HomeMy WebLinkAboutBLD2023-00822 Final Garage - BLD Inspections - 12/20/2023 ~ � 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
Buidns Plmutinty Environmental Health Community Health 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:/twww.co.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2023-00822 Date Issued 08/09/2023 Issued By
Project DETACHED POLE BUILDINGIGARAGE
Site Address 340 NE Haven Lake Dr
Applicant SCHMIDT JAMES T&REBECCA L
Contractor LEGACY BUILDINGS LLC
Contractor Phone 425.584.7154
Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type GARAGE/STORAGE 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 Building Official: Community Services Designee
Department
Concrete Setbacks p- Slab
Footing Perimeter Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing j Zp.
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing
Underfloor
Other
Insulation Slab Ceiling
Floor Vaulted Ceiling
Walls Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
Mason County
Mason County - Division of Community Development
615 W. Alder St.
lope Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2023-00822 GARAGE/ STORAGE
PROJECT DESCRIPTION: DETACHED POLE BUILDING/GARAGE ISSUED: 08/09/2023
SITE ADDRESS: 340 NE HAVEN LAKE DR TAHUYA
EXPIRES: 02/05/2024
PARCEL: 223305000310
APPLICANT: SCHMIDT JAMES T&REBECCA L OWNER: SCHMIDT JAMES T&REBECCA L
28904 230TH AVE SE 28904 230TH AVE SE
BLACK DIAMOND,WA 98010 BLACK DIAMOND,WA 98010
253-653-5486
GENERAL CONTRACTOR'S LICENSE: LEGACY BUILDINGS LLC License: LEGACBL880RJ
23911 202 MD AVE SEMAPLE VALLEY,WA 98038 Expires: 01/04/2025
425.584.7154
VALUATIONS: FEES: Paid Due
U VB Utility, miscellaneous 2000.00 $132,960.00 Technology Surcharge $42.58 $0.00
Plan Check Fee $838.66 $0.00
Building Permit Fee $1,290.24 $0.00
Planning Review Fee $240.00 $0.00
State Fee-Residential $6.50 $0.00
Total: $132,960.00 Totals : $2,417.98 $0.00
REQUIRED INSPECTIONS
Setback Inspection Framing Inspection
Footing Inspection BLD-Final Inspection
Foundation Wall-Pre-Pour Inspection
CONDITIONS
Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
Printed by:Annie Wilson on:08/09/2023 03:54 PM
Page 1 of 5
1
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GARAGE/ STORAGE BLD2023-00822
* 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
contact the Mason County Public Works Department prior to construction at Ext 450
* 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 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.
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.
* 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. 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.
* 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 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.
* 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.
* 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.
* 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:Annie Wilson on:08/09/2023 03:54 PM Page 2 of 5
1
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GARAGE/ STORAGE BLD2023-00822
* 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).
* 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.
* 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 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.
* 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 setback&foundation inspection.
* 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 building permits shall have a final inspection performed and approved by Mason County Building Department prior to
permit expiration.The failure to request a final inspection or to obtain approval will be documented in the legal property
records on file with Mason County as being non-compliant with Mason County ordinances and building regulations.
* All construction must meet or exceed all local and state ordinances in addition to the International Codes requirements as
adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted
classification. Any non-approved change of use or occupancy would result in permit revocation.
* The 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.
* The foundation/footing must be placed on undisturbed, firm-native soil. Proper frost depth shall be observed below grade
in undisturbed soils.
* 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.
* 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.
* 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.
Printed by:Annie Wilson on:08/09/2023 03:54 PM
Page 3 of 5
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GARAGE/ STORAGE BLD2023-00822
* 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.
* 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.
* 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.
* 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.
* 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.
* This structure is limited to U-occupancy use only (private garages, carports, sheds, and agricultural buildings.) Any other
use will be in violation of the international codes and Mason County Regulations unless a "Change of Use" permit is applied
for, reviewed and approved.
* This structure is approved as unheated space.
To be considered unheated space the area may be provided with a heating system that does not exceed maxium output of 1
watt per square foot., or 3.4 Btu/h per square foot. A permit and approval is required prior to installation of any heating
system.
When a heating system exceeds 1 watt per sq.ft(or 3.4 btu/h per sq. ft)the heated space shall be insulated in accordance
with the energy code in effect at the time of permit application.
* 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.
* PLANNING SETBACKS
Front: 25'
Rear: 20'
Side: 7.5'
Subject tot EH Setbacks
Measured from furthest projection
Printed by:Annie Wilson on:08/09/2023 03:54 PM
Page 4 of 5
Mason County
Mason County - Division of Community Development
615 W. Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
GARAGE/ STORAGE BLD2023-00822
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: Annilt-0; Ikki
Contractor or Authorized Agent: e%1/t Date: 9 % c2
Printed by:Annie Wilson on:08/09/2023 03:54 PM Page 5 of 5
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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:
httn//www.co.mason.wa-us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)-,X—The 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
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.
� Owner/Agent/Contractor(circle one)Date:
1 23
age 2 of 2
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Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 21
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 surfacez.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings 50 X 4D
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways v 2 X 2 =
X = Length of drive begins at the right of way
X =
Parking Areas X to = D
X = Any paved, gravel or packed area per definition
above table
X =
PatiosNValks 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
9 Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) as
i
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 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.
Pagel of 2
SMALL PARCEL STORMWATER SITE PLAN -WRITTEN DESCRIPTION - A
.lames Schmidt
Site I d;!ress- 340 NE Haven Lake Drive,Tahuya
Parcel#- 22330-50-00310
The site is located in Tahuya on the non-water sites of Haven Lake. The majority of the lot is forested with trees
and other native vegetation. it has a previously improved gravel driveway and a sizable clearing. Trees and
other vegetation will remain along the driveway and the perimeter of the proposed building site with
approximately 135 ft deep of untouched forest to the rear of the proposed structure.
The driveway is currently approximately 102 feet in length by 24 feet in width, which is 2448 of impervious
surface, the parking turn around area would be 80 feet in length by 68 in width, which equates to 5440 square
feet of impervious surface and the proposed building site is 50 feet in length by 40 feet in width, or 2000
square feet of impervious surface for a combined approximate total of 9888 square feet which falls within the
limits for small parcel drainage review.
d d1rou g ii,tie etation. T u avo d SatUi diiii Suiis;lean file i'utiildatiurl of the
Ai! stormwafie;ilC;1133 lidil!be disperse`' '� y' y- y
garage, the roof run off will go down the gutters and be directed into downspout extensions. The proposed
area for construction and parking area is relatively flat. Run off from this area can be allowed to sheet flow to
the NW side of the driveway towards the gradual slope. The lover portion of the driveway has a gradual slope
as well. This should prevent water from running out of the driveway and into the road. There is also a large
drainage ditch and culvert where water flows to.
in order to prevent erosion and trap sediments trithin the protect site, the following Best Management Practices
(BMPs) will be used approximately as shown on the Erosion and Sediment Control (ESC).
• Clearing limits will be marked by fencing or other means like ribbon on the ground.
• The driveway was previously graveled. Dispersion trenches shall be placed according to flow control
requirements. Areas accepting sheet flow from the parking area (that are not being left in native
vegetation)will be mulched.
• Water will not be allowed to point discharge onto the slopes. A rock-lined ditch will intercept and direct
water from the steeper portions of the driveway.
• Mulch will be spread over the all cleared areas of the site when they are not being worked. Mulch will
I consist of a r-oried s.rav and o chipped site vegetation.
• Silt fencing will be placed at the lower edge of the clearing at the point where the land begins to slope.
30 N Lai&
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MASON COUNTY Permit No. X—
COMMUNITA' WEVELOPMENT �!
Permit Assistance Center, Building,Planning ISM
DMG
BUILDING PERMIT APPLICATION JUL 18 2023
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
615 W. kider Street
NAME:James&Rebecca Schmidt NAME:Legacy Buildings LLC
MAILING ADDRESS:28904 230th Ave SE MAILING ADDRESS:23911 202nd Ave SE
CITY:Black Diamond STATE:WA ZIP:98010 CITY:Maple Valley STATRWA ZIP:98038
PHONE#1:253-653-5486 PHONE:425-584-7154 CELL:253-405-3987
PHONE 42:253-951-9201 EMAIL:legacybuildingsllc.com
EMAIL:snowjim13@gmail.com L&I REG#LEGACBL880RJ EXP.01 /04 )25
PRIMARY CONTACT: OWNER p CONTRACTOR❑ OTHER❑
NAME James Schmidt EMAIL snowjiml3@gmail.com
MAILING ADDRESS 28904 230th Ave SE CITY Black Diamond STATE WA ZIP98010
PHONE CELL 253-653-5486
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22330-50-00310 ZONING Residential
LEGAL DESCRIPTION(Abbreviated)Lot 310,Haven Lake FIRE DISTRICT 2
SITE ADDRESS 340 NE Haven Lake Drive CITY Tahuya
DIRECTIONS TO SITE ADDRESS SR3 to Belfair,to Hwy 300(Northshore Rd.),right on Belfair-Tahuya Rd.,right
on Haven Way,left on Haven Lake Dr,property on right appx.1/2,address marker at street
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO E) SNOW LOAD:2s Psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkan that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) Garage-RV Storage
IS USE: PRIMARY❑ SEASONAL I] NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Parr(sl of Bldg)❑ NO 0
DESCRIBE WORK To erect pole barn/RV garage that includes cement floor
SOUARE FOOTAGE:(proposed)
I ST FLOOR sq.ft 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 2000 sq.ft Attached❑ Detached CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGEISEWER SOURCE: SEPTIC❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO Ifyes,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES E] NO[] EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 it work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) IN
X f?3
Signature of OWNER(Must be sinned by the OWNERI Dat
EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY Permit No: = a-a-
�� COMMUNITY DEVELOPMENT �Permit Assistance Center,Building,Planning
ANNG
BUILDING PERMIT APPLICATION J11k 18 202
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NA :James&Rebecca Schmidt NAME:Legacy Buildings LLC 1 Alder Street
ME
MAILING ADDRESS:28904 230th Ave SE MAILING ADDRESS:23911 202nd Ave SE
CITY:Biack Diamond STATE:WA ZIP:98010 CITY:Maple Valley STATE:WA ZIP:98038
PHONE#1:253-653-5486 PHONE:425-584-7154 CELL:253-405-3987
PHONE#2:253-951-9201 EMAIL:legacybuildingsllc.com
EMAIL:snowjiml3@gmaii.com L&I REG#LEGACBL880RJ EXP. 01 /04 /25
PRIMARY CONTACT: OWNER E] CONTRACTOR❑ OTHER❑
NAME James Schmidt EMAIL snowjiml3@gmail.com
MAILING ADDRESS 28904 230th Ave SE CITY Black Diamond STATE WA ZIP98010
PHONE CELL 253-653-5486
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 22330-50-00310 ZONING Residential
LEGAL DESCRIPTION(Abbreviated)Lot 310,Haven Lake FIRE DISTRICT 2
SITE ADDRESS 340 NE Haven Lake Drive CITY Tahuya
DIRECTIONS TO SITE ADDRESS SR3 to Belfair,to Hwy 300(Northshore Rd.),right on Belfair-Tahuya Rd.,right
on Haven Way,left on Haven Lake Dr,property on right appx.1/2,address marker at street
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NOG SNOW LOAD:25__psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall thatapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
• TYPE OF WORK: NEW❑ ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence.Garage,Commercial Bldg,Erc.) Garage-RV Storage
IS USE: PRIMARY❑ SEASONAL 13 NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(noleBldg)❑ YES(Pan[sl fBldg)❑ NO❑Q
DESCRIBE WORK To erect pole bam/RV garage that includes cement floor
SQUARE FOOTAGE:(proposed)
I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.& COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 2000 sq.ft. Attached❑ Detached Q CARPORT sq.ft. Attached❑ 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❑ SEWER❑ / NEW❑ EXISTING❑
PLUMBING IN STRUCTURE? YES❑ NO I] Ifyes,attach completed Water Adequacy Form
PERU%4ETER/FOUNDATION DRAINS PROPOSED? YES E] NOD EXISTING SQ.FT.
EXISTING BEDROOMS PROPOSED BEDROOMS 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 1 further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or 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 pernittapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42) N
? n
X
Signature of OWNER(Must be signed by the OWNER) Dat
EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT KL M•G7)3
FIRE MARSHAL
PUBLIC HEALTH
i