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HomeMy WebLinkAboutBLD2013-00174 Final SFR DDR2013-00017 - BLD Permit / Conditions - 8/7/2013 a) o CONCRETE MECHANICAL Z J MANUFACTURED HOME m Date -L$_(3 By ''✓ - ....r- -... D w Footings I Setbacks Gas Piping Ribbons O o Interior Date By miertor-Daze By Hate By 0 AExtef"Date By Exterior-Pate _ By ... Set-up INSULATION A Point Load i Isolated Footings - Date By O Date B Date LAB INSULATION By FIRE DEPARTMENT D Foundation Walls._. Eldora Date By r S-7 - ey✓ o Pate By DEW PECKS FRAMING Walls Date By Date G -__$' 13 By 1 Data (o '2 8 / By 1 -1-1 PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundvaork Attic rype: Date By Date Cf' By l--� pate By O.W.V DRYWALL Type_ --��££ Int W Brace Wall Pate By U Date (o "CL 13 By i Data BY m FINAL INSPECTION 0 N Water Line t l t Fire SeparationCD m Date By Data By Date b - 7' l 3 By C w CD o Pass or Request I inspect. e s Type of Insp. Fail Date I Date Done By E Comments 0 4 > 13- -zz- S m �-+°- a FP o ' ass 8�1a /3 7- 13 N N � 4 � t t f i I e e ( i E ` i i i 6 i t { I N 4 N 0 i Permit# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location f T Z L�..,s•�. 4- k r j This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items liste below ust be correcte to gain compliance /lc J n 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 I] Please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "naturallman made" ❑This is not a complete inspection disasters.This is NOT a CORRECTION NOTICE. Date 6c L 6 � Department Inspector DO NOT REMOVE THIS TAG inspection Line(360)427-726: MASON COUNTY DEPT. Or COMMUNITY DEVELOPMENT ahone: (360)427-9670, ext. 35.' Mason Col. �! Bldg. III 426 W. Cedar '-.C. Box 279 Shelton, V13-1, 98584 Z� RESIDENTIAL BUILDING PERMIT BLD2013-00174 OWNER: RONALD PEABODY RECEIVED: 3/14/2013 CONTRACTOR: LICENSE: EXP: ISSUED: 4/17/2013 SITE ADDRESS: 112 LARSON LAKE ROAD BELFAIR EXPIRES: 10/17/2013 PARCEL NUMBER: 123315000004 LEGAL DESCRIPTION: BEARDS COVE DIV 2 TR 4 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE, stock plan 2009-0015 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: 3 Occ. Group: R3U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,478 Garage-Attached 415 Valuation: $ 173,664.63 Building Height: Occ. Status: Primary Basement: cov porch 28 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 15.0 Ft. Shoreline: Ft. Water Body: Rear: S 80. Ft. Slope: Ft. SEPA?: No Side 1: E Ft. Model: Width: Ft. Shoreline Desig.: Not Applicable 1 0 Year: Serial No.: Side 2: W 1 . Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee TW 3/14/2013 $281.63 S220130000000i Lavatories 3 Ventilation Fan 4 Planning Review Fee TW 3/14/2013 $205.00 S220130000000i Bath Tubs 2 Exhaust Hood 1 EH Plan Review KKK 3/14/2013 $ 103.00 S6201300000001 Water Heaters 1 Dryer Vent 1 Water Adequacy Plan Revi KKK 3/14/2013 $ 103.00 S6201300000001 Clothes Washer 1 Building State Fee DLC 4/5/2013 $4.50 S220130000000i Kitchen Sink 1 Building Permit Fee DLC 4/5/2013 $ 1,408.15 S220130000000( Dishwasher 1 Mechanical Permit Fee DLC 4/5/2013 $76.50 S2201300000001 Hosebibs 1 Mechanical Base Fee DLC 4/5/2013 $28.50 S2201300000001 Plumbing Permit Fee DLC 4/5/2013 $ 110.60 S220130000000( Plumbing Base Fee DLC 4/5/2013 $24.70 S2201300000001 Total $ 2,345.58 BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 1 of 7 ';ASE NOTES FOR BLD2013-00174 CONDITIONS FOR BLD2013-00174 1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has been "finaled" and approved. X h_=� 2) 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- 9,61 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X J�A� 3) Owner/Age is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 4) 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 pfior to any further inspections being performed or approvals granted. X 5) 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. Failure to comply and/or removal of a o ed documents will result in failure of required building inspections. X 6) 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 Depar�tr�ent prior to any further inspections being performed or approvals granted. x BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 2 of 7 7) :,:3shington State Energy Co,..,- :ompliance has been appro 3s follows: .at Type: Electric forced ai- ^ace, Compliance Method scriptive option II, Window -< U-Factor):0.32, Skylight(Nlp= j-Factor):0.50, Doors oe/Max U-Factor):0.20 or s_ Wall insulation R-21, Floe _:lation R-30, Ceiling Insula_c R-38 advanced or R-49 sta-:_Jard, Vault Insulation R-38, 3 c Slab Insulation R-10. r addition the following crediT *rom Table 9-1 shall be completed: Option 6, dwelling less than 500 sf x 8) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel. The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA) when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in %or'/z sheets. The Mason C unty Permit Center will also have some available. X ` 9) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps). Refer` �EC 505. 10) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X 11) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufa_ urer's installation instructions. X BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 3 of 7 A Mason County Stow­�ater Management Workshew_ tias completed and signed a- a t of this building permit apr, cation. Design, sizing, placea inspection and maintf -,-1ce of stormwater manager-.= : systems shall be the respe,---ciiity of the owner/agent of thF :Jeveloped parcel. It is the owner/agent/contrac,c -esponsibility to ensure that %`,-=son County Department of Works has approved the tc-mwater site plan for this pa- e. prior to the commenced-.ent of any development activ l-es. *NOTE if Stormwater Management option "A" was selectee on the Small Parcel Stormwa,(_ Management Applica'::;rallorksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parce Stormwater Site Plan"cons- an approved plan based on the criteria listed on the aopiication/worksheet. If the development has, or will have, a septic/drainfield 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 of the building permit the owner/agent/contrac%K isi acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X�L�� 13) Stock Plan Identification number: 2009-0015 This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department, original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building lnspe at each required inspection. X � 14) Carbon monoxide alarms, listed as complying with UL 2034 shall be installed in accordance with manufacturer specifications and in accordance with IRC Section R315. New and existing dwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon monoxide R r�s. Carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms. X =i� 15) 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 ro s connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 16) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged Jam' ' all be collected by the Building Department prior to any further inspections being performed or approvals granted. X _, 17) 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 BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 4 of 7 18) -stallation of heating equips r-r.,. n a single-family residence I__;c iI meet the requirements c- current Washington State E y Code, applicable sections of the IRC and IMC Heating equipment shall be sized in accordance to IRC, Sect-._!-, M1401. Heating and desig, cad calculations for the purpose _'sizing HVAC systems are ,equired and shall be calculated in accordance with accepter-: ;��actice, including infiltration a,:c ventilation. Design calculatic-s shall be available for inspection during inspection Referencing IRC M1601.4, all ducts, air handlers, filter boxes. and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181Aand shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. . Duct tape is NO permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TtGH permitted TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance to WSEC Section 503.10.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. All heating equipment shall meet the requirements of the National Appliance Energy Conservation Act(NAECA) and be so labeled. (WSEC503.4) or in accordpLqce to WSEC Section 1411. X 19) 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 loc d wi hin 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. 1 X �J 20) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinanc c r ulation, must be reviewed and approved by Mason County prior to construction. X BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 5 of 7 :-SS TO BE FIELD CORRE - ED AS REQUIRED PER MA N COUNTY BUILDING DEF'F-MENT AND THE ADOPTE CONSTRUCTION PR__`C BUILDING CODE. The construction of the oermitted project is subject to -spections by the Mason County Building Department. All construction must be in conformanr-- with the international cedes as amended and adopted cy Mason County. Any corrections, changes or alterations req.:u-ed by a Mason County Buildr c, Inspector,gt�a1 be made prior to requesting additional -pispections. X _ � 22) All property lines shall be clearly identified at the time of foundation inspection. X (djr�' 23) 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 4rdinances and building regulations. X v 24) 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 h,�eX f\nted action from being taken. No more than one extension may be granted. X �o� 25) Retaining walls needed to support a surchar such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 26) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR X 27) Approve ln�7 ions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 28) All construction and demolition debris must be removed from the site after project completion. Prqper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X _ 29) Temporary erosion control measures must be implemented to prevent water qualit gradation of adjacent waters or properties. Silt fencing must be installed and maintained until upland vegetation has become established. X 30) Prior to final approval, all upland areas disturbed or newt created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 6 of 7 A Mason County Stc------water Management Worksh( vas completed and signed -art of this building permit ap,. �tion. Design, sizing, placemi-ct. inspection and main,e.:Ince of stormwater manage systems shall be the resp( ­_, n11ity of the owner/agent of t-, -leveloped parcel. It is the owner/agent/contracic,r',, responsibility to ensure thy- '!iason County Department of !�.Jni!c Works has approved the =-crrnwater site plan for this parse. prior to the commencement of any development ace ,-es. "NOTE if Stormwater Management option "A"was selec-ec on the Small Parcel Stormwaie- Management Applica; c n,Worksheet the document ---.fled "Managing Storm Drainage on Small Lots, The Small Pa,::el Stormwater Site Plan"consiitutes an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of Lnvironmental Health to ensure that the stormwater system wiii 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 of the building permit the owner/agent/contractor� cl nowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 32) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approv nz� n"to ensure these structures are shown and meet the setback conditions listed. X 33) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these s uctures meet the setback conditions listed. X �c�� 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 son County cress to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: — — 13 BLD2013-00174 Please refer to the following pages for conditions of this permit. Page 7 of 7 ee c, Name CA Parcel T1 1,3 3 1 �© 6 0D O T BT D# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) r - Per Mason County Code, Title 14,Chapter 14.48 a storrnwater 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=. "Re:dev6013ment 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 aclivities associated with structu-al or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,waikways,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. Fo. a�ci lefe:lm e mLis-Sur ces"=Pleas f i fe`.This FabT .:, Surface Type Length X Width = Area *Ali dimensions in feet Buildings 3 X = 3. X M = 5 Measurements for buildings are taken at the perimeter of the farthest projections(example: O X = eaves/gutters) X = Driveways X X 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 = PatiosMfalks 3 X X = Any paved, gravel or packed area per definition i above table X = Others X X = "if.the total impervious area of the proposed site X = development is.:gr-eater'than.20D0•square feet a Small Par�el:Storrrrwater.SrtePTan is Require. Totalimpslvioii s.SurfabeBrea:($trip-of.-all•areas);> S L'� � 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 Starrnwater 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 frrther acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described properly for view and inspection as may be required. y, Owne gen ontractor(circle one)Date: If the Total Impervious Surface Area is GREATER TELAON 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Parcel# 33 rj 0 ��o � BLS# ', Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Storrmvater 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: httD//www.co.masoiLwa—us/cDdm/r,ommissioners/-mdex.htn PIease 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' PLEASE INIT L BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) 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. 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 If this development has, or will have,a septie/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 fin-ther 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/Agmt/Contractor(circle one)Date: Page 2 of 2 yqMASON COUNTY PERMR No �1 j BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98594 Shelton(360) 427-9670• Belfair (360) 275-4467•Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT FOR ON CONTRACTOR INFORfAATION Owner -) d Company Name n �� Mai[1 Address J Mailing Address City State Zip Code City 6,U State�A- . Tip Code Phone Other Ph. Phone 3 313SOther Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address a �* 1 ;Tct � C\N�(, CTM E Mail Address �^ G 1y�-1Z`� �� m S N/ Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic. ►�'_— E)jsting Septic Connect to Water System L-- Name of Water System Well Water System - Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 0 0 - Fire District Legal Description Site Address (Please include street name,street number and city) I - Fz -e ', ' � IS actio Q � I ' , Will timber be cut and sold in parcel preparation?Yes/No Is property within 200'of Saltwater. (V.�_Lake_ A/, River/Creek N.-) Pond Wetland l 1 o Seasonal Runoff Stream Slopes or Bluffs > 15% A/, Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB -N _ Repair Other PRIMARY RESIDENCE 4 SEASONAL ❑ Use of Building Describe Work � -D w ( )`p >"r t U c�r o L-� No. of Bedrooms�_No.of Bathrooms Square Footage-1st Floor L G O 2nd Floor 3rd Floor Basement Deck a K `l Covered Deck X 1- Other Sq.ft. Garage Attached L-- 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 InstaJler Name Certification No. OWNER/BUILD? Acknowledges submission of inaccurate b lomiation may result in a stop work order or permit revoabon.A Imowledgement of such is by signatum below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am endfied 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 trom arry easan-et holder or arty other party in merest regarding this application or the work proposed in the appkabon,i have obtained permission from them to apply for this permit and conducl the work proposed. The owner or agent on owners behalf,represents that the irrforrnation provided is accurate and grants employees of Mason County access to the above des=bed property and structure for review and inspection. P OF CONTIN T10N OF WORK IS BY MEANS OF A PROGRESS INSPECTION. I, 3- 14-I 3 x � v�� Date• Owner Owners Representarry /Contractor (rndcate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date DEPARTMENTAL REVIEW PPROVER DENIED NOTES Building DepartmentPlanning Department Department Environmental Health Departmen Public Works Department Fire Marshal EES Building Permit Fee / Site Inspection Plan Review Fee / D�.l$N . EH Review Fee Plumbing& Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee // z) 4 tate Fee Violation Fee Pre-Paid at Submittal Valuation$ TOTAL FEES MASON COUNTY PERMIT N0. 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 INFOWATION CONTRACTOR INFORMATION Owner V _ �i, �) �i Company Name Mailin Address Q.�r V�,� C(_S Mailing Address City _ State .Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic ✓ Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No I 1 13 a Fire District Legal Description Site Address(Please include street name, street number and city) I i Li n > 0 Directions to site Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - Newj_,�-Add Alt Repair Other Use of Building Location of Fixtures/Units- 1st 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 Type of Unit No. of Units Fees Bathroom Sink Fumace 1 Bath Tubs '2_ Heatpumps Showers — Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hosebibs .Z Dryer Vent 1 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. PROD F CON�TIINPATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. Date: 3 f `�" 3 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid 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 Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 2 3 6CD I 1 411 N. Fifth Street/P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd K Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) 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 and gutters. Applicant/Owners: NQCL Mailing Address: •�_r RX G 5 City: tc State: 1u Zip: Telephone: Email: eFi= r \r Q 4 Z I��A(ie ffi r If this reduction is tied to a building permit, please give permit case number. BLD20 1_:� - r�)n Ij�' Parcel Number(s): 3 1 4; [) O ova - Zoning Site Address: Q y,C. .jjA Requested setback variance: ( � ft. 0 Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. 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. IACommunity DevelopmentTACWARIANCES\Admin Variance.doc Edited on 7/16/10 FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot (check all that apply): ❑ 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. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ 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-half acre; ❑ e) 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. HV-1-P_g o S o r ctv' U Zo �� r � �, a�n� ��� T-Q Owner/Agent (please indicate) &LN1( 3 I T- /T Signature Date Approved by: Official Use Only / Date� 116 I l3 Denied by: Date Reason for denial: IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/16/10 L/NES/ROUNDAR/ES HA VE ' AND/OR THEIR AGENT(S). NY VEHICLE TRAFFIC. BE REQUIRED. _ RED. JFIELD AREAS. .e: e ► ROXIMATE AND MAY VARY, �� _ - ;*�OJ��jO�,9C��A : • - :* _ • - EN SHOWN (200' FOR CLASS-B WAIVER). cT�O Th' �/'Y/� IPL 1 �• i ONENTS MUST BE WATERTIGHT TO SURFACE. �"11�� -,V�rt`�'� T ��: - • OMPONENT. APPROVED NIMUM OF 50' SETBACK UPSLO' AS0WpW.UN Y DCD PLANNI G 'z l ON COMPLETION. SITE PLAN REQ JIRED TO BE ON SITED - BE REQUIRED. CHANG U JECTTOAPPROVA� +2 By Date UCTED IAW STATE 13 COUNTY CODE. P RIVEWAY ) ESIGN CO . AR 14 26 13 426 W. CEDAR P.O. BOX 2954 / )Y SIL VERALE, WA. 98383 0004 / ' /°',� _AK E •�� TEL. 360.275.7425 3-BEDROOM SITE PLAN ROD@ACNESEPT1,CO / PROPOSED HOUSE r �0 r_ mc szv HES NO DEEPEF� . `� TRENC 2 z _ S F&SLOPE ND[)OWN ____________ ____________ 10' NO-BUILD ZONE w / w D/F ELEV.-3 ' SL3 � Q / SL2 R�pRp�NF1E pR1MP 50' r SLI I N 100% RESERVE 5 i � m O D AIN E A�EM OI Wil