HomeMy WebLinkAboutBLD2022-00937 SFR ADV2022-00121 - BLD Inspections - 12/18/2023 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY COMMUNITY SERVICES SHELTON:360-427-9670, EXT 352
BELFAIR:360-275.4467, EXT 352
Building,Pla.,i g,E—ironme -Health,C..m ity 14-10, ELMA:360-482-5269, EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2022-00937 Date Issued 11/04/2022 Issued By
Project NEW REPLACEMENT STRUCTURE RV GARAGE W/SFR
Site Address 185 E Capital Peak Dr L7
Applicant NEWMAN,TOM&KAREN
Contractor
Contractor Phone
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION, FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
"THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED."
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building
Department Building Official: Community Services Designee
Concrete Setbacks �/-13- 1 jjE Slab j- /i y
Footing Perimeter zz#jtQ Point load Footing
Footing Interior 2/2 Footing Decks/Porches
Foundation Stem Walls 2 Other
Rough-In Groundwork Plumbing Z�(0/23 ' Framing _ 3
Groundwork Mechanical Plumbing
Groundwork Gas Pipe 7./ -�y Mechanical 7-(7-Z.
Gas Piping Shear Wall Nailing 4- ,1- 23
Underfloor 6V-^-w4$-S'A s49M
Other
Insulation Slab 2 2y Z3 Ceiling
Floor Vaulted Ceiling "'
Walls"`-A, ��� Vapor Barrier L/Z /Z5 J'@
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building � .
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
`� l r��.�-ra. ' E�a s ..{ w;►1 3� Co .t 8 q S�..,� owe.s fikW c 6 k 17�1 p 19/713 J ak
MASON COUNTY 360-427-9670 Shelton ext.352
36 Be 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.masoncountywa.gov
CORRECTIONANSPECTION REPORT
PERMIT/CASE NUMBER: &POO2Z QOp37
ADDRESS/LOCATION: /gr-E
FINDINGS:
1 vt w4-11.S eu vJi-e.. S?3 ?1,1(-Il &.)W5445 014
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: 7-/7—Z 3 ❑ Please contact our office regarding possible
Department: G, structural damage incurred by recent
,
Inspector: natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Mason County
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
F
-00937 NEW SINGLE FAMILY RESIDENCE
ESCRIPTION: NEW REPLACEMENT STRUCTURE RV ISSUED: 11/04/2022
/SFR
ESS: 185 E CAPITAL PEAK DR SHELTON EXPIRES: 05/03/2023
PARCEL: 321307500020
APPLICANT: NEWMAN,TOM&KAREN OWNER: TOM&KAREN NEWMAN
185 E CAPITAL PEAK 185 E CAPITAL PEAK
SHELTON,WA 98584 SHELTON, WA98584
360-710-9746
VALUATIONS: FEES: Paid Due
Covered Deck/Carport 980.00 $21,560.00 Building Plan Review/Change of $125.00 $0.00
R-3 VB Residential, one- 981.00 $145,511.73 Use-Onsite Sewage
and two-family Planning Review Fee $240.00 $0.00
U VB Utility, miscellaneous 1375.00 $82,335.00 Plan Check Fee $1,307.12 $0.00
Plumbing Fees $97.00 $0.00
Mechanical Base Fee $30.00 $0.00
Plumbing Base Fee $25.00 $0.00
Technology Surcharge $72.46 $0.00
Mechanical Fees $153.00 $0.00
State Fee-Residential $6.50 $0.00
Building Permit Fee $2,010.96 $0.00
Total: $249,406.73 Totals : $4,067.04 $0.00
FIXTURES
City Mechanical Fixtures Qt1C 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
1.0000 Ductless Heat Pump 1.0000 Number of Dishwashers
1.0000 Wood/Gas/Pellet Stove(s) 1.0000 Number of Kitchen Sinks
3.0000 Spot Vent Fan(s) 1.0000 Number of Water Heaters and or Vent
Printed by:Genie Mcfarland on:11/04/2022 03:39 PM
Page 1 of 7
Mason County
If Mason County - Division of Community Development
�r
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2022-00937
Qty Plumbing Fixtures
2.0000 Bathroom Sink
2.0000 Number of Showers
2.0000 Number of Toilets
REQUIRED INSPECTIONS
Setback Inspection Framing Inspection
Footing Inspection Rough- Plumbing Inspection
Foundation Wall-Pre-Pour Inspection Mechanical Inspection
Underground Plumbing Insulation Inspection
Slab Insulation Connection has been verified by Health or Utilities
Shearwall Inspection BLD-Final Inspection
CONDITIONS
* 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.
* 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 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).
* 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.
* 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.
* 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.
* 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 property lines shall be clearly identified at the time of foundation inspection.
Printed by:Genie Mcfarland on:11/04/2022 03:39 PM 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 BLD2022-00937
* 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 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.
* All building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* All 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.
* 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.
* 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.
* 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.
* The foundation/footing must be placed on undisturbed,firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
* 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: Table 406.2
2 Heat pump
Table 406.3—Energy Credits (Single Family)
3.6 Ductless split system heat pumps with no electric resistance heating 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.
* 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.
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Page 3 of 7
i
Mason County
Imo' 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 BLD2022-00937
* 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.
* 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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'/2 sheets.
* 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.
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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 BLD2022-00937
* 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.
* 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.
* 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.
* 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.
* 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.
* 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.
* 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.
Printed by:Genie Mcfarland on:11/04/2022 03:39 PM
Page 5 of 7
{ r
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 BLD2022-00937
* 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.
* 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.
* 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.
* Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered.
A.) Drainfield/Reserve requires a 1 Oft setback from all footing/foundations.
B.) Septic tank(s)requires 5ft setback from all footing/foundations.
C.) No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/Reserve area.
D.) No Cut Bank(s) (greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area.
* Planning Setbacks:
Front: 15' (ADV2022-00121)
Sides: 5' (ADV2022-00121)
Rear: 115' OHWM
*Measured from furthest projection; subject to EH setbacks
* 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.
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Mason County
If 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 BLD2022-00937
A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with
the 2018 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener
spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S8 designate type 4 walls with fastener
spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified
to inspect lateral connections,the Engineer of record (EOR), or an authorized representative of the (EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton,
WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project.
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:
Contractor or Authorized Agent: Date:
Printed by:Genie Mcfarland on:11/04/2022 03:39 PM Page 7 of 7
Par o sa"31130-75-000 Z 0
IeT of.C^f--41 Pe..k 0r.
Sc.lt: 150'
�I d?o22-009 3�
EH(APPROVED
).
Rhonda Thompson 09/19/2022
1 EH Setbacks
A.) Drainfield/Reserve requires 10'setback from tooting/foundatlons
Ell septic lank(s)requires 5'setback from all tootirgPoundations
C.)No foundation/Perimeter Drains within 30fr,downgradient of
Drainfield:'Reserve area
D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within
50ft,down gradient of Drainfield/Reseme area
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BUILDING
Mason County JUL 18
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page l of 2)`--qt
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 747 X 552
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below.
Based Upon the information you have provided a Storm water 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.
Ackno ent of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
furt ackno le at the information provided is accurate and employees of Mason County are granted access to the above-
d cribed pro efy for eview and inspection as may be required.
X V A Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name �Jsx_ A_ft Parcel#32.136 N Y!d _D 3d BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
the pages that begin with"Handout"
PLEASE I TIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) a relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have, a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowle ent of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I
further o ledge t the information provided is accurate and employees of Mason County are granted access to the above-
IVdesctd pro r r,/ie�w_ and inspection as may be required.
4
X Owner/Agent/Contractor(circle one)Date: 4.
Page 2 of 2
MASON COUNTY COMMUNITY SERVICES Permit No: 2az Gocf3 1
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL ��
615 W.Alder Street,Shelton,WA 98584 C(~L /
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone ��
Belfair(360)275-4467•Phone E/ma:(360)482-5269
40 BUILDING PERMIT APPLICATION JUL 1 g 2I722
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: "fir v tr
NAME: 640 Y1 I - NAME: @ t
MAILIVu�ADDRESS: ►R eAW-A 4 K' MAILING ADDRESS:
`5 STATE: ^ ZIP:jz'�� CITY: STATE: ZIP:
PHONE#1: Q11-1tS D 4?74(p PHONE: CELL:
PHONE#2: q., bb( 6.3 EMAIL: �'
EMAII: f I h t a L&I REG# EXP. / / NG
PRIMARY CONTACT: OWNER ACTOR❑ OTHER❑
NAME 'J lb CONTRACTOR[]
MAILINGADDRESS 1 6- 0-PiQi k ciw.�WCL-MbQ.STATE WF4 ZIPgk��
PHONE 36-� -7/6 9-7Nh CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number)3 21 3 O Z S OCSDZ -o ZONING
LEGAL DESCRIPTION(Abbreviated)Tf-,Z 0-1r5Vl;ur-!j 9 bI 02 FIRE DISTRICT _i
SITE ADDRESS 1 L- EAR 011— CITYS'k�b IIJ
DIRECTIONS TO SITE ADDRESS ,te�15aN fd (�AQ i d Ak-j tCCY_.11w 0)2� 7 D
T ry-A r r- 2-&AA �k-vAd &? AT- ,.
IS THE PROJECT WITHIN 300 FT OF SLOPES)GREATER THAN 14%: YES❑ NO;( SNOW LOAD-25psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW In ADDITION❑ ALLTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)loA(i W'e- W y�tA pt L 1 J Ivy, C% CL&K
IS USE: PRIMARY❑ SEASONAL' NUMBER OF BEDROOMS NUMBER OF BATHROOMS ka 7
HEATED STRUCTURE? YES(whole Bldg)❑ YES(Pan[sj ojB1ldg)Aj NO❑ /
DESCRIBE WORK (= ' � [fth M n (;3k4-k �rj y S"E7 ('{C)J toe::'
SQUARE FOOTAGE:(proposed)
1ST FLOOR_<��sq.ft. 2ND FLOOR(b�sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.& STORAGE sq.& OTHER sq.ft.
GARAGE i3"I S sq.ft. Attached Detached❑ CARPORT T sq.R Attachede 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 A SEWER❑ / NEW❑ EXISTING
PLUMBING IN STRUCTURE? YES❑ NO® Ijyes,attach completed Water Adequacy Form
PERT ETERNOUNDATION DRAINS PROPOSED? YES❑ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS I' TOTAL BEDROOMS
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by
signature below.I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERM PLICA N OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) l
X ''t/'iV
Sig of—OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No:
PERMIT ASSISTANCE CENTER:
•BUILDING •PLANNING •FIRE MARSHAL
615 W. Alder St- Shelton, WA 98584 ��
www.co.mason.wa.us ck
Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798
Phone Be/fair:(360)275-4467• Phone Elma:(360)482-5269 /uz F�
PLUMBING & MECHANICAL PERMIT APPLICATION 18 20182
OWNER INFORMATION: CONTRACTOR INFORMATION: der
NAME: t ow%r K N IzjE�rl) V3EWrA N NAME: r' L F 84
MAILING ADDRESS: tS5 I=— CA.PTrA— FtA K- MAILING ADDRESS:
CITY:GitleL-r&tiJ STATE: WA ZIP:gk5F// CITY: STATE: ZIP:
Is'PHONE: PHONE: CELL:
2°d PHONE: 3(�- JW/ -6q-3/ EMAIL :
EMAIL: n ewryL-i r7-1-203_3 1",ai�.� L&I REG# EXP.
PARCEL INFORMATION: v
PARCEL NUMBER(12 Digit Number): 321 30 '7 5- ($ 2-0 Zoning:
LEGAL DESCRIPTION (Abbreviated):
SITE ADDRESS: * L%S 1S &PPtThL- P6A� R- CITY S-L,-,L-raUl
DIRECTIONS TO SITE ADDRESS: KK0 TD CAlP1 flL N�,AK DR- I✓oilt�cJ
01(Z-C RoRD fA EN0 *L...---F-t A-C T 2AA PPF'r-I±! C 1 ?X2 5ib6-
TYPE OF JOB: R � ���
NEW�ADD ALT REPAIR OTHER USE OF BUILDI
ING
LOCATION OF FIXTURES/UNITS- I ST FLOOR <- 2ND 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 Ductle
Toilets Type of Unit No. of Units ees
Bathroom Sink Furnace
Bath Tubs Heat Pump
Showers Spot Vent Fan 3
Water Heater / Propane Tank
Clothes Washer / Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove I
Dishwasher Kitchen Exhaust Hood I
Hose bibs Dryer Vent I
Other uhl 1'tk— Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is
by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of
interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of
Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void
if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CO TION OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL VALID TE T 9 APPLICATION.
X e) Z-'
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 311— 11-124,
PLANNING DEPARTMENT
FIRE MARSHAL
Rev: 1/27/2016 JBN
MASON COUNTY
/ Mason County Permit Center Use:
COMMUNITY SERVICES ADv 1022 001?�I
Building,Planning,Environmental Health,Community Health
615 W.Alder St.—Bldg.8,Shelton,Wa 98584 Date Rcvd j1&?17J
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..
Applicant/Owners: 6 m I K N?_ /M
Mailing Address: �g�J - t R P► Mt- K ,(�!� - PLAMING
City: N State:W Zip:q S!@e
Telephone: T�4
Email: ' 1,c�m�C�.�� /YOc1,Q"t �� ��q►�Yllt t
If this reduction is tied to a buildingpermit, lease give permit case number.
P P g
BLD 2OZ2- - 0 0T3�
-75-
Parcel Number(s): 32130 000 W Zoning
Site Address: 1 , &I kcZ c i.K
Requested setback variance:
�
ft. W Front ❑ Rear ❑ Side A
61,6 UG 3
f fl ft ❑ Front ❑ Rear Side
I � gld�r S
ft. ❑ Front ❑ Rear ❑ Side tre.t
I
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 REOUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
1) O of the following exis the lot(check all that apply):
Zea) steep slopes, etlands, streams present;
❑ b) soils that restrict bui ding 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 improvements o acr
e) existing if buildings, s is syste 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.
Z2
Owner/Agent(please indicate)
Signature Date
Official Use Only
Approved by: G�/�'/'.(�i VX 4&4Al Datec�-
Denied by: Date
Reason for denial: