HomeMy WebLinkAboutBLD2015-00445 Final SFR with Deck - BLD Permit / Conditions - 7/23/2015 i!
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Inspection Line(360)427-7262
e olq Co U,yrA MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT ' Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
l
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT
BLD2015-00445
OWNER: BONNIE DAVIES RECEIVED: 6/8/2015
CONTRACTOR: LICENSE: EXP: ISSUED: 7/23/2015
SITE ADDRESS: 493 NE TIGER MISSION RD BELFAIR EXPIRES: 1/23/2016
PARCEL NUMBER: 123051390091
LEGAL DESCRIPTION: TR 9-B OF GOVT LOT 5 TR B OF SP#2560
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New residence with 10-ft. deep deck on lake side&4-ft. deck on north side. FOLLOW ST RT 3 TO BELFAIR, L ON ST RT 300, STRAIGHT ONTO OLD
BELFAIR HWY, L ON BEARCREEK DEWATTO RD, R ON TIGER MISSION
RD TO PRIVATE EASEMENT, FOLLOW TO SITE ADDRESS
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 4 Occ. Group: R-3, U Lot Size: Deck: 664
Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,560 Garage-Attached 616
Valuation: $ 372,700.80 Building Height: Occ. Status: Basement:1,464
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 180.0 Ft. Shoreline: 70.0 Ft. Water Body: TIGER LAKE
SEPA?: No
2
Model: Width: Ft. Rear: 1N 0.0 Ft. Slope: Ft. Shoreline Desi
Side 1: N 0.0 Ft. 9.: Urban
Year: Serial No.: Side 2: S 22.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 4 Furnace<100K 1 Plan Check Fee GMM 6/8/2015 $ 1,046.34 S2201500000001
Lavatories 5 Heat Pump 1 EH Plan Review GMM 6/8/2015 $205.00 S2201500000001
Bath Tubs 2 Ventilation Fan 5 Planning Review Fee GMM 6/8/2015 $205.00 S2201500000001
Showers 2 Propane Tank 1 Fire Warden Review GMM 6/8/2015 $ 73.00 S2201500000001
Water Heaters 1 Gas Outlets 3 ADJUST--Plan Check Fee GMM 6/30/2015 $ 593.32 S2201500000001
Clothes Washer 1 Propane Stove 2 Building State Fee RTB 7/20/2015 $4.50 S2201500000001
Kitchen Sink 1 Exhaust Hood 1 Building Permit Fee RTB 7/20/2015 $2,522.55 S2201500000001
Dishwasher 1 Dryer Vent 1 Mechanical Permit Fee RTB 7/20/2015 $328.90 S2201500000001
Hosebibs 2 Mechanical Base Fee RTB 7/20/2015 $28.50 S2201500000001
Laundry Tray 3 Plumbing Permit Fee RTB 7/20/2015 $ 180.20 S2201500000001
Plumbing Base Fee RTB 7/20/2015 $24.70 S2201500000001
Total $5,212.01
BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 1 of 7
CASE NOTES FOR
BLD2015-00445
CONDITIONS FOR
BLD2015-00445
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure (70 feet from Tiger
Lake).
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2) The proposed project must be consistent with all a�plii_cable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X 1__�
3) All construction and demolition debris must be removed from the site after project completion. Proper 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 ) 1
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing, straw, or
surface matting must be installed and maintained until upland vegetation has become established. X
5) All surface water and potential runoff from the proposed development will be controlled on site in drywells and infiltration trenches, and shall
not adversely affect any adjacent properties, cause sediment deposits, nor increase the velocity flow entering or abutting to any state or
county culvert or ditch system or road way.
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6) All property lines shall be clearly identified at the time of foundation inspection. X
7) 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 Ian"to ensure these structures are shown and meet the setback conditions listed.
8) 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.
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9) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X dS.1--
10) Owner Qust s ow proof of satisfactory water sample and well log prior to temporary/permanent occupancy of the residence.
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BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 2 of 7
11) 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.
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12) On-site septic system final installation approval required prior to temporary/final occupancy. SWG2015-00072
13) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X J_� /
14) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X � 1�
15) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Department prior to any further inspections being performed or approvals granted.
X
16) Owner/A ent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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17) 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 approved documents will result in failure of required building inspections.
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18) 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 Department prior to any further inspections being performed or approvals granted.
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19) 2012 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.
In addition the following credits from R406.2 shall be completed as follows: 3b H.P. min. HSPF 8.5, 5a elec. W.H. min. EF 0.93 = 1.5
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BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 3 of 7
20) A permanent 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 certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in '/4 or'h sheets. The
Mason County Permit Center will also have some available.
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21) 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.
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22) A concrete encased grounding electrode 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.
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23) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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24) 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.
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BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 4 of 7
25) 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 an, shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
X
26) 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.
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27) 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.
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28) 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.
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29) 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.
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30) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc). Setback to the public
way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
the greater of 5-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bollards must be installed.
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BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 5 of 7
31) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures,
compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements
shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as
specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be
installed.
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32) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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33) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be used until the final inspection has been performed and approved by a Mason County building inspector.
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34) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think such features exist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X 1: L.
35) All property lines shall be clearly identified at the time of foundation inspection. X 1_:!_�> , '
36) 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 County ordinances and building regulations.
37) 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 haveprevented action from being taken. No more than one extension may be granted.
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38) 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.
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BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 6 of 7
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.
Signature Date
Qe5L.4-$ pe,L) C-e OWNER - REPRESENTATIVE - CONTRACTOR
Print Nam (Circle one to indicate)
BLD2015-00445 Please refer to the following pages for conditions of this permit. Page 7 of 7
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PROJECTIO OF THE BUILDING .` M;
426 W. CEDAR ST
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APPROVED
DoeM ON COUNTY
DCD y ITE PLAN REQUIRED TO BE ON SITECHANG
By SSUBJECTTOAPPROVAL'
DateStakes m Propey4y
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ACCESS & GRADE INSPECTION BLD )`s
ADDRESS: +1
.
INSPECTOR: l401(- DATE OF INSPECTION:
FIRE SPRINKLER REQUIRED? (circle) YES
IF fire sprinkler required, was notification letter mailed? DATE MAILED:
DRIVEWAY ACCESS
(-) need post at access of driveway with reflective address numbers
Length: Width: j Surfacer I
Size of turn-around: ,ems Ili' j� Dr. -�—
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON BOLD ( )
REMARKS
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instructions #4)
O er: Parcel#: Type f pro'ect:
Total Sq. Ft. 15 Floor: 2"d floor: Heated Basement:
of heated area:: 'j 2-4 L:) I W tv 4
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
0 Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
• Prescriptive Option Table R402.1.1
Compliance Method O Component Performance, R402.1.3 — Calculation worksheets required
Check one::
O Other (specify):
Check one ! Whole House Ventilation system o Whole House Ventilation o Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1507.3.4) System (M1507.3.5)
Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units
must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to
comply. If the table is not attached to this form you can access the table on our website at:
http://www.co.mason.wa.us/forms/Community Dev/index.php.
Additional
Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled
Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an
Requirements existing building that is less than 750 sq. ft. of heated area. To use this option
Energy credits complete a window schedule in order to verify that the fenestration area does not
exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows,
required: vertical windows, opaque doors, glazed-doors that include products with glass and
1 . 15 non-glass glazing materials. — 0.5 points
b) Medium dwelling units not includes in a) above, or b) below— 1.5 points
c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor
area. —2.5 points.
Describe Energy Credit Option(s):
36 :�- Ale-- 56UrLV_,hkC,_�- PU040 05p�- S- s
Using Option n umber(s): l��., 1, 3 ,xv-
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FENESTRATION SCHEDULE
USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE
List all windows, doors, skylights. (If needed, attach an additional sheet)
'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that
include products with glass and non-glass glazing materials.
Manufacturer Location U-Factor Size Quantity Total
rou h opening) Square Feet
X
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Total Fenestration: windows, skylights and door area
MASON COLNI'Y RESIDENTIAL PLANS SUB=AL CHECKLIST
Orsmer's Name.11 n n I Ei 1qV 6 Date: to 6—2615 Reviewed By:
Documents U I L I N
—�YBuilding Permit Application Completed Stoffiwatrr Checklist
wit m� `ble gar overhangs,dew,etc. BUILDING
/ ire Apparatus Access Road mfo recluiz. Yes No
_Energy Code Application Form-O Electric heater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type_
Ductless Heat Pump O Other Specify:
hanical/PI bung Application-WATER HEATER FUEL TYPE/L)CATION L
ngineermg Ye o Snow load s� Seismic: D2_ -j��
Stock Plan— oved snow load. Seismic: D2_ 4/ C
MLvzzzactW- mes—4 FLOOR P
Foundation Type: ANSUManufacttre me '- Engineered fcotinefoimdafiou Basement
Decks: Covered? Uncovered over 4 x 6 and over 3 . nsttvcdon plans required_
Constructior Plans: �/3 COMPEER SETS /
P Legible ,✓/ gnized Scale _✓glevation Views oss Section
, dation Plan _Roof Framing Plan ✓Floor Plan-Use of rooms noted(all floors)
_ oor Framing Plan-all floor levels including loft,crawlspace,etc. (<200 S.F.77—stairs?)
_ eDeck Framing Plan,incl cov.porch framing
Plan Detai
Roof framing details,miss lay-out may be needed (Mp and girder location shown)
gall Framing-Does bearing-wall height exceed 10'? (Erg meerin$may be required) (O A
✓Floor framing: Floor joists(size& acing):_ I I-rlF:,. J s.+ 11#0('Floor beams:y5
✓Window headers. Typical header Al X 10 i 4)4 I a Garage header. 3'/2 X 13'/�
_-__dation:footing size,reinforcement
n Q Conurete"Walls-Does Concrete Wall Height Ex 8'?(Engineering may be require4 see details)
V;Xatidings at all exits?Less than 30"above IN
V�Zeatt-,d By Furnace-Location of Furnace L
eplace/Stove Information Shown-Fuel Type L
7mdow Sizes Marked on Plans
Braced wa11 panels(shear wails)marked on plans or lateral e a?
V
COMMENTS:
ENGR'THERIlQG REQUIRED
Braced wall panelwbrace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet Tnin imumm required in Table R602.10.1
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be trausf�/ oposed
building plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: ,Snow i sf
IRREGULAR BUILDINGS R301-2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or B WP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2-A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3)End of BWP extends more than 1 L over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 fL or 50%of!e least floor or roof dimension.
j 5)Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc: fireplaces,chimneys,and vene-..r).
When this applies the entire story shall be desig aed.In accordance wig accepted engineering practice.
'�peiZrtitech bolding checklist_doc Revised 11-29-2007
Name Ba nn I e OtS Parcel# IT36 S - 1 J-qO 6Q I BLD# Z o 1 5 - [o L4 g S
Mason County rl ,, ;_
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:
http//www.co.mason-wa—us/code/commissioners/index.htna
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 S[orm Drainage on Small Lo[s, The Small Parcel Siormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) JZIf'he 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 septic/d rain field 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 ibis,or
any other, parcel.You may also wish to consult with the septic design professional involved with th ason
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
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
Owner ent/Contractor circle one)Date:
Page 2 of 2
IvT 5- f3- 1 ame �iJn Ili� �V)� I�3o q�Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page I 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.
2Common 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 = Z �
X = Measurements for buildings are taken at the
X — perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways 200 X ( 2. = 240b
X = Length of drive begins at the right of way
X =
Parking Areas Z X
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks ID X S"?
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) 64q0C)
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 =� Owne 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
"RCN CCU ^-
� � ' MASON COUNTY Permit No: j��� i 00�`-'S
' DEPARTMENT OF COMMUNITY I EVELOPMENT
BUILDING•PLANNING.FIRE MARSHAL (360) 427-9670 Shelton ext. 352
http://www.co.mason.wa.us/communitvrekt/ 0 275-4467 Belfair ext. 352
"'s• 18s4 r 426 W Cedar Street, Shelton WA 9858 I L D I I00)482-5269 Ehna ext. 352
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: & NAME: bo u bav 1
MAILING ADDRESS: OX MAILING ADDRESS: V G tsoly IC104
CITY:BY0 1 A I K STATE:-WA ZIP: J CTTY:bel Fair STATE: KJA zip:
• PHONE.- S- CELL:1A:70 C_._,,1Cq-_S1741. PHONE ` Cffl CELL.-
EMAIL: �C3t S
r1 e 6kV 1 e5 n0 •C Owi EMAIL : J A it! �
L&I REG# EXP.
, CONTACT : OWNER ❑ CONTRACTOR W BELOW ❑ I'
NAME: XlQ ViC�S MAILING ADDRESS: d &X I qd
EIMAIL: I STATE: IA,IA :r 529 PHONE:�b.-Z"IS ,ELL:3(oO-CFO-�l�
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) Z 3 -( ()Q�I F DISTRICT �.
LEGAL DESCRIPTION(ABBREVIATED): �� (p
SITE ADDRESS U 1 r- i bn CI Y (r
D�I CTIONS TO SITE ADDRESS ' C ' a - e' I -IYliS ' .d
KU -T-A Right iI er— cb I -hir q
IS PROPERTY WITIM 2 0 FT:
SALTWATER❑ LAKE RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO JA
TYPE OF JOB: NEW I ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) 1dWCe W I &AaC,hCd JGLVadie,
IS USE: PRIMARY 15Q SEASONAL❑ NUMBER OF BEDROOMS NUMBEK OF BATHROOMS
DESCRIBE WORK BLWd i nA a nf'_yU hI f1YNlCe Septa G £s WeJ I ?i DOW W
SQUARE FOOTAGE:
1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE lL_ (�sq.ft. ATTACHED 5Q DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED❑
MANUFACTURED HOME INFORMATION: '*4 COPIES OF THE FLOOR PLAN RE,OUIRE
WTiC
MODEL YEAR
BEDROOMS 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 EXPIRED. (MASON COUNTY CODE 14.08.42)
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE ES/ ITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT GAO
FIRE MARSHAL
11,L.�S i�01'AL
'_'
,iVALUATION:
BUILDING PERMIT FEE FME ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE Ayy
`2
MASON COUNTY PERMIT NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
_ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
Shelton,WA 98584 (360)482-5269 Elmaglli L D I
N G
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ( 0 NAME:
MAILING ADDRESS: MAIL G SS: O u Q
CITY:& f&j K STATE:_ZIP. 6 57� CITY: I f STATE: _ZIP:
PHONE. =2i�- fo2 CELL: ®- - 7 � PHONE: = 15- CELL: 3 -3LI0�4Gf1 ;
EMAIL: q q�c� G11�1 C�S �,t u l MCA Yl EMAIL :d ouAi 51q
L&I REG
PARCEL INFORMATION: . I. a Q�
DIGIT NUMBER).- I?- � �J
PARCEL NUMBER(12 DI )
r
LEGAL DESCRIPTION(ABBREv7A7ED): V I i OT 51 6
sITE ADDRESS: 4413 �`161�t= M i 3S i c'I n CITY: tyA f-rri i /
DIF,ECTIONS TO SITE ADDRESS` W ' P
TYPE OF JOB
NEW=ADD ALT REPAIR OTHER USE OF BUILDING �Y�C�
LOCATION OF FIX1'URES/UNITS-1ST FLOOR_ 2 FLOOR BASEMENT X GARAGEX OTHER
PLUMBING F ITURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fines Fees Fuel Type:Electric `X LPG X_Natural Gas—Ductless—
Toilets 4 I.)Me of Unit No. of f Units Fees
Bathroom Sink Furnace
Bath Tubs Z Heat Pump
Showers Z Spot Vent Fan
Water Heater ti Propane Tank -- �—
Clothes Washer 1 Gas Outlets
-
Kitchen Sinks Wood(q�)'Pellet Stove S-
Dishwasher Kitchen-Exhaust Hood
Hose bibs Z Dryer Vent
Other Solar Panel
kfi I I N Sinks 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 is
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INAC �V
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature of ApplicantDate Gip
X &II I1 i Q. ba y I� ownerlOwners Representative/Cio ' ctor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE I DENIED DATE TAGS/NOTES/CONDPTIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
MASON COUNTY Permit No:�j k�l 2L I 15-- ayq 5
{ DEPARTMENT OF COMMUNITY DEVELOPMENT
i BUILDING•PLANNING•FIREMARSNAL• (360)427-9670 Shelton ext. 352
http://www.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352
426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352
"NEN!G BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: •� NAME: &U bav I e
MAILING ADDRESS: ` • MAU-ING DRESS: V 0 X I %
CITY: I rf STATE: WA ZIP: CITY: 1 V6 i f STATE: zip:PHONES- CELL:---APQ Gtq-S`14Z PHONE' •7-* -OC9 CELL:. O-
EMAIL: borinif CIAVW53 wo •C t o EMAIL : ( A `AV ie~.510 .A f"Y ,`
L&I REG# EXP. /
11\\,,,`` CONTACT : OWNER❑ CONTRACTOR 5Q BELOW ❑]
NAME: L SIC/ MAILING ADDRESS: d �aX (vl
CITY: [ ST ATE: Z IP: �7_� PHONE: Z7 ELL: (o0 ?jFO-U�II�
EMAIL: tjI I m
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) Z 3 61 OM I FIRE EOTCT `
LEGAL DESCRIPTION(ABBREVIATED) - fo
SITE ADDRESS U 1 V'- MkSS, brl 120 . CI f FWA
D CTIONS TO SITE ADDRESS ` ctV-
9-6 'TA Plight "i 1 •i;r- r U MI'le- to A
IS PROPERTY WITBIN 2 0 FT:
SALTWATER❑ LAKE RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
TYPE OF JOB: NEW I ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE RESIDENCE,GARAGE ETC.) f,dwce- �+ I colached Java e,
IS USE: PRIMARY 14 SEASONAL❑' NUMBER OF BEDROOMS NUMBS OF BATHROOMS_
DESCRIBE WORK BU.IICI I I( A OL (°1euk) 6YY1C,. St"C21A C• £� (,yC.l I j DOW
SOUARE FOOTAGE:
1ST FLOOR 5 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT / _sq.ft.
DECK ( sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft.
GARAGE LO (1P sq.ft. ATTACHED 5Q DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN RE,OUIRE
�Ti���
MODEL YEAR .....LRNBEDROOMS 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 permittapplication 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 EXPIRED. (MASON COUNTY CODE 14.08.42)
x 5 /�
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE N(;'8'/N' JdMhUT10NS
BUILDING DEPARTMENT _ _
PLANNING DEPARTMENT 71tiff
FIRE MARSHAL
ii(I�. AL` A �A�«IIIOO
BUILDING PERMIT FIJ; FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
AtY `'k �� °,1�� : '. cfx