The URL can be used to link to this page

Home My WebLink AboutBLD2020-00222 Final Garage to Living Space - BLD Inspections - 5/4/2020 �1 615 W.Alder St.Bldg 8,SHELTON,WA 98584 MASON COUNTY SHELTON:360-427-9670,EXT 352 4i) COMMUNITY i SERVICES - BELFAIR:360-275-4467,EXT 352 Building,planning,Environmental Health.Community Health ELMA:360-482-5269,E)CT 352 www.co.mason.wa.us INSPECTION CARD AND CERTIFICATE OF OCCUPANCY" To schedule an inspection call or visit httpJ/www.00.mason.wa.us/community-servicestbid-inspecUon.php Permit Number BLD2020-00222 Date Issued 05/04/2020 Issued By Project FROM GARAGE TO LIVING SPACE(Bathroom,office,laundry) Site Address 1021 E Benson Loop Rd Applicant SHELTON JOSEPH A&SHAWNA M Contractor Contractor Phone Primary Code 2015 IBC,III IFC,IEC,IMC,& Type UPC 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 U7 ? f Framing 2 -2G —G Groundwork Mechanical Plumbing Groundwork Gas Pipe Mechanical Gas Piping Shear Wall Nailing Underfloor Other Insulation Slab Ceiling Floor - Vaulted Ceiling Walls ` DCc Vapor Barrier Other Wallboard Interior Wall Brace Panels Fire Walls Nailing Other Final Building 2/ L Manufactured Setbacks Setup Home Concrete Foot/Runners Final Other 4(w,( PI 1-29-21 c0 s« AJ+, MASON COUNTY 3 60-275-446 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building,Planning,Environmental Health,Community Health 615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: (3Ll7zOZ0—et3ZZ� ADDRESS/LOCATION: /42 f &�50Gi zaop YFINDINGS: ' DI V�� Coved S T�l<e� �Luc,u w � 6�er6y�` ci 44 PA-" o A Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. ❑ Make corrections, items will be checked on the next inspection. ❑ OK to Date: �h 70 ❑ Please contact our office regarding possible Department: ` structural damage incurred by recent "natural/man made"disasters.This is NOT a Inspector: CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 v MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building,Planning,Environmental Health,Community Health 615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER: 8LD 2 020 - Q022Z ADDRESS/LOCATION: 6;Z I E7 NZsoh L .1P Q FINDINGS: r r La i -� v Sl��✓�' hus 1.�. fvb sheg,�4- ��IG� GdrreG�ions & Ser Pha�s ;► sir /YtCt:/ ' Cmiller�a cn mason wci.U,s g " c v ' Perin-if -0 . Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. Make correcti ns, items will be checked on the next inspection. ® OK to S Date: 4�2g_Z ❑ Please contact our office regarding possible Department: 13yiij structural damage incurred by recent Inspector: 6�i��id n i 1c! "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 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 B DD2020-00222 ADDITION OR REMODEL- RESIDENTIAL PROJECT DESCRIPTION: FROM GARAGE TO LIVING SPACE ISSUED: 05/04/2020 (BATHROOM, OFFICE, LAUNDRY) SITE ADDRESS: 1021 E BENSON LOOP RD SHELTON EXPIRES: 10/31/2020 PARCEL: 220215000004 APPLICANT: SHELTON JOSEPH A&SHAWNA M OWNER: SHELTON JOSEPH A&SHAWNA M 1021 E BENSON LOOP RD 1021 E BENSON LOOP RD SHELTON,WA98584 SHELTON,WA98584 360.549.6658 VALUATIONS: FEES: Paid Due Project Valuation (BID, 32677.12 $32,677.12 Plan Check Fee $330.29 $0.00 ESTIMATION..) Plumbing Base Fee $25.00 Mechanical Fees $30.00 State Fee-Residential $6.50 Plumbing Fees $36.00 Mechanical Base Fee $30.00 Technology Surcharge $19.19 Change in Tenant- Minor EH $110.00 $0.00 Plan Review Building Permit Fee $508.14 Total: $32,677.12 Totals : $440.29 $654.83 FIXTURES (sty Mechanical Fixtures (3Xt Plumbing Fixtures 1.0000 Dryer Vent(s) 1.0000 Number of Bath Tubs 2.0000 Spot Vent Fan(s) 1.0000 Bathroom Sink 1.0000 Number of Clothes Washers 1.0000 Number of Toilets Printed by:Julia Kerkes on:05/04/2020 11:14 AM 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 BLD2020-00222 REQUIRED INSPECTIONS Underfloor Inspection Mechanical Inspection Framing Inspection Insulation Inspection Rough-Plumbing Inspection BLD-Final Inspection CONDITIONS " OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. * 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. * 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 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. Printed by:Julia Kerkes on:05/04/2020 11:14 AM Page 2 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 BLD2020-00222 ' 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 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. * 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. * 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. * 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. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * All property lines shall be clearly identified at the time of foundation inspection. * 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. * 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. * Before renovating or remodeling activities in pre-1978 residential buildings or child occupied facilities and to ensure your compliance with applicable Washington lead regulations, contact the WA State Department of Commerce Lead Paint Program at; (360) 586-5323 or email Ibpinfo@commerce.wa.gov. Visit www.commerce.wa.gov/lead for further information. * 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. Printed by:Julia Kerkes on:05/04/2020 11:14 AM 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 BLD2020-00222 * 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. * 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. * 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). * 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. * 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. Printed by:Julia Kerkes on:05/04/2020 11:14 AM Page 4 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 BLD2020-00222 " 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. * 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. * 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. * The foundation/footing must be placed on undisturbed, firm-native soil. * 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. * 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. * 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. * 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. * 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. * 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. * 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. * 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 Printed by:Julia Kerkes on:05/04/2020 11:14 AM Page 5 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.masonma.us ADDITION OR REMODEL- RESIDENTIAL BLD2020-00222 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 ofher state/local law regulating construction or the performance of construction. Issued By: zrl� ZOZ- Contractor or uthorized Agent: Date: LOO NNW Printed by:Julia Kerkes on:05/04/2020 11:14 AM Page 6 of 6 %.4'ec"t r t� �xio -} ► 5 P c� C� d RECEIVED APPROVED FEB 25 2020 APR 21 2020 ENVIRONMENTAL 615 W.Alder.Street MASON COUNTY ENVIRONMENTAL HEALTH H EALTH RET r jj pc N 9 M f-S 3 '~ CIS 1p h� t O 0 � 9 ` 3' G Q APPROVED RECEIVED A PR 2 1 2020 FEB 2 5 2020 '.'sN�O COUNTY ENVIRONMENTAL HEALTH ENVIRONMENTAL pr T H EA LT H 615 W.Alder Street MASON COUNTY COMMUNITY SERVICES Permit No: ltJ(� _60� PERMIT ASSISTANCE CENTER: p C��'�� a BUILDING •PLANNING •FIRE MARSHAL ,\C 615 W.Alder St-Shelton,WA 98584 www.co.mason.wa.us Phone Shelton:(360)427-9670 ext.352• Fax:(360)427-7798 EB 2 5 102� Phone Belfair.(360)275-4467• Phone Elma:(360)482-5269 615 w �41der S PLUMBING & MECHANICAL PERMIT APPLICATION t►eef OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: tn0.Wr\c, Jose p `\ mho � _ NAME: CW�-n S �1`►mb�rul MAILING ADDRESS:I tom\ C- 6-e nt,n1\...Dt.xy QrJ MAILING ADDRESS: �oOLS q CITY: ` hC,\br-,, STATE: UrA ZIP: q�4 CITY: 1Srtfh1rh>N STATE: U'A ZIP: I'PHONE: 3 UD - . U k p S 8 PHONE:,'4p0- yyU ,LA)L-lo CELL: 2nd PHONE: 2 5 H- U 5 y- 23 00 EMAIL: EMAIL: S�1 GIuMJ�.�hO l)k�r� c"�. o�n.a:.�-Cy►�1 L&I REG#_ b 1( 1 „ EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): Zoning-, LEGAL DESCRIPTION(Abbreviated): LOB 2 r SITE ADDRESS: 1 011 E " enSkr� l 2,, 42-4 CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB: BUILUIN NEW ADD X ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURESIUNITS—IsT FLOOR 2NDFLOOR BASEMENT ]ARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric�LPG Natural Gas Ductless_ Toilets ► Type of Unit No.of Units Fees 11 Bathroom Sink 1 Furnace Bath Tubs I ' Heat Pump Showers Spot Vent Fan 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 Base Fee TOTAL PLUMBING y TOTAL MECHANICAL r; 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 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 OFTMtS-P"T IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL TE 7E APPLICATIIQN. x a� ��j �2)0 `QnatuiWof—Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT / FIRE MARSHAL Rev:1/27/2016 JBN MASON COUNTY COMMUNITY SERVICES Permit No: &ZxD ` 222- PERMIT ASSISTANCE CENTER: RECEIVED.•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone Belfair:(360)275-4467•Phone Elma:(360)482-5269 FEB 2 5 Z020 40) BUILDING PERMIT APPLICATION 615 W. Alder Str _ PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:)Q!�e ph �e� j)OP, NAME: MAILING ADDRESS: 1021 E \&,nSm Lug Qd MAILING ADDRESS: CITY:Shcl bn STATE: ON ZIP:0WS61 _ CITY: STATE: ZIP: PHONE#1: J LpQ-- 5LICj-lPlP59 PHONE: CELL: PHONE#2: 0,0�r-y- Lp5Li-23 co EMAIL : risfig EMAIL: q Q '% _Cw L&I REG# tiff Ifti— PRIMARY CONTACT: OWNER- CONTRACTOR❑ OTHER❑ NAME 0 EMAIL MAILING ADDRESS (= CITY STATE IbJA— ZIP PHONE q'L30-�L-tct-LDLDSq CELL ra 5+ (P5U-Z?ut (14)} ) PARCEL INFORMATION: / ` PARCEL NUMBER(12 Digit Number) 3 a)da.1 -5n - CJ@Q)6` ZONING 42 Q..5 LEGAL DESCRIPTION(Abbreviated) t 4 2 '�_) CyV1G("✓'(_) 3aacil FIRE DISTRICT MAS try S SITE ADDRESS I J�_k r '_�,vnSclYl ; t):Q COA CITY ',-)V)e I fp� DIRECTIONS TO SITE ADDRESS k IM She I[y1 r�rt Ahf1��, (,�k+ an AC-,:]A ner- 'e L (iV 1 6t i w L[il lO IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ❑ SNOW LOAD: psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW❑ ADDITION ❑ ALTERATION J2/ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) IS USE: PRIMARY K SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUCTURE? YES(Whole Bldg) ❑ YES(Part(s)of Bldg) ❑ NO ❑ DESCRIBE WORK '1 SQUARE FOOTAGE: (proposed) 1ST FLOOR ' sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq. ft. BASEMENT y�f 6 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 SEWER❑ / NEW❑ EXISTING ❑ PLUMBING IN STRUCTURE? YE NO zf yes, attach completed Water Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS _15 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 APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON -�, OUNTY CODE 14.08.42) � 1 x Signature of OWNER(Must be,s-Kaned by the NER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT J2L= 4-11-10222 PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH