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BLD2009-00962, 00961 Garage - BLD Application - 10/28/2009
FORM MUST BE COMPLETED IN INK MASON COUNtY PERMIT NO. 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 -'' 1 0: r On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. 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 Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Will timber be 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 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 RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached 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 $ 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. 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 OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department N I4 0 Planning Department Environmental Health Department I 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 Valuation $ TOTAL FEES • 013 /2 Case Activity Listing 88/1 8/155 AM Case #: BLD2009-00961 lot$ t; iW11 , Assigned _ Done ipw Activity Description VDate 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA010 Application Received 10/29/2009 10/29/2009 None DONE 10/29/2009 GMM BLDB201 More Info Letter-EH 11/13/2009 None DONE ADR 11/13/2009 ADR Need to show a septic reserve area. BLDB200 Environmental Health Review 10/29/2009 11/25/2009 None DONE ADR 11/25/2009 ADR Need reserve area and pumpers report. No increase in bedrooms. Drainfield is 100+feet from surface water. 11/25/2009 Reserve area provided. BLDB 155 Letter of Incompleteness 12/3/2009 None DONE AHB 12/3/2009 AHB In response to your building permit submittal,a property site inspection was made on Friday November 20,2009 and several aspects about the property and proposed development were observed. The existing cabin/residence is situated very close[+/-5 feet]to the Ordinary High Water Mark(OHWM)of Hood Canal,especially at the existing covered deck portion on the north side of the cabin. The saltwater vegetation cover associated with the OHWM of Hood Canal is located at 13 feet from the northwest comer of the existing cabin/residence(excluding the roof overhang and porch/deck). The Mason County Shoreline Master Program will not permit new residential development(such as,new structures or expansion of structures)that is setback less than 15 feet from the OHWM. This same restriction applies to new roof eaves or overhangs on portions of the existing structures. Your present site plan shows the view line from the roof eave of the cabin/residence to the roof eave of the neighbor's mobile home;but the proposed development must also meet the proper shoreline setback. As proposed,the expansion of the bedroom on the northwest side of the cabin/residence is not meeting this shoreline setback standard. The site plan and structure remodel drawings that were submitted must be changed to meet this standard,showing the OHWM on the proposal site plan and the changes to the structural drawings that show the proposal meeting the 15-foot shoreline setback in respect to the OHWM. BLDB007 Plan Revisions Submitted 1/14/2010 None DONE TW 1/14/2010 GMM BLDA800 Documents Received 1/15/2010 None DONE TW 1/15/2010 TW letter for addressing issues with structural plans.Also cut back the roof line on the water side 12" BLDB110 Building Plan Review 10/29/2009 1/20/2010 None DONE DLC 1/20/2010 DLC Letter prepared as a result of plan review prepared for mail. The letter was also e-mailed to owner and Selby Design and is attachedto this case-do 1.20.2010: Full lateral and vertical,Thompson Eng. Pagel of 3 careActivity..rpt Case Activity Listing 8/1 8:47:17A17A M Case#: BLD2009-00961 Assigned ;Done .Activity Description Date 1 :�? Date 2 Date 3` Hold Disp& To , By Updated Updated By BLDB120 WSEC Compliance Review 1/20/2010 None DONE DLC 1/20/2010 DLC electric,option 4 BLDB130 Planning Review 2/2/2010 2/2/2010 None DONE AHB 2/2/2010 AHB Plans revised to show no roof overhang on addition to the northwest near covered deck. AHB BLDB130 Planning Review 10/29/2009 2/3/2010 None DONE AHB GMM 2/3/2010 GMM Allan-letter sent to you indicating new plans have the roof line eve on water side cut back 12" BLDA500 Issue Building Permit 7/9/2010 None DONE GMM 7/9/2010 GMM BLDA540 Print Inspection Card 7/9/2010 None DONE GMM 7/9/2010 GMM BLDB420 EH Review Revision 8/12/2010 8/12/2010 None DONE ADR 8/25/2010 TW SEE CASE BLD2010-00962. BLDA990 Plot Plan Revision Received 8/13/2010 None DONE RDH 8/13/2010 RDH Add area to attached garage(and cancel detached garage permit bld2009-962). BLDB410 Planning Review Revision 8/13/2010 8/13/2010 None DONE RDH 8/13/2010 RDH BLDB400 Building Review Revision 8/16/2010 8/23/2010 None DONE DLC LAW 8/23/2010 LAW BLDA150 Revisions Approved for Iss. 8/25/2010 None DONE TW 8/25/2010 TW NOTIFIED OWNERS ON PHONE NUMBER IN CALIF.LEFT MESSAGE ON MACHINE BLDA510 Reprint Building Permit 9/2/2010 None DONE GMM 9/2/2010 GMM Page 2 of 3 CaseActivity..rpt 1 Case Activity Listing 8/15/2013 8:47:17AM Case#: BLD2009-00961 • i� Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA505 Issue Revisions 2/28/2013 None DONE TW 2/28/2013 I W BLDA540 Print Inspection Card 28/2013 None DONE TW 2/28/2013 TW BLDA900 Telephone Call 8/7/2013 None DONE DLC 8/7/2013 DLC Received telephone call from owner representative L Williams inquiring about the possibili of abandoning this parcel,because of flood tides,and moving the building to an adjacent parcel. I understood that they want to maintain the permit but moved to a different parcel. I told Mr.Williams to p �mer itten proposal addressed to the Community Development Director that identifies the hardship along with a description of the revised proposal. He was also told that the more information providedelpful so that the director and all relevant parties can evaluate and respond. I also recommended that he cc the written request/proposal to planner A Borden,bldg dept rep D Coker,and Public Heal D Riley. DC 8.7.2013 Page 3 of 3 CaeeActivity..rpt Inspection Line (360)= 7-7262 MA: ON COUNTY DEPT. 'DF COMMUNITY DF,"ELOPMENT Phone: (360)427-967C, .xt. 352 Masc: County Bldg. III 426 W. Cec.�r P.O. Box 279 Shel-_ WA 98584 1rf;4 RESIDENTIAL BUILDING PERMIT BLD2009-00961 OWNER: WILLIAM ABRAMS RECEIVED: 10/29/2009 CONTRACTOR: LICENSE: EXP: ISSUED: 2/28/2013 SITE ADDRESS: 17 E WATERWHEEL PL UNION EXPIRES: 8/28/2013 PARCEL NUMBER: 322335000004 LEGAL DESCRIPTION: SUNNY BEACH TR 2 EX &TAX 892-B EX LYING NLY OF S. .106 PROJECT DESCRIPTION: D CTIO TO SI ADDITION/REMODEL TO EXISTING SFR, including 2-story garage with M EA RD, R O DALB RD, C OSS RT 10 O WATERWHEEL PL family room above (REVISED-ADDED 1 OFT TO GARAGE) SIT ADD ESS O THE L T SID SH D DR AY WITH 13 E WA RW EEL P E General Information Construction &Occupan y In f 'matio ' Sq are ge Informatio No. of Bedrooms: 1 Type Co r.: VB Type of Use: SF Insp. Area: No. of Bathro s: 4 Oc Gr p: R3 Size: Deck: Type of Work: ADD Fire Dist.: 6 No. of St s: 2 Oc L d: ildin 631 Garage-Attached 468 Valuation: $ 155,202.40 Building H t: Occ. s: Seaso ase t: cov porch 362 Manufactured Home Information Setbac rmation Shoreline& Planning Information Make: Length: Ft. Front: 75.0 Ft. Shor ine: t. Water Body: HOOD CANAL SEPA?: Model: Ft. Rear: 38.0 Ft. ope: Ft. Shoreline Desi Si 1: E Ft. 9�� Urban Year: vial No.: Si W 4.0 Ft. Comp. Plan Desi P 9 Rural Plu ng Fixtures Me ical F to FEES Type Qt . T e Qt It It Type By Date Amount Receipt Water Clos s (Toilets) 3 ent t F 5 Plan Check Fee GMM 10/29/200 $649.58 S1200900000001 Lavatories 4 e e 1 Planning Review Fee GMM 10/29/200 $205.00 S1200900000001 Bath Tubs 1 EH Plan Review GMM 10/29/200 $ 103.00 S1200900000001 Showers 2 Building State Fee DLC 12/2/2009 $4.50 S1201000000001 Water Hea rs 1 Building Permit Fee DLC 12/2/2009 $ 1,245.75 S1201000000001 Clothes W her 1 ADJUST--Plan Check Fee DLC 12/2/2009 $ 160.16 S1201000000001 Kitchen Sin 1 Mechanical Permit Fee DLC 1/20/2010 $54.00 S120100000000i Hosebibs 2 Mechanical Base Fee DLC 1/20/2010 $28.50 S1201000000001 Laundry Tra Plumbing Permit Fee DLC 112012010 $ 128.00 S1201000000001 Plumbing Base Fee DLC 1/20/2010 $24.70 S1201000000001 Planning Dept. Permit Revi RDH 8/13/2010 $65.00 S1201000000001 ADJUST--Plan Check Fee TW 8/25/2010 $200.20 S1201000000001 ADJUST--Building Permit F TW 8/25/2010 $61.60 S1201000000001 EH Permit Revision TW 8/25/2010 $41.00 S1 2 01 000000001 Total $ 2,970.99 BLD2009-00961 Please refer to the following pages for conditions of this permit. Page 1 of 4 CASE NOTES FOR BLD2009-00961 CONDITIONS FOR BLD2009-00961 1) 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 % :el, 2) 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 T, 3) 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 c L 4) 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 -7— l -- 5) 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 6) All property lines shall be clearly identified at the time of foundation inspection. X ' �— BLD2009-00961 Please refer to the following pages for conditions of this permit. Page 2 of 4 All approved plans are equired to be on-site for inspec-:ion purposes. If an inspection called for and plans are not available on site, then approval :.ill not be granted. In add s: :-)n, a re-inspection fee (refer current fee schedule, minimu-- 1 hour) will be charged and r-..st be collected by the Build in Departmen nor to an�, -urther inspections being per:'.:.-ied or approvals granted. X 8) The plan review check .st and corrections are part of^ire approved plans and must re-nain thereto. It is the responsi011ity 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/of removal of approved documents will result in failure of required building inspections. X T << 9) 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 have prevented action from being taken. No more than one extension may be granted. X ' I 10) 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 lL� 11) 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. X -- t_ 12) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND 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 T 13) 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 / l,L.--_-- 14) 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 .L BLD2009-00961 Please refer to the following pages for conditions of this permit. Page 3 of 4 15 Owner/A er res onsible to post the assi_� ed address and/or purchase .-.:,�d post private road signs in F:ccordance with Mason Count le 14.28. 9 P P P P P 9 y^ � X l4: 16) Any changes ,proposed construction shall Le reviewed by the engineer or architect of record and submittea in writing to the Mason Counts, 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 cut-rent fee schedule, minimum 1 hour) will be charq_ cL"nd shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X i < 17) 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 underside of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X % << 18) Approved per dimensions and setbacks on submitted site plan [Oct. 16, 2009 plan revised to show no roof overhang on addition on northwest side near covered deck]. Setbacks are measured from the furthest projection of the structure. X T < <" 19) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program. X I�i- . �"-.�'__ 20) 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 ; --,L 21) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X i_ l 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 and structure for review and inspection. OWNER OR AGENT: l DATE: 4 BLD2009-00961 Please refer to the following pages for conditions of this permit. Page 4 of 4 W o CONCRETE MECHANICAL MANUFACTURED HOME o — Date By -- - ;0� Footings 1 Setbacks Ribbons D Gas Piping o Interior Date By Interior-Date By Date F ic rn Exterior Date By Exterior-Date By Set-up - �INSULATION � Point Load J Isolated Footings Date By �— BG f SLAB INSULATION ------_.............. _ r Date By Data By FIRE DEPARTMENT D Foundation Watts Floors Date By ic Dote By Data By DECKS F RAM I NG Walls Date _ Date_ _ By Data By PROPANE TANKS PLUMBING vault Date 13r Date By OTHER Groundwork Attic Date By Type. Dale B Y Date LA D.w.v DRYWALL Type- Int.Brace Wall Date R; v Date By Dale By ----------- r v FINAL INSPECTION 0 y Water Line Fire Separation OIV m Late By Date By Dale By p CD o Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments to v An oo fide, Cdn > 'f i 'e?_)Ls N r O 0 O 7 a N O Vl 3 N CD 0 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 2000 WASHINGTON STATE ENERGY CODE (WSEC) AND 2000 VENTILATION AND INDOOR AIR QUALITY CODE (VIAQ) OWNER- V, 0 7ti a /a6..».1 TELEPHONE 9 (/5 j-j- �- OWNERS MAILING ADDRESS is a�, N�� ,, L isN N i nl,Ftca( « ILL 7 7 COMPLIANCE INFORMATION TYPE OF PROJECT: ( ) NEW RESIDENCE AADDITION ( ) REMODEL AREA (SQ.FT.) 1ST FLOOR )80 2ND FLOOR HEATED BASEMENT Note. Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA -tZTA4- COMPLIANCE METHOD: tom' � SI=iF (4PRESCRIPTIVE PATH -- circle o fig -- 1 II III IV V VI VII VIII Glazing percentage (total glazing area divided al conditioned area) ( ) COMPONENT PERFORMANCE -- Chapter 5 -- attach documentation and worksheets ( ) SYSTEMS ANALYSIS -- WATTSUN 5.2 - attach documentation and worksheets HEATING SYSTEM: ELECTRIC RESISTANCE ( ) Electric Central Furnace ( ) Electric Wall Heaters (4aseboard Units ( ) Radiant Panels ( ) Other /OfiHER FUELS ( ) Heat Pump with electric furnace ( ) LPG Furnace ( ) Nat. Gas furnace ( ) Oil Furnace ( ) Heat Pump with LPG furnace ( ) Boiler System (indicate fuel type) ( ) Radiant Heat (indicate fuel type) { ) Other Model Size AFUE HSPF VENTILATION SYSTEM: (,,,Spot and Whole House ( ) Central Ducted System ( ) Integrated with Furnace ( ) Heat Recovery System (air to air heat exchanger-- heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. � c ' 93 � a I o G 4-0 �-4k 6, Ll t WINDOW & DOOR SCHEDULE wnvDOWS INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 5096 OF AREA) MUST BE TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE SCHEDULE.BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT. 2-° y C q 3 203�- -7 I TOTAL WINDOW AREA S 3 o lug h DOORS BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT. TOTAL DOOR AREA l� J MASON COUNTY 4 DEPARTMENT OF COMMUNITY DEVELOPMENT 2000 WASHINGTON STATE ENERGY CODE (WSEC) AND 2000 VENTILATION AND INDOOR AIR QUALITY CODE (VIAQ) OWNER TELEPHONE OWNERS MAILING ADDRESS COMPLIANCE INFORMATION TYPE OF PROJECT: ( ) NEW RESIDENCE () ADDITION ( ) REMODEL AREA (SQ.FT.) 1ST FLOOR 2ND FLOOR HEATED BASEMENT Note: Heated basements must be insulated and finished to meet minimum energy code requirements. TOTAL SQUARE FOOTAGE OF CONDITIONED (HEATED) AREA COMPLIANCE METHOD: () PRESCRIPTIVE PATH — circle option — 1 II III IV V VI VII VIII Glazing percentage (total glazing area divided by total conditioned area) ( ) COMPONENT PERFORMANCE — Chapter 5 -- attach documentation and worksheets ( ) SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets HEATING SYSTEM: ELECTRIC RESISTANCE () Electric Central Furnace ( ) Electric Wall Heaters () Baseboard Units O Radiant Panels ( ) Other OTHER FUELS ( ) Heat Pump with electric furnace ( ) LPG Furnace ( ) Nat. Gas furnace () Oil Furnace ( ) Heat Pump with LPG furnace ( ) Boiler System (indicate fuel type) ( ) Radiant Heat (indicate fuel type) ( ) Other Model Size AFUE HSPF VENTILATION SYSTEM: ( ) Spot and Wholq House ( ) Central Ducted System ( ) Integrated with Furnace ( ) Heat Recovery System (air to air heat exchanger-- heat recovery heat pump) GENERAL NOTES: Your building plans should indicate certain compliance measures: framing to be used (standard, intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs; and termination points of exhaust ventilation fans. Request To Revise An'Approved Plan Permit Number: BLD2001 _ b09(y_-1--, Name VV W1 VC,�li'YL.S Parcel Number' - - Phone Number daytime Project Address a.4:i r I A p Mailing Address A_Ja , PIT(provide complete, d tailed,o ription of,the proposed revisions to the approved plans: on Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the approved site plans included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No Is a stamped and signed approval included with this request? ❑ Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No If Yes, Is a revised site plan,with all.new setback dimensions included with this request? ❑ Yes ❑ No Additional Information: Applicant's signature Date: Office Use Only Received by: Date Sent Assigned To Approved By Date © B. Original Valuation: $ Additional Valuation: $ P. h 7 Z,I t� Sq.Ft. x$ $ — t Sq.Ft. x$ $ ❑ E.H. �'l Total New Valuation $ ❑ P W Additional Fees: Additional Planning Dept. $ Additional Conditions/Comments: Additional Plan Review $— Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E.H. Dept. $ Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ Request To Revise An Approved Plan Permit Number: BLD _ - Name VJ Q )y-aM--� Parcel Number Phone Number daytime Project Address Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: Are two sets of the revised plans or addendum indicating the changes included? "V Yes ❑ No Are the approved site plans included? N Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? \�] Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? N Yes ❑ No If Yes,Has the engineer or architect approved this revision? 5 Yes ❑ No Is a stamped and signed approval included with this request? i\Yes ❑ No (Nor No str chiral changes to a"desicned"plan will be approved without the written consent of the engineer and/or architect of record 1 Does the proposed revision modify the footprint or location of the structure? AYes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included withthis request? Yes ❑ No Additional Information: Applicant's signature Office Use Only Received by: Date Sent Assigned To Approved By Date Original Valuation: $ B. Additional Valuation: $ Sq.Ft x$ $ P 1 Sq.Ft x$ $ Total New Valuation $ E.H. Additional Fees: ❑ P.W. Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E.H. Dept. $ Other $ Total Amount Due: $ Amount To Be P d,Upiront$ Y Request To Revise An'Approved Plan Permit Number: BLD200 CA - Name A pauma,, IM Parcel Number - _- Phone Number daytime Project Address 1 i1J ho � �i Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: UN t t Are two sets of the revised plans or addendum indicating the changes included? VYes ❑ No Are the approved site plans included? V Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? Yes ❑ No If Yes, Has the engineer or architect approved this revision? Yes ❑ No Is a stamped and signed approval included with this request? Yes ❑ No (Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.) Does the proposed revision modify the footprint or location of the structure? Yes ElNo If Yes, Is a revised site plan, with all new setback dimensions included with this request? Ives ❑ No Additional Information: Applicant's signature Date: Office Use Only Received by: jDateent Assigned To Appr ved By Date BOriginal Valuation: $ 1 Additional Valuation:P. ' A` g Sq. Ft. x$ $ Sq. Ft. x$ $ E.H. ,ge Total New Valuation $ ElP P.W. l �1 Additional Fees: Additional Planning Dept. $ Additional Plan Review $ — Additional Conditions /Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E. H. Dept. $ t-?l .yU _ Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ v 7�// t Qloczl�e f��of �"o� a }-{Lo ! o ff "� / d - /� �J L 1✓e�-� �Q � v ,�l� �l �Y✓ �f�- la-f- �, �. - meet' �5 f� J�'�u. �Sefba �•� per \ - � . a - meets �� , - Cl IC- c�✓f,Yl 5e-}-.�o.c� .o w�a; ant ►r� �14. o co"�-i D►� SCE Y1 ' 1 Y %Y-rt Y 1 a n Gr. 1'tt i Jj�e 11 o ►'1 Yl i oN-STATE MASON COUNTY o P� A o N DEPARTMENT OF COMMUNITY DEVELOPMENT N Planning Division o v 0 P O Box 279, Shelton, WA 98584 of °~ (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION December 03, 2009 WILLIAM ABRAMS 15 BLUE HORIZON LAGUNA NIGUEL CA 92677 Parcel No.: 322335000004 Proiect Description: ADDITION/REMODEL TO EXISTING SFR, including 2-story garage with family room above Dear Applicant: You have submitted a permit application (case no. BLD2009-00961) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 365 if you have questions. Sincerely, 4 Allan Borden Land Use Planner Mason County Planning Department 12/3/2009 Page 1 of 2 BLD2009-00961 From: Debbera Coker To: Adkins, Barbara CC: Borden, Allan Date: 8/15/2013 2:51 PM Subject: Letter from Foster&Williams re Abrahms project BL DE-00961 Hello Barb, Here are my comm nts and thoughts concerning the letter received from Len Williams concerning Abrahms project, BLADE-00961. 1) The owner has kept the existing permit current even though no inspections have occurred. All plan reviews were paid for the reviews that were performed. A building permit fee of$1307.35 (1245.75+61.60) as paid along with mechanical and plumbing fees when the permit was issued originally on 7.29.2010 and with revisions on 2.28.2013. 2) 1 believe that a new permit needs to be created if the building is moved to a different parcel. All Bldg, planning, and public health plan review fees associated with the new project need to be charged since all elements of the proposal are changed. Since no inspections have been performed on permit#BLADE- 00961 perhaps the director could approve a portion of the permit fees associated with the old permit to be credited to the new permit if the old permit is canceled and a new permit is created. 3) The owner needs to know that when a structure is moved to another location a site inspection performed by a Mason County Building Inspector is required in accordance with MCC 14,08.040. 4) To modify the existing structure in the same location such as raising the Bldg, all elements need to conform to the requirements for flood resistant construction....base flood elevation will need to be evaluated and a certificate provided, floors need to be placed such that the floors are located at or above the base flood elevation level, flood venting, etc. 5) The current permit should be extended so that the owner can review their options. Page 1 of 1 Allan Borden From: Lee Boad <wetlandcorps@hotmail.com> To: <teriabrams@yahoo.com> Date: 12/18/2009 9:07 AM CC: Allan Borden <ahb@co.mason.wa.us> Allan and I staked the OHWM at your property. The side of your house meets the 15 foot setback. The eve overhang does not. Allan showed me your building plans. It would be very simple to exclude an eve overhang from the waterward side of the proposed extension of the house. Many homes on the Canal are built that way to meet side yard and shoreline setbacks. As the slant of your roof will direct water perpendicular to the area where the eve will be excluded, it should have no impact on the building. A second option is to stagger the expansion one foot back from the current waterward line of the existing wall to leave room for a one foot eve overhang. Lee Boad The Wetland Corps Hotmail: Free, trusted and rich email service. Get it now. file://C:\Documents and Settings\Ahb\Local Settings\Temp\XPgrpwise\4B2B463BMason... 12/18/2009 NOTIFICATION OF INCOMPLETE APPLICATION 12/3/2009 Case No.: BLD2009-00961 Comments: In response to your building permit submittal, a property site inspection was made on Friday November 20, 2009 and several aspects about the property and proposed development were observed. The existing cabin/residence is situated very close [+/- 5 feet] to the Ordinary High Water Mark (OHWM) of Hood Canal, especially at the existing covered deck portion on the north side of the cabin. The saltwater vegetation cover associated with the OHWM of Hood Canal is located at 13 feet from the northwest corner of the existing cabin/residence (excluding the roof overhang and porch / deck). The Mason County Shoreline Master Program will not permit new residential development (such as, new structures or expansion of structures) that is setback less than 15 feet from the OHWM. This same restriction applies to new roof eaves or overhangs on portions of the existing structures. Your present site plan shows the view line from the roof eave of the cabin/residence to the roof eave of the neighbor's mobile home; but the proposed development must also meet the proper shoreline setback. As proposed, the expansion of the bedroom on the northwest side of the cabin/residence is not meeting this shoreline setback standard. The site plan and structure remodel drawings that were submitted must be changed to meet this standard, showing the OHWM on the proposal site plan and the changes to the structural drawings that show the proposal meeting the 15-foot shoreline setback in respect to the OHWM. 12/3/2009 Page 2 of 2 BLD2009-00961 7 d T `, QJ ` 08-13-13A10 : 55 RCVD Foster & Williams A r c h i t e c t s August 13, 2013 Mason County OCOY Department of Community Development 426 W. Cedar St. Shelton, WA 98584 Attention: Barbara Adkins, Director Subject: Permit Number BLD2009-00961, Abrams Residence Petition for modifications to active permit Dear Ms. Adkins, I am writing as an agent for my clients, Bill and Teri Abrams, who are traveling and have asked me to make the following request on their behalf. As noted above, please reference Permit Number BLD2009-00961, which is a currently active permit, for their property at 17 Waterwheel Place, Union, Tax Parcel Number 32233-50-00004. Due to unforeseen circumstances, they have been unable to begin construction work under this permit, and as you will note, progress needs to be made prior to August 28 in order for the permit to remain active. However, last winter's"king tide" has impacted their plans to go forward as permitted. While their family has owned this property for many years, they have not personally experienced or been told of a tide as high as occurred last winter. Since they were not in the area during the winter, they were not aware that the water rose to a level above the bottom of the wood floor structure of the existing cabin, leaving floor insulation and framing wet, with tidal water stuck in the crawlspace (since there are no low relief openings in the foundation walls) even after the tide had receded. By the time they learned of the tide and were able to get things checked, this situation had impacted the existing floor structure significantly, though water and wet insulation have now been removed, and the floor structure is drying. In spite of this damage, their intent was to move forward with the permitted plan this summer, with the revision that they would raise the whole structure (existing and new) about 2 feet. This would obviously impact the cost and complexity of keeping the existing cabin (which is nearing 40 years old) and adding on to it as permitted, but they set out to find contractors and get prices for the work. It has taken some time to do so, and unfortunately they are just now finding that the project as designed, plus lifting up the existing cabin, demolishing the existing foundation, and constructing a new one, is no longer feasible. Without the added cost of lifting the existing cabin, the project was marginally economically feasible, but when all of those costs are added in, an economic hardship is created, which they are just now recognizing. Due to this hardship, their desire is to redesign some aspects of the plan under the existing permit, with our help(see the attached site concept plan). The changes would be as follows.- The existing cabin structure, less foundation, would be lifted and relocated to a different site, Tax Parcel Number 32233-50-00906, also owned by the Abrams, located across Highway 106. A code complying new foundation would be constructed, and a new septic system would be designed for approval. Though I have not yet been able to study the characteristics of this site, you will note that there was a permit several years ago to relocate a different structure to this site. The structure became unavailable and the project was abandoned, but this seems to indicate that the project is potentially within permit guidelines. PO Box 102 Shelton,WA 98584-0102 360.426.0511 fax:360.426.2926 www.fosterwilliams.com mail fosterwilliams.com 601 W Railroad Ave,Suite 100 a Page 2 Petition for modifications to active permit • The existing foundation would be removed, and a whole new structure, meeting current codes, would be designed for the approximate footprint of the permitted plan, using some of the aspects of the currently permitted design. The Abrams are proposing that not only should the structure be built with a higher ground floor level, but they are also interested in moving the entire structure behind the 15 foot setback line, so that the structure is no longer partially nonconforming. This would seem to be beneficial to all interested parties and would avoid any technical issues related to increasing nonconformance. As you can see, working through these steps will take some time. The Abrams would very much prefer to do the weather critical work during the summer, but this summer's season will soon be past, and there is not time to go through the necessary steps prior to August 28. This is a unique case, and we recognize that there will need to be additional review by more than one department of any proposed changes to the existing permit, so after conferring with both Planning and Building staff, it seemed best to request written approval from you as department head for the following: 1. Agreement in principle that the above revisions can be made as a modification to the existing permit, with appropriate fees added where necessary for additional plan checks, changes in scope, etc. The Abrams do not wish to"push the envelope" or try to get around regulations which were in effect at the time of permitting, and as noted above, are willing to go further to bring the whole project into conformance. They also recognize that each department must review changes for conformance, and are not seeking a blanket approval at this date. But they are very concerned about potential effects of losing this permit and becoming subject to newer or future regulations that might completely alter their ability to make improvements as noted above. Therefore, it is important to them that the existing permit remain in effect, and they are requesting that the necessary changes be allowed under the existing permit. 2. In order to facilitate Item 1 above, to allow time for design and further review by county staff, they are requesting that your approval of this petition will also be considered as demonstrating progress on the permit, as necessary to allow for another 6 months of time to be added to the permit period, without using their 6 month extension and limiting future construction flexibility. 3. They are requesting written approval of the above requests, for clarity and certainty of how to proceed. Thank you for your prompt consideration of this request. Obviously, time is of the essence, so we look forward to your response. If you have any questions, concerns, or suggestions, please feel free to call me. Sincerely, NR&WILL Len I S ASSOCIA ES, P.S. , AIA cc: Allan Borden Debbera Coker Cindy Waite 1 , C0004 Aff?-Cc, �rT , r , T-4 R� I \, r \ tom# in1 cr�pl= C= I G — f:xacT - F o s t a r & W i l l i a m s A I A A r c hit • c t • From: Debbera Coker To: Adkins, Barbara CC: Borden, Allan; Debbera Coker; Riley, Debbie; Waite, Cindy Date: 8/7/2013 9:58 AM Subject: BLD2009-00961 - Abrahm Hello Barb, The following note was added to activity notes, BLD2009-00961. Apparently the owner is thinking about moving the existing building to another parcel owned by the Abrahms that is not located in a flood area. NOTE added to case: Received telephone call from owner representative L Williams inquiring about the possibility of abandoning this parcel, because of flood tides, and moving the building to an adjacent parcel. I understood that they want to maintain the permit but moved to a different parcel. I told Mr. Williams to prepare a written proposal addressed to the Community Development Director that identifies the hardship along with a description of the revised proposal. He was also told that the more information provided will be helpful so that the director and all relevant parties can evaluate and respond. I also recommended that he cc the written request/proposal to planner A Borden, bldg dept rep D Coker, and Public Health manager D Riley. DC 8.7.2013 Page 1 of 1 Subj: Abrams' modified building plans 2-18-2014 Date: 2/18/2014 4:45:49 P.M. Pacific Standard Time From: teriabrams(o_yahoo.com To: dghomedesig_n[a?aol.com Hi Tim, Bill told me that the plans are ready to drop off at Mason County. Thank you. Would you put this message as a cover sheet with the plans to make sure all parties have clear understanding of this project and are up-to-date? Thank you. We need to keep our existing approved building permit active and want to commence building immediately. However, because of the height of the King Tides,we had some damage to the house and had to remove wet insulation and obtain a tidal elevation survey. We learned that it may be cost effective to build a new structure instead of remodeling the existing house. We won't know for sure until we can obtain complete bids on the project but hope to build a more attractive house that will improve the aesthetic view for all who enjoy Sunny Beach Cove. When we met with the county group last summer, it was agreed that the insulation work would be considered progress so we would have 6 months to do further work and wouldn't have to use up the one time normal 6 month extension without progress. Since the meeting we have spent a lot of time traveling to visit and help with Bill's sister who finally passed away last fall. At of today, we have obtained the tidal elevation survey report and are submitting the adjusted plans to accommodate moving the house and constructing a new house. The original plan for the garage had an indentation because of some large trees but we have learned they need removal anyhow because of proximity to existing and proposed structures so the garage can be rectangular now. We also met with contractors who move houses and install new foundations. The engineering is included so the plans would be complete. However, we do not know the total cost of the project yet. In the event it is too costly,we may be forced to only modify the existing house at least temporarily. For that reason, we need the prior approved design left open as an option. We want to commence work within weeks as soon as this modification is approved and the contractor's availability is confirmed. Please feel free to call or e-mail us at any time. Thank you for your quick review and for working with us to find a good solution. Sincerely, Teri Abrams 949 248-5522 H 949 922-7871 C Tuesday, February 18, 2014 AOL: Dqhomedesign Hoot) Cam.-' � opt `1X14 1AW-Li:pM? Cu-c 1o� A�� sS'. I"i I�IATt:'R1�lN��L IVL NC1= � � �; p�:ric�-u ,.►a'. �3�►t 5 0►Zo c>>'•A'' !�i(i �I(\ JCXicXXkk x�� I hJ t71 R� s I L? FLSY-<C: AD _ TTNtx E. -Vic 1 N 1zCY''►o v V A ('t'o 'TbC ti�.r-�Wt�7• 51"TF (�NCN MAYLIG Fw*ro Y;�`f g-oN wIIN �� S``T u � 5u0.•�L.Yo�2� [--l_G--�/. = IL�.'7 IZZI co I I Iy �XIS-T'INI:. j�21at�{�LiIIYJ Mt N I 4.04i I J�4 1 � •�_��C I�Ti N(.�c 1'-3t�-i'JG r-�i��' � - - - � - _ n1( _ if SF3,ac) ' _ CXI�TtA NeWVAMO'LS NouSC [NO E.• X 7.3 PER NA TIONAL GEODETIC SURVEY OA TA ON TIDAL FEMA PANEL N0. 530115 0120 C ELEVATIONS, THE TIDAL BENCH MARK IN THE CTIVE MAY 17, 1988 +h� VICINITY IS 944 5478 TIDAL 4, LOCATED IN UNION, PROPERTY BORDERS ON FL000 WA. A COVERING HOOD CANAL, THE DATA HOOD CANAL PLANE TO BE0WS THE 9.0 MEAN THER HIGH NORTHWATER ASE FLOOD ELEVATION IS SHOWNHAT PANEL MAP. AMERICAN VERTICAL DATUM OF 1988 (NAVD '88) PLANE. 6� THE STATE OF WASHINGTON HAS DEFINED THE LINE + OF ORDINARY HIGH WATER TO BE AT THE MEAN HIGHER HIGH WATER PLANE, THUS MAKING THE '69 + ELEVATION OF THE ORDINARY HIGH WATER LINE TO 1 tk BEACH BE 9.0 NAVD '88.LINE OF ORDINARY HIGH WATER 1� 1+ + (BY OBSERVATION) + 1 1 +�0 i 00 ?�))i-� + NN h• ()•0 6 DECK oI ��. STEPS II 4j HOUSE 0� LINE OF ORDINARY HIGH WATER 860 S.F. cv 0h (BY OBSERVATION) Ix CRA WL SPACE O c 1 �- HOUSE FF = 13.4 0 0� AREA OFTREES `L� � +"0. 'f— - - �� N PORCH 6 6 X 11.0 2.8 NN NO wE� OWELL HOUSE SEPTIC® SCALE: 1"=20 FEET >>8 9 TANK + �6 1�. 1`L� 0 10 20 40 1 w �� 15041 TP.DWG Z + GEpPR CARPORT JANUARY 2014 FF = 12.7 � � U � h j� W o ` FOUND 518" IRON BAR Co 6 p, 1 o WITH LS 15653 CAP Nr' Q: + +1� O m 3 4).t +14)' +145. O FOUND 112" IRON BAR 1 0 3 CAP MISSING � o L0 0 n vi HOUSE O 614 S.F. 2 0 �h. o 1� 5.0 Z DRAINFIELD '5 \b VERTICAL DATUM NA VD '88 ASSESSOR'S PARCEL NUMBER: BENCHMARK: WASH. STATE DOT SURVEY MARK, BM NO. 23106-7, WSDOT BRASS DISK 32233-50-00004 CEMENTED INTO A DRILL HOLE, BM ELEVATION = 23.98 NORTH AMERICAN SITE BENCHMARK:/� VERTICAL DATUM 1988 (NAVD '88) TOP OF IRON BAR ELEV = 16.7 1N6 SPOT ELEVATIONS ARE ON THE GROUND UNLESS OTHERWISE SHOWN O of 4.41' N BASIS OF SURVEY AND MERIDIAN: CoRECORD OF SURVEY - BK. 27, PG. 194 C A.F.# 1758784 r N (SURVEY OF PARCEL ADJACENT ON THE EAST) ..11I. ........i01l,, cti:c) EXHIBIT MAP FOR ss �%1019 .- J4°� BILL & TERI ABRAMS fONAI...LANO 9 1 /1_ SHOWING LOCATION OF STRUCTURES, ETC. ON THE �T PARCEL NOTED HEREON IN THE SW 114 OF SECTION 33, TOWNSHIP 22 NORTH, RANGE 3 WEST, W.M. BRACY & THOMAS ADDRE S OF HOUSE NEARER TO THE WATER IS 17 EAST WATERWHEEL PLACE LAND SURVEYORS UNION, WA 98592 1520 IRVING ST. SW, SUITE B TUMWATER, WASHINGTON 98512 (360) 357-5593 BT 15041 MASON COUNTY PERMIT No.f/��I BUILDING PERMIT APPLICATION Il10 n IY1GX`I 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Sfon (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 t On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION � 1�.( Owner 'YM - 1 ss"N' i p.'5 ab cm S Company Name C Kz Mailing Address + <- E Hy21ao P-1 Mailing Address Cit uA 10169SIate CA Zip Code "1-6 City State Zip Code Phone - " 57522 Other Ph. 174 6.77 Phone Other Ph. Lien/Title Holder iJ1,4 Contractor Reg. # Exp. Email address ►- .+ r A-hou,c E Mail Address Drivers Lic.# D09 Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic L - Connect to Water System Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. . 02,.20 t. Fire District Legal Description S44 n.7 Reot_ 44/• Site Address (Please include street name, street rLumbek n city) SA~v Directions to site P ✓ / ,, .r ./ �.d Will timber be cut and sold in parcel preparation?YesQID Is property within 200'of SaltwateryeS Lake River/Creek Pond /-i<j Wetland Seasonal Runoff Stream Slopes or Bluffs r? o Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Ad& Alt Repair Other PR!44ARY RESIDENCE ❑ SEASONAL ❑ Use of Building ��-�' t{ �� � �- Describe Work No. of Bedrooms No. of Bathrooms33 '12 Square Footage- 1st Floor4#W-#2_0 2nd Floor 3 ` 3rd Floor Basement Deck— Covered—Deck Other Sq. ft. Garage 4c_, Attached; Detached Carpo Attached Detached MANUFACTURED HOME INFORMATION - Mak Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms 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 informatics provided is accurate and grants employees of Mason County access to the above described property and structure 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 t MEANS OF PROGRESS I PECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. tc. Date X Owner' Owners RepresChAtivo Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date te' o DEPARTMENTAL REVIEW APPROVED DENIED NOTES Buildin Department - Planning Department Environmental Health Department 1 Fire Marshal FEES Building Permit Fee �, 75 Site inspection Plan Review Fee AGO. / EH Review Fee Plumbing & Base Fee -y. U f Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee S Violation Fee I Zlzk ctPre-Paid at Submittal Valuation $ `ti fe 5o TOTAL FEES f-4od 4-,* 7 qa, A cacti-p r \e4 to � PERMIT NO.: —W-1 ep MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 1116 Shelton,WA 98584 Shelton(360)427-9670 Belfair(360► S-4467 Elma(3601482-5269 APPLICANT INFORMAT�IPQN� CONTRACTOR INFORMATION Owner % VIiAn, 11-81L/ -sn s' Contractor Name Mailing Address /e;* iSLkg:-- f/62/ Z-aA Mailing Address City L*,e a jA itlrr..( State try Zip Code 94G 77 City State Zip Code Phone( 1, :-S%-zzOther Ph.( Ph.0 Other Ph.( Lien/Title Hdlder Contractor Reg. # Address — Expiration / ! SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No. 3 2-2 3'�,_/ Sy G<f Fire District 4 Legal Description 9 Site Address(Please includ reef name,street number and city) Directions to site — S F X2ul Is your property within 200'of the following: Body of Water(Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Alt Repair Other Use of Building �+--�- Location of Fixtures/Units st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric_ Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets 3 ape of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers V 1,61 Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust HoodiC�s-1 Hosebi s s� Dryer Vent Otherz&(4"_ Other s+=�. 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-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 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 Date X Date Q FOR OFFICIAL USE BEYOND THIS POINT Accepted b ate 'I7�yy I�d�jl Submittal Amount Due Receipt No. y O ,_C�1'�T� AtYI T REV[eW APPROVED DENIEDCOND[TION Ct)13E5 Building Depa ent Occ Groupa Constr. Planning Department ' I Other Other II FEES �I 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