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BLD2019-01286 Final SFR - BLD Permit / Conditions - 2/23/2021
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 FPROJECT 9-01286 NEW SINGLE FAMILY RESIDENCE DESCRIPTION: NEW SFR (HILINE HOME) (REPLACEMENT) ISSUED: 02/27/2020 ESS: 480 W HIGHLAND RD SHELTON EXPIRES: 08/25/2020 PARCEL: 420183100050 APPLICANT: DOUGLAS A&STEPHANIE S DARLING OWNER: DOUGLAS A&STEPHANIE S DARLING 260 E BALD EAGLE DR 260 E BALD EAGLE DR SHELTON,WA98584 SHELTON,WA98584 1.360.463.0320 GENERAL CONTRACTOR'S LICENSE: HILINE HOMES License: HILINH"983BD Expires: 11/08/2021 360-300-6100 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 1721.00 $208,654.04 Plumbing Base Fee $25.00 $0.00 and two-family Plumbing Fees $122.00 $0.00 U VB Utility, miscellaneous 528.00 $25,502.40 Mechanical Fees $73.00 $0.00 Covered Deck/Carport 276.00 $6,072.00 Mechanical Base Fee $30.00 $0.00 Planning Review Fee $240.00 $0.00 State Fee-Residential $6.50 $0.00 Plan Check Fee $1,271.09 $0.00 Building Permit Fee $1,955.52 $0.00 Building Plan Review/Change of $110.00 $0.00 Use- Onsite Sewage Total: $240,228.44 Totals : $3,833.11 $0.00 FIXTURES (sty Mechanical Fixtures ( t Plumbing Fixtures 1.0000 Dryer Vent(s) 1.0000 Number of Clothes Washers 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Dishwashers 1.0000 Ductless Heat Pump 1.0000 Number of Kitchen Sinks 3.0000 Spot Vent Fan(s) 1.0000 Number of Showers Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 1 of 8 � 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 BLD2019-01286 (sty Plumbing Fixtures 1.0000 Number of Water Heaters and or Vent 2.0000 Number of Hose Bibs 2.0000 Number of Bath Tubs 2.0000 Number of Toilets 3.0000 Bathroom Sink 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 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. * All property lines shall be clearly identified at the time of foundation inspection. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal * 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. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 2 of 8 ,e = Mason County 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 NEW SINGLE FAMILY RESIDENCE BLD2019-01286 * 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. 1a - EFFICIENT BUILDING ENVELOPE 1a: Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U =0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by5%. 3d - HIGH EFFICIENCY HVAC EQUIPMENT3d: Ductless Split System Heat Pumps, Zonal Control: In homes where the primary space heating system is zonal electric heating, a ductless heat pump system shall be installed and provide heating to the largest zone of the housing unit. 5a - EFFICIENT WATER HEATING5a: All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.c 5c- EFFICIENT WATER HEATING5c: 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 * 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. * 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. * 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. * 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. * 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. * 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. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 3 of 8 's 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 BLD2019-01286 * 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. * 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. * The foundation/footing must be placed on undisturbed, firm-native soil. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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). * 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. * 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 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. * 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. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 4 of 8 Mason County Mason County - Division of Community Development ,. 615 W. Alder St. BIdg.8 Shelton, WA 98584 --" 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2019-01286 * 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 Iabels.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'/z sheets. The Mason County Permit Center will also have some available. * 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. * 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. * 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. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 5 of 8 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 BLD2O19-01286 " 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. * 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. * 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. * 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. * 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. * 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. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 6 of 8 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 BLD2O19-01286 " 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. * 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. * 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. * Residential developers and individuals shall be required to control erosion during construction. Removal of vegetation should be minimized and any areas disturbed should be restored to prevent erosion and other environmental impacts.X * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning for this parcel is Rural Residential 5. * The wetland that is located on the southwest portion of the parcel is regulated by the Mason County Resource Ordinance Wetland Chapter. Regulated wetlands have established buffers and building setbacks from them to any proposed development. In order to clear vegetation or place any structures or fill within at least 300' of this wetland, a Wetland Report and Categorization must be submitted to the Mason County Planning Department. The categorization of the wetland must be completed by a wetland consultant that is hired by the applicant. The categorization and wetland report will determine the buffers and building setbacks from the wetland for any proposed development on the site. Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 7 of 8 ® Mason County r 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 BLD2019-01286 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, WA98584 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. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 1 Oft 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 regulating construction or the performance of construction. Issued By: Contractor or Authorized Agent: Date: (r Printed by:Julia Kerkes on:02/27/2020 02:17 PM Page 8 of 8 � r �1 1' 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352 Building.Planning,Environmental He iti,.cnm nunity Health 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/bFd-InspecUon.php Permit Number BLD2019-01286 Date Issued 02/27/2020 Issued By Project NEW SFR(HILINE HOME)(REPLACEMENT) dl<� Site Address 480 W Highland Rd Applicant DOUGLAS A&STEPHANIE S DARLING Contractor HILINE HOMES Contractor Phone 360-300-6100 Primary Code UPC 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 Deptartment a Septic WellPlanning 'T<� N Department Site Inspection �z_ Fire Marshall Fire Apparatus Access Fire Sprinkler -� Auto Fire Alarm Hood and Duct Other Final Building Building Official: Community Services Designee C� Department Concrete Setbacks 4(7•Zo Slab Footing Perimeter /y&M Point load Footing Footing Interior Footing Decks/Porches Foundation Stem Walls V Other Rough-In Groundwork Plumbing Framing Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing / •2© ��. Underfloor Other insulation Slab Ceiling Z-211-(a aEG Floor Z-($-Z Vaulted Ceiling Walls Z-($-2( J�JF.G Eltit,�� Ct�— Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building ,Z 23-Z( >16L Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other ,�1� zf_c' tk���.rf k �✓� ll-(G�2Q DEC �Re ��" �'�1� � ��~2( �j see A�f �2 z I b6 el C,�c��id es o ¢ Wleel I_1WC6 04 rite �°� �'4 MASON COUNTY COMMUNITY SERVICES Permit No:13Iel a0 i ej_n 1-�22 PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING •PUBLIC HEALTH•FIRE MARSHAL r 615 W.Alder Street,Shelton,WA 98584 Phone She torj�dttU60)275-4467 NOV 20+9 360)427-9670 ext. 352•Fax:(360)427-7798 Phone 1 • l •Phone Elms:(360)482-5269 1 BUILDING PERMIT APPLICATION5 W. Alder Sveet PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Z LQ �a r'�;n NAME: 'fte MAILING Al?o' RESS: v _ Bq F I e- r MAILING ADDRESS: CITY: SKC�i \ STATE: - ZIP: 9 956 Y CITY: V Q STATE: ZIP: 37 PHONE#1: 6 y-YG3-O3-� PIIONS:�531 - )lI�'ICELL: PHONE#2: EMAIL : EMAIL; Y31Dc, to t q�a0. Cpvl'1 L&I REG# .3 G EXP. )I PRIMA14Y CONTACT: OWNER CONTRACTOR❑ OTHER❑ NAME t7�w EMAIL 13box4 'ky4 on,"'41 MAILING ADDRESS I" Id e- Vr,. CITY 5k0hA STATE ZIP PHONE 3F 3'0 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) F�10V COOS() �ZONING .LEGAL DESCRIPTION(Abbreviated) FI�DJ TRICT SITE ADDRESS q60 W. CITY JKU DIRECTIONS TO SITE ADDRE S'Ici S 1 r 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/CREEIC ❑ POND ❑ WETLAND aSEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEWX ADDITION ❑ ALTTERAT ON ❑ rl REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence, Garage,Commercial Bldg,Etc) l\ IS USE: PRIMARY X SEASONAL ❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS HEATED STRUCTURE? YES ole Bldg) YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK C S SQUARE FOOTAGE: (proposed) 1ST FLOOR I1 sq. ft. 2ND FLOORtA sq.ft. 3RD FLOORD/ sq. ft. BASEMENT sq.ft. DECI f)A sq. ft. COVERED DECK 19to sq.ft. STORAGE_sq, ft. OTHER sq. ft. GARAGE_sq. ft. Attached p , Detached❑ CARPORT P,(� sq.ft. Attached❑ Detached❑ 'AMVFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE N � BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW EXISTING ❑ PLUMBING IN STRUCTURE? YES I NO ❑ Ifyes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YESV NO[] EXISTING SQ.FT. EXISTING BEDROOMS__J�> — PROPOSED BEDROOMS_ TOTAL BEDROOMS 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 APP ATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) X l l ignatu o ER(Must be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT11— PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH 4ipMASON COUNTY COMMUNITY SERVICES DIN Building,Planning,Environmental Health,Community Health - MIL NOV 1 12019 Physical and Mailing Address: 615 W Alder St.,Bldg 8, Shelton, WA 98584 Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798 615 W. Alder greet PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:-b1(img- 612,6b OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: D NAME: 1re"s 1N, ADDRESS CITY: Swim STATE: ZIP:qXgy CITY:�in�5� STATE: ZIP: 73 15t PHONE. Go�-`( 3 a PHONE: 3� q X 1ACELL: 2°d PHO E: EMAIL: EMAIL: E m L&I REG# 0 EXP. L/Jo Ws PARCEL INFORMATION: /� f� PARCEL NUMBER (12 Digit Number):q�'oo-3l'aOoSo \Zoning: ?A 16 LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: W• -ti CITTJY:� DIRECTIONS TO SITE ADDR SS� �t�yt�lil `4 0.0 Ao rA Tote of- 0 105 v TYPE OF JOB/WORK: NEW X ADD ALT REPAIR OTHER USE OF BUILDING AM 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 Fuel Type Fees Toilet(s) — Furnace _ _ [E/G/LPG] Bathroom Sink(s) Heat Pump [eG/LPG] Bath Tub(s) —� 0 Ductless H.P. (qG/LPG] Shower(s) —�� Spot Vent Fan �3 Water Heater(s) G/LPG] Propane Tank rgal.] Clothes Washer(s) 8 G/LPG] Gas Outlet(s) —� Kitchen Sink(s) Heat Stove �_ G/LPG/W] Dishwasher(s) Kitchen Exhaust Hood Hose bib(s) Dryer Vent 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 o-the-workers-{proposed I_have-obtained-peunisswn-ftomall.-the-necessa arties,-including-any-easement-holder-or-parties-of-interest-regardi10,hi project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X igna pplicant Date X i Owner/Owners Representative/Contractor Print Mme (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) Visit us on-fine: http://www.co.mason.wa.Lis/community_dev/ Rev:3/08,2017 s � r� RECEIVED AUG 14 2020 PLANNING. 615 W. Alder reet ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE 64►!LD�(U6 \t PLA T VISIO ROVED Vi ATE Zv?.o ASON COUNTY DCD PLANNING'S SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBAi 00T TO APPROVAL By Date O C E AITE NSED D SIGNER 1 ! �? �'pf Ale 7 0- Z40''-� �.. ✓� ate',i1)x i1 7 1. ��I i,�. �-!�'T+. �� pLA Wo 4� dc4i 31, 000,z 31P Name U(_`)1 Parcel# `O10)8 -C�OOS 0 BLD# 2,61 4�- BUILDIN,q Mason County artment 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 Stormw*V 1 1 2019 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.htm 615 W. Alder Sift t 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 PP (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A�The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: 360-427-9670 ext 450 100 W.Public Works Dr Shelton.WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormw ater system will not adversely affect the septic system of this,or any other,parcel. You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: 360-427-9670 ext 400 415 N.6th-St- Bldg#8 lower level - Shelton.WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. 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- describe roperty fo ew and inspection as may be required. 0� X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet mpervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious rfaces,structural development including construction,installation or expansion of a building or other structure,and/or repl cement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with struc ral or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,pat' s,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macad or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities sh I not be considered as impervious surfaces. To Calculate Impervious Surfaces Plea Complete This Table S rface Type Length X Width = Area *All dimensions in feet B 'Idin s X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = Length of drive begins at the right of way X = Parking Areas X = X Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the al impervious area of the proposed site X = develop t is greater than 2000 square feet a Small Parce ormwater Site Plan is Required Total Impervious Surface Are (sum of all areas) If the Total Impervious Su ace Area is LESS THAN 2000 Square Feet,please read,ackno dge and sign below. - BasedUpon-Lhainformat' you havE provided-a Slormwaterite l'1sn�SIY07�equired far-this dev mentactivity. Owner/Builder/Agent A owledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of s ch is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge t at the information provided is accurate and employees of Mason County are granted access to the above- described property f review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Pagel of 2