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HomeMy WebLinkAboutBLD2017-00875 SFR Elevation Cert - BLD Application - 11/9/2017 fkf zol 7- o Q97 PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: _a�, -Zr e NAME:CREATIVE DESIGN BUILDERS DBA: HiLINE HOMES MAILING RESS: o gt x i Oi 1 MAILING ADDRESS:11306 62ND AVE E PHONE PHONE:253-840-1849 CELL: 253-606-8280 PHONE#2: EMAIL :bbosma@hilinehomes.com EMAIL:t,ct c L&I REG#HILINH-983BD EXP. 11 /8 /17 CONTACT PERSON : OWNER © CONTRACTOR ❑ OTHER❑ NAME: (71,e c, Zc e 2- MAILING ADDRESS: ?v CITY: A\\_ STATE:w (a zIP: q s ?L( PHONE: CELL::�u S S I--1 ,, EMAIL: PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) t a..aa 0 - 5 C: t �l ZE NNII G LEGAL DESCRIPTION (Abbreviated)( i. a t \i .,K FIRE DISTRICTS i wn,�_,� SITE ADDRESS 11 O CITY \l,. n DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES E] NO IS PROPERTY WITHIN 200 FT: (Check all that apply): SALTWATER ❑ LAKE N RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW ® ADDITION ❑ ALTERATION ❑ REPAIR ❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) V,—r 5 i r'l c F;a_,l IS USE: PRIMARY] SEASONAL❑ NUMBER OF BEDROOMS y NUMBER OF BATHROOMS J S HEATED STRUCTURE? YES (Whole Bldg) E YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORK DCT 1\ I r (Valuation/Project Bid Amount: $ %gS��b `; ) SQUARE FOOTAGE: P 0 7 2017 1 ST FLOOR 1 U-(2_ sq. ft. 2NI#J8QR sq.ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK t rt STORAGE sq.ft. OTHER sq.ft. GARAGE 5;�$ sq.ft. Attached® Detached❑ CARPORT sq. ft. Attached❑ Detached❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER OWNER acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner and I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permit/application becomes null &void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) S` ature of OWNE e-sigrre8by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT IA�L/-' CO MASON COUNTY COMMUNITY SERVICES Permit No:-5 td?z 17--6087,S PERMIT ASSISTANCE CENTER: •BUILDING •PLANNING v FIRE MARSHAL �^ 615 W. Alder St-Shelton, WA 98584 C� - www.co.mason.wa.us 1� IQ Phone Shelton:(360)427-9670 ext. 352• Fax:(360)427-7798 Sep Zo Phone Belfair:(360)275-4467• Phone Elma:(360)482-5269 o f PLUMBING & MECHANICAL PERMIT APPLICATION giae� OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: «' g \o,,,._..o -e— NAME: CREATIVE DESIGN BUILDERS DBA:HiLINE HOMES MAILING AD RESS: i-Sc4 l(3 t t MAILING ADDRESS:1130662nd Av.E CITY: At, r STATE:-VjV:� ZIP:91 ,S)ci CITY:Puyallup STATE:WA ZIP:98373 1"PHONE:___ (o)-34 O - 33a S PHONE:253-84a1849 CELL: 253-606-8280 2nd PHONE: 3Coc>-SS l 7Li EMAIL :bbosma@hilinehomes.com EMAIL:-t_a� tamp, L&I REG #HILINH-9838D EXP. 11 / 8 / 17 PARCEL INFORMATION: ' PARCEL NUMBER(12 Digit Number): 1 'lx-�L cp -S 0 - C) -1 ZoningR I J I',,.D I N. LEGAL DESCRIPTION(Abbreviated):(..a1c'�-lc,,,. V:\\a Q. ..t 1 (A t a�l SITE ADDRESS: J O CITY: DIRECTIONS TO SITE ADDRESS: L�K k S 1w r e TJ r \0 F i .)cc TYPE OF JOB: NEW ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 IT FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_)( LPG Natural Gas Ductless_ Toilets Type of Unit No. of Units Fees Bathroom Sink S Furnace Bath Tubs 2— Heat Pump Showers Spot Vent Fan Water Heater I ' Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks T Wood/Gas/Pellet Stove Dishwasher 1 Kitchen Exhaust Hood Hose bibs Z Dryer Vent _ Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X ,.� co - I�1 Si ture of Owner Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT5- PLANNING DEPARTMENT FIRE MARSHAL Visit us on-line: http://www.co.mason-wa-us/community_dev/ Rev:1/27/2016 1BN US. DEPAR ENT OF HOiMtEtANO SECURITY Federal Emerg ncy Management Agency OMB No. 1660-0008 National Flood In urance Program Expiration Date: November 30, 2018 ELEVATION CERTIFICATE RECEIV Important: Follow the Instructions on pages 1-9. OCT 18 2017 Copy all pages o this Elevation Certificate and all attachments for(1)community official, (2)insurance age ny owner. SST ON A-PROPERTY IMPO x'S I(M FOR MS't RANCE COMPAM USE Al. Building Owners Name Policy Number: A2. Building re t Address(Including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Company NAIC Number: City State ZIP Code A Z_ Y ti IVY 18�7 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) L14 L'L "4�0 �' � L 0r U/ / 're Z�e Tex:1,�'"� r z z.zc.T 56 —C-Cc'z`f A4. Building Use(e.g., Residential, Non-Residential, Addition,Accessory,etc.) A5. Latitude/Longitude: Lat. Iq] '-2--2 ray, Long. /27--5C, 7,c-/Horizontal Datum: ❑ NAD 1927 [SAD 1983 A6. Attach at I ast 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Buildrng agrai,Nurft'ber A8. For a Wiling with a crawispace or enclosure(s): a) Square footage of crawispace or enclosure(s) sq ft b) Number of permanent flood openings in the crawispace or enclosure(s)within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b __ � sq in d}.EnWvEm wed,#ood openings? ❑Yes D-M TO BE EPT IN THE A9. For a build ng with an attached garage: PARCEL FILE a) Square footage of attached garage sq It b) Numbe of permanent flood openings in the attached garage within 1.0 foot above adjacent grade c) Total t area of flood openings in A9.b sq in 4) En red€to4d c>pentags? ❑,Y i No SECTION B-FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name& Community Number B2. County Name B3. State B4. Map/Panel Bb. Suffix 86. FIRM Index B7. FIRM Panef B8. Flood Zone(s) B9. Base Flood Elevations) Number Date Effective/ (Zone AO,vsa Base Revised DL-tate Food Depot) t__ Piz1-7 3c, - 1310. Indicate t e source of the Base Flood Elevation (BFE)data or base flood depth entered in Item 89: ❑ FIB P file [_] FIRM ❑ Community Determined ❑ Other/Source: ����.�Lt In 1` ej d v 1114 jG c B11. Indicate elevation datum used for BFE in Item 139: ❑ NGVD 1929 G IAVD 1988 ❑ Other/Source: B12, Is the bui ding located In a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area (OPA)9 ❑ Yes ['14o Designati n Date: ❑ CBRS ❑ OPA FEMA Form 086- -33(7/15) Replaces all previous editions. Form Page 1 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZfP Code Company NAfC Number SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings" ❑ Building Under Construction' ❑ Finished Construction "A new E evation Certificate will be required when construction of the building is complete. C2. Elevatio -Zones Al-A30,AE, AH, A(with BFE),VE,VI-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO. Complet Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters- Benchmark Utilized: Vertical Datum: Indicate elevation datum used for the elevations in items a)through h')below. ❑ NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top ol bottom floor(including basement, crawlspace, or enclosure floor) ❑ feet ❑ meters b) Top o the next higher floor ❑ feet (❑ meters c) Botto of the lowest horizontal structural member(V Zones only) feet ❑ meters d) Attact ed garage(top of slab) ❑ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building ❑ feet ❑ meters (Desc ibe type of equipment and location in Comments) f) Lowe-It adjacent(finished)grade next to building (LAG) . f Q'feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) , G` —~ [v�leet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including r 70 P'feet ❑ meters structL ral support SECTION D-SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. /certify that th a information on this Certificate represents my best efforts to interpret the data available. l understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 10'yes ❑No ❑Check here if attachments. Certifier's Narr e License Number t l , Title Company Narne �— Place Seal Here Address 23 ?C� City f Stater / ZIP Code Signat Date hone LLB t� yy� i0ll412,01 1 Tel (�v q7- '2A90 Copy alf pages Df this Elevation Certificate and all attachments for(1)community official, (2)insurance agenUcompany,and(3)building owner. Comments(including type of equipment and location,per C2(e), if applicable) z Tk :b lc� 1 lJ C-- s t A ri Y h L)I FEMA Form 086 0-33(7115) Replaces all preVtaus edttto ne. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 11 c> z—� City State ZIP Code Company NAIC Number SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO E nd A(without BFE), complete Items El—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, Band C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG) and the lowest adjacent grade(LAG). a) Top of bottom floor(including basement, crawls pace, or enclosure) is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawls pace, or enclosure) is ❑feet ❑meters ❑above or ❑ below the LAG. E2. For Buildino Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next hi her floor(elevation C2.b in the diagrams)of the building is [:]feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab) is []feet [] meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property o ner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. FEMA Form 086 t33(7115) Repiaces aii previous editions. Form Page 3 of 6 ELEVATIO CERTIFICATE OMB No. 1 8 Expiration Date:ate: Noovember 30, 2018 IMPORTANT: Ir these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street ddress(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No, Policy Number: t t o _ L a K �'Si-fo U,�c City State ZIP Code Company NAIC Number SECTION G—COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, 8,Q(or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below. Check the measurement used in Items B-1310. In Puerto Rico only, enter meters. G1. ❑ The jr formation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A co munity official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zorie AO. G3. ❑ The f Ilowing information(Items G4—G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permi has been issued for: [] New Construction ❑ Substantial Improvement G8. Elevation f as-built lowest floor(including basement) of the buil ing: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum G10. Communi 's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title Community Narre Telephone Signature Date Comments(inCIL ding type of equipment and location,per C2(e), if applicable) ❑ Check here if attachments. FEMA Form 066- -33(7115) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATIO14 CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2018 IMPORTANT: In these spaces, copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: Cjty State ZIP Code Company NAIC Number yi✓ GV;4, `-- S 5 2 if using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions fo Item A6. Identify all photographs with date taken; "Front View"and "Rear View"; and, if required, "Right Side View"and "Left Side Vi ." When applicable, photographs must show the foundation with representative exampieS of the flood openings or vents,as indicated in Section A9. If submitting more photographs than will fit on this page, use the Continuation Page. 'T R J 7 . a /4l w . 'y V � � J Photo One-Capt ion • 4 f "h Photo 7Wo Photo Two Caption V N PElie1-0 Pe- 5/ FEMA Form 066- -33(7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS ELEVATION CERTIFICATE Continuation Page OMB No. 9 g Expiration Date:ate: November 30,2018 IMPORTANT: In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: City State ZIP Code Company NAIL Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs m st show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. Photo One Photo One Caption Photo Two Photo Two Capti0 FEMA Fora,08540 33{7J'q 5) Replace Atli previous edtbons. fof Page 6 of t5 Name(=,,e!��A Tan�,`C'lrc�- Parcel# IZ.ZZO - 5 c ��t BLD# 9)3 Z00 ^ 0Ge 'J .J Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment', with more than 2,000 square feet of impervious surface 2. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving, gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area ` All dimensions in feet Buildings 5 X 5 2 = 2.c11 2- X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X - _ Driveways X X = Length of drive begins at the right of way X = Parking Areas X = _ Any paved, gravel or packed area per definition above table W. Patios/Walks yel Z�f = Any paved, gravel or packed area per definition above table B' Others X @r tr, 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) , R 2 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. O vnejVAgent/Contractor(circle one)Date: 9- If the Total Impervious Sur ace rea is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 a Name[� t3 T��(:v e�•� 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: httn//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 ins ction y be required. �Agent/Contractor(circle one)Date: 91-Ca -t 7 Page 2 of 2 MASON COUNTY RESIDENTLAL PLANS SUBMITTAL CHECKLIST Owner's Name: C6�_�A Date: "1 Project description: Sre Documents: 6 C e"" BUILDING ✓ nilding Permit Application Completed. yechanical/Plumbing Application Completed. ning intake Checklist Completed. �VV���//// ite plan includes: Allowable building area, roof overhangs, decks, etc. ( cowim'rn L4 V.2) Apparatus & Access Road info required? Yes/ No _ ormwater Checklist Completed. Energy Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace ® Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type ) O Ductless Heat Pump O Other. Specify.- Construction Plans: \,/3 Sets (2 full size sets w/engineered calculation s & 1 reduced sized set 11X17 min.(no calculation needed ) f7PIanS Legible VRecognized Scale V -levation Views ✓Cross Section oundation Plan Roof Framing Plan ✓Floor Plan -Use of rooms labeled (all floors) loor Framing Plan -all floor levels including loft, crawlspace, etc. Deck Framing Plan including covered porch, carports Plan Details: v of framing details, truss lay-out may be needed (Hip and girder location shown) 1-i?JA C. _&, all Framing - Does bearing-wall height exceed 10'? (Engineering may be required) to ' m" //— FJaor framing: Floor joists (size & spacing): 117 g 1 A 544-0) Ir1 •2 0C. , Floor beams: LV*V ndow headers. Typical header. L()410 �}7 L"Q, Garage header. y�i2 Z ✓Foundation: footing size, reinforcement P*► n Landings at all exits? Less than 30" above grade?n N (must be shown on site plan) ✓✓dater Heater. Location: Type: El C- ✓Heated By Furnace- Location of FLWnaoe G Fuel type:E i-e C-'fe4 C_ Location(s). Window Sizes Marked on Plans. J aced wall s (shear walls) MUST be marked/indicated on plans. engineered Yes No Snow load: 2 S Seismic: D2 Design Code: Are plans stamped /6,'��_ Man ufactured Homes: _4 Floor Plans (rooms & areas must be labeled) o ion Type: ANSI/ ure method Engineer noting/foundation Basement Decks": 4x4 min. landings it h entrance (must be shown on sitelpiot plan) "Covered de and/or any decks greater than a 4'x4' (tha 30" fromgrade) reouires a Permit and constrLi n plans. C ENTS: Intake review(initials): Date:_ H:\permit tech building checl list2015.doc Revised 8.5.2016 If any of the items listed below are either indicated or missing within the construction documents; the plans must be engineered or returned to the applicant for resolution. ENGINEERING REQUIRED: Braced wall panels/brace wall lines are not marked on plans (R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B (unless proven otherwise). Seismic Zone: D2, Snow psf. IRREGULAR BUILDINGS R301.2.2.2.5 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1) Exterior shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost story in which they are required. See exceptions. 2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges. 3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line. 4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below. 5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension. 6) Portions of floor level are offset vertically 7) Shear wall lines do not occur in two perpendicular directions. 8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as permitted by the code). ***Applicant must take plans to a design professional to address items indicated above*** Notes/Comments for design professional: K.-\permit tech building checUst2015.doc Rey ised 8.5?0 i 6 �j0 Pw-rO� 4 S t✓wef 6w mc1uJ4if deck r S�►RNAiLe0,c�, W�, i'wa✓�/ of cam Mav-, f-C044 I I _ ` ARE ED —�- E i M S - '- SIT PLAN F EQ IR D B 01 SI E ea - _ ...._ �.. _ T._ Arr R-1P:RESIDENTIAL PLATTED DISTRICT SETBACKS: FRONT YARD 20 FEET SIDE YARD 5 FEET(OVERHANG CAN EXTEND INTO SETBACK 2FT MAX) STREET SIDE YARD 10 FEET REAR YARD:20 Direction: Scale: Approval: foroffice use Building Permit number: 3 1p ad►7 - vat,'+ S` � Building: Owner/Applicant 6 fYr, -A,� Le-Or C Date of Planning: �'�`"S`'�`i application: Env. Health: Parcel Number: iDLa-Xca --.-1 - - 4 441 . r I � I f s i i ��` •! �—� - 1 - I — ` --z__� . _. .. _ _ __ .s•li s_ _ 1 I� i ; _ 1-4 �- �! I fi - R-1P:RESIDENTIAL PLATTED DISTRICT � ! Y SETBACKS: FRONT YARD 20 FEET SIDE YARD 5 FEET(OVERHANG CAN EXTEND INTO SETBACK 2FT MAX) STREET SIDE YARD 10 FEET REAR YARD:20 Direction: Scale: Approval: for office use Building Permit number. 31'acz►7 - ya43� S` k�, � A*L-C� I _ .; Building: Owner/Applicant:61LI(YC� R CLA:!40 C-� 44,� LL(2e °^ Date of Planning: if i Parcel Number: 1 a;;,_XCD - 5 U- C�c,0 t�-k�s..°f application: Env. Health: