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HomeMy WebLinkAboutBLD2022-00495 SFR ADV2022-00048 - BLD Permit / Conditions - 9/28/2023 • �G PLgN 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 DD2022-00495 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW SFR ISSUED: 07/07/2022 SITE ADDRESS: 300 E 5TH ST UNION EXPIRES: 01/03/2023 PARCEL: 322325051045 APPLICANT: DICKINSON JAMES M&SIMONE M OWNER: DICKINSON JAMES M&SIMONE M 150 E WARREN DR 150 E WARREN DR UNION, WA98592 UNION, WA98592 360.868.7068 VALUATIONS: FEES: Paid Due Covered Deck/Carport 65.00 $1,430.00 Plumbing Fees $86.00 $0.00 R-3 VB Residential, one- 840.00 $124,597.20 State Fee-Residential $6.50 $0.00 and two-family Building Permit Fee $1,253.28 $0.00 Mechanical Base Fee $30.00 $0.00 Plan Check Fee $814.63 $0.00 Technology Surcharge $47.12 $0.00 Plumbing Base Fee $25.00 $0.00 Planning Review Fee $240.00 $0.00 Mechanical Fees $147.00 $0.00 Building Plan Review/Change of $125.00 $0.00 Use-Onsite Sewage Total: $126,027.20 Totals : $2,774.53 $0.00 FIXTU RES (sty Mechanical Fixtures (sty Plumbing Fixtures 1.0000 Dryer Vent(s) 1.0000 Number of Bath Tubs 1.0000 Spot Vent Fan(s) 1.0000 Bathroom Sink 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Clothes Washers 1.0000 Ductless Heat Pump 1.0000 Number of Dishwashers 1.0000 Propane Tank(s) 1.0000 Number of Kitchen Sinks Printed by:Ariane Paysse on:07/07/2022 11:59 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 BLD2022-00495 ftt Mechanical Fixtures Qty Plumbing Fixtures 2.0000 Gas Outlet(s) (1-5) 1.0000 Number of Showers 1.0000 Number of Toilets 1.0000 Number of Water Heaters and or Vent 2.0000 Number of Hose Bibs REQUIRED INSPECTIONS r Setback Inspection Rough-Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Underfloor Inspection Connection has been verified by Health or Utilities Framing Inspection BLD-Final Inspection CONDITIONS * 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. * 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. * 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 state road(s), a Road Access Permit or Approval must be granted and approved by the Washington State Department of Transportation. For more information contact Washington State Department of Transportation, at(206)357-2620, ext. 630. * 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. * 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. Printed by:Ariane Paysse on:07/07/2022 11:59 AM Page 2 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 BLD2022-00495 * The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade in undisturbed soils. * 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. * 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 Chapter 4, 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 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 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'/z sheets. * 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. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. Printed by:Ariane Paysse on:07/07/2022 11:59 AM Page 3 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 BLD2022-00495 * 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. * 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 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. * 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 property lines shall be clearly identified at the time of foundation inspection. * 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. * 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. * 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. * 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. Printed by:Ariane Paysse on:07/07/2022 11:59 AM Page 4 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 BLD2022-00495 Adopted 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. Fuel Normalization Credits: Table406.2 4 DHP with zonal electric resistance per option 3.4 007.3 3—Energy Credits (Sin I C�.IYI � I�+ iance based on R402.4.1.2: Reduce the tested air leak to 3.0 air hang es per hour. at 50 Pascals or For R-2 Occupancies, optional compliance ed Section R402.4.1.2: Reduce the tested air 0.3 cfm/sf maximum at 50 Pascals and All whole house ventilation requirements as determined by Section f 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 to operate at low speed in ventilation only mode. 3.4 Ductless mini-split heat pump system,zonal control: In homes where the primary space heating system is zonal electric heating, a ductless mini-split heat pump system with a minimum HSPF of 10.0 shall be installed and provide heating to the largest zone of the housing unit. * A minimum of 90 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. * 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, 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. Printed by:Ariane Paysse on:07/07/2022 11:59 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 BLD2O22-00495 * 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. * 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. * 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. * The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. * All 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. * 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. * 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. * 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. * 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. * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. * All setbacks are measured from the furthest projection of the building. * Applicant must have new satisfactory Operations and Maintenance inspection prior to final occupancy. * Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered. A.) Drainfield/Reserve requires a 1Oft setback from all footing/foundations. B.) Septic tank(s)requires 5ft setback from all footing/foundations. C.) No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/ Reserve area. D.) No Cut Bank(s) (greater than 5ft and over45 degrees)within 50ft, down gradient of Drainfield/Reserve area. Printed by:Ariane Paysse on:07/07/2022 11:59 AM Page 6 of 7 Mason County Mason County - Division of Community Development �I"''�•' 615 W.Alder St. Bldg.8 Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2022-00495 * Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, 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. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of Laws and Ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not 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: #iye Al TaGysse Contractor or Authorized Agen Date:'' Printed by:Ariane Paysse on:07/07/2022 11:59 AM Page 7 of 7 INSPECTION CARD Mason County 615 W. Alder St. Bldg. 8, Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us PERMIT# BLD2022-00495 PROJECT ADDRESS 300 E 5th St Union, WA 98592 PARCEL# 322325051045 PROJECT DESCRIPTION NEW SFR OWNER DICKINSON JAMES M &SIMONE M ADDRESS 150 E WARREN DR PHONE 360.868.7068 CONTRACTOR ADDRESS PHONE CONTRACTOR LICENSE LENDER INSPECTION DATE Comments INSPECTION INSP DATE Comments Setback Inspection Z-t Rough-Plumbing Inspection Footing Inspection Mechanical Inspection "L, Foundation Wall-Pre-Pour Insulation Inspection SGZ 0 Gc , t w..•+s r. Underfloor Inspection Connection has been verified by Framing Inspection L'Z BLD-Final Inspection 3 27 Shelton ext.352 MASON COUNTY . 360-60-275-4465-4467 Belfair ext.352 COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building,Planning, Environmental Health,Community Health 615 W. Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTIONANSPECTION REPORT PERMIT/CASE NUMBER \C�✓ �,� - ('�pyG`S ADDRESSILOCATION: FINDINGS• cx In on \ Items listed above must be corrected to gain compliance. [1 THIS IS NOT A COMPLETE INSPECTION This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ?�Fcafor re-inspection when corrections are made before proceeding with any further work. ll 0 Make corrections, items will be checked on the next inspection. OK to Date: ❑ Please contact our office regarding possible Department: L structural damage incurred by recent Inspector: r natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360-427-9670 Shelton ext.352 360-275-4467 Belfair ext.352 40D COMMUNITY SERVICES 360-482-5269 Elma ext.352 Building, Planning, Environmental Health,Community Health 615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTIOWINSPECTION REPORT PERMIT/CASE NUMBER,,?-)\A ADDRESS/LOCATION:/60(p F, u rl% Or) FINDINGS: i ►� �r )W V e-rp r: YY1 C '►OY1 -� %_n Items listed above must be corrected to gain compliance. ❑] THIS IS NOT A COMPLETE INSPECTION This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection. ❑ OK to Date: t 0 - - 2 ❑ Please contact our office regarding possible Department: structural damage incurred by recent Inspector:-- r j "natural/man made"disasters.This is NOT a CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 MASON COUNTY 360427-9670 Shelton ext.352 COMMUNITY SERVICES 36 60-482-52 Belfairext.352 360-482-5269 Elma ext. 352 Building, Planning,Environmental Health,Community Health 615 W.Alder St.Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us CORRECTION/INSPECTION REPORT PERMIT/CASE NUMBER�j" Q,C;),Q - 00L '::AS ADDRESS/LOCATION:�'j(�(� FINDINGS: r' r v ir 14- rv-11 Items listed above must be corrected to gain compliance. ❑ THIS IS NOT A COMPLETE INSPECTION ❑ This structure has been inspected by Mason County Building Department and the items listed above are in VIOLATION of Mason County laws and/or ordinances. ❑ Call for re-inspection when corrections are made before proceeding with any further work. Make corrections, items will be checked on the next inspection OK to e Date: ❑ Please contact our office regarding possible Department: structural damage incurred by recent "natural/man made"disasters.This is NOT a Inspector: )pY ✓► S CORRECTION NOTICE. DO NOT REMOVE THIS TAG MCC14.12 �oeee G4`rP . MASON COUNTY COMMUNITY SERVICES �1(3 PERMIT ASSISTANCE CENTER: Permit No&90,2a-'OD 7 7 •BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 966M RECEIVED Phone Shelton:(360)427-9610 ext.352•Fex:(360)421-7798 Phone Bohai,(360)215J461•Phone Emw:(360)482-5269 APR 2 U 2uu rat4 BUILDING PERMIT APPLICK3IONItlderStreet PROPERTY OWNER INFORMATION: CONTRACTOR INFORkMO ' ALTH 1 �" NAME:J0.asaeS o'Sa.a.e....a �aC.aL.a_-_.-I NAME:C- yty- y7 P'O t.O ra MAILING ADDRESS:l41 e5CriX7KlE'_ 7-_ MAILING ADDRESS: CITY:44 _Ip;.� _STATE;t-✓ ZIP: ?,PS-7 2 CITY: O I./wtT, c� STATE: A ZIP: PHONE#13E ©__ PHONE: CELL.3G0-�! PHONE#2: a / - 40641 EMAIL:1t 4Shr oa.g'f Oct�'le0 .Cyvra EMAR.:Si" TAh a ," ✓t . /-0M L&I REG#S Z t'I C83/ ID EXP. / / PRIMARY CONTACT: OWNER CONTRACTOR❑ - OTHER �1 NAME S4"eit 0 (ckis se•+ EMAIL S r» age 5 4..1l4� ` A>!N .COT+-• MAILING ADDRESS Cr STATE L-/4 ZIP9j%TP— PHONL— "S CELL �— PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) „3;Z z 3 2'-Sa^S/oYS ZONING LEGAL DESCRIPTION(Abbreviated)(/,,;ate W-C /j.a Tsa. Le. $rlTiL�TirS-V IRE DIS CT SITEADDRESS /7/ f. SEn.Zrje $T CITY La.-.i p.-� y b✓a,ypsg DIRECTIONS TO SITE ADDRESS C0 p - ST SPaaY/e IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YESD NOR IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (c ackau dw h,,yly/: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION ❑ ALTERATION -A REPAIR❑ OTHER USE OF STRUCTURE(Beeidenm,Garage,Commercial Bldg,Em.) YP e e e IS USE: PRIMARY P,J SEASONAL;, NUMBER OF BEDROOMSa NUMBER OF BATHROOMS ! HEATED STRUCTURE? YES 0*v1e BWg1 R YES(Parlp/o/BWg) ❑ NO DESCRIBE WORK SQUARE FOOTAGE: (pop.,roving) I ST FLOOR c O sq.R. 2ND FLOOR i sq.ft. 3RD FLOOR i sq.ft. BASEMENT sq.ft. DECK=O_,_sq.ft. COVERED DECK (00 . sq.fL STORAGE sq.ft. OTHER sq.ft. GARAGE sq.R Attached❑ Detached❑ CARPORT___-_ _sq.ft. Attached❑ Detached MANUFACTURED HO ON: •4 COPIES OF THE FLOOR PLAN REQ Dw MAKE MODEL YEAR LENGG WID BEDROOMS BATHS SER[ ENVIRONMENTAL HEALTH: SEWAGEISEWER SOURCE: SEPTIC, SEWER❑ / NEW ❑ EXISTING ' PLUMBING IN STRUCTURE? YES`r N(,_d Ijyes, attach completed Water Adequacy Form PERIMETERIFOUNDATION DRAINS PROPOSED? YES ❑ NOV EXISTING SQ.FT. EXISTING BEDROOMS 0 PROPOSED BEDROOMS s. TOTAL BEDROOMS 2- OWNER acknowledges that submission of Inaccurate Infonnallon may result In a stop work order or permit revocation.Acknowledgement of such is by signature below.1 declare that I am the owner and I further declare that 1 am endtled 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 Masan County access to the above described property and amich re(s)for review and inspection. This peonitrepplicatlan becomes null&void 6wmk or authorized construction is not commenced within 160 days or if wnslruction 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 e COUNTY CODE 14.08.42) X y'20 ' O2-2 Signature of OWNER(Must be signed by the OWNER) Dale DEPARTMENTAL REVIEW APPROVED I DATE DENIED I DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL 7 PUBLIC HEALTH Q�2 c,cljlwn yJ i 3 - Yo -- � �s F r N � ti ,, Yrop seJ � I `7 C hB�.J t{,I,sc .I 87o zt rt _, 32e' I T , /G „. fn ves ..._—_—._36d --_— I T+sK r .�. ?&ec11*32232- Jew ad e55 Y ' 1 �T Jpos{W-e �RESERVE AREA DESIGNATED BV �1. N ty.' APPLICANT 526'22 ON SITE PLAN —5 (see scanned document In lantl ecord9) F tLN .. 'III 1 y u3M'P —ia ` l p b ��� Z• r I S h¢ulA flnu,G p '. � �( c 4, (MAd 16'Lai 01 — Pl L r111 1 1 'v- —.——r— 022004�5 M N � �ADV2 EH APPROVED RI,eM3 T�um4cen e:NP,r�gzz p,�oaoaa-ooy95 nF1S ZorvnB Front Yard Setback.251 Side I Rear Yard Setbacks.Residernial dwelling APPROVED and accessory sVlIDNres520'. MASON COUNTY DOD PLANNING OR 10%width of lot if not more than 100 wide Sam WWII OR approved ADV 05/25/2022 EH Setbacks Digitally A1mn.bwe:v..rea,�a:1o'00lreor,om room w'pes�ona sig etl a1s Pwla�xnl raP ,sbmaox Qom sl roorre saon n�eey cl Ne moMatiotiPenmareromim amm aon.m.rs,aaanl of by Scott saint OUNINY0area nocurBre�Iraro�alMeiagll arA overa5 eepreul wmin Rue y