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Home My WebLink AboutBLD2016-00474 SFR - BLD Permit / Conditions - 1/3/2017 Inspection Line (360)427-7262 co�'4 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00474 OWNER: PIONEER BUILDERS RECEIVED: 5/26/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 1/3/2017 SITE ADDRESS: 121 E CARDINAL CT ALLYN EXPIRES: 7/3/2017 PARCEL NUMBER: 122085111001 LEGAL DESCRIPTION: LAKEWOOD PLAT I BLK: 11 LOTS: 1-3, 24-26 TGW N1/2 OF VAC MAPLE ST& S1/2 VAC FIR PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW one-story SFR WITH ATTACHED GARAGE ON E CARDINAL CT IN ALLYN 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: 40 Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: 7 Building:1,588 Garage-Attached 402 Valuation: $ 197,644.66 Building Height: 22 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: S 69.0 Ft. Shoreline: Ft. Water Body: Rear: N 75.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 30.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 7.5 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Heat Pump 1 Plan Check Fee JBN 5/26/2016 $ 1,002.66 S2201600000001 Lavatories 3 Ventilation Fan 3 EH Plan Review JBN 5/26/2016 $205.00 S220160000000i Bath Tubs 2 Propane Tank 1 Address Fee JBN 5/26/2016 $ 173.50 S2201600000001 Showers 1 Propane Stove 1 Planning Review Fee JBN 5/26/2016 $205.00 S2201600000001 Water Heaters 1 Gas Outlets 3 Building State Fee SLC 6/27/2016 $4.50 S1201700000001 Clothes Washer 1 Exhaust Hood 1 Building Permit Fee SLC 6/27/2016 $ 1,542.55 S1201700000001 Kitchen Sink 1 Dryer Vent 1 Mechanical Permit Fee SLC 6/27/2016 $219.60 S1201700000001 Dishwasher 1 Additional Fixtures 1 Mechanical Base Fee SLC 6/27/2016 $28.50 S1201700000001 Hosebibs 2 Plumbing Permit Fee SLC 6/27/2016 $ 110.60 S1201700000001 Plumbing Base Fee SLC 6/27/2016 $24.70 S1201700000001 Total $ 3,516.61 BLD2016-00474 Please refer to the following pages for conditions of this permit. Page 1 of 8 22) 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 Inor shall be made prior to requesting additional inspections. X 23) 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 bol ards must be installed. X 24) 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 Jnst*led. X * 25) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must _magt the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. M 26) 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 no be used until the final inspection has been performed and approved by a Mason County building inspector. X 27) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think-surer features exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X_r 28) Epoxy grout required and specified on the approved building plans shall require a special inspection. The special inspector shall be the engineer of record or their authorized representative, a WABO Certified special inspector, or certified testing laboratory. In addition a Mason County Building Inspector may perform the inspection provided holes are prepared in accordance to manufacturer specifications that are available on-site during inspection. Special inspectors shall inspect the installation of grouted construction anchors as stated in the manufacturers specifications. An inspection report shall e epared and submitted to the Mason County Building Department prior to the framing inspection of the project. X BLD2016-00474 Please refer to the following pages for conditions of this permit. Page 6 of 8 29) All property lines shall be clearly identified at the time of foundation inspection. X�I 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 Maas�n County ordinances and building regulations. X 1Q11o, 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 ho er have prevented action from being taken. No more than one extension may be granted. 32) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, cnrApe;ors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. 33) Retaining walls needed to support 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�_ 34) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your d Site Plan"to ensure these structures are shown and meet the setback conditions listed. X 35) 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. 36) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. i :4\ 37) On-site septic system final installation approval required prior to temporary/final occupancy. SWG2016-00306 BLD2016-00474 Please refer to the following pages for conditions of this permit. Page 7 of 8 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. Signature Date `,ram► �,�1�(` CS OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2016-00474 Please refer to the following pages for conditions of this permit. Page 8 of 8 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: Total Sq. Ft. 1S Floor: 2"d 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 glDuctless 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 `Nall 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 Energy credits complete a window schedule in order to verify that the fenestration area does not 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): p Prescriptive Energy Code Compliance for Climate Zones 6, 5 and Marine 4 Project Information Contact Information L1-1588-2L This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure, the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date Climate Zone 5 & Marine 4 6 R-Valuea U-Factora R-Valuea U-Factora Fenestration U-Factorb n/a 0.30 n/a 0.30 Skylight U-Factor n/a 0.50 n/a 0.50 Glazed Fenestration SHGCb,e n/a n/a n/a n/a Ceiling 49 0.026 49 0.026 Wood Frame Wall,k 21 int 0.056 21+5ci 0.044 Mass Wall R-Value' 21/21h 0.056 21+5h 0.044 Floor 301 0.029 309 0.029 Below Grade Wall°k 10/15/21 int+TB 0.042 10/15/21 int+TB 0.042 Slab R-Value & Depth F 10, 2 ft n/a 10, 4 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: ❑1. Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. F�7]2. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. Table R406.2 Summary Option Description Credit(s) 1a JEfficient Building Envelope 1a 0.5 ❑ lb Efficient Building Envelope lb 1.0 ❑ 1 c Efficient Building Envelope 1 c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 ❑ 3b High Efficiency HVAC 3b 1.0 ❑ 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 ❑ 5b Efficient Water Heating 1.5 7 1.5 6 Renewable Electric Energy 0.5 *1200 wh 0.0 Total Credits 1.50 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/2012/`2ORes%20Energy.pdf Table R402.1.1 Footnotes For SIB 1 foot .= 304.8 mm, ci .= continuous insulation, int intermediate framing. a R-values are minimums. U-factors and SHGC are maximums. When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception:Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall, or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so "13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. 'The second R-value applies when more than half the insulation is on the interior of the mass wall. For single rafter-or joist-vaulted ceilings, the insulation may be reduced to R-38. k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. Window, Skylight and Door Schedule Project Information Contact Information L1-1588-2L Width Height Ref. U-factor Qt. Feet Inch Feet Inch Area UA Exempt Swinging Door (24 sq. ft. max.) 0.01 0.00 Exempt Glazed Fenestration (15 sq. ft. max.) 0.0 0.00 Vertical Fenestration (Windows and doors) Component Width Height Description Ref. U-factor Qt. Fee_t Inch Feet Inch Area UA ENTRY DOOR 0.20 1 3 6 8 20.0 4.00 BEDROOM 2 0.30 1 5 5 25.0 7.50 BEDROOM 3 0.30 1 5 5 25.0 7.50 MASTER BATH 0.30 1 4 4 s 18.0 5.40 MASTER BEDROOM 0.30 1 6 15 30.0 9.00 GREAT ROOM 0.30 1 8 5 40.0 12.00 GREAT ROOM 0.30 1 4 2 8.0 2.40 DINING ROOM 0.30 1 6 8 48.0 14.40 KITCHEN 0.30 1 3 4 12.0 3.60 GARAGEIDWELLING DOOR 0.20 1 2 18 6 8 17.8 3.56 0.01 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 &0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 0.01 0.00 s 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Vertical Fenestration Area and UA 1 243.81 69.36 Vertical Fenestration Area Weighted U = UA/Area 1 0.28 Overhead Glazing (Skylights) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Overhead Glazing Area and UA 1 0.01 0.00 Overhead Glazing Area Weighted U = UA/Area 1 0.00 Total Sum of Fenestration Area and UA (for heating system sizing calculations) 1 243.8 69.36 Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of 0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you.If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information Li-1598-ZL Heatinq System Type: O All Other systems O Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Desiqn Temperature Instructions Design Temperature Difference(AT) 40 Grapeview AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) 1,588 Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) 9.0 14,292 Glazinq and Doors U-Factor X Area = UA Instructions 0.30 244 73.20 Skylights U-Factor X Area = UA Instructions 0.50 - Insulation Attic U-Factor X Area = UA Instructions -- —`�- . ' lect R value No selection>. se n 1,588 Single Rafter or Joist Vaulted Ceilings U-Factor Area UA Instructions Select R-Value . No selection --- Above Grade Walls(See Figure t) U-Factor Area UA Instructions - --- Select R Value . No selection 1,396 Floors U-Factor Area UA Instructions Select R-Value . No selection F 1.688 Below Grade Walls(see Figure t) U-Factor Area UA Instructions = � � ' '�""� "" � �� "� `�''` "' ' 0 SeleR R value i. -Slab Below Grade No selection --- Instructions (see Figure t) F-Factor Le� UA V. - No selection Select conditioning f Slab on Grade(see Figure i) F-Factor Length UA Instructions -Select R-Value - u No selection --- � Location of Ducts Instructions "'"""'rs, Duct Leakage Coefficient No Ducts 1.00 Sum of UA 73.20 Envelope Heat Load 2,928 Btu/Hour Figure 1 Sum ofUAXAT Air Leakage Heat Load 6,174 Btu/Hour VolumeX 0.6XATX.018 Above Grade Building Design Heat Load 9,102 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 9,102 Btu/Hour Duds in unconditioned space:Sum of Building Heat Loss X 1.10 Duds in conditioned space:Sum or Building Heat Loss X 1 Maximum Heat Equipment Output 11,378 Btu/Hour Building and Dud Heat Loss X 1.40 for Forced Air Furnace Building and Dud Heat Loss X 1.25 for Heat Pump (07101113) I '75.00' I • I I I I PROJECT DESCRIPTION I DETENTION POND CONSTRUCT NEW 3- BF I EASEMENT PLANNIN I NOTE: I l�\ SOIL LOGS DEPICTED P .\ SITE AND SOIL CONDITI WITH NO CUTS OR ENCI FT NNING: 5 6A CKS ARE MEAS O THE FURTHES PROJEC ION OF THE BUI NG �spalp g '1 2 S 5' ' 000 INSTALL ANTI— SIPHON DEVICE IN I 4 a s 3 -A6,4 5 ---- ti IVEWAY "oA CN GAF 5 APPROVED COUNT D PLANNING ARSON SITE PLANS EOUIFsUBJ TT O APPROVAL tED TO BE ON E 5� 5� 5� 5� a a a a r'HA Date 101 IS I lP s I I I I I I I I I I I I D R kI I D I I I I s• I i SUBMITI SL1 S 2 I 1 FLEGENC 1 Cb7. kEiERVE solL Lc I<S QRA'NFIELQ I I I I I I I I I I I I Q = CLEAN OUT I I I I O O 0_1 O Q = ATU 111 75.00' 5' (1) = PUMP TANK (� 0 = PUMP CONTROL �+ �_�Fc� il� Q = HEADER MANIFO Names oh.rti �M;14, Lt, Parcel# lea �S 1 11 gyp! BLD# 7 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 arc 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 7TXX Width = Area *All dimensions in feet Buildings _ Measurements for buildings are taken at the perimeter of the farthest projections (example: = eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below. Based Upon the information you have provided a 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 �,.,_ z Owner en ontractor(circle one)Date: ��6-14 JF If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name 2 H4 f 6 Parcel# 1/2 2 Dt- 57 -P l 0 U j BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa-us/code/Commissioners/index.htm Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details*are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A)-7#_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 A// Owner/ gen ontractor(circle one)Date: Page 2 of 2 C��r . BUILDING MASON COUNTY PERMIT NO. WoZOIV DEPARTMENT OF COMMUNITY DEVELOPMENT �V1 , BUILDING•PLANNING•FIRE MARSHAL 00 T Ll`7 WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 cev PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 Lam. e 5w, S BUILDING PERMIT APPLICATION 62016 OWNER INFORMATION: CONTRACTOR INFORMATION: 'Alder NAME: ?I*v&,r 14,11&S, )'t . NAME: �4Me_ MAILING ADDRESS: t oq H MAILING ADDRESS: CITY:?.,t D STATE: VA ZIP: 9A63 CITY: STATE: ZIP: PHONE: 14 2311 CELL: Jbo!140 3319 PHONE: CELL. EMAIL: ;o r u-I SincR Ma�nO�. cov►� EMAIL : L&I REG EXP.J,2_/C /� PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 190646• J;-I- / FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED) : SITE ADDRESS 19 1 � • CAJ,,41 Ct CITY 1 ►�, DIRECTIONS TO SITE ADDRESS IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK ❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NOE TYPE OF JOB: NEW K ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) 5 Q _ IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK •I SQUARE FOOTAGE: 1 ST FLOOR 1 i�sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECKS sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE y V;1 sq.ft. ATTACHED 2' DETACHED❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN MA MODEL YEAR LENGTH WIDTH BEDRO THS SERIAL N ER OWNER/BUIL acknowledges submi ' ' ccurate information m esult in a st work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,ow al 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 INSPFPCTIO/N) CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x / _ ff 0'4"_t 5-2b-16 Signature of ApplicAnt Date x 1, y OWNER EPRES NTATIVE CONTRACTOR not Name (CIRCLE TO INDICATE) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL �N �� . BUILDING �� rr MASON COUNTY PERMIT NO. V201& DEPARTMENT OF COMMUNITY DEVELOPMENT � BUILDING•PLANNING•FIRE MARSHAL 0 D� T2 WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 zuElv`D PLUMBING & MECHANICAL PERMIT APPLICATION 2 6 -r OWNER INFORMATION: CONTRACTOR INFORMATION: 61� V1 �ls�err NAME;�}ehtt e �w:l b.S. 1�nt. NAME: c�q�y� Tit MAILING ADDRESS: ?0 `9;, JOY MAILING ADDRESS: CITY-?vt 0,,,,,�,d STATE:_ZIP: CITY: STATE: ZIP: PHONE: CELL: 36n3YD 3319 PHONE: CELL: EMAIL: 1 EMAIL : L&I REG# /9XE 1*;P0, E EXP. PARCEL INFORMATION: PARCEL NUMBER (12 DIGIT NUMBER): 12�0�-S1 I100/ LEGAL DESCRIPTION(ABBREv1�(�TED): SITE ADDRESS: -ET CITY: .4/1N DIRECTIONS TO SITE ADDRESS: TYPE OF JOB NEW ADD ALT REPAIR OTHER USE OF BUILDING $F/Q LOCATION OF FIXTURES/UNITS— I ST FLOOR 2ND FLOOR BASEMENT GARAGE ✓ OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric-LPG Natural Gas Heat Pump ✓ Toilets i9 Type of Unit No.of Units Fees Bathroom Sink 3 Furnace Bath Tubs Heatpump lanC'r�1��• S(�I�+ Showers I Spot Vent Fan 3 Water Heater 1 �) _ir;C Propane Tank 1 Clothes Washer 1 Gas Outlets 3 Kitchen Sinks 1 Woo Ga Pellet Stove I Dishwasher I Kitchen—Exhaust Hood Hosebibs a7 Dryer Vent 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 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. X — Y S-?1-4 Signature of Applicant Date X ,,,. �Ww Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT LL PLANNING DEPARTMENT FIRE MARSHAL