HomeMy WebLinkAboutBLD2015-01385 SFR and Garage - BLD Permit / Conditions - 11/6/2015 1
",oN CA) MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III Wft
I L D I A
426 Cedar til
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT D2015-00788
OWNER: JERRY GOODWIN RECEIVED: 9/11/2015
CONTRACTOR: LICENSE: EXP: / ISSUED: 11/6/2015
SITE ADDRESS: 111 E WARREN DR UNION � j NOV 15 2021;pIRES: 5/6/2016
PARCEL NUMBER: 322325500026
LEGAL DESCRIPTION: WONDERVUE TR 26& INT IN TR A r 'f� Alder Strom +
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR WITH ATTACHED GARAGE FOLLOW N 1ST STAND NORTHCLIFF RD TO N 13TH ST, TAKE E
BROCKDALE RD TO E MCREAVY RD TO E WARREN DR IN UNION.
General Information Construction&Occupancy Information Square Footage Information
No.o Be rooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No.of Bathrooms: 3 Occ.Group: R-3, U Lot Size: Deck: 258
Type of Work: NEW Fire Dist.: 6 No.of Stories: 2 Occ.Load: Building:1,287 Garage-Attached 953
Valuation: $ 191,756.26 Building Height: 26 Occ. Status: Unknown Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 65.0 Ft. Shoreline: Ft. WaterBody:
Rear: W 20.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: Ft. Side 1: Ft. py�Shoreline Desig.: Applicable
Year. Serial No.: Side 2: Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets(Toilets) 3 Heat Pump 1 EH Plan Review KKK 9/1 112 0 1 5 $205.00 S620150000000i
Lavatories 3 Ventilation Fan 3 Plan Check Fee JBN 9/1 112 0 1 5 $980.82 S2201500000001
Bath Tubs 1 Propane Tank 1 Planning Review Fee JBN 9/11/2015 $205.00 S2201500000001
Showers 1 Gas Outlets 5 Address Fee JBN 9/1 112 0 1 5 $173.50 S22015D0000001
Water Heaters 1 Exhaust Hood 1 Building State Fee SLC 10/23/201 $4.50 S120150000000i
Clothes Washer 1 Dryer Vent 1 Building Permit Fee SLC 10/23/201 $1,508.95 S120150000000i
Kitchen Sink 1 Mechanical Permit Fee SLC 10/23/201 $146.60 S1 2 01 500000001
Dishwasher 1 Mechanical Base Fee SLC 10/23/201 $28.50 S120150000000i
Hosebibs 3 Plumbing Permit Fee SLC 1 012 3/20 1 $110.60 S120150000000i
Plumbing Base Fee SLC 1 012 3/2 0 1 $24.70 S120150000000i
Total $3,388.17
7 �O l l i fi", Please refs to the following pages for conditions of this permit. Page 1 of 9
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Printed from Mason County DIV1S
CASE NOTES FOR
BLD2015-00788
CONDITIONS FOR
BLD2015-00788
1) On-site septic system final installation approval required prior to temporary/final occupancy. SWG2015-00162
2) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report. All applicable
recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered
design professional responsible for the report/assessment, and may require special inspection by same. Structures and/or land modifications (grading,
cuts, fills, e .) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain
atta d the approved building plans.
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3) construction and demolition debris must be removed from the site after project completion. Pro O'eris al of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
4) Temporary erosion control measures must be implemented to prevent water quality degradation /adja'
c t w rs or properties. Silt fencing, straw, or
surface matting must be installed and maintained until upland vegetation has become established. X
5) All const ction and demolition debris must be removed from the shore area after project conlation. Proper disposal of construction debris
mu a land in such a manner that debris cannot enter or cause water quality degradation of State waters.
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6) ncrete leach a wash water must be contained on the site during construction pouring, such that water quality degradation of adjacent waters does U)
not occur. XZneeded
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7) Retaining to support a sYed
ge lch as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
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8) Contractor registration laws are goveder RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division,,.
There are pot ntial risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 2
1-800- -0 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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9) All proved 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 0
not be grant . In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Depa n or to any further inspections being performed or approvals granted.
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BLD2015-0 88 Please refer to the following pages for conditions of this permit. Page 2 of 9 �—
10) 7eplan
A t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
11) 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. Thetpermit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
rem( of roved documents will result in failure of required building inspections.
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12) slabs within the heated space shall be insul d t inimum 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
13) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGg CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM
STA D ET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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14) T F D ON SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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15) T "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
approv wiI of 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
Buil artment prior to any further inspections being performed or approvals granted.
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16) 012 IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window (Max U-Factor):0.30, Skylight(Max
U-Factor):0.50, Doors(Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38,
and Slab Insulation R-10. C
In addition the following credits from R406.2 shall be completed as follows: 0
3d- Hi ffici cy HVAC, ductless split system heat pump, zonal control (1.0 CREDITS). 5b- Efficient water heating, propane water heater with a
mini u E 0.82 (1.5 CREDITS).
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BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 3 of 9 C
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11) N permanent cenancate, compieteu Qy uie uwner, Uunuei ui Ieywieieu Ueaiyii FAVICJJIVIIGII, WIQII UC PVJICU VVILI III I U11CC ICCI UI uiC CIM UN.GI UwuwuuVii
panel. The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof,walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC)of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area.The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 105.4, and air leakage
results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air changes per hour when tested
with a blower door in accordanve with IECC/.WSEC Section R402.4.
The blower door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is
not required for additions less than 750 square feet. Reference IECC/WSEC R401.3& R101.4.3
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate"and are available in %or'/sheets. The
Mason unty ermit Center will also have some available.
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18) mimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECCMSEC Section
:Increte
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19) encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation.
In Mason County the electrical code is regulated by Washington State Department of Labor& Industries(L&I).
For more informati contact L&I for additional information. In Olympia call(360)902-6350 and in Bremerton call(360)415-4000.
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20) In bui ings f un ually tight construction, fuel-burning appliances(excluding cooking appliances and domestic clothes dryers)shall obtain combustion = u)
air from id ccordance with the international codes. 2
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BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 4 of 9 I`
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411 IV PCI lul 111 OII II I,)PCL LIUII II IC IVIOOulI VUul Ity Uu11V if ly II IopuC tvl "III ItCCu lv 0Ii COJ uIC III ICI IvI vl U10 JLIVlilul r. l II VIC-111 Ql PC11111L uV1I IVIC LCU QIHJ
approved by Washington State Labor& Industries must be available on-site during the inspection.
The Mason County Building Inspector will inspect the following:
Verify that the system is installed in accordance with manufacturer specifications;
The inspector will check to make sure that the exterior unit is permanently installed and supported,
the exterior unit complies with required setbacks to property lines,
fuel tanks are located at least 10-ft from the system, a source of ignition,
all exterior penetrations are properly sealed,
condensate lines are installed and are properly supported, including proper material, slope, and that the condensate line terminates to a proper location
outside of the foundation,
copper refrigerant lines are insulated with '/z" thick continuous closed-cell foam insulation or better,
indoor units ap located at least 3-ft from smoke and carbon monoxide alarms,
and th mod cations made to the structure, to install the unit, does not affect existing structural members.
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22) /ner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/Reserve requires a 1Oft setback from all footing/foundations.
B. Sep is tan ) requires 5ft setback from all footing/foundations.
C. N and i n drains within 30ft, down gradient of drainfield/reserve area.
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23) g9crete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical o ete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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24) rbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315. y�
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Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling. C U
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), 0
repair , r a itions requiring a permit occur, or when one or more sleeping rooms are added or created.
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25) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved C
access oad. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such ds ect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. o
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26) lee handling and storage of hazar s m rials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of Y a
the Mason County Fire Marshal. X
BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 5 of 9 C
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:Z1) Any cnanges in proposea construction snap ue ievieweu uy uir eiiynieei UI QIWIIIC%,L VI IC%,,VIV C31IU ,7VVIIII\lCV III •VIIMly LU UIC IVI00V1I VUUlIIr la-1-1ly
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. I cum s are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charge an sh a collected by the Building Department prior to any further inspections being performed or approvals granted.
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28) All truction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State shi gton. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
per it r oca' n.
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29) In Ilation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the
IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC
systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be
available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers,filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made
substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous
glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape.
Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive
tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened.
Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts
shall have a contact lap of at least 1-1/2 inches(38 mm)and shall be mechanically fastened by means of at least three sheet-metal screws or rivets
equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit documenting test results in accordance-1
to IECC/WSEC Section R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are '—
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available on a the WSU-Energy Program website titles, "Duct Leakage Affidavit"or"Duct Leakage Testing Results(Existing Construction)." Duct .2
tightne test' g is not required if the air handler and all ducts are located within the heated space. 0 o
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30) placement of buildings and structures on or adjacent to slopes steeper than one unit vertical in three units horizontal(33.3%slopes) shall conform tom o
Intemational Residential Code Section R403.1.7 for descending or ascending slopes. M
Alternate setbacks may be approved subject to approval of the building official based upon the investigation and recommendations of a qualified engine o
licensed in the tate of Washington. Such an investigation shall include consideration of material, height of slope, slope gradient, load intensity, and 4-
erosio hara istics of slope material. 0
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BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 6 of 9 C:
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51) rruposeu SITU IUIU1b) IIIUJI IlldlllLd Ill d IIIIIIIIIIUIll UI CI J JGlUOt N IIUIII all NIUNGIIy IIIICJ, Ga Jclllcllw allu GO Ilvlil all v Ullly 01— v lc I you I ylil vl r uy.
Sett c are easured from the furthest projection of the structure.
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32) :ILEDINGCODE.
" pproved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ulation, must be reviewed and approved by Mason County prior to construction.
33) N PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with theter tional codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspe r all e made prior to requesting additional inspections.
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34) Zropane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10'from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of 5' from any building opening (foundation vents, windows, doors etc). Setback to the public
prdm
sements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bollnstalled.
35) must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures,
compressors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements
shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as
specified the on County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be ;
installe C:
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36) Al pa to k must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must ``
met e st a ion requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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37) piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of i pectpr}the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not bed ed the final inspection has been performed and approved by a Mason County building inspector. ;` E
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38) er/applicant must obtain a seperate p t fo h placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X J_
BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 7 of 9
.1!1) 1 ne placement UI sittan piupolte-11— dle IIUL IIUIIIId IIy JUUjt::W IU G VVI IIIII ICVICVV Uy UIC rlalfl11119 LJVF01\I I IOI It, IIUVVCVCI, VIUVCII IC LaI ma QIG JUV1GUl LU
Planning Department regulations. Such re lation primarily consist of setbacks from shorelines and features considered to be critical areas(streams,
wetlands, slopes, etc.) If you think such f at re Gist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
40) All property lines shall be clearly ide ed at the time of foundation inspection. X
41) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to reque t a nal inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Maso ou rdinances and building regulations.
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42) AI rmits 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 p(Kiod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hold ve vented action from being taken. No more than one extension may be granted.
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43) Pre sure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connect rs, a flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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44) Retaining walls needed to support a surcp g/,46 as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall.X CC
45) By definition, propane tanks and heatpumps are structures,which must meet setback conditions. Please check your"Approved Site Plan"to ensure W
these structures meet the setback conditions listed. G
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46) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Appr a S' Ian"to ensure these structures are shown and meet the setback conditions listed.
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BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 8 of 9
OWNER/ BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by
signature below. I declare that I am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if
construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
TPERAPPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
/ 1 ' f2 0 / 5
Date
T CT U C`/ Q t� � OWNER - REPRESENTATIVE - CONTRACTOR
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Print Name (Circle one to indicate)
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BLD2015-00788 Please refer to the following pages for conditions of this permit. Page 9 of 9 C
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v CONCRETE MECHANICAL 1.rf MANUFACTURED HOME
DateFootings I Setbacks _ Gas Piping •1` By JJ` RibbonsCa
o Interior Date // �/ -' �5 BY(-XI Interior-Date C/ (V(IG By �tL. Data By c
000 Exterior Data// -/4�-/� BY(4CYY Exterior-Date VV Z
OD Point Load I Isolated Footings INSULATIONSU Da By m
� ,! _/� -�g By�C( Date
SLAB INSULATION B�;�., FIRE DEPARTMENT X
Foundation Walls C Floors Date By <
Date IN I ti By !_ j Data 4)1,61110 By DECKS
FRAM wafts Date By
Date 15 /t5 By Data /5 I s!o By t5�1T PROPA E TANKS
PLUMBING vault Date c7 Z By
Dace By OTHER
Groundwork Attic
Date I /t I l By 04 Date 169• L I-14, By J7Z Type:
Date By
D.w.v DRYWALL type-
Int.Brace Wall Date By
Dare y-S-1 V ey .1?L Date By FINAL INSPECTION O
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Water Una Firs Saperstion N
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Type of Insp. Fail Date Date �Done By Comments -4
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Printed From Mason County DMS
Printed from Mason County DMS
MASON COUNTY Permit No: 6LbZo(5-00 7�8
' DEPARTMENT OF COMMUNITY bEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext. 352
_ — http•//www co mason wa us/commun ,�dev/ (360)275-4467 Belfair ext. 352
l�ssa 426 W Cedar Street, Shelton WA 985.14 (360)482-5269 Elma ext. 352
BUILDING BUILDING PERMIT APPLICATION RBCErWD
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
6 W. CEDAR S NAME: ��r ru G 00 t;Q i"1.4 NAME:_ S�,�r ca �ro oj
MAILING ADDRE pp, i3 �yZ MAILING ADD S: 0. a
CITY: (i !n n'-t STATE: ��h ZIP: 9 8 S 9 L CITY: tku STATE: !., ZIP: 1l,i Z—
PHONE:.3(.,,0_c(3x—gjy?CELL: PHONE:3Ga-5/72—`1Sy3 CELL: 3G0 -`t�?Z-0504
EMAIL: &Z aar �%l,S-�d►�/ �i C t... EMAIL : uacp..�i t.s Cam?o w.�.r�•c ••1
L&I REG# EXP.
CONTACT : OWNER [jam'CONTRACTOR ❑ BELOW ❑
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NAME: ►-,�,� fro e 1 �� MAILING ADDRESS:
CITY: I.( y� STATE: t,.) ZIP PHONE: CELL:
EMAIL:
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) :3 2,23Z—$",S- 0 0 0 Z FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED): (,�o,`„�� �� T A I NT
SITE ADDRESSblo_ CITY -
DIRECTIONS`�TO� SIT13 AN DRESS V
IS PROPERTY WITHIN 200 FT: ti�c�
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
TYPE OF JOB: NEW �ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.)_t?o I ;Ct a L.c e,
IS USE: PRIMARY❑ SEASONAL❑' NUMBER Or BEDROOMS_9 NUMBER F BATHROOMS A
DESCRIBE WORK s e i s��ll 'c c����j�:�s a G� i�G tiC S J c�ec,c�p
SOUARE FOOTAGE:
1 ST FLOOR i 'T sq.ft. 2ND FLOOR //z o sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK , J(&I _sq.ft. COVERED DECK q d _sq.ft.STORAGE sq.ft. OTHER sq.ft.
GARAGE Q5.3 'sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME IN TION: *4 COPIE&QE=1 FLOOR PLAN RE UMED
i
MAKE MODEL YEAR NGTH
WIDTH EDROOMS SERIAL NUMBER
OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner or owner's legal representative. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the
necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal
representative, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection. This permittapplication becomes null &void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
x i ' 2 c I �
is ure of OWNER )ate
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT to
PLANNING DEPARTMENT
FIRE MARSHAL
"' t+IE i� 1 #`�,; ? ► >�"ems TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE _
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE -STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVW,W FEE VIOLATION FEE
t r•r,
� L � �1 G
MASON COUNTY , PERMIT NO. 020 1 - G�788
"L DEPARTMENT OF COMMUNITY'DEVELOPMENT
BUILDING-PLANNING•FIRE MARSHAL
_ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
_ Mason County Bldg. II I,426 West Cedar Street (360)275-4467 Belfair ext.
tx_sa Shelton,WA 98584 (360)482-5269 Elma extIMCED
PLUMBING & MECHANICAL PERMIT APPLICATION SEP 1 12015
OWNER INFORMATION: CONTRACTOR INFORMATION: 426 W. CEDAR
NAME: Y<r-r�A &o o c Q L,) i 11 NAME:
MAILING ADDRESS: /'a O, 13 ov -1�4 Z MAILING ADDRESS:
CITY: STATE: L,)-% ZIP: 9 F Z CITY: STATE: ZIP:
PHONE:34o-q3 2-957q3 CELL: 3(.0 -y 70-O SdY PHONE: CELL:
EMAIL: 2, o.�cQ .� rt s ca+.1H:( . C �-. EMAIL :
—� L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):___3 2-1 0 0 Z b
LEGAL DESCRIPTION(ABBREVIATED): i.J.,,�, r y„`� �'R Z(a Z N j" ;� I:K /'
SITE ADDRESS: L, ,,.rc� r CITY:
DIRECTIONS TO SITE ADDRESS: r
e 6 tK b •1 v`oa �:Idl i oh 1�
TYPE OF JOB
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 IT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Ductless__
Toilets 3 Type of Unit No. of Units Fees _
Bath Tub I Si,u` � Furnace
Bath Tubs Heat Pump
Showers 1 Spot Vent Fan 3 9.60
Water Heater I Propane Tank 5 a
Clothes Washer 1 �•' C) Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove T 3.OU
Dishwasher 1 Kitchen Exhaust Hood � --�
Hose bibs 3 ao Dryer Vent
Other Solar Panel
Other
Base Fee 2.4.70 Base Fee
TOTAL PLUMBING ]� TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including
any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is
accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT AP LICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X y�rr / 2o �s
Sign t re of Applicant Date
X ZQ w.—ti (Y0C1 w " � Owner/Owners Representative/Contractor
-JPrint Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT Z t
PLANNING DEPARTMENT
FIRE MARSHAL
MASON COUNTY Permit No: 6LOZU IS-oo 7��
` DEPARTMENT OF COMMUNITY DEVELOPMENT
- ;` BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext. 352
_ httu://www,co mason wa us/commun I;L dev/ (360) 275-4467 Belfair ext. 352
1.54 �j 426 W Cedar Street, Shelton WA 986,34 (360)482-5269 Elrxla ext. 352
NU
NG BUILDING PERMIT APPLICATION Plea
RECOW-D
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 15
A 4?F, tN. CIFOAR .q I
NAME: �c r ru G o GQ t2i 1'` NAME: St N N U Ci"o 4.1 Ca
MAILING ADDRE j?0. /3 ;,q MAILING ADDRESS: OK 6e Z
CITY: Ma a STATE: Q ZIP: 98 9L CITY: . STATE:_ZIP: 7 Z
PHONE: S'1,3CELL: 3t,o-43 L-c p q PHONE:3 6 O-5/3 2-`1S'yj CELL
EMAII,: J EMAIL zf. vo. a `�-c• -•�
L&I RE,G EXP.
CONTACT : OWNER Uj, CONTRACTOR ❑ BELOW ❑
NAME: It-
7a J; h 1VIA111 G ADDRESS:
CITY: l.(� STATE: CJ ZIP:`j TAL PHONE: CELL:
,
EMAIL:- �-
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 3 z2.32-S S- D 00 "L (o FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) : tJ�,�„A ���„�_ T Q -1(e T NT i.1 �'(� A
SITE ADDRESS CITY t L,,.I�� M/r4 592
DIRECTIONS`T^O S AD RESS r e I i K ✓YI L v �----
�✓1 W wMV -12j r 'I P
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO
TYPE OF JOB: NEW [jam ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
I
USE OF STRUCTURE(REsiDENCE,GARAGE ETc.)_ o s i e°,C-
IS USE: PRIMARY❑ SEASONAL❑' NUMBER OF,BEDROOMS_ NUMBER F BATHROOMS
DESCRIBE WORK PieF.v-� s i-�e i r� 11 G r --
SQUARE FOOTAGE: '
1ST FLOOR O &7' sq.ft. 2ND FLOOR_//zo .sq.ft. 3RD FLOOR sq.ft. BASEMENT sq,ft.
DECK ' J(oj _sq.tJ. COVERED DECK_ Ej0 _sq.ft.STORAGE sq,ft. OTHER sq.ft.
GARAGE."a ,sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INS TION: *4 COPIES-OF-T FLOOR PLAN 1Z1G UIRED
MAKE MODEL YEAR LNGTFI _
WIDTH EDROOMS ATHS ; SERIAL NUMBER
OWNER acknowledges that submission of inaccurate infor'Mation may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner or owner's legal representative. I further
declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the
necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal
representative, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure(s)for review and inspection. This permit/application becomes null &void if
work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
X A7/1 f /Z 0 IS
i is ure of OWNER bale
AE�'A�ZTMENTAL IZFV)�'W APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT b ��
FIRE MARSHAL �f
+"�i"»wr � �'��' �,�� tl;D/S�h ?�"�x��"•+�4+� �4' �'��v�A,Y�[7�A�'I1iYONi,+�f��t�'i'�"� �
a '( �� t " FIRE ACCESS AND GRADE
BUILDING PE IT FEE GEO-TECH REVIEW
yL�Ni VLEW ,STORMWATERREVIEW
PLUMBING&BASE FEE TOTAL FEES
MECHANICAL&BASE FEE
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
6awi5- oo- 8 ?
PLANNING
ROVED
M ON NTY DCD•PLANNIN
TE P EQUIRED TO BE ON SITE
v'
CHA E SUB ECTTOAPPROVAL
Date d l
cr
�Q /
RECEIVED
.SEP 112015
f /
44 W. CEDAR ST.
PLANNING:
ALL SETBACKS ARE MEASURED
1 FROM THE FURTHEST
Sty. : 1`=3o'
PROJECTION OF THE BUILDING
I��Vt a
j5-1 W , �t
00-7 ,S'( _ ENVIRONMENTAL
E. Dv%• HEALTH.
�►� � �� X 33�� •
flat
....• ,��
o eo S
_ 20 Prat
.SIS eon
RECEIVED
.-SEP 1 12015
f 42.6 W. CEDAR ST.
' APFROVED
_ MC PUBLIC HEALTH!
SEP 14 205
• ALP
Dr;
a
BUILDING
MASON COUNTY RESIDENT.7AL PLANS SUBMITTAL CSC IST
Owner's Name. Date / - I'-� 5 Reviewed By.
Documents: e r/, %-�—
_w ECEIVED
_wilding Permit Application Completed �Stormwater Checklist
-ZVOning Intake Checklist Completed,
✓Site plan includes:Allowable building area,roof ro's,decks,etc. SEP 1 12015
,Fire Apparatus Access Road info required? YEnergy Code Application Form-&Electric wallO Electric central furnace O LPG Furnace 426 W. CEDAR ST.
O Heat pump with electric furnace O Heat pump with LPG firnam O Boner(heat type �
♦ Ductless Heat Pump O Other.Specify:
„e Mechanical/Plumbing Application-WATER HEATER FUEL TYPE/- N ..
Engineering? es o Snow load: Seismic: D2 Q h M
Stock Plan- oved snow load_ Seismic: D2_ do Ccticl �/"
M nc aetured H es—4 FLOOR PLANS
F dation S ufacture meth footmg/foun
vered? Un ver 4 x 6 and over 30"? nstruction plans required.
Constnuctio PL= _3 COMPLETE SETS
Plans Legible Recognized Scale _Elevation Views -.U/-Cross Section
VFoundation Plan Roof Framing Plan ✓door Plan-Use of rooms noted(all floors)
Floor Framing Plan-all—floor levels including loft,cmwlspace,etc. (Q00 S.F.??-stairs?)
Deck Framing Plan,incl cov.porch framing RECEIVED
Plan Detaz L-11 2-A � P.T. r�el-K 3S TS f(o" Q.c.(Tv)
SEP 1 1 2015
Roof framing details,truss lay-out maybe needed (Hip and girder location shown) MV(t (' de w,-nzd J*—w --,0 Z vr o C
V Wall Framing-Does bearing-wall height exceed 10 ?(Engineering may be required)
Floor framing: Floor joists(size&spacing): I1 y10 fX I$'erit6 Q0-2,0DF Floor beams: x
-Window headers. Typical header Garage header. S
Foundation:footing size,reinforcement AAC S 0 )- over y ''
i.—Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be requireg see details) 30"X 30r' Xj 2 u ConG ('�
Landings at all exits?Less than 30"above g:rade?Y/_N w -# _._..
By Furnace-Location of wnace Fuel type: 'w'
t.r- 'ircplace/Stove Information Shown-Fuel Type? Locmion(s):
--Z mdow Sizes Marked m Plans
Braced wall panels(shear walls)marked on plans or late ' Bering?
COMIVIENTS:
ENGINEERING REQUIRED
Braced wall panels/brace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERLA-: All notes and details required as a result of the engineered analysis shall be transferred onto proposed
building Plans• Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: Snow_ems£
IRREGULAR BUILDINGS R301.222.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur: -
1)Exterior braced wall line or B WP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft beyond the braced wall line.
3)End of BWP extends more than 1 fL over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendict>ln directions.
7)When a story above grade is includes masonry or concrete construction(exc: fireplaces, chimneys,and veneer).
When this applies the entire story shall be designed-In accordance with accepted engineering practice.
H:\permit tech building checklistdoc Revised 11-29-2007
Name TIC 61310J-31'-%- Parcel# 3.2237— — 000Z(-e BLD# a J
�o� D
Mason County SEP 120
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 Hi)W. CEDAR ST,
Per Mason County Code,Title 14, Chapter 14.48 a Stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings 4 4 X = /y Z
X 9 = 53 Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas) j �{
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
describe property for view and inspection as may be required. '
X O wn 2/Agent/Contractor(circle one)Date: N111 /Z015
If` a Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page I of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
hftp//www.co.mason.wa—us/code/commissioners/index.htn
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/d rain field system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
Planner: Grace At an Rebecca RECEIVED
MASON COUNTY ANNING TAKE CHECKLIST SEP 1 1 2015
Owners Name: Date: 426 W. CEDAR SE
Project: Ajeti Commercial ?: yes no
Site Plan
X North Arrow
❑ Property Dimensions: x Irregular Shape Z2T:) no
�L-Streets and Driveways shown
Road Frontage Name:. C rr'e' az
All Existing Structures Shown with setbacks and use.
�L Identified Surface water(streams, ponds, shoreline,wetlands,natural/historic drainage, defined drainage)
wTopography (slopes)
V Minimum Structure Setbacks (direction/setback):
F:�/ (r6 , R: VV / •20' S 1 / S2 /
,,�d_Utility and Drainage Easements: yes d-W (if yes enter condition #5022)
Other Easements
Accessory Appurtenances: t
yL Does site plan show landings at all exits ?
"iq Variance applied for: yes no Parking spaces allotted: es no
e- �eunty Access Permit Needed (add condition #0010)
--?-ate Access Permit needed (add condition #0020)
dard Planning-conditions: #5019 and #700 -
�"e there any impediments (dogs/gates) that may restrict access to your site? yes no
,44f yes, do we need appointmen . es no
`�i s ite clearly marked a Name Other �� l
ZONING
UGA'S
ALLYN/BELFAIR/SHELTON Rura LAND DESIGNATIONS
GC PF R-1 R- RC 1 RR AGRICULTURAL
POS FR R-2 -1R RC 2 RR 5 LTCFL
BI GC-CI RI RC 3 RR 10 IN-HOLDING
HC LTA R-5 RT RMF RR 20 TRIBAL
T R-10 RT/RTC RNR
1VIHP BP vC RAC NR
Critical Areas: (streams, ponds, shoreline,wetlands& steep slopes)
Shoreline Designation: ❑ Urban ❑ Rural ❑ Conservancy ❑ Natural
Water Body:
SEPA: yes no u�vn Flood Plain: yes no uj�kDwn Map #
Aquifer Recharge: yes no uq wn Map#
Tags/Cases:
RLC/SPI: 6 year Reforestation: yes
Eagle Nest Tag: yes o Other/North Bay Sewer: ye o
od o 3�
qo" coUN MASON COUNTY (360)427-9670 Shelton ext.352
r' DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfair ext. 352
t BUILDING.PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352'
Inspection Hotline (360)427-7262
Mason County Bldg. 8, 615 West Alder Street
W4 Shelton, WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: F1--D Z o 1 S - b O -1 T5$
i
ADDRESS/LOCATION: (( t C t jA to✓t
FI DINGS:
c.V— ..wA t v,�0} b t W-1- L%—S++.I lc.e..Q,
'aC V plA•a v. q vt Wt s. tr lj
00�. � —'ro t+�S,�ia-F� .,�(av✓ u t l l u S�✓.� t ti 5 v(•.-{-�•rK t�•,S
A-4,,@.A a✓u. !!''t S 5 l�. �
�-G6ro-LtKe, v�C tX t t.t ✓ 't' p —�-1i ti SL
CoV1L o,t ( all c_ Ckt
i
it
i
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
N Make corrections, items will be checked on the ext inspection.
�OK to 11 t 1 5 y(�L lj* ( 5 ,{flea r
Date: t4'5--1 y ❑ Please contact our office regarding possible
Department: '12L-P structural damage incurred by recent
Inspector: STL, "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Printed From Mason Coin . . �.
Printed from Mason County DMS
n
a�soN 000Nrf MASON COUNTY (360)427-9670 Shelton ext.352
DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352
BUILDING•PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352'
Inspection Hotline(360)427-7262
Mason County Bldg. 8, 615 West Alder Street
lNSJ 0� Shelton, WA 98584 www.co.masonma.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: 0LID tot S " O 0-I g K
ADDRESS/LOCATION: _I l E Wo yvevi 7✓ Ld I/110 v1
FINDINGS:
t1C� ens t...L V LLrL'' N'Iv � D w•..�..Q
L01
i
5k4z,,,tv,-- t,—f -ple/ -- t /
-ki✓c /I 1�c wrr{ S
as-5ttI L*An '-1 vx_ I+�►
t
S St,L✓L� l L G� G.�✓A C G+ 11 n
+ v!^ ✓ G
r +�
Items listed above must be corrected to fain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
2 Make corrections, items will be checked on the next inspection.
❑ OK to Ivy-
Date: y—
Date: ❑ Please contact our office regarding possible
Department: structural damage incurred by recent
Inspector: \ "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Printed From Mason County Y �.
s
Printed from Mason County DMS