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HomeMy WebLinkAboutBLD2011-00641 SFR - BLD Permit / Conditions - 10/5/2011 Inspection Line(3tjU)4Z/-/LtiL MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. 111 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2011-00641 OWNER: CHAD GOELZER RECEIVED: 8/1/2011 CONTRACTOR: OYSTER BAY CONSTRUCTION 1.360.790.1558 LICENSE: OYSTEBC971J8 EXP: 7/25/2013 ISSUED: 10/5/2011 SITE ADDRESS: 11 E SHORELINE PL SHELTON EXPIRES: 4/5/2012 PARCEL NUMBER: 32021 01028 LEGAL DESCRIPTION: SHOE REST ADD REPLAT S 32/11 BLK: 1 LOT: 28 &T.L. BLK: 2 LOT: 26 PROJECT DESCRIPTION: DIRECTIONS TO SITE: CONSTRUCTION OF NEW SFR. ST RT 3, R ON AGATE RD, R ON CRESTVIEW DR, L ON PARKWAY BLVD, R ON SHORECREST DR, THEN L ON SHORE LIN PLACE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: Occ. Load: Building: Valuation: $ 110,905.90 Building Height: Occ. Status: Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 110.0 Ft. Shoreline: Ft. Water Body: OAKLAND BAY Rear: S 100.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 8.0 Ft. Shoreline Desig.: Urban Year: Serial No.: Side 2: W 30.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee GMM 8/1/2011 $671.42 S120110001 Lavatories 2 Ventilation Fan 3 Planning Review Fee GMM 8/1/2011 $205.00 S1 201 1 0001 Showers 1 Exhaust Hood 1 EH Plan Review KKK 8/1/2011 $103.00 S620110001 Kitchen Sink 1 Dryer Vent 1 Water Adequacy Plan Review KKK 8/1/2011 $103.00 S62011000( Clothes Washer 1 Building State Fee DLC 9/7/2011 $4.50 S12011000( Water Heaters 1 Building Permit Fee DLC 9/7/2011 $1,055.35 S120110001 Dishwasher 1 ADJUST--Plan Check Fee DLC 9/7/2011 $14.56 S120110001 Hosebibs 2 Plumbing Permit Fee DLC 9/7/2011 $93.20 S12011000( Laundry Tray 1 Plumbing Base Fee DLC 9/7/2011 $24.70 S120110001 Mechanical Permit Fee DLC 9/7/2011 $67.50 S120110001 Mechanical Base Fee DLC 9/7/2011 $28.50 S 120110001 Total $2,370.73 BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 1 of 6 r CASE NOTES FOR BLD2011-00641 CONDITIONS FOR BLD2011-00641 1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647- . Th erson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) All approved pia 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 wanted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Depart n rior to any further inspections being performed or approvals granted. X 3) Ow r e esponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 4) The pla eau' w 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. Thep it holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or removal of p ved documents will result in failure of required building inspections. 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 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 Building prior to any further inspections being performed or approvals granted. X 6) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III (26% glazing), Window (Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38, and Slab Insulation R-10. In addition ttie following credit from Table 9-1 shall be completed: Small dwelling less than 1500 sq. ft X BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 2 of 6 77 A permanent certificate, completed by the 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 503.10.2, 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 0.00030 Specific Leakage Area (SLA) when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in '/<or%sheets. The Mason Co ty Permit Center will also have some available. X 8) A minimu percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps). Refere!nS 05. X 9) WIND LOA oof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X 10) REQUIREM FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manu cturer's installation instructions. X 11) A M my 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 wis onsult with the septic design professional involved with the project. By calling for a final inspection of the building permit the own e r/age nt/contr12d0h&acknDWIedging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 3 of 6 Tt) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' trom an approved access d. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such r s c ect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 13) The use, handling and storage of hazard asater er-flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 14) All construction must meet or exceed all to ordin ces and the international codes requirements as adopted and amended by Mason County and the State of hington. Occupancy is limited to proved and permitted classification. Any non-approved change of use or occupancy would result in permit (a:! n. X 15) Provisions surf ce/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parce nder 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 d 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 X 16) All chang "appr d" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinanc r ;must be reviewed and approved by Mason County prior to construction. X 17) CONSTRUCTI OCESS 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)rTfe ational codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building lnspec ade prior to requesting additional inspections. X 18) All property Ines shall be clearly identified at the time of foundation inspection. X 19) All building permits shall have a final inspection performed and approved by the Mason "ntyuilding Department prior to permit expiration. The failure to reque final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Maso inances and building regulations. X 20) All permits ire 80 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action fo p iod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder a ented action from being taken. No more than one extension may be granted. X , BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 4 of 6 21)� ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERT NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD-MMY X 22) The pro("sedject must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program. Because the garage is also to be used as an accessory dwelling unit, an approved Shoreline Substantial Development Permit is required. The shoreline permit is in process.This building permit for Garage/Residenc . being conditionally approved for use as a garage with second story ADU, contingent upon shoreline permit approval. Therefore this is an at your ow n onditional approval. Should the Shoreline Permit be denied for any reason, this garage/residence will be considered the primary residence. X _ 23) Prior to final approval, all upland areas disturbed or newly a construction activities s4 II be see ed, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 24) Approved per dimensions and setbacks on submitted site pQ#S07-00254, ge/residence only. Setbacks are measured from the furthest projection of the structure. his permit does not authorize the location of the "fa to be built" as indicated on the site plan. Under the curve r ulations and the pre-inspection conducted by the Planning Dept. in 2007, ca the future proposed residence must meet the mi shoreline setback from the ordinary high water mark (OHWM). This setback is valid unless regulations or adjacent conditions change. X 25) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Si J"to ensure these ctures meet the setback conditions listed. X 26) Lt427- , s must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your " n"to ensure these structures are shown and meet the setback conditions listed. X27) Armit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (3xt. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has b ap roved. X 28) Appli ac o ledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is X 29) This stru has NOT been reviewed or approved as an Accessory Dwelling Unit(ADU : A second dwelling unit detached from an existing single-family dwelling for use as a completely independent or semi-independent unit with provisions qeiAboking, eating, sanitation and sleeping. ADUs are required to meet the requirements under Mason County Development Regulations 17.03.029. X 30) Septic must be i stalled before temp./perm. occupancy. BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 5 of 6 4fhis permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection. The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of on County access to the above described property and structure for revi wa inspection. OWNER OR AGENT: DATE: /C)/ BLD2011-00641 Please refer to the following pages for conditions of this permit. Page 6 of 6 00 o CONCRETE �' p'p'" MANUFACTURED HOME o Interior-Date By N Footings/Setbacks Eztergr-Date By Ribbons o � rite INSULATION Date By o Foundation walls BG I SLAB I NSU LATION Set-up Date By date By Date By FRAMING Floors FIRE DEPARTMENT Date By Date By Date By walls DECKS PLUMBING Date By Date By Groundwork vault TANKS Date By Date By Date By Attic a.w.v Date By OTHER Date By DRYWALL Type: Date By Water Line Gate By Type. a Dale By Int,Brace Wall Date By CD w CA MECHANICAL sePaa«� Ely FINAL INSPECTION CD Firem Date By Date By Date By Pass or Request Inspect. CD Type of Insp. Fail Date Date Done By Comments o _ CD in 0 O Q CA N 3 y a CD 3 v c� CD 0 � I O11'i wilding Permit # D MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRE TION NOTI E Job Location 1 I F�- P) This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance i T 'R 5v JAJ a tv-?- $t it, !;&v 0.4 t Gc 614YO Ffd.� i -2rJ 14. lt4 -l' 4 .,l 's"J -P �fr r 'tom uw1 ., k.;W, sa -mod ,' ►� ' a7PSteNM rA ` \ p2A b .Y t za iI rr-- i'msekr&iNl �e- l 1J�1 C>.4 �► You are hereby notified that the abov6 corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ` L Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection m o INf, /U'-� ❑ This is not a complete inspection Department 15t- ) Date ��Z��i( Inspectors ■ osis NnT MnV THI Tmi* qi Building Perriiit # )�_��'v MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 11 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance IV You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK 1* Call for re-inspection when corrections are made before continuing /❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department .B L.1'i Date Z z/ Inspector I-A-> ■ *0 NOT MOV TI I T A ,� ' Permit# L MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been ound: Items listed below must be corrected to gain compliance ' 111,46 C- T T,�s d sv c 4 L c./C ^ C_ L Dy 1r/ JONI .✓JT GCr .ES t�l�Gb ir/ -- 1 L. T E; 7C c ou ar y hereby not Pied t the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK I(A Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ 9*<r � damage incurred by recent "natural/man made" This is not a complete inspection n disasters.This is Nora Date G Z-y—,�Z Department CORRECTION NOTICE. Inspector nov NOT Mor vV THI 0 TA 0 Permit# tLtLL11 MASON COUNTY BUILDING 111426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 11 L ��la���-,c- l"y This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance i You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural/man made" ❑ This is not a complete inspection disasters.This is NOTa Date Z I Z Department 6�o CORRECTION NOTICE. Inspector • ,0* ,s I� m oT , 10* vll ,F ' THP& T�- *� Permit# MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 11 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance �- — - ' 10, �s ►� T�'i� !aioncz- r - You are hereby notified that the above corrections sha be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural OK to damage incurred by recent "natural/man made" This is not a co plete inspec ion disasters.This is NOT a Date _ /�' Department CORRECTION NOTICE. Inspector Doi ,# d* vT 11z1* 4',4 ' ' THI , , Tku * Alff o CONCRETE MECHANICAL G MANUFACTURED HOME o Date 744,11M BY T m Footings 1 Setbacks Gas Piping Ribbons r— oInterior Date By Interior-Date By Date By m Exterior Date fU'�' �i By Li �/ Exterior-Date By Set- Point Load/Isolated Footings INSULATION Da� By � BG 1 SLAB INSULATION ��J D Date By Data _ �' sy 77 FIRE DEPARTMENT p Foundation Walls Floors 4eq,C Date By Date Z i( - f By LDl Data zo Z By LADY DECKS FRAMI Walls Date By Date �'-61—/ ?I By Data By PROPANE TANKS PLUMBING vault Date By Date ey OTHER Groundwork Attic Date By Date By Type- Dato By D.W.)f DRYWALL Type. J �/— Z By InL Brace Wall Date By � Dale Date By CD v FINAL INSPECTION 0 U) Water Line Fin Soperation N cu Date By Dale By Dato By CD o Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments 0) CD 0 e z(o I F se, a � cl�J N 0 I(f n Ay 41 O CL oCn o 7 �%� ��sS'S ltJ Z� It (LI/Z7�it L�� G1: i� j� rL ('v"�t•�e.F td 2 /(J,n2� ^•� b wit ► �y z`1 la 16 Z I( 1 I�/✓.SCJ'--!g% • tl-� �L %—� /�of`cam,� �f'C" � �,�1/ FfI177 f 4lL 01—Z 'o Wv a-�s�o � � � '1� CD epv L"57�Si / ► �� Z .�—�L L q�L 7—f� t I Fiwpt�' r�l� Z— —14 4 Name Glop, I Parcel#,�2021 - 5�' �028 BLD# U I I - 6ocA l Mason County RECEIVED. 6 U I LD I N G Department of Community Development AUG 0 9 2011 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 surfacez. '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 L X = L. L4 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 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 i(�J: SSAN 2000 Square Feet,pl ase read,acknowledge and sign below. Based Upon the information you have pro OT 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 owledge that the information provided is accurate and employees of Mason County are granted access to the above- des e roperty for review and inspection as may be required. Owner/Agent/Contractor(circle one)Date: If the Total Impervio s Surfac Are is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information,prov' ed on of 2. Page 1 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: 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) 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. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with LEI to perform construction work within the scope of its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general Liability insurance. Business and Licensing Information Name OYSTER BAY CONSTRUCTION UBI No. 602254159 Phone 3607901558 Status Active Address P 0 Box 11805 License No. OYSTEBC971J8 Suite/Apt. License Type Construction Contractor City Olympia Effective Date 4/28/2003 State WA Expiration Date 7/25/2013 Zip 98508 Suspend Date County Out Of Country Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company JESPERSEN INC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status EXHAUM'902RA EXHAUST Construction General Unused 12/1/2010 12/1/2012 Re- MASTERS Contractor Licensed RMSERSL918NR RM SERVICES Construction General Unused 8/19/2009 8/19/2011 Re- LLC Contractor Licensed Business Owner Information Name Role Effective Date Expiration Date JESPERSEN, BARRY WILLIAM President 04/28/2003 JESPERSEN,TRINA Secretary 04/28/2003 Bond Information Bond Bond Company Name Bond Account IN umberl Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 Contractors Bonding sj2895 07/25/2011 Until Cancelled $12,000.0007/25/2011 i3 Insurance Co 1 CBIC SB7762 04/28/2003 jUntil Cancelled $12,000.00 04/28/2003 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date Contractors 4 Bonding Et cl1sj2895 07/25/2011 07/25/2012 $1,000,000.0007/25/2011 Insuranc 3 CBIC INSSB7762 11/24/2009 11/24/2010 $1,000,000.00 11/13/2009 2 CBIC INSSB7762 11/24/2004 11/24/2009 $500,000.00 05/30/2008 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https:Hfortress.wa.gov/lnilbbip/Print.aspx 8/9/2011 REQUEST FOR ADDITIONAL INFORMATION 8/23/2011 Case No.: BLD2011-00641 Comments: The proposed garage with upstairs living area is considered to be an accessory living quarter or dwelling unit. This proposal will require an approved Shoreline Substantial Development Permit prior to issuance of a Building Permit for the Accessory Dwelling Unit (ADU). Enclosed please find the applicable Residential Development Chapter of the Mason County Shoreline Master Program, the Development Regulations for Accessory Dwelling Units and the Shoreline Permit Process with applications. Please let me know if you have any questions. Thank you. J111'L440) oc�- 5�0.Do a r 90.00 .off 5 1-rE RAND,�7do,//,, u, jl rawto recces1 r 8/23/2011 Page 2 of 2 BLD2011-00641 ON_STA MASON COUNTY o P� A o N DEPARTMENT OF COMMUNITY DEVELOPMENT s N = Planning Division o Y Y P O Box 279, Shelton, WA 98584 °o �° (360)427-9670 1864 REQUEST FOR ADDITIONAL INFORMATION August 23, 2011 CHAD GOELZER 8212 65TH AVE E PUYALLUP WA 98371 Parcel No.: 320215301028 Project Description: CONSTRUCTION OF NEW SFR Dear Applicant: You have submitted a permit application (case no. BLD2011-00641) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 360 if you have questions. Sincerely, n Grace Miller Land Use Planner Mason County Planning Department 8/23/2011 Page 1 of 2 BLD2011-00641 PL����vG?1anner: roc Akan .Rebecca RECEIVED . MASON COUNTY PLANNING INTAKE CHECKLIST AUG 0 9 2011 - 426 gyp/ C DAR ST. Owners Name• b D ( Date• 8:1-L O 1 P-rojerA: . Yl EW 5 .- Commercial ?: yes no 6Lt-e Plane, N-ortn Arrow Propel Dirnensions: �. ,x f, �S Irregular shape ?yes no treets. and DnVelways shown , R Fronage 1 Tan3e: shore,l iVL4_) P(A c F- - XAil Existing Structures Shown witri s6tba acid use. *' " ,ocation, Septic and Drain-field show with setbacle shown. ,-El"Identified Surface wafer(streams,ponds,shoreline,wetlands,natural/historid drainage,defined drainage) ,,Wropography(slopes--) 6A tell►- -.\64o�., +Oujo11d.i'l" So 0+41- . urn Struetur a-etb&ks (direction/se ack): 10 ){: 5 S l t-:`/ 5 82 V J- f 30. �Utifity and Drainage Easements: yes no (if yes.enter condition#5 a22) flier Easeraeuts ccessor Appurtenances: propan Uea - • /Does site play slow landings I exits ? o vaiiaace-aPpiied for: yes no _ Parking spaces allotted: yes no. .o-Comty Access-Permit Needed (add.con&ibn'#©010) ---a=Sige.Access Perrriitlieeded (add condition 40020) . ---e�dard Piar-ling conditions: #5019-.and #700. .� Are-there any impediments (dogs/gags .: t.may restrict:access-to.your site? y-P no _.ci If yes, da we need nppo% ent? yes no a s site clearly marled. Ad dr ss Nariie= Other 'ALL, FAM- LTON Rural. LAND IA Sl NATIONS .. C3{TC fl. . El it•1 C�R-1P RC ❑RR Z.S 11 AGRI JLTURAL Q, 'OS . .:0 Q R- . - Tij-RAR .b.R - 5 f ` a:$Y ` Q �=CY.. 0.R 3 O R1 0 Ric 3 . C1 Rid 10 . 0 IN BL Il G Q HC . 0.1(;' 'A 0 B-5 .0 T L?1th `Q,RR 20 . T ❑T b MU . ,R i0 0 RT/RTC 0 Pam D Q-0#' Cl VC :p ILAe Critical Areas: (streams,ponds,shoreline,watlands�& steep slopes) Shoreline Designation: ❑ `N/A Urban ❑ Rural . ❑ Conservancy ❑ Natural Water Body: SEPA: 'Yes no unknown Flood- .1°ain: yes b) unknown Map # .-aquifer Recharge: yes no ut Vd 90-A Ases: RLC/SP - S 6 year Reforestation: yes Eagle'Nest Tag; yes no Other/North Bay Sewer: yes iia RECEIVED MASON COUNTY PERMIT NO. f��1��) PLUMBING/MECHANICAL PERMIT APPLICATION AUG 0 9 20 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 � � � L D I N G Shelton (360)427-9670• Belfair (360) 275-4467• Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT IPFO MATIOt,4, CONTRACTOR INFORMATI Owner C �' Company Name ' �� r��C '� Maili Addre � G1 f-- Mailing Address = - J , . &L -77 City State Zip Code City _ ` State Zip Code t Phone ' ✓ _TZ1 Other Ph _ Phone ` �� - Obi ntner Ph. Lien/Title Holder Contractor , E mail address if ' o' • ' -� - t E Mail Address 'I r� �` ntCcc _ j Drivers Lic. # — DOB Drivers Lic.#' n,�^ - - DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Pai I No r^^ Fire District - Legal Description r` �� (' 'n - � t, - Site Address (Plea, includ• street ny ,e, s reet nu e a d c y) �` Dire io s to site 4 G `r 'r'. �( W. ." . Is property with 200' of S Itwater Lake Rive /Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - NewX Add Alt Repair Other Use of Building Location of Fixtures/Un s - 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. Fixtures Fees Fuel Type:Electric LPG—Natural Gas Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink " Furnace 7— Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other L&L)rlay-u Other 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 the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other parry in interest regarding this application or the work proposed in the applicetion, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents fiat the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and hspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X !!\LY �1.,� L7i { -��y � Date_ - Z _ �f��— Owner/ wners Repres/e�tati� Contractor (indicate which one) ( FOR OFFICIAL USE BEYOND THIS POINT Accepted bCj, ` Planning Pd Ck# Date - - Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood /Gas/ Pellet Stove Fee Other Violation Fee TOTAL FEES Ar��j ♦ iJ+� IVI/1JVIV I�VIJIV I i rCniviii I J BUILDING PERMIT APPLICATION AUK 0 9 201' 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 FShelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 4813v ltDWG 2h W. CEDA ' On the web www.co.mason.wa.us APPLICANT IN RM TION CONTRACTOR INFORMATION Owner ' Company Name Mailv Addre s Mailin Address City ' State&2,46Lther ` -Zip Code City ^ State L)A Zip Code Phone` j' Ph. / 7 / Phone - - Other Ph. Contractor Re #O ` T Ex Lien/Title Holder 9�n � .� r,, � E mail address ���. r �Ct/ c's �.(> i�. C_ ,�'1 E Mail Address Drivers Lic.# DOB Drivers Lic. 4G,�.�i2��,� SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System __ _Name of Water System Well Water System Name of Water System 6061 Q 53 —®/O a, It PARCEL INFORMATION - 12 Di.a Parc 1 0 — Fire Dis n t Legal Description, '� � i` - - C' = Site Address (Pleas include street name, str t number and city Direc 'o s to s to - �'I 'o �/ -� v t' fi Will timber be cut and sold in parcel p aration? es Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No TYPE OF JOB New ,' Add, Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL Use of Building 0 ' ,, - Describe Work No. of Bedrooms No. of Bathrooms S uare Footage - 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage = Attached Detached Carport Attached Detached MAN/Ll,FACTURED HO ORMATION - M ke o e Year Length Width Seria o. ! 1. Bedrooms No. of athro y e of He Purcha P ' $ 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 hat the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and hspection. PRO F)F CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X � U - Date: Owner/O 4ers Representative)/Contractor indicate which one v FOR OFFICIAL USE BE�f9F'dD THIS POINT Accepted by- Date E)- I I DEPARTMENTAL REVIEW APPROVED DENIED J40TES Building Department - —/ ('LLt 1 Y1e1 �t l Planning Department Environmental Health Department Sox a� Public Works Department x 1 Fire Marshal 9 S FEES Lo wU'8 x A-2- Building Permit Fee /o � � Site Inspection Plan Review Fee S• 9S EH Review Fee Plumbing & Base Fee 7�2 'f 3 a.a Planninq Review Fee Mechanical & Base fee 7 Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal G Valuation $ //Q Q of, TOTAL FEES T V� ar\ Y�D - � Au 2 2011 N i 1. _ p S o 00, .01 0 Ll 63 4-7 , �MMUN IT�i . W l_-LL W 1�itn p 1 pLy2c�-t # 3Zo2 - S3- oI oZB 1�Ot�R�`S 5 . LT ZCo t ZZ Wes, ISSS - � � I►JD IC A"rE t7v 4-t r� ��u�; � �-►�-n S RECEIVED AUG 0 9 2011 } '�' 426 W. CEDAR ST. k Ta�! V SlitAPPROVED pLANNNG MASON COUNITY UCD PLANNING SITE PLAN REO.UI RED TO BE ON SITE CHANGES SUo!-CT TO APPROVAL Y Date PLANNING: ALL SETBACKS ARE MEASURED FROM THE FURTHEST - PROJECTION OF THE BUILDING --- ---- 1�'`' — or LL ± �Q _71 ,70 4Js� 4 _ W LLL 3.1 Vic-'! UW.N L-S Gf0 LZ �5 � � 3�!a'63 O� pU1}l:� PNZr- azoz O)UZS I QT 7