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HomeMy WebLinkAboutBLD2008-00700 SFR - BLD Permit / Conditions - 6/30/2008 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 i� RESIDENTIAL BUILDING PERMIT BLD2008-00700 OWNER: SHERRI/DAN MESHKE RECEIVED: 6/9/2008 CONTRACTOR: LICENSE: EXP: ISSUED: 6/30/2008 SITE ADDRESS: 90 E DO,NEGAL WY SHELTON EXPIRES: 12/30/2008 PARCEL NUMBER: 32127�5 0142 LEGAL DESCRIPTION: LAKE LIMERICK 1 LOT: 142 PROJECT DESCRIPTION: DIRECTIONS TO SITE: New SFR Lake Limerick. General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:1,859 Garage-Attached 492 Valuation: Building Height: Occ. Status: Primary Basement: cov deck 402 Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: W 65.0 Ft. Shoreline: Ft. Water Body: 8 Shoreline Desi SEPA?: Model: Width: Ft. Rear: E 4 .0 Ft. Slope: Ft. Side 1: N .0 Ft. g': Year: Serial No.: Side 2: S 10.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Furnace<100K 1 Plan Check Fee KKK 6/9/2008 $882.54 S22008000 Hosebibs 2 Gas Outlets 2 Planning Review Fee KKK 6/9/2008 $190.00 522008000 Kitchen Sink 1 Propane Tank 1 EH Plan Review TW 6/19/2008 $100.00 S22bb8bbb Lavatories 3 Propane Stove 1 Water Adequacy Plan Review TW 6/19/2008 $40.00 S22bb8bb0 Showers 1 Dryer Vent 1 Building State Fee MAL 6/20/2008 $4.50 S22bb8660 Water Closets (Toilets) 3 Building Permit Fee MAL 6/20/2008 $1,357.75 S22008000 Water Heaters 1 Plumbing Base Fee MAL 6/20/2008 $23.10 S22008000 Bath Tubs 2 Plumbing Fee MAL 6/20/2008 $111.91 S22008000 Clothes Washer 1 Mechanical Base Fee MAL 6/20/2008 $26.60 S22008000 Mechanical Fee MAL 6/20/2008 $167.25 S22008000 Total $2,903.65 BLD2008-00700 Please referto the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR ' BLD2008-00700 CONDITIONS FOR BLD2008-00700 1) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X A-4—r-1 3) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X _44 n 4) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 5) 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 Departrent prior to any further inspections being performed or approvals granted. X Pv' � 6) 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 4 4,.,_1 7) 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_�A ,A.. 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X � 9) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X BLD2008-00700 Please referto the following pages for conditions of this permit. 2 of 5 10), : 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 undersW a of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X 11) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WIND SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH. X J1_yN^- 12) Per IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordance with the applicable provisions of this section and the manufacturer's installation instructions. X 13) 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 � 14) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 4�, 15) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X "r"- BLD2008-00700 Please referto the following pages for conditions of this permit. 3 of 5 1 F) 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. XY� 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 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 18) Placement of structure must comply 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 regulation, must be reviewed and approved by Mason County prior to construction. X 1.41� 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 as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall be made prior to requesting additional inspections. X �„ b 21) All property lines shall be clearly identified at the time of foundation inspection. X ^� 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 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. X1 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 exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit (older�e prevented action from being taken. No more than one extension may be granted. BLD2008-00700 Please referto the following pages for conditions of this permit. 4 of 5 24), : Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, • connectors„ and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X �W— 25) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X .,Zll� 26) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project. X -- 27) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X ,bl�iry`- 28) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X_� � 29) Prior to final approval, all upland areas disturbed or new cy reated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 30) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X 31) 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 � 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 anytime 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 and structure for review and inspection. OWNER OR AGENT: ,�t/�c � Z� DATE:_6 - 90 --O BLD2008-00700 Please refer to the following pages for conditions of this permit. 5 of 5 r ' o CONCRETE MECHANICAL MANUFACTURED HOME m Footin cbacks? 1 ' Hate ���-/a By / l Ribbons = Gas Piping o Int�or Date By interior-Date $136116 By (�L Date By M 11�o�/l,�/ Exterior Date -D By Exterior- Date� i Iv B �iI/ _ - Set-up (A Point Load Isolated footings INSULATIO Date By m BG t SLAB INSULATION Date By Datu By FIRE DEPARTMENT X Foundation Wails Flours 64✓d tr✓C- ✓� ate By 0 Die 7-Z3 By F jrp Data BYZW DECKS Z FRAMING walls Date By Hate '7-�2, 1- U By111/ Data q-a I-/v By C�) PROPANE TANKS PLUMBING vault Data By Date 9 I -/y gy lcJ OTHER Groundwork Attic Date B Type Date By _ __.. y Date By D.W.V DRYWALL e,' - ^/ Type_ 9/��� By Int.Bracs Wail pate By Date Dale By FINAL INSPECTION 0 ni water Line Fire Separation N Date J Byi'N1_ wle 00 Pass or Request Inspect. c 5 Type Qf tnsP. Fail Date Date Dane By Comments __ c CD s c s rD 1o�i�d! iUi� ISS 7 Z(-OR 7-CD Z3- T co CA O Lo 8 to ce s S r 7 0Y I W0`C _a J s _q Ov ei- En All CD r�s �s 3 3t110 410 L JO)L i-2 �u K ass OP LI� t- r�s l-s s t' s I.J t-114 d� OF lu'v'Y Y wo�t cc Lj fo�✓� a4rth5 �y.,3 r�I,�y�tl ►a1;,�lt k� 006Zi i06w �'� a �^ vw, rye Q c uvv Permar# MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location qU 5 Kam" t/ 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 �,. ��;�lc �r�,r,� , Q,► -tu lL l,. 1C�•. l r.,r•"lI ` ; Cris b a I l.ti — G CGtsS , TCs� 4-f G k 6yt yT - I v,l l V eJ -f G'k B/ S d KGB CUK nr� �. d r f. k., ob G You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ® Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOTa Date Department - CORRECTION NOTICE. Inspector •v�, ,# f `�, ,#T , I r1* �' ' THI , T"­ * mw Permit# �00-7d U MASON COUNTY BUILDING Ill 426 W, CEDAR - SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE ,� 1� Job Location It U �7 This structure has been inspected by Mason County Building Department ,l and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance J,- sThi( it1 51'"A C-C Iv44sGL"r— 571,tO,, 2 for L C. V-. r c,� t• "� rk ruw. t fvne, I. CON. tcc! I.JY 4 Ire-I L n LC k•� O N �'+� G✓�w 4'C N�. 51.�[r-t.,G " L�-t t TcS"I� '7 �k»1tef� fi•�ZA 1h �.1�"S �,.vw (,.-� Z7�� ► Y< fV {�G�— :n ' ,3l� W► 4Ir s 4C/e. a- `���f IL L►►' � La'�,.a 1 �'Nsrra t l LS 1 A Z--1 i,r.• S cr *4. S ca s,T.� S►�k_ a 6 _tit %r., 3L S ti.cj✓ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK U Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOTa Date CORRECTION NOTICE. s�136 f 1� Department �L� T Inspector • v* v N*IT , r1* ,04 ' ' THImilk T A Fermis#vS/ l) MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location M This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been Utw: Items listed below must be correc ed to gain compliance �sS c�7 tuV 0( r,vc- wy c.),2 0,1\ I�NCi�V`�G Cal v Is i 1,3 /-A, �Q c Wa ku KS'f iae- 'fit�� ��(� rat �►G H T ��'CtS �a �� ✓Y..• �,-r � 'l✓ S Lie✓� •.1YZ.sc r2 You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office Make corrections, items will be checked on next inspection ' regarding possible structural ® OK to �-Ct--,g �� U damage incurred by recent (J� s /�� Z cvr►�.� "natural/man made" ❑ This is not a complete inspection disasters.This is NOTa Date 7�3// � Department l��'/�,,/� CORRECTION NOTICE. Inspector Loj&- "* 4 N* ,#T P izl* ut ' ' THINqh, T4* Aw CONCRETE MECHANICAL MANUFACTURED HOME Footings i Setbacks taPl, gY Ribbons GasInterior Da-te By Interior-Date By Dale By Exterior Date By Exterior-Gate By _ Sat;-Up Point Load I Isolated Footings, INSULATION Da to By Date By BB I SLAB INSULATION Data By FIRE DEPARTMENT Foundation Walls Floors Dade By gate By data By. DECKS FRAMING Walls Date By Date By Data 'Y PROPANE TANKS PLUMBING Vault Data By P, Date ey OTHER Groundwork Attic Date By bete By Type- DRYWALL* Dalo r .W.v Too. By Int Brace Wall -9te By Date By t'�aie -0 By- FINAL INSPECTION 2 Water Line Fire Separation 2 Date By Data By Data By pass or Request Inspect. Type of Irlsp. Fail Date Date Done By Comments n�� o _ psi 12 -w to rz 1�10 cn 0 8 0 0 W CD 0 _ _ MASON COUNTY PERMIT NO. O BUILDING PERMIT APPLICATION 00_70(D 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 INF RMATION CONTRACTOR INFORMATION OWIIO.✓' C'a Owner Company Name DQ.n ioI s, y l f i on p Mailin Address Mailin ddress City tate. _Zip C de City u State Zip Code Phone 04 - Other Ph . Phone i` Other Ph. Lien/'Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.#MgS 14KSA DOB 1 Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System L0 L.i me-r ie_k- Crorinnn un I+y Well Water System Name of Water System 11 PARCEL INFORMATION- 12 Digit Parcel No. 9 2 j 2?- 5Q-b01 µ2. Fire District Legal Description / -3 Site Address (Please include street name, street number and city)-q0 neaa/ 4Vu. S{u► /&A- U/A4 59I/ Directions to site Will timbef be cut and sold i rcel pr paration. es/0 Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye o TYPE OF JOB - New-Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building h o rng Describe Work 4 'A 61' No.of Bedrooms 2—No.of Bathroomsl !& Square Footage- 1st Floor 0 3 4, 2nd Floor .'L`+ 3rd Floor Basement Deck Covered DeckP_0 Other Sq.ft. Garage Attached `f'% Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. N .of Bedrooms No.of Bat rooms Type of Heat Purchase Price$ 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 and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X ti�l_R/��/`t.( !j - �Q,a Date: -7-D wner i Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: ' Date DEPARTMENTAL REVIEW APPRO ED DENIED NOTES Building Department (� Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee 7 ? Site Inspection Plan Review Fee g 5 EH Review Fee Plumbing & Base Fee I t 9 Planning Review Fee Mechanical & Base fee Z 1!5� 01 Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Z Valuation$ [p TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO. 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 I FORMATION CONTRACTOR INFORMATION G A.,PX Gon Owner Company Name D4 t, - I 5 U n Mailin Addres Mailin Address City State _Zip Code City tate 11 A Zip Code g 39 '7 5 Phon Other Ph 2 -973 Phone 3 -797 Other Ph. Lien/Title Holder Contractor Reg. # Exp. �9E mail address S t E Mail Address Drivers Lic.# DO ' Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Se tic Existing SepticConnect to Sewer System Name of Sewer System 6 f o ^AQn T� rl t Iker A-65 to-4&A Ic ±ian PARCEL INFORMATION - 12 Digit Parcel No. ` "7� < < Fire District Legal Descriptions 142, , La"Ko h i. �--+f1n�� V�s`on �-a s pf r plc- rp_raraW V&1. ' 0 34,7 Site Address (Please include street name street number and city) Directions to site Is property witYiin 200'of SaltwateL River/Creek A4—Pond Wetland Seasonal Runoff p.&_Stream ho Slopes or Bluffs > 15% /►,a TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floors_ 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric // LPQ�t Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace ! Bath Tubs Heatpumps Showers I Spot Vent Fan Water Heater I Propane Tank I Clothes Washer Gas Outlets Kithen Sinks ! Wood(GDPellet Stove Dishwasher I Kitchen Exhaust Hood Hosebibs =Z 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 is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: C,.-7 —aR Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b -X'�k-f1lanning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type Constr. Planning Department Environmental Health Department FEES Plumbinq & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES 1 j 1 1 x ----. o i i o f u 0 o --4 (�AD � W _ � -� �- T -� �. N W O� c m I b' "F I I � -i-----I--- i __..+_. . � ;. �--- i --_�._...-{---i ---� --1 "i 1 - � i � i i i i i l -• -- i �--- �- I � T F t^ t v r C h' I f Al Name �_. Parcel# BLD# 1 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: hLtp//www.co.mason.wa—us/code/commissioners/index.htin Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) 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. A 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 lJt . OwneQ)kgent/Contractor(circle one)Date: (� Page 2 of 2 ryvjName �Ct, Parcel# ��j'�� «F `�' 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. ,. ... T"cF ; late err p lviAus g...lac s f t se o► , /fi a This 7' l le .. " `: Surface Type Length X Width = Area All dimensions in feet Buildings X �� _ 22 IL 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 '� Any paved, gravel or packed area per definition above table X = Patios/Walks Any paved, gravel or packed area per definition above table X = Others X - X = tf<tie t©tai ntperdrvus area of the pro}aosed sate X = _---- elopm nt rs greater than a E1 square feet a Bn EE t�arcej!t4>rnwateC SEte Plan is Iequ�red Total lrnperv* is io Burface:::6 :{sum af;aEE: r a If the Total Impervious Surface Area is LESS THAW aqua er Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2