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BLD2006-02075 Final SFR DDR2008-00073 - BLD Permit / Conditions - 5/27/2009
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OOv0 oz cl.C C (° U W 0 Z Z lb iA U) H W LL > 0 O N D d w O V Z pact ZZM � O O ow W O W M LO O m 00 V 2 Q M Ln M N N N U Z W -J D Ln J N m C LL LL Cl O U WNW N �-Z 0 41 p Y M Q O o C7 � MJ CO C c O rn c6 LY z ° c c w s o G (A j V H o Z p E J L N > a w o � o — c o ° � o 090zw 0 LLw x N c Iv 0 w w W I m fnZ m a Y F- ib, (� U o U — y � � p ypi 3 C rn D N Ln o d G o Cc r U 2 � rn N w H � $ ° > c 3 N t 2 � N ~ ) O J V lL > a) a> 2) N .2 > m LAC L O O O 3 ~ ~ coo v af)i � 2YJ � � mc� O az m m 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 IP10 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2006-02075 OWNER: GRICE CONSTRUCTION RECEIVED: 12/4/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 1/2/2007 SITE ADDRESS: 421 E DARTMOOR DR SHELTON EXPIRES: 7/2/2007 PARCEL NUMBER: 321275300129 LEGAL DESCRIPTION: LAKE LIMERICK 4 LOT: 129 PROJECT DESCRIPTION: DIRECTIONS TO SITE: New SFR (Drainfield located on 321275300106) General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: 2 Type of Constr.: VB Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3U Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No.of Stories: 1 Occ. Load: Building:1,453 Garage-Attached 485 Valuation: Building Height: 17 Occ. Status: Primary Basement: COVPORCH 344 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 25.0 Ft. Shoreline: Ft. Water Body: Rear: W 25.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: N 25.0 Ft. Shoreline Desig.: Year: Serial No.: 11 Side 2: S 20.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 12/4/2006 $682.34 S22006000 Hosebibs 3 Furnace<100K 1 Planning Review Fee KKK 12/4/2006 $155.00 S22006000 Kitchen Sink 1 Ventilation Fan 3 ADJUST--Plan Check Fee ARC 12/6/2006 $14.56 S12007000 Lavatories 2 Dryer Vent 1 Building State Fee ARC 12/6/2006 $4.50 512007000 Water Closets (Toilets) 2 Building Permit Fee ARC 12/6/2006 $1,072.15 S12007000 Water Heaters 1 Mechanical Fee ARC 12/6/2006 $54.45 §i2007000 Bath Tubs 2 Mechanical Base Fee ARC 12/6/2006 $23.50 S12007000 Clothes Washer 1 Plumbing Fee ARC 12/6/2006 $75.00 S12007000 Plumbing Base Fee ARC 12/6/2006 $20.00 S12007000 Address Fee BLJ 12/8/2006 $140.00 Si2007000 EH Plan Review TW 12/11/200 $75.00 S12007000 Total $2,316.50 BLD2006-02075 Please referto the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2006-02075 CONDITIONS FOR BLD2006-02075 By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure R�6 these structures meet the setback conditions listed. X 2) 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 permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X �3) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 6 4) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X P �,5) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure V _ to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X b6) 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 public road. X 67) 1. First habitable floor must be elevated at least 2 feet above surrounding grade. 2. Mobile homes must be securely anchored. 3. Foundation or skirting vents must be within 1 foot of grade. 4. An elevation certificate must be completed by a licenced land surveyor certifying the as-built elevation of the first floor to the nearest 10th of a foot prior to final inspection. X BLD2006-02075 Please referto the following pages for conditions of this permit. 2 of 5 8) 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 setback conditions listed. X T(S�9) 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 review future planned work which may affect your project. X 10) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 11) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other b vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X IP612) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 613) 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 action from being taken. No more than one extension may be granted. X �C 614) 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 cJ 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. Failure to comply and/or removal of approved documents will result in failure of required building inspections. X �( 615) 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 further inspections being performed or approvals granted. X BLD2006-02075 Please referto the following pages for conditions of this permit. 3 of 5 VO 6_716) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X 6//�� 7) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X fj 18) All property lines shall be clearly identified at the time of foundation inspection. X 13 e19) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X ��O) Per 2003 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 manufacturer's installation instructions. X `621) 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 (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 22) 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 1 approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 0 23) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. X 24) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight (Max U-Factor):0.58, Doors (Type/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10. X 25) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X BLD2006-02075 Please referto the following pages for conditions of this permit. 4 of 5 26) 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 review future planned work which may affect your project. X 27) Install permit required for septic tank. X 28) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. X ( �29) 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 setback conditions listed. X n� 6 30) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure t�W these structures meet the setback conditions listed. X This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and ucture for review and inspection. OWNERORAGENT: DATE: —� -� BLD2006-02075 Please referto the following pages for conditions of this permit. 5 of 5 I o CONCRETE MECHANICAL MANUFACTURED HOME 0 Date Footings/Setbacks Gas Piping By Ribbons m N Interior Date By Interior-Date By Date By co~n Exterior Date By Exterior-Date BSet.� T! Z Point Load I Isolated Footings INSULATION Date By 0 BG I SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation Wails Floors Date By n Date By Data By DECKS p FRAMING walls Date By Z Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type_ Date By Dais By Date By D.W.v DRYWALL Type: int Brad Wall Date By W Date By Date By FINAL INSPECTION Water Line Fire Separation G Date By Date By Date By O c bPass or Request Inspect. N Type of insp. Fail Date Date Done By Comments y CD �.y✓� O 0 Cl) O 8 a 0 0 y (D J 0 , ;CONCRETE MECHANICAL MANUFACTURED HOME o � � Foatl �Setibacks y'•7�� I � Ribbons Gas Piping m N Interiodate Interior-late By ©ate ay 6 Ederix Date By Exterior-1 B -up Z Point toad I Isolated Footings INSULATION Date By co BG I SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation WaIIs Floors Date By n Date By dale By DECKS p FRAMING wafts Date By z Date -ZI—p g By � - Data By - PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Data -Jd Date Type: 8 t y ; DRYWALL � �,rntrr �pg: , a By Int Brace Wall Date By r -o male paw Bynl FINAL INSPECTION G Water tine Fin Separation Date 7, 7-0 SpWd Date By Date 7 6Ct By L,,6 o ID 0 Pass or Request Insect. N Type of Insp. 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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: Oxr� Telephon& g f — arcel#�J-?Mbv/,;1 Type of project ( ew Residence ( )Addition ( ) Remodel Total Sq. Ft. 1S Floor: 2" floor: Heated Basement: If of heated area:: Heating System Type: O Electric wall heater Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing Prescriptive Option see reverse side circle one: 1 II V Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Systems analysis, Chapter 4 O Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (VIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) su pl fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: "J \ o Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window &door area /(divided by)total sq. ft of heated area = %of glazing MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR(360)275-4467 Elma (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTO►v 98584 2004 Washington State Energy Code (WSEC) 2003 Ventilation and Indoor Air Quality Code (VIAQ) effective July 1, 2004 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On your building plans note the location and fuel type of water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC and VIAQ compliance information is available on the internet at: http✓/www.energy.wsu.edu/code/ Prescriptive Requirements "for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Door Wall Wall Wall Area %of U Vaulted Above interior exterior Slab Option Floor Vertical Overhead" Factors Ceiling Ceiling3 Grade below a Below Floors on 10 2 'Z grade Grade Grade I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II * 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 IV Unlimited Single Family Res .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call(360)427-9670 ext. 352 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements. MASON COUNTYRESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name:'?Id bLa }- (✓-��-( v , Date jj-019-Q(P Reviewed By: `►1« Document` Building Permit Application Completed Planning Intake Checklist Completed, ✓ ite plan includes:Allowable building area,roof overhangs,decks,etc. ire Apparatus Access Road info required? Yes No Energy Code Application Form-O Electric wall heater •Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type_ O Other:Specify: Mechanical/Plumbing Application-WATER HEATER FUEL TYPE Engineering? Yes (Need 2 sets of alculations No _✓ Geatechrucal report or assessment? Yes No Snow load:_ a smic Zone(circle one): D 1 r D2 Construction Plans: ✓3 COMPLETE SETS l y j'lans Legible Recognized Scale " Elevation Views ✓ Cross Section ✓_foundation Plan ✓Roof Framing Plan --Vlfloor Plan-Use of rooms noted(all floor levels) _✓/Floor Framing Plan-all floor levels represented? Loft,crawlspace,etc. ✓Deck Framing Plan,including covered.porch framing Plan Detai& �/ ,t —Roof framing details,truss lay-out may be needed,truss or stick framed? m ECG, T0U 2 je--!5- Z� p — 00 Wall Framing-Does bearing-wall height exceed 10I?En ' eering may be required) ]✓Fl or framing: Floor joists:,a X 11} I '+ ,Zoior beams: `i' < I C� ✓�Window headers marked on plans: Typical header: (Q X 8 ✓Foundation:footing size;reinforcement M C ncrete Walls-Does Concrete Wall Height Excee _9'?(Engineering may be required) dings at all exits? Less than 30"above grade? Y / N V Heated By Furnace-Location of Furnace P71 Aca =(s).! ,4ireplace/Stove Information Shown-Fuel Type? _Window Sizes Marked on Plans JaDBraced wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved if not provided.) COMMENTS: ENGINEE REQUIRED: Braced 11 panels/braced wall lines are not rked on plans(R602.10) Amount an cation of bracing does not in t minimum required in Table R602.10.1 IRREGULAR BUILDIN (Irregular Shape)R3 .2.2.2.2 Irregular portions of structures all be designe accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when on r more the following conditions occur: 1)Exterior braced wall line or cantilevered or offset by more than 4' 2)Roof or floor is not laterally u rted on all edges 2A)Portion of roof or floor a tend mo than 6 ft.beyond the braced wall line. 3)End of BWP extends m e than 1 ft.ove opening more than 8 fl in width below. 4)Opening in a floor or oof exceed the lesser 12 ft.or 50%of the least floor or roof dimension. 5)Portions of floor I el are offset vertically 6)Shear wall lines o not occur in two perpendicular d tions. 7)When a story ove grade is includes masonry or concrete nstruction(exc: fireplaces,chimneys,and veneer). When this plies the entire story shall be designed.In accor a with accepted engineering practice. DESIGN CRITE :Wind 85 mph exp B(unless proven otherwise), Seismic Zone: Snow: psf �oo� -o 0'75 PERMIT NO. MASON COUNTY PLUMBING/MECHANICAL 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 APPLICANT INFO MATION CONTRACTOR IfiFORMATION Owner Company Name Mailing Address Mailin Address (� City tate � Zip Code City r t4l' Zip Code 'd�1O's Phone - Ot er Ph. Phone 1- � Other Ph. Lien/Title Holder O E2 CC Contractor Reg. r �03 ` Exp. E mail address E Mail Address _ Drivers Lic.# DOB Drivers Lic.# DOB 7� SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System �. PARCEL INFORMATION - 12 Digit Parcel No. 7A al a Fire District Legal Description Site Address (Pleas rnf lu a street name, street number and ity) Directions to sit Plrl Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15% TYPE OF JOB - New Add__Alt_ Repair___Other ___Use of Building 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:ElectricZLPQ— Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs ,�_ Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer __ Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs ;L-, — Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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 information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF C NTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date ) •D(r Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type 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 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 C A- , Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICA I OR TI CONTRACTOR IjgFORMATIOJq Owner Company Name ` / Mani A re s M Address PID. BOX City Zip Code citvff 6 6 State AJ ff Zip Code Ph 07X r Ph. Phone [PLC -a a3 Other Ph. Lien/Title Holder Contractor Reg. t GC Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic-V Existing Septic Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description 1 I Vl Site Address (PlepqIe i clude street name, street numb er nd�it ) r I'Y�aY' Directions to sit 1- "� � 4 ^D' - / G Will timber be c and sold in parcel p a ration? es/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff 5/o Is this permit submittal thq result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JO -New Ad Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL E] Use of BuildirQ,41,6Describe Work No. of Bedrooms Z No. of Bathrooms -Z- Square Footage- I st I 2nd Floor. 3rd Floor Basement Deck Covered Deck Other Sq. ft. GarageAttached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No 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 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 MEANS9WROGRESS IN PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X f -� Date: 6 Owner/Owners Represent ive/contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: ncg" , Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department R M '2=o• L�U55 Planning Department Environmental Health Department Fire Marshal 1� FEES BuildingPermit Fee /D Z , i Site Ins ection Plan Review Fee -_'P-- EH Review Fee Plumbing & Base Fee S ' Planning Review Fee Mechanical & Base fee S Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee /VO eAfF. Pre-Paid at Submittal Valuation $ 30/ TOTAL FEES Z;d 0 � 07• 57 Neu) r I i MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 411 N. Fifth Street/P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 DDR' O( 0 Z& Rec'd by Request for Administrative Variance for Reduction in the Required Setbacks ($105.00) For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves. Applicant/Owners: Mailing Address: r10 E) U ► C� �`-��� r� Telephone : 2�zD C:P-"l C_ 0 City: fibac& 1� State: W&I Zip: "(U 35 If this reduction is tied to a bull in rmit'1�leass-e,�iv-e permit case number. BLD �— Parcel Number(s): 3 o9 j J 7—5 3—0(_) j 2_ Zoning Site Address: ` ,2-1 E, `Dar4mrmy- 40 r� V Requested variance: Front / Rea,/ Side Yard 'lease circle all that apply) Requested setback variance: 1 ft. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. The following circumstances must apply: FRONT AND OR REAR YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following: (Please circle all that apply) 2) One of the following exists on the lot: a) steep slopes, wetlands, or streams present; b) soils that restrict building or septic development; c) lot width at the front yard line of no more than 50 feet; d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. \\CLUSTERI HOME SERVER\HOME\COMMON\PLANNING\PAC\VARIANCES\Adminstrative.var.doc Created of SIDE YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following. (Please circle all that apply) 2) One of the following exists on the lot: a) steep slopes, wetlands, or streams present; b) soils that restrict building or septic development; lot width at the front yard line of no more than 50 feet; d) lot size of no more than one-half acre; existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. T7/le �� S�^Z7P Gr-ItC Owner/Agent(please indicate) Signature and date Official Use OnIV Approved Date 0"'t t Denied Date Reason for denial: \\CLUSTERI HOME SERVER\HOME\COMMON\PLANNING\PAC\VARIANCES\Adminstrative.var.doc Created of TO BE KEPT IN THE PARCEL FILE To Whom It May Concern: The plate at 421 and 471 Dartmoore house has been drilled into so a washer could be placed and a nut put on with full threads. Drilling into a plate up to 3/4 inch will not affect the performance of the plate adversely in any way. The thickness of the plate is such that it has the highest safety factor in its overall system. Thank you for your attention to this matter. If you have any questions please feel free to call. Sincerely �`• ROS�ti �SI�NAL Nels Rosendahl P.E.