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III, 426 West Cedar Street PO Box 279, Shelton, WA 98584 4 www.co.mason.wa.us Shelton (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269 October 19,2012 Stephen&Patricia Macksteiner 5530 Sedalia Trail 4621 Benbrook,TX 76126 Building Permit Number: BLD2012-00721 Parcel number: 32304-11-90502 Dear Mr. &Mrs. Macksteiner, Referencing Mason County Building Code,Chapter 14.17 Standards for Fire Apparatus Access Roads, an automatic fire sprinkler system, installed in accordance with NFPA 13R, shall be required when an apparatus access road does not comply with the standards. A copy of Chapter 14.17 is enclosed with this letter. PLAN REVIEW REQUIREMENT COMMENTS: 1. The access road does not comply with Section 14.17.110 that reads as follows: "Afire apparatus access road which is newly constructed or existing, and which is in excess of 14%grade, and which is greater than 150 ft from a primary access point intersecting with a County or State road right of way, to new residential or commercial construction will require an automatic fire sprinkler to be installed." A condition concerning the required fire sprinkler system has been placed on the building permit referenced above. A separate fire protection permit shall be required and approved prior to the required inspections of the fire protection system,typically before the framing inspection of the structure. If you have questions please contact the Mason County Permit Center office at(360)427-9670 ext. 352. Sincerely, ebb a Coker Bui i g Inspector IV Mason County Department of Community Development (360)427-9670 ext. 510 Encl.: Title 14 Mason County Building Code,Chapter 14.17 Standards for Fire Apparatus Access Roads Fire protection permit application CC: Johnson Brothers Custom Homes,LLC,2935 W Skokomish Valley Rd, Shelton, WA 98584/ Email:jbros-customhomes@hotmail.com W - o CONCRETE MECHANICAL MANUFACTURED HOME 3 Date S/L /3 By( M fTL N Footings/Setbacks Gas Piping Ribbons x Intaria Dare J CA By Interior•Date By Dale B agl rz L t0it l i t_q�v y CA Exterior Date By Exterior-Date Ely Sat-up m Point Load!Isolated Footings INSULATION ZDate By m Date 1 Z`S JZ BY L+01 BG I SLAB INSULATION Data By FIRE DEPARTMENT N Foundation Walls Floors Date By m Date g Data By DECKS FRAMING Sat '% Walls Br: Date By m Date f23 13 ByLAJi`% Data S 7�R l3 By k)k PROPANETANKS z PLUMBING vault Date ` By Date eY OTHER Groundwork Attic Date)L JZ, Byj41 Date B�Z y�l3 ey i-41)�_ Type Date e y D.wV V?R\e DRYWALL Type. Date L3 i� gy�ty InL Brace Wall Date By Date By FINAL INSPECTION p Water Line Fin Separation N Date By Date By Date By UP— � � N o Pass or Request Inspect. c Type of Insp. Fail Date Date Done By i Comments S z d y 1,\S .c-ke a k g Iw�� z,s� I Ia )z la/� z 1�ptt L o 1-2 - 3 L�j N � c.c Zs 13 L-01( _TT l L^n'1 I ^LC� S-Z L C,/ I W e � N CD N 0 ww nING Namee�✓� /zd1 Parcel# BLD# Ob1 Z Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater 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: �Ei-* httn//www.co.mason.wa-us/code/commissioners/index htm SEp 2 5 2012 Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan DAR ST (Mason County Code Title 14 Chapter 14.49.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 INITIAL 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 t in 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 septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system Rill 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 fuuther acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described p for review and ins ection as may be required. X Owner/Ag t/Contractor ircle one)Date: Z Page 2 of 2 Parcel# 2 3D II—g6a BLD# Name �rKSf�/,n�/- �3 `� Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a sormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surfacez. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stonnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. Faa�c� late Impervious Surfaces:Pfease CorripleteThs Table Surface Type Length X Width = Area *All dimensions in feet Buildings �y X 3c�y �� X 3� = c/3� Measurements for buildings are taken at the perimeter of the farthest projections(example: 3-91 X / = S7( eaves/gutters) J-0 X / _ v `fb / X 6 _ 0 /V X (1 _ 66Length of drive begins at the right of way X = D Parkin Areas X � X = Any paved, gravel or packed area per definition above table X = Pabos/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X X = :`tf.the total impervious area of the proposed site X = "development is.greater than.2ODO-square feet a- :. i. ... . Small Parcel:Stormwater;Site.Plan:is Required.: Total`Impervioi3s Surface Area(sum of`atl-areas) 3/3�, _ If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 APPROVED 7Residential ON COUNT`, ' P k SITI: P RE')`_.i:i TO BE ON SITECHANGE.: '-3_ � T0 APPROV L /\_._. . / � N Existing Residential \ Features N Ea 'tg Onsite Septic `\ �� Systcn nk&Drainficld }1i `�`.\\ do ��� -610 '� s, 7`� Q P opo r seH—y` '• a vi s a � G�zt Residence LocationConk lip \60' . \ rivc%vay yr f 'ctric Meter Water&Phone D a \ pp. r O = to Z C m70 ANAL E is su ' �' �a R rn D R]Ec-P,177ED BUILDING SEP 2 5 2W MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. CEDAR ST. 426 w. Cedar• P.O. Box 186, Shelton,WA 98594 _ Shelton(360) 4Z7-9670 i El air(360)275-4467•Elma(360) 482-5269 On the web www.co.mason.wa-Lis APPLICANT INFORMA ON CONTRACTOR INFORMATION Owne 7r r Company Name o Maim Ad Tess �� MaiCngAddress 3 &9^ ' Cry ! E State T� Zip Code 7�/ city�S:/,o State /�1�Zip Co e&Z. Phone 38/7- 9/y- e3Y8 Other Ph. 9/Y-o3Y(, Phone.�j&z -41Z6-03s-7 Other Ph Lien/Title Holder Contractor Reg.it C'LCTO)WLS Exp E Mail Address 9y , errs -its �rc�r.� ,j E mail address Drivers Lic.!t DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septi Existing Septic Connect to Water System_ ;X Name of Water System 4�,0-SR67 Well Water System Name of Water System PARCEL INFORMATION- 1213igit Parcel No 4��Oy-//- S�i`J5'fb Fire District Legal Description Zy t 4�- FA 7 AA 121 Lf Site Address(Please include street name, treat number and - Directions to site i' t < D b lIl ti er be out and sold in parcel preparation?Yes/No Is property within 200'of Saltwater Lake River!Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes[No TYPE OF JOB-NewAdd Aft Repair Other PRIMARY RESIDENCE SEASONAL ElUse of Building l 's Descnb Woric_�Z� No.of Bedrooms .�—No.of Bathrooms� Square Footage-1st Floor� �nd Floor 3-71 3rd Floor Baseme F - eck Covere eck./C�zig—Other k Sq.ft. s Garage Attached Detached arport Affached Detached MANUFACTURED HOME INF RMATION-Make Model Year Length Width erial No. .of Bedrooms No.of B oms Type of Heat Purchase Price$ Replacement Unit? Yes/ Installer Name -11 Certification No. OVVNER/BUfLDER AcinoWedges submission of Inaccurate hbnna5on may result in a stop work order or permit revocafion.Acknowledgement of Such is by signature below.I declare that I am the owner,owners legal represeritafrva,or the contactor.f further declare that I am entitled to receive this permrd and to do the work as proposed in the application.[declare that I have obtained the pemiissim from all the necessary parties.tf permission is required from any easement holder,or any other party in interest regarding this application or the work proposed in the applicafion,I have obtained permission from them to apply for this pemmn and conduct fhe work proposed. The owner or ager t on owners bahatf,represents that the informaflon provided is arxvrate and granis employees of Mason County access to the above deserted property and sfruchre for review and inspection. PROOF=0FrZ0OFyO tS BY MEANS OF A PROGRESS INSPECTION. X yr4 /y�m� Date / Owner/ ers Rep enta5ve/ ntractor Cmdcate which one) FOR OFFI US BEYOND THIS POINT Accepted by. UU Date �� •fib 1 a DEPARTMENTAL REVIEW PPROVED PENIED NOTES Building Department /P— Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Bulkfinq Permit Fee C/ . .5ep / Site Inspection Plan Review Fee ` r�• C� EH Review Ff--- Plumbing&Base Fee / �o� 7 Planning Review Fee Mechanical &Base fee � Other Wood/Gas/Pellet Stove Fee State Fee \5ofation Fee Pre-Paid at Submittal Vr Valuation$ 3 1 152 a TOTAL FEES 15 -L�4O �x �pX 110CID tL4 (t,;; a Ox 7.3 wa/ a "5 `/a, � x 5.5 = a� 0-4 ji�n -3t K aOx _EJ4D) . 7 13 ,Foet�p,ck-e, Cox )D ZS PERMIT 1\101�[(A20I2 .06'12I MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar•P.O. Box 186, Shelton, WA 98584 Shelton (36b)427-9670•Belfair(360)275-4467• Elma(360)482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION / / CONTRACTOR INFORMATI N / Owner7���� � / /� ���11tK55�iAcJ Company Named F 75 !1 Mailing Address �3co S'W'r'la Mailing Address­4 V City-Y�nl�r64 State-42--Zip Code 76/-2L City=Slims AV7 State 21- Zip Code_�b's�`{ Phone /7- 91Y-0­3`/0 Other Ph$/7-5?/ Phone.&Z2Z'726-03S Other Ph.,:2/�-2�3 Lien/Title Holder Contractor Reg.# �` Exp. L. E mail address E Mail Address 66'�s_Mfrs n/bir�c @/!02 ,qfZ' 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/_ 9D�o Fire District Legal Description Z,Li, �5C' 7' /0Xn Ala Lis /U r4�c y• i�„ �a.3k?�vr�� Site Address (Please include street name, street number and city Directions to s'te -07" A",t t I roperty within 200'of Saltwater Lake River/Creek Pond 0 Wetland Seasonal Runoff Stream Slopes or Bluffs > 15/o TYPE OF JOB - New P,'-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 A?'t' Heat Pump_ Toilets �3 — Type of Unit No.of Units Fees Bathroom Sink :— Fumace / 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 �' 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 OFQONTI U TION,QF WpR IS BY MEANS OF A PROGRESS INSPECTION. X Date: i /:Z Owner w rs Repr entative ontractor' (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b Planning Pd Ck# Date - Bld Pd Receipt No. DEPARTME TAL REVIEW APPROVED DENIED NOTES Building Department Occ Group Tvpg 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