HomeMy WebLinkAboutBLD2011-00144 SFR - BLD Permit / Conditions - 3/25/2011 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 186
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2011-00144
OWNER: STEPHEN JOHNSON INC RECEIVED: 2/25/2011
CONTRACTOR: LICENSE: EXP: ISSUED: 3/25/2011
SITE ADDRESS: 151 E CARDINAL CT ALLYN EXPIRES: 9/25/2011
PARCEL NUMBER: 122085111010
LEGAL DESCRIPTION: LAKEWOOD PLAT I BLK: 11 LOTS 10-13, 33-36 TGW N1/2 VAC MAPLE ST& S1/2 VAC FIR ADJ TO LOTS
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR ST RT 3, R ON ST RT 302, R ON BELWOOD LN, L ON CARDINAL CT TO
SITE ADDRESS ON THE LEFT SIDE
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.: 2 No. of Stories: 1 Occ. Load: Building:1,307 Garage-Attached 528
Valuation: Building Height: 18 Occ. Status: Primary Basement: COV PORCH 24
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 110.0 Ft. Shoreline: Ft. Water Body:
Rear: N 17.0 Ft. Slope: Ft.
SEPA?:
Model: Width: Ft. Side 1: E 14.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 20.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 EH Plan Review KKK 2/25/2011 $103.00 S62011000
Hosebibs 2 Furnace<100K 1 Water Adequacy Plan Review KKK 2/25/2011 $103.00 S62011bob
Kitchen Sink 1 Ventilation Fan 2 Plan Check Fee GMM 2/25/2011 $838.86 si2oi bbb
Lavatories 2 Woodstove 2 Planning Review Fee GMM 2/25/2011 $205.00 S12011000
Water Closets (Toilets) 2 Dryer Vent 1 Fire Warden Review GMM 2/25/2011 $73.00 S12o9'l000
Water Heaters 1 Address Fee GMM 3/3/2011 $140.00 S12011000
Bath Tubs 2 Building State Fee LDK 3/15/2011 $4.50 S12011000
Clothes Washer 1 Building Permit Fee LDK 3/15/2011 $1,290.55 S12011000
Mechanical Permit Fee LDK 3/15/2011 $204.50 S12011000
Mechanical Base Fee LDK 3/15/2011 $28.50 S12011000
Plumbing Permit Fee LDK 3/15/2011 $93.20 S12011000
Plumbing Base Fee LDK 3/15/2011 $24.70 S12011000
Total $3,108.81
BLD2011-00144 Please referto the following pages for conditions of this permit. 1 of 6
CASE NOTES FOR
B LD2011-00144
CONDITIONS FOR
BLD2011-00144
1) 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 an er inspections being performed or approvals granted.
X
2) Owner/Agent is respon i post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
3) 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 uments will result in failure of required building inspections.
X
4) All slabs within the heated space shall be insulated to a mini 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
5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
6) 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 r any further inspections being performed or approvals granted.
X
7) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: #6
X
BLD2011-00144 Please referto the following pages for conditions of this permit. 2 of 6
8) A permanent certificate, completed by the 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 503.10.2, 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 0.00030 Specific Leakage Area(SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, " WSEC 2009 Certificate" and are available in '/4 or '/2 sheets. The
Mason County Permit Center will also have some available.
X
9) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimm.
A pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSEC 505.
X
10) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
X v
11) 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 w septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contractor is ackno ging t at all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
12) In buildings of unusually tight construction, fuel-burn �iances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air from outside in accordance wi the international codes.
X
BLD2011-00144 Please refer to the following pages for conditions of this permit. 3 of 6
13) 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 drai thin 30ft, down gradient of drainfield/reserve area.
X �—
14) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete w xposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X
15) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads connect county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
16) All construction mus meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. 09yappricy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
X
17) 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 2 ason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project.
X
18) Placement of structure m coy with standards set forth per the international codes regarding descending and/or ascending slopes.
X
19) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulatio us be reviewed and approved by Mason County prior to construction.
X
20) 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 mended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be mad for t re u frog additional inspections.
X
21) All property lines sh clearly identified at the time of foundation inspection. X
BLD2011-00144 Please referto the following pages for oonditi s of this permit. 4 of 6
22) 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 inspec(on to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County ordina s d building regulations.
X
23) 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 eeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have preve tion from being taken. No more than one extension may be granted.
X
24) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All
applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the
registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and/or land modifications
(grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall
remain attached t th pproved building plans.
X
25) An inspection performed by a representative of the geologist, their authorized representative, or engineer of record, shall be completed on-site prior to the
footing pour to verify that earthwork and foundation installation activities comply with the Geotechnical report or assessment recommendations.
In addition a final inspection report, prepared by a representative of the geologist, their authorized representative, or engineer of record shall be required
to verify that erosion control, drainage and final work is completed in accordance to the Geotechnical report or assessment recommendations.
Reports shall be submi to the Mason County Building Dept., PO Box 186, Shelton, WA 98584, prior to the footing and final inspections and available
for inspection.
X
26) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flash stall metal connectors approved for contact with the new types of pressure treated material.
X
27) Retaining walls needed to support a surcharge Much s structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
28) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet th tack conditions listed.
X
29) 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"t se structures are shown and meet the setback conditions listed.
X
BLD2011-00144 Please referto the following pages for conditions of this permit. 5 of 6
30) 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.� p son signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
31) Approved per Z nsions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
32) Tempor erosion control measures must be implemented to prevent water quality cleqf8oation of adjacent waters or properties. Silt fencing must be
installed and maintained until upland vegetation has become established. X -
33) 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 �
34) Prior to final approval, all upland areas disturbed or newly create y c struction 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
the above described property ructure fo re wynd inspection.
OWN ER OR AGENT: W DATE:
BLD2011-00144 Please referto the following pages for conditions of this permit. 6 of 6
oCONCRETE MECHANICAL MANUFACTURED HOME �
m
CD Date
Footings/Setbacks Gas PN�n1„ Bye Ribbons
O Intenor Date I By/ ,nt/ Interior-Date�i�))) By 4Z)L- Date fly M
(rJJ l 1 I Z
p Extww Date By Exterior-Date By
Set-up
INSULATION p
Point Load!Isolated Footings Date By =
BG I SLAB INSULATION
Date By Data err By (i1Q� FIRE DEPARTMENT N
Foundation Walls Floors Date By 0
Date By Data By DECKS Z
FRAMING Walls Date By Z
�/
Date �3 J By `pj Data By PROPANE TANKS n
PLU B G vauR Date 8y
Date By OTHER
Groundwork Attic
Data . Z, /i By LAP Date By
Type
Date By
D.w.v DRYWALL Type_
Int Brace Wall Date By W
Date /i f 3 l By r
D Date By FINAL INSPECTION 0
Water Line Fire Separation N
Dale By Date 6 ._Ly By / Date 2- By T O?
m �
Pass or Request Inspect. c
Type of nsp. Fail Date Date Done By Comments _L
CD
'CD
CD
o �
t I Mch
zurJ�w� w ( t>v
eS5:�5 it z,4 -/
-fi
Pe;;its; - '/�}V MASON COUNTY !
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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
Cam_ G
� ,.�► v/Gv /J ,l1' ���/tip- Cam.,
You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
4Call 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
Date t `����� Department CORRECTION NOTICE.
Inspector
�� N*JT , iv1* ,04 ' ' THt , T`- *1W
Permit# MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location
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'r /ems 17
IF
i r. ;'r7 '�+hog'? ff s �• , e�c'
. te,.;
•s
You are hereby notified that the above corr ions be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing ❑ please contact our office
❑4
Make corrections, items will be checked on next inspection regarding possible structural
❑ OK to damage incurred by recent
"natural1man made"
❑This is not a complete inspection disasters.This is NOTa
Date Department � CORRECTION NOTICE.
Inspector
DCO NnT R MCOV ' THI qqb, TAB
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Owner: �+ �L Jc�h YIS� Parcel* L6 •51 - 110 1O Type of project: nE- .
Total Sq. Ft. 1 Floor: 2" floor: Heated Basement:
of heated area:: ��� 1 �D'7
Heating System Type: O Electric wall heater O Electric Central Furnace • LPG Furnace h�-
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance Prescriptive Option see reverse side circle one: I II III
Percentage: Method O Component Performance--, Chapter 5— Calculation worksheets required
% Check one::
O Other (specify):
Check one v Whole House Ventilation system o Whole House Ventilation o Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents(M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s) will be used
ENERGY 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.u s/forms/Com mu n i Dev/index. h .
CREDITS Option: Description: � - L
Table 9-1 � U}I.�J a_)[ (I VL U h Cam{
Window & Door Schedule (If needted, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
Wind ws: Total Sq. ft.
Doors:
O
Doors: Total Sq. Ft
Total window and door area
Total window&door area /(divided by)total sq. ft of heated area = %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 International Residential Code (/RC), 2009
International Mechanical Code (IMC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-lattached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions to calculate size. It is always helpful to
list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will
assume that all window & door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom,
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor wall 12 Waal Wall Slab e
Area% Vaulted int ext
Door U- Above s on
Option of Floor vertical overhead Factors Ceiling2 Ceiling3 Grade below Below Floor Grade
10 �� grade Grade
R-49 or R-21 R-21
I 13% .34 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R_21 R-21
II* 25% .32 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
III Unlimited .30 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
*Reference Case/Call(360)427-9670 ext. 352 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.
Name Parcel BLD# y✓01 1 -001 I`--,
Jl hty,7o'L 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
Buildin s X
X = Z Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driv wasl�l 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) G
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.
Alf ner/Agent/Contractor(circle one)Date: 'Zo
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 Parcel# 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
i
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their, tirety 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 ac owle1�44d that he information provided is accurate and employees of Mason County ate granted access to the above-
de . e ope for rev ew inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: Z�
Page 2 of 2
P LA
- E.
IHE
FRQ ON OF THEFURT HET
Bt71tD1 , AR 0 ,_
- - - - -- -
AtiSON COUNTY
,
I AG.
NN I.:N
E - =
V.
` MASON C UNTY DCD PLANNING
SITE PLAN REQUIREDT.O.BE ON SITE
CHA E SUBJET TO APPROVAL.
'- Sy t
Stephen Johnson;"Inc.
P.O. Box 488
Belfair, WA 98528
33-3b
.t,Rke cad
1.01 O
ACCESS & GRADE INSPECTION BLD
ADDRESS: /s-Z 64W ,O/ni/' L
INSPECTOR:
DRIVEWAY ACCESS
( ) need post at access of driveway with reflective address numbers
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
(� BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS:
Mason C unty Permit Center Use:
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 2011 - 19
411 N.Fifth Street/P.O. Box 186, Shelton WA 98584
360.427.9670 ext. 352 Date Rcvd - O-Z0 O 11
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,
including roof eaves.
Applicant/Owners: �e�h h fl� n
Mailing Address: X `rt
City: T'aLL." State: WA Zip: C185Zg
Telephone:('5L9 J ar 5 — wl.--�j
Email:
If this reduction is tied to a building permit, please give permit case number.
BLD ao qL4
Parcel Number(s): I AA Q2) b I G Zoning
Site Address: 15 1 E
Requested setback variance:
i
ft. ❑ Front Rear ❑ Side
I L ft ❑ Front ❑ Rear 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 plan 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. y
IACommunity DevelopmentTAMARIANCES\Admin Variance.doc f4AR 0 � 2011 Edited on 7/
MASON COUNTY
FRONT AND OR REAR 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-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):
)�Ia)
steep slopes, wetlands, or streams present;
) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-half acre;
❑ e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal from meeting the
setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
��u F - j c -� ►� ►� 14
06
Owner/Agent(please indicate) Z Z!�
T_Sirg_natue/"'j
ate
IL O icial Use Only
/
Approved by: Date
Denied by: Date
Reason for denial:
IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7i
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO 2�i j -OO I y `-I
PLEASE PRESS HARD BUILDING 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 L- I
APPLICANT-JNFORMATION CONTRACTOR INF RMATION
Owne Q I, e h r O Li O 1t3 Company Name bk1,7 SD
Mailing Address T Mailin Adds • O O �
City State Zip Code City �/ State Zip Code SZ
Phone Other Ph. Phone �n 77567 3�/ Other Ph.
Lien/Title Holder Contractor Reg. #,SjkR 1"44J Exp. CA71D
E mail address E Mail Address �YhPU e CP WSJ i h C - K p 4--
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEIVLtNFORMATION - Connect to New Septic_ Existing Septic
Connect to Water System �_Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parce o. I 4-0Fire District /1
Legal Description 0 S�
Site Address (Please include street name, street numbe and city)
Directions to si a P L11- �t1 o D
✓'G
Will timber 6e cut and sold in parcel preparation?Yes No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 1S%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCEX SEASONAL ❑
Use of Building In Describe Work WP,n
No.of Bedrooms 3 No.of Bathrooms z-- Sn, are Footag�� st Flonr 2nd Floor
3rd Floor Basement Deck, Covered deck- Other Sq.ft.
Garage.c5� Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. 1Y No.of Bedrooms No.of Bathrooms
Type of Heat Purchase Price $ V r Replacement Unit? Yes / No
Installer Name Certification No.
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 accurate an nts employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTf M OF WO I B EANS OF A PROGRESS INSPECTION.
X Date-.z
w er/ ners Re resenta e/Contractor indicate which one
FOR ICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department i �� r�✓��
Planning Department
Environmental Health Department
A
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
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
FORM MUST BE COMPLETED IN INK PERMIT NO.6 I l�I
PLEASE PRESS HARD MASON COUNTY
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 IN RMATION
Owner 't:±la 1,V'AD litvkS 6 h Company Name t,
Mailing Add e Mailin,9,Add ss D
City State Zip Code City - I � ►z State Zip Code Z
Phone Other Ph. Phone, Z7,5'6-73`� Other Ph.
Lien/Title Holder Contractor Reg.# Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic. # DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septi Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Par el No.
4-6 o/ Fire District Z
Legal Description o f SS e/ Coo DC4 +
Site Address (Please include street name, street number and city)
J
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Sea onal Runoff—Stream—Slopes or Bluffs > 15%
TYPE OF JOB - New-X 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 "4 Type of Unit No. of Units Fees
Bathroom Sink Z Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan 2-
Water Heater Propane Tank
Clothes Washer ___1�__—_ Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood /
Hosebibs 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 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 i urate ar?Bg`aWts employees of Mason County access to the above described property and structure for review and inspection.
PROD ONTIN ATIOt OF RK IS BY MEANS OF A PROGRESS INSPECTION.
XztA Date:
Owner/Owners presentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYON T IS POINT
Accepted by .Planning Pd Ck# Date !� ' �1'f Bld Pd Receipt No.
DEPARTME TAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—TVpe Constr. 11 W)
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood /Gas/Pellet Stove Fee Other
�; .; C, TOTAL FEES