HomeMy WebLinkAboutBLD2019-01074 Remodel - BLD Permit / Conditions - 1/6/2020 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
FACESSORY
9-01074 ADDITION OR REMODEL-
RESIDENTIAL
ESCRIPTION: REMODEL OF RECREATIONAL ISSUED: 01/06/2020
BLDG FOR VACATION COMPOUND
ESS: 6999 E STATE ROUTE 106 UNION EXPIRES: 07/04/2020
PARCEL: 322335000007
APPLICANT: WATERMARK EST MGMT SERV LLC OWNER: WATERMARK EST MGMT SERV LLC
10230 NE POINTS DR STE 200 10230 NE POINTS DR STE 200
KIRKLAND,WA 98033 KIRKLAND,WA 98033
425-576-3393
VALUATIONS: FEES: Paid Due
Project Valuation (BID, 48888.88 %y$4888.88 Change in Tenant-Minor EH $110.00 $0.00
ESTIMATION..) Plan Review
Planning Review Fee $240.00 $0.00
Plan Check Fee $445.84 $0.00
Building Permit Fee $685.90 $0.00
Plumbing Base Fee $25.00 $0.00
Mechanical Fees $10.00 $0.00
Mechanical Base Fee $30.00 $0.00
State Fee-Residential $6.50 $0.00
Plumbing Fees $36.00 $0.00
Total: $48,888.88 Totals : $1,589.24 $0.00
FIXTURES
(sty Mechanical Fixtures City Plumbing Fixtures
1.0000 Spot Vent Fan(s) 1.0000 Bathroom Sink
1.0000 Number of Toilets
2.0000 Number of Showers
REQUIRED INSPECTIONS
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Page 1 of 5
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
ADDITION OR REMODEL- RESIDENTIAL BLD2019-01074
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 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.
* 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 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.
* 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.
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Page 2 of 5
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
ADDITION OR REMODEL- RESIDENTIAL BLD2019-01074
" 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.
* 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.
* 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.
* 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.
* 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.
* The foundation/footing must be placed on undisturbed, firm-native soil.
* 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.
* 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.
* 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.
* 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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Page 3 of 5
Mason County
,y
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
ADDITION OR REMODEL- RESIDENTIAL BLD2019-01074
All changes to"approved" buildingplans that effect compliance with the international codes as amended and adopted, or
P P
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
* 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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.
* 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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.
* 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.
* 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.
* 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.
* 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.
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Page 4 of 5
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
ADDITION OR REMODEL- RESIDENTIAL BLD2019-01074
* 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.
" 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.
* Proposed work shall adhere to the HMP (MEP2018-00008), as well as the Hearing Examiners Decisions for the RO
variance VAR2018-00004 and shoreline permit (SHR2018-00003).
* Toy box NOT approved for sleeping. This 0 bedroom unit is connected to a community OSS and an increase in usage has
not been approved for this building permit.
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 regulating construction or the performance of construction.
Issued By: 1l�-
Contractor or A th rized A ent: T
9 � /�- Date:
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Page 5 of 5
silo
REGISTETi®
PARCEL DIAGRAM(NTS): SHEET NOTES:
/ - - O PROPOSED NEW EXTERIOR DOOR
GSTEPSANONG STATE OF WASHING ON
SEP 19 2019 I o PROPOSED NEW LANDSCAPING STEPS
1/ ,— Oj RE LANDSCAPE DISTURBED AREAS
Oct
;� I/ _ _ O WORN IN THIS IC EA DPANDER SEPARATE PERMT
[���/�y '��n J\ HIGHWAY
615 W. Alder Street RGHT�F'NAY
OS EXISTING SEPTIC ORAWFfELD
-- - v.v aTm,waoni I
HIGH TIDE LINE
P _
C
PLANNING
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APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES SUBJECT TO APPROV L
LOTUME
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615 W.Alder St.Bldg 8,SHELTON,WA 98584
l MASON COUNTY SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
Building Flanrrong,Environmental Health,Community Heutth 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://www.co.mason.wa.us/community-services/bld-inspection.php
Permit Number BLD2019-01074 Date Issued 01/06/2020 Issued By
Project REMODEL OF RECREATIONAL ACCESSORY BLDG FOR VACATION COMPOUND
Site Address 6999 E State Route 106
Applicant WATERMARK EST MGMT SERV LLC
Contractor
Contractor Phone
Primary Code CPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type ADDITION OR REMODEL- Occupancy
RESIDENTIAL
-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
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing J7L_
Groundwork Gas Pipe Mechanical 2-2cu-'7 ci TL._
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls 'Q'vEZO Z_ Zv-2c) �_ Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other T g &1� -S-2D Zy
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
MASON COUNTY COMMUNITY SERVICES Permit No: 1�
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL
615 W Alder Sir h o V�E6,42G
Phone Shelton:(360)427-9670 5 • SP 1 9 2019
Bellair.(360)275-4467
BUILDING PERMIT APPLICATION
615 W/:-Alder St eet
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Watermark Estate Mgmt Svcs LLC NAME: TBD
MAILING ADDRESS: 10230 NNE PointS LSte-290, MAILING ADDRESS:
CITY:_Kirkland STATE: WA__ZIP:98033 i CITY: STATE: ZIP:
PHONE#1: 425.576.3393 j PHONE: CELL:
PHONE#2: EMAIL:
EMAIL: i L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER
NAME Ray Nelson,Owner Representative EMAIL v•rayngkwatenmark-Itc.com
MAILING ADDRESS 10230 NE Points Dr.Suite 200 CITY Kirkland STATE INA ZIP 2803-3--
PHONE a25 576 nwi CELL 707-834.0006
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32233-50-00007 ZONING RR5
LEGAL DESCRIPTION(Abbreviatcd)Sunny Bch TR 4 NLY of R/W 8 TAX 892-A FIRE DISTRICT 6
SITE ADDRESS 6999 E State Route 106 CITY Union,WA
DIRECTIONS TO SITE ADDRESS_From Union, WA head East on Hwy 106, turn right on E Beach Dr,
first driveway on right, proceed to gated entrance.
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESK NO❑
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all ihatapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM N
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION K REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bidg,bYc.) recreational accessory buildingfor a vacation_qqr!2pound.
1S USE: PRIMARY❑ SEASONAL K NUMBER OF BEDROOMS 0 NUMBER OF BATHROOMS 1
HEATED STRUCTURE? YES(WhaicBldg)X YES(Pan/s/ojBldg)❑ NO❑
DESCRIBE WORK Remodel of existing 1 Sto building.
SQUARE FOOTAGE: (propose e.i.ning)
1ST FLOOR- 724 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 sq ft Attached❑ Detached❑ CARPORT sq.ft Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE — MODEL YEAR LENGTH—________ ---
WIDTH_----__ BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC X SEWER❑ / NEW❑ EXISTING}O
PLUMBING IN STRUCTURE? YES® NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES❑ N/C NO[] EXISTING SQ.FT. N/A
EXISTING BEDROOMS 0 PROPOSED BEDROOMS 0 TOTAL BEDROOMS 0
OWNER acknowledges that submission of ineccurale 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 8 void if work or authorized construction is not commenced within 180
days or It construction work is suspended for a period of 180 days
PROOF OF COf'� INUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT P CAI N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
//�i� l�� COUNTY CODE Xl� IgoI CI
S gnatu a of OWNER(Must be sianed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
t MASON COUNTY COMMUNITY SERVICES Permit Noo��_aQ1q"01o'1`"f
PERMIT ASSISTANCE CENTER: �� � L D � � C
•BUILDING •PLANNING •FIRE MAR
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 SP 19 2019
Phone Belfair.-(360)275-4467• Phone E/ma: (360)482-5269
PLUMBING & MECHANICAL PERMIT APPLICATIOW6 W, Alder Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Watermark Estate Mgmt Svcs LLC NAME: TBD
MAILING ADDRESS: 10230 NE Points Dr Ste 200 MAILING ADDRESS: I
CITY: Kirkland STATE: WA ZIP: 98033 CITY: STATE: ZIP:
I 'PHONE: 425.576.3393 ( PHONE: CELL:
2"d PHONE: 707.834.0006 EMAIL :
j EMAIL: Ray Nelson, Owner Representative: L&I REG# EXP.
f v-rayn@watermark-lic.com I
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 32233-50-00007 Zoning: RR5
LEGAL DESCRIPTION(Abbreviated): Sunny Bch TR 4 NLY of RNV&TAX 892-A
SITE ADDRESS: 6999 E State Route 106 CITY: Union
DIRECTIONS TO SITE ADDRESS: From Union, WA head East on Hwy 106, turn right on E Beach Dr,
first driveway on right�Droceed to gated entrance.
TYPE OF JOB: accessory building for
NEW ADD ALT X REPAIR _OTHER USE OF BUILDING residential vacation compound
LOCATION OF FIXTURES/UNITS—1 sT FLOOR X 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric X LPG_ Natural Gas_Ductless—
Toilets 1 9.00 Type of Unit No.of Units Fees
Bathroom Sink 1 9.00 Furnace
Bath Tubs Heat Pump
Showers 2 18.00 Spot Vent Fan 10.00
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hose bibs Dryer Vent
Other Solar Panel
Other
Base Fee 25.00 Base Fee 30.00_
TOTAL PLUMBING 61.00 TOTAL MECHANICAL 40.00
OWNER acknowledge 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALID TH PPLICATION.
X g �8 026 r -
Sign. ur of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL