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Home My WebLink AboutBLD2020-00761 SFR ADV2020-00072 - BLD Permit / Conditions - 10/15/2020 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2020-00761 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW SFR ISSUED: 10/15/2020 SITE ADDRESS: 2191 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 07/31/2021 PARCEL: 223195000116 APPLICANT: GUERNSEY BRIAN &SHELBY OWNER: GUERNSEY BRIAN &SHELBY 2100 NE TAHUYA BLACKSMITH RD 2100 NE TAHUYA BLACKSMITH RD TAHUYA,WA98588 TAHUYA,WA98588 1.360.801.0264 CONTRACTOR: MORGAN BUILT HOMES 10233 YATES LN NMREMERTON,WA98312 360-801-4140 GENERAL CONTRACTOR'S LICENSE: MORGAN BUILT HOMES License: MORGABH876LC 10233 YATES LN NV*BREMERTON, WA98312 Expires: 07/08/2021 360-801-4140 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 2472.00 $299,705.28 State Fee-Residential $6.50 $0.00 and two-family Mechanical Base Fee $30.00 $0.00 U VB Utility, miscellaneous 1287.00 $62,162.10 Plumbing Fees $167.00 $0.00 Unfinished Basement 980.00 $22,001.00 Planning Review Fee $240.00 $0.00 Covered Deck/Carport 409.00 $8,998.00 Technology Surcharge $96.53 $0.00 Plumbing Base Fee $25.00 $0.00 Building Permit Fee $2,891.84 $0.00 Mechanical Fees $190.00 $0.00 Building Plan Review/Change of $110.00 $0.00 Use- Onsite Sewage Plan Check Fee $1,879.70 $0.00 Total: $392,866.38 Totals : $5,636.57 $0.00 FIXTURES Printed by:Amber Selby on:08/11/2021 12:14 PM 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 BLD2020-00761 (Qty Mechanical Fixtures City Plumbing Fixtures 1.0000 Gas Outlet(s) (1-5) 1.0000 Number of Bath Tubs 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 Kitchen Sinks 1.0000 Propane Tank(s) 1.0000 Number of Water Heaters and or Vent 6.0000 Spot Vent Fan(s) 2.0000 Number of Hose Bibs 3.0000 Number of Showers 4.0000 URINAL 5.0000 Bathroom Sink REQUIRED INSPECTIONS Setback Inspection Framing Inspection Footing Inspection Rough- Plumbing Inspection Foundation Wall-Pre-Pour Inspection Mechanical Inspection Underground Plumbing Gas Piping Inspection Slab Insulation Insulation Inspection Underfloor Inspection BLD-Final Inspection Shearwall Inspection CONDITIONS " 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 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/d itch ing system or road way. Printed by:Amber Selby on:08/11/2021 12:14 PM 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 BLD2O2O-00761 * 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. * 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. * 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. * The foundation/footing must be placed on undisturbed, firm-native soil * A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel, the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC)of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section R401.3 & R402.4.1.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4.1.2. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 500 square feet. Reference IECC/WSEC R402.4.1.2. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate"and are available in '/4 or Y2 sheets. The Mason County Permit Center will also have some available. Printed by:Amber Selby on:08/11/2021 12:14 PM Page 3 of 8 Mason County Mason County - Division of Community Development r 615 W. Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2020-00761 Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * 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. * 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). * 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 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. * 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. * 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. * 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. Printed by:Amber Selby on:08/11/2021 12:14 PM Page 4 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 BLD2020-00761 * 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. * 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. * 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. * Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * 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. Printed by:Amber Selby on:08/11/2021 12:14 PM Page 5 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 BLD2O2O-00761 * 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. * 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. * 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. * 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. * 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. * 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 property lines shall be clearly identified at the time of foundation inspection. * 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 * 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. Printed by:Amber Selby on:08/11/2021 12:14 PM Page 6 of 8 Mason County pp 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 BLD2020-00761 * 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 by5%. 0.5 2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION2a: Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a high efficiency fan (maximum 0.35 watts/cfm), not interlocked with the furnace fan. Ventilation systems using a furnace including an ECM motor are allowed, provided that they are controlled to operate at low speed in ventilation only mode. To qualify to claim this credit, the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the qualifying ventilation system. 0.5 3Bb HIGH EFFICIENCY HVAC EQUIPMENT3b: Air-source heat pump with minimum HSPF of 9.0 5c EFFICIENT WATER HEATING5c: 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 " Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. RR20 ' The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. * Height of structure not to exceed 35 feet from average grade. * All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. Printed by:Amber Selby on:08/11/2021 12:14 PM 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 BLD2020-00761 • On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. * Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X 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 verning this type of work will be complied with whether specified herein or not The granti o permit does not presume to give authority to violate or cancel the provisions ny ther sta e/ oc w *gulating construction or the performance of construction. Issued 13 /;71n_A Contractor or Authorized Agent: Date: y Printed by:Amber Selby on:08/11/2021 12:14 PM Page 8 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 400 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us B DD2020-00761 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW SFR ISSUED: 10/15/2020 SITE ADDRESS: 2191 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 04/13/2021 PARCEL: 223195000116 APPLICANT: GUERNSEY BRIAN &SHELBY OWNER: GUERNSEY BRIAN &SHELBY 15 JASPER DRIVE 15 JASPER DRIVE COLUMBUS, NJ 08022 COLUMBUS, NJ 08022 1.360.801.0264 GENERAL CONTRACTOR'S LICENSE: Family Classic Homes License: FAMILCH883JO 60 NE Lake Dr Expires: 05/26/2022 Tahuya,WA98588 253-753-7692 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 2472.00 $299,705.28 State Fee-Residential $6.50 and two-family Mechanical Base Fee $30.00 U VB Utility, miscellaneous 1287.00 $62,162.10 Plumbing Fees $167.00 Unfinished Basement 980.00 $22,001.00 Planning Review Fee $240.00 $0.00 Covered Deck/Carport 409.00 $8,998.00 Technology Surcharge $96.53 Plumbing Base Fee $25.00 Building Permit Fee $2,891.84 Mechanical Fees $190.00 Building Plan Review/Change of $110.00 $0.00 Use- Onsite Sewage Plan Check Fee $1,879.70 $0.00 Total: $392,866.38 Totals : $2,229.70 $3,406.87 FIXTURES (3ty Mechanical Fixtures (3ty Plumbing Fixtures 1.0000 Gas Outlet(s)(1-5) 1.0000 Number of Bath Tubs 1.0000 Dryer Vent(s) 1.0000 Number of Clothes Washers 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Dishwashers Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 1 of 8 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 GO Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2020-00761 Qty Mechanical Fixtures City Plumbing Fixtures 1.0000 Furnace(s) 1.0000 Number of Kitchen Sinks 1.0000 Propane Tank(s) 1.0000 Number of Water Heaters and or Vent 6.0000 Spot Vent Fan(s) 2.0000 Number of Hose Bibs 3.0000 Number of Showers 4.0000 URINAL 5.0000 Bathroom Sink REQUIRED INSPECTIONS Setback Inspection Framing Inspection Footing Inspection Rough- Plumbing Inspection Foundation Wall-Pre-Pour Inspection Mechanical Inspection Underground Plumbing Gas Piping Inspection Slab Insulation Insulation Inspection Underfloor Inspection BLD-Final Inspection Shearwall Inspection CONDITIONS " 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 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. Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 2 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 19 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2020-00761 * 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. * 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. * 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. * The foundation/footing must be placed on undisturbed, firm-native soil * A permanent certificate, completed by the builder or registered design professional, shall be posted on a wall in the space where the furnace is located, a utility room, or an approved location inside the building. When located on the elctrical panel, the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC)of fenestration. Where there is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section R401.3 & R402.4.1.2, and air leakage results if a blower door test was conducted. Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4.1.2. The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required for additions less than 500 square feet. Reference IECC/WSEC R402.4.1.2. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate" and are available in %or sheets. The Mason County Permit Center will also have some available. Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 3 of 8 Mason County Mason County - Division of Community Development 615 W.Alder St. Bldg.8 GO Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2020-00761 Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. The plan review checklist 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. * 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. " 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). 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 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. * 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. * 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. * 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. Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 4 of 8 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg.8 GO Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2020-00761 * 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. 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. " 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. * Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25'of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. * All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration. Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No more than one extension may be granted. * 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. Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 5 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 BLD2020-00761 * 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. * 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. * 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. * 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. * 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. * 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 property lines shall be clearly identified at the time of foundation inspection. * 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. * 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. Printed by:Kati Dooley on:10/15/2020 08:27 AM 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 BLD2O2O-00761 ' 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 by5%. 0.5 2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION2a: Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a high efficiency fan (maximum 0.35 watts/cfm), not interlocked with the furnace fan. Ventilation systems using a furnace including an ECM motor are allowed, provided that they are controlled to operate at low speed in ventilation only mode. To qualify to claim this credit, the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the qualifying ventilation system. 0.5 3ab HIGH EFFICIENCY HVAC EQUIPMENT3a: Gas, propane or oil-fired furnace with minimum AFUE of 94%, or Gas, propane or oiled-fired boiler with minimum AFUE of 92% 1.0 5c EFFICIENT WATER HEATING5c: 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 * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. RR20 " The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment.All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attached to the approved building plans. " Height of structure not to exceed 35 feet from average grade. Printed by:Kati Dooley on:10/15/2020 08:27 AM 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 BLD2020-00761 * All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. * On-site Septic System final installation approval required prior to temporary/final occupancy of the residence. " Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s)requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions plf n, oth tate/local law regulating construction or the performance of construction. Issued By. \ Contractor or Authorized Agent: Dateb/ Printed by:Kati Dooley on:10/15/2020 08:27 AM Page 8 of 8 / \ KNJ / \ D E S I G N / t G R O U P \ RECEI V. D CONSTRUCTION / JUL 2 0 2020 25°"°°"PL3-459-525292 aa""aSTaTn UNNER'Sm PEA=ra \ 615 W. Alder bLi,;,-E SCALE 180, 8 ' wary ;v-� v� IV-� t��` • W P PLANNING W& AIV i N G P L ,N ALL SETBACKS ARE MEASURED FROM THE FURTHEST PROJECTION OF THE BUILDING co�oE 28'6• 1'S' ' `, .T, ..s 35' / 458' \ 31, +y ,,• 45'e• 44D, 9 456' /- 51'a' / 37'z• / O N J � /� 0 ' / 454' z 200 x OWNER NAME: GUERNSEY RESIDENCE X / 9 ' 452 � ADDRESS: XXXX NE TAHUYA BLACKSMITH RD W X ' PARCELL #: 223195000116 >/ LOT AREA: 5 ACRES 217,800 SF x LOT COVERAGE: 6802 SF .031% 1— / MAIN FLOOR AREA: 2472 SO FT 450 BASEMENT AREA: 1394 SO FT GARAGE FLOOR AREA: 1287 SO FT APPROVED BUILDING HT: 22'-4" MASON COUNTY / � SIT ppp p / BUILDER: FAMILY CLASSIC HOMES E PLAN REQUIRED T INNING CH �BE ON SITE PIOJEti SUBJECT TO APPR AL ' 60 NE LAKE DR. By S Date 9 •— — =. _.a—. . TAHUYA, WA GUERNSEY �� j �(rjv ��j� �� SCALE: 1 30 RES. xx W A S N N C T O N 1 40 . 1 SILT FENCE SHEET TITLE SI TE PLAN SHEET NUNIEI: S. P. Name Parcel# ,r7Z-3 BLD# ZOIn - t.OAV dr 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: 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) -The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in tr 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/Agen!,Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement su s b ignature below. I declare that I am the owner,owner's legal representative,or the contractor. further acknowl ge t ormation provided is accurate and employees of Mason County are granted access to ab e- describe pr a r r and inspection as may be r X Owner/Agent/C ntractor(circle one)Date: ZfFe2of2 t E Name &ed V SAE Parcel# BLD# Mason County JUL 2 0 2020 Department of Community Development 615 W Small Parcel Stormwater Management Application/Worksheet (page 1VO)Street 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 X = 13 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 = Patio alk 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 all Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) •75 3 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 cknowledges that submission of inaccurate information may result in a stop work order or permit revocation. AcXackno c is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I fua information provided is a d.elnployees of Mason County are granted acc s to a above- dea ew and inspecti ay be required. / X Owner/Agent/Contractor(circle one)Date: CD 2 Fhe e Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign nformation provided on page 2 of 2. Pagel of 2 MASON COUNTY COMMUNITY SERVICES Permit No: PERMIT ASSISTANCE CENTER: 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 40 Belfair.(360)275-4467•Phone Elma:(360)482-5269 C BUILDING PERMIT APPLICATION JUL Z O PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION• 6 pr NAME: �/ �¢/V S iZ�s_ NAIVIE: e�r.� C'�.�,s S. ore c • ' der Sirs MAILING ADDRESS: A$ -r,40440 SLA ING ADD SS: .N — A.^" • •PR - CITY: NN 6- STATE:-A?1&-ZIP: CITY:'TA•* STATE:40^-ZIP: - PHONE#1 led) B O I—O Z 6 z PHONE: -V-a3 "'CELL ZSQ S/IV 1IL®� PHONE#2: EMAIL a Dri TlS .his. NG EMAIL:Si!/�4s wr 4r L&I # EXP. PRIMARY CONTACT: OWNER❑ CONTRACTOR OTHER�1 NAME ,4-OW- c- 1-45S s C EMAIL 1 /L es Vq it-Ce MAILIN D S &O JVAr— PP-- CITY A N STATE IV X ZIP PHONE L1 L- T— 03az CELL T� PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZZ 3 195606 11 (o 1ZQNNING LEGAL DESCRIPTION(Abbreviated) OOT'E,4 t,KE_ r 7ZAt-TS= Fi DISTRICT JI./t t As c;ni R r' STI•E ADDRESf21q I rV g 14 If QL.Ac-KS/tt 17'JY 2D CITY p Fr DIRECTIONS TO SITE ADDRESS A) Go fZN E!L D A U JE^) VACA77 Te) LAG or..sl L.a rfC�_ IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] Ne<,NOW LOAD:_psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check ail that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEWS:DITION[I ALTERATION[I REPAIR El OTHER [IUSE OF STRUCTURE(Residence, urge, mercial Bid$Etc.) 51^ki L e— F.4 JW/,-I/_ /21E5 IS USE:USE: PRIMARY SEASONAL El NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 3 HEATED STRUCTURE? YES(wholeBldg)❑ YES(Pmr[s]ofBldg)❑ NO❑ DESCRIBE WORK 4 NA&V S/IJ 4 1-Z fBlp1/L R S SQUARE FOOTAGE:(proposed) 1ST FLOOR 2`eM q.ft. 2ND FLOOR.----K.ft. 3RID FLOOR sq.ft. BASEMENT_ it 011 DECK 'sq.ft. COVERED DECK ZG/-- sq.ft. STORAGE sq.& OTHER/ 413 sq.&POAC4 GARAGE/-4Z sq.ft. Attache tached❑ CARPORT sq.R Attached[] Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SE TI SEWER❑ / NEW❑ EXISTING❑ PLUMBING IN STRUCTURE? YE NO❑ Ifyes,attach completed Water Adequacy Form PERRVIETERNOUNDATION DRAINS PROPOSED? YE� 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 pennitlapplication 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) X Signature of OWNER(Must be signed by the OWNERI Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY COMMUNITY SERVICES Permit No:q'-4 � -Lp—w-70 PERMIT ASSISTANCE CENTER.- BUILDING •PLANNING •FIRE MARSHAL 615 W.Alder St-Shelton, WA 98584 Vwww.co.mason.wa.us RS CCI E p� Phone Shelton. (360)427-9670 ext. 352• Fax:(360)427-7798 LJ Phone Belfair. (360)275-4467• Phone Elma:(360)482-5269 J01. 2 0 2029 PLUMBING & MECHANICAL PERMIT APPLICATION C15 0, OWNER INFORMATION: CONTRACTOR INFORMATION• NAME: NAME: MAILING ADDRESS'XXK AI --rA H H gAt, &-Acv- pM�AILING ADD S A//� La+K� PR— CITY:TrS1.sl,�� STATE:Gv A-- ZIP: �'r" �1TY: '7"p N N TATE:�' ZIP: 1"PHONE:(g 6,0 8 a 1 - 6 Z-7v y PHONE: �S-a> CELL:qs�V SrlV- 77Zll 2nd PHONE: E it i c.of:ze- a•rr-s & 4,%4, , EMAIL: S Ile C74-1 CT M A I,_ , cc rn L&I G# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 'Z Z 3 �/S�� Zoning: u L- LEGAL DESCRIPTION(Abbreviated): &)O a F X^3 kV-- '?tz A G'f-S T-1Z j i CQ SITE ADDRESS: )(Xx /J F- TAN N fj A- fZ D CITY: 7—A )411 DIRECTIONS TO SITE ADDRESS: a Iz C c R-ry fL o A A v rL.-N ya ►c-E_ AJ 1—:�X r- -7—a W 00 75--"J TYPE OF JOB: S NEW ADD ALT REPAIR OTHER USE OF BUILDING < LOCH ION OF FIXTURES/UNITS—1sT FLOOR ee 2t1D FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural.Gas Ductless_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs / Heat Pump Showers �_ Spot Vent Fan Water Heater / Propane Tank Clothes Washer f Gas Outlets Kitchen Sinks / Wood/Gas/Pellet Stove Dishwasher / Kitchen Exhaust Hood Hose bibs Ti 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.1 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 INVALIDATE THE APPLICATION. X Signature of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT j">ESL 9.44 Zd PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 1BN From: Shelby Guernsey<shelbyp 06@hotmail.com> Sent: Friday, March 19, 20219:22 AM To:Ariane Paysse <ArianeP@co.mason.wa.us> Subject: Re: 22319-50-00116-----2191 NE Tahuya Blacksmith Rd Hi Ariane, Hope you're having a great Friday!! I am hoping you can point me in the right direction...we recently fired our builder (Family Classic Homes) and terminated our contract so we need to make sure that their name is removed from all permits and that everything is in our name (Brian & Shelby Guernsey), can you please tell me who I can contact for that? Thank you!! Shelby t A 1 MASON COUNTY Mason County Permit'Atr=t�:IVED ,x COMMUNITY SERVICES ADV - " `� 2 2020 Building,Planning,Environmental Health,Community Health JUL 615 W.Alder St.—Bldg.8,Shelton;Wa 98584 Date Rcvd Phone:(360)427-9670 ext.352♦ Fax:(360)427-7798 r Stn;.at Fee: $130.00 Request for Administrative Variance for Reduction in the Required Setbacks For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure, including roof eaves and gutters. G tpplicant/ wners: k1- IVY mg Address: Q o City: 7o-ykA V/&State: \ Zip: �5�g Telephone: 3kJ 21 Is i33'�3 _( Email: Q\1\/1 1 -(C )iAA If this reduction is tied to a building permit, please give permit case number. BLD '1.�Z� - aD�Co Parcel Number(s): -� ' S0 _ 00 IL Ce Zoning Site Address: 1 Requested setback variance: to ft. ❑ Front Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways.-Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum S 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. r • FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 1) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; ❑ 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. I Owne Agent lease indicate) Signature Date Official Use Only �y j Approved by: Date Denied by: Date Reason for denial: