HomeMy WebLinkAboutBLD2020-00841 Final SFR ADV2019-00109 - BLD Permit / Conditions - 10/8/2020 r �
Mason County
Mason County - Division of Community Development
l� �rr•
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2020-00841 NEW SINGLE FAMILY RESIDENCE
PROJECT DESCRIPTION: SFR (HILINE HOME) (FORMALLY BLD2019- ISSUED: 10/08/2020
00970) (9/28 CUSTOMER CALLED HOME WILL BE MIRRORED)
SITE ADDRESS: 1901 NE MISSION CREEK RD BELFAIR EXPIRES: 04/06/2021
PARCEL: 223255003026
APPLICANT: GEISLER KEITH & DELORES OWNER: GEISLER KEITH & DELORES
P O BOX 3231 P O BOX 3231
BELFAIR,WA 98528 BELFAIR, WA 98528
1.509.670.7519
GENERAL CONTRACTOR'S LICENSE: HILINE HOMES License: HILINH"983BD
11306 62ND AVE EPUYALLUP,WA 98373 Expires: 11/08/2021
360-300-6100
VALUATIONS: FEES: Paid Due
Covered Deck/Carport 24.00 $528.00 Mechanical Base Fee $30.00
U VB Utility, miscellaneous 527.00 $25,454.10 Building Permit Fee $1,610.25
R-3 VB Residential, one- 1721.00 $208,654.04 Mechanical Fees $73.00
and two-family Plan Check Fee $1,247.06
Technology Surcharge $62.33
Plumbing Fees $131.00
Plumbing Base Fee $25.00
State Fee-Residential $6.50
Total: $234,636.14 Totals : $3,185.14
FIXTURES
City Mechanical Fixtures (sty 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 Ductless Heat Pump 1.0000 Number of Kitchen Sinks
3.0000 Spot Vent Fan(s) 1.0000 Number of Water Heaters and or Vent
2.0000 Number of Hose Bibs
Printed by:Kati Dooley on:10/08/2020 08:54 AM
Page 1 of 8
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 BLD2020-00841
(sty Plumbing Fixtures
2.0000 Number of Bath Tubs
2.0000 Number of Showers
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
" 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.
* 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.
* 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.
* 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.
* 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.
Printed by:Kati Dooley on:10/08/2020 08:54 AM
Page 2 of 8
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 BLD2020-00841
* 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 property lines shall be clearly identified at the time of foundation inspection.
* 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.
* 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 Iabek, 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 '/or'/2 sheets. The Mason County Permit Center will also have some available.
* 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.
* 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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Page 3 of 8
�}G P
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 BLD2020-00841
* 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.
* 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.
* 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.
* 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.
* 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.
* The foundation/footing must be placed on undisturbed, firm-native soil.
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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 BLD2020-00841
* 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.
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Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg. 8
584
3 Ohelton, WA 427 9670 ext 98352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD202O-00841
* 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.
1a EFFICIENT BUILDING ENVELOPE 1a:
Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U = 0.28
Floor R-38
Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 5%. 0.5
3db HIGH EFFICIENCY HVAC EQUIPMENT 3d:
Ductless Split System Heat Pumps, Zonal Control: In homes where the primary space heating system is zonal electric
heating, a ductless heat pump system shall be installed
and provide heating to the largest zone of the housing unit.
1.0
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.c
0.5
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
1.5
* 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.
* 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.
* 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).
* 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 6 of 8
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 BLD2020-00841
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.
* 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.
* 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.
* 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 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.
* 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.
* 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.
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Page 7 of 8
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 BLD2020-00841
* To perform an inspection the Mason County Building Inspector will need to access the interior of the structure. An
electrical permit completed and approved by Washington State Labor& Industries must be available on-site during the
inspection.
The Mason County Building Inspector will inspect the following: Verify that the system is installed in accordance with
manufacturer specifications;The inspector will check to make sure that the exterior unit is permanently installed and
supported, the exterior unit complies with required setbacks to property lines, fuel tanks are located at least 10-ft from the
system, a source of ignition,all exterior penetrations are properly sealed,condensate lines are installed and are properly
supported, including proper material, slope, and that the condensate line terminates to a proper location outside of the
foundation, copper refrigerant lines are insulated with '/2"thick continuous closed-cell foam insulation or better, indoor units
are located at least 3-ft from smoke and carbon monoxide alarms,and that modifications made to the structure, to install the
unit, does not affect existing structural members.
* On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
* Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained
" 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.
" Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel.
* Type f stream per MCC 8.52.170 table (C)type f streams require a 150' plus 15' building setback. Buffers shall be retained
in their natural conditions, with the only exception being allowed uses and activities outlined in MCC8352.170(D)(4).
" 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).
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 o ot. The bra ting of a permit does not presume to give authority to violate or cancel
the proA 'o o a other st to local law regulating construction or the performance of construction.
Issued B
Contractor or Authorized Agent: Date:
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Page 8 of 8
` MASON COUNTY615 W.Alder St.Bldg 8,SHELTON,WA 98584
i
COMMUNITY SERVICES SHELTON:360-427-9670,EXT 352
BELFAIR:360-2754467,EXT 352
Building,Planning,Environmental Health.Community Health ELMA:360-482-5269,EXT 352
www.co.masonma.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY"
To schedule an Inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2020-00841 Date Issued 10/08/2020 Issued By
Project SFR(HILINE HOME) (FORMALLY BLD2019-00970)(9/28 CUSTOMER CALLED HOME WILL BE MIRRORED)
Site Address 1901 NE Mission Creek Rd
Applicant GEISLER KEITH&DELORES
Contractor HILINE HOMES
Contractor Phone 360-300-6100
Primary Code 2015 IBC,IRC,IFC,IEC,IMC,& Type
UPC yp
Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy
-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 Perimeters Point load Footing
Footing Interior _,Lt N Pi Footing Decks/Porches
Foundation Stem Walls .'j, Other
Rough-In Groundwork Plumbing Framing -Z
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing' . `2.
Underfloor, -21,2
Other
Insulation Slab Ceiling
Floor It Vaulted Ceiling
Walls 1 - 2 G Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home6mt16-�O
Concrete Foot/Runners Final CLM r
Other
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MASON COUNTY 360-427-9670 Shelton ext.352
COMMUNITY SERVICES 36 60-482-52 Be lm ext.352
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
CORRECTIOWINSPECTION REPORT
PERMIT/CASE NUMBER: k
ADDRESS/LOCATION: , CZI(CeZ
FINDINGS:
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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.
all for re-inspection when corrections are made before proceeding with any further work.
❑ ake corrections, items will be checked on the next inspection.
❑ OK to
Date ❑ Please contact our office regarding possible
3
Department. structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
Belfair ext.352
COMMUNITY SERVICES 36 60 482-5269 Elma ext.352
Building,Planning,Environmental Health,Community Health
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: LA - on I
ADDRESS/LOCATION: \ ( 1�
FINDINGS:
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C u
r\ f r Yl
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.
K to
ZO
Date: -Z\ Please contact our office regarding possible
Department: .` I structural damage incurred by recent
Inspector: p "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
Belfair ext.352
COMMUNITY SERVICES 3 0-275-4467 360-482 52 9 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: 91-D ZO 20 — a0 gC4 I
ADDRESS/LOCATION: 11 o ( Al E W t SS ld yr 1°✓�.tc -12W l c
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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
bove are in VIOLATION of Mason County laws and/or ordinances.
15�C all 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: 7-71 Z( ❑ Please contact our office regarding possible
Department: 5405 structural damage incurred by recent
"natural/man made"disasters.This is NOT a
Inspector: c� _ CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
-PC- 2, MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
COMMUNITY SERVICES 36 60-482-52 Be lm ext.352
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
CORRECTIOWINSPECTION REPORT
PERMIT/CASE NUMBER: 6Ll-,>ZvzO— 0CD S-4t /�
ADDRESS/LOCATION: l�D n/C �liS5/0 tit ep-a A-- 4ei &64,
INGS.
/ e / S �
c � Z
G( of ( u r aK C,vr
/ h ✓!
Items listed above mtfst be correcteh 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.
3:1�
&wwr
all 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: Please contact our office regarding possible
Department: i -t- (> structural damage incurred by recent
"natural/man made"disasters.This is NOT a
Inspector: J CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
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
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: 3L7 -ZD 20 O C7 'F y
ADDRESS/LOCATION: I fO I N E J/yl►596✓l C✓eK At-- ►Zc�. �X� �✓
FINDINGS:
t S ..�✓l C yr 6 -7' =L
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5
1 ll e le-V + a Cw�✓ 4� S 1
I ld tt Vo4- Ut 4qI C 1+ OiIL -
e0 eCr e ✓ -II A Lidt u.d4-
Items listed above must be corrected to lain 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.
all for re-inspection when corrections are made before proceeding with any further work.
Make corrections, items will be checked on the next inspection.
4 OK to V\ e,,�e- �,.9<.� U (.
Date: Please contact our office regarding possible
Department: F5 L-D structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC 14.12
MASON COUNTY 360-427-9670 Shelton ext.352
COMMUNITY SERVICES 36 60-482-52 Be lm ext.352
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: 13LU2-02-0`a08LI/
ADDRESS/LOCATION: 1 q D I IU EE M i 3S 1 yn Creek: Cie L- e_L i r
FINDINGS:
bee c:6 h '
r n ti X
ti d f r-. ar- t/ -4,d4d 3/S5 �
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A- lar Z 4o mina
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1
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Gyre �e� 11 f //e i l s
are on -���f nod_ mKul le
OK -Fo senj Photos or' 4ese cQrr_ecj ohs'_ Crni llerzmetsoncounkywii,�o�
inG v e
�( Z L(-Z 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.
N OK to S end p1,oko s
Date: is Z ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
1 a
MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
60 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
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER. \a j-UZQ-00SLA
ADDRESS/LOCATION:�C M, Ion ErMiK,. i�C .
FINDINGS: '(� r vo D ►n YY1 --
V-
Q yo
oy)
L"urn) C i - Gt-
rr r r \- N
i a
' Y 1 ve n
e r '�r
rti e r-
Items listed abo ust 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.
❑ C 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: —12..2r ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: _ I 'natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
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
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER:'jO 2C)7 0/-� ,tea y
ADDRESS/LOCATION: ��n �� / v 1 � or( C�Pt'1C. �d
FINDINGS: ' r
v ;
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: - 2.' ❑ Please contact our office regarding possible
Department:A6 structural damage incurred by recent
Inspector: �(v ' "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
352
COMMUNITY SERVICES 36 60 40-275-82 52 9 Elmaeext. 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 A'ZQ _ADDSL
ADDRESS/LOCATION:\C�T)t�P L\Ay'c 'k ►n
FINDINGS:
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.
Date:\`-".,.O,--L\ ❑ Please contact our office regarding possible
Department: L D structural damage incurred by recent
"natural/man made"disasters.This is NOT a
Inspector: ,���f; S CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
(a 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:
ADDRESS/LOCATION:
FINDINGS:
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: ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
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PLANNIN
60aw.
PLANN G;
ALL SETBACKS ARfEgSURED �� Audio-Visual Alarm
FROM TrHE F HEST
PRQJECTION OF T (BUILDING � Cleanout
1200 Gallon Septic Tank
,yn• 2-Compartment with
I u2�1 \0 Effluent Filter •,
5'•PG. �) n4 1000-Gallon Pump CIutinbGr
�5.�� l 2020. OU 8L4
CGImmUn ��-� Arrow Septic Designs
171 E. Vuecrest Dr
Union, WA 98592
A P P p (360) 898-2255
MASON COUNTY
SITE PLAN REQUIRED TO BE ON SITE
ES SUBJECT TO APPRO L
BY Date 10 Z ZC) i
Mason County WA GIS Web Map
--� RECEIVED
70NE S.EEE1H�E�J4�D0D ORTH
NWG AUG 0 4 2020
255003023
6 5 W. Alder Street
160 NE STEE_LVA,9,MNQRi?H 223255003021
_ 13 NE MISSION CREEK RD
223255W3024 1900 NE MISSION CREEK RE
22325
E MISSION CREEK RD 223259999999
22325SO03025 2232 00302
120 NE STEEL'HEAD(OF NO
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0 0.01 0.01 0.02 mi
I County Boundary AE 1' .T� , ,I - I
0 0.01 0.02 0.04 km
° Site Address (Zoom in to 1:5,000) AE FLOODWAY
- Tax Parcels (Zoom in to 1:30,000) - AO
Sources:Esri,HERE,Garmin,Intermap,increment P Corp.,GEBCO,USGS,
FEMA FIRM Map FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri
OPEN WATER Japan,METI,Esri China(Hong Kong),(c)OpenStreetMap contributors,and
A the GIS User Community
V E Mason County WA GIS Web Map Application
Richard Diaz I County of Kitsap,Bureau of Land Management,Esri Canada,Esri,HERE,Gannin,USGS,NGA,EPA,USDA,NPS I
F �
Nam Parcel# BLD#
} Mason County
I L 1) 1 Q�partment of Community Development AUG 0 4 ?V0
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:
http//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)X_The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at:
Phone:(360)-427-9670 EXT.450
Mail:P 0 Box 1850,Shelton WA 98584
Physical:415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone:(360)-427-9670 EXT.352
Mail:P 0 Box 1666,Shelton WA 98584
Physical:426 W Cedar St,Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described p pe for r 7iew d inspection as may be required.
Owner/Agent/Contractor(circle one)Date: 7 )2,0
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 2.
'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.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
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 =
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
MASON COUNTY n County Permit Center Use:
• COMMUNITY SERVICES FLD
Building,Planning,Environmental Health,Community Health
615 W.Alder Street—Bldg.8,Shelton,WA 98584 Da cvd
Phone:(360)427-9670 Ext.352 ♦ Fax:(360)427-7798 �
Fee: $300.00
No fee if w/other permits
FDPO Development Permit Application
Applicant: , Contractor:
Mailing Address: Mailing Address:
City, State, Zip City, State, Zip
Phone: ('c4 (., 0 _ —7-6 1,7 L,,� Phone: ( )
Email: {L. -z. 4D rT 0I C)yo Email:
Parcel Numb r: Property Address:
i
�o3DZ7 1,10 ► I46 Ivl i 55(C)r)- 00- W-D
I understand I am making application for a permit to develop in a designated flood hazard area. The
undersigned agrees that all such work shall be done in accordance with the requirements of the County Flood
Damage Prevention Ordinance, building codes and all other applicable Local, State and Federal regulations.
This application does not create liability on the part of the County or any officer or employee thereof for any
flood damage that results from reliance on this application or any administrative decision made lawfully
thereunder.
Applicants Signature: Date:
Official Use:
A. Description of Work (complete for all work):
1. Proposed Development Description:
O-New building/Addition ❑ Manufactured home ❑ Fill/grade ❑ Other:
❑ Commercial (see section D)
❑ Remodel/repair to existing building (see section C)
2. The parcel has been identified in the following Flood Hazard Area:
,A\A ❑ AE ❑ AO ❑ VE
3. Are any other Federal, State or local permits required? Must attach copies of permits.
❑ Yes k�-PJo If yes, list type:
4. Is the proposed development in an identified floodway?
❑Yes YNo
5. If yes to#4, a No Rise Certification must be attached.
❑ Yes C No
B. Complete for New Structures and Building Sites:
1. A FEMA Elevation Certificate is required, must be completed by a Washington State licensed Surveyor.
Must attach a copy of certificate.
2. Base Flood Elevation at the building site: feet NAVD 88
3. Required lowest floor elevation (including basement floor): feet NAVD88
4. In flood hazard areas without a base flood elevation (BFE), what is the highest adjacent
Grade? (HAG)
Structure must be a minimum of two (2) feet above the HAG.
The required finish floor height is
C. Complete for Alterations, Additions, or Improvements to Existing Structures:
******(See attached Substantial Improvement & Substantial Repair)*******
1. What is the estimated market value of the existing structure? $
2. What is the cost/valuation of the proposed construction? $ Percentage
3. If the cost or valuation of the proposed construction equals or exceeds 50 percent of the market value
of the structure, then the substantial improvement/repair provisions shall apply.
Is the proposed work a substantial repair/improvement ❑ Yes ❑ No
D. Complete for Non-Residential Floodproofed Construction:
1. Type of floodproofing method:
2. The required floodproofing elevation is: feet NAVD88
3. Floodproofing certification by a registered engineer is attached:
❑ Yes ❑ No
E. Complete for Subdivisions and Planned Unit Developments:
1. Will the subdivision or other development contain 50 lots or 5 acres?
❑ Yes ❑ No
2. If yes, does the plat or proposal clearly identify base flood elevations?
❑ Yes ❑ No
3. Are the 100 Year Floodplain and Floodway delineated on the site plan?
❑ Yes ❑ No
Administrative
1. APPROVED: DENIED: statement attached
2. Elevation Certificate attached: ❑ Yes o
3. As-built lowest floor elevation: feet NAVD88
Comments/Conditions: D ,�
Mason County Flood ba&rge Prevention Ordinance #41-17 & International Building Codes
s
MASON COUNTY Mason County Permit Center Use:
' COMMUNITY SERVICES AVV aOl G — Coo ro 9
Building,Planning,Environmental Health,Community Health r 'n�
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 D at - ~ Z.O
Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 D
Fee: $13 .
Request for Administrative Variance for
Reduction in the Required Setbacks 615 W. Alder Street
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 annd�cutters.
Applicant/Owners: TC,Cl TH a De IO,eeS e s e 2
Mailing Address: �• o 3 3 l
City: -�)e I-LA- State: rt Zip: q g S
Telephone: 501 - BOZO 1 5 C
Email: et Eon
If this reduction is tied to a building permit, please give permit case number.
BLD
nn ^^ � � c..,
Parcel Number(s): a�O�� �c� / Zoning
C�`l1 G�'`e ►�"
Site Address: tU 1� Jy G rn ice\
Requested setback variance:
ft. XXront ❑ Rear ❑ Side
S 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 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.
FRONT OR REAR YARD REDUCTION REQUESTS:
Fore mg lots of record as of March 5, 2002;
You must meet one of the following:
1) ra
of the following exists on the lot (check all that apply):
) steep slopes, wetlands, or streams present;
6 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 ARD REDUCTION RE UESTS:
Fore ' ting lots of record s of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot (check all that apply):
V 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;
❑ 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.
�S
Owner/Agent (please indicate) 0 8 o7 9 /
S igna Date
Official Use Only
Approved by: Date
Denied by: Date
Reason for denial:
BLD r- �TIM D
MASON COUNTY
COMMUNITY SERVICES AUG 0 4 70
Building,Planning,Environmental Health,Community Health RCVD BY:
,Wq_� 115W. Alder Stre t
APPLICANT INFORMATION (please print clearly)
Name of Applicant: KE I T-R -+ DEI.oIZE S ( ')E-1 S LF-(Z
Site Address: NC dX_E_F_K Ro
This checklist MUST be complete.
***A completed document must be present at submittal. ***
******Incomplete applications will NOT be accepted******
PERMIT APPLICATION Applicant Verified N/A
Provide a completed and signed(by owner or authorized representative) V
application and applicable fees are due at submittal.
Provide a completed plumbing and Mechanical Application
SITE PLAN
Provide one(1)copy of proposed site plan. Drawn to scale of either
I"= 10' or I"=20' depending on lot size.
North Arrow, location and dimensions of all property lines and easements.
Vicinity map showing location and names of all roads and easements.(public and
private)
Show distances to all structures, septic tanks, drain fields,property lines,top of ✓
slopes or cuts and easements.
Zoning(indicate):
Rural Residential: 2.5 5 10 20 Other:
Urban Growth Area: Zone:
Front yard: Direction: Side yard: Direction:
Rearyard: Direction: Sideyard: Direction:
All access points,width of access. easements and driveways).
Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website f
Building height shown on elevations views.
Floodplain boundaries and setback distances. See Plans for additional
requirements.
Wetland or surface water(if any)and any applicable buffers. If yes, a wetland
report may need to be submitted.
Is the site near a Shoreline stream,CEeek, lake,saltwater if yes,please indicate?
Name of shoreline:
Shoreline designation:
Stream type F, S,Ns,N :
Is the proposed site within 300 feet of a slope 15%of greater?If yes,a geological
report or assessment may be required.
Existing/proposed on-site septic system and reserve areas,providing setback to ✓•
structures.
Existing/proposed wells show 100 ft well radius,with distances to structures). m my n
Existing and proposed stormwater controls(downspouts, dry wells,etc.)
Exterior storage tanks (propane)and HVAC equipment.
PLANS Applicant Verified N/A
Provide three(3)copies of plans(2 full size min. 18"x 24"and 1 small size)and yM,
two(2)copies of all specifications and engineering.Plans must be drawn to scale �� 1
of/4"= 1'.All notations and drawings must be clear and legible.All Engineering
call-outs must be detailed on plans.
Engineered plans must provide calculations/analysis.Analysis must include the
following information:
• 2015 International Building Code
0 Snow load(by location) V --
• Seismic zone(D-2)
• Exposure(by location and topography)
• Windspeed 85 MPH basic and 110 ultimate w/3 secondgust)
If project is in a flood hazard area,the submittal MUST include an Elevation
Certificate,flood venting compliance and an elevation detail indicating the location
of finished floor relative to the Base Flood Elevation or Design Flood Elevation as
designated by surveyor or engineer.
FOUNDATION PLAN
Plan view of foundation/footings/pads ✓
Type, size and location of footing(stepped foundation provide detail
Elevation view of foundation steps,with final grade
Cross-sections of footing and foundation(including height of wall).
Floor joist andspacing each floor). ✓'
Show location of flood venting and detail the method and compliance for venting.
Type and locations of hold-downs and anchors. ✓
Crawl access location and size. ✓
Insulation value for foundation(if slab or basement). See Energy Credits for
additional requirements,credits must be indicated on the plans.
If project is in Flood Hazard Area provide flood venting compliance including vent
locations,vent type,elevation detail for venting location interior and exterior of the
crawls ace.
FLOOR PLAN
Square-footage of each floor
Use of each room ✓
Location and size of attic access ✓
Dimensions of building and rooms. ✓'
Location and type of furnaces,water heaters,smoke detectors,and carbon ✓
monoxide detectors. Include location of bollard for appliances located in garage.
Plumbing fixture locations
Location of doors,windows include size,egress,tempered andskylights)
✓
Insulation value in floor. See Energy Credits for additional requirements,must be ✓
indicated on the plans.
Location of ventilation fans and CFM for each. ✓
Location of whole house fan and CFM continuous or intermittent ✓
Location,side and type of brace wall or shear-wall panels. If structure is
engineered,must supply two copies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts, ledgers. ✓
Plan MUST include size,grade,spacing,length andspecies or type of material
Dimensions and framing details of stairs.Plan MUST include size,material,
spacing,len h.
ELEVATIONS AND WALL DETAILS
Typical and rated walls details a separation)
Listing of fire-resistive wall designs(duplex or townhouse)
Building elevations-all 4 sides Show distance from grade at each corner.
Exterior wall details when distance between overhangs is less than 5 feet.
Insulation value for walls. See Energy Credits for additional requirements, must be
indicated on the plans.
If project is in floodplain must provide Elevation detail indicating the location of
finished floor relative to the Base Flood Elevation or Design Flood Elevation as
designated by surveyor or engineer.
ROOF PLAN
Layout of roofs stem
Label type of roofs stem, rafters, engineered trusses&spacing
Headers noted at each location or typical header noted.
Roof pitch and covering materials
Sheathing es,dimensions and fastening ✓
Attic venting(type, location and amount)
Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for
addition requirements,must be indicated on the plans. Vol
ENERGY CODE REQUIREMENTS Applicant Verified N/A
Completed Washington State Energy Code form
Plans must indicate fuel source for furnaces,water heaters and other appliances. 6/
Completed Heating/Cooling Heating/Cooling system size worksheet.
Compliance to the Washington State Energy Code and required Credits.
Construction drawings/plans MUST include all credit information on the plan ✓
details such as insulation,ventilation,furnaces,windows etc.Plans must also
include the amount of credits and which credits are chosen.
I verify that all required documents,plans and specification associated with this application have been submitted and are
accurate. If information, details are not provide the application will be place on HOLD until all required details are
provided and accurate.
Signature of owner or authorized agent Print Name Date
MASON COUNTY COMMUNITY SERVICES Permit No:-BRU-2 W99 I
PERMIT ASSISTANCE CENTER:
-BUILDING-PLANNING-PUBLIC HEALTH-FIRE MARSHAL
615 W.Alder Street,Shelton,WA98584 AUG 0 4 2020
�t Phone Shelton:(360)427-9670 ext.352-Fax.,(360)427-7798 Phone
�R t Belfair.(360)275-4467-Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION 615 W. Alder Street
e- PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
I �
NAME: CITh '1- D61,0A65 &t SL R NAME:
`. lei-LINE �-fa�
`m MAILING ADDRESS: P b k�6 M 3Z-3 MAIL G ADDRESS: I aoG l,o2�''_ V E E
CITY�ELFA W�1 R ST _ZIP: 1r$,2 CITY: STATE:WPZIP:9 s
PHONE 41: 50 Q- 6 1 0 - 115 19 PHONE: I CELL:
PHONE 42: '5 6 O 3(o- 3 EMAIL:
EMAIL: K. XP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑NAME KLN1TN EI EK EMAIL �' _ r am
MAILING ADDRESS 'P•0- C X Z 31 CITY l A STATE�A ZIP 4 B sa
PHONE__ 50� Co l 0 15l CELL �✓ O I
PARCEL INFORMATION: n
PARCEL NUMBER(12 Digit Number) a ZONING �1"
LEGAL DESCRIPTION(Abbreviated) L Z to,Z B 3 FIRE DISTRICnT
SITE ADDRESS Fi M S O ITY
DIRECTION TO SITE ADDRESS WA. b 4 -r A'boo W
'u� I<( oN Mrs N /
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO)Q SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEKA POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW%, ADDITION❑ ALTERATION❑ .'REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) ?CS I D EN Ci
IS USE: PRIMARY x SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS ot.
HEATED STRUCTURE? YES(Whole Bldg)I YES(Part/s)ofBldg) NO❑
DESCRIBEWORK GAf,&Je- IS NOT WATF- MFu) //O#)g G0NS7-9kcT7VA1
SQUARE FOOTAGE: (proposed)
1ST FLOOR LV sq.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.
GARAGE_527 sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE N A MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC 0( SEWER❑ / NEW K EXISTING❑
PLUMBING IN STRUCTURE? YES K NO❑ Ijyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS _ 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 pennit 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 permittapplication 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
PER MI APPLICATION 80 YS OFM�AR�E�WILL CAUSE THE APPLICAT ONTO BE EXPIRED.(MASON
14.08.42)
Z o zo -`�vb►m- V-
6 2-0X �
Signature of OWNE Must b si red b the OWNER Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT �G t(3,2
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
I
MASON COUNTY COMMUNITY SERVICES Permit No.Lid azo -40a`�
PBUSTANCE CENTER:
ILDING •I PLANNING *FIRE MARSHAL RECEIVED
615 W.Alder St-Shelton, WA 98584
' www.co.mason.wa.us AUG 0 4
Phone Shelton.(360)427-9670 ext. 352• Fax:(360)427-7798 2020
Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269
615 W. Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR I FORM TION:
NAME: elm 4 e me S eA S C-R 1L- NAME N d AV65
MAILING ADDRESS: F. O- -10X 32,' MAILING ADDRESS:
CITY:rbt[4 jL STATE: LU A ZIP:-I'ZS;IT CITY: STATE: ZIP:
Ist PHONE: PHONE: CELL:
2"d PHONE: (,Po . 53(0- ;Ly l EMAIL :
EMAIL: K.Q�I5L,0- WAV6CAg&,1-. C-0M L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): X.3 !�-5D-t*02(p 1?5 50- 30;X7 Zoning:
LEGAL DESCRIPTION(Abbreviated):?A&t0L A -befs y't o1 $LK'S
SITE ADDRESS: 111% K (-?0I Ne M isseou GRCK CITY:;c-1� "4 —
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING?1e1 �,' Resl
LOCATION OF FIXTURES/UNITS—1ST FLOOR 2�FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL INTS
Type of Fixture No.of Fixtures Fees Fuel Type:ElectricX, LPG Natural Gas Ductless
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers 2. 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 TOTAL MECHANICAL
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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INV LIDATE THE APP ION. 0()bmc AZ6L-'
X 714 Zoz o g_q -boa o
Signature of O er Date
DEPARTMENTAL REVIEW APPROVED I DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT -0Ec 5'(3'
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN