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Box 186 (360) 427-9670 Local (360) 482-5269 Elma P14 Shelton, WA 98584 (360) 275-4467 Belfair Notice to Obtain Final Inspection October 24, 2008 JERRY CROSBY PO BOX 2144 BELFAIR WA 98528 Case No.: BLD2008-00310 Parcel No.: 223315200054 Proiect Description: 18x32 square foot addition The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections will result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $68.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you will be charged $68.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 595. Sincerely, ° Rich Todd Balderston Mason County Department of Community Development Cc: Property File October 24, 2008 BLD2008-00310 -7-1 le 40 ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING I/V - ME; ,Poi MASON APp °OVER ` C J,J ! ' I SITE pL4N REQUIREDrY OCD PLAN TO 1. I CHA. GES SU TO BE ON SITE '. By SECT TO A,� RCVAL Date 10 VIA S.,- POSED 1 0 ) , to �� ND PLANNING : ALL SETBACKS ARE MEASURED FROM THE FURTHEST ^ PROJECTION OF THE BUILDING ^` Poo F. 10 Q Ty loo 6*14 .y4, r L 7o -POGRP PHY PRO 't' �.Ls., APPROVED MASON COUNTY DCD PLANNI71u SITE P N REQUIRED TO BE ON SITE. E U3JE;;1 TO APPRO AL _.. By _ — Date© Request To Revise AnApproved Plan Permit Number: BL 200e5 co Name rD b Parcel Number �'� �J - _- Phone Number da ime Project Address Mailin Address �} .D.�L�p x 2 f 1F4 I+�— LtJ A q85 2 Please provide a complete, detailed description of the proposed revisions to the approved plans: ' 1 10 pc Are two sets of the revised plans or addendum indicating the changes included? -1�es ❑ No Are the approved site plans included? >K 'es ❑ No Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included wi h this request? ❑ Yes ❑ No Additional Information: Applicant's signature Date: Office Use Only Received by Date Sent Assigned To Approved By D Original Valuation: $ F !// Additional Valuation: $ _ 7 r?7 27`0 Sq.Ft. �6 x$ S�(7 $ Sq. Ft. x$ $ Total New Valuation $ Additional Fees: Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Com ts: Additional Building Permit $ 351.ba Additional Plumbing $ Additional Mechanical $ Additional E.H. Dept. $ Other Total Amount Due: $ Amount To Be Paid Up-Front$ Name G C A Q) 0-POSY/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 of impervious surface 2. 'Redevelopment means,on an already developed site, the creation or addition of impervious surfaces, structural development including constriction, 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. ...: .C ..ti ..:.. .:.::r �`..�' . t3 :............... + •r .: i:::# :::::............. Surface Type Length X Width = Area *All dimensions in feet Buildings I Cb X 1 _ kw ` X = Measurements for buildings are taken at the perimeter of the farthest projections (example: X — eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition X — above table PatiosMlalks X = X = Any paved, gravel or packed area per definition X _ above table Others X . X = f # t l rtl"tpgrvt a s xtf tl e p, po d: :,. _ t� v�(Qprit >9fterthft3QIa>s:ivaft> > . ;t ll::l l lsrt..,s.Re utted_.... .:::;.............................:...:::.:::..::::.::.::::::::::................................:.:.:::::::. .:5 :::::� �f. t .: I ....... .... eta......... r1c .. oftl: .. .. 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- descri=ertyview an inspection as may be required. X OwneN Agent/Contractor(circle one)Date: If the Total Impervious Surface rea is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Page I of 2 Name Parcel# BLD# Mason County 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: hM//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" 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 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/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 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. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 MASON COUNTY PERMIT NO. ' ' 01 BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICA T IN F RMA ION CONTRACTOR INFORMATION Owner Company Name Mailina Address Mailinq,Address City State Zip Code City Stat Zip Code Phon ther Ph. ---"—'� Phone --Other Ph. Lien/Title Holde Contractor Reg. Exp. E knail address E Mail Addres Drivers Lic.# DOB ' riversL DO SEPTIC /WATER SYSTEM INFORMATION - Connect t N Se tic Existing Septic Connect to Water System Name of Water System Well Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street narUe.street number an city) D ctions site iBB RWill timber be cut and soldin p el preparation?Y /No r �T ► R� H Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs �> 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair O hgf PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building ��-, Describe Wor (1 6 C "I Im No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement Deck— Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model 1 1 Yeah_ Len g h Widt Serial-fro. No. o droom No. of Ba om� Typef at 'Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. 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 the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above described property and structure 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 ROGRESS INSPE TION. ACTIVITY OF,THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X ✓ Date: Owne wners Representative/Contractor n icate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 3,4- Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbinq & Base Fee Planning Review Fee Mechanical & Base fee . /f .Zb• Other Wood /Gas/ Pellet Stove Fee State Fee - TO Violation Fee — .1'D. Pre-Paid at Submittal Valuation $ TOTAL FEES 71 PERMIT NO. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670•Belfair(360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICA INF R AT N CONTRACTOR INFORMATION Owner ComparlyName Mailin ddr s Mailing Ad���_Statn City tate Zip Code City Zip Code Phone Other Ph. Phone Other Ph. Limn/Titl older Contractor Reg. Exp. E' ail addr ss E Mail Add s Dr ers Lic. OB Drivers Lic.# DO SEPTI NFORMATION - Connect to New Septic Existing Septic Connect to_Se bw-Sy em Name of Sew—erSyatpm —f PARCEL INFORMATION 11-f3+git_Parcel No. Fire District Legal Description Site Address (Please include street name, str er an Directions to site Is property w4hirr260'of Saltwater Lake River/Creek Pona- Wetlafid Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPC Natural Gas— Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink ! Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/PelletStove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent �—�- Other 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF O -go NTINUA3710 OFIAPRIK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner Owners Representative/Co for (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES