HomeMy WebLinkAboutBLD2019-00370 Final SFR ADV2019-00041 - BLD Permit / Conditions - 12/13/2019 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
FPRE
9-00370 NEW SINGLE FAMILY RESIDENCE
ESCRIPTION: NEW SFR ISSUED: 07/10/2019ESS: 21 NE HARPOON DR BELFAIR EXPIRES: 01/06/2020
PARCEL: 123305200013
APPLICANT: RJ PEABODY INC OWNER: MEGAN GJERTSEN
P O BOX 565 P O BOX 565
BURLEY,WA 98322 BURLEY,WA 98322
CONTRACTOR: RON THOMAS
1254 RASPBERRY RIDGE LN
POULSBO,WA 98370
GENERAL CONTRACTOR'S LICENSE: RJ PEABODY.INC License: RJPEAPI861DU
P O BOX 565 Expires: 11/18/2020
PORT ORCHARD,WA 98366
1.360.895.3235
VALUATIONS: FEES: Paid Due
R-3 VB Residential, one- 1440.00 $173,880.00 Plumbing Base Fee $25.00 $0.00
and two-family Building Plan Review/Change of $110.00 $0.00
U VB Utility, miscellaneous 400.00 $19,120.00 Use-Onsite Sewage
Mechanical Fees $92.00 $0.00
Plan Check Fee $1,078.90 $0.00
Planning Review Fee $240.00 $0.00
Building Permit Fee $1,659.84 $0.00
Plumbing Fees $122.00 $0.00
Mechanical Base Fee $30.00 $0.00
State Fee-Residential $6.50 $0.00
Building Plan Review/Change of $110.00 $0.00
Use- Drinking Water Availability
Total: $193,000.00 Totals : $3,474.24 $0.00
FIXTURES
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_ 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 BLD2019-00370
Oty Mechanical Fixtures Q.yt 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 Furnace(s) 1.0000 Number of Water Heaters and or Vent
1.0000 Heat Pump(s) 2.0000 Number of Hose Bibs
3.0000 Spot Vent Fan(s) 2.0000 Number of Bath Tubs
2.0000 Number of Kitchen Sinks
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
* 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.
* 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.
* 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.
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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 BLD2O19-00370
" 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.
" 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.
* 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 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.
* 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 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.
* 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 coveringthe 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 IECCLWSEC 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'/2 sheets. The Mason County Permit Center will also have some available.
* The foundation/footing must be placed on undisturbed,firm-native soil.
* 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.
* 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.
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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 BLD2019-00370
* 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.
* 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.
* 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.
* 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.
* 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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.
5c-EFFICIENT WATER HEATING 5c:
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
* The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more
than 150'from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards
for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to
another fire apparatus access road which connects to a county maintained public road.
* Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,
Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an
unregistered contractor. Further information can be obtained at 1-800-647-0982.The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
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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 BLD2019-00370
" 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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.
* 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.
* 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.
* 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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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 BLD2O19-00370
" 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 181E-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.
" Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel.
RR5
* Height of structure not to exceed 35'from average grade.
* 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).
* On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
" Applicant/Owner assumes all responsibility if On-site Sewage Components are 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/Perimeter Drains within 30ft, down gradient of Drainfield/Reserve area.
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area.
" Hold-downs must be in place at time of foundation inspection. See plans for locations and requirements
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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 BLD2019-00370
" 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 1 designate GARAGE PORTAL FRAME
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.
* UNDERFLOOR INSPECTION REQUIRED PRIOR TO COVER. Please contact the Mason County Building Department to
schedule this required inspection or with any questions.
Fprovisio
y that I have read aildle amined this application and know the same to be true and correct.
of Laws and Ordinance governing this type of work will be complied with whether
in or not. nting f a permit does not presume to give authority to violate or cancel
of a er sta a/loc law regulating construction or the performance of construction.
Contractor or Authorized Agent:���- "2 �� �-- Date: /
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APR 171019
PLANNING S l.#
,r _ 12�- 615 W. Alder Street
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12" - 60" Grey Medium Sand PLANNING:
SL# 2 0" - 24" Brown Loamy Medi. m AWSETBACKS ARE MEASURED
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MASO TY DCD PLAN
SITE PLAN REQUI E ON IT2,
�/� �/� I�j /�/\ A ' ES SUBJECT TO AP t,
K.�1 26! 1 ,W 3�� By Date 0 z
Jai embody
Allied des' a,Inc:. " Scale = ltt � 20' Address) "" ° i Na� �'� 1�ar�par�n Cir, Belfran ��• Peabody
" Site Plan " Lot 13 Beards Cove #5 Tax parcel # 12330-52—OW13
This is not a survey;all property lines aoundaries have been demonstrated by the 0caner(s)and/or their Agent(s).
Name (` P Q 't{ r� G(�a- Parcel# ),�.3 BLD#�61 ��j�• ��311D
' Mason County
Department of Community Development AM 17 2019
Small Parcel Stormwater Management Application/Worksheet (pagem-19 ,)Alder -tm el
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 surface2.
'Redevelopment means, on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,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.
'Common 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.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X 3 =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways h X la _
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 = 1f the total impervious area of the proposed site
X development is greater than 2000 square feet a
mall Parcel Stormwater-Site Plan is-Required--
Total Impervious Surface Area (sum of all are s) C1 6-0
If the Total Impervious Surface Area is LESS T are 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-
desc Med property for review and inspection as may be required.
X LOwner ge t/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.
Page 1 of 2
Name Parcel r BLD#
Mason County
Department of Community DeNT elopment
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:
hitp//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
100 W.Pubic Works Dr
Shelton.WA 98594
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 400
415 M. 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-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
�soN c"'oU.VA ., MASON COUNTY COMMUNITY SERVICES Per No:
PERMIT ASSISTANCE CENTER: 0qD 1 - DO 10
•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 17 �O�p
- Belfair:(360)275-4467•Phone Elma:(360)482-5269 I''wDR '�7
1854
LDING PERMIT APPLICATIONS 5W. Al ei
4fit"t.�
PROPERT O ER INFORMATION: CONTRACTOR INFORMATION:
NAME: P� Illy NAME:
MAILING ADDRESS: �CD MAILING ADDRESS:
CITY:f5:k'r STATE: ZIP: CITY: STATE: ZIP:
PHONE#1: J C3 PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG# EXP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER[R
NAME EMAIL
MAILING ADDRESS 1 )1 LAI S � dui Y est4�)�� STATE ZIP
PHONE 0 C%�o a 0 15E44�
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) [ 3 3 6) 00 Jr j 3 ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS t r,6h r , CITY V�A�&Cr i
-DIRECTIONS TO SITE ADDRESS
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/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
TYPE OF WORK: NEW 9,, ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) _
IS USE: PRIMARY [N SEASONAL ❑ NUMBER OF BEDx,00MS NUMBER OF BATHROOMS
HEATED STRUCTURE?nY�ES (Whole Bldg) [� YES (Part[sj.[Bldg) [I NO El
DESCRIBE WORK 1 V,-R,,I.J S F-12
SQUARE FOOTAGE: (propose+existing)
1 ST FLOOR_t�-kaq. ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq. ft. OTHER sq.ft.
GARAG t7 sq.ft. Attached[X Detached❑ CARPORT sq. ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIE, �THEILOO �PLAN RE IRED*
MAKE MODEL H
WI TH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC [ SEWER❑ / NEW [� EXISTING ❑
PLUMBING IN STRUCTURE? YES N� NO ❑ Ifyes, attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO" EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS _3 TOTAL BEDROOMS 3
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 permitlapplication 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
COUNTY CODE 14.08.42)
XA-. 4- -15 ` 1-oj `7
Signature of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY
COMMUNITY SERVICES APR7 e
Building,Planning,Environmental Health,Community Health 2019
Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 94 i 615 W. Alder Street
Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798 e% UILii�� ■■ ■ f�
''
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: le1ZO1q •w3r10
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: -0 q b NAME:
MAILI ADDRESS: p S b 5 MAILING ADDRESS:
CITY: u r STATE.Cv . ZIPTk S CITY: STATE: ZIP:
1st PHONE: 3 r, 4 S J- PHONE: CELL:
2nd PHONE: EMAIL:
EMAIL: V PAS 1 ® ffilc L&I REG# EXP. I /
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): Z 3 4tJ ) 3 Zoning.-
LEGAL DESCRIPTION (Abbreviated:
SITE ADDRESS-f6t) A/r" q_r_pa rr _ CITY: �
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER
USE OF BUILDING_- t-�ZA .
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(nofee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) 2, Furnace (E G/LPG]
Bathroom Sink(s) X 3 Heat Pump [E/G/LPG]
BatKTub(s) "Z o Ductless H.P. [E/G/LPG]
Shower(s) Spot Vent Fan -3
Water Heater(s) —� [E/G/LPG] Propane Tank ---- Lgal.]
Clothes Washer(s) —[E/G/LPG] Gas Outlet(s) "—
Kitchen Sink(s) � Heat Stove [E/G/LPG/W]
Dishwasher(s) Kitchen Exhaust Hood 1
Hose bib(s) 2— Dryer Vent i
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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF
INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X
Signs re of Applicant Date —
X rArya 't pr, a 9 Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
i5it a on-hlw hTtp://www.co.f7lason.wa.Lis/caml7iunitv_dev/ Rev:3/08/2017
PLANNING
MASON COUNTY Mason County Permit Center Use:
COMMUNITY SERVICES ADV Z01 j - 1=4 1
Building,Planning,Environmental Health,Community Health
19 615 W.Alder St.-Bldg.8,Shelton,Wa 98584 Date Rcvd �0
Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798
Fee: $130.00
Request for Administrative Variance for APR Reduction in the Required Setbacks 2019
For administrative review, the minimum variance on a setback request is 5 feet from the%P W SVer Street
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.
Applicant/Owners: :i 6Q�:z 7
Mailing Address:
City: �LK"� State: Gy {! . Zip: ( �-3
Telephone: G ^�� 5 3 5 3
Email: �,` j`9C' F�-q5�"
If this reduction is tied to a building permit, please give permit case number.
BLD 2-D 6 - J�7�
Parcel Number(s): f,� 33 0 - -s 2-° 000 r Zoning
Site Address: r IJ-eC �S ( ►'
Requested •setback variance:
ft. 14 Front ❑ Rear ❑ Side
t f/ ft ❑ Front ❑ Rear aSide
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 10 feet.
Side Setbacks-From the side 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.
I
FRON AND OR REAR YARD REDUCTION REQUESTS:
For ex' ting lots of record as of March 5,2002;
Yo ust meet one of the following:
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;
�I4,� lot size of no more than one-fourth acre;
b 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;
lot size of no more than one-half acre;
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.
Owne cl
�!!en (please indicate) O
Signature Date
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial: