HomeMy WebLinkAboutBLD2022-00962 Final Replace MFG Home ADV2022-00104 - BLD Permit / Conditions - 11/2/2022 Mason County
Masor County - Division of Community Development
615 W. Alder St. Bldg. 8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
F
-00962 NEW SINGLE FAMILY RESIDENCE
ESCRIPTION: REMOVE EXISTING MFG HOME & ISSUED: 11/02/2022
ITH NEW STICK BUILT SFR
SS: 50 NE LARSON LAKE LN BELFAIR EXPIRES: 05/01/2023
PARCEL: 123305200056
APPLICANT: EMERALD LEGACY LLC WNER: EMERALD LEGACY LLC
P O BOX 1333 P O BOX 1333
BELFAIR,WA 98528 BELFAIR,WA98528
360.551.1873
CONTRACTOR: RJ PEABODY INC
P O BOX 565
BURLEY, WA98322
360-895-3235
GENERAL CONTRACTOR'S LICENSE: RJ PEABODY INC License: RJPEAPI861DU
P O BOX 565 Expires: 12/29/2022
BURLEY, WA98322
360-895-3235
VALUATIONS: FEES: Paid Due
R-3 VB Residential, one- 1730.00 $256,610.90 State Fee-Residential $6.50 $0.00
and two-family Plan Check Fee $1,435.25 $0.00
U VB Utility, miscellaneous 400.00 $23,952.00 B ilding Plan Review/Change of $125.00 $0.00
Covered Deck/Carport 28.00 $616.00 U e-Onsite Sewage
Technology Surcharge $78.67 $0.00
Plumbing Base Fee $25.00 $0.00
Mechanical Fees $102.00 $0.00
Mechanical Base Fee $30.00 $0.00
Plsnning Review Fee $240.00 $0.00
Plumbing Fees $133.00 $0.00
Building Permit Fee $2,208.08 $0.00
Total: $281,178.90 Totals : $4,383.50 $0.00
FIXTUR S
Printed by:Ariane Paysse on:11/02/2022 09:52 AM
Page 1 of 7
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 BLD2022-00962
(Oty Mechanical Fixtures Oty Plumbing Fixtures
1.0000 Dryer Vent(s) 1.0000 Number of Hose Bibs
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Clothes Washers
2.0000 Ductless Heat Pump 1.0000 Number of Dishwashers
4.0000 Spot Vent Fan(s) 1.0000 Number of Kitchen Sinks
1.0000 Number of Water Heaters and or Vent
2.0000 Number of Bath Tubs
2.0000 Number of Showers
3.0000 Bathroom Sink
3.0000 Number of Toilets
REQUIRED INSPECTIONS
Setback Inspection Rough- Plumbing Inspection
Footing Inspection Mechanical Inspection
Foundation Wall-Pre-Pour Inspection Hnsulation Inspection
Underfloor Inspection Connection has been verified by Health or Utilities
Shearwall Inspection BLD-Final Inspection
Framing Inspection
CONDITIONS
" Landings and stairs must meet the same setback conditions as sny 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 i spection purposes. If an inspection is called for and
plans are not available on site, then approval will not be granted. I addition, a re-inspection fee (refer to current fee
schedule, minimum 1 hour)will be charged and must be collected y the Building Department prior to any further inspections
being performed or approvals granted.
* 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.
* By definition, propane tanks and heatpumps are structures, whi h must meet setback conditions. Please check your
"Approved Site Plan"to ensure these structures meet the setback�onditions listed.
Printed by:Ariane Paysse on:11/02/2022 09:52 AM
Page 2 of 7
Mason County
Maso►1 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 BLD2022-00962
All property lines shall be clearly identified at the time of foundat on inspection.
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 inform tion contact Public Works, at(360)427-9670, ext.450 or
100 W Public Works Dr. Shelton. The building permit will not be fir aled 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.i
Adopted Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Pr Dscriptive option Marine-4C, Window(Max U-
Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-FE ctor):0.30 or less, Wall insulation R-21, Floor insulation
R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slat) Insulation R-10.
2 Heat pump
1.2 Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Vertical fenestration U =0.20
2.1 Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour.
maximum at 50 Pascals or For R-2 Occupancies, optional compliance based on Section R402.4.1.2: Reduce the tested air
leakage to 0.3 cfm/sf maximum at 50 Pascals and All whole hOUSE ventilation requirements as determined by Section
M1507.3 of the International Residential Code or Section 403.8 of the International Mechanical Code shall be met with a
high efficiency fan(s) (maximum 0.35 watts/cfm), not interlocked with the furnace fan (if present). Ventilation systems using a
furnace including an ECM motor are allowed if they are controlled o operate at low speed in ventilation only mode.
3.6 Ductless split system heat pumps with no electric resistance hating in the primary living areas. A ductless heat pump
system with a minimum HSPF of 10 shall be sized and installed to provide heat to entire dwelling unit at the design outdoor
air temperature.
5.5 Water heating system shall include one of the following: Electric heat pump water heater meeting the standards for Tier
III of NEEA's advanced water heating specification or For R-2 Occupancy, electric heat pump water heater(s), meeting the
standards for Tier III of NEEA's advanced water heating specification, shall supply domestic hot water to all units. If one
water heater is serving more than one dwelling unit, all hot water supply and recirculation piping shall be insulated with R-8
minimum pipe insulation. 5
* 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).
* The use, handling and storage of hazardous materials or flamm$ble and combustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
Printed by:Ariane Paysse on:11/02/2022 09:52 AM
Page 3 of 7
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
s , F Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2022-00962
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-$00-647-0982. The person signing this condition is either
the homeowner, agent for the owner or a registered contractor according to WA state law.
* The 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.
* A permanent certificate, completed by the builder or registered c esign professional, shall be posted on a wall in the space
where the furnace is located, a utility room, or an approved locatioi 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 th D 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 lift the type and efficiency of heating, cooling, and service
water heating equipment, duct leakage rates including test conditions as specified in WSEC Chapter 4, and air leakage
results if a blower door test was conducted.
Building envelope air leakage control shall be considered accepta le when tested to have an air leakage less than 5 air
changes per hour when tested with a blower door in accordanve Oth WSEC Section R402.4.1.2.
The blower door test results shall be recorded on the permanent c rtificate required located near the electrical distribution
panel. Air leakage testing is not required for additions less than 5 0 square feet. Reference 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.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* All 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.
* 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 correcti ns 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 fo the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required bu Iding inspections.
Printed by:Ariane Paysse on:11/02/2022 09:52 AM
Page 4 of 7
Mason County
Masor 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 SIN LE FAMILY RESIDENCE BLD2022-00962
" Installation of heating equipment in a single-family residence shall meet the requirements of the current WSEC R403,
applicable sections of the IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, SOction R403.7. Heating and design load calculations for the
purpose of sizing HVAC systems are required and shall be calcul ed 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 mean 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 duct 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 R 03.3.3 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 heat d space.
* 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.
* WIND LOADS- Roof coverings shall be designed and tested to Nithstand the maximum basic wind speed. The basic wind
speed for Mason County is 85 MPH.
Printed by:Ariane Paysse on:11/02/2022 09:52 AM Page 5 of 7
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 BLD2O22-00962
* A Mason County Stormwater Management Worksheet was com feted 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 bption "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled"Manaoing 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 implenhented with new construction or development on site and
MUST NOT adversely impact adjacent parcels. Under the require ents of Mason County Stormwater Ordinance, either
private ditches and drains will meet requirements of the stormwatc r ordinance or prior approval will be granted to use an
existing utility and drainage easement dedicated for that specific p rpose. For further information regarding this ordinance
and the REQUIREMENT to obtain an ACCESS PERMIT for the in tallation/construction of a driveway or access connecting
from a Mason County Road, Contact the Mason County Public W rks Department prior to construction at Ext 450. For any
construction which is proposed to be located within 25'of a Masor+ County road right of way, it is suggested to contact that
office to review future planned work which may affect your project.
" 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.
" 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 Washin ton. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
" CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS EQUIRED 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 nd 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.
" Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
" OWNER/BUILDER acknowledges submission of inaccurate intormation 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 easemen holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provide 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.
Printed by:Ariane Paysse on:11/02/2022 09:52 AM Page 6 of 7
41 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 SIN LE FAMILY RESIDENCE BLD2022-00962
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 OI pia call (360)902-6350 and in Bremerton call (360)415-
4000.
* 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 ME son County ordinances and building regulations.
* A minimum of 90 percent of all permanently installed lamps in li4hting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
* 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.
* Planning Setbacks:
Front: 20'ADV2022-00104 (W prop. line)
Rear: 20' (E prop. line)
Side: 7.5'(N & S prop. line)
*Measured from furthest projection; subject to EH setbacks
* On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
* Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered.
A.) Drainfield/Reserve requires a 1 Oft setback from all footing/foundations.
B.)Septic tank(s) requires 5ft setback from all footing/foundations.
C.) No foundation/Perimeter Drains within 30ft, down gradient of Qrainfield/Reserve area.
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area.
I hereby certify that I have read and examined this appl cation and know the same to be true and correct.
All provisions of Laws and Ordinances governing this ype of work will be complied with whether
specified herein or not. The granting of a permit does r of presume to give authority to violate or cancel
the provisions of any other state/local law regulating construction or the performance of construction.
Issued By: #16 4e Al Ta sse
Contractor or Authorized Agent: U Date: �� 2
Printed by:Ariane Paysse on:11/02/2022 09:52 AM
Page 7 of 7
oc%Authentisign M:399A6505-67A1-ED11-BF7A-6650F2765AB1
c
AIR
2018 Washington State Energy Code—Residential
3 Prescriptive Energy Code Compliance for All Climate Zones in Washington
Single Family—New&Additions effective February 1 2021 version 1.2
These requirements apply to all IRC building types,including detached one- and two-family
dwellings and multiple single-fa lily dwellings(townhouses).
Project Information I Contact Information
0 NE Larson Lake Lane Me an G'ertsen 253-514-3915
Belfair WA
Instructions:This single-family project will use the requirements of the Prescriptive Path below and
incorporate the minimum values listed. Based on the size of the structure,the appropriate number of
additional credits are checked as chosen by the permit applicant.
Provide all information from the following tables as building permit drawings:Table R402.1-Insulation and
Fenestration Requirements by Component,Table R406.2-Fuel Normalization Credits and 406.3-Energy Credits.
Authorized Representative Date 1/23/2023
All Climate Zones Ta le R402.1.1 T
R-Value U-Fa or'
Fenestration U-Factor b n/a 0.30
Skylight U-Factor b n/a 0.50
Glazed Fenestration SHGC bje n/a n/O
Ceiling a 49 0.026
Wood Frame Wall 9,1 21 int 0.056
Floor 30 0.029
Below Grade Wall ch 10/15/21 int+T 3 0.042
Slab d f R-Value&Depth 10,2 ft n/
R-values are minimums.U-factors and SHGC are maximurr s.When insulation is installed in a cavity that is less
a than the label or design thickness of the insulation,the coi npressed R-value of the insulation rom Appendix
Table A101.4 shall not be less than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.
"10/15/21+5TB"means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on
the interior of the wall,or R-21 cavity insulation plus a the-mal break between the slab and the basement wall at
c the interior of the basement wall."10/15/21+5TB"shall b permitted to be met with R-13 cavity insulation on
the interior of the basement wall plus R-5 continuous insu ation on the interior or exterior of the wall."5TB"
means R-5 thermal break between floor slab and basemer t wall.
d R-10 continuous insulation is required under heated slab c i grade floors. ee eci ion R402.2. .1.
For single rafter-or joist-vaulted ceilings,the insulation m y be reduced to R-38 if the full insulation depth
e extends over the top plate of the exterior wall.
R-7.5 continuous insulation installed over an existing slab deemed to be equivalent to the required perimeter
f slab insulation when applied to existing slabs complying w h Section R503.1.1.If foam plastic is used,it shall
meet the requirements for thermal barriers protecting foa plastics.
For log structures developed in compliance with Standard CC 400,log wails shall meet the requirements for
9 climate zone 5 of ICC 400.
Int.(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard
h framing 16 inches on center,78%of the wall cavity insulated and headers insulated with a minimum of R-10
insulation.
Prescriptive Path—Single Family 2018 Washington State Energy Code-R 1
Authentisign ID:399A65D5-B7A1-ED11-BF7A-0050F2765AB1
5
2018 Washington State Energy Code-Residential
Prescriptive Energy Code Compliance for All Climate Zones in Washington
Single Family-New&Additions(effective February 1,2021)
Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 (fuel
normalization credits)and Table 406.3 (energy credits)to achieve the following minimum number of
credits.To claim this credit,the building permit drawings hall specify the option selected and the
maximum tested building air leakage,and show the qualilying ventilation system and its control sequence
of operation.
1. Small Dwelling Unit:3 credits
Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area.
Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf.
2. Medium Dwelling Unit:6 credits
All dwelling units that are not included in#1 or#3
3. Large Dwelling Unit:7 credits
Dwelling units exceeding 5,000 sf of conditioned flo area
4. Additions less than 500 square feet: 2.5 credits
All other additions shall meet 1-3 above
Before selecting your credits on this Summary table,review the details in Table 406.3(Single Family),on page 4.
SummaryofTabl 11406.2 and 406.3
Heating Fuel Normalization Descriptions Credits-select ONE User Notes
Options heating option'
1 Combustion heating minimum NAECAb 0.0 ❑
2 Heat pump` 1.0 ❑
3 Electric resistance heat only-furnace or zonal -1.0 ❑
4 DHP with zonal electric resistance per option 3.4 0.5 0
5 All other heating systems -1.0
El
Energy Credits-select ONE
O tions Energy Credit Option Descriptions nergy option from each
p category
1.1 Efficient Building Envelope 0.5 ❑
1.2 Efficient Building Envelope 1.0
1.3 Efficient Building Envelope 0.5 [�
1.4 Efficient Building Envelope 1.0 ❑
1.5 Efficient Building Envelope 2.0 ❑
1.6 Efficient Building Envelope 3.0 ❑
1.7 Efficient Building Envelope _ _0..5
2.1 Air Leakage Control and Efficient Ventilation 0.5 ❑
2.2 Air Leakage Control and Efficient Ventilation 1.0 ❑
2.3 Air Leakage Control and Efficient Ventilation 1.5 []
2.4 Air Leakage Control and Efficient Ventilation 2.0 ❑
3.11 High Efficiency HVAC 1.0
3.2 High Efficiency HVAC 1.0 0
3.31 High Efficiency HVAC 1.5 ❑
3.4 High Efficiency HVAC 1.5 []
3.5.1 High Efficiency HVAC 1.5
3.5.2 High Efficiency HVAC 1.5 ❑
3.6a High Efficiency HVAC 2.0 ❑
4.1 High Efficiency HVAC Distribution System 0.5 ❑
4.2 High Efficiency HVAC Distribution System 1.0 ❑
Prescriptive Path-Single Family 2018 Washington State Energy Code-R 2
i
Aulhentisign ID:399A65D5-B7A1-ED11-BF7A-0050F2765AB1
t
2018 Washington State Energy Code—Residential
Prescriptive Energy Code Compliance for All Climate Zones in Washington
Single Family—New&Additions(effective February 1,2021)
Summary of Table 406.2(coat.)
Energy Credits-select ONE;
Energy Credit Option Descriptions(cont.) energy option from User Notes
Options each category d
5.1d Efficient Water Heating 0.5
5.2 Efficient Water Heating _ 0.5 ❑
5.3 Efficient Water Heating 1.0 ❑
5.4 Efficient Water Heating 1.5 ❑
5.5 Efficient Water Heating 2.0
5.6 Efficient Water Heating LJ 2.5 ❑
6.le Renewable Electric Energy(3 credits max) 1.0
7.1 Appliance Package 0.5 ❑
Total Credits 6.0 caiculate Tatat clear Four,
a. An alternative heating source sized at a maximum of 0.5 WVsf(equivalent)of heated floor area or 500 W,
whichever is bigger, may be installed in the dwelling unit.
b. Equipment listed in Table C403.3.2(4)or C403.3.2(5)
c. Equipment listed in Table C403.3.2(1)or C403.3.2(2)
d. You cannot select more than one option from any category EXCEPT in category S.Option 5.1 may be combined
with options 5.2 through 5.6.See Table 406.3.
e. 1.0 credit for each 1,200 kWh of electrical generation provided annually,up to 3 credits max.
See the complete Table R406.2 for all requirements and option descriptions.
f. Use the single radiobutton in the upper right of the second column to deselect radiobuttons in that group.
Please pant only pages 1 through 3 of this worksheet for submission to your building official.
For Building Officials Only
Prescriptive Path—Single Family 2018 Washington State Energy Code-R 3
w E m m w n n 0
w <�
d \ \ ( \ § 2 z z 2
! E / f / n w m n
E ° • ® § § r
(n n z 0 0 # #
k D ' 0 0 0 2 2
, \ 0 / k 2 m G Go
2 m 2 ƒ w §
2 E \ \ \ E
e
2 \ m \ \
ƒ j \ ^ q
% / \
7
-SPIS a /
. f m
� ~
n 2
_\ ( z k o 2 7
0 0
2
� m
k k 0 0
0 0 m k k _2
m o %
o 0 0 m o m §
m n E \ \ m o 2 o
§ ; @ R 2 CD 0
S J $ ) U 9
Al m E w ƒ " G 3 \ q 0
\ / r CD ƒ 2
J / \ K g2 a $
CD ( m = £ § g m c E % J
o $ \ \ E \ 0 m @
< ; 'a 2 I in >
» 0 2 � »
m 0 \ q / %
C SS m 7
J $ / CD2
' o e
z
g ƒ 2
<
m m /
� » _
f /
ƒ 00
I
. k m 0
2 \ \ \
m \ \
& & z
\ / \
60MASON 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, ommunity Health
615 W.Alder St. Bldg. 8 - Shelton,WA 985 4 www.masoncountywa.gov
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: GD t).;)2— D
ADDRESS/LOCATION: 50 /U C- Z- R,SOA)
FINDINGS:
Ij
Items listed above must be Corr cted to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Ouilding 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: '�-3 ❑ P14ase contact our office regarding possible
Department: PIP structural damage incurred by recent
Inspector: DErJ "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.1
METHODS MD EQUIPMENT
7R9RWESMPoTAMErc EAt4Aild6AW 1&OWAARSAK UMOON AS9.WBDATUM PIU)DFDPIK
WOW WW ATYKAWau'ANDLAmsE MGSM°AMAK MUMMY RAT*KWW Designer's Stamp
AND CA16W1OONOF THE"OPOSED UK R904 DESOIAA♦ORK LLC RW WBUSW AUMNSED
j} PRNO MM LNDUAVEMAWAnSE USMMSETOM S EAAIE9ILORM MOVALMERE MKNS
PRESCRMIVE FLOW CONTROL WAURES
MOM ROW CONWWASUIEWON DESgW W W1®INADLAALS LWAPMKHLE SDOE AW
LOCAL WDIITIEDMM 9 Df MONTW SEPTIC M9TN 6MN W15TKAFK NO KWW"000
My AND SHALL AOr KCOIMMAS A TWAL SOLMONTO S74OMWO91 MWAGBI Nr.
ATTENTIONPROPERTYOWNER
CMMW WWWAU ASPOM OF TM SWPC DMK Awawso 1 mDUEM GWOMTO WS D'.SILN
909 AHM TOM LOCAL NEAM AMSTIC"NOM 14 DemneROFODWAwn DFAtOPeAFNT
AMTKMU AE"SUM OF THE PIOPEWQWWt TTUwOMEN�a '
THSISNOTAMRVEY
SITEFUVWE MPOmWWFSATONSANDeENOWIAW AAIASIDO DNAZWESDANMM AWKW 10�.7t'/�
OMBAIDNISAPWIWnfUNNGNDtAYDSEIMCES GNDAUMOAMW WWOAYFOPT411M
AMDCXTIFAONOFIIEPM)POSBOSEPTK WOO DE9DLAA3WML LC*MWAMTTw AuCHW
MOF69D,.W OMYMSSIEWTOSENDWE16,ES1AMHilOTlFFSAWWIEWEElEVNIGM. '
APPROVED 1D 3ro- _
MASON COUNTY DCD PLANNING -
SITE PLAN REQUIRED TO BE ON SITE • j
CHANGE,$SUBJECT TO APPROVAL roN 20
��pp FF�L CC''A , I deserve DE. County Review
By Data D4tyR.. �'/ !/l w i��3�� � I ^ _— UecanmAsslaT Fxisli�g
ww Gat Tank&Abandon
C ! E'.10inq DF•A44woa 1-6-
O — Ad the Fsistbg DF,.
__.. __.. 12 �.; _a
PLANNING: .5 � A r
ALL SETBACKS ARE MEASURED z ceac�eLE New46•N2T38DRMSFR p 11� ! e (avitty
Bed
FROM THE FURTHEST stab z vl`"DF
PROJECTION OF THE BUILDING —••-•--
LRRjv'i�t(u?GE�S���(�B•�� �('�•/� p{q(�
' ref`.{� O"1 IZ�V�Q.+•J•--W"l�.l� (�S."T. �iC�> WM•
\\ 8�2022-oogb2
(Nr�.l tft`P.) CxittNg`>truUure and Concrete Slab W be pemdislyd 8 RemAwnl.
A+NO%LLC
WWS,alaRW*MSepticDw
PA SIX M4,SLV6V4
AM
EH Setbacks 3600MAM
A.) Drainfield/Reserve requires 10'setback from footing:loundations EH APPROVED —
B.)Septic tank(s)requires 5'setback from all tooting/foundations Rhonda Thompson 10'17i2022
C.)No foundation/Perimeter Drains within 30ft,downgradient of Owner Name:Juan Monlejo
Drainiield!Reserve area
z
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within ADDRESS: 50 NE Larson Lake Ln
50ft,down gradient of Drainfield!Reserve area BeftairWA98528
g Tax I.D.: 1233052W056
m
I1 Or OA Slb*sW Date:518M
a v ®®®O O C�3 4 SCALE: 0 15 30 Rer.. CDR Dale:
I
Name��0 Parcel# 1
'L*"0 _ S Z"OOG S'0 BLD# 1ro22. _00g1p2
Mason County ;,
Department of Community Development
a, U�L19
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
46 X 27 = 1242 Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
—Driveways X =
20 X 15 = 300 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 =
10 X 8 = 80 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) 1622
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 Owne Agent/Co actor(circle one)Date:07/24/2022
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please rea ,ate gollaod sign
the information provided on page 2 of 2. JUL 2 5 2022
Page 1 of 615 W. Alder Street
Date Received.
Na MASON COUNTY
COMMUNITY SERVICES DEPARTMENT RECEI
ti7 BUILDING•PLANNING•FIRE MARSHAL V
_ Mason County Bldg.8,615 W.Alder St ki 2`� l�r 9
u Shelton,WA 98584 www.co.mason.wa.us 360-427-9670 ext 352
6''S '^' ??
Permit#: V V 4/de l
Zp ZZ gtd
Property Owner's Authorization Lf, L!)!
(P4nt Proop o,Owners Name/Firm/Organization)
Hereby Authorize: b
(Applic t-Name oJPerso t)to Sign Permit)
Representative of: 0
(ApplicantC Unp�nyName/Organation)
To apply for, sign, and pick-up building permits for the following proposed work:
'tk.ex ow ah of LylAina c
(Brief Description of Work to be Done) UkAAA
Job Location: 6- W _�J 2 g
(Property Site Address)
As property owner(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors are required to have a current State of Washington Contractors License(RCW 18.27).
ropero,Owner Signature) (Date)
Rev.03110.?016 jlbn
MASON COUNTY COMMUNITY SERVICES Permit No: J3 Id2ozZ^w / 2-
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R 615 W.Alder Street,Shelton,WA 98584 E C E�,v/Jt`--
^-DPhone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone
40) Belfair.(360)2754467•Phone Elma:(360)482-5269
BUILDING PERMIT APPLICATION JUL z 15 2(�2
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATIO : W. Alder Stree
NAME:Emerald Legacy LLC NAME:RJ Peabody Inc 4
MAILING ADDRESS:50 NE Larson Lane MAILING ADDRESS:PO BOX 565
CITY:Belfair STATE:WA ZIP:98528 CITY:Burley STATE:WA ZIP:98322
PHONE#I:360-551-1873 PHONE:360-895-3235 CELL: 253-514-3915 Megan
PHONE#2: EMAIL:megangjertsen@gmail.com
EMAIL:juanmontejo054@gmail.com L&I REG#RJPEAP[861DU EXP. 12/9W2
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER E]
NAME rr—Gin-, EMAIL megangjertsen@gmaii.com
MAILING ADDRESS PO BOX 565 CITY Burley STATE WA Z p98322
PHONE 253a14-3915 CELL P
PARCEL INFORMATION: '
PARCEL NUMBER(12 Digit Number) 1233052DO056 ZONING
LEGAL DESCRIPTION(Abbreviated) BEARDS COVE DIV 5 LOT:56 FIRE DISTRICT
SITE ADDRESS50 NE Larson Lane CITYBelfair
DIRECTIONS TO SITE ADDRESS Sand Hill Rd to Left on Larson Lake Lane to Right on Larson Lane to address on Right
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E] SNOW LOAD:__psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVERICREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E] ADDITION❑ ALTERATION❑ REPAIR❑ OTHER E]-----
USE —
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)Residence
IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS 2-5
HEATED STRUCTURE? YES(Whole Bldg)0 YES(Part[s)of Bldg)❑ NO❑
DESCRIBE WORKRemoving manufactured home replacing with NEW SFR
SQUARE FOOTAGE:(proposed)
I ST FLOORnO sq.ft. 2ND FLOOR960 sq.ft. 3RD FLOOR sq.fL BASEMENT sq.ft.
DECK sq.fL COVERED DECK28 sq.ft. STORAGE sq.& OTHER sq.ft.
GARAGE400 sq.ft. Attached Q Detached❑ CARPORT sq.fL Attached[I Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC E] SEWER❑ / NEW 0 EXISTING❑
PLUMBING IN STRUCTURE? YES[a NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.Ff.
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.Admowledgement 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 structures)for review and Inspection. This pernittapplication becomes null&void if work or authorized construction is not commenced within 180
days or it 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 F 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
X i n 07/24/2022
Signatu'o of OWNER(Au(Aust be signed by the OWNER I Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT EC (O•Zg• Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: % oog0Z
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W.Alder St-Shelton, WA 98584
www.co.mason.wa.us
JUL 5 2�??
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
144Phone Belfair.- (360)275-4467• Phone Elma:(360)482-5269 615 Alder
PLUMBING & MECHANICAL PERMIT APPLICATION Street
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:Emerald Legacy LLC NAME:RJ Peabody Inc
MAILING ADDRESS:50 NE Larson Lane MAILING ADDRESS:PO sox 565
CITY:Belfair STATE:wa ZIP:98528 CITY:Barmy STATE:wA ZIP:98528
I"PHONE:360551-1873 PHONE:3608953235 CELL: 253-514-3915 Megan
2nd PHONE: EMAIL :-egangledsen@gmail.com
EMAIL:jcanmontejoo54@gmafLcom L&I REG#RJPEAP1861DIJ EXP. 12n94ko22 /
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):123305200056 nin :
LEGAL DESCRIPTION(Abbreviated):BEARDS COVE DIV 5 LOT:56
SITE ADDRESS:50 Ne Larson Lane CI
DIRECTIONS TO SITE ADDRESS:
Sand Hill Rd to Left on Larson Lake Lane to Right on Larson Lane to address on Right
TYPE OF JOB:
NEW ✓=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— 1 sT FLOOR=2ND FLOOR=BASEMENT=GARAGE=OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[�LPG[ONatural Gas=Ductless0
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace
Bath Tubs 2 Heat Pump 2
Showers Z Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 1 Dryer Vent 1
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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICA ION.
X 07/24/2022
Signat a of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT t) to.ZP,
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
.a
MASON COUNTY Mason County Permit Center Use:
((� ! COMMUNITY SERVICES ADV TALL - 0010q
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Revd
Phone:(360)427-9670 ext.352♦Fax:(360)427-7798
Fee: $130.00
Request for Administrative Variance for
Reduction in the Required Setbacks
For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot
lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure,
including roof eaves and gutters.
Cpplicant/ wners: 1
Mailing Address:
City: State: l Zip: PLANNING
Telephone:
. EC
Email: S 6U I . C �'� E�VE D
JUL 2 5 2022
If this reduction is tied to a building permit,please give permit case number. 61$
W-1Ati� - n�q �ti Alder Street
BLD
Parcel Number(s): r�212 Zoning
Site Address: S"q :L Cf
Requested setback variance:
iLL 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 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.
1
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 age;
e) existing improvements of buildings eptic systems d 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.
cLu— U a_ Yt\.�cC Qt�p �.c , 6 2"., L,,,. U
r
v
Owner/Agent(please indicate) l S
ignature Date
Official Use Only I
Approvedb : y ` Date
y
Denied by: Date
Reason for denial: