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MASON COUNTY
BUILDING 111 426 W, CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location -3 � 4 i r, r�4 i�,,J�uc-� )
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
N el-1,
- H
On
PO I lei
Off ' tL,;-- s+� z!✓ t
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
® Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural/man made"
'®This is not a complete inspectioncr4w \ disasters.This is NOT
Date rz'II�,Jrr Department .' 4-Z CORRECTION NOTICE.
Inspector L..40 --
E THIS TAG
DO NOT REMOV
Permit# t LI 3 MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 37"l i Ceist." f�
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance '
j I--e-t n-s
1 s, �t•z�t
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
Make corrections, items will be checked on next inspection regarding possible structural
damage incurred by recent
❑ OK to "natural/man made"
❑This is not a complete inspection disasters.This is NOT a
CORRECTION NOTICE.
Date l �'h' Department ill 0
Inspector
DO MOT REMOVE THIS TAG
„.. Pco
MASON COUNTY V (,,a Permit No: 13
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352
_--_ http://www.co.mason.wa.us/community/ (360) 275-4467 Belfair ext. 352
Isla 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352
B ILDING AI1A -g� -�
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Ze NAME:
MAILING ADDr 1SA: r,; a2 aA A y I{ MAILING ADDRESS:
CITY: STATE:,AjA ZIP: CITY: STATE: ZIP:
PHONE: CELL: ?/�� e7(,�s� PHONE: CELL:
EMAIL: o *~° EMAIL :
L&I REG# EXP.
CONTACT : OWNERR CONTRACTOR ❑ BELOW ❑
NAME: MAILING ADDRES S,;s2,ij-,�2 /I (.l=wk r
CITY:,i'�.f\�, � STATE. ZIP: j�,5(PIIONE:,X5 v/C)e CELL: ,2/v 6%,
EMAIL:
PARCEL INFORMATION: 0 0 v ° O a = F LD -b 4v ram”
PARCEL NUMBER(12 DIGIT NUMBER) k e:e-e_1 �Vo FIRE DISTRICT �J
LEGAL DESCRIPTION(ABB VIATED) : W
SITE ADDRESS 2 I E I eLU CITY l
DIRECTIONS TO SITE ADDRESS i I/� ;,.: ..a (
I• �T ,,� .J '!� 4-cC�:.e. �� '� ,w K— k—e.��� �,� :.11n,�'
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND SEASONAL RUNOFF ❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO;3
TYPE OF JOB: NEW ADDITION ❑ ALTERA/TION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) r'�,r Y✓
IS USE: PRIMARY SEASONAL ❑ NUMBER OF BEDROOMS :3 NUMBER OF BATHROOMS L
DESCRIBE WORK /u
SQUARE FOOTAGE:
1ST FLOOR 2y4j, 3 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 2,4lp,sq. ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE i 3 sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑
MANUFA + HOME INFORM *4 COPIES OF THE FLOOR PLAN RE QUIRED
MODEL YE LENGTH
�ID<TH BEDROOMS BATHS SERIAL NUMBER
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 or owner's legal representative. 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 IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICAT OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
X
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVE DATX DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT f
PLANNING DEPARTMENT
FIRE MARSHAL
EE'S�tf`�Y�, "' '` TOTA ►�%AtiUATI
°F ON:4a
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING &BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
Lai
coa��� MASON COUNTY PERMIT NO 61 d 2oK- QC)5I
�y DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352
lau Shelton,WA 98584 (360)482-5269 Eima ext. 352
B U I L D I RGMBING & MECHANICAL PERMIT APPLICATION
OWNER LNFORMATION: CONTRACTOR LNFORMATION:
NAME: 1 e . ./ NAME:
MAILING ADDRESS• x t X7 _1 1 D L{( ,r )k MAILING ADDRESS:
CITY: J�,Q l g� STATE:U).A ZIP: q,7�. CITE': STATE: ZIP:
PHONE:2C,, ,)!).;of 0Y CELL: 36,, PHONE: CELL:
EMAIL:�G,c k i �a c. S t,r:t../ EMAIL
r L&I REG# EXP. /
PARCEL ORMAT ION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DESCRIPTION(ABBPEn4TED):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS: I , 1 rA i S
9 i �.
TYP OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 sr FLOOR 2ND FLOOR BASEMENT GARAGEv OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electr-ic LPG Natural Gas Ductless_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump �—
Showers I Spot Vent Fan
Water Heater ( Propane Tank
Clothes Washer f G lets
Kitchen Sinks ( ;toco
as/Pellet Stove
Dishwasher t en Exhaust Hood
Hose bibs 3 Dryer Vent _ '
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or 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�APPATION F 180 DAYS WILL INVALIDATE THE APPLICATION.
X
Signature;Applicant Date
X ,e S Vn Owner/Owners Representative/Contractor
Print N e (indicate which one)
DEPARTMENTAL REVIEW APPROVED DA E DENIED DATE TAGS/NOTES/CO-NDTTIONS
BUILDING DEPARTMENT to
PLANNING DEPARTMENT
FIRE MARSHAL
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Approval: for office us--s
• • .. D. - . Planning:
application: Health:
ACCESS & GRADE INSPECTION BLD
ADDRESS: CGsc��a— �' �.IG•,c0
INSPECTOR: DATE OF INSPECTION: i 5�
FIRE SPRINKLER REQUIRED? (circle) NO YES
IF fire sprinkler required, was notification letter mailed? DATE MAILED:
DRIVEWAY ACCESS
( ) need post at access of driveway with reflective address numbers
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Len Width: Surface:
Condition of Shoulders:
Vertical clearance:
(_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
L� LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS.
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Name_ r J Parcel# /s� Z ( ' ell c�c�f�� BLD420Iy—60 l ID
BUILDING Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
htti)//www.co.mason-wa—us/code/co -'ssioners/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 A.ND no part of the sto.rmwater 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 Lou, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE PJrUL 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 well be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this, or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have, a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation_
Acknowledgement of such is by signature below.I declare that I am the owner, owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described prope f rev and inspection as may be required
X Owner/Agent/Contractor(circle one)Date: 7 t/
Page 2 of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code,Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment', with more than 2,000 square feet of impervious surface.
'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 =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X
X = Length of drive begins at the right of way
X =
Parking Areas X =
Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
J
-Fv+L)e,6"' I cy
MASON COUNTY RESIDENTL4L,�-PLANS SUBMITTAL CHECKLIST
Owner's Nmne ' 1 - - Reviewed By.
Document ButWING
�
-!! Buildmg Permit App cation Completed ✓ �Lormwater Chec: �--IVED
,ePlanni g intake Checklist Completed,
rte plan includes:Allowable building area,r of overhangs,decks,etc. R ZQ1�J
ire Apparatus Access Road info required? Yes No
✓Energy Code Application Form-O Electric 511 heater O Electric central furnace O LPG Furnace-4.--b VN.. CEDAR ST.
•Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type
/ O Ductless Heat Pump O Other. Specify:
✓_ Me,Chanica/Pl��"g Application-WATER TER FUEL OCATION
✓_Engineering? o Snow load Seismic D2
Stock Plan—approved snow load: Seismic: D2
'Man ac Homes— OR PLANS
Foundation Type: ufa�e�redov
ethod gineered footin dation Basem
• Decks: Covered? ver 4 d over 30"? Constrn lazes requir
Constructio:'Plans: `� 3 COMPLE)E SETS /7.
ans Legible ✓cognized Scale evation Views _Cross Section
foundation Plan _✓Roof Framing Plan ✓ Floor Plan-Use of moms noted(all floors)
Floor Framing Plan-all floor levels including loft,crawlspace,etc. (Q00 S.F. ??—stairs?)
Deck Framing Plan,incl cov.porch framing
Plan Detai .
f framing details,truss lay-out may be needed (Hip and girder location shown)
all Framing-Does bearing-wall height exceed 10'?(Engineering may be required) M 4)C l0'
Floor framing Floor j oists(size&s��ing): Z X i a c I s+ �[A �dor b J
Wmdow headers. Typical header: `I')C 10 Ono Garage header � -4 l
Foundation:footing size,reinforcement
W¢'oncrete Walls-Does Concrete Wall Height Exce 8'?(Engineering may be require4 see details) �V
!! dings at all exits?Less than 30"above N
Bated By Furnace-Location of Furnace Fuel type.
_ ireplace/Stove Information Shown-Fuel Type? Location(s):
endow Sizes Marked on Plans
Braced wall panels(shear walls)marked on plans or lateral ei&- ing? e /G(fl I I VL
COMMENTS:
ENGINEERING REQUIRED
Braced wall panel&%-ace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed
bu Dding plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: ,Snow _ps£
IRREGULAR BUILDINGS R3012222
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur.
I)Exterior braced wall line or B WP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft beyond the braced wall line.
3)End of B WP extends more than 1 fL over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc: fireplaces, chimneys,and veneer).
When this applies the entire story shall be designed-In accordance with accepted engineering practice.
H:\permit tech building checktist_doc Revised 11-29-2007
78 ZL4�