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HomeMy WebLinkAboutBLD2010-00367 SFR - BLD Permit / Conditions - 12/27/2012 Inspection Line(360)427-7262 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 i� RESIDENTIAL BUILDING PERMIT BLD2010-00367 OWNER: PIONEER BUILDERS INC RECEIVED: 5/10/2010 CONTRACTOR: PIONEER BUILDERS, INC. (360) 874-2311 LICENSE: PIONEI*222KE EXP: 6/11/2013 ISSUED: 12/27/2012 SITEADDRESS: 30 E CARDINAL CTALLYN EXPIRES: 6/27/2013 PARCEL NUMBER: Q&- LEGAL DESCRIPTION: LAKEWOOD PLAT I BLK: 6 LOTS 6-8, 34-36 (LOT 57 BELWOOD ESTATES) PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE (PLAN BEING STOCKED) General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,320 Garage-Attached 538 Valuation: $ 152,129.34 Building Height: 17 Occ. Status: Primary Basement: COV PORCH 56 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 25.0 Ft. Shoreline: Ft. Water Body: t Rear: S 100.0 Ft. Slope: Ft., SEPA?: No Model: Width: Ft. Side 1: E 7.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 7.0 Ft. I omp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee TW 5/10/2010 $838.86 S1201000000001 Lavatories 2 Ventilation Fan 3 Planning Review Fee TW 5/10/2010 $205.00 S1201000000001 Water Heaters 1 Gas Outlets 2 Address Fee TW 5/10/2010 $ 173.50 S1201000000001 Clothes Washer 1 Nat. Gas Stove 1 EH Plan Review KKK 5/10/2010 $ 103.00 S6201000000001 Kitchen Sink 1 Exhaust Hood 1 Water Adequacy Plan Revi KKK 5/10/2010 $ 103.00 S6201000000001 Dishwasher 1 Dryer Vent 1 Building State Fee LDK 5/17/2010 $4.50 S1201200000001 Hosebibs 2 Building Permit Fee LDK 5/17/2010 $ 1,290.55 S1201200000001 Additional Plan Check Fee LDK 5/17/2010 $73.00 S1201200000001 Mechanical Permit Fee LDK 5/17/2010 $ 146.70 S1201200000001 Mechanical Base Fee LDK 5/17/2010 $28.50 S1201200000001 Plumbing Permit Fee LDK 5/17/2010 $75.80 S1201200000001 Plumbing Base Fee LDK 5/17/2010 $24.70 S1201200000001 Total $3,067.11 BLD2010-00367 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2010-00367 CONDITIONS FOR BLD2010-00367 1) 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 1-8Q0-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) 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. X 3) 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 1-8QO-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X �Ilrn 4) 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 Dep rtment prior to.any further inspections being performed or approvals granted. X 5) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the 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. X � \ 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 7) 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 Buil in Department prior to any further inspections being performed or approvals granted. X BLD2010-00367 Please refer to the following pages for conditions of this permit. Page 2 of 5 - 8)' Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab Insulation R-10. Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the Xn ere of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. - - 9) Per IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in acco,-dance with the applicable provisions of this section and the manufacturer's installation instructions. X 10) 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. X 11) '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. 12) 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). X � 13) 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 suc roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 14) 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 per it revocation. X a BLD2010-00367 Please refer to the following pages for conditions of this permit. Page 3 of 5 15) Installation of heating equipment in single family residences shall meet the requirements of the current Washington State Energy Code. The furnace to be installed shall not exceed 150% of the heating and cooling design load. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted engineering practice, including infiltration and ventilation. Design calculations shall be available for inspection during the framing inspection. Warm-air furnaces shall have a minimum efficiency of 78%AFUE or higher or 80% combustion efficiency. All ducts shall be securely fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with manufacturers installation instructions. Duct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated to R-8. X 16) 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.X 17) Plac ment of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 18) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordin nce or regulation, Must be reviewed and approved by Mason County prior to construction. X � 19) 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 Ins pshall be made prior to requesting additional inspections. X 20) All property lines shall be clearly identified at the time of foundation inspection. XPII� 21) 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. X 22) 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 holde av,prevented action from being taken. No more than one extension may be granted. X a BLD2010-00367 Please refer to the following pages for conditions of this permit. Page 4 of 5 23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conn ctors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 24) Retaining walls needed to support a sur harge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 25) 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. X 26) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your jApA p ied Site Plan"to ensure these structures are shown and meet the setback conditions listed. 27) 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. 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. x 2&).- - Ap r ved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 29)i� Prior to final approval, all upland areas disturbed or ly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X , This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to th bove described property and structure for review and inspection. OWNER OR AGENT: DATE: BLD2010-00367 Please refer to the following pages for conditions of this permit. Page 5 of 5 o CONCRETE ___ MECHANICAL J MANUFACTURED HOME Date ���Z� ` ByT_ Z o Footings ISetbacka Gas Piping Ribbons rti1 o Interior Date `` 8y Interior-Date ���T By Date By�^ rn Exterar Date �p�3 ey7- Exterior-Date B Set-up 03 Point load J Isolated Footings INSULATION Date By C Date L By BG I SLAB INSULATION r Data By FIRE DEPARTMENT IT! Foundation Wails Floors Date By � Date ByT Data 3 I / By ��� DECKS Z FRAMING Walls Date By 0 Date fr_Z8' By Data 1Q-Z --� By PROPANETANKS PLUMBING vault Data , vBy Date By OTHER Groundwork Attic Date By Date f�3f I� By 14 Type: Date By o.w.v DRYWALL Type-Int.Brace Wall Date By I0 Date Date By FINAL INSPECTION Water Line S Fire Separation .1 ' - ` O Date /�`/ By Date By DateL07 �l By(/�/�[ m O s Pass or Request Inspect. c Type of Insp. Fail Date' Date Done By Comments w CD CY) 4- /i �. �3 y o © -I-- ,_ yJ/ ,0� cr7i Gi1`��t��s 0 C O a 3 tJ 71 j I CD , 3 WV"'6(w n '7113 l�� 6-A4 k5� z► H z3�1 Wy O f -n Permit# �l � MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location Se;l 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 ✓,g-��� l '- - Vic- <�v � �� _r.a7`=' Tom' 2 c LL =�- �yv�/ �!oti k'.��%� �✓i � ���.� ��.yam T �� �-�,��.-g k � �i 2�' ,&Ary � -#2 o-A2 r tom✓: a:/.� ✓ i4::C.. � /�JA ' � )� �.OJ,� .�� /!/ W✓ ai-fiall 'You are heresy . ified that the ove corrections be made BEFORE PROCEEDING WITH ANY FURTHER WORK 6 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 damage incurred by recent OK to t�� -� t3,/ili "natural/man made" This is not a complete inspection disasters.This is NOT a CORRECTION NOTICE. Date � `, , ,/"; Department � Inspector 14* 4 NOT , r1*j4 ' ' THINak T"rm * mff MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location -7C? 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 I c -4 r* z >eZe7 mac V 1, Z--,:5�1�� G,f7fe Z c�ce/ G��/�CLf�.� d ti .-r- ( S ©-v- �i C: Gs 377 You ardf e r/eby noti�d that the above coections shalNe made BEFORE PROCEEDING WITH ANY FURTHER WORKx �x-, �x 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 d i, - eke f' damage incurred by recent "natural/man made" ❑ This is not a complete inspection disasters.This is Not a Date / CORRECTION NOTICE. j5 - .] �3 Department G� Inspector o v NuT i MCOV ' TH/a T" k Permit# I&P -0 6 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location C' This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been ound: Items listed below must be corrected to gain compliance G0 0'l boy 139i/�a�'<dtO &i19 y6 T -ter" 7- X&A4c.,s 7- �tsi %�/,E r9�T �sl�/�1s 2- 40"1 V-5- �O D df�S' � �s� r.✓�=�1.;' /�i/��.�D <s9�� 'c6�/�io� T G��,�- iY — ��t /� i T�iAS ��/lam-,�J --�-, o f �/T i� `` v P- �/ LS �o L o �C crams 2." u//X:2, ST yy /y e � v �✓ v �T vy /La7 ftcc , "cl"a�i sa l •Hrv�y�.� T'a L6� UiP �l�i-xri�.srt,�.�Ti��—�pc�i d-ivs.,��li/^ �lr'y✓7 �xT/,��i�,a:_s' �i c You are here notified that the a ove corrections s all be made BEFOREtv1y EEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing LJ please contact our office Make corrections, items will be checked on next inspection regarding possible structural damage incurred by recent "natural1man made" I� This is not a complete inspection disasters.This is NOTa Date 4D —47— Department CORRECTION NOTICE. Inspector • NO inlo ' THImmb, TAvM * Mff Building Permit # 1!' — o� � MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 3 G�i'�D/ g� c This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fou d: items Listed below must be corrected to gain code compliance 44 L ' ,:� si.,%C% Z Gam"'< zal �� G 9M A Co r i - .�iiT ST 1��/l �! .�7"l`O�✓J //�/�yGf�-T���/ 1�S 1n/ <ST�t� —��-2�[� y� /� v / - n/ You are hereby o ified that t e above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection O K to 1C O ❑ This is not a omplete ins ection Department Date ��— Inspector �16 'L g DO NOT REMOVE THIS TAG Permit# t, 6,01- 7 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 56 L'-- I C-r This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo nd: Items listed below must be corrected to gain compliance 7Y,l 11 -* C w f/t-'t, f C% S►+�- c';1 i ..✓1't fit.t �r�� �' 1 � �i'Yi-Gi !K •-sic�!`c y / 4r. ��,'•N ��'� Ll� "'�• (�� lic?�.1 .� `N - Y��L-t/•'�- 1 V�1-S 1 ��. �- rs%.61' -f`� 'C.� 1 U✓J ' ' 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 I] 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 Date `.�5TI ii Department CORRECTION NOTICE. Inspector l 0i NjT , iv1* ,0V ' ' THI a T qff ro vx,�A - (-01Cl/20 )e) r aUe� I o/I g/z01 z $ U L D R S, I N C November 19, 2012 d `b _ O 3 u S Mason County Community Development c/o Barbara Adkins 426 W. Cedar PO Box 279 Shelton,WA 98367 Re: Issuance of building permit at 10 E. Swallow Court anct30 E. W__ ow ourt Dear Barbara: My son and I spoke with Debbera Cocker on Tuesday, November 13, 2012, in the hopes of picking up the permits for the above-referenced properties. Mrs. Cocker was unable to issue the permits, and she recommended that we write a letter to you requesting your consideration with this matter. Our company has been unable to build on these properties in a timely fashion due to the economic conditions of the past few years. It looks like things are improving,and we'd like to build on these now. Not issuing the permits would be an economic hardship on us, so we'd like them to be issued at this time. We also feel like it would be good for Mason County to have new housing stock. Thank you for your kind consideration for our request. Respectfully, Timothy Uhler President 7CEiVE Cc: Debbera Cocker Post Office Box 1094 Port Orchard,Washington 98366 9 360-874-2311 • Fax 360-874-0287 •www.pioneerbuildersonline com � 22 o(Ono MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/ VIAQ Compliance Application Owner: Telephone: t ) �� Parcel#: ,99r�_5 i-0606 Type of project (- ) New Residence ( ) Addition ( ) Remodel Total Sq. Ft. 15 Floor : 2 floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O'bther: Specify- I Glazing (1'- Prescriptive Option see reverse side circle one: I II Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Systems analysis, Chapter 4 '-) Whole House Ventilation system ,�) Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (vIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one Whole House Ventilation Integrated :7 Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3/ Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: a Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window & door area /(divided by)total sq.ft of heated area = %of glazing Name 10,\ar �� l� ht Parcel# I����� > iib�t - BLD#-- - -- 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. 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 X = '° 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) y? 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. 1 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: `-f- 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 l of 2 Name-�ioaLv- w. Parcel# 171 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: hqp//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)-4� 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. X-4, IA. ? Owner/Agent/Contractor(circle one)Date: .1 QO-J,1 Page 2 of 2 'Fdvletr P.o 'Beoc w i L( For . ore-inor- wQ , G FS 75.00' S-/ j:j. 1 2-101- S1 -06006 e tcJcod �. '67 '(;¢5 l z' .6 ypJ-4tc-- 2ooL f 600Iz o 0 I?zst-use, SaN..Q 4S (�r t,A,r�,�y Res 6� l-oCOi4 toe"en 41 2 PNVQQP� L4 ra�s, r pSSolvrr So}Ic t3uck C 110 e- t Se�►i E 1``•.�,�' I I 15- 30 � PLANNING I o A3 r-1.0VEDC) MASON COUNTY DCD PLANNING I SITE PLAN REQUIRED TO BE ON SITE I CHANC4S SUBJECT TO APPROVAL I By Date I i I �- f ! w { I to I cJl I i1.1 N I o1vm. ' I \- 6 j I � �NTNONY100776 O.D�MIERO � I tXPIRES 1010WM& I I I a Ir MASON COUNTY PERMIT NO. r L_s✓ 10— BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair(360) 275-4467 - Elma (3 48 _ On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORM Owner `� ; \,nt. Company Nam Mailing Address Mailing Xddres%,0%9 City ,'l f Stated Zip Code City Zip Code `Phone '�bG ll l Ill Other Ph. Phone Other Ph. Lien/Title Holder Contractor Re # Exp. E mail address �e�u,rv:� E Mail Addre Drivers Lic.# B Drivers Li DOB SEPTIC/WATER SYSTEM INFORMATION - Co t to Ne Se Exist Septic Connect to Water System Name of WAnuer e, r s Well Water System Name of PARCEL INFORMATION- 12 Digit Parcel - istrict Legal Description Site Address(Please include street name,stre ) Directions to site Will timber be cut and sold in parcel preparation? / Is property within 200'of Saltwater Lak River/Creek d_ Wetland Seasonal Runoff Str am Slopes or Bluffs 15° Is this permit submittal the result of a Stop VWrk ice,Correction Notice enforcement action?Ye957 TYPE OF JOB -New ✓ Add Alt Other E P ARY RESIDENCE aSEASONAL ❑ Use of Building S F Des ork No. of Bedrooms o. of Bathr Square Footage-1 st F l t .�is 2nd Floor 3rd Floor Base m t Covered D Other Sq.ft. Garage I Attache Detached Carpo Attached Detached MANUFACTURED HOME I FORMA' - Make Model Year Length Width S 'al Bedrooms No. of Bathrooms Type of Hea urch rice$ eplacement Unit? Yes/No Installer Na a ertification No. o- OWNER/ AcknowlE�d �'Iis&=wner, inaccurate inf rest�t a stop work order or permit re =.AcicnoV+Aettgement of such is by sig below.I declare that owners legal ' or the contractor.I further declare tfiat I am entitled to r�eiue this permit and to do work as proposed incation.I declare that ve rted the permission from all the necessary parti9sr'If pQrrntsi is required from any ent holder or any other party in interest regaArIg this application or the work proposed in the applicaticW,'Ifhave obtained permission from them to apply for this permit and conduct the work . The owner or agent on owners behalf,represents thgt.tho,informoort provided is accurate and grants employees of Mason County a to the above described property and structure for reviewV 46d iYt'specKion." PR OF LAjNANUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date* Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date_ -- c U DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department #f7/p Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. 1 0, t03(o ` PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar•P.O. Box 186, Shelton, WA 98584 Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner?;.ar�wr��;1��n�r, i�� Company Name Mail j?tg Addrpls Mailing Address City I 0yJ 0 F p State WP Zip Code W�3 City State Zip Code Phone lk `i-19 9 )i Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # 22 k�Exp. E mail address � E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic ✓ Existing Septic: Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No. 020!�_ 51- 0100K Fire District Legal Description Site Address(Please include street name,street number and city) 1 0 1E cajinl I L Directions to site 1-3 Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New ✓ Add Alt Repair Other Use of Building Location of Fixtures/Units- 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas ��Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink �- Furnace j Bath Tubs i Heatpumps Showers Spot Vent Fan 71 Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent t Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 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 the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is gate and grants employees of Mason County access to the above described property and structure for review and inspection. P F OF NUATiON OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: `!-�2 9 1© Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Depatment Occ Group-Type Constr�_ It z D 1AC Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES