HomeMy WebLinkAboutCOM2014-00158 Change of Occupancy - COM Permit / Conditions - 10/20/2014 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Inspection Line(360)427-7262
PSo cot", Mason County Bldg. III Phone: (360)427-9670, ext. 352
426 W. Cedar
Shelton, WA 98584
ne A(S4= COMMERCIAL BUILDING PERMIT
COM2014-00158
OWNER: TERRY BEATY RECEIVED: 10/20/2014
CONTRACTOR: LICENSE: EXP: ISSUED:
SITE ADDRESS: 50 W WESTFIELD CT BLDG A SHELTON EXPIRES:
PARCEL NUMBER: 420022490070
LEGAL DESCRIPTION: LOT 7 OF SP#3027
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
CHANGE OF USE/OCCUPANCY FOR 1502 PRODUCER...no CANOPY PARK
processing
General Information Construction&Occupancy Information
No. of Units: Type of Constr.: VB
Type of Use: B & U Insp.Area: No. of Bathrooms: 1 Occ. Group: U/B
Type of Work: TRA Fire Dist.: 11 No. of Stories: 1 Exit Design. Load: 14
Valuation: $ 379,769.60 Building Height:
Pre-Manufactured Unit Information Square Footage Information
Make: Length: Lot Size:
Model: Width: Building: 8,000
Year: Serial No.: Basement: Parking Spaces:
Setback Information
Shoreline&Planning Information
Front: Ft. Shoreline: Ft.
Rear: Ft. Slope: Ft. Water Body:na Shoreline Desig.: Not Applicable
Side 1: Ft. SEPA?:No Comp. Plan Desig.: Rural
Side 2: Ft.
Fire Protection System Information
Auto Fire Alarm System?: Emergency Key Box?: Standpipe?:
Auto Fire Sprinkler System?: Access Road?: Fire Extinguishers?:
Fixed Fire Suppression System?: Fire Hydrants?: Fire Lanes?:
COM2014-00158 Please refer to the following pages for conditions of this permit. Page 1 of 10
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Lavatories 1 Heat Pump 11 Plan Check Fee TRN inononi al a9R ra -;g,nl dnn
Water Closets (Toilets) 1 Ventilation Fan 1 Planning Review Fee TIN ini?nignt -tvan nn R99nlann
Water Closets (Toilets) 1 IFC Plan Check Fee TIN tnononi 071A 97 g99n1dnn
Water Heaters 1 Building Permit Fee rN in/9nont !0 1Q7 Tr, g99ntann
EH Plan Review MRR tnonont o9nn nn R79ntann
Total $4,870.56
CASE NOTES FOR
COM2014-00158
CONDITIONS FOR
COM2014-00158
1) Appr er dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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2) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEY ROAD WAY.
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3) Application acknowledges that the stru only permitted for a use consistent with the current zoning of the parcel. Zoning is"Industrial'within
the Shelton Urban Growth Area. X
4) This project is NOT approved to create marijuana extract within the facility. A separate permit shall be required, approved, and issued prior to
installing extraction equipment and/or performing extraction.
To obtain a permit for an extraction operation contact Mason County Department of Community Development to obtain information required to
obtain Its.
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COM2014-00158 Page 2 of 10
5) SUBJECT TO INSPECTION BY FIRE MARSHAL
The structure is subject to inspection by the Mason County Fire Marshal. All corrections deemed necessary by the Fire Marshal, to assure the
minimum fire d life safety requirements as adopted by Mason County and Washington State may be required.
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ADDRESSABLE FIRE ALARM REQUIRED:
The parcel is not provided with an approved water supply capable of supplying the required fire flow. As a result mitigation shall be required
including installation of an NFPA 72 addressable fire alarm system or NFPA 13 fire sprinkler system.
A separate fire-protection permit application must be submitted to Mason County Dept. of Community Development, approved, and issued prior to
the installation of the fire protection system(s). The addressable fire alarm system shall be maintained and inspected annually.
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ADDRESSABLE FIRE ALARM REQUIRED:
The parcel is not provided with an approved water supply capable of supplying the required fire flow. As a result mitigation shall be required
including installation of an NFPA 72 addressable fire alarm system or NFPA 13 fire sprinkler system.
A separate fire-protection permit application must be submitted to Mason County Dept. of Community Development, approved, and issued prior to
the installation fire protection system(s). The addressable fire alarm system shall be maintained and inspected annually.
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PORTABLE FIRE EXTINGUISHERS:
Install 2A10BC fire extinguishers with a maximum travel distance of 75 feet in any direction mounted no more than 60 inches above the floor to the
top of the unit. Portable fire extinguishers shall be maintained and inspected annually.
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KEY BOX REQUIRED:
A key box/knox box is required to be installed in accordance with the 2012 International Fire Code Section 506. Please contact the local fire
district for more information and to discuss inspections for installation of the lock box system.
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STORAGE OF HAZARDOUS MATERIALS:
Chemicals or substances which are considered physical hazards or health hazards are considered hazardous materials. Storage of hazardous
materials shall comply with requirements and specifications of the International Fire Code. Including but not limited to:
* Provide an inventory of the hazardous materials, located in a conspicuous location. The inventory shall include informatio that clearly identifies
the physical and health hazard properties of the hazardous materials.
• Safeguards shall be provided to minimize risk of unintentional reaction or release that would endanger people or property.
• Spill containment systems or means to render a spill harmless shall be provided where a spill may occur.
COM2014-00158 Page 3 of 10
* Safeguards shall be provided to minimize risk of exposing combustible hazardous materials of sources of ignition, fire, or physical damage.
In addition, in the hazardous materials inventory, identify written operating and safety procedures, procedures for changes, and an emergency plan
and accident procedures.
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6) Interior wall and ceiling finishes shall be classified for fire performance and smoke development in accordance with ASTM E 84 or UL 723. Rooms
created by 6-mil fire retardant material shall have a flame spread rating of 0-25 and a smoke developed index of 0-450 evidenced by manufacturer
specifications is approved subject to the following criteria:
1) Walls and ceilings shall be fastened in such a manner that the materials will not readily become detached where subjected to room
temperatures of 200 degrees fahrenheit for not less than 30-minutes (ref IBC 803.10)
2) Interior finish materials shall be installed in accordance with it's intended use with product mounting system or as approved otherwise. (IBC 803)
3) Interior wall and ceiling finish materials less than 1/4-inch thick shall be applied directly onto a wall, ceiling, or structural element without the use
11 4 .
of furringstrips shall not be suspended away from the building element to which it is applied except where exceptions of IBC803. apply.
P P Y 9 PP P P PP Y
See code information provided with approved construction plan. Provide compliance information at inspection prepared and sealed by the licensed
design professional.
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7) The site and buildings shall be accessible to persons with physical disabilities in accordance with ICC A117.1. Accessible routes within the site
shall be provided in accordance with IBC Section 1104 and not less than 60% of all entrances shall be accessible.
PARKING:
Accessible parking spaces shall be located on the shortest accessible route of travel form adjacent parking to an accessible entrance in
accordance the 2012 International Building Code Section 1106. Spaces shall be constructed in accordance with Section 1101.2/ICC A117.1.
Accessible parking spaces shall be provided in accordance with Table 1106.1 as follows:
1 to 25 total parking spaces requires not less than one accessible parking space
26 to 50 total parking spaces requires not less than two accessible parking spaces
Construction and design shall be completed in accordance with ICC All 7.1, Section 502. Accessible parking spaces shall be located on the
shortest accessible route of travel from adjacent parking to an accessible building entrance. Car parking shall be not less than 96-inches wide and
access aisles not less than 60-inches wide shall be properly marked. Parking surfaces shall be firm, stable, and slip resistant material and shall
not be steeper than 1:48. Accessible parking spaces shall be clearly identified by signs containing the International Symbol of Accessibility placed
not less than 60-inches above ground surface, measured from the bottom of the sign.
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COM2014-00158 Page 4 of 10
8) 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.
Commercial structure mile point number or unit designation posting requirements:
50 feet or less setback shall post a 6 inch minimum with a% inch stroke.
50 feet or more setback shall post a 12 inch minimum with a 1 '/2 inch stroke.
Designating unit on a building will be no less than 6 inches in height with minimum% inch stroke.
Designating unit on a door will be no less than 4 inches in height with minimum '/2 inch stroke 100 foot setback or less shall post 18 inch minimum
with 2 inch stroke.
100 foot setback or greater shall post 24 inch minimum with 3 inch stroke.
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9) The structure has been designed using 25 psf ground snow load and 5 psf roof dead load.
The design load does not allow installation of equipment and fixtures in the attic/ceiling assembly. To add equipment and fixtures in the ceiling/attic
assembly a design prepared by and sealed by a Washington State licensed design professional shall be required to evaluate that the additional
load is approved a ecify modifications needed to support the additional load.
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10) The shell building, constructed unber Mason County building permit number COM2014-00098, shall require final inspection approval by the Mason
County buildin inspector before the framing inspection of this permit.
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11) Storage racks greater than 69" and up to 8'0" in height shall be installed in accordance to manufacturer specifications for seismic attachment.
When seismic attachment is not provided by the manufacturer an engineered design and attachment details shall be required. Installation
specifications or engineer's design shall be available during inspections performed by the Mason County Building Department.
Storage racks greater than 8-ft in height shall require an engineer's design addressing seismic conditions and attachment. In addition, storage
racks 8-ft tall or more shall require special inspection performed by the design professional or an approved representative. The special inspection
report and i eered design shall be provided to the Mason County Building Department for approval prior to the final occupancy inspection.
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12) 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. Th-gerson signing this condition is either the homeowner, agent for the owner or a registered contractor according to
WA state law. X (F
13) All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site, Approval WILL NOT be
granted. In addition, a reinspection fee, based on the current fee schedule, minimum one-hour will be d and collected by the Mason County
Building Department prior to any further inspections being performed or approvals granted. X
14) Owner/Agent is sponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title
14.28.
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COM2014-00158 Page 5 of 10
15) All Material Safety Data Sheets (MSDS) for all hazardous materials used within the facility sh laced in a notebook and permanently located in
a conspicuous location inside the building near the main entrance. (IFC Chapter 50)X (•'�
16) The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the
approval of the Mason County Fire Marshal. X ((-/
17) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND THE INTERNATIONAL CODE REQUIREMENTS AND OCCUPANCY
IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF SE OR OCCUPANCY WOULD RESULT IN PERMIT
REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x
18) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have
been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the
owner or operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623
www.orcaa.org
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19) Changes to approved building plans that affect compliance to the current Washington State Energy Code (WSEC), ventilation requirements),
Building/Plur} ,yng/Mechanical Codes and/or Mason County Regulations shall be approved prior to construction.
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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 Coyly Building Inspector shall be made prior to requesting additional inspections.
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21) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The
failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being
non-compli�vli ith Mason County ordinances and building regulations.
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22) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the
time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control
of the per molder have prevented action from being taken. No more than one extension may be granted.
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23) Recyclable materials & Solid Waste Storage: Space shall be provided for the storage of recycled materials and solid waste. The storage area
shall be designed to rrye needs of the occupancy, efficiency of pick-up, and shall be available to occupants and
haulers.X K"_
24) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING
SYSTEM OF�T�jD WAY.
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COM2014-00158 Page 6 of 10
25) Means of egress doors shall be readily distinguishable from the adjacent construction and finishes such that the doors are easily recognizable as
doors. Egress doors shall be side-hinged unless specifically exempted in the International Building Code, Section 1008.1.2. Door hardware used
for exit doors shall be provided with lever hardware and be readily openable from the egress side without the use of a key or special knowledge or
effort.
Unlatching of any door leaf shall not require more than one operation. Manually operated flush bolt or surface bolts are not approved.
The main exterior door or other doors are permitted to be equipped with key-operated locking devices from the egress side when the following
applies:
1) The locking device shall be readily distinguishable as locked;
2)A readily visible and durable sign shall be posted on the egress side or adjacent to the door stating: THIS DOOR TO REMAIN UNLOCKED
WHEN THE BUILDING IS OCCUPIED. The sign shall be in letters that are 1-inch high on a contrasting background; and
3) The use of the key-operated locking device is revocable by the building official for due cause.
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COM2014-00158 Page 7 of 10
26) This project is approved for compliance to the 2012 International Energy Conservation Code/Washington State Energy Code (IECC/WSEC);
• components shall be installed as follows:
ENVELOPE: Heated and semi-heated spaces shall be insulated as follows using
Prescriptive Table C402.2
Roof: Not less than R-49 insulation
Wall insulation: Minimum R-21, semiheated spaces, using other than electric heat R-0 wall insulation.
Slab insulation R-10 or better installed in around the entire perimeter from the top of the slab edge to the bottom of the footing.
Fenestration, including windows and full-light doors: U-.30 or less, store door(s) shall have a U-Factor of 0.60 or less and skylights U-0.50 or less.
Solar heat gain coefficient(SHGC) 0.40 or better except skylights SHGC 0.35 or better.
OTHER DOORS: Other than entry doors U-0.37 or less and roll-up or sliding doors min. R-4.75.
LIGHTING SYSTEMS:
Interior lighting shall not exceed 8339 watts. (Does not include lighting installed for plant growth and maintenance). All daylight zones shall be
provided separate control in accordance with IECCWSEC. Automatic daylight sensing controls shall be capable of reducing light out put, that
control luminaires only within the day lighted area, shall be clearly identified. Switches shall be equipped with separate automatic controls to shut
off the lighting in all spaces during unoccupied hours. Occupancy sensors shall be capable of automatically turning off all lights in an area in
accordance with IECC/WSEC.
Exterior lighting shall not exceed 1300 watts.
MECHANICAL SYSTEM.
HVAC equipment shall meet or exceed the minimum efficiency requirements specified in section C403.2.3 and applicable tables. Unless approved
otherwise:
HSPF rating (heating) shall be 7.7 or better, 3.3 C.O.P or better, and SEER rating (cooling) shall be 13.0 or better
Warm air gas fired furnaces shall have an A.F.U.E rating of 78% or better.
Compliance information shall be provided on site for inspection.
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27) This project is approved to improve the structure, identified as"Building A" and originally constructed under Mason County building permit number
COM2014-00098.
Use of the structure shall include growing and propagation of recreational marijuana as allowed under Washington State law as a producer and
2012 International Building Code occupancy classification "U", for agricultural purposes only.
Use of the building does not include packaging for retail purposes or cooking. Use of the structure for other than production will change the
occupancy classification of the structure and require additional code provisions including a 3-hour fire wall in accordance with IBC Section 706.4
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COM2014-00158 Page 8 of 10
28) . A 2-hour fire wall assembly shall be constructed in accordance with the design professional specifications using GA-600-2012 Fire resistive design
manual GAfile No WP4136. The fire wall assembly shall be installed in accordance with the 2012 International Building Code Section 706.
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OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s) for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMI ION O AY L INVA (DATE THE APPLICATION.
Z
Signa ure Date
%(-t--
- TATIVE - C NTRACTOR
/'� WOWNER REPRESENTATIVE O
Print Name (Circle one to indicate)
COM2014-00158 Page 9 of 10
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Footings /Setbacks Gas Piping RibbonsCD -—,_w _ .
o Interior Date By interior-Date B'r` Cute By —�
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� Exterior Date By Exterior-Date P..y Set-up
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Point toad I Isolated Footings INSULATION Datt By M
BG 1 SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date 2' By 1,0L Datai ZT41 57 By Liot PROPANE TANKS
PLUMBING vault hate By
Date 8y OTHER
Groundwork Attic
Date By Data /K' 13y Type-
Date By
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Date 1 L ��` By nL Brace Wall Date By 0
Date By FINAL INSPECTION N
Water Line Fire Seperation L
Date By 14 Date By Date )s ByLOI O
Pass or Request Inspect
Typq of Insp. Fail Date Date Done By Comments co
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Permit# CZ)^'t MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location SU bj r,A1 es7 ,')r,(C) 6-r A
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
f nd: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office
® Make corrections, items will be checked on next inspection regarding possible structural
® OK to L✓�Sv���t-C— damage incurred by recent
"natural/man made"
❑ This is not a complete inspection disasters.This is NOT a
Date Z� J� Department CORRECTION NOTICE.
- 4Inspector L oi,-I -
. o* 4 N*M"*T 1 111* 1* ' ' THIm4h, Tfi- omv
F Perm #66M )11 y MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Locationt�
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
rt raj' 4Q .,--I .r-r-e�
,4 �C TiJ AAA,
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 � 0C:C, l C% ��--Us damage incurred by recent
"natural/man made"
❑This is not a complete inspection f� disasters.This is NOTa
Date Z]'Z_ / ) Department r CORRECTION NOTICE.
Inspector i. F^i
n* � 40T , i��l��4 ' ' THI 'mb, T-1 -* Miff
MASON COUNTY PERMIT NOA' — q—Mfl�
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. Ill,426 West Cedar Street (360)275-4467 Belfair ext. 352
Ilse Shelton,WA 98584 (360)482-5269 Elma ext. 352
BUILDING PERMIT APPLICATION
OWNER INFO TION: CONTRACTOR INFORMATIOlP.:
NAME: 'r-- -E NAME:(-jt- n e-c/ &tb.-P
MAILING ADD SS: 1l)7A-A -H fu , Ny SLR► MAILING ADDRESS:1OJt yy - GJ yQ 9',
CITY: �j_p,tTt�G STATE: INN ZIP: 81 CITY: STATE:a.-... ZIP: �/tg
PHONE: -gZ3-0g9Lo CELL: --54(t 4, PHONE:ao( --I t3 /CELL:
EMAIL: ACatC.A ZCET,-1S,Cor-i EMAIL :ant, .g• Sly,�YK 4L �•
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICT f I
LEGAL DESCRIPTION(ABBREVIATED) : Lo-r -7 CF SP tt 3yZ7 PrN OF N N 2-7%94
SITE ADDRESS LT BLD•A CITY Ik>=iaaJ
DIRECTIONS TO SITE ADDRESS -C 4-r-_ iAl �J -5 -ro ys 01 00(LnA, y,i
D R�:J rt)k,3 A t 2202-g- iZr> ZT 0") w y:Js5'-r -N-E� C-1-
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 TITAN 14% YES❑ NO
TYPE OF JOB: NEw ❑ ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER rF_ c 1NPt T
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) �L-NiyLJt�y(LA L
IS USE: PRIMARY N SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS 1
DESCRIBE WORK. /�rp0 4P� N rJcl / .�� �_ , r�T�ziL rb �5nn�� Snzyc�u2c/ ��,r•��
SOUARE FOOTAGE:
IST FLOOR e0b,0 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq-ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft, ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ D:E'TACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or contractor. 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 12-0 ac-7- Zee t tA
ure of Ar5j§cat Date
x_ OWNER/ REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED 4DATE DENIED DATE TAGS/NOTES/CONDITIONS
UI BLDING DEPARTMENT Z- �I-J��p/ _
PLANNING DEPARTMENT
FIRE MARSHAL
soi` cooA ,
MASON COUNTY PERM(T NO.
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING.FIRE MARSHAL
WWW.CO.MASON.WAuUS (360)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street (360)275- 467 Belfair ext.352
rx_u PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: - -t-�( NAME: Vic 5TP-Icx Z_�p CA-V tt-5 pt_ffe-Ta_1c �
MAILING ADDRES : i 0-7-141I -4,4 ru P<vF Sw MAILING ADDRESS: "�>C 6E�,, -74q
CITY: STATE: ZIP: a1 CITY: 3- ReL-rah1 STATE: uVA ZIP:
PHONE:Zt4--(1Z3-6+1(,,CELL: PHONE:3C-0-4a�-yq r o CELL: -A,0-_n l - 5-4
EMAIL: '�'t ��J 5 c�.tT= � �pzD�.5,cc,►-�1 EMAIL: STua 3�S10 L A p t- C
L&I REG# Ael Es:5c5zz A EXP.o-7/c I/J_�a
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 41 Zpo Z-Z4-jCO-70
LEGAL DESCRIPTION(ABBREVIATED):_ _L p T -7 o F S P #30 Z7 ?TN 05 N W 5 2_1/9�
SITE ADDRESS: Sb w I EJ_� c-- CITY: S i F—L—Tz3t i
DIRECTIONS TO SITE ADDRESS: Tarir e 4vj =s -v y 5 t o 1 t4oa ru LF�-r ONra W
�Ay tZ� Pn Z�CLT 2A f V_r ON W W aS T F i C'r
TYPE OF JOB Teu�nr r Iti
NEW ADD ALT REPAIR OTHER X USE OF BUILDING A(4 r21 Cy L-T U2A L
LOCATION OF FIXTURES/UNITS-1ST FLOOR-_2m FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. es Fees Fuel Type:Electric LPG Natural Gas Ductless_
Toilets Type of Unit No. of Units Fees
Bathroom Sink C L 2 Furnace
Bath Tubs Heat pump
Showers 0 Spot Vent Fan 1
Water Heater �.�— Propane Tank
Clo
thes Washer O Gas Outlets 0
Kitchen Sinks 0 Wood/Gas/Pellet Stove 0
Dishwasher 0 Kitchen Exhaust Hood 0
Hose bibs ( tDryer Vent 0
Other mil— Solar Panel y
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 2-0 Dc.-r 2�1�
Signat a of A nt Date
X �Z 2y BENTS Owner/ wners Representative/Contractor
Priht Name I (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
353.59'
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gl i, IlT9 I r—-- I
I x 70' I I I ,
s , bui)di , I
�$ IL——— I I ��uture 1 I 0 50• —J 1 50 X 40' I ,
m J 1 150 X 40' ' I I ® C.
1 building
o m budding i r BLDG S I o , 1 I ,
a I n I m L J I sox 250' future
futureI a L 1 50'X 250' I
=' I° 1 building I o 1 building 1
m BLDG 1 I I 41
309.75 I ,
m I I I
3
I I n gmo , , , 23
1 I
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n o z water I-----, i o o I 1
R m 3 Cc CL CL I BLDG Iwater —
m >; x 0 I r I I 3R7 ♦ RBM IS GROUND ELEVATION AT THE NORTHEAST CORNER OF PROPERTY. RBM EL=302.0
1 future 1 1 I STUBOUT/CLEANOUT EL=300.0
I p $ a 1 50'X AY g 1200-GAL 2-COMPARTMENT SEPTIC TANK WITH OUTLET FILTER
Q 1 budding I I I INLET EL=299. OUTLET EL=298.7
I Q 1200-GAL PUMP CHAMBER,PUMP EL=295.0 TIMER REQUIRED.DOSE COUNTER&
m
1 I I I Storm ELAPSED Q 340 FT OF 2�NCH PVC ME METER TIGHTIRED
LNEE.CLASS 200
L———— L_—_—J pond 6 FT OF 2-INCH PVC MANIFOLD,CLASS 200
drive — NO WELLS WITHIN 200 FT OF PROPOSED DRAIN FIELD KNOWN TO DESIGNER.
DRAIN FIELD SIZING IS BASED ON FOUR EMPLOYEES PER BULDING WITH A TOTAL OF FIVE
BUILDINGS PROPOSED.FLOW 6 DETERMINED BY USING THE EPA ONSITE WASTEWATER \/
TREATMENT MANUAL SECTION 3.3.2 TABLE 3-4 INDUSTRIAL BUILDING(SANITARY WASTE ONLY)
7-16 GPD PER EMPLOYEE.FIVE BUILDINGS MULTIPLY BY FOUR EMPLOYEES PER BUILDING IS 20
EMPLOYEES MULTIPLIED BY 16 GPO/EMPLOYEE.PEAK FLOW IS 320 GAL/DAY.SYSTEM CAPACITY
IS 540 GPD PEAK FLOW.TYPICAL FLOW IS 20 EMPLOYEES AT 13 GPD/EMPLOYEE=260 GPD.
.�A SEPTIC SYSTEM TO SERVICE OFFICE SPACE ONLY.NORMAL RESIDENTIAL-STRENGTH EFFLUENT IS
V SOIL LC -4119/1 4 EXPECTED.NO FLOOR DRAINS W ILL BE TIED INTO THE SEPTIC SYSTEM WASTE LINES.
G --
SHEET 1 OF 2
(DO-2 I SANDY LOAM(TYPE 4)
21-61"EXTREMELY GRAVELLY MEDIUM SAND(TYPE 1) JIM HENRY DESIGN SERVICES,INC. r
NOT RESTRICTIVE DIRECTIONS:
^ NORTH ON SR101 TO LEFT ON DAYTON MTLOCI(RD PO BOX 14531 TUMWATE2 WA 96511-4531 360-9567242
__on SiW0171 O2 0-19"GRAVELLY SANDY LOAM(TYPE 4) TO PoGHT ON ACCESS ROAD TO 3RD SITE ON RIGHT._____ CUSTOMER:
19-46"VERY GR V L Y MEDIUM-COARSE SAND(TYPE 1) ________________
�HENRY 46-63'EMREMC- IFROV1EL'W SAND(TYPE 1) DAN KIRBY
a S10�U7 NOT RESTRICjI �v./���L..aL.J�
0 (IRnt,IL, Pit RLICHEALTH TPl: PROJECTNUM13ER:
jP f MAY 0 7 2014 SITE 42002-24-90070
SITE ADDRESS:
DAnoN AunocK Ro 450 W DAYTON AIRPORT RD
CEW
LEGAL:
A FEE WILL BE CHARGED AFTER INSTALLATION FOR FINAL INSPECTION AND RECORD DRAWING LOT OF 7 SP#3027
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