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HomeMy WebLinkAboutBLD2005-01058 SFR - BLD Permit / Conditions - 8/9/2005 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, WA 98584 too RESIDENTIAL BUILDING PERMIT BLD2005-01058 OWNER: DONALD IVERSON CONTRACTOR: RENECKER CONSTRUCTION 360.983.8937 LICENSE: RENECC*110CZ EXP: 11/20/2006 RECEIVED: 6/24/2005 SITE ADDRESS: 280 E SPRUCE ST UNION ISSUED: 8/9/2005 PARCEL NUMBER: 322325220017 EXPIRES: 2/9/2006 LEGAL DESCRIPTION: UNION-GRAYS HARBOR -& UCRR ADD BILK: 20 LOTS 17 18 &VAC ALLEY DPC #05- 12 PROJECT DESCRIPTION: DIRECTIONS TO SITE: SFR N OUT OF SHELTON ON BROCKDALE RD TO N ON MCREAVY RD TO LEFT ON 5TH ST IN UNION, S ON TOWNSEND ST TO LEFT ON SPRUCE ST AROUND CORNER ON SPRUCE ST TO SITE BETWEEN 260 & 300 SPRUCE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: V-B Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3, U Lot Size: Deck: 402 Type of Work: NEW Fire Dist.: 6 No.of Stories: 2 Occ. Load: Building:1,514 Garage-Attached 472 Valuation: Building Height: Occ. Status: Primary Basement:797 Cov. Porch 28 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: S 25.0 Ft. Shoreline: Ft. Water Body: NONE Model: Width: Ft. Rear: N 52.0 Ft. Slope: Ft. SEPA?: No Shoreline Desi Side 1: W 10.0 Ft. g.: Not Applicable Year: Serial No.: Side 2: E 10.0 Ft. Comp. Plan Desig.: Rural Activity Ctr. Plumbing Fixtures FEES Mechanical Fixtures Type Qty. Type ype By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 6/24/2005 $806.10 S12005 Hosebibs 2 Furnace<100K 1 Planning Review Fee KS 6/24/2005 $155.00 S12005 Kitchen Sink 1 Ventilation Fan 4 Adjust Plan Check Fee JRN 7/6/2005 $3.64 S12005 Lavatories 4 Dryer Vent 1 Building State Fee JRN 7/6/2005 $4.50 S12005 Showers 1 Building Permit Fee JRN 7/6/2005 $1,234.55 S12005 Water Closets (Toilets) 3 Plumbing Fee JRN 7/6/2005 $110.00 S12005 Water Heaters 1 Plumbing Base Fee JRN 7/6/2005 $20.00 S12005 Bath Tubs 3 Mechanical Fee JRN 7/6/2005 $61.70 S12005 Clothes Washer 1 Mechanical Base Fee JRN 7/6/2005 $23.50 S12005 EH Plan Review TW 7/19/2005 $75.00 S12005 Public Works Review AT 7/29/2005 $39.22 S12005 Total $2,533.21 BLD2005-01058 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2005-01058 CONDITIONS FOR BLD20 0 5-01 0 58 1) 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 1-800-647-09W The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 Maso dinances and building regulations. 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 Depart p r to any further inspections being performed or approvals granted. X 4) In accordance with international codes 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 jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspections. X AV 5) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of a ar v documents will result in failure of required building inspections. X 6) All slabs within the heated space shall be insulated to i um R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the top of the slab to the bottom of the footing X _ 7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X BLD2005-01058 Please referto the following pages for conditions of this permit. 2 of 4 8) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight (Max U-Factor):0.58, Doors (Type/ U actor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10. X 9) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Qepart ent prior to any further inspections being performed or approvals granted. X 10) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 11) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged a , h be collected by the Building Department prior to any further inspections being performed or approvals granted. X 12) 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 Ad 13) 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 withi 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 14) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or re g t n, ust be reviewed and approved by Mason County prior to construction. X 15) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall ade prior to requesting additional inspections. X BLD2005-01058 Please referto the following pages for conditions of this permit. 3 of 4 16) All property lines shall be clearly identified at the time of foundation inspection. X za� 17) 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 r ' a es and building regulations. X 18) 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 v regent action from being taken. No more than one extension may be granted. X 19) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. Structures and/or land modifications (grading, cuts, fills, etc.) required in the geotechnical rep / ss sment, may require a seperate permit. The geotechincal report/assessment shall remain attached to the approved building plans. X 20) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, fla ng. Install metal connectors approved for contact with the new types of pressure treated material. X 21) Prior to final approval, all upland areas disturbed or newly at d b construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 22) Temporary erosion control measures must be implemented to prevent water quay gr tion of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X 23) Approv p r d,Obnsions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progr inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described pro rty d s ucture for revie and insp ion. OWNER OR AGENT: DATE: j BLD2005-01058 Please referto the following pages for conditions of this permit. 4 of 4 o CONCRETE MECHANICAL MANUFACTURED HOME con Footings Omit Date By Ribbons o Date j 18 0 fj By Gas Piping Date By o O'D Date y Foundation Walls B O Seep Dane 21`71p(o B INSULATION Date By BG I Slab Insulation Floors FINAL I NSPECTION Date By Date By Date By FRAMING Wags FIRE DEPARTMENT Date By Date By Date By CkKk PLUMBING Attic OTHER .5 Groundwork Date By Date, By WALLBOARD NAILING DONDate By Date By Water Line CD INSPECTION Date By Date By Date By m s Type of Insp. Pass[Fail Request Date Inspect. Date Done By Comments CD 1,41 0 `M/ 1 tYo 06 CD Cn rn 8 Alb o 0 - z o C N � v 0 00 Z CD r � v 0 o CONCRETE MECHANICAL MANUFACTURED HOME `- Date 1-1 2 (, t77 By Z f ac - --- Footings i Setbacks Ribbons m � Gas Piping Y) o Interor Date By Interior-Date 'Z)2 610-7 By Aa-L- Dame By Extienor Date By Exterior-Date B00 IMP-up D Point Lead!Isolated Footings INSULATION Data By X Date By BG/SLAB INSULATION Data v FIRE DEPARTMENT Foundation Walls Floors ate By Date By Data By DECKS FRAMING Waft Date By Date 3 By 1_51/j Data 3 13 jr j By L.N PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic �/�/► 27 66 By L1O)L Date By ���L Type' Date Date By D.W.V DRYWALL Type: Int.Brace Wall Date Z' 7-( 1O7 By Ate- pate By W Dots By FINAL IN P CTION v Water Line Fin Seperation CD Date Z Z(o 0`� [3y Date By Date �7 By A& Pass or Request inspect. c Type of Insp. Fail Date Date Done By Comments o 19''0 y1ofe, C)4 Co S R 6b 27 ab �L o,r Sla�J il�s�Ca-c,'d•� 1. Alt iJ, �r5 av1, fly-sW- tv 'L' 1"'t t oN /v/2/(U / I -- v ( W. I l V4e�i(� �it 1►�t°PitG�3 ��J 1^tJU` Zn g I t_1Y Xo r Atv etJ, a �P n-. �, 2- s-07 2-2-0-01 1,-) s 0 En CDJAR;l_ Z 21 a7 �• !�'1 , PAss 3/46-1 �Sv�p1 r.Yw� GK ,ti l srt,zv� hs- � 6 67 3)i3 97 Lr0 L- -�►� She a/' � 1 h �� O atis 4� 13 Zt 3Z 4? i I �Ach 713)C9 �' -Contcr DNS VACATE ALLEY L le 20'-C" BACK YARD SETBACK - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - F -I- - - - - - - - -F 10 x 3ro' RESERVE - - - - - - - - - - - - - - - Lj �C4 - - - - - - - - - - - - - - - - - I- - - - - - - - - - - - - - -- - - - - - L SEPTIC TANK- F _ _ l >_ LLI- - - - - - - - - - - - - - - - - - - - - - --- - - - - - - - - - 10 x 36' 1`2'�MARY - - - - - - - - - - - - - -- - --i I L j L - - - - - - - - - - - - -- - - - - - - - - - - - -- - - - - -J -F W-011 24--p" Lu DECK LINE Lu NI - - - - - - - - - - - - - - - - FND. LINE NEW HOUSE II A I I i 1 L - - - - - - - - ROOF LINEY L - - - - - - - - 25'-0" FRONT YARD SETBACK DRIVEWAY APPROVED MASON COUNTY DCD PLANNING Ln C*4 04 Ln SITE PLAN REQUIRED TO BE ON SITE C4 CHANGES SUBJECT TO APPROVAL BY -T-5c -- Date -i\- - - - - � - - -.4 - - - - - \k Z_0 off- T 0 tx� Iverson Residence 9NlNNVrA--f=fRUCE &TIREE 0 - n (-) .3 0 co Site Plan Legal Description C: Z gm, North Scale: I" = 10'-011 UNION-GFRAT'S HARBOR 4 UC;f;RfR ADD 5LK; CJ1 Revised, I-ro-05 20 LOTS 11-10 4 VAC ALLEY PARCEL '* 32232-52-20017 LOT COMBINATION PENDING (3 1 A.3N ypN-STgTF�c� MASON COUNTY o P A C N DEPARTMENT OF COMMUNITY DEVELOPMENT o S N Planning Division 0 N Y oy P O Box 279, Shelton, WA 98584 1864 (360)427-9670 i NOTIFICATION OF INCOMPLETE APPLICATION July 06, 2005 DONALDIVERSON PO BOX 521 UNION WA 98592 Parcel No.: 322325220017 Project Description: SFR Dear Applicant: You have submitted a permit application (case no. BLD2005-01058) 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. 295 if you have questions. Sincerely, (�W" Tammi Clark Land Use Planner Mason County Planning Department 7/6/2005 Page 1 of 2 BLD2005-01058 NOTIFICATION OF INCOMPLETE APPLICATION 7/6/2005 Case No.: BLD2005-01058 Comments: A site inspection was conducted on 7/1/05 to assess critical areas relevant to future residential construction. The proposed project is adjacent to or within 300 feet of a steep slope. This area meets the criteria for a landslide Hazard Area per the provisions of the Mason County Resource Ordinance NO. 77-93. Applications for development within 300 feet of a Landslide Hazard Area require a geological assessment/geotechnical report to assess slope stability and address specific efforts to remediate the hazard. Enclosed is a copy of the Landslide Hazard Areas chapter of the Resource Ordinance. Please note the distinction between a geological assessment (Section EA) and a geotechnical report (Section E.5). A geological assessment is required for slopes between 15% and 40%, and a geotechnical report is required for slopes greater than 40%. Please provide the enclosed ordinance to your licensed engineer or geologist so that they are aware of all the requirements per Chapter 17.01.100, Section E.1-7. Missing information will result in further delay in the processing of your building permit. The report must state that the hazards of the landslide area can be overcome in such a manner as to prevent harm to property and public health and safety, and must also assure the project will cause no significant environmental impact (Section E.7). 7/6/2005 Page 2 of 2 BLD2005-01058 y ON-STATF MASON COUNTY o P� A o N DEPARTMENT OF COMMUNITY DEVELOPMENT o N Z Planning Division 7 N Y Y P O Box 279, Shelton, WA 98584 1864 (360)427-9670 REQUEST FOR ADDITIONAL INFORMATION August 01, 2005 DONALD IVERSON PO BOX 521 UNION WA 98592 Parcel No.: 322325220017 Project Description: SFR Dear Applicant: You have submitted a permit application (case no. BLD2005-01058) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. 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. 295 if you have questions. Sincerely, a4 Tammi Clark Land Use Planner Mason County Planning Department 8/1/2005 Page 1 of 2 BLD2005-01058 REQUEST FOR ADDITIONAL INFORMATION 8/1/2005 Case No.: BLD2005-01058 Comments: Your geotechnical assessment has been reviewed by Alan Tahja, Public Works. Per the enclosed Inter-Departmental Communications dated July 29, 2005, you will be required to apply for a County Road Access Permit. You can contact Kelle Medcalf at (360) 427-9670 ext. 450 for information regarding this process. Please call me, Tammi Clark, at (360) 427-9670 ext. 295 once the access permit has been applied for and I can release the Planning Department hold so the building permit can be issued. 8/1/2005 Page 2 of 2 BLD2005-01058 WSECNIAQ COMPLIANCE FORM Owner: Iverson Residence Telephone: Parcel#: Type of Project: Q New Residence ❑Addition ❑Remodel I Date: 6/21/2005 Total Sq. Ft. of Heated Area: 1514 2nd Floor: I Basement: 797 Heating System Type ❑Electric Wall at rA Electrical Central Furnace(Specify): p�fy). iJu� � 4 El LPG Furnace [:1 Heat Pump with Electric Fumace ❑Other S i ry Heat Pump with Gas Furnace ❑Boiler,Specify Fuel Type: Glazing Pctg. Compliance-Method lion No. o Check One: 426 ��� 4 ❑systems Analysis,Chapter 4 21.46/o ❑Component Performance,Chapter 5-Calculation Worksheet Required Ventilation Whole House Ventilation System ❑ Whole House Ventilation System System using exhaust fans&window or wall fresh air vents(VIAQ 303.4.1) using a heat recovery ventilation system(VIAQ 303.4.4) ❑ Whole House Ventilation System ❑ Whole House Ventilation System Check one: integrated with a forced air heating system (VIAQ 303.4.2) using an inline supply fan (VIAQ 303.4.3) U- Quan- Size 112 1/4 Exe- Area UA Windows Brand Window Type Room Value tity w H Rd. Rd. TO mpt (S. F.) Value Milgard Fixed AR/LE Family Room 0.310 1 5 0 511 ❑ ❑ ❑ ❑ 25.00 7.75 Milgard Horiz.Slider AR/LE Family Room 0.350 2 5 0 5° ❑ ❑ ❑ ❑ 50.00 17.50 Milgard SI.GI.DoorAR/LE Family Room 0.310 1 6 0 6 10 ❑ ❑ ❑ ❑ 41.00 12.71 Milgard Horiz.Slider AR/LE Bedroom 4 0.350 1 6 0 4 ° ❑1 ❑Ij ❑ j 24.00 8.40 ❑ ❑ ❑ ❑ Milgard Horiz.Slider AR/LE Bedroom 3 0.350 1 5 ° 5 0 ❑ ❑ ❑I ❑ 1 25.00 8.75 Milgard Horiz.Slider AR/LE Bedroom 2 0.350 1 5 0 5 ° ❑ ❑ ❑ ❑ 1 25.00 8.75 Milgard Fixed AR/LE Entry 0.310 2 1 ° 5 ° ❑ ❑ ❑ ❑ 10.00 3.10 Generic Glass Block Master Bath 0.510 1 4 0 4 ° ❑ El LJ 16.00 8.16 Milgard Vert.Slider AR/LE Master Bath 0.350 1 2 u 5 ❑ 10.00 3.50 Milgard Vert.Slider AR/LE Master Bedroom 0.350 2 2 0 5 ° ❑ ❑ ❑ ❑ 20.00 7.00 Milgard SI.GI.Door AR/LE Master Bedroom 0.310 1 6 ° 6 " 01 ❑ ❑I ❑ 41.00 12.71 Milgard Fixed AR/LE Stair Landing 0.310 1 5 0 5.0 ❑ ❑ ❑ ❑ 25.00 7.75 Milgard Horiz.Slider AR/LE Dining/Living Dining/Living 0.350 2 5 ° 510 ❑ ❑ ❑ ❑ 1 50.00 17.50 Milgard _ - Fixed AR/LE Dining/Living Dining/Living 0.310 1 6 0 510 ❑ ❑ ❑ ❑ 1 30.00 9.30 - Generic Store Steel/Wd. Frame->50%Glass Dining/Living Dining/Living 0.580 1 6 0 6 e ❑ ❑ ❑ ❑ 1 40.00 23.20 Milgard Fixed AR/LE Dining/Living Dining/Living 0.310 2 5 ° ❑ ❑ ❑ ❑ 7.70 2.39 Milgard Fixed AR/LE Dinina/Livina 0.310 1 2 6 0 ❑ ❑ 0I ❑ 24.25 7.52 1 -H❑ I ❑ ❑I ❑ I + EI-1 ❑ _❑I ❑ ❑ <-Check Here if windows, skylights or doors are continued on an additional sheet Target Weighted U-Value for Windows=0.40 Total Window Area/Total UA: 463.95 165. 1 Weighted U-Value=Sum(UA)/Total Window Area (not including exempt windows) Weighted U-Value 0.358 -- S ht-fi - _ -- _ _ 9 U- Size - -- Exe -Kr-e--a----UA-- Skylight Brand Model Number Room Value Quant. w H rapt (S. F.) Value Milgard Sk lite AR/LE DininalLivina 0.510 2 2 ° 2 ° ❑ 8.00 4.08 Milgard Sk lite AR/LE Dining/Living 0.510 2 2 ° 4 ° El16.00 8.16 Milgard Skylite AR/LE Mud Room 0.510 1 2 4 8.00 4.08 Target Weighted U-Value for Skylights=.58 1 Total Skylight Area:/Total UA 1 32.00 16.32 Weighted U-Value=Sum(UA)/Total Skylight Area (not including exempt Skylights) Weighted U-Value 0.510 Door U- Size Exe Area UA Brand Model Number Room Value Quant. wI H mpt (S. F.) Value Generic Steel/Wd. Frame-No Glass Entry 0.160 1 3101 6 8 ❑ 20.00 3.20 Generic Steel/Wd. Frame-No Glass Mud Room 0.160 1 3 ° 6 8 ❑ 20.00 3.20 Target ted Weighted U-Value for Doors=.20 Total Door Area/Total UA: 40.00 6.40 Weigh U-Value=Sum(UA)/Total Door Area (not including exempt doors) Weighted U-Value 0.160 Total window&door area 535.95/(divided by)total sq.ft. of heated area 2311 = 23.19% of glazing(&Doors) Single glazed, ornamental or garden window or door up to 1% of floor area may be exempted Foster and Williams Associates Analyst., Evan Rey ers Request To Revise An Approved Plan Permit Number: BLD200_5_-_ Q L L 5L, Namel 6 JltQ0,0 r _ Parcel Number - ,Sa - o? 1-7 Phone Number daytime (__) Project Addres �'. Mailing Address L �0 /Y1Q Orl l�l��l I 1 /V .Please p ovia complete,detail description of the proposed revisions t e approved plans. Ohil �C l_ C� Are two sets of the revised plans or addendum indicating the changes included? ' l Yes O No Are the approved site plans included? Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? 19 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? O 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 O 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 orgy . Received by: Date Sent Assigned To Approved By Date FEH. U� �� Original Valuation: $ U �s Cp Additional Valuation: $ 'Y Sq.Ft. x$ $ S Sq.Ft. x$ $ Total New Valuation $ Additional Fees: Additional Planning Dept. $ Additional Plan Review $ New Setbacks: Front / Rear / Additional Building Permit $ Sidel. / Side2 / Additional Plumbing $ Additional Conditions/Comments: Additional Mechanical $ Additional E.H.Dept. $, Other $ Total Amount Due: $ Amount To Be Paid Up-Front$ i POVb 0 SM YtPr= cco CQ �DQ L\ C� �a NWMLS Form 22D ©Copyright 2005 Optional Clauses Addendum Northwest Multiple Listing Service Rev.6/05 ALL RIGHTS RESERVED OPTIONAL CLAUSES ADDENDUM TO Page 2 of 2 PURCHASE &SALE AGREEMENT (continued) 7. ❑ Insulation - New Construction. If this is new construction, Federal Trade Commission Regulations require the 37 following to be filled in. If insulation has not yet been selected, FTC regulations require Seller to furnish Buyer the 38 information below in writing as soon as available: 39 WALL INSULATION: TYPE: THICKNESS: R-VALUE 40 CEILING INSULATION: TYPE: THICKNESS: R-VALUE 41 OTHER INSULATION DATA: 42 8. ] Selling Broker's Commission. If there is no written listing agreement, Seller agrees to pay Selling Broker a 43 commission of % of sales price or 44 If the Earnest Money is retained as liquidated damages, any costs advanced or committed by Selling Broker shall 45 be reimbursed or paid therefrom, and the balance shall be divided equally between Seller and Selling Broker. 46 9. ❑ Leased Property. Buyer hereby acknowledges that Seller leases the following items of personal property, pos- 47 session of which shall pass to Buyer on Closing: 48 �j propane tank ❑ security system ❑ satellite dish ❑ other 49 Buyer shall assume the lease for the items selected, perform all of the obligations of the lease, and hold Seller 50 harmless from and against any further obligation, liability, or claim arising from the lease. 51 10.i i Other. 52 1. Seller is aware that the buyer is a licensed real estate agent in the state of Washington. 53 54 2. Buyer and seller both agree to no (0) real estate fee. 55 56 3. The buyer is buying this property with the foundation and septic system installed. 5758 59 4. The seller agree's to complete the foundation footing drains, storm drains, and back filling as needed 60 prior to closing. Seller agree's to supply the buyer with all plans, permits and any details in relation to 61 the blueprints and completed construction. Seller also agree's to assist in any permit transfers. 62 63 5. if the buyer elects to assign this agreement, the assignee agree's to accept this agreement and proceed 64 to close as soon as possible. If this sale is assigned, the buyer agree's to pay half of seller's excise tax 65 66 at closing. 67 6. Buyer and seller both agree that if the buyer fails to close this sale the earnest money becomes non 6869 — - refundable and escrow is escrow is instructed to remitt to the seller. 70 71 7. Seller is aware that once the buyer takes possession that construction will continue. 72 73 .7 Initials: BUYER: DATE: 3v �6ELLER. / c DATE: 3� b 64 BUYER: DATE: SELLER: DATE: "��� '�'� 61 MASON COUNTY PERMIT NO. C�-C�`C M BUILDING PERMIT APPLICATION 426 W. Cedar - P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner ✓ I Company Name Mailing Address /?/). /- ex . 'S"?j Mailing Address City / , State ''° Zip Code City State Zip Code Phone 41- F-79-.211 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # �'//nc> Exp. 0%2'r lk E mail address E Mail Address Drivers Lic.# Z? - dZ DOB Drivers Lic.# G f" 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. Fire District Legal Description 4 e 7-5- / 7 `7` /� i �J Site Address (Please include street name, treet number and city) Directi ns to site w r ' �. ✓'o. v� � . f 14 Wn Will timber be cut and sold in parcel preparation?Yes C A'$-, ,160 D Is property within 200'of Saltwater NU Lake 149-0 River/Creek < Pond N� Wetland - Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?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 - 1 st Floor 2nd Floor 3rd Floor Basement 1 h 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X 'A-X� �z -'7/Y/j�cl� Date Owner/Owners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES BuildingPermit Fee Site Inspection Plan Review Fee y-6 EH Review Fee Plumbing & Base Fee \ CT Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee 4�_ Violation Fee Pre-Paid at Submittal Valuation $ L, TOTAL FEES �- 7 C , i i i �I MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar• P.O. Box 186, Shelton, WA 98584 „' a 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 w r Company Name Mailing Address Mailing Address D P" City %v1, State a/,f. Zip Code z4 City Mate Zip Code Phone �3'" �/21 Other Ph,_3Z� )70--/aS; Phone Other Ph. Lien/Title Holder ? r °? ' Contractor Reg.4 �� Exp. E mail address i�der sa; E Mail Address Drivers Lic.# 1-YFRSi DOB 5 - Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic„_ Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description .4-®Ts i , -ylJ. //f C Site Address (Please include street name, street number and city) Directions to site wo_ Ja c r . //C��DIi .�� ���:_ ' /1rf to /1/2. 4 �� Is property within 200'of Saltwater A1,6 Lake AJ River/Creek Pond Wetland '' ' Seasonal Runoff '!L' Stream �' Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG_ Natural Gas Heat Pump_ Toilets si ` _ Type of Unit No. of Units Fees Bathroom Sink Lj— Furnace Bath Tubs el,, Heatpumps Showers Spot Vent Fan Water Heater j Propane Tank — Clothes Washer _ Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OV\1NER/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 parry in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X k%__ Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other Violation Fee TOTAL FEES