HomeMy WebLinkAboutBLD2014-00372 SFR - BLD Permit / Conditions - 7/11/2014 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 279
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2014-00372
OWNER: MIKE GEDNEY RECEIVED: 4/24/2014
CONTRACTOR: LICENSE: EXP: ISSUED: 7/11/2014
SITE ADDRESS: 391 E POINTES DR EAST SHELTON EXPIRES: 1/11/2015
PARCEL NUMBER: 121195300111
LEGAL DESCRIPTION: HARTSTENE POINTE#4 LOT: 111
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR ST RT 3, R ON PICKERING RD, CROSS BRIDGE TO THE ISLAND, L ON
NORTH ISLAND SIDE FOLLOW TO HARTSTENE POINTE, TO SITE
ADDRESS MARKED
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: 4 Occ. Group. R3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:3,272 Garage-Attached 918
Valuation $ 399,479.96 Building Height: 25 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: N 5.0 Ft. Shoreline: Ft. Water Body: na
Rear: S 5.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 5.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 5.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 4 Heat Pump 1 Plan Check Fee GMM 4/24/2014 $ 1,432.18 S1 2 0 1 4000 000 01
Lavatories 6 Ventilation Fan 5 Planning Review Fee GMM 4/24/2014 $205.00 S120140000000(
Bath Tubs 1 Woodstove 1 EH Plan Review GMM 4/24/2014 $200.00 S1201400000001
Showers 3 Exhaust Hood 1 Building State Fee DLC 5/22/2014 $4.50 S1201400000001
Water Heaters 1 Dryer Vent 1 Building Permit Fee DLC 5/22/2014 $ 2,673.75 S120140000000i
Clothes Washer 1 Plumbing Permit Fee DLC 5/22/2014 $ 171.50 S120140000000i
Kitchen Sink 1 Plumbing Base Fee DLC 5/22/2014 $24.70 S120140000000i
Dishwasher 2 Mechanical Permit Fee DLC 5/22/2014 $ 158.40 S120140000000i
Hosebibs 1 Mechanical Base Fee DLC 5/22/2014 $28.50 S120140000000i
ADJUST--Plan Check Fee DLC 5/22/2014 $305.76 S1201400000001
Total $ 5,204.29
BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 1 of 8
CASE NOTES FOR
BLD2014-00372
CONDITIONS FOR
BLD2014-00372
1) By definition, propane t�n ks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these str ures m e�fhe'setback conditions listed.
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2) OwgeS gent is sp r/sible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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3) 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. Oct!pancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
per revocation /
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4) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS all be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or additio s req ir' g a permit occur, or when one or more sleeping rooms are added or created.
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5) All changes to"approved" bui ing plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance o regula i mu be reviewed and approved by Mason County prior to construction.
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6) 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 r oved, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged and shall b olle d by the Building Department prior to any further inspections being performed or approvals granted.
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7) Prior to final approval, all upland areas disturbed or I crealgoy c truction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting).
BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 2 of 8
8) 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 codF -11
s amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspect s II be e to requesting additional inspections.
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9) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or p obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Coun ordinan a d, building regulations.
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10) TH O ND TI fV SY T M HALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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11) Landings and stairs mu meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Appro ed Site P " ensure these structures are shown and meet the setback conditions listed.
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12) A minimum of 75 percenxof all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section
R404.1.
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13) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 2 ' Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your proje .
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BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 3 of 8
14) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution
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 County Permit en riivill also have some available.
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15) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceed g 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder ha vente do from being taken. No more than one extension may be granted.
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16) The plan review check list a d 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 sponsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remova pro a cu is will result in failure of required building inspections.
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17) 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 additio , a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
DepartmLent prior t ny f rCher inspections being performed or approvals granted.
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18) All property lines shall be clearly identified at the time of foundation inspection. X
19) 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". monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. TheperSo/n signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 4 of 8
20) Installation 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
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
available on at the WSU- ergy Program website titles, "Duct Leakage Affidavit"or"Duct Leakage Testing Results (Existing Construction)." Duct
tightness testing is n t r ired if the air handler and all ducts are located within the heated space.
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21) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
A drip edge shall be provi d at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5)
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22) WIND LOADS- Roof co rings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
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23) Approved per en ons and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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24) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building a rtm n rior any further inspections being performed or approvals granted.
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BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 5 of 8
25) In addition to the inspections required in IBC, Section 109, the owner, the engineer or architect of record acting as the owner's agent shall
employ one or more special inspectors who shall provide inspections during construction on the types of work listed under Chapter 17 and as
specified by the design professional. The special inspectors duties & responsibilities shall be as specified in Chapter 17.
AUTHORIZED SPECIAL INSPECTORS SHALL BE CERTIFIED TO PERFORM THE TYPE OF INSPECTION THAT IS PERFORMED. IN ADDITION
SPECIAL INSPECTIONS MAYBE PERFORMED BY A WASHINGTON STATE LICENSED DESIGN PROFESSIONAL. THE WASHINGTON STATE
LICENSED DESIGN PROFESSIONAL AND ENGINEER OF RECORD ASSOCIATED WITH THE PROJECT IS MC SQUARED. A LIST OF CERTIFIED
SPECIAL INSPECTORS OR AGENCIES ARE LISTED ON THE WABO.ORG WEBSITE.
PROVIDE, IN WRITING THE NAME OF THE INDIVIDUAL OR AGENCY THAT WILL PERFORM THE REQUIRED SPECIAL INSPECTIONS. PROVIDE
INFORMATION NO LATER THAN THE FOOTING INSPECTION.
SPECIAL INSPECTIONS SHALL BE PERFORMED FOR THE FOLLOWING WORK:
1. High strength bolting, including A325 connectors
2. Welding performed onsite
3. Cross-bracing system connections
Special inspection reports shall be submitted to the Mason County Building Department, ATTN: BLD2014-00372, 426 West Cedar St, Shelton
WA 98584 and available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be
submitted prior to the framing and final occupancy inspections.
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26) 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 s ptic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contractpl 23 knowle ng t all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
27) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREA)SP THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR RO Y.
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BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 6 of 8
28) 2012 IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: DUCT LESS HEAT PUMP WITH ZONED HEATING. 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.
In addition the following credits from R406.2 shall be completed as follows: Required 1.5 credits:
Option 3D (1.0 credit): High efficiency HVAC equipment, Ductless split system heat pump, zonal control. Where the primary heating system is zonal
electric heating, a ductless heat pump system shall be installed and provide heating to at least one zone of the dwelling.
Option 5A(0.50. credit): Efficient water heating, Electric water heater with min. EF of 0.93. All showerheads and kitchen sink faucets shall be rated at 1.75
GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or less.
PROVIDE COMPLIANCE INFORMATION FOR THE WATER HEATER, AND FAUCETS AVAILABLE AND ON-SITE FOR FINAL OCCUPANCY
INSPECTION.
Maximum heat equipm nt o put: 40,186 btu/hr
29) This project is approved with an un-vented crawl space provided the under-floor space complies with Washington State amendment to Section
R408.3 of the 2012 International Residential Code as follows:
Ventilation openings in under-floor spaces specified in Sections R408.1 and R408.2 shall not be required where:
1. Exposed earth is covered with a continuous Class I vapor retarder. Joints of the vapor retarder shall overlap by 6 inches (152 mm) and shall
be sealed or taped. The edges of the vapor retarder shall extend at least 6 inches (152 mm) up the stem wall and shall
be attached and sealed to the stem wall; and a radon system shall be installed that meets the requirements of Appendix F(Radon) of this code.
AND
2. Continuously operated mechanical exhaust ventilation is provided at a rate equal to 1 cubic foot per minute (0.47 L/s) for each 50 square feet
(4.7 m2) of crawlspace floor area. Exhaust ventilation shall terminate to the exterior.
Exception: Plenum in existing structures complying with Section M1601.5, if under-floor space is used as a plenum
A RADON VENT SHALL BE INSTALLED/N ACCORDANCE WITH APPENDIX F. SEE INFORMATION ATTACHED TO APPROVED CONSTRUCTION
PLANS.
IN ADDITION PROVIDE COMPLIANCE INFORMATION SHALL BE PROVIDED DURING FOOTING INSPECTION THAT CLEARLY IDENTIFIES
CONTINUOUSLY OPERATED FAN LOCATION, SIZE, AND EXHAUST LOCATION.
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BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 7 of 8
30) The structure shall be provided with draftstopping and fireblocking in accordance with the 2012 International Residential Code Sections
R302.12 and R302.11.
Draftstopping is required in combustible construction in the usable space above and below the concealed space of a floor/ceiling assembly.
Floor framing constructed of truss-type open-web, perforated members, or ceilings suspended under the floor require draftstopping. Required
draftstopping shall be installed such that the concealed space does not exceed 1000 sq. ft and divide the concealed space into approximately
equal areas.
Draftstopping materials may include the following: Min. 1/2-inch gypsum wallboard, not less than 3/8-inch wood structural panels, or other
approved materials adequately supported and shall be installed parallel to the floor framing members.
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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 suspende ,for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION O 0 WILL LNV LIDA THE APPLICATION.
Signature Date
e e 177) '� OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2014-00372 Please refer to the following pages for conditions of this permit. Page 8 of 8
Name Mike and Rita Gedney Parcel# 12119-53-00111 BLD#J la 26144. 603r12-
B U S InD I N G Mason County ,011,
Department of Community Development APR 2 4
Small Parcel Stormwater Management Application/WorksheetlfA# 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:
http//www.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) Mq 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/drainfield 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.
79 9 r e
X Owner/Agent/Contractor(circle one)Date: 0312-7 i
Page 2 of 2
. It A.
Name Mike and Rita Gedneyparcel# 12119-53-00111 BLD# 2 o i L4- 003`7Z
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.
'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,wicovered 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 56 X 20 = 1120
36 X 20 = 720 Measurements for buildings are taken at the
36 X 20 = 720 perimeter of the farthest projections (example:
eaves/gutters)
16 X 20 = 320
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) 2880
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-
described property,,foorr review and inspection as may be required.
X /i�G ge6z�z� Owner/Agent/Contractor(circle one)Date:_3z��41,41
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.
Pagel of 2
�pN pOpy
MASON COUNTY PERMIT NO. 3ld ZDIL - 003�2-
`i DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352
Mason County Bldg. III,4Vyegt(WING
ret (360)275-4467 Belfair ext. 352 _
a PO Box 279, Shelton,W JJggvv�� (360)482-5269 Elma ext. 352
BUILDING PERMIT APPLICATION (�,
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Mike and Rita Gedney NAME: owner
MAILING ADDRESS: 717 E Pointes Dr W MAILING ADDRESS:
CITY: Shelton STATE: WA ZIP: 98584 CITY: STATE: ZIP:
PHONE: CELL: 785 452 8337 PHONE: CELL:
EMAIL: mike,gedney927 _gmail.com EMAIL :
L&I REG # EXP.
YtiRCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) 12119-53-00111 FIRE DISTRICT_
LEGAL DESCRIPTION(ABBREVIATED): Hartstene Pointe #4 Lot 111
SITE ADDRESS 391 Pointes Dr. E CITY Shelton
DIRECTIONS TO SITE ADDRESS Hwy 3 to E Pickering Rd to E North Island Dr. Left on North Island Dr
to Hartstene Pointe
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 N ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) residence
IS USE: PRIMARY ❑ NUMBER OF BEDROOMS ,3 NUMBER OF BATHROOMS
DESCRIBE WORK 1'�EI�EASONAL []
6,re_ (�JZ� "'Jg':5KLC.lAK, no
SQUARE FOOTAGE:
�6P
1ST FLOOR 1228 sq. ft. 2ND FLOOR 1346 sq. ft. 3RD FLOOR sq. ft. BASC sq. ft.
DECK sq. ft. COVERED DECK sq. ft. STORAGE sq. ft. OTH sq. ft.
GARAGE 549 sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ® DETACHED ❑
MANUF ORMATION: *4 COPIES OF THE FLOOR PLAN
E MODE YEAR LENGTH
ZIDTHEDROOMS
B B SERI ER
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 APPLICATION OF 180 DAYS WILL INNVAL19ATE I�E APPLICATION.
Signatur of Appli Date �'
x Michael EMichael E Gedney OWNER/ REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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SON SOU
MASON COUNTY PERMIT NO. I I - W:j7Z
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING• PLANNING•FIRE MARSHAL
WWW C 1 I (360)275-4467 Shelton ext.
35 2
-� Mason County Bldg. III,426 a tr t (360)275-4467 Belfair ext. 352
raw PO Box 279, Shelton,WA 98 (360)482-5269 Elma ext. 352
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Mike and Rita Gedney NAME: owner
MAILING ADDRESS:717 F Pointes Dr_ W MAILING ADDRESS:
CITY: Shelton STATE:WA _ZIP: 98584 CITY: STATE: ZIP:
PHONE: CELL: 785 452 8337 PHONE: CELL:
EMAIL:mike.gedney927aamail.com EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 1 21 1 9-53-001 1 1
LEGAL DESCRIPTION(ABBREVIATED): Hartstene Pointe #4 Lot 111
SITE ADDRESS: 391 Pointes Dr E CITY: Shelton WA
DIRECTIONS TO SITE ADDRESS: Hwy 3 to E Pickering Rd, right on E Pickering Rd to E North Island
Dr, left on E North Island Dr to Hartstene Point
TYPE OF JOB
NEW x ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS— Is FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNyTS
Type of Fixture No,. Fix—tares Fees Fuel Type:Electric ,/ LPG Natural Gas Heat Pump_
Toilets v 4 Type of Unit No. of Units Fees
Bathroom Sink \j 6 Furnace
Bath Tubs V 1 Heatpump
Showers 3 Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Qen
Gas/Pellet Stove
Dishwasher 2 Exhaust Hood —1—
Hosebibs 1 Dryer Vent 1
Other Other ductless
Base Fee 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 APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x 7g 031271/1-1
Signature VApplicanv Date
x Michael E Gedney Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PLANNING
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_ = ALL SETBACK ARE MEASURED
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° APPROVED
—�` MASON COUNTY CCnD PLANNING
SITE PLAN REQUEMD TO BE ON SITE
CHANCES SUBJECT TO APPROVAL
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