HomeMy WebLinkAboutBLD2019-00199 Cancelled Addition DDR2018-00149 - BLD Permit / Conditions - 4/25/2019 Mason County
Mason County - Division of Community Development
---'� i 615 W. Alder St. Bldg. 8
Shelton, WA 98584
' s 360-427-9670 ext 352
M, .U L _ Lao. www.co.mason.wa.us
[BLD2019-00199 ADDITION OR REMODEL-
RESIDENTIALOJECT DESCRIPTION: ADDITION TO EXISTING SFR ISSUED: 04/25/2019TE ADDRESS: 1041 NE MOUNTAIN VIEW DR TAHUYA
EXPIRES: 10/22/2019
PARCEL: 223195000052
APPLICANT: RANDOLPH A CRAWFORD FAMILY TRUST OWNER: RANDOLPH A CRAWFORD FAMILY TRUST
RANDOLPH A CRAWORD& EDNA P S RANDOLPH A CRAWORD &EDNA P S
CRAWFORD TRSES CRAWFORD TRSES
GRAHAM, WA 98338 GRAHAM, WA 98338
VALUATIONS: FEES: Paid Due
R-3 VB Residential, one- 884.00 $106,743.00 Building Permit Fee $1,130.08 $0.00
and two-family Mechanical Fees $58.00 $0.00
Plumbing Fees $63.00 $0.00
State Fee-Residential $6.50 $0.00
Plumbing Base Fee $25.00 $0.00
Mechanical Base Fee $30.00 $0.00
Plan Check Fee $734.55 $0.00
Building Plan Review/Change of $110.00 $0.00
Use - Onsite Sewage
Total: $106,743.00 Totals : $2,157.13 $0.00
FIXTURES
(sty Mechanical Fixtures Qtxt Plumbing Fixtures
1 Furnace(s) 2 Number of Showers
1 Heat Pump(s) 2 Number of Toilets
2 Spot Vent Fan(s) 3 Bathroom Sink
REQUIRED INSPECTIONS
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Page 1 of 6
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 BLD2019-00199
Setback Inspection Rough- Plumbing Inspection
Footing Inspection Mechanical Inspection
Foundation Wall-Pre-Pour Inspection Insulation Inspection
Shearwall Inspection BLD-Final Inspection
Framing Inspection
CONDITIONS
* 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.
* 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.
* 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 foundation/footing must be placed on undisturbed, firm-native soil.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* 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.
* 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.
3b - HIGH EFFICIENCY HVAC EQUIPMENT 3b:
Air-source heat pump with minimum HSPF of 9.0
5a - EFFICIENT WATER HEATING 5a:
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.
* 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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Page 2 of 6
\\ � Mason County
Mason County - Division of Community Development
.�0— ""�` � 615 W. Alder St. Bldg. 8
_ Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
ADDITION OR REMODEL- RESIDENTIAL BLD2019-00199
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* A 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.
* 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.
* 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.
* 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.
* 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.
* 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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Page 3 of 6
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 BLD2019-00199
* 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.
* 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.
* 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.
* 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 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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.
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Page 4 of 6
\ \ Mason County
M Mason County - Division of Community Development
j 615 W. Alder St. Bldg. 8
n Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
ADDITION OR REMODEL- RESIDENTIAL BLD2019-00199
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 '/4 or'/2 sheets. The Mason County Permit Center will also have some available.
* 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 international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* All 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.
* REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable
provisions of the current code and the manufacturer's installation instructions.
A drip edge shall be provided at eaves and gables of shingle roofs.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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.
* 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.
* Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or
given an equivalent type of erosion protection (silt fencing or straw matting).
* Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel.
RR20
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Page 5 of 6
Mason County
� G 1
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 BLD2019-00199
* Anchor bolts and hold-downs must be in place at time of foundation inspection. See plans for locations and requirements
* 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 3 designate PORTAL FRAME AND
ALTERNATE walls with fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified
to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton,
WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project.
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.
3
Issued By:
r � '
Contractor or Authorized g t: t"o Date:
Printed by:Genie Mcfarland on:04/25/2019 03:00 PM
Page 6 of 6
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FEB 012019
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February 27, 2019. 615 W. Akler Street
Mason County Community Services
Permit center
360-427-9670 X352 BUILDING
RE: Crawford remodel
1041 N.E. Mountainview DR.
Tahuya, 98588
253-847-3474
Jenny,
I know you are busy so I am submitting what you asked for, realizing there may be more on your list yet
to be askew
Engineering: You mentioned it may need engineering. We are not changing the original construction
ractices that have worked flawlessly for 38 years.
Septic reserve: We own the property iew Dr.which perks. The other si e o our riveway is
another option
Tank replacement: We are pumping and removing the existing septic tank and installing a new tank ten
feet North, toward the road. After construction,we will have in excess of five feet between the building
line and the new tank. The existing pump tank and drain field will not be touched as they are already in
excess of fifteen feet from the cabin.
If you need anything else, please let me know. In November we scheduled the contractor to start March
18"'. 1 would like not to delay him as to who knows when another slot will open.
Thank you,
Randy Crawford
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U2
MASON COUNTY COMMUNITY SERVICES Permit No. If
PERMIT ASSISTANCE CENTER:
BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ��tt
615 W.Alder Street,Shelton,WA 98584 i I
Phone Sheton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone 1 ' o �y'�
Bair.(360)275-4467•Phone Elms:(360)482-5269 ` 1 1 1
IN13 � D
BUILDING PERMIT APPLICATION ( ��1U D 1
Im
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:JZAt�I V C k AW IG yt I> NAME: oZQ-Y�'12i o
MAIL ADDRE S:f()yL /V F K .1vt.c l MAILING ADDRESS: cn
CITY: STATE: UUJA ZIP: Vrg CITY: STATE: ZIP: CD
PHONE#1: PHONE: CELL:
PHONE#2: •tt, 7 —� EMAIL: q1A K a k1 IKi14 a S d o . V M
EMAIL: L&I REG# %/ EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP TI
PHONE CELL (j1 M
PARCEL INFORMATION: 0
PARCEL NUMBER(12 Digit Number) d '� t Q 50 (1 0 0 Sr -- ZONING 1 ,1
LEGAL DESCRIPT ON(Abbreviated)S4'/i- 13 TS J3_ Al Q a U) ()M FIRE DISTRICT . 0
SITE ADDRESS IrJAI) DV- CITY^�h(&Via 8S
DIRECTIONS TO SITE ADDRESS /l( E G 6 6/2 LAK a 6260 rl
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO.& �t
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE t, RIVER/CREEK❑ POND❑ WETLAND❑ SEA90NAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION 1�1 ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) &,r�J(PA4 e A,
IS USE: PRIMARY❑ SEASONAL& NUMBER OF BEDROOMS_NUMBER OF BATHROOMS Z-
HEATED STRUCTURE? YES(whole Bldg)g, YES(Part[s]of Bldg)❑ NO❑
DESCRIBE WORK_,.,�� 6,Me-l'eL N f 0—rH
S UARE FOOTAGE:(propose+aisting)
1ST FLOOR L&A_sq.ft. 2ND FLOOi.2_W_sq.ft. 3RD FLOOR sq.ft. BASEMENT r+ sq.ft.
DECK_ sq.ft. COVERED DECK =sq.ft. STORAGE �— sq.ft. OTHER '— sq.ft.
GARAGE_ —sq.ft. Attached❑ Detached J9 CARPORT �' sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRE
MODEL YEAR LENGTH
7TIL BEDROOMS BATHS
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING.&
PLUMBING IN STRUCTURE? YES,, NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERJFOUNDATION DRAINS PROPOSED? YES❑ NORt— EXISTING SQ.FT.
EXISTING BEDROOMS 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 Inspectiop. This permittapplication becomes null&void if work or authorized construction is not commenced within 180
days or if constriction 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
P IT PPLICATION OF 18 AYS OF MORE ILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
CO Y CO 14.08.42)
_ - I - 2U1q
ature of NER t ne e O R t ' — Da— tie — r
DEPARTMENTAL REVIEW APPROVED 'DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
f
MASON COUNTY RECEIVED
COMMUNITY SERVICES F 012019
Building,Planning,Environmental Health Community Health
Physical and �� � � 615 W. Alder Street
y Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 9858
Shelton Phone: (360)427-9670 ext 352 :• Fax (360)427-7798 j
PLUMBING & MECHANICA4 PERMIT APPLICATION Pennim 802-6 6 • GUIIt 1
OWN FORMATION: CONTRACTOR INFORMATION:
NAME: � NAME:
MAILING ADDRESS: MAILING ADDRESS:
CITY: STATE: ZIP: CITY: STATE: ZIP:
1st PHONE: PHONE: CELL:
2nd PHONE: EMAIL:
EMAIL: L&I REG# EXP. 1 I
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number):��� Iq - 50-- QW 5 a. Zoning:
LEGAL DESCRIPTION (Abbreviated):
SITE ADDRESS: YL. Ct c r__j OaJ � CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL tNIT [] Electric in-wall heaters(no lee)
Type of Fixture No. of F' tares Fuel Type Fees Type of Unit o Units Fuel Type Fees
Toilet(s) Furnace ,tJ7 [E/G/LPG]
Bathroom Sink(s) �_ Heat Pump [E/G/LPG]
Bath Tub(s) o Ductless H.P. [E/G/LPG]
Shower(s) Spot Vent Fan o�
Water Heater(s) X E/G/LPG] Propane Tank gal.]
Clothes Washer(s) [E/G/LPG] Gas Outlet(s)
Kitchen Sink(s) Heat Stove [E/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
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. ROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INV DATE THE APPLICATION.
X
Signature of Applicant jpo�ate
X O her/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DAT15 DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal l
O Permit Tech (OTC permit only)
1'i5it ti On-i11; hltp//www.CO.I':I3SCli1.Wd.US/cornnnunitV_dev/ Rev'3/08/2M7
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES DDR 20 l F� - DO ly
OBuilding.Pldnning,Fnvironment.il Health,Community Health
615 W.Alder St.—Bldg.S,Shelton,Wa 98584 Date Rcvd 16- l8-2a 1 8
OPhone:(360)427-9670 ext.352♦Fax:(360)427-7798
Fee: $130.00
Z' Request for Administrative Variance for
v a Reduction in the Required Setbacks
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h
For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot
lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure,
including roof eaves and gutters. ff
Applicant/Owners: ` CP 1' 40 it
Mailing Address: / 4-2 R
City: u Stater —Zip: 19
Telephone: J� 'f �� Z/
Email: _�r✓t ��D/y,�/N S A O ' G D
If this reduction is tied to a building permit, please give perm' se number.
BLDCf4 b L n 16-Li-�
Fo�
Parcel Number(s): n(!�)_�7 Zoning ' S
Site Address: 19 Lf/ HO", V/C'1� �� ,
Requested setback variance:
/ram ft. ❑ Front ❑ Rear Side
ft ❑ Front ❑ Rear ❑ Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks—From access easements and road right of'ways. Minimum 10 feet.
Rear Setbacks—From the rear property line. Minimum l0 feet.
Side Setbacks—From the.ride property line. Minimum 5 feet except for certain shoreline designations.
An illustrated site plan is required.
Your site plan must show the following: north arrow,abutting street or easements, and set backs to all
property lines and existing buildings, slopes, surface water,wetlands, critical areas, septic,well and
driveway. Show all proposed new development.
• FRONT AND OR REAR YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
1) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands,or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-fourth acre:
❑ e) existing improvements of buildings, septic systems,and well areas.
SIDE YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands, or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre;
13 e) existing improvements of buildings, septic systems,and well areas.
Explain how these circumstances preclude a reasonable development proposal from meeting the
setback standard for Rural Residential 2.5, 5, 10,or 20 zones.
IYA X&C �E1�6'c v�fr?G�T IN AN y
Es7'�.42 e CLc E'hr3
Owner/Agent(please indicate)
ign a to
Official Use Only
Approved by: Date /oJ��t
Denied by: Date
Reason for denial: