HomeMy WebLinkAboutBLD2013-01106 Garage, Living Space - BLD Permit / Conditions - 12/23/2013 II Iai.JCI.IIVI I LII IC 1JVV/'tGI-1 LVL
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2013-01106
OWNER: LES OKONEK RECEIVED: 12/23/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 5/6/2014
SITE ADDRESS: 283 E OKONEK RD GRAPEVIEW EXPIRES: 1 1/612 0 1 4
PARCEL NUMBER: 121082400000
LEGAL DESCRIPTION: G.L. 2* &TAX 652*,652A-1* S 27/244
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW DETACHED GARAGE,WITH LIVING SPACE ON THE UPPER ST RT 3, R ON GRAPEVIEW LOOP RD, R ON OKONEK RD TO SITE
FLOOR ADDRESS AT THE END
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 1 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R-3,U Lot Size: Deck: 120
Type of Work: ACC Fire Dist.: 3 No. of Stories: 2 Occ. Load: Building: Garage-Detached 1,680
Valuation: $ 129,694.80 Building Height: 23 Occ. Status: Seasonal Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: N 160.0 Ft. Shoreline: 80.0 Ft. Water Body: CASE INLET
Rear: S Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Shoreline Desig.: Urban
Side 1: W 10.0 Ft.
Year: Serial No.: Side 2: E 57.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Hosebibs 2 Heat Pump 1 Plan Check Fee GMM 12/23/201 $755.14 S1201300000001
Lavatories 1 Propane Stove 1 Planning Review Fee GMM 12/23/201 $205.00 S1201300000001
Showers 1 Propane Tank 1 EH Plan Review CEW 12/23/201 $ 103.00 S7201300000001
Water Closets (Toilets) 1 Ventilation Fan 1 Building State Fee MAU 3/13/2014 $4.50 S2201400000001
Water Heaters 1 Building Permit Fee MAU 3/13/2014 $ 1,161.75 S2201400000001
Mechanical Base Fee MAU 3/13/2014 $28.50 S2201400000001
Mechanical Permit Fee MAU 3/13/2014 $ 173.20 S2201400000001
Plumbing Base Fee MAU 3/13/2014 $24.70 S2201400000001
bing Permit Fee MAU 3/13/2014 $41.00 S2201400000001
EH M1 r Plan Review CEW 5/6/2014 $ 100.00 S2201400000001
(� re e n C��A 'Rav 5
l0c� Total $2,596.79
BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2013-01106
CONDITIONS FOR
BLD2013-01106
1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X 4,11)
2) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X L I i)
3) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X Z_�u
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing, straw, or
surface matting must be installed and maintained until upland vegetation has become established. X 4I11
5) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X z I .
6) No kitchen can be allowed in this structure. Both floors/stories of this structure have NOT been reviewed or approved as an Accessory
Dwelling Unit(ADU):A second dwelling unit detached from an existing single-family dwelling for use as a completely independent or
semi-independent unit with provisions for cooking, eating, sanitation and sleeping. ADUs are required to meet the requirements and public
review under Mason County Development Regulations 17.03.029.X 4 i
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7) 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.
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8) All 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.
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9) 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.
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10) All slabs within the heated space shall be insulated to a minimum R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X L_W
BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 2 of 6
11) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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12) The"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, then
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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13) 2012 IECC/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.
In addition the following credits from R406.2 shall be completed as follows: Opition#3d with Ductless heatpump 1.0 credit
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14) 2012 IECC/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.
In addition the following credits from R406.2 shall be completed as follows:
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15) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution
panel. 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 Section 105.4, 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 IECC/.WSEC Section R402.4.
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 750 square feet. Reference IECC/WSEC R401.3 & R101.4.3
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in '/4 or%sheets. The
Mason County Permit Center will also have some available.
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BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 3 of 6
10) A minimum of 1b percent of all permanently instaiiea lamps in ngnung rixtures snap tie sign enIUdUY IdlIIPZ5 III dl;l:UIUdIIGC VVILII ICIrI.IVVJCI. JCL IUII
R404.1.
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17) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from outside in accordance with the international codes.
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18) To perform an inspection the Mason County Building Inspector will need to access the interior of the structure. An electrical permit completed and
approved by Washington State Labor& Industries must be available on-site during the inspection.
The Mason County Building Inspector will inspect the following:
Verify that the system is installed in accordance with manufacturer specifications;
The inspector will check to make sure that the exterior unit is permanently installed and supported,
the exterior unit complies with required setbacks to property lines,
fuel tanks are located at least 10-ft from the system, a source of ignition,
all exterior penetrations are properly sealed,
condensate lines are installed and are properly supported, including proper material, slope, and that the condensate line terminates to a proper location
outside of the foundation,
copper refrigerant lines are insulated with '/2" thick continuous closed-cell foam insulation or better,
indoor units are located at least 3-ft from smoke and carbon monoxide alarms,
and that modifications made to the structure, to install the unit, does not affect existing structural members.
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19) 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).
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20) 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.
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21) 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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BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 4 of 6
22) All construction must meet or exceed all local ordinances and 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.
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23) 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.
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24) 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.
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25) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents;windows, doors etc). Setback to the public
way, or access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
the greater of 5-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bollards must be installed.
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26) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures,
compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements
shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as
specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be
installed.
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27) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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28) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be used until the final inspection has been performed and approved by a Mason County building inspector.
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29) All property lines shall be clearly identified at the time of foundation inspection. X �-( 9i
BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 5 of 6
30) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordinances and building regulations.
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31) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
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32) 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.
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33) 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.
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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 APPLIC ION OF 180 DAY WILL INVALIDATE THE APPLICATION.
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Signature Date
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ZI: S ��pEJFK OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2013-01106 Please refer to the following pages for conditions of this permit. Page 6 of 6
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o CONCRETE MECHANICAL MANUFACTURED HOME
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w Footings l Setba B �J G� Ribbons Gas Piping ,� z
o Interior Date �/ By interior-Date By Date By
rn Exterior Date By Exterior-Date BSet-up
Point Load t Isolated Footings INSULATION Date By N
Date By D SLAB INSULATION ate By FIRE DEPARTMENT
Foundation Walls Floors Date By
DfltP. r ,5�� B Data 11711
By tAo" DECKS
FRAMING Walls Date By
Data By' PROPANE TANKS
PLUMBING Vaauit Date ey
Dates _ By OTHER. .,..�
Groundwork Attic Type S "rt�►ct-, aaS
Date B}, Date By Date lil It/'Yr./ By li1rJ`(
O..W.W DRYWALL Type-
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Date G� �7` / By %% Date By r
CD FINAL INSPECTION p
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Date By Date By Date -� By CD
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Type of Insp. Fail Date Date Done By Comments
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Permit' 13 CA J� MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 783 6 d 4::� �L
This structure has been inspected by Mason Co6inty Building Department
and the following VIOLATION of County Laws and Ordinances has been
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d: Items listed Oelow must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑ Macke tcoKections��ms�il checked on next inspection regarding possible structural
r�1 damage incurred by recent
�1 "naturaliman made"
❑This is note a complete inspection disasters.This is NOT a
Date I of I I)q Department CORRECTION NOTICE.
Inspector I.,"O L'I
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Permit b MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location Okamk
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed belost be corrected to gain compliance w u
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ Please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
' OK to
! .— damage incurred by recent
/��..-, "natural/man made"
❑ This is not a complete inspection disasters.This is NOT a
�3��/ Department CORRECTION NOTICE.
Date
Inspector
N* VT P im l* E4 ; ' THimqm& TA* mw
Permit# MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 2 e�Z
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ Please contact.our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
OK to 1p �,� damage incurred by recent
"natural/man made"
This is not a complete inspection 4��' ` �n �' disasters.This is NOT a
Date -JS-JS" Department CORRECTION NOTICE.
Inspector 1°i Pd
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* MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/ Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instructions #4)
Owner: Parcel#: Type of project:
,',t5g Akeiv ell— j Z t G K- 0000 6-rs (,E-
15 Floor: 2" floor: Heated Basement:
Total Sq. Ft. �fLtAi,� -Z / f
of heated area:: � U � A)v
Heating System Type: Electric wall heater O Electric Central urnace �G
O Heat Pump with electric furnace O Heat pump with gas furnace IrDuctless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
µ Prescriptive Option Table R402.1.1
Compliance Method µ Component Performance, R402.1 .3 — Calculation worksheets required
Check one::
µ Other (Specify):
Check-one µ Whole House Ventilation system µ Whole House Ventilation µ Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe
System wall fresh air vents (M1507.3.4) System (M1507.3.5)
Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units
must develop credits as specified in Table 406.2. Identify and describe which option(s) will be used to
comply. If the table is not attached to this form you can access the table on our website at:
http://www.co.mason.wa.us/forms/Community Dev/index.php.
Additional
Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled
Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an
Requirements existing building that is less than 750 sq. ft. of heated area. To use this option
complete a window schedule in order to verify that the fenestration area does not
Energy credits exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows,
required: vertical windows, opaque doors, glazed-doors that include products with glass and
non-glass glazing materials. — 0.5 points
b) Medium dwelling units not includes in a) above, or b) below— 1.5 points
c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor
area. —2.5 points.
Describe Energy Credit Option(s):
Using Option number(s): e�J RECENED
426 W, CEDAR %T
I''%, FENESTRATION SCHEDULE
USE FOR ENERGY CREDIT, a)SMALL DWELLING OPTION &COMPONENT PERFORMANCE COMPLIANCE
List all windows, doors, skylights. (If needed, attach an additional sheet)
'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that
include products with glass and non-glass glazin materials.
Manufacturer Location U-Factor Size Quantity Total
(rough opening) Square Feet
i
Total Fenestration: windows, skylights and door area
Name 1pS L��l�tii�Y, Parcel# Zy000co —(Z/OS BLD# ZZ 1?2 ��1Q
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'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
Buildi s X
a 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
of X =
Parkinq Areas X
X = Any paved, gravel or packed area per definition
above table
Patios/Walks
X = Any paved, gravel or packed area per definition
1-1 above table
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 all eas)
If the Total Impervious Surface Ar is LESS THAN 2000 Square Feet,pleas read,acknowledge and sign below.
Based Upon the information you have pro d Stormwater Site Plan I 'NOT equired 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 /4 LOwner/Agent/Contractor(circle one)Date: Z Z3 /
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read /4 ff�
the information provided on page 2 of 2.
X%XdJAN p 2 ilm
Page 1 of 2
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Name DNS ocvFfG Parcel# ZgC>000d 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:
httt)//Www.co.mason.wa—us/code/commissioners/index.htin
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
ILJ�The relevant details from Managing StormDrainage 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-
escribed prop revie =anspect' n as may be required.
X Owner/ gent/Contractor(circle one)Date: �Z 3 3
Page 2 of 2
40t COC
MASON COUNTY PERMIT NO. I Dip
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WNNV.00.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 A ,,
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PO Box 279, Shelton,WA 98584 ' 6< 41 5r 2
BUILDING PERMIT APPLIC TION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: �S o�,��/� NAME:
MAILING ADDRESS:77// G, e s; eIr. 0r. MAILING ADDRESS:
CITY: .4iJr{- STATE: ZIP: CITY: E. ZIP:
PHONE: CELL: �?07--v 'o�f PHONE:
EMAIL: EMAIL
L&I REG# EXP. ! /
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT_
LEGAL DESCRIPTION(ABBREVIATED):
SITE ADDRESS Ni;Aw _CITY b fg e of z J
DIREC NS O SITE ADDRESS .3—� �'✓ ��✓ o�� P 74s
(mil Cam! �f-�c�,
IS PROPERTY WITHIN 200 FT:
SALTWATER Ef LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO 0,
TYPE OF JOB: NEW )g ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)
IS USE: PRIMARY❑ SEASONAL NUMBER OF BEDROOMS d NUMBER OF BATHROOMS I
DESCRIBE WORK &A?aC?E
SQUARE FOOTAGE:
1ST FLOOR sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq.ft. BASEMENT sq. ft
DECK 1 L o sq. ft. COVERED DECK sq. ft. STORAGE sq.ft OTHER sq.ft.
GARAGE sq. ft. ATTACHED❑ DETACHED ❑ CARPORT sq.ft. ATTACHED❑ DETACHED ❑
MANUF TURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MODEL YE LENGTH
TH BEDROOMS BATHS SERIAL NUMBER
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. 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 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
INSPECTIR� CTIVI F THIS RMIT APPLICATION OF 180 DAYS WILL VA DATE THE APPLICATION.
x
nat re of Ap i f t Dafe
X OWNER / REPRESENTATIVE/CONTRACTOR
Print Name (CI
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE A 8TES CONDITIONS
BUILDING DEPARTMENT ,� _ JAN 0
PLANNING DEPARTMENT 1426 W. CEDAR ST.
FTRE MARSHAL
ti co`"r� MASON COUNTY PERMIT NO.OL 2G I 1 DID
> , DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
f' Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352
PO Box 279,Shelton,WA 98584 (360)482-5269 Elm#' xt.J52 ( .
�u �
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: :5:5 NAME:
MAILING ADDRESS: -721t _ j" C s MAILING ADDRESS:
CITY:4e.,q STATE: AFL ZIP: v CITY: STATE: ZIP:
PHONE: 7- G/ CELL: 3a -Z)51 PHONE: CELL:
EMAIL: f) _�f hj _ &f2n EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): z/000 J i'
LEGAL DESCRIPTION(ABBREYIATE ):
SITE ADDRESS: ' Fl3 G • CITY:� �r/� �c J
DIRECTIONS TO SITE ADDRESS &
TYPE OF JOB
NEW X ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—IST FLOOR 2NDFLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tvne of Fixture No. of Fixtures Fees Fuel Type:Electric LPG A Natural Gas Heat Pump_
Toilets 1 Type of Unit No. of Units Fees
Bathroom Sink i Furnace
Bath Tubs Heatpump
Showers i Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gos Ot
Kitchen Sinks W L s ellet Q�tov
Kitchen Dishwasher S
Hosebibs = Dryer Vent
Other Other
Base Fee 2y?D Base Fee 2g.
TOTAL PLUMBING 6/6,7D TOTAL MECHANICAL ZO/, 20
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 APPLICATIO F 180 D YS ILL INVALIDATE THE APPLICATION.
X / ZLZ,3 3
Sigriafur//e of Applican Date
X C Owner/Owners Representative/Contractor
Print Name (indicate which D
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/ROI) LCONDUJPNS
3ITILDING DEPARTMENT �I
PLANNING DEPARTMENT
FIRE MARSHAL
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Initials: Date: f r� Tag #: Unit
/ 5 l- �, r Comm�-�'s
�a,�c�✓-k- .��tc�l Zs�r o o ,z o� - z44000 o
MASON COUNTY Mason County Permit Center Use:
DEPARTMENT OF COMMUNITY DEVELOPMENT DDR .2,0I Z -
411 N.Fifth Street/P.O.Box 186,Shelton WA 98584
360.427.9670 ext.352 Date Rcvd
Request for
Administrative Variance for Reduction in the Required Setbacks ($115.00)
For administrative review,the minimum variance on a setback request is 5 feet from the side yard lot
lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction
requires a standard variance. Setbacks are measured from the furthest projection of the structure,
includiniz roof eaves. Ae fly -t
Applicant/Owners: LES 6kc`^
t.si\ H�..�-� �� 5�.;�c C•
Mailing Address: p O . 2pox I (0 n 63-7
City:GV"-'0 Gy z't-.j State: W A Zip: I F55,4(0
Telephone: 3G0 - 3'11- 1 Sod LA2-15 y 3 /55 5
Email: r�n��s�oerhn.��;��, tA►-..
If this reduction is tied to a building permit,please give permit case number.
BLD Zo\Z. - oo \to 6
Parcel Number(s): 1 Z\og Z'LA O U O O 6 11 Zoning
Site Address: Z-6 G d V, o vt e
Requested setback variance:
ZO ft. Qi Front ❑ Rear ❑ Side
7-1 ft I1 Front ❑ Rear 4 Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks-From access easements and road right of ways. Minimum 10 feet.
Rear Setbacks-From the rear property line. Minimum 10 feet.
Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations.
An illustrated site elan is required.
Your site plan must show the following: north arrow,abutting street or easements, set backs to all
property lines and existing buildings, slopes, surface water, wetlands,critical areas, septic,well and
driveway. Show all proposed new development.
1ACommunity DevelopmentTAC\VARIANCES\Admin Variance.doc Edited on 7/16/10
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FRONT AND OR REAR YARD REDUCTION REOUESTS:
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-fourth acre;
e) existing improvements of buildings, septic systems,and well areas.
SIDE YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot(check all that apply):
❑ a) steep slopes,wetlands,or streams present;
❑ 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;
hQ 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.
V%Ao 1Q 'T'"ha Ioc.,�� u+� a� �v+ <)CS4�V%s Caryor-t o.n ��c DraDtr
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015 1.9C'I A S VYLA c TlnrV, ACCeS S �t rho !ProgoW1
Owner/Agent (please indicate) �z
S' nature Date
Official Use Only
Approved by: _ � �.�� u Date • l t ha-
Denied by: Date
Reason for denial:
IXommunity DevelopmentTACWARIANCESWdmin Variance.doc Edited on 7/16/10
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Initials: Date: i/L/��z Tag #: Unit:SG�� /"' comments: d�°,U�,� ,t�,��G/ 2-940000