HomeMy WebLinkAboutBLD2019-01171 Final SFR ADV2019-00130 - BLD Permit / Conditions - 12/5/2018 Mason County
y° Mason County - Division of Community Development
i
615 W. Alder St. Bldg. 8
Shelton, WA 98584
- 360-427-9670 ext 352
www.co.mason.wa.us
F
9-01171 NEW SINGLE FAMILY RESIDENCE
DESCRIPTION: NEW SFR (REPLACEMENT) (STOCK PLAN ISSUED: 12/05/2019
)
ESS: 111 NE GALLEY WAY BELFAIR EXPIRES: 06/02/2020
PARCEL: 123305100092
APPLICANT: RJ PEABODY INC OWNER: RJ PEABODY INC
P O BOX 565 P O BOX 565
BURLEY, WA 98322 BURLEY,WA 98322
360-340-0000
VALUATIONS: FEES: Paid Due
U VB Utility, miscellaneous 400.00 $19,320.00 Plumbing Base Fee $25.00 $0.00
R-3 VB Residential, one- 1410.00 $170,948.40 Mechanical Fees $92.00 $0.00
and two-family Technology Surcharge $1.60 $0.00
Covered Deck/Carport 84.00 $1,848.00 Planning Review Fee $240.00 $0.00
Building Permit Fee $1,659.84 $0.00
State Fee-Residential $6.50 $0.00
Mechanical Base Fee $30.00 $0.00
Plumbing Fees $122.00 $0.00
Plan Check Fee $331.97 $0.00
Building Plan Review/Change of $110.00 $0.00
Use- Onsite Sewage
Total: $192,116.40 Totals : $2,618.91 $0.00
FIXTURES
gty Mechanical Fixtures (sty Plumbing Fixtures
1.0000 Dryer Vent(s) 1.0000 Number of Bath Tubs
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Clothes Washers
1.0000 Furnace(s) 1.0000 Number of Dishwashers
1.0000 Heat Pump(s) 1.0000 Number of Kitchen Sinks
3.0000 Spot Vent Fan(s) 1.0000 Number of Showers
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 1 of 7
` Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
(fit Plumbing Fixtures
1.0000 Number of Water Heaters and or Vent
2.0000 Number of Hose Bibs
3.0000 Bathroom Sink
3.0000 Number of Toilets
REQUIRED INSPECTIONS
Setback Inspection Framing Inspection
Footing Inspection Rough- Plumbing Inspection
Foundation Wall-Pre-Pour Inspection Mechanical Inspection
Underfloor Inspection Insulation Inspection
Shearwall Inspection BLD-Final Inspection
CONDITIONS
" All construction must meet or exceed all local and state ordinances in addition to 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.
* A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required 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.
* 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.
* 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.
* 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.
* The stamped 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, 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.
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 2 of 7
j' Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg, 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
* 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.
* When parcel development requires direct access to county road(s), 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 or
100 W Public Works Dr. Shelton. 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.
* The foundation/footing must be placed on undisturbed, firm-native soil.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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 DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of
fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or
created.
* 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.
* Adopted IECC/Washington State Energy Code Compliance has been approved as follows:
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.
5c- EFFICIENT WATER HEATING 5c:
Water heating system shall include one of the following: Gas, propane or oil water heater with a minimum EF of 0.91
or
Solar water heating supplementing a minimum standard water heater. Solar water
heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification
Corporation (SRCC)Annual Performance of OG-300
Certified Solar Water Heating Systems
or
Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate
Specifications for Heat Pump Water Heaters
* Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 3 of 7
Mason County
i` Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
— 360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
" By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback conditions listed.
* REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable
provisions of the current code and the manufacturer's installation instructions.
A drip edge shall be provided at eaves and gables of shingle roofs.
* 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* A Mason County 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
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/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan.
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.
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 4 of 7
r Mason County
i
Mason County - Division of Community Development
p 615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
* 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 R403.7. 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/WSEC Section R403.3.3 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.
* 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.
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 5 of 7
Mason County
Mason County - Division of Community Development
w 615 W. Alder St. Bldg, 8
Shelton WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
* A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space
where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel,
the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired
labels.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 R401.3 & R402.4.1.2,
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 5 air
changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4.1.2.
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 500 square feet. Reference IECC/WSEC R402.4.1.2.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate" and are
available in or'/2 sheets. The Mason County Permit Center will also have some available.
* All RED stamped 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.
* Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a
permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor
& Industries (L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-
4000. `
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at (206)357-2620, ext. 630.
* 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.
* All building permits shall have a final inspection performed and approved by 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 County ordinances and building regulations.
* Under-floor inspection is required prior to installation of floor sheathing. Please contact the Mason County Building
Department to schedule this required inspection.
Printed by:Julia Kerkes on:12/05/2019 02:25 PM Page 6 of 7
Mason County
Mason County - Division of Community Development
m 615 W. Alder St. Bldg. 8
Shelton, WA 98584
-- 360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2019-01171
* A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with
the 2015 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener
spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S2 designate GARAGE PORTAL
WALLS with fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified
to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton,
WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project.
* Stock Plan Identification number:2015-00014
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by
the Planning Department, red stamped approved building plans, and all attachments approved by the Mason County
Building Department shall be available for the Mason County Building Inspector at each required inspection.
* Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
X
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/local law gul ing construction or the performance of construction.
c
Issued By: �All ��'
Contractor or Authorized Agent:
� Date:
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615 W.Alder St.Bldg 8,SHELTON,WA 98584
1 MASON COUNTY SHELTON:360-427-9670,EXT 352
/! COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
Building,Plaru-ang,Environmental H"th,Community Healttr
ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY*"
To schedule an inspection call or visit http:/twww.00.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2019-01171 Date Issued 12/05/2019 Issued By
Project NEW SFR(REPLACEMENT) (STOCK PLAN 2015-00014) %�—
Site Address 111 NE Galley Way
Applicant RJ PEABODY INC
Contractor
Contractor Phone
Primary Code 21PC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
"THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.—
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks Slab
Footing Perimeter Point load Footing
Footing Interior \Footing Decks/Porches
?htrWS V%NX*.(Ao0%k — Foundation Stem Walls
Rough-In Groundwork Plumbing 5110 Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing ?gyp
Underfloor ? 7174W
Other
Insulation Slab Ceiling
Floor Vaulted C lli
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
' MASON COUNTY COMMUNITY SERVICES Permit No:"bld 261q -01 1`.-1
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
EPh�r� ;11))(360)427-9670 ext. 352•Fax:(360)427-7798 Phone -16 15' 1`4
e fatr.•(360)275-4467•Phone Elma:(360)482-5269
0CT 15 2019 BUILDING PERMIT APPLICATION BUILDING
PROPS ATION: CONTRACTOR INFORMATION:
NAME: VJa J L NA
_Q a PIO-.q ME:
MAIL GAD RESS: MAILING ADDRESS:
CITY: Ur STATE: ZIP: CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: 7. EMAIL
EMAIL: V' t(��ct L&I REG # EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER
NAME F ci el EMAIL Y ^1?c N S (.011,
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) a 3309 - t`00a cf �, ZONING _
LEGAL DESCRIPTION(Abbreviated) FIRE DIISTRICT
SITE ADDRESS CITY 1 S 1
DIREC++TI,ONS TO SIT DDffR''ESS T ow,
o 1 �S0 IJL-V o 0
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER ❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER �]c a
USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY 15\ SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMSo?•5
HEATED STRUCTURE? YES(Whole Bldg) YES (Part[.,]of Bldg) ❑ NO ❑
DESCRIBE WORK N RAt &2 S E
SQUARE FOOTAGE: (proposed)
IST FLOOR 5 4-0 sq. ft. 2ND FLOOR aq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft.
DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTHER sq.ft.
GARAGE �sq.ft. Attached❑ Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE YEAR LENGTH
WI H BEDROOMS BATHS NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC fK SEWER❑ / NEW ❑ EXISTING
PLUMBING IN STRUCTURE? YES [ NO ❑ If yes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NOR EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 3
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 and 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X d � 2- oj ,�
Signature of OWNS (Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY 54o6,c?jaA_�
COMMUNITY SERTqg10F I V D
Building,Planning,Environmental Health,Community Health
ACT 5 2019 /// BUILDING
Physical and Mailing Address: 615 W Alder St.,Bldg 8, Shelton, 985 4
Shelton Phone: (360)427-9670 ext 352 -& Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:T)IGI clod 1Irl I
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: a/y\ /,
MAILING AD RESS`:' O , S MAILING ADDRESS:
CITY: U r. Ur STATE:U✓ ZIP: CITY: STATE: ZIP:
1st PHONE: b �- �--�j — �, I ! `2 PHONE: CELL:
2nd PHONE: EMAIL:
EMAIL: L&I REG# EXP. I /
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): 3 OO 09 ^1, Zoning:
LEGAL DESCRIPTION (Abbe fated):
SITE ADDRESS: c c CITY: Q 1
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB/WORK: NEW_� ADD ALT REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuels Fees
Toilet(s) s Furnace �— /LPG]
Bathroom Sink(s) 3 Heat Pump ]
Bath Tub(s) o Ductless H.P. [E/G/LPG]
Shower(s) Spot Vent Fan
Water Heater(s) �/G/LPG] Propane Tank gal.]
Clothes Washer(s) 1 [E/G/LPG] Gas Outlet(s)
Kitchen Sink(s) 1 Heat Stove [E/G/LPG/W]
Dishwasher(s) i Kitchen Exhaust Hood T
Hose bib(s) -2- Dryer Vent t
Other Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection 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.1 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
INSP CTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x
Signature,of Applicant Date
x 0 V\ "NL, OM4 P Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED JDATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
Visit us on-line: I)ttp-.,'/Www.co.i-nason.wa.Lis/coni!iiunity_dev/ Rev:3/08/2017
PLANNING
MASON COUNTY Mason County Permit Center Use:
l COMMUNITY SERVICES ADv as I�1 _ pp 1770
Building,Planning,EnAronmental Health,Community Health
' 615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd �-
Phone:(360)427-9670 ext.352• Fax:(360)427-7798 D
Fee: $130.00
Request for Administrative Variance for OCT 15 2019
Reduction in the Required Setbacks
615 W. Alder Street
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 utter
Applicant/Owners: 1 { .
Mailing Address:?6
City: State: WA Zip:
Telephone: 4I
Email: 1' l r[G� h'K n4 Cn M
If this reduction is tied to a building permit, please give permit case number.
BLD aU 1 q - U 1111
Parcel Number(s): 1 a�3:36 -S I- Oyy-1 a Zoning
Site Address: I I V1 —
Requested setback variance:
10 ft. 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, and set backs to all
property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic,well and
driveway. Show all proposed new development.
F ONT AND OR REAR YARD REDUCTION REQUESTS:
Fckexistin is of record as of March 5, 2002;
You must meet one of the following:
1) 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;
�Ve)
) lot size of no more than one-fourth acre;
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.
xiS�n Wd.
It) ac#zl I D' )V-tj M,f- ucv) Pic
Owner/Agent (please indicate) B - I S
Signature Date
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial:
6 0 ' RECEIVED
OCT 15 2019
6 5 W. Alder Street
PLANNING:
ALL SETBACKS ARE
FROM THE F(1 MEASURED
PROJECTRTHEST IPLANNING
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ON OF TH
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SITE PLAN QUIRED TO BE ON SITE
CHA GE UBJET TO APPROVAL
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