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N CD o m n CD c _ (Q a (D CD m m m a m c Q m � a m a < - a c cn (D 3' m m m m m 0 30) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County X rdinance or reggu_lation, must be reviewed and approved by Mason County prior to construction. 31) 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 X Inspector shalllbe made prior to requesting additional inspections. 32) All property lines shall be clearly identified at the time of foundation inspection. X rT f+ 33) All building permits shall have a final inspection performed and approved by the 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. 34) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X ITT 35) 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. X 36) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, anq flashing. Install metal connectors approved for contact with the new types of pressure treated material. x :1 37) 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. X T k 38) 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 PIga"tp ensure these structures are shown and meet the setback conditions listed. BLD2015-00972 Please refer to the following pages for conditions of this permit. Page 7 of 8 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 snended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICA O OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature �( Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2015-00972 Please refer to the following pages for conditions of this permit. Page 8 of 8 CANCELLED o CONCRETE MECHANICAL MANUFACTURED HOME C C? Date By Footings I Setbacys Ribbons T Gas Piping CD Intenor Date By 1644e'10 lWerior-Date By Date sy C) (0 0 -4 Exterior Date ���� By Exterior-Date BY Set-top 100 M Point Load I]so ated FootingsINSULATION BG I SLAB INSULATION Date By z B Data a y-t)jer— FIRE DEPARTMENT Foundation Walls Floors Date By Date t l BY Data By DECKS FRAM'Nd Walls Date By Dale By Data •f,!g-19 13Y tz C_ ----------!r— PROPANE TANKS PLUMBING Vault Data By Date 41 By OTHER Groundwork Atfic Oy-�- S"4244a, Date 5':--to-L aB y jo.Z_ Date By Data Cl 11 lio, W. By D.W.1V DRYWALL Type- -0 Date By Int Brace Wall Date By 100 yate By r-D FINAL INSPECTION 0 Water Line Fire Sepe ration CD @ Date By Date By Dale By 01 o Pass or Request Inspect. 6 Type of Insp. Fail Date Date Done By Comments C) CD -4 �4� �� N 61 57 CD (n 5n WA-LL- 131 51W 61 eFlt t, to C 0 L (0 0 Zn 0 in ........... 3 A:::L1Pj,9j1V-6 V,4xw&/w T.45S VeriCkJ c Croimow",r llGcso e-0.4 0S t/.4 U cQ CD 0 I�d M,h ICV,G-17 - gg 20 Pl�'�KA WELL DECEIVED � - � 1 " NOV 2 Q 2015 �c ' �3 i�� - 50-- 000w r r r 426 W. CEDAR ST. REsI ice PUMPPLANNING Tangy K I 50�IL C{ e0 TA.AI•^�,% v ALL SE ,'; �Q �p\a`'E RtstzvE r - ry . ,URr!- Ob d ` CL sy c�9 0 FCISTF 3� l %�x�r,I,✓� 369 tee �� RULI /TRI Oba Kc5vNGE U A,Gl/ A IT D� TA {OY�l WA IUM Name (/t✓ Parcel# � �¢ BLD# BUILDING 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 = (o X = Measurements for buildings are taken at the v perimeter of the farthest projections(example: eaves/gutters) Driveways = 412OCK CEDAR Sft Length of drive begins at the right of way X = Parking Areas © X �jn = �� X = Any paved,gravel or packed area per definition above table X = i 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 o view and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: _ It 1 114/ V� 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 co BUILDING �Py o MASON COUNTY PERMIT NO. /J ' DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING.PLANNING•17RE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 iRu PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.852,0- �'C E I V E D BUILDING PERMIT APPLICATION NOV 17 2015 OWNER INFORMATION: CONTRACTOR INFORMATION;6 W. C E DA R E T. NAME: 'FOB Jug NAME: MAILING ADDRES :f!,Sf(?Ac,-, -(J Wd Alt MAILING ADDRESS: CITY: lk%IT j.E STATE: ZIP: 01 1 K- CITY: STATE: ZIP: PHONE: CLOLIL : - 1 2 PHONE: CELL: EMAIL: a' EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) Z z3'I —5D CbOC, l FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): SITE ADDRESS 2Sy0 E T, k &-4('k5M1Tff RD CITY TAA I?N DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKEJX RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YESK NO❑ TYPE OF JOB: NEW X ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) F'owywcCC- IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS Z•r DESCRIBE WORK GoNsi l��e r�gJ d F 1-r2y ->2&V { g�luEN T t.)! e-m;tl cnA &0JJS SOUARE FOOTAGE: 1ST FLOOR_&!��sq.ft. 2ND FLOOR_5J0 sq.ft. 3RD FLOOR sq.ft. BASEMENT-W sq.ft. DECK 1 bo sq.ft. COVERED DECK_?_sq.ft.STORAGE sq.ft. OTHER-4JJ. sq.ft. PoR&Jf GARAGE sq.ft. ATTACHED ❑ DETACHED❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑ MANUFACTURE INFORMATION: *4 COPIES OF THE FLOOR PLAN KE MODEL EAR NGTH BEDROOMS BATHS S BER 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 inspec on.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if cons ru ion work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTIO CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL I ALI ATE THE APPLICATION. X Signs ure oY Applicant x -MFN tbili- O / PRESENTATIVE /CONTRACTOR Print Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT lti I J PLANNING DEPARTMENT FIRE MARSHAL BUILDING . L,OzaJs- ' MASON COUNTY PERMIT NO. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 CET'V-E J) PLUMBING & MECHANICAL PERMIT APPLICATION NOV 17 2015 OWNER INFORMATION: CONTRACTOR INFORMATION: 426 VV. CEDAR ST NAME: To mt- NAME: MAILING ADDRESS: 3 5R,c7�SCVC,L NC MAILING ADDRESS: CITY: ',AFlF I.LE--STATE: ZIP: 01S( CITY: STATE: ZIP: PHONE: - CEL g W(E PHONE: CELL. EMAIL: EMAIL L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): L��' I " TO— COOf0 LEGAL DESCRIPTION(ABBREVIATED): _ SITE ADDRESS: �&b lUG TAHOYA, CK f7Mllo P. CITY: TA�tUy& DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING �,CN�ChC.0 LOCATION OF FIXTURES/UNITS—11T FLOOIFJV 2No 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 Heat Pump Toilets 3 Type of Unit No.of Units Fees Bathroom Sink 3 Furnace Bath Tubs ( Heatpump I Showers x Spot Vent Fan 3 Water Heater l Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks I oo as/Pellet Stove I Dishwasher Kitchen Exhaust Hood — I Hosebibs 2► Dryer Vent _] Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a perioi I of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLIC TI N OF 180 DAYS WILL INVALIDATE THE APPLICATION. Sig—nattbreof[Applicant Date X wner/ w ers Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT !� y PLANNING DEPARTMENT FIRE MARSHAL I MASON COUNTY Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR is 00 0 4 - 411 N.Fifth Street/P.O.Box 279, Shelton WA 98584 360.427.9670 ext.352 Date Rcvd 706 Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) 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-g-u�t-ters. i1 Applicant/Owners: Mailing Address: r-Co City: jl�rt C(, State: LAJ Zip: Telephone: 44Y,9� In Email: h,t� 6 l �Y�IU. 1 l .CAM If this reduction is tied to a building permit, please give permit case number. BLD 2v 15 - ()()�I `Tz. Parcel Number(s): 2- 2 v)!/ � — 0 U[(� Zoning Site Address: U Requested setback variance: ��.� J_ ft. l KFront ❑ Rear ❑ Side /k) �T'' c ft ❑ Front ❑ Rear Side WeS- 7 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, set backs to all property lines and existing buildings, slopes, surface water,wetlands, critical areas, septic, well and driveway. Show all proposed new development. 1:\Community DevelopmentTAC-Permit Assistance Center\VARIANCES\Admin Variance.doc Edited on 7/16/10 I � 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): 'tea) steep slopes,wetlands, or streams present; ❑ b) soils that restrict building or septic development; D 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; i ❑ 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. e knv1"q_,e Owner/Agent (please indicate) i ature Date Official Use Only Approved by: Date l � i t 6 Denied by: Date Reason for denial: I:\Community Development\PAC-Permit Assistance Center\VARIANCES\Admin Variance.doc Edited on 7/16/10