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BLD2017-00512 Replacement MFG Home - BLD Application - 4/27/2017
A oii'cop� MASON COUNTY COMMUNITY SERVICES PERMIT ASSISTANCE CENTER: Permit No:1 id �q I- nyC I A •BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL 615 W.Alder Street,Shelton,WA 98584 RECEIVED ���'`V��D — - Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone DING60)275-4467 •Phone Elnta:(3G0)482-5269 APR 27 2017 BUILDING PERMIT APPLICWQIAlder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: So H 0 CA at->� NAME: Ra y�ad'Ls GILL 5 G K s M MAILING ADDRESS: q U1 v Z- E. MAILING ADbRESS: Iq11 rz -Ls,A+a p Lam 0 r t CITY: STATE: WA ZIP:-I 16-L CITY: S i,-t-L-T-w-\ STATE: Q)4 PHONE#1: PHONE: 3� Vzto y t-5 CELL: a-3`t �6Zv PHONE 112: EMAIL : pi! J t a .� EMAIL: L&I REG# EXP. PRIMARY CONTACT: OWNER ❑ CONTRACTOR© OTHER❑ NAME I Ac' A 2 0 a( 5 EMAIL MAILING ADDRAS I'A I N iz �1 4 4,-y D "Da- CITY 5 ih U. r_-MO STATE 1,5-,a_ ZIPS PHONE %Z3°I -bt-52= CELL A39 $02-0 ti PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ZONING r,u rdi LEGAL DESCRIPTION(Abbreviated)ly, Z) Sv Omu I I Z/,o rf,1e -Iczxgy S«t3 S TA,uFIRE, DISTRICT SITE ADDRESS I zy'7 3 0 la- +for rL. S 1lorne P,4 CITY_'B.R �td DIRECTIONS TO SITE ADDRESS A. ne ry y- 12 y►1i &s + st r:4 No.--f't_ S Ac,,e ��( > v►►t �3a >�Str wrn�rS i� IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO E IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER R LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ TYPE OF WORK: NEW ® ADDITION❑ ALTERATION,,❑ REPAIR[I OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)' C-RAPa —1�4 +-,m Ffj( lo IS USE: PRIMARY ❑ SEASONAL 0 NUMBER OF BEDROOMS 2 NUMBER OF BATI-IROOMS�_ HEATED STRUCTURE? YES (whole Bldg) ❑ YES (Part[sl of Bldg) [{� NO ❑ DESCRIBE WORK GA(LNc Ls ITm GOrzST A.ccoN vA-TI _45 Al2)cvta rSOUARE FOOTAGE: (propose-i-existing) �CLC2.rY1.2YI�' t I ST FLOOR -® sq.ft. 2ND FLOOR�Z sq. it. 3RD FLOORsq. ft. BASEMENT -�- sq. ft. DECK 15/o sq. ft. COVERED DECK p sq. ft. STORAGE—0 sq.ft. OTHER sq. ft. GARAGE__sq. ft. Attached Q Detached❑ CARPORT e-) sq. ft. Attached❑ Detached❑ MANUFACTURED *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL ENGTI I WI " H BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC p SEWER❑ / NEWA EXISTING ❑ PLUMBING IN STRUCTURE? YES E NO ❑ If yes, attach completed Water Adequacy Form PERIMETER&OUNDATION DRAINS PROPOSED? YES ❑ NOZ EXISTING SQ.FT. EXISTING BEDROOMS PROPOSED BEDROOMS TOTAL BEDROOMS 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) X�a - Mt1-.h AJWLLJWy-�-- 4 Signature of OWNER ftst be signed by the OWNER) Date DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH MASON COUNTY RECEIVED ' COMMUNITY SERVICES APR 2 7 2017 Building,Planning,Environmental Health,Community It UiLu NLI Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 98584 615 W. Alder Street Shelton Phone: (360)427-9670 ext 352 •. Fax (360)427-7798 PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: I 2Q1:1- DO CJ 12 OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 'Tot+fo CA1a%_rz NAME: Rn,, Pa,ryc.. ..s C As-I-r MAILING ADDRESS: 94 7 MAILING ADDRESS: IN I I tz -r L. __ D r CITY: STATE:UJA ZIP: qg I o Z CITY: 5► a STATE: Ulh_ ZIP: 98 50 11 111 PHONE: PHONE: CELL: a39 802.0 2111 PHONE: EMAIL: ram,y<«50.1 s wAati ., cu 1— EMAIL: L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER (12 Digit Number): '3aa35- ZI -go000 Zoning: rvr-A reS. LEGAL DESCRIPTION (Abbreviated:Tr 3 GuT, IIZ-6 Sik gc2_0P-I Sec-A - tom!'�L_Z SITE ADDRESS: 12-9-73 N iy K1c) - Sko rQ ZCA CITY: 13 DIRECTIONS TO SITE ADDRESS: + 12 rY6(e s t,.t e'z,4 O Nor-f'1. S I o,e 12A 10-ro ors 'A f I rA t r Wn�r S i�Lz TYPE OF JOB/WORK: NEW 1 ADD ALT PAIR OTHER USE OF BUILDING �pn,{ b ! J- U�I�7- PLUMBING FIXTURES"' MECHANICA UNITS V Electric in-wall heaters(no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) I Furnace [E/G/LPG] Bathroom Sink(s) I Heat Pump [E/G/LPG] Bath Tub(s) / • Ductless H.P. I LPG] Shower(s) O Spot Vent Fan 2- Water Heater(s) I [E/G/LPG] Propane Tank Q,cr� _gal.] Clothes Washer(s) [E/G/LPG] Gas Outlet(s) 12 Kitchen Sink(s) I Heat Stove �_[E/G LPG W] Dishwasher(s) l Kitchen Exhaust Hood / Hose bib(s) 1 Dryer Vent Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed.I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF ,INSPECTION NACTIVITY OF TFS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X V-7-7 / Si nature ci Applicant Date X 'V2�y 'FA-r-s, o f S Owner/Owners Re resentativ Contractor Print Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTESICONDITIONS O Building O Fire Marshal O Permit Tech (OTC permit only) Vi5iI LIS on-line: limp://Www.co.masoil.wa.us/community-dev/ Rev:3/08/2017 N .... ..... ........... F I�V!'�....... .......J ` v 272 :,vrr:ue,uii ,.i.tt.nui KI ! ,-. .. .t /�GRD thomariE aide,air•ni • L=32'�UND IRON PIPE ;. ° -- EG y - `�, ��� // W/LS 3451 CAP ARD30AEPIEEP"*'%•;; \4 .; ; : _ Q O 1. 'DIA a .12 D 9 \ EL �� ONCRETE SLAB "g�1` ' 6"DIA.'.r•%4 � .L 270 ''`'•t.. s ''' FIR GR ?:= 259 1.5'DIA. ��• VINE MAPLE -Toe +EGLD33.17 O'DIA. \ TREE R]]0 3.35 L ,V5 F 1vIAf r \ f ION PIPE :": FRa+"AEO \ 9 SE�p '13A. .5 DIA \\ , 6 DIA. FIR �l� - `' ®gay \G IA. SON l;0 r"1� D 1.0'DIA. \ 1.5'D • ;,' : TY DCD PLANNING O MADRO E •• � ITE PLAN30 12 3.0'DIA. CH S APP�jR�gVAL/ \�C,'�G 2.5'DIA. j'/•xti' / IR RD 41� ` EL=32. ate DRY CKED E /LS 44,, Sc ALL D DIA 32 35-2 1 -900 0 la I 0.8' s & o` _ 21'-0" I CORNER O'DIA. .8DIA. TREE IR 1 I 6 23 ^ =25.38 ' Z "J V .a,,;'' •:.+'' r .5 DIA r__ r]R�^ ,. EL 34. e _ �+' 4 , 40 3 O'DIA E REMOVE la 2 28 (VX20 =_ GUEST I- 16.T �d A 8A u>:, :. TREE S 22 i HG c ,.-- . :~.: CLUSTER _ _ S` , .Ou. 255 & zs, R5o _ ;EX DEMO D ELEL 1 ' Gd 'GARAGE EL=23.85 OX20 i W PROpOSEp R '_ 10"DIA. -7 ::OAF LOC A1NFlao NGROVEO A UTIL. SWG33 2016- SE N0. POLE y 1.6'DIA. II �1.88 EC`r ., FIR 11 ON y / 5 EC 20.3 ACCESS DRIVE / O 248 ' -i� •... I NEW BI '`� � �°p�3.5s .�a. s,q V OVER EX GR E r I --I&M Po[ R CI• IL ,' ` p� y�,,�' �,�:: ti° P POSED SEPII�TANK I EL=19.39 PER APPROVED/DESIGN °� ; ��21Y� .,i k W ..;` /SIR &r¢ 1 \ ASE N0: SWG2018�-00 q 46, O t� f ,soa W/�(ER -� 2.sA1 2� A �;,� x �r 5'DIA. I / VA s LVE 40'FAR ' Lt O , )1 4'DIA. t r -x TO -2 5.4 F5 I L.!"11 V ' � 5.3 FS P 2 °�` STONE LAN SCAP Q ' L SETBACKS ARE MEASURE WALL %1 y, FROM TH FURTHEST IA. %" R TION F THE BUILDING IR EX SEOC TANKS TO E f6% ffi.52 FG EL-15.3 x REM QED FIR I CO x x , 0, /I/tR PROP ED x x - � % x c 5& %x SE 3.5'DIA. P�1C[SIGN I 8 x x x �I� 2.5'DIA. " I T H&M xx x % ;; % I` Q' \ FIR .2'DIA. I P O L x % x >r /r // IR .M• % 1.7 E FIR 2.2'DIA. /" <', ► =16.84 'x 1 AffXS�'•.,� ��`F IR ;y! 7�; 12.44 TBW x x x x` ��/s D�LI \ I C E I V E D 8.78 TUE 4 12w .....,,.... 1 ,.2.2 IA. I x x ► �'��' FIR x % APR 2 7 2017 INFQRN1AT10 e 9 FS96o%���',� x x x `' %\ o r =_5\ 3DIA I _ )WNERS: JOHN AN CAITLIN CABLE 'A " h/ .� 6 5 W. Alder Str� SHORE ROAD x Eo , ORES 12473 ,'. x x BELFAIR, 8 '" x x % x 12. w% % x; x/ j S n ;v; � s. .• N BER: 32235-21-9 068' % x x x x 2 a 1 .W f9, �c'%"�r -'A � t RURAL RESIDENTIAL x x Al%94 Ccx x x , % -X, x x.'x• s,° 17. w% HOUSE RIPTION: ACT B OF SHORT PLA ION / 12.17 TeW% 9.93TOE F=1U2+ x 'fL- 2 xx x % xx xx\ .� N 26, RECORDED APRIL 8, 82, 2x12 PB�t x x x x % % x %� 18.01 - x % x.. x x :' LAN ------------- - ---- -� x x x % x % % k..�.% ..x %�x� "'� - -4 xxxx xxxx % xx'it••�f.:Y xx ;9� % 'A "12. %T x % % x xxX % x NNI� DATE: 06.08.16 L,, c x x x x x x x ?.. 7.81 FC ApC" LH % xx xx % I -3.,i EAR% xxx x x 12.17 TBw �C Z F- -�70 TOE 2C� o OUND IRON PIPE RFSIDENCE BEYOND PROPOSED ACCESSOR tv ON BULKHEAD DRUCTION - STRUCTURE WITH GARAGE BELOW Iv :016-00111 AND GUEST HOUSE ABOVE cn W z --------------RIDGE:-®50.50 � w TOP PI AV- 0 4n Fn a I MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/Ventilation Code Compliance Application Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#: Type of project: -John Cc,--bl, aa35--2) "I1b(� SFe- Total Sq. Ft. 15 Floor: 2" floor: Heated Ba ment: of heated area:: q l ��e Heating System Type: O Electric wall ha ter O Electric Central Furnace O LPG F r O Heat Pump with electric furnace O Heat pump with gas furnace 0 Ductless Heat Pump APR 2 7 2017 O Boiler, specify fuel type: O Other: Specify: r „ e E Prescriptive Option Table R402.1.1 (see table on previous page) Compliance Method ❑ Component Performance, R402.1.3 — Calculation worksheets required me MEMO ^ Must Check one:: ❑ Other (Specify): BUILUIRLI t n y Check one ® Whole House Ventilations stem El Whole House Ventilation y 1 using exhaust fans&window or wall Integrated with a Forced Air ❑ Other, describe: Ventllatlo fresh air vents (M1507.3.4). If using System (M1507.3.5) n System window vents be sure to order windows with vents. Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at: _ http://www.co.mason.wa.us/forms/Community Dev/iecc wsec.pdf Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc). Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor Efficiency but less than 1,500 sq ft of floor area. Requires 1.5 credits Requirem ents b) Medium dwelling units that are not included in (a) above {small dwelling), OR (c) below Energy {large dwelling} Requires 3.5 credits credits EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2.5 required: credits. See page two for description. c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires .5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, lazed-doors that include products with glass and non-glass glazing materials. Describe Energy Credit Option(s): Using Option "—Du number(s): 5A 3 FENESTRATION SCHEDULE USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE List all windows, doors, skylights. (If needed, attach an additional sheet) 'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with lass and non-glass glazing materials. Manufacturer Location U-Factor Size Quantity Total (rough opening) Square Feet Total Fenestration: windows, skylights and door area Energy Credits 4 Name O—a,UI,tJ, John Parcel#Na�6•oZ./" �QQ(Q(� BLD# 2)1-7- 60 5 a BUILDINr-, 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 Sty�`�/,� Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason Coun httpHwww.co.mason.wa—us/code/commissioners/index.htm APR 2 2�1 Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". 7 7 Regulated activities shall be conducted only after Mason County Public Works approves a stormwater siiteIah"der Stree (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)4—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 450 100 W. Public Works Dr 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 400 415 N. 6th St—Bldg#8 lower level 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 ac ledge that the infor ation provided is accurate and employees of Mason County are granted access to the above- described rop for revi w d in pection as may be required. X L% Owner/Agent/Contractor(circle one)Date: -z—i- i Page 2 of 2 Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface'. '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 X = X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area(sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. 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