Job Location 2--�l Aho cn L1,r This4tructure has been inspected by Mason County Building Department and the'foRowing VIOLATJON of Counly Laws and Ordinances has r1of-e. : T a pro ac,-� has AoF � e �' be-cn eL 4crloo'6h on - A.J d� found. l,`k e 'Jd�r .`-t 4+ o ,•a �+-4-; �` �'' ( hte�ms4ist ,b#q rZggjbWorr to ►4 �ance ��.•.• •.� b�- �- roeo;n c, na,( 4-, I / 4S cam!' < </� ��n 41,- 4,eO -�CfrLQ L74LZX .. Jr ; l l n f C�CT - GCS You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ,QMall for re-inspection when corrections are made before continuing O Make corrections, items will be checked on next inspection a OK to Department l Date $' / 47 Inspector L✓ E0. N0T,-'4', NWWV:E Tr,v,-I,. - .iFefai ..;- i.;i Building Permit #�4` y MASON COUNTY BUIL[ 10411 426 W. CEDAR , SHELTON, WASHINGTON 98584 (360) 427-9670 Job Location 2�6 1HRy��✓ �/� �i This structure has been inspected by Mason County Bulid ft Cte rtI11W R and the following VIOLATION of County Laws and Ordlrtanoss has been found: Items listed below must be corrected to gain code compliance / /yy DC&,-" o ��',� �.�X7" T��E �9 da �� wIZ-L I✓fG�-iT�G.9•✓S T G��i�T F/yU /.,may- /r'/d/t 4/�E,E�P 1✓r4 L-Gs .D 1Ir'I D y C. �-i✓�TjgGL (3/�C e�//yG %elr AA ZZ )0 t You m heresy no#W that the above corr+ectlons shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing D Make corrections, items will be checked on next inspection $6 OK to 4-/D Department 6�O Date T-!t - Inspector TcffV &o✓ Boom 'low owl ALA^— Permit No. MASON COUNTY BUILDING PERMIT APPLICATION 426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427-9670/1-800-562-5628 PLEASE PRINT ��b rT �� w�r� ,5 Phone# #1 Owrt6r Fire District# r \ teAddress _ °city h St wck : Zip Directions to Job ite L o r c1+ d 6r, IQIE Nc%\rti, Lake drives Ac rc c WeT� O In�ersec��on W �h N� j�aver� c�� ( Lank Poo 5 � n a,, R;�1,� • Owner Mailing Address BA-14-- r rcc City Pc rT O�c hc�t rc� St�t�. ES Lien/Title Holder Rc\,ber'' F'3. t'> �+►� Sher 11 `^r Address 1 4 CcA r-c � Clty pUr}� St Wc�. Zipg83�ob #2 Contractor Name L c Contractor Reg# LYMAN t-*.1-7Z RA Address P.0 Cl crx W o-I Expiration Date I I / Z I / --7 City_ Po'-T 0i't.kCArc'1 St W<a. Zip 3 R.-,�Phone #3 If septic is located on project site, include records. Connect to Septic? ✓ Public Water Supply Well ✓ Connect to Sewer System? Name of System (If residential, proof of potable water is required) 2 a330 50, Cpc� Iz$ aov. Parcel No. 33 - _ Ac I S L�gal Description L 128� IZcs o3 I►a�eti1 Luke A� Recvrcl� I ., �f6lwme 4- c� Pjafis P ; `�— _' \� Records C}F M,c;5e;, Co.it'l�'ll i Wetsl� nJe.�-or�, #5 Building Square Footage: (existing/proposed) J �/ 1 st FI / 12 2nd FI / 3rd FI Basement / 7 ` c Deck /ALE;-._#bedrooms______) 3 #bathrooms / �- Garage / Carport / (Circle:Attached or Detached?) Other sq.ft. / #6 Use of building R Si d Z,v-\+ia —Describe work New #7 Type of Job: New ✓ Add Alt Repair Other #8 MOBILE/MANUFACTURED HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat Purchase Price$ #9 Indicate by circling the applicable source if any water is on or adjacent to subject property: River Pond Creek Stream Wetland Gke Marsh Saltwater Seasonal Runoff Other Show following on the site plan Lot Dimensions Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Indicate Directional by (N, S, E, W) Name of Fronting Street in relation to plot plan APPLICANT TO DRAW SITE PLAN BELOW SP2 Pict P can Ar,cA brc�i ;�� Plcin Cpravw:,� NC`,, qh c 5 - SIi, I -3� APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Sgme- A--j Above,. Plumbic Fixtures ($3 35 each) Fee Mechanical Fixtures ($6.75 each) No. Toilets (o -1 O CIRCLE FUEL TYPE: Gas, Electric, Bath Basins io,1 O Heatpump Other Bath Tubs No. Units Fees cc�r.a�n,�D Furn BTU w,-7 I Showers 3°35 ,HEST PuMF I _ Hot Water Htr 3- 3$� F FAN cc`L.S j Heatpumps 3 +° Laundry Washer 3 3 S � Vent Systems 7 � Sinks 3 3� Spot Vent Fans Floor Drains No. Boilers/Compressors HP l�Laundry Basins � — 3 3S No. Air Handling Units Dishwasher (_Disposal — cfm# ) Urinals No. Fire Protection Systems — Auto. Fire Alarm Sys 50.00 Other Fixed Fire Supp. Sys 50.00 16.75 Auto Fire Sprink Sys 35.00 Permit Basic Fee — TOTAL PLUMBING $ E 3 D No. Other Gas Outlets oo j Wood, Gas, Pellet Stove NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM- 16.75 MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee WORK IS SUSPENDED OR ABANDONED FOR A PERIOD TOTAL MECHANICAL 0 OF 180 DAYS AT ANY TIME AFTER WORK IS COM- MENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. OWNERS AFFIDAVIT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- I CERTIFY THAT I AM A CURRENTLY REGISTERED MENTS OF THE CONTRACTORS REGISTRATION LAW CONTRACTOR IN THE STATE OF WASHINGTON AND I RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OFTHE ORDINANCE REQUIREMENTS REGU- ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE CONFORMANCE THEREWITH.NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING THE BUILDING DEPARTMENT. X OWNER k�att �A 1�. X BY DATE C 2/°\:7 DATE 1=011 3FFlC1AL USE'ONLY:Accepted by. Ode' DEPARTMENTAL REVIEW FOR OFFICE USE ONLY Approved Cond. Hold Approval Planning: 07 �G G�✓� `+(ri �-t. VE✓•.(l r� ! „(A-',rat. d�. C Environmental Health: , Ti,-tosn Building Plan Review Occupancy Group: R-3' uc Type of Const: Sr-j Fire Marshal: Other: Special Conditions: FEES o 700X 1 �- 5 — 85U Building Permit SSo S'U Plan Check Plumbing Fee b ti Mechanical Fee G y 00 Wood/Gas/Pellet Stove , Radon Monitor Violation Fee Site Inspection Building State Fee Other I�11�el)� Other � Building Valuation: `> ��� TOTAL FEE 1� GARY YANDO,DIRECTOR STgTFO �P c o s U _ DEPARTMENT OF COMMUNITY DEVELOPMENT O T 2 PLANNING-SOLID WASTE-UTILITIES Z�oJ N Y boy BLDG. M • 426 W.CEDAR • P.O. BOX 578 1864 SHELTON,WA 98584 • (206).427-9670 May 21, 1997 Robert Curtis 8414 Caraway, Rd. Port Orchard, .Washington 98366 RE: Permit-BLD97-0444 (Residence on Haven Lake) Dear Mr. Curtis: In reviewing your building permit for a residence on Haven Lake, it was noted that according to your site plan, the proposed residence is located on one - (lot -128): of two lots that you own on the lake. There is not the adequate setback of the structure from •the property line in _common with `lots 128 and 129 and the septic system is on the line and mostly on lot 12.9 . In order to remedy this situation (proper setbacks and improvements on one lot) , an application for a Declaration of Parcel Combination has been enclosed. Completion of this form would allow you to build without setback considerations for the common property line between lots 128 and 129, as if it were "one parcel" . Michael MacSems can answer questions about this Declaration procedure. Also included is a copy of the conditions added to the permit by the. Department of Community Development. You will be expected to initial them when your building permit is -ready to be picked up. Please note the Declaration of Parcel Combination approval is one of those conditions. For your information, the Haven Lake plat restrictions are also enclosed. You may contact Allan Borden of the Department of, Community Development at (360) 275-4467 or 427-9670 extension 365 . S 'ncerely, Allan Borden Shoreline Planner Recycled MASON COUNTY BUILDING DEPARTMENT 1991 WASHINGTON STATE ENERGY CODE AND VENTILATION AND INDOOR AIR QUALITY CODE OWNER TELEPHONE ('3�4) OWNERSMAILINGADDRESS� CcxrraW(A�4 H. br+ Qt'( I V4cd wG. C 3 3(r:7 Ij COMPLIANCE INFORMATION TYPE OF PROJECT: $NEW RESIDENCE()ADDITION()REMODEL()OTHER AREA(SQ.FT.) 1ST FLOOR I Z 2ND FLOOR �o r HEATED BASEMENT -7 " Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA COMPLIANCE METHOD: PRESCRIPTIVE PATH — circle option— I II III V V VJd II VIII Glazing percentage I C1, G�/a (to gl g ed by total conditioned area) () COMPONENT PERFORMANCE — Chapter 5 — attach cumentation and worksheets () SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets DATING SYSTEM: ELECTRIC RESISTANCE () Electric Central Furnace () Electric Wall Heaters () Baseboard Units O Radiant Panels O Other OTHER FUELS Heat Pump with electric back-up () Heat Pump with gas back-up () Gas Furnace () Oil Furnace () Other () Boiler System (indicate type) Make otn-� P�^ Model (o,(A1 ;�C Size AFUE HSPF VENTILATION SYSTEM: U Spot and Whole House () Central Ducted System () Integrated with Furnace ( ) Heat Recovery System (air to air heat exchanger — heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs. d WINDOW & DOOR SCHEDULE WINDOWS INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE. BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. �i� cac-r Vin i Pit. r 3 Tru z� 2i,t� ftlL 114 142 A, 36 I 4-' i 2 M,j cql c,re� `"ln i/PhtAPe iV1i ccarh i� i� 3 . '2,57� X 3 ' -7, 5- M��ccjr� �3 I�piC'm Ff TY2 /r� `'3 - M'�1 c cvf'cl ;n 1 i2ty, , -36 I o .�.F q , 3 I' x In ' (o �i,Yl'if_ M"1 C,rc� n . 3-3 `i '� ' J33 x , c-1 r4\ i 1ie6- , 3" 2 6•e.s X5,>' '7 G� si Mi1G M� �arc1 $ I e ot� �� , 48 2' X�i- ' 2.4 Fu ueN� 3-L 2 (10� x-1 TOTAL WINDOW AREA DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. Fiber-4'i�s5 t. i� FRO%J i het'rna;—T F 1- Do() 3 X 2 1 TOTAL DOOR AREA Z MASON COUNTY DEPARTMENT OF HEALTH SERVICES Environmental Health Water Quality Personal Health PO BOX 1666 SHELTON, WA 98584 LOCAL (360)427-9670 BELFAIR(360)275-4467&4468 Application for Determination of Adequacy TOLL FREE 1-800-562-5628 FAX (360)427-7798 Instructions 1,! Complete Part 1. No deterxninalion can,be made until Part I is h&com leR ted. 2,! Complete only the portion of Part 2 applying to the type of water system utilized. 3. Submit completed application,with attachments to the health department for review. PART 1: Applicant/Parcel Identification �9 Fermi+ # B i_D 9-7 -0 44+ Name of Applicant P ne r"I" `A. Cu r-}i 5 Date o �"" Mailing Address a!}-I!- C'ca r Cj w c�.� cl • Telephone (36�1 g­7 I-16 I Assessor's Parcel Number 2 2 33 5 Type of Water System Check One): Reason or Application Check One : ❑ Public/Community Water System(2 or more X Building permit connections) ❑ Land use application,if so.. Individual water source(one connection),if so.. ❑ Division of land �t( Well . #of Parcels? ❑ Spring/surface water SPH9 - ❑ Other(explain) ❑ Boundary line adjustment — — ❑ Other(explain) i PART 2: Water System Information ju% Q 2 V Complete the section appropriate for the type of water system being evaluated for adequuagCE �v' _ Public Water System Name of Water System Water Facility Inventory (WFI) Number: ❑ The water purveyor has filed a letter granting blanket hookups to this water system. ❑ I am the manager of this water system. The water system has been approved for services. There are presently connections in use. This will be the connection. is water system is able and willing to provide—water to this(these)connections without ex�the limits of the water system or any limits set by state and local regulation. Signature of Water System Manager Date W_7 H:IWDATAIARCHIPUWATERAD3.WP Update:October 20,1995 Individual Water Well Water well report(attach to application) Depth 20'Z-ft. ❑ Well capacity test(attach to application) gpm gpd Well capacity tests are often performed by the well driller at the time the well is constructed. Test results from these tests are noted on the water well report. Results from these tests will be accepted. If the water well report cannot be located by the applicant or if the water well report does not have a capacity test,a well capacity test, which provides stabilization of draw-down and recovery data, must be performed by a licensed contractor. Satisfactory bacteriological test(attach to application) Individual S rin /Sur ace Water ❑ WDOE permit (attach to application) ❑ Method of disinfection ❑ I have reason to believe that this water source can provide at least 800 gallons per day and/or provides water at a rate of 2 gallons per minute based on the following observations. AUTHOR OF STATEMENT DATE RELATIONSHIP TO APPLICANT In addition to providing the above statement, the applicant will need to arrange an on-site inspection by the health department prior to determination of adequacy. Departmental use only. Do not write below this line. Pl2T 3: Health Department Evaluation (Staff Use Duly) SATISFACTORY DETERMINATION: Applicant's water supply appears adequate to meet the needs of its intended use. This determination does not address adequacy of the distribution system,guarantee an adequate supply of water indefinitely into the future, or guarantee compliance with all applicable WDOE water'resource regulations. ❑ UNSATISFACTORY DETERMINATION: Applicant's water supply does not appear adequate to meet the needs of its intended use for the following reason'(s): s` REVIEWER'S'SIGNATURE DATE H:IWDATAI4RCHIVEIWATERAD3.WP Update:October 20,1995 Page No. 1 CASE HISTORY FOR CASE NO.: BLD97-0444 ROBERT CURTIS NE251 HAVEN LAKE DR TAHUYA 12/29/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BLDA010 Application received / / / / 04/25/97 04/25/97 KW BLDA015 Waiver in File / / / / 04/25/97 DONE KW 04/25/97 KW BLDA100 Approved For Issuance / / / / 06/18/97 DONE KS 06/19/97 KS BLDA200 (H) Hold 06/03/97 06/03/97 06/13/97 ENGINEERED CALCS NOT IN FILE. LEFT DONE WLC 06/13/97 PIB MESSAGE FOR BLDR ON RECORDER BLDA500 (F) Issue building permit / / / / 06/19/97 DONE KS 06/19/97 KS BLDA920 Miscellaneous action / / / / 05/21/97 letter about need for declaration of DONE AHB 05/29/97 MMS parcel combination. UPC application received. 5/29 MMS BLDA950 List of Conditions / / / / 05/21/97 DONE AHB 05/29/97 MMS BLDB007 Plans Revisions Submitted 06/10/97 / / 06/10/97 got a copy of the lateral talc's from RECV WLC 06/10/97 WLC arch. put in for friday's review. once file is given to us from Eh. BLDB110 Structural Plan Review 05/21/97 / / 06/13/97 returned to structural on 6/10/97.psd DONE WLC 06/13/97 PIB BLDB120 WSEC Compliance Review 06/13/97 / / 06/18/97 other fuels, option 6 DONE DC 06/18/97 DLC 24.5% glazing BLDB130 Planning Review 05/05/97 / / 05/21/97 site made and proposed home is set to DONE AHB 05/29/97 MMS meet setback on east side but owner needs to apply for Declaration of Parcel combination to locate house and septic on parcels with proper setbacks from shore and side property lines. AHB DPC application submitted. 5/29 MMS BLDB134 RLC Review / / / / 05/21/97 N/A AHB 05/21/97 AHB BLDB135 Addressing 04/28/97 / / 04/30/97 DONE GMM 04/30/97 GMM BLDB138 Planning Pre-Review 04/30/97 / / 05/05/97 DONE MMS 05/05/97 MMS BLDB200 Environmental Health Review 04/25/97 / / 04/28/97 Approved design, plot plans match and so DONE PSD 04/28/97 PSD do the number bedrooms.psd BLDB210 Water Adequacy 04/25/97 / / 04/28/97 Need water adequacy.psd HOLD PSD 06/02/97 PSD 6/2/97 The well log and water sample was submitted and added to the TIN BIN.psd BLDE210 Water Adequacy 06/03/97 / / 06/10/97 PLEASE RETURN TO STRUCTURAL WHEN DONE - DONE PSD 06/10/97 PSD THANKS! 6/10/97 well log and water sample in the file.psd BLDC110 Footing inspection 06/29/97 06/30/97 06/30/97 CORRECTIONS: FAIL LW 07/01/97 LAW 1. THE APPROVED PLANS ARE REQUIRED TO BE 2 , 2, 2 ON SITE FOR ALL INSPECTIONS, SEE �Je * CONDITION #10 ON THE PERMIT. 2. CONDITION #9 ON THE PERMIT REQUIRES A DECLARATION OF PARCEL COMBINATION BE APPLIED FOR AND APPROVED PRIOR TO CONSTRUCTION, HAS THIS BEEN DONE ? 3. CONDITION # 7 REQUIRES IMPLEMBNTION P OF TEMORARY REOSION CONTROL MEASURES. / THIS HAS NOT BEEN DONE. Page No. 2 CASE HISTORY FOR CASE NO.: BLD97-0444 ROBERT CURTIS ' NE251 HAVEN LAKE DR TAHUYA 12/29/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By ------- ------------------------------ -------- -------- -------- --------------------------------------- ---- --- -------- --- BIXC110 Footing inspection 07/03/97 07/07/97 07/07/97 PENDING: PEND LW 07/21/97 MJB THE HOUSE IS 10 FT. CLOSER TO THE SHORE LINES THAN WHATS SHOWN ON THE SITE PLAN. THE REQUIRED SET BACK IS 77 FT. TO A 10 FT. WIDE DECK OFF THE SECOND FLOOR. AT THIS TIME THE DECK IF IT'S BUILT WILL BE 10 FT. IN TO THE REQUIRED SET BACK. EITHER ELIMINATE THE DECK AND THE DOOR ALL TOGETHER OR APPLY FOR A VARIANCE TO THE SET BACK. EITHER OR NEEDS TO BE COMPLETED BEOFRE FRAMING THE HOUSE. POUR AT OWN RISK. Foundation set back to meet shoreline setback...o.k. to take photos for footing inspection. mjb 7-21-97 BLDC115 Foundation wall inspection 07/29/97 07/30/97 07/30/97 CORRECTIONS: FAIL LW 08/05/97 LAW 1. MAX. SPACING BETWEEN VERTICL BAR IS 18 INCHES, CHECK ALL WALLS. 2. THE LAST HORIZONTAL BAR IS REQUIRED TO BE WITHIN 7 INCHES OF THE TOP OF THE WALL, THIS WAS DONE IN SOME PLACES BUT NOT IN OTHERS. 3. A MINIMUM OF 544 BARS ARE REQUIRED IN A 8 INCH THICK 6 FT. HIGH WALL. 4. EXTEND THE VERT. BARS TO TIE THE LAT HORIZONTAL BAR TO, SEE IN UPPER 4 FT. WALL SECTION. BIXC115 Foundation wall inspection 07/31/97 08/01/97 08/01/97 CONDITIONAL APPROVAL; COND LW 08/06/97 LAW 1. ALL CORRECTIONS COMPLETED BUT 1, VERT BAR NEEDS TO BE 18 INCHES O.C. AVERAGED OUT. OK TO FIX TAKE PHOTOS AND POUR AT OWN RISK. BLDC140 Fr/Pl/Mc/Pen Inspection 12/18/97 12/18/97 12/18/97 PASS DH 12/19/97 TJ Page No. 1 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD97-0444 ROBERT CURTIS NE251 HAVEN LAKE DR TAHUYA 12/29/97 1) DISCLAIMER/WAIVER OF LIABILITY -- The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Managment Hearings Board's Order of October 2, 1996, and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by the Order, the undersigned property owner hereby agrees to waive any lawsuit, action, or claim for damages against Mason County which may arise out of Mason County's actions in acceptance, processing and/or issuance of such permits or approvals (hereinafter "permitting actions"), which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. X 2) Buffer & Landscaping Requirements -- This application is subject to Buffer and Landscaping requirements as established under Mason County Ordinance 1.03.036. X 3) Flammable & Combustible Liquids -- The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 4) Sideyard Setback -- Proposed structure or any portion thereof greater than 30" in height from grade line, must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways (Haven Lake sideyard setback is 3 feet from property line to structure). X 5) Shoreline Management Act -- The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program. X 6) Bulkhead Acknowledgement -- The applicant acknowledges that this development was sited such that further shore protection measures will not be required for protection of the facility. X 7) Temporary Erosion Control -- Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. X 8) Site Plan -- Approved per dimensions and setbacks on submitted site plan. X 9) PERMIT SETBACK CONDITION -- To meet proper setbacks, the applicant shall apply for and receive approval for a Declaration of Parcel Combination by the Department of Community Development prior to construction. X 10) PLANS REQUIRED ON SITE -- All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of $32.00 per hour (minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. . X Page No. 2 CONDITIONS/CORRECTIONS FOR CASE NO.: BLD97-0444 ROBERT CURTIS NE251 HAVEN LAKE DR TAHUYA 12/29/97 11) POST ADDRESS --PURSUANT TO 1994 UNIFORM BUILDING CODE, SECTION 305(C) AND SECTION 513, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES IN TABLE 3A OF THE 1994 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS TO POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 12) PLAN REVIEW CORRECTION LIST -- The correction list, along with the Energy Compliance Wdrksheet (when applicable) is part of the plans and must remain attached thereto. It is the responsibility of the applicant to make corrections indicated on the plans from the correction lists. Once the plans are marked APPROVED, they may not be changed or altered without authorization from the Building Official. The permit holder is reponsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply will result in failure of required building inspections. Every permit shall expire by limitation and become null and void if the building or work authorized by such permits is not commenced within 180 days from the date of issuance, or if the building or work authorized by such permits is suspended or abandoned at any time after the work is commenced for a period of 180 days. X 13) Engineering -- Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. X 14) ALL CONSTRUCTION -- ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC REQUIREMENTS. X 15) Changes to Approved Plans -- Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 16) Excessive Corrections -- ALL CONSTRUCTION MUST MEET OR EXCEED LOCAL CODES. IF ANY QUESTIONS, PLEASE CALL THIS OFFICE BEFORE CONSTRUCTION. X 17) Field Correct -- CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x BuikIng Permit# • MWINPICOUNTY BUILDING MI 426 W. CEDAR t SHELTON, WASHINGTON 98584 • (360) 427-9670 ICE r L� Job Location c� This structure has been Inspected by Mason County Builds t County Laws and Ordinances has been and the following VIOLATION of � found: Items listed below must be corrected to gain code compliance l You are h notified that Y the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK all for rya-inspection when corrections are made before continuing 0 Make corrections, items will be checked on next inspection OOKto Department Date �d �' Inspector L c_._/ DO ViE Page No. 2 CASB HISTORY FOR LASS 1W.: HLD97-0444 ROBERT CURTIS 07/09/97 NE251 HAVEN LAKE DR TAHUYA Action Description Req/ Schd/ End/ Action Notes Code Sent Done Done Disp By Update Upd ------- ---------- ---- ate By -------------------- ---- --- -------- --- BLDC110 Footing inspection 07/03/97 07/07/97 07/07/97 PENDING: PEND LW 07/09/97 LAW THE HOUSE IS 10 FT. CLOSER TO THE SHORE LINES THAN WHATS SHOWN ON THE SITE PLAN. THE REQUIRED SET BACK IS 77 FT. TO A 10 FT. WIDE DECK OFF THE SECOND FLOOR. AT THIS TIME THE DECK IF IT'S BUILT WILL BE 10 FT. IN TO THE REQUIRED SET BACK. EITHER ELIMINATE THE DECK AND THE DOOR ALL TOGETHER OR APPLY FOR A VARIANCE TO THE SET BACK. EITHER OR NEEDS TO BE COMPLETED BEOFRE FRAMING THE HOUSE. POUR AT OWN RISK. Page No. 1 CASE HISTORY FOR CASE NO,; BLD97_0444 ROBERT CURTIS NE251 HAVEN LAKE DR TAHUYA 07/09/97 Action Description Req/ Schd/ End/ Action Notes Code Sent Done Done Disp By Update Upd ------- ------------------------------ Date By ------------------ ---- --- -------- --- BLDA010 Application received / / 04/25/97 BLDA015 Waiver in File / / 04/25/97 04/25/97 KW BLDA100 Approved For Issuance / / / / 06/18/97 DONE KW 04/25/97 KW DONE KS 06/19/97 KS BLDA200 (H) Hold 06/03/97 06/03/97 06/13/97 ENGINEERED CALCS NOT IN FILE. LEFT DONE WLC 06/13/97 PIE BLDA500 (F) Issue building permit / / / / 06/19/97 MESSAGE FOR BLDR ON RECORDER DONE KS 06/19/97 KS BLUA920 Miscellaneous action / / 05/21/97 letter about need for declaration of DONE AHB O5/29/97 MMS parcel combination. HLDA950 List of Conditions / / O5/21/97 DPC application received. 5/29 MMS HLDH007 Plana Revisions Submitted 06/10/97 / / 06/10/97 got a co DONE ABE 05/29/97 MMS py of the lateral calc s from RECV WLC 06/10/97 WLC arch. put in for friday,s review. once file is given to us from Eh. BLDB110 Structural Plan Review 05/21/97 / / 06/13/97 returned to structural on 6/10/97.pad DONE WLC 06/13/97 Pig BLDB120 WSEC Compliance Review 06/13/97 / / 06/18/97 other fuels, option 6 DONE DC 06/18/97 DLC 24.5k glazing BLDB130 Planning Review 05/05/97 / / 05/21/97 site made and proposed home is set to DONE AHB O5/29/97 MMS meet setback on east side but owner needs to apply for Declaration of Parcel combination to locate house and septic on parcels with proper setbacks from shore and side property lines. AHB BLDB134 RLC Review DPC application submitted. 5/29 MMS 05/21/97 BLDB135 Addressing 04/28/97 / / 04/30/97 N/A AHB O5/21/97 AHB BLDB138 Planning Pre-Review 04/30/97 DONE GMM 04/30/97 GM/ / OS/OS/97 DONE MMS 05/05/97 MMS BLDB200 Environmental Health Review 04/25/97 / / 04/28/97 Approved design, plot plans match and so DONE PSD 04/28/97 PSD do the number bedrooms.psd BLDB210 Water Adequacy 04/25/97 / / 04/28/97 Need water ade 9uacy.psd HOLD PSD 06/02/97 PSD 6/2/97 The well log and water sample was HLDH210 Water Adequacy 06/03/97 submitted and added to the TIN BIN.psd / / 06/10/97 PLEASE RETURN TO STRUCTURAL WHEN DONE _ DONE PSD 06/10/97 PSD THANKS! 6/10/97 well log and water sample in the file.psd BLDC110 Footing inspection 06/29/97 06/30/97 06/30/97 CORRECTIONS: FAIL LW 07/01/97 LAW 1. THE APPROVED PLANS ARE REQUIRED TO BE ON SITE FOR ALL INSPECTIONS, SEE CONDITION #10 ON THE PERMIT. 2. CONDITION #9 ON THE PERMIT REQUIRES A DECLARATION OF PARCEL COMBINATION BE APPLIED FOR AND APPROVED PRIOR TO CONSTRUCTION, HAS THIS BEEN DONS 7 3. CONDITION # 7 REQUIRES IMPLEMENTION OF TEMORARY REOSION CONTROL MEASURES. THIS HAS NOT BEEN DONE. Building Permit# MASON COUNTY BUIL01NG 111 .426 W. CEDAR SIELTON, WASHINGTON 98584 (360) 427-9670 wmiqwT Job Location 2,51 This afta bin Inked by Mason Coon Blidi d tie fio�lowi VIOLATION n9 Dep��rtrr�ent Of County Laws and Ordinances has been found: Items listed below must be corrected to gain code compliance alL A. crn, �.�. You are hereby notlIed that the above C0rnWtl0n8 shall PAKCEECING WITH ANY FURTHER be made BEFORE RTHER WORK 0 Call for re-inspection when corrections are made before continuing 0 Make corrections, items will be checked on next inspection OOKto Department Date 6-- --5 InspectorNNW c s �✓� zr� rhm< , I �o d K Cd O I' rl Q1C,4G,� 'i i L C. � a afe- 9 Ltiv�d` le �' 73�_oy� 8' i ii i, r d G✓/v KS I' i i is i ii I' i N ; �' P� yew✓ r � Gcs c� a f a-Y, Lq7 7e 4qz GI G✓ks 1114 `kTa e-Ai o (�0 6 -roa- / o�. &14Asf4✓4-0 Q+-cQ I� J + •wI� •S .. F , J4. n •1 1'. -r - �— �� — w _w err -f • I► r � �a GARY YANDO,DIRECTOR �oN_srat�o M o H v DEPARTMENT OF COMMUNITY DEVELOPMENT o T i PLANNING -SOLID WASTE-UTILITIES N Y Y BLDG. I . 411 N. 5TH ST. * P.O. BOX 578 of 1864- a� SHELTON,WA 98584 • (360)427-9670 DISCLAIMER/WAIVER OF COUNTY LIABILITY:PERMITS ON EXISTING LEGAL LOTS OF RECORD, LAND DIVISION APPROVALS,SHORELINE PERMITS, VARIANCES,AND SPECIAL USE PERMITS: The undersigned property owner is aware of the uncertainty regarding Mason County's development regulations created by the Growth Management Hearings Board's Order of September 6, 1996,and in consideration of Mason County's willingness to proceed with processing of applications which might be affected by that Order,the undersigned property owner hereby agrees to waive any lawsuit, action,or claim for damages against Mason County which may arise out of Mason County's actions in acceptance,processing and/or issuance of such permits or approvals(hereinafter"permitting actions'),which damages are attributable to the County's decision to take permitting actions despite the risk that changes to the County's development regulations might later make the County's permitting actions invalid. Z 8 +122 A-1 Date (Parce No:or Legal cription) s- Nc*e- Woyi Property owner's signature(Notarized) (or the County may accept the signature of the owner's authorized.agent upon proper proof of authorization) ACKNOWLEDGEMENT CERTIFICATE(INDIVIDUAL) STATE OF COUNTY OF On this day of ,in the year ,before me Notary Public, personally appeared personally known to me to be the person whose name is subscribed to this instrument,and acknowledged that he/she executed it. WITNESS my hand and official seal. -For County use only- Reviewed by applicant on (Date) Notary's signature Staff Initial: My Commission Expires: Nape. i cc' -Thr. Poo-co-Is S,nol +zA Abov-P— Are e, On Hawn Lake u3b,ck Are- ��� Rz3Agt �,Ltr.ed Under -Thy. " M\der gson C -hj S1-Nar�z,ii'ne MrA5+e-t' ProyrGm S,�ce Th;s P0c}1 ar Was -► Ir►vcal;da}�ed �j t1�Q l�esiern Wg,Shiru�n Groh Mon7fV ,r\t. Hiearnn 5 Qaar-d 11 Do Alert- Feed 14 IS WQ-C�SSctir To r22 -i",i5 Robert a. Cur};3 GARY YANDO,DIRECTOR �pN'S]gtFO �o s v H DEPARTMENT OF COMMUNITY DEVELOPMENT o N z PLANNING -SOLID WASTE-UTILITIES N Y Y BLDG, I • 411 N. 5TH ST. • P.O. BOX 578 SHELTON,WA 98584 • (360)427-9670 1864_. Date: October 31, 1996 - Robert and Sheryll Curtis 8414 Caraway Road Port Orchard, Washington 98366 RE: _ 129 Property on Haven Lake Shoreline Dear Mr. and Mrs. Curtis: Mason County Department of Community Development has reviewed your septic application for the above mentioned property. This property has shoreline frontage and proposed development is regulated through the Mason County Shoreline Master Program by the Department of Community Development. This letter is to notify you that the siting of buildings and septic system on this property may be affected by the distance to the nearby shoreline and property lines. You may want to contact this Department for assistance in determining the proper setback from the shoreline prior to finalizing your development design. By doing this, you may eliminate any hardship in meeting the setbacks required under the Mason County Shoreline Master Program. Generally, a proposed residence on this lot would need to be behind a common line between the rooflines of the existing gray house to the west (Lot 131) and brown house to the east (Lot 127). This is approximately 40 feet in front of soil log hole #1 on the west side of of Lot 129 and behind the shed. A site visit with more detailed building plans would be needed to specify the actual setbacks needed. If you have any questions, you can contact me at (360) 427-9670 or 275-4467 ext. 365. Sincerely, 4— 9* Allan Borden, Shoreline Planner DEPARTMENT OF COMMUNITY DEVELOPMENT Wxyded E