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HomeMy WebLinkAboutBLD2016-00827 Duplex - BLD Permit / Conditions - 3/6/2017 Inspection Line (360)427-7262 fiPSOe cOU,ylA MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County 615 W Alder St Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2016-00827 OWNER: ROBERT BAGLIO RECEIVED: 8/22/2016 CONTRACTOR: LICENSE: EXP: ISSUED: 3/6/2017 SITE ADDRESS: 920 E OLD RANCH RD UNIT B-8 ALLYN EXPIRES: 9/6/2017 PARCEL NUMBER: 122175 _6-0008 LEGAL DESCRIPTION: PCLA OF BLA#12-10 PTNS OF LOTS 137 & 139 OF LAKELAND VILLAGE#11 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW 2-STORY DUPLEX UNIT B-7 & B-8 LAKELAND VILLAGE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 4 Type of Constr.: VB Type of Use: MF Insp.Area: No. of Bathrooms: 6 Occ. Group: R-3 Lot Size: Deck: 620 Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:4,030 Garage-Attached 882 Valuation: $ 505,978.76 Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: N 20.0 Ft. Shoreline: Ft. Water Body: Rear: S 20.0 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.: Urban Growth Area Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 6 Furnace<100K 2 Plan Check Fee JBN 8/22/2016 $2,120.46 S2201600000001 Lavatories 8 Ventilation Fan 6 Planning Review Fee JBN 8/22/2016 $205.00 S2201600000001 Showers 2 Propane Tank 1 Address Fee JBN 8/22/2016 $ 173.50 S2201600000001 Bath Tubs 4 Gas Outlets 6 EH Plan Review JBN 8/22/2016 $205.00 S2201600000001 Water Heaters 2 Propane Stove 2 Building State Fee JTL 9/9/2016 $4.50 S2201700000001 Clothes Washer 2 Dryer Vent 2 Building Permit Fee JTL 9/9/2016 $3,262.25 S2201700000001 Kitchen Sink 2 Mechanical Permit Fee JTL 9/9/2016 $335.00 S2201700000001 Dishwasher 2 Mechanical Base Fee JTL 9/9/2016 $28.50 S2201700000001 Hosebibs 2 Plumbing Permit Fee JTL 9/9/2016 $249.80 S2201700000001 Plumbing Base Fee JTL 9/9/2016 $24.70 S2201700000001 Total $6,608.71 BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2016-00827 CONDITIONS FOR BLD2016-00827 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 1-800-647-002o . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) All 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 Depa m nt prior to any further inspections being performed or approvals granted. X`�1 3) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 4) 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 re.=ved documents will result in failure of required building inspections. X 5) THE F DATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. Xc 6) 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 Build* D p merit prior to any further inspections being performed or approvals granted. X BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 2 of 6 7) 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine -4C, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. In addition the following credits from R406.2 shall be completed as follows: 1A-Efficient Building Envelope 2A-Air Leakage control Efficient Ventilation 313-High Efficiency HVAC Equip. 5C-Efficient Water Heating X 8) 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 '/4 or'/z sheets. The Mason County Permit Center will also have some available. X_ 9) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. X 9E i" 10) 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/contraotor is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 3 of 6 11) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. X 12) A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with the 2015 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S4/S5 designate Portal Framing walls (at garage)with fastener spacing 4 inches or less. The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton, WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said project. X 13) 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 shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created. X 14) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 4 of 6 15) 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-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. X 16) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinancQ oS regulation, must be reviewed and approved by Mason County prior to construction. 17) 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 In a to all be made prior to requesting additional inspections. X 18) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must Xmeet t e allation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. rr 19) 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 time of inspection 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;M�L, he final inspection has been performed and approved by a Mason County building inspector. X BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 5 of 6 20) 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.regulat,ons primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such fe t res exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. 21) All property lines shall be clearly identified at the time of foundation inspection. X 1 22) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason t ordinances and building regulations. X 23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conne t s and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 24) ALL SURFACE WATERAND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITEAND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR RQAp�IAY. 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 VII.JAYS WILL INVALIDATE THE APPLICATION. I0 Signature Date % G i OWNER REPRESENTATIVE y' CONTRACTOR Print Name (Circle one.to-indicate) BLD2016-00827 Please refer to the following pages for conditions of this permit. Page 6 of 6 MASON COUNTY COMMUNITY SERVICES Permit No: L-D20 ( Uzi °Oz' PERMIT ASSISTANCE CENTER: BUILDING PLANNING FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 (������ Phone Shelton.(360)427-9670 ext.352 Fax:(360)427-7798 1\ ED Phone Belfair.(360)275-4467 Phone Elma:(360)482-5269 AUGq qn c 11U L � LIUw B U'L D-i1l_� BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: " er SOW NAME: `v NAME: l/ MAI"16 Oj� MAIL GW.SS:CITYTAT . ZL.�,,"�+r CITY. TE: ZIP: PHO PHONE: ELL: •�. PHOEMAIL EMAIL: L&I REG#t4LJ dKW 6430L EXP.M/f6/ CO ACT PE ��SyyO OWNER CONTRACTOR[I *OTHER/See Below❑ *NA tll MAILING ADDRESS:OO '1O Y. ATE: ZIP: PHONEW M5,0bJ(9CELL�•�(0•" EMAIL: C PARCEL IN ORMATION: 1'1.3�V V ill . PARCEL NUMBER(12 Digit Number) ` �� fs Q ZONING LEGAL DESCRIPTION(Abbreviated)_ FIRE DISTRI T SITE ADDRESS CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ ' NO IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF n STREAM❑ TYPE OF WORK: NEW [ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(R deuce,Garage,Commercial Bldg Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS HEATED STRUC U ? YE (Whole Bldg) YES(Pat7[sJ of Bldg) ❑ NO❑ DESCRIBE WORK ( (Valuation/Project Bid Amount:$ ) SQUARE FOOTAG-�E:: � 1ST FLOORc,sq.ft. 2ND FLOOD a q.ft. 3RD FLOOR 'A—, l sq.ft. BASEMENT sq.ft. . DECK_ sq.ft. COVERED DECKsq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE�iS ft. Attached Detached CARPORT s ft. Attached Detached 9 s . MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* :Z7 MA MODEL YEAR OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner or owner's legal representative. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder:or parti�'Istregarding this project. The owner or legal representative, represents that the informatiorovid and grants employees of Mason County access to the above described property and str S)for review and inspection. This permit/application becomes null&void if work or authorized construction is not comme ced within 0 ays or cons tion work is suspend for a period of 180 days. .SPe M d PROOF OF CONTINU TIO F WORK IS BY MEANS OF I PECTION. INACTIVITY OF TMS PERMIT APPLICATION OF 180 DAY ILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY CODE DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 0.3 PLANNING DEPARTMENT FIRE MARSHAL MASON COUNTY COMMUNITY SERVICES Permit No: LOL �A9oy got l PERMIT ASSISTANCE CENTER: BUILDING PLANNING FIRE MARSHAL 615 W.Alder St-Shelton,WA 98584 Phone Shelton:(360)427-9670 ext.352 Fax:(360)427-7798 RECEIVED 1 CD Phone Belfair.(360)275-4467 Phone Elma:(360)482-5269 c BUILDING PERMIT APPLICATION AUG 21 2016 L A 14 AN'I N R INFORMATION: CONTRACTOR INFORMATION: u 'er SUee an NAME: `v NAME: V MAI G R SS: O MAIL G SS: CITY. TAT . ziiq�w CITY: STATE: ZIP: PHONE#1: PHONE: LCELL: �j PHONE#2: EMAIL: EMAIL: L&I REG# EXP. i CO ACT PE SO OWNER CONTRACTOR❑ -OTHER/See Below ❑ *N o a MAILING ADDRESSW ?) wa) CITY: ATE: ZIP: & PHON W JA5 MA(9CELL�W-!!:J0•(� EMArL:y�A01 IC PARCEL INFORMATION: _a(j PARCEL NUMBER(12 Digit Number) 1� � R� ZONING til +' P LEGAL DESCRIPTION(Abbreviated)" FIRE DISTRIdT SITE ADDRESS CITY DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑ TYPE OF WORK: NEW ADDITION ❑ .ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(R dcnce,Garage,Commercial Bldg Etc.) IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS' HEATED STRUC U ? YE (WholeBldg) YES(Part[s]ofBld ❑ NO❑ DESCRIBE WORK L-1 (Valuation/Project Bid Amount:$ ) SQUARE FOOTAGE: 1ST FLOOR7—�q2e_sq.ft. 2ND FLOOJ55L sq.ft. 3RD FLOOR rU L sq.ft. BASEMENT sq.ft. DECK_ ,t sq.ft. COVERED DECK (o2Osq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE IS ' s .ft. Attached Detached CARPORT sti.ft. Attached R Detached MANUFACTURED HQME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE- _��/ MODEL 1/ YEAR OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner or owner's legal representative. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This 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. t� SPePGL>�n t C� ��4 d W>tit� S)r, PROOF OF CONTINUATION OF WORK IS BY MEANS OF I .PECTION. INACTIVITY OF T4( PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON COUNTY cone DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT y4m (�I(� CIRF KAADCLJAI �00N Cp°ETA MASON COUNTY PERMIT NO. OZI(O-IM7 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 1854 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 RECEIVED BU 1 LD I N GuMBING & MECHANICAL PERMIT APPLICATION AUG 2 2 2016 OWNER INFORMATION: CONTRACTOR INFORMATION: 615 W. Alder t%t NAME: 4r) NAME: M MAILING ADDRESS _ -3"1bo S/lt�1�1�1► D� MAILING A DRESS: CITY: po.-t" OrcLa,a STATE: Wp ZIP: `�81 CITY: TATE: ZIP: PHONE: 3 too- L=O$`ttrCELL: -3 34o a'1Z4 PHONE.-3jQ•VW-M011pCELL: EMAIL: EMAIL : L&I REG# EXP.D(A/A(6/_(I- PARCEL INFORMATION: - 0OW8 PARCEL NUMBER(12 DIGIT NUMBER):122.h. LEGAL DESCRIPTION(ABBREVIATED) SITE ADDRESS: CITY: DIRECTIONS TO SITE ADDRESS: TYPE OF JOB ` NEW X ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS- 1ST FLOORS 2ND FLOOR A BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPGNatural Gas Heat Pump_ Toilets b Type of Unit No.of Units Fees Bathroom Sink Q Furnace 2, Bath Tubs Heatpump Showers ?i Spot Vent Fan _ (0 Water Heater 2. Propane Tank Clothes Washer Z- Gas Outlets Kitchen Sinks 7-• Woodra')Pellet Stove Z Dishwasher Z Kitchen—Exhaust Hood Hosebibs 2• Dryer Vent Z Other 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 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 parti s of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants y es of Mason County access to the above described property and structure(s)for review and inspection.This permit/applicati n Co es ull&void if work or authorized construction is not commenced within 180 days or if construction work is suspended ri of 0 day OF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT A N 18 YS WILL INVALIDATE THE APPLICATION. Q ��j X tJ „� 1k nature CL licant Date XOwner/Owners Representative/Contractor Print Nam (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT 3-12- 0-3.( PLANNING DEPARTMENT FIRE MARSHAL Name& 'd Parcel# 1V1' BLD# BUILDING -' Mason County AUG 2 2 2016 Department of Community Development Small Parcel Stormwater Management Application/Worksheet (pwwf Stm Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment`, with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater. Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings (13 X 627aW' 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 �t-J X '4 _ SOO 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. 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 for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 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 1 of 2 -OXb 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 WITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) VAdUffl7ie jklevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in the t' 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 stormwager 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. OwnerBuilder/Agent wledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement s is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowWhen provided is accurate and employees of Mason County are granted access to the above- describe ction as may be required. X Owner/ ent/Contractor(circle one)Date: Page 2 of 2 �$\ REC EIVED PLA14HING co AUG 21 20i6co� Z 59 \ 61 V4. Aider Street Or ENE o rl < Z �Tm s ROBERT BALL I O 3150 SE MILE HILL DR. (n ` PYA R \ PORT ORCHARD, WA c18566 PHONE: 360-8ci5-OSa6 � Q sox P _ D EASEMENT PARCEL NUMBER zCD �s SO GS CONNECT TO 12217-56- 6 A J L. RISER EX I STCG 5D 5TUB U.&A Q- P TEL. R15ER \ — _ I N 5LT fgJS . �17}n� `_ ALL SETBACKS ARE MEASURED FROM THE FURTHEST LvP �� PROJECTION OF THE BUILDING s 9 \ tN Wr; EXST6 \ / RET WALL I STo ANHOLE �� SEWER MANHOLE APPROVED ON COUNTY [)CD P INCi ITE PLAN REQUIRED TO BE ON SITE �/ Q O CHANGES SUBJET TO APPROVAL .201 FL LL THIS 51TE PLAN 15 DRAWN BA5ED ON 51 TE PLAN DATA SUPPLIED BY CLIENT AND WITHOUT BENEFIT OF 5UR\/EY OR TOPOGRAPHY I" = 20'-0"