Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
BLD2010-00016 SFR - BLD Permit / Conditions - 2/8/2010
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 lip RESIDENTIAL BUILDING PERMIT BLD2010-00016 OWNER: LINDA SCHURE RECEIVED: 1/11/2010 CONTRACTOR: RE-ADD CONSTRUCTION 253-961-2149 LICENSE: READDC*161 PC EXP: 10/2/2011 ISSUED: 2/8/2010 SITE ADDRESS: 60 E MOUNTAIN VIEW DR ALLYN EXPIRES: 8/8/2010 PARCEL NUMBER: 2220 LEGAL DESCRIPTION: LANtLANU V11 LAUE 1 TR 138 &S1/2 TR 137 SEE BLA#07-47 S 33/211 PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE GO TO ALLYN GO UP HILL TO LAKELAND DR TAKE LEFT ON MT VIEW LOT ON YOUR RIGHT General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,330 Garage-Attached 484 Valuation: Building Height: 18 Occ. Status: Primary Basement: COV PORCH 148 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 25.0 Ft. Shoreline: Ft. Water Body: SEPA?: No N 6. Model: Width: Ft. Rear: 4 Ft. Slope: Ft. Shoreline Desi Side 1: .0 Ft. 9.: Not Applicable Year: Serial No.: Side 2: S 6.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Water Adequacy Plan Review SJC 1/11/2010 $103.00 S72010000 Hosebibs 2 Furnace<100K 1 Plan Check Fee GMM 1/11/2010 $849.78 S12010000 Kitchen Sink 1 Gas Outlets 2 Address Fee GMM 1/11/2010 $173.50 S12010000 Lavatories 2 Propane Tank 1 Planning Review Fee GMM 1/11/2010 $205.00 S12010000 Showers 1 Ventilation Fan 3 Building State Fee LDK 1/22/2010 $4.50 s bi0000 Water Closets (Toilets) 2 Heat Pump 1 Building Permit Fee LDK 1/22/2010 $1,307.35 §i20i0000 Water Heaters 1 Propane Stove 1 Mechanical Permit Fee LDK 1/22/2010 $237.90 S120i0000 Bath Tubs 1 Dryer Vent 1 Mechanical Base Fee LDK 1/22/2010 $28.50 S12010000 Clothes Washer 1 Plumbing Permit Fee LDK 1/22/2010 $93.20 S12010000 Plumbing Base Fee LDK 1/22/2010 $24.70 S12010000 Total $3,027.43 BLD2010-00016 Please refer to the following pages for conditions of this permit. 1 of 6 CASE NOTES FOR BLD2010-00016 CONDITIONS FOR B LD2010-00016 1) 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 De nor to any further inspections being performed or approvals granted. X e t - 2) OwneIl Agept is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. x -I = 3) 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 removalr2fbmved documents will result in failure of required building inspections. X ���� 4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X � 5) 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 Buil ic,)]De"rtment prior to any further inspections being performed or approvals granted. X �. \JS 6) 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 unders cue PIP roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X If 7) Per IRC -SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accor Tw{th the applicable provisions of this section and the manufacturer's installation instructions. � X �, BLD2010-00016 Please referto the following pages for conditions of this permit. 2 of 6 8) 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/contract r's aqklP owledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. I k 9) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. X _C. �Cndation� drains within 30ft, down gradient of drainfield/reserve area. ` • 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, 1-� 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 char g an 4all 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�ocign. X U_t 13) Installation of heating equipment in single family residences shall meet the requirements of the current Washington State Energy Code. The furnace to be installed shall not exceed 150% of the heating and cooling design load. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted engineering practice, including infiltration and ventilation. Design calculations shall be available for inspection during the framing inspection. Warm-air furnaces shall have a minimum efficiency of 78%AFUE or higher or 80% combustion efficiency. All ducts shall be securely fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with manufacturers installation Xstr ns f3ct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated to R-8. BLD2010-00016 Please referto the following pages for conditions of this permit. 3 of 6 14). . 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 proje l X , L� 15) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County Xrdir ce pr,regulation, must be reviewed and approved by Mason County prior to construction. 16) 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 Inspe o shatll tie made prior to requesting additional inspections. X 1L'� 17) All propane 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 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 5-ft or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective boll mu t be installed. X , 18) All propane tanks 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 in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be installed X , 19) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must X eet t V!V; ton requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. 20) Fuel 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 tim spection 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 e u til the final inspection has been performed and approved by a Mason County building inspector. X BLD2010-00016 Please referto the following pages for conditions of this permit. 4 of 6 21) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you thinks fqtes exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 1� ` 22) All property lines shall be clearly identified at the time of foundation inspection. X � j 23) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to re nest 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 Ma Co ntsy ordinances and building regulations. X � 24) 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 holde re ented action from being taken. No more than one extension may be granted. T X c 25) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, con to s��and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X ) 26) Retaining walls needed to support a surer TO as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 1,1 % VI- 27) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X R_L_� 28) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approv iteRn"to ensure these structures are shown and meet the setback conditions listed. X 29) 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 1-800-6 11 98I.Jhe person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X �� 30) Appro pqr dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 31) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Allyn UGA R1-P residenti t� X 1 BLD2010-00016 Please referto the following pages for conditions of this permit. 5 of 6 32) Prior to final approval, all upland areas disturbed or n cre Stda by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). 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 inspKnWithin the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of ess inspection.The owneror the agenners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above describe p pe and tructu for iew and' spect �J OWNER OR AGENT: DATE: BLD2010-00016 Please refer to the following pages for conditions of this permit. 6 Of 6 co N o*' CONCRETE MECHANICA MANUFACTURED HOME n Date B _� y o Footings I Setbacks 1 Gas Piping Ribbons C i�ll',J � � CD Date / Interior-Date By Date By nl CD Exterior Exterior Date �7�(7 xterior-Date B .� r— Point load I Isolated Footings INSULATION Date By Z Date By BG/SLAB INSULATION FIRE DEPARTMENT _.__ .,m.__ m D _ Data B y Foundation Wails Floors _ Date By Date 7-117110 Data / o By DECKS FRAMING walla Date By Date _ o ey Data By PROPANE TANKS PLUMBING vault Date By Date By_ OTHER Groundwork Attic Date By Date By Type. Date By D.W.V DRYWALL Type. Date Int.Brace Wall Date By �© y Date By FINAL INSPECTION p Water Line Fire Separation 1I/ IQ Date (� Ste^ By ` Date �/ By 1►' Date By CD � O Pass or Request Inspect. c s Type of nsp. Fail Date Date Done By Comments o CD rn 0 7S q z 0 Z (0 f nss ,v ,t ,� L L_ a Gam► ✓z� tom. �,_ y- � f u� rtiw Prz ,P r��c a r-ovAd wQ'/:5 84 2A, l6 Z /7� o' y n-,lvc ryfio F 1� d -�v G-g i� s�C-.9ri- 0 J �;-;=,•�ci=�= ���,�Z���- so oo�3�yAc L..�NC rnovN-�P��r� � ���w p� . O 3 Cp D kGK 0 l6 ' m e H ovS� GkaP\G C L\ L8 a! APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE 4CHAES SUBJECT TO APPROVAL By Date lSt S i i S 1 YSi la OU;33 W-AJ 9H WH$LF% r s xx rs�r xs� 1 Lateral a�[ r � Ana s Using 2006 In1emational Building Code Home for Schure Plan 1310 For; Ralph Itialseth 02/11/10 ReviSion 2 As the concrete waft am only Z 3 feet ts3(not Om Ir that was anfi&0984 and sePPOrting a 2ftg#e Wmy,a mUfftnum of 194 r+ebar may be ued In#w iacting(near t1m center of the footings wW a sfttgfe horkm""bar my be in the upper�"Of me WaL - `/erEecai rebar may be UmIlmd to#4 bar a4 4r an cents€. Wet seftft is acceptable if mccomplMed while gets is abu wwk*W. i �N_ `Q Sl EXPIAE>: ?,ftd{% George Enginee g 1321713e Street IPN Gig Harbor, WA 98329 253-553-2252 t:31�i 4{L lli Y3 YSti:.�a t as.s�t�s s!! s f�t;lAhH wri s tsc rr-�tix ucs w t'oodngs tRI . �„ .) l � •1r! ( 11 i , N 'j.AWRJZ�yrl PI. Ir 't.1 [['�(� r"i.l+ t(r ��i,IM �5���` �I �� 1 � MSA !. L" vH API 9 R��niF l' !{sltf{1T S�Si111m, nir+ n,'A t{ t 77.�s�rr c1S SiRi�„ �{ ,r 'Ail . h _. 1R dAY. A,.y Concrete Foundation Waft—Flexural Design Walls are 2.5 feet taff (max) and shaf! be,f 8 inch reinforced concrete construction. Design of Reinforced con€ram basament vwalf S€Nf weight �]iQ7,p?fl; rw"" d i�++r� t 1�:lb'"A".+ WGi'3t CaS2 aYer�t faKir �kti�tfS max 80if press allow i�i,it"� VV�ff height it oorfc strength (fc) ;, '�t psi watt hit b+eicw � :x� ft' tt grade 80 bars(fy) f usug ttfidmess � ;t�����`ft (6 ) incites ,r+ cone weight a}i I IbIr3 overafl wall height a ft I �i� is l �r.� a..rpnr,r phi= i; {�'f +1d f.'+ Al (bearing width) T,,�'°p it (6; incites. toe #' '; �ff ( Y sns es reir&r-errment r w, FROM: heel i.�41j`�}ff //3 j inches rebar minimum coves t' :4;'6� Y in ?r�rf�eS!{sSS1t3r4Se wall thick :t f S}inches 7th edition, pg 191 When the sur`aca of the retained earth at the top of the ba&ement waft is tswizontal, t"e resuftant eaettf pressure is:P=0.286*(win"2):2 FROM:ParkWAmbrasa=th edition, pg 193 P = 107 P accurs at 0_83 ft kom bottom of ware The directon of the resultant earth pressure is horizontal. and acts at Ii3h from the bottom of the waft. The two reactions are 1i'3P and 213P, the"4rces resisted by the lstfloor and t asementfloor slabs; respectively lit= 35.a I resisted by 1 st floor fib= 71.5 !b resisted by basement slab The maximum bending moment for this type of triangtifar loading is: M=C.4128WL or C.128Ph where W is the total tria^5ular load and t.or h is the vertical dist between supports. Mf= 34 ft-s'b FROM:Parker Ambrose 7th editiort, pg 194 The vaW t a serrvtee lot riorn€at Because there is no service dead Toad moment,Mu=1.7M D&= 56 ft lb FROt+ ParkerlAmbrose.7th editi'ort, pg 194 and the required theoretical moment strength is Nft=Mslph} k4t F ROW ParkerfAmbro'se 7th editom, pg 194 For this type of triangular Wiling, the.sectkm,of the wall at wt iL-h the bending Moment is maximum is 9.58h from the tour of the ws this is: 1.45€t from;op of wall Assume a wall thickness of 6 inch trhus the mirrirrturn rebar cover cf 1, equals 5 in The gross cross sectional area, Ag= 60 inchee'2 for a 12 in $trio of watt. Try reinforcement ratio of 0.0015 eu/111YInia IStS-M loilstb.i It �PAAMA VX4M-N s-RCAL U1Wv1D As in."2Mt Now, investigate uitimatel Tensian,T=Asafy T= 54M lb And now set equal to the expression for Cornpress�on C and solve for a, the depth of the rectangular stress block is C= 0,851;cba a= 0.424 in FROM:ParkerlArnbrose 7th edifion, pg 195 Now check-wall for Moment strength (Mt)for rear cover of i inches. Mt--7*(d-ai2) Mt 25856 in ib= -Ft ib ,,nd Good Engmeemg Practice dictates that the reinforcement ratio not be less than 0.0015 Therefore, 0.0015` 12 ' 6= 0,09 Vartlsal #3 bar 014 inches or From table 7,5 of Parker/Ambrose, #4 bar @>24 Inches or 7 th ed t n, pg 105 #5 bar Q>24 inks or #8 bar @>24 inches Horizontal reinforcement should be a min of 0 0015 times the wall's reinforced section rpp�Pa►i<er Ambrose pg 18811. Therefom. 010025 '5 " 12 = 0,09 Harkanw #3 bar L 14 inches or Frorn table 7.5 of ParkerfArnbrosa, #4 bar Q>24 inches or 7th, adition, pg 105 #5 bar C>24 inches or #6 bar Q>24 inches Place to bar; near the middle cif the wall. But no ciow to the sail side of the wall than 5 inches (per Table R404.1,1(2)c Neither Shear nor Development length of reitIftroemerd are critivai for a of this general type and proportion of wall. ; r :, p tYeGt ll it M f -tro h N t r r ^�7 .ro r� '�.�` t S .,SJ`Izt!' irMs1V. ,S ,. ., }t i i'1 r t'. Yr 1 t 9i 1",r t rC l+ t la ti,,.M t'• 41tP i! �> '!•t N r t • � r ,p��� r�,�'S•�i11"r••r u r � ,,.,. � f r, f"t c f�� ir d'�..,.11,!;�i;l 02/10/2010 11: 45 2533963377 TACOMA WATER PAGE 01:'02 Lateral and Gravity Analysis Using 2006 International Building Code Home for Schure Plan 13. For; Ralph Hjalseth 02/09/10 Revision 1 The Schedule on page 61 of the Engineering incorrectly references HD2 as a "Simpson H5A" hurricane tie_ The correct reference for HD2 should be"Simpson 1i5" hurricane tie. All references to"HD2" or"Simpson 1-15A" hangers should be changed to "Simpson 1-15" hangers. Also, on Page 3 of 3 of the Engineering plans, a note referring to HD2 says, "Install HD4 on each end of each Truss member,Jack rafter, etc.". This should be changed to say"Install HD2 on each end of each Truss member,jack rafter, etc.". N•.... ..�'O rol �4NAL EXPIRES, 7/14/ 11 George Engineering 13217 130" Street KPN _ Gig Harbor, WA 98329 post_ItT'brand fax transmittal memo 7671 a Of P99" ► :-7 253-857-2252 T* L ( From r CO. Co- (' Dept.13 { Phone R 7 Fax� q 7 - F®x H 3 - -7 61 m N Shear WaII/Dia hragm Schedule: CD Shear Minimum Nominal Minimum Minimum Nail or Nail Nail Abutt Edge Edge Diaphragm Panel Panel Panel Panel Panel Nail Screw Spacing Spacing Framing Blocking m Type Type Grade Thickness Location Length Penetrate Size At Ede In Field Size Required? m SW2S -- OSB Sheathing APA rated C-D, C-C 7/16" outside continuous 1-318" 8d 2" Special Special Special SW2 — OSB Sheathing APA rated CA C-C 7/16" outside continuous 1-318" 8d 2" 12" 3x Nominal Yes SW3 -- OSB Sheathing APA rated C-D, C-C 7/16" outside continuous 1-3/8" 8d 3" 12" 3x Norninai Yes SW4S — OSB Sheathing APA rated C-D, C-C 7/16" outside continuous 1-318" 8d 4" 12" 3x Nominal Yes SW4 -- OSB Sheathing APA rated C-D. C-C 7/16" outside continuous 1-318" 8d 4" 12" 2x Nominal Yes N SWfi — - OSB Sheathing APA rated C-D, C-C 7/16" outside continuous 1-318" 8d 6" 12" 2x Nominal Yes W SWGB4 Gypsum Board Gypsum Wallboard 1/2" one side continuous 314" 5d, No.6 4" 7" 2x Nominal Yes W SWGU4 — Gypsum Board Gypsum Wallboard 1/2" one side continuous 3/4" 5d, No.6 4" 7" 2x Nominal No U1 SWGU7 — Gypsum Board Gypsum Wallboard 1/2" one side continuous 3/4" 5d, No.6 7" 7" 2x Nominal No D-E6-F12 DOC PS2 24116 Sheathing EXP1 7116"min too side continuous 1-3/8" 8d, rin 6" 12" 2x Nominal Yes PROOF DOC PS2 24/16 Sheathing EXP1 I 7/16"min to side continuous 1-3/0' 8d 6" 12" 2x Nominal No 1)All edges of all sheathing panels designated 4, 6 or G134 shall be blocked and backed by 2x(nominal)framing (minimum). See note 2 below. Edges of D-E6-F12 diaphraphms shall be supported by lumber blocking, tongue and groove, or other approved type of edge support. 2) For Types 2S, 2, 3, and 4S panels above,framing receiving edge nailing from abutting panels sha€I be 3x (nominal) material (min)and nailing shall be staggered. 3)Where joists are perpendicular to braced wall lines above, blocking shall be provided under and in line with the braced wall panels. 4) For Type 2S, 2, 3&4S panels installed on the 1st floor, anchor bolts shall be secured with a 3"x 3" x 1/4"washer and nut (minimum). 5) For Type 2S, 2, 3&4S panels above, anchor bolts are designed for a load capacity of 50% or less of the allowable capacity(see attached talcs). 6) 1/2" nominal APA rated EXP1 plywood maybe substituted for APA rated C-D/C-C OSB (above) without loss in strength or increased deflections. I> c) Hold-Down Schedule: o Hold Down Tie down Rating w/ Rating w/ Additional Anchor Type Model# d=112" d =te Requirements I> HD1 <>Simpson STHD14/STHD14RJ 3235 4220 Nail and anchor IAW Table R602.3(1) & Section R403.1.6 M HD2 Q Simpson H5 455 455 Nail and anchor IAW Table R602.3(1) & Section R403.1.6 1)Tie Down devices listed above are sufficient to prevent uplift or overturning of the wall as a whole. The Additional Anchor Requirements listed above ensure that each portion, of each wall, shall be secured to the load bearing members above and below it to ensure a continuous load path. I> m m n� i m N Nam=1et,1 Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) 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. 2Common 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 X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: 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 above table X = 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) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below. Rased I 1pon the information you have proyi edi a Stornmater-S[te_P1an..IS.1Y0T�>�rnd fnr this_�y�o}�rrlt nt actiyj�y, 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- des property for review d ins a ion as may be required. X Owner/Ag dContractor ircle one)Date:, Lam" If the 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: httpHwww.co.mason.wa-us/code/commissioners/index.htm 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 Stormivater 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 - --- ------- - - - ---- -—--Physicaf:426-W-Cedar-fit,--SheIWn-lV-A-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 MASON COUNTY ,. DEPARTMENT OF PUBLIC WORKS 100 W PUBLIC WORKS DRIVE SHELTON, WASHINGTON 98584 Phone(360)427-9670 x450 Fax(360)427-7783 Ms. Linda Schure MASONCOUNTI' MISSION 60 E Mountain view Drive MIS Allyn,WA 98524 The mission of Mason County Government is to provide essential& August 10, 2012 mandated services which will preserve & benefit the health,safety,&welfare of the general public in a Subject: Case#SLD2010-00016 professional and courteous 1 manner throu,tih the effective ' and equitable management ; Dear MS_Schure, of available public resources- ( The purpose of this letter is to document that all stormwater and erosion control Mason County recognizes i building permit conditions have been met,and summarize the results of a follow-up that its employees& 3 field visit. volunteers are the foundation upon which i these services are provided. I Your property has been stabilized with the completion of your landscaping, and includes native plantings, berms, and a variety of surface materials to prevent erosion_ Additionally,the sediment traps had been maintained by removing trapped silts and sediments. Two features were constructed to manage surface water flow from the site. A pond was excavated in the south west corner to store any excess surface water flow, and roof drains are piped to an infiltration gallery located along the south property line. At the time of my most recent site visit,three additional improvements had been made to manage surface water runoff. 1. A dry river bed was constructed along your north property line to convey surface water flows and directed to the pond. 2. The pond had been enlarged to provide even more storage and infiltration capacity_ 1 3. Runoff from your neighbors property to the north has been captured in the landscape river bed,and infiltrated in your stormwater pond. in summary,all stormwater management permit conditions are met. Please call me at (360)427-4670,extension 769 should you have any questions. Sin erely, Loretta Swanson Stormwater Program Coordinator/Program Manager 1 MASON COUNTY DEPARTMENT OF PUBLIC WORKS 100 W PUBLIC WORKS DRIVE SHELTON, WASHINGTON 98584 Phone(360)427-9670 x450 Fax(360)427-7783 MASON COUNTY Ms. Linda Schure MISSION 60 E Mountain View Drive The mission of Mason Allyn, WA 98524 County Government is to provide essential& mandated services which June 23, 2014 will preserve & benefit the health,safety,&welfare of the general public in a professional and courteous ma, Subject; Case#BLD2010-00016 mariner through the effective and equitable management of available public resources. Dear Ms.Schure, Mason County recognizes that its employees& i This letter is in response to your request to provide additional documentation that all volunteers are the I foundation upon which i stormwater and erosion control building permit conditions have been met. these services are provided_ On August 10, 2012 a letter was sent to you summarizing improvements made to date i and stating that all stormwater management permit conditions had been met. I then i revisited your property approximately one year later with road supervisor Dave Clevenger, in response to your inquiry about installing a raised edge along Mountain View Drive_ I During that June 2013 site visit,you shared with us the additional landscaping measures installed to help reduce stormwater impacts. I am glad to hear that during f the heavy rains of winter 2013 you did not notice any runoff. Thank you for i recognizing that sometimes additional stormwater management measures are desirable, and for going above and beyond the minimum requirements! i 3 Sincerely, l E Loretta Swanson j Technical Services Manager 1 i l i i MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: L�Q o p�, Tel Parcel#: �., e• - Type of project ` New Residence ( )Addition ( ) Remodel Total Sq. Ft. 15 Floor: 2 nd floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace A Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing ® Prescri tive O tion see reverse side circle one: I nV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Systems analysis, Chapter 4 O Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air S stem vents (VIAQ 303.4.1) Recovery Ventilation System (vrAQ 303.4.4) Y Check one O Whole House Ventilation Integrated 4) Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: IN ►� � � Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door areaCl Total window & door area � /(divided by)total sq.ft of heated area 1- _%of glazing MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 2006 Washington State Energy Code (WSEC) 2006 Ventilation and Indoor Air Quality Code (VIAQ) Effective July 1, 2007 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ) application located on the reverse side. 2. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will assume all window & door glazing will have a u-factor of .35 or less. When using the area weighted average method to comply with the prescriptive path include calculations with submittal documents. 3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor. All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps. To verify compliance, provide lighting information on plans. 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC and VIAQ compliance information is also available on the WSU-Energy Program website at: http://www.energy.wsu.edu/code/ Prescriptive Requirements " for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Vaulted Wall Wall Wall Area %of Door Ceiling Ceiling3 Above interior exterior Slab s Option Floor Ll e 2 see note Grade 4 below 4 Below Floor 5 on 10 Vertical Overhead Factor below 12 grade Grade Grade I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 tv Unlimited Single Family Res .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call(360)427-9670 ext. 352 for footnote information. Log&solid timber wall with a min.avg.thickness of 3.5"are exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft. of ceiling area for any one dwelling unit. 5/12/201 9:53:39A: Information Summary IP10 Case #: RAP2010-00005 Activity Hold Updated Activity Description Date 1 Date 2 Date 3 Disp Level By Date RAPA10 Application Received 1 1 12010 None ACB 1/11 2010 RAPA20 Print Completed Application 1/11/2010 DONE None ACB 1/11/2010 RAPB10 Site Pre-Inspection 1/14/2010 1/13/2010 PASS None ACB 1/19/2010 RAPA30 Issue Permit 1/19/2010 DONE None ACB 1/19/2010 RAPB100 Final Inspection 7/19/2010 7/20/2010 PASS None ACB 7/21/2010 RAPA50 Installation Approved 7'21/2010 DONE None ACB 7/21/2010 Fees Create Created Amt. Fee Type Description Trans Revenue Account No. Date By Due Code Name Case People Listing Role Type Address Company Name Hold Primary< APL RE-ADD CONSTRUCTION None Y 10218 125TH ST NW GIG HARBOR,WA 98329 CON RE-ADD CONSTRUCTION None N 10218 125TH ST NW GIG HARBOR,WA 98329 1 of 1 InfoSummarv.. 5/12/2015 Case Activity Listing 9:52:37AM Case #: BLD2010-00016 Assigned Done Activity Description Date I Date 2 Date 3 Hold Disp To By Updated Updated By BLDA010 Application Received 1/11/2010 1/11/2010 None DONE T W 1/11/2010 G M M BLDB210 Water Adequacy 1/11/2010 1/19/2010 None DONE AMH 1/19/2010 A M 11 Lakeland Village Water Co.is in compliance per DOH SENTRY BLDB110 Building Plan Review 1/11/2010 1/22/2010 None DONE LDK 1/22/2010 LDK COMPLETED PLAN REVIEW AND SENT TO CASE MANAGER BLDB120 WSEC Compliance Review 1/22/2010 None DONE LDK 1/22/2010 LDK PRESCRIPTIVE IV BLDB130 Planning Review 1/11/2010 1/27/2010 None DONE AHB AHB 1/27/2010 AHB Meets setbacks for Allyn UGA. AHB BLDB200 Environmental Health Review 1/15/2010 2/8/2010 None DONE ADR 2/8/2010 ADR Sent to utilities for plot plan approval. Recieved from utilities. See conditions. BLDA200 HOLD 2/8/2010 2/8/2010 Hold DONE GMM 2/8/2010 GMM Connection fee for sewer needs to be paid prior to issueance of permit. Connection fee was paid 2/8/2010. Genie BLDA100 Approved for Issuance 2/8/2010 None DONE GMM 2/8/2010 GMM Called and talked Ralph let him know that the permit is ready to be picked up. Also let him know that the North Bay Sewer fee will need to be paid prior to permit being issued. BLDA500 Issue Building Permit 2/8/2010 None DONE GMM 2/8/2010 GMM BLDA540 Print Inspection Card 2/8/2010 None DONE GMM 2/8/2010 GMM Page 1 of 3 CaseActMty..rpt 5/12/2015 Case Activity Listing 9:52:37AM IF, Case#: BLD2O1O-00016 Assigned Done Activity, Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated B� _. BLDA510 Reprint Building Permit 2/10/2010 None DONE P1B 2/10/2010 P111 BLDC110 Footing Inspection 2/10/2010 2/11/2010 None FAIL LDK LDK 2/12/2010 KS STILL NEED ENGINEER LETTER FOR OK TO WET SET AND USE PRESCRIPTIVE FTG/FDN BLDC100 Inspection 2/10/2010 2/11/2010 None PASS LDK LDK 2/12/2010 KS BLDC115 Foundation Wall Inspection 2/16/2010 2/17/2010 None PASS MEC 2/23/2010 PIB BLDC135 Mechanical Inspection 4/14/2010 4/15/2010 None PASS TFR 4/27/2010 GMM BLDC100 Inspection 4/14/2010 4/15/2010 None FAIL TFR 4/27/2010 GMM DWV/FRAME-FAIL: 1.) AIL EXT SEETING @ 6"O.C.-ALL 4 EDGES. 2.) IN CRAWL SPACE INSTALL BRIDGIN OR BLOCKING WHERE REMOVED BY OTHER TRADES. 3.) IN CRAWL SAPCE INSTALL STRAP AT NON LAPPED PLATES IE STEP IN FOUNDATION. 4.) IN CRAWL SPACE INSTALL CLEAN OUTS AT ALL BRANCH LINES OVER 5'. 5.) IN CRAWL SPACE SISTER JOIST W/TOP CORD NOTCH BY PUMBER AT TUB DRAIN. 6.) BLOCK TRUSSES AT 3RD PT BY COVER PORCH. OK TO INSULATE. BLDC100 Inspection 4/16/2010 4/19/2010 None PASS TFR 4/27/2010 GMM DWV/FRAME-PASS. BLDC145 Insulation Inspection 4/16/2010 4/19/2010 None PASS TFR 4/27/2010 GMM WALL&FLOOR INSULATION. BLDC150 Wallboard Inspection 4/20/2010 4/23/2010 None PASS TFR 4/27/2010 GMM IBWP/FIRE SEPARATION-PASS. Page 2 of 3 CaseActivity..rpt 5/12/2015 Case Activity Listing 9:52:37AM Case #: BLD2010-00016 PIO Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDC157 Final Inspection-Failed 6/4/2010 6/8/2010 None FAIL TFR 6/9/2010 PIB Final-Fail: 1.) Install vacuum breakers on all non-protected hose bibs. 2.) Provide final grade-grade to slope away from building at 2%Tout(drainage not to affect adjacent properties. 3.) Caulk wires and gas pipe left side of garage. 4.) Hook up gas or cap black iron. 5.) Paint gas pipe. OK to occupy temp 180 days. BLDC155 Final Inspection-Passed 6/4/2010 6/8/2010 None PASS TFR 6/9/2010 PIB 2nd trip today-flan]inspection-passed. Page 3 of 3 CawActMty..rpt FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. l PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 I�' Shelton (3,60) 427-9670 - Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner_lr.,a.�l� � S,�.tLc Company Name Mailing Address 2a In E- �-y�� � � Mailin Address City tate%1% Zip Code 42) =2_� City State ,I Zip Code Phone: Other Ph. P h o n Other Ph. Lien/Title Holder ,.�G A Contractor eg. xp.�— E mail address E Mail Address Drivers Lic. # DOB Drivers Lic.# OBf— SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System- Well Sewer Systert>� Name of Sewer System 1 C nLW_ PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description == C-18 I "Ch S l l L" A'— 616 Site Address(Please include street name, street number and city) Directi ns to site Will timber be cut and sold in parcel preparation., es No Is propertX within 200'of Saltwater Lake 3 r, —River/ Creek 1�10—Pond N C� Wetland Seasonal Runoff Stream +.\ Slopes or Bluffs - 15% ts'W' 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 W,L11t No. of Bedrooms No. of Bathrooms `2-, Square Footage- 1 st Floor �_�t Q 2nd Floor 3rd Floor Basement Deck Covered Deck_�S. Other —Sq. ft. Garage -�L y Attached yk 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 OFAPROGRESS INSPECTION.IN4CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X hid Date: 1— - i Q Owne /Owners R, presentative/Contractor` (indicate which one) I Up FOR OFFICIAL USE BEYOND THIS POINT Accepted by: ., ` _ Date' DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 1 ZZ Iv L4'(., Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. PLUMBING/MECHANICAL 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 CONTRACTO Owner Company Name Mailin Addres Mailin Address City at Zip Code Cit atate\ Pho Other Ph Pho ather Ph. Lien/Title Holder , -�-5 Contractor Reg. WExp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.#WALSIU04QqLPDOB6 SEPTIC INFORMATIO -.Connect to New Septic Exi ting Septic Connect to 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 cit C' Directions to site '66 . r-_ - iat= S491a iffIt Is property within 200'of Saltwater ° 'Q Lake River/Creek N a -Pond 0 Wetland Seasonal Runoff--$._Ij&-Stream-i,..l Slopes or Bluffs > 15% h TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type.,Electric) LPCz_ Natural Gas_ Heat PumpX Toilets +�-- Type of Unit No. of Units Fees Bathroom Sink — — Furnace Bath Tubs Heatpumps Showers 17 Spot Vent Fan Water Heater I Propane Tank t Clothes Washer —I Gas Out ets Kithen Sinks W G"a elletStove i Dishwasher Kitchen haust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL 01NNER/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. PRT OF ONT UAT ON OF ORK Y MEANS OF A PROGRESS INSPECTION. X D , Date: �" �," k1p 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 4yz/1a Occ Grou Tvpe Constr. (� LV)L 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