HomeMy WebLinkAboutBLD2004-00789 SFR - BLD Permit / Conditions - 6/23/2004 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Shelton,WA 98584
P10
RESIDENTIAL BUILDING PERMIT BLD2004-00789
OWNER: GREG WALTERICK RECEIVED: 5/25/2004
CONTRACTOR: LICENSE: EXP: ISSUED: 6/23/2004
SITE ADDRESS: 144 W HIGHLAND RD SHELTON EXPIRES: 12/23/2004
PARCEL NUMBER: 420182490003
LEGAL DESCRIPTION: E1/2 SE NW, S OF MATLOCK RD TR 3 OF SP#2756#632047
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR SHELTON MATLOCK RD 7.5 MILES WEST TO LEFT ON HIGHLAND RD
Stock Plan 06182004dc FOLLOW APPROX 500 FT TURN RIGHT ON GRAVEL DR GO 200 FT TO
DRIVE ON RIGHT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VN
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 16 No.of Stories: 1 Occ. Load: Building:1,386 Garage-Attached 462
Valuation: Building Height: Occ. Status: Primary Basement: cov porch 75
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 384.0 Ft. Shoreline: Ft. Water Body:
Rear: W 325.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 50.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 115.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty, Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 5/25/2004 $664.14 S12004
Hosebibs 2 Ventilation Fan 3 Planning Review Fee KS 5/25/2004 $155.00 S12004
Kitchen Sink 1 Dryer Vent 1 Building State Fee DLC 6/21/2004 $4.50 S22004
LaYatorles 2 Building Permit Fee DLC 6/21/2004$1,021.75 S22004
Water Closets (Toilets) 2 Mechanical Fee DLC 6/21/2004 $39.65 S22004
Water Heaters 1 Mechanical Base Fee DLC 6/21/2004 $23.50 522004
Bath Tubs 2 Plumbing Fee DLC 6/21/2004 $75.00 S22004
Clothes Washer 1 Plumbing Base Fee DLC 6/21/2004 $20.00 S22004
EH Plan Review CEW 6/23/2004 $75.00 S22004
Total $2,078.54
BLD2004-00789 Please referto the following pages for oonditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-00789
CONDITIONS FOR
BLD2004-00789
1) All upland areas disturbed or p ev re ed by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt
fencing or straw matting). X `�
2) Appr r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
3) 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
Depar rior to any further inspections being performed or approvals granted.
X
4) In accordance with the Uniform Building Code and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new
structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly
visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their
background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the ' risdiction and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
ins ctio
X
5) The plan review check list and corrections, along with the Energy Compliance Worksheet(when applicable)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 s' r the duration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections.
X
6) The "approved" plot plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" plot 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
Buildin rtm'nt prior to any further inspections being performed or approvals granted.
X
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BLD2004-00789 Please referto the following pages for conditions of this permit. 2 Of 4
7) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric, Compliance Method: IV, Window(Max U-Factor):0.40,
Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.40 or less,
Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38. X
8) Stock Plan Identification number:
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site/plot plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspector at each reqired inspection.
X CAAJ
9) The Uniform Fire 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 c nnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X
10) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the S of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in 't revo tion.
X
11) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regul M��
reviewed and approved by Mason County prior to construction.
X
12) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspect ,s4 all be•i ade prior to requesting additional inspections.
X
A
13) All property lines shall be clearly identified at the time of foundation inspection. X V�
14) 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 inal inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason nt�in8nces and building regulations.
X
15) 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
holder ha p v t d action from being taken. No more than one extension may be granted.
X �J
BLD2004-00789 Please referto the following pages for conditions of this permit. 3 of 4
16) Pressure treated wood manufactured after January 1, 2004 may contain high ooncentrations of copper which could quickly corrode metal fasteners,
connec rs, nd fl shing. Install metal connectors approved for contact with the new types of pressure treated material.
X
17) OWNER MUST SHOW P O F F S,PTISFACTORY WATER SAMPLE AND WELL LOG PRIOR TO TEMPORARY/PERMANENT OCCUPANCY OF
THE RESIDENCE. X
This permit becomes null and void if work orconstruction 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 prop a structure for review and inspection.
OWN ER OR AGENT: DATE:
BLD2004-00789 Please referto the following pages for conditions of this permit. 4 of 4
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a CONCRETE MECHANICAL" MANUFACTURED HOME
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Footings / Setbacks Date c1I(0'044 \.a �;�' Ribbons
4 Date By Gas Piping Date By
co
Foundation Walls Date B y Set-up
Date By INSULATION Date B y
E G / Slab Insulation Floors Final
Date By Date I Y171d Hy ob5 Date By
FRAMING Walls FIRE DEPT
Date B Date -t 0 (-)q C)FLAza Date By
PLUMBING Attic OTHER
Groundwork Date 11 By J2.4S
Date By WALLBOARD NAILING
D.W.V. Date By
Date By FINAL INSPECTIO11q
Water Line Date I (i "I By
Date q (,oju By V{t Date By
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MASON COUNT'` PERMIT NO.,_ .0 Jj-L L) -7
BUILDING PERMIT APPLICATION
426 W. Cedar • PO. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Addres W kJP"'c Mailing Address
City 1514Aim Statew a Zip Code City State Zip Code
Phone 360 Mw 4't�Y Other Ph; a 4 DD I Phone Other Ph.
Lien/Title Holder - Contractor Reg.# Exp.
Email address E Mail Address
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - 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 Parcel No. ,o - — '90 Fire District
Legal Description +g 4jd 3fl "e-WG Lc) GO ..3
Site Address (Please i clude eet name, street number and�i y) /(I aJ• i A-.�D -
Directions to site orb A - a/dz- n/ /4,gLAivO
Q.J Rr 67AJ 0, M4 6 o900' 4v VtCj& N 277
Will timber be cut aril old in parcel preparation?(Ye /No
Is property within 200'of Saltwater � e,�River/Creek Pond
Wetland Seasonal Runoff trea Slopes or Bluffs > 15%
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 RESIDENCF� SEASONAL ❑
Use of Building N Describe Work OaA) tT
No.of Bedrooms No. of Bathrooms Z-- Square Footage - 1st Floor 3cl 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage_ Attached __2�Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No.of Bathrooms
Type of Heat Purchase Price $ U I Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or per
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representativ or jro acto/i!�( er
declare that I am entitled to receive this permit and to do the work as proposed in the application.I declar i t have ined ermis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in int*est regar his applica-
tion or th o propo ed in the ap i tion,I Pave obtained permission from them to apply for this permit and coh i�Uthe c proposed.
X Date: 40?
OW /Ow epresentative/Contractor (indicate which one)
JJII GG QR OFFICIAL USE BEYOND THIS POINT S�v
Accepted by: Planning Pd ± Ck# Date "�5-4) Bld Pdl� ./ Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 7-
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee
a(7 S Planning Review Fee
Mechanical & Base fee e3. f 4 Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal �P 0
Valuation $ CD TOTAL FEES
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PERMIT NO..
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186 Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)�75-4467 Elma(360)482-5269
APPLICANT INFORMATION _ CONTRACTOR INFORMATION
Owner �''� Contractor Name Ll f/,L,vOu/AJ
Mailing AddressZ3� W.t4 «j hLA--y_Q 2PG Mailing Address
City .S"Lz-Y A State(StateWey Zip Code City State Zip Code
Phone Ik YZ&q�49 Other Ph. --'&0 Obi Ph.( Other Ph.
L
Lien/Title Holder—,-- Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic_>g_Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No. W�CO/ / -A / g000 Fire District /,I
Legal Description � ��v Ala-1 �c/ IJE .✓..20 & C14j LeT
Site Address (Please include street name, street number and city) . — .'_rM
Directions to site // , w T �z, rw,4e Ldvcr f
40
Is your property within 200'of the following: Body of Water (Name) 7� Saltwater
Lake River/Cre k Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building S/,�AfLt'
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric_X
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets _ Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs < Heatpumps
Showers Spot Vent Fan
Water Heater / Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks / Wood/Gas/Pellet Stove
Dishwasher / Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other_
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-]certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X A Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
NDICN ' DESDEAMENTRREwew
Building Department
Occ Group Type Constr.
Planning Department
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical& Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
ON.STgTF MASON COUNTY
P� A o N Department of Community Development
,. S N = Planning Division, P 0 Box 279, Shelton, WA 98584
o Y C) (360)427-9670
1864
NOTIFICATION OF AQUIFER RECHARGE AREA
June 04, 2004
GREG WALTERICK
2380 W HIGHLAND RD
SHELTON WA 98584
Case No.: BLD2004-00789
Parcel No.: 420182490003
Project Description: SFR
Dea r Appl icant:
The subject property is located within an Aquifer Recharge Area. The owner of any site within a designated Critical Aquifer
Recharge Area as identified in the Mason County Critical Aquifer Recharge Areas map,on which a development proposal
is submitted,must record a notice with the Mason County Auditor.
Once the Title Notification is recorded with the Mason County Auditor's Office,a copy of the notice is to be submitted to the
Mason County Planning Department. This copy is required priorto the issuance of the Building Permit(s). A form has
been attached for your convenience. Please complete,sign, record and return the form to this office as soon as possible
to avoid delays in the processing of your permit. Please be prepared to pay$19.00 forthe first page and $1.00 for each
additional page at the time of recording. Also included foryour referral is the Critical Aquifer Recharge Areas section of the
Mason County Resource Ordinance.
Please contact me at(360)427-9670,ext.295 if you have questions.
Sincerely,
Tammi Clark
Land Use Planner
Mason County Planning Department
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TOPOGRAPHY PROFILE:
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Direction: Scale: Approval: foroffce use
Building Permit number: "
�� .:: Building:
Owner/Applicant:6"1� 6 . Date of Planning:
Parcel Number: T a application: Env. Health:
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