HomeMy WebLinkAboutBLD2016-00762 SFR - BLD Permit / Conditions - 8/8/2016 Inspection Line k3bu)42,-1262
��6007 cot'? MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2016-00762
OWNER: BOB KRONENBERG RECEIVED: 8/8/2016
CONTRACTOR: LICENSE: EXP: ISSUED: 9/20/2016
SITE ADDRESS 110 E GREAT BEND DR UNION EXPIRES: 3/20/2017
PARCEL NUMBER: 322325210020
LEGAL DESCRIPTION. UNION-GRAYS HARBOR & UCRR ADD BLK: 10 LOT 20-26
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR BROCKDALE RD, MCREAVY RD, L ON 5TH ST, L ON PORT TOWNSEND ST,
R ON GREAT BEND DR TO SITE ADDRESS
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: R-3 Lot Size: Deck: 126
Type of Work: NEW Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:1,579 Garage-Attached 770
Valuation: $ 370,227.52 Building Height: Occ. Status: Primary Basement:1,325
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 10.0 Ft. Shoreline: Ft. Water Body:
Rear: W 85.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 60.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 70.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 3 Heat Pump 1 Plan Check Fee GMM 8/8/2016 $ 1,632.38 S1201600000001
Lavatories 4 Ventilation Fan 4 EH Plan Review GMM 8/8/2016 $205.00 S120160000000i
Bath Tubs 2 Propane Tank 1 Planning Review Fee GMM 8/8/2016 $205.00 S1201600000001
Showers 2 Gas Outlets 2 Building State Fee JTL 9/16/2016 $4.50 S2201600000001
Water Heaters 1 Propane Stove 1 Building Permit Fee JTL 9/16/2016 $2,511.35 S2201600000001
Clothes Washer 1 Exhaust Hood 1 Mechanical Permit Fee JTL 9/16/2016 $228.60 S2201600000001
Kitchen Sink 1 Dryer Vent 1 Mechanical Base Fee JTL 9/16/2016 $28.50 S2201600000001
Dishwasher 1 Plumbing Permit Fee JTL 9/16/2016 $ 136.70 S2201600000001
Hosebibs 2 Plumbing Base Fee JTL 9/16/2016 $ 24.70 S2201600000001
Total $4,976.73
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2016-00762
CONDITIONS FOR
BLD2016-00762
1) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES ASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR ROAD
X
2) On-site septic system final installation required prior to temporary/final occupancy.
3) Contracto&' ion
s are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There ares and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
4) All approved p a►�e 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 grante In d " on, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be charged and must be collected by the Building
Departmen y further inspections being performed or approvals granted.
X
5) Owner/ responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
6) The plan w check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
correctiOf �lica on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official: mit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remo p roved documents will result in failure of required building inspections.
7) THE F ION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X
8) The"appro n 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 ill 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 rtment prior to any further inspections being performed or approvals granted.
X
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 2 of 6
y; 2012 IECC/VVashington State Energy Coae Compliance has been approvea as toliows.
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine -4C, Window(Max U-Factor):0.30, Skylight(Max
U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38,
and Slab Insulation R-10.
In addition t flowing credits from R406.2 shall be completed as follows:
3d- Ductle at stem
5a- Efficien heater
X /
10) A permane certificate, completed by the owner, 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 105.4, 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 5 air changes per hour when tested
with a blower door in accordanve with IECC/.WSEC Section R402.4.
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 IECC/WSEC R401.3 & R101.4.3
Compliance c at $ are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in Y4 or sheets. The
Mason Cou er will also have some available.
X
11) A minim u f 75 cent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section
R404.1.
X
12) A Mason ounty Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. "NOTE if Stormwater Management option "A" was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of E ntal o ensure that the stormwater system will not adversely affect the septic system
of this, or any other, parcel. You may also wish to c It the is design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contractor i II components of the stormwater management system have been installed as
approved on the stormwater site plan. X
17
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 3 of 6
-13) r,wncrete encasea grounaing eiecttoae must be installec ano uses at each new oudaing 61 structure that is built upon a permanent concrete foundation.
In Mason CounUthe electrical code is regulated by Washington State Department of Labor& Industries (L&I).
For more i o a n act L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000.
14) To perform an inspection the Mason County Building Inspector will need to access the interior of the structure. An electrical permit completed and
approved by Washington State Labor& Industries must be available on-site during the inspection.
The Mason County Building Inspector will inspect the following. Verify that the system is installed in accordance with manufacturer specifications,The
inspector will check to make sure that the exterior unit is permanently installed and supported, the exterior unit complies with required setbacks to
property fa
nks are located at least 10-ft from the system, a source of ignition,all exterior penetrations are properly sealed,condensate lines are
installed e supported, including proper material. slope. and that the condensate line terminates to a proper location outside of the
foundatiorigerant lines are insulated with '/2" thick continuous closed-cell foam insulation or better, indoor units are located at least 3-ft from
s oonoxide alarms,and that modifications made to the structure, to install the unit, does not affect existing structural members.
X
15) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING NGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or d ns requiring a permit occur, or when one or more sleeping rooms are added or created.
X '
16) All con ucti st et or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of i Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit r i
X
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 4 of 6
17) Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the
IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC.. Section R403.6 Heating and design load calculations for the purpose of sizing HVAC
systems are required and shall be calculated in accordance with accepted practice. including infiltration and ventilation. Design calculations 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 UL181A and 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 NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance
to IECC/WSE ec ion�R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are
available on t the -Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct
tightness to required if the air handler and all ducts are located within the heated space.
X C)
18) All changes to.' p v " building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinanc ,must be reviewed and approved by Mason County prior to construction.
X
19) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODEe
The construhe permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the intecodes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspectode prior to requesting additional inspections.
X
20) All property lines shall be clearly identified at the time of foundation inspection. X 49�:
21) All building p s s ave a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request i i ection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason ances and building regulations.
X
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 5 of 6
22) All permitpee 180 days after permit issuance, of ' uays after the last inspection activity is performed. the Building Official may extend the time for
action fornot exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holderhnted action from being taken. No more than one extension may be granted.
X
23) Pressure treat anufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners.
connectors Install metal connectors approved for contact with the new types of pressure treated material.
X
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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure s)for re " w and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construe n k is spended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMJT P ON OF 180 DAYS WILL INVALIDATE THE APPLICATION.
� �el
Si 7 Date
OWNER - REPRESENTATIVE - CONTRACTOR
Prl t Name (Circle one to indicate)
i
BLD2016-00762 Please refer to the following pages for conditions of this permit. Page 6 of 6
o• CONCRETE MECHANICAL MANUFACTURED HOME
o C}oks 2-ZZ-r�t By _ __..
rn Footings Gas Piping Ribbons Z
o int Date i3y Interior-Date By sate el Z s >s /�/ _.._ ....._._. _.
NExtra Late [��� 4b 8 xkertnr-L�t�te (p1Zo...... .����_�pQ._. Sant-up M
INSULATION ... �.. �. m
Point Load t isolated Footings Date
BG t SLAB INSULATION _ _ ......__..__........ G�
Date By Date fay FIRE DEPARTMENT
co
Foundation Walls Floors Jaic fb G
Late o/H By Data Z_Z7_t Z _......._..� Byd-7Z_ DECKS _ _ _... W
F INS iAPairse
Date C-ZZ--r-7 By J3L canto to -r -7 By-fin-- PROPANE TANKS --
PLUMBING
VaultrariG
Crate _..__....._ .. ._...... ...... _...
_.... .._..._ OTHER
Groundwork A."c
Date � (0;0 f.3y Typ-
By et
cs
I.vw.v f DRYWALL ryt
O Ldx�l+' -/�(-i 't By J�_ DatiInl Breve 1Na)I ' Elate F
CD y �� w. ...« C. FINAL INSPECTION C7
Water Line j Fire Separation f� N
tp Date \J/ By Dalle By Da!fj
o Pass or Request Inspect. o
Type of Insp. Fail Date Date Done Hy € CommentsCD
v
C
0
ovs sr 6-NP-�Z-0.. 1 t-I b • J Sjc,.b 1 sa oG -� ►�i
Slcf- pry l f us s 1(iq Ill I I77l! m r (?ecrt vtdCD
En ,n�rn� Cast Qfior�-f'
TIUw 2-t -4-1-1
-.{-I4 ie to vyc
��n Fc4:l II (t7 WA Fri Mpg �ft—f; bead-(+ Piir o.vf .n«��
CD
. . .............
0
1 �
ego cot, MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Inspection Hotline (360)427-7262
=� Mason County Bldg. 8, 615 West Alder Street
Shelton,WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: f('0 Zotto- 001WL
ADDRESS/LOCATION: ttc� C Ga4A-r y2WA.�Q D2-
FINDINGS: AC) :r o e. . t,.,
hPPZo,r- . Wg.c .
Lte>'A 6� C� •Qc �--C�++ �itz'�F-...1 ®.G
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
I❑ Make corrections, items will be checked on the next inspection.
,LJ 'OK to lL a moj iZ(y k. 1zP-;(ak. FVP%.;, �9 �bc�P4TGo.•_I
Date: 101 q t ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: S �� "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Cotr, MASON COUNTY (360)427-9670 Shelton ext.352
r DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Inspection Hotline(360)427-7262
Mason County Bldg. 8, 615 West Alder Street
1854 Shelton, WA 98584 www.co.mason.wa.us
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: �l D Zc7! — DU 1vZ
ADDRESS/LOCATION: //0 E- A#<e& F
FINDINGS:
E ti -e A I 'It✓v S ,-i zr0, to c a -tGG rL 5, d% ►'-c G t
( 1-119 All Vim- t j4k+r1A -7'� Ski It � fyi S d/G i-✓� f1l rz- `f
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
...Make corrections, items will be checked on the ext inspection.
[�OK to 1 hA,�S✓ W oL l e, d-- l�c>�
Date: Z-1 y—1� ❑ Please contact our office regarding possible
Department: ?LTD structural damage incurred by recent
Inspector: J'l�. "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
MASON COUNTY COMMUNITY SERVICES
i•
PERMITASSISTANCE CENTER: Permit No: .w (oa
• BUILDING• PLANNING• FIRE MARSHAL .Recv'd:
615 W. Alder St - Shelton, WA 98584 RECEIVED
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7798
ies Phone Belfair:(360)275-4467 Phone Elma:(360)482-5269 AUG O 8 2016
Ls 6 BUILDING PERMIT APPLICATION 615 W.Alder Sb1W
PROPERTY OWNER INFORMATION• CONTRACTOR INFORMATION-
NAME: &26 e,-01-le NAME: SK/-!-
MAILING ADDRESS: ,&�.4�f.��'K. � IG ADDRE
J•�1y SS:
STATE: L�!/4�ZIP: STATE: ZIP:
PHONE#1:_ (3 ) Aga�-2 z cis PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: :� ot��•,a ' L&I RE # EXP.
CONTACT PERSON : OWNER FV CONTRACTOR [I "OTHER/See Below ❑
*NAME: &2_6 MAILING ADDRESS: C-za +F�l Xitc lc.K v
CITY: S/ &>/I/ STATC /tj14-ZIP: PHONE: CELL:
EMAIL:
PARCEL INFORMATION: Pp_,r1NN1-I1
PARCEL NUMBER(12 Digit Number) , , �Z -3 Z -J��,d ZONING?:i -a• `J
LEGAL DESCRIPTION(Abbreviated) ; L,C�/O i- r�or¢G +1RE DISTRICT (p
SITE ADDRESS
DIRECTIONS TO SITE ADDRESS!' c 1097 L -T.;;—
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO4
IS PROPERTY WITHIN 200 FT: (Checkall dial apply):
SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
TYPE OF WORK: NEW X ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS_
HEATED STRUCTURE? YES (Whole Bldg) YES (Part[s]ofBIdg ❑ NO ❑
DESCRIBE WORK A-Zee- y ovo co�'
(Valuation/Project Bid Amount: $ 025:7r),
SQUARE FOOTAGE:
I ST FLOOR L sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT f 3;Z4 q. ft.
DECK sq. ft. COVERED DECK/!.� sq. ft. STORAGE sq.ft. OTHER I . sq. ft.
GARAGE Z!J0 sq. ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: oPIEs of THE FLoo -AN REQUIRED*
MAKE YEA LENGTH
WIDTH , VIS BATHS SERIAL NUMBER
OWNER 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 or owner's legal representative. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the
necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal
representative, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s) 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 MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIR D. (MASON COUNTY CODE 14.08.42)
X2
_)64�_,
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake: Approved&Ready for Pick-Up:
Visit us on-line: http://www.co.masoii.wa.us/commuiiity_dev/ Rev. 112712016 by AN
5 N_ coa MASON COUNTY COMMUNITY SERVICES
PERMIT ASSISTANCE CENTER; Permit No-b I Gt Za l(o• O 7 (Q a
•BUILDING•PLANNING•FIRE MARSHAL RECEwED
_ 615 W. Alder St-Shelton, WA 98584
_- = Phone Shelton:(360)427-9670 ext 352 Fax:(360)427-7798 AUG p g 2016
Phone Belfair. (360)275-4467 Phone Elma:(360)482-5269
W.Ake Street
) a *� (PLUMBING & MECHANICAL PERMIT APPLICATION 615
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:X13C6/;,/-f�N'r�'1VW, NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY: &,"/y STATE: ZIP: CITY: STATE: ZIP:
lst PHONE: (34n�) PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL: L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER 12 Digit Number): �d Zoning:
( g )�02�.��z.sz�cb �s.
LEGAL DESCRIPTION(Abbreviated):,4aTY Op--24 ,fi A/y 4'-ItyL
SITE ADDRESS: CITY: Gc
DIRECTIONS TO SITE ADDRESS:,�,,Trr ..s, �'1S2b�'-axs`�,�%s�
6,7 le>
TYPE OF JOB
NEW_ ADD ALT REPAIR OTHER USE OF BUILDINGS
LOCATION OF FIXTURES/UNITS-IST FLOOR 2ND FLOOR BASEMENT )( GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless
Toilets 3 ape of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs z Heat Pump
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer ( Gas Outlets
Kitchen Sinks 1 Woo as ellet Stove—�L
Dishwasher f Kitchen—Exhaust Hood _
Hose bibs 2_ Dryer Vent
Other / Solar Panel
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 contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)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 MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x eye
Signature of Applicant Date
X. P Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPRO DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 'tF 1-t
PLANNING DEPARTMENT
FIRE MARSHAL
Visit us on-line: http://www.co.mason.wa.us/co-nm ni Y_dev/ Rev:1/27/2016 1BN
322325050001 �322325050035� 322325053021.L 322325061029I322.325061025 322325061021
• 3223,2505,1 003 322325 0510I 13 322i3 25051018 32232 5052002 1
� E K_
AE`
2325051023 52202 0322325051005 3223250510'09 32 32501 322325052011
322 322325051015 '000 322325052013322325062002 32232506200b1322325524 322325052008 322325051045 322325052006� —322325062009
j 322325051033 322325051901 --y-
322325051041 322325051037 ( I 3223250510251322325052031I
322325051902 i 322325052020 3223250621030 322325062017
322325052025 1 322325052017)
E 5TH ST —"
322325202020 f
322325202001 322325202004 322325202011
32232'
5202016 I ( 322325203005
322325203009 322325204001 322325204005 /
322325203001 L
322325202044 322325202041 322325202028
322329999999•
322325202032 322325202024 322325203021 322325203017 3212325204001
322325204017 322320060010
E ALDERNEY ST E ALD
ERNEY ST
322325209001 + 322328888888
322325209005 322325209011 322325209019 322323260010
322325208013 322325207001 3223232600\11
322328888888
322328888888 322328888888
322325209040 322325201036 322325209032 322325209024
322325209028 323 252080i9 322325208021 322325208017 322325207006
322323290141 E GREAT BEND DR 11
T22NR3W 322329999999—
3223252129
100
3212325214017 i32232522701
322325212000 322325212005 32 2325212011 32
2 325214003 322325214005 3223252150'0 1
32232521 5003 322325215005
322325212015 322325214007
322325214015
E PINE ST
i
322325220001 322325220011 t
322325220005 322325220009 ' 322325218003
1 1 322325219001 322325219005 322325219007
322327590013— 322325220012 I I1 322325218004 322325218001
— 322328I 88888
32 23252190 03
322325220021 322325220019 322328888888
322325219015 322325219011 322325219009
322325220017 322325220013 I L 322325218009
E SPRUCE Z,I
322323200060 322323060000
322327590121 322327590120
322327500130 322327590141
322327590140 -----
322327590142
322327590110 322327590114
N
E W
1 inch = 200 feet
1 inch = 0 miles
� S
322325017013 3223250500 01 3223250 500I35 1 I I
3212325020026 322325019009 322325017005
' E KUHN AVE—
=
� j
` 322i3 2I 05003 1
322325020012 322325019010 322325051003 3I
50100 0 3223255 3255 01532232501800
901 322325019016 I32232502002232232501 3223250510011 322325051013
3 2325020014 322325018001322325020018 322325019014 322325051045
322325020016 322325018014 322325651041 322325051037 322325051033322325019015
322325051902
322319999999 E 5TH ST
322329999999
I j 322325201001 322325202001 32232520 200
322327590021 --- 32
23 2`5—
202016� ��3T
423252020((11
-'T
322325201001 �322325202044 I
322325202041 322325202028
322325202032
322325037001 E ALDERNEY ST
322327590025
322327590026 --
322325210001 c 322325209001 1
322325209005 3223252 9011 1
j
�3223' 28888888
iF
322327590022
322325210020 322325209040 322325209036 322325209032
322325209028
T22NR3W I 322325037016
I 322323290141T"" GREAT BEND DR
322314290124
322325212009
322323290142 322325212000 322325212005 322325212007
322314290122
322325212015
322329999999
322314290123 322325220001 r---FT
322325220005
- -\j 322327590024 322327590023 322327590011 322327590013 322325220009
322328888888____r
322327590012
32232 2220017
322325220021 322325220019 322328888888
322314290121 E GARNET CT E SPRUCE ST-
O
Z
322327590031 a
- CO
3: 322327590123 322327590122 322327590121 322327590120
322327590033 — 0
w 322327500130
322327590032 O
322327590034 z
322314490041 322314490042 w 322327590113 322327590112 1322327590110-322327590114
N
1 inch = 200 feet
W E
1 inch = 0 miles
S
. a
ALL SETBACKS ARE MEASURED PLANNING
FROM THE FURTHEST ECEIVED
j{PROJECTION OF THE BUILDING
— r 0 8 2016
LA
rs
4 ►
i �� 55A6A
C4%;
It �
�dQP
lJ
Pre P, eAD
ox
►� j .e�;�,s ,L�. - ►fie--20<<o-ooio�.
-- rn Sul 1r�,
no f'� �LS'fl r►�J
APPROVED
,AASON COUNTY DCD PLANNING
�I old 20I CR • 007Le a CHANGES SUBJETT E
O APPROVAL
Name Parcel# ?,2132 —SZ'/CY_'W BLD# 261tf
BUILDING
UIL IN Mason County AUG 0 8 2016
Department of Community Development g t
Small Parcel Stormwater Management Applieation/Worksheet (pag61`� ) �
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.4 8 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:
hit www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEAS&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
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
100 W. Public Works Dr
Shelton.WA 98584
If this development has,or will have,a septic/drainSeld 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 e)d 400
415 N. 6th St—Bldg#8 lower level
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
OwnerBuilder/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 ac ledge that 99 information provided is accurate and employees of Mason County are granted access to the above-
descri o erty f r r iew and inspection as may,be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
Name Parcel fr 3.Z.23 Z �.5-Z lao-2L7 BLDT
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksbeet (page 1 of 2)
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment', with more than 2,000 square feet of impervious 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 stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area "All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways =
= Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/VWalks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small:Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas)
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.
OvvnerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Aclmowledgement 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. 10
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.
Paae I of 2