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HomeMy WebLinkAboutBLD2013-00489 Replace SFR - BLD Permit / Conditions - 10/2/2013 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 279 Ir Shelton, WA 98584 flo RESIDENTIAL BUILDING PERMIT BLD2013-00489 OWNER: DANIEL ROBINSON RECEIVED: 6/27/2013 CONTRACTOR: ROBINSON HOME BUILDERS 360-277-0546 LICENSE: ROBINHB994LH EXP: 2/28/2015 ISSUED: 10/2/2013 SITE ADDRESS: 4552 E STATE ROUTE 302 BELFAIR EXPIRES: 4/2/2014 PARCEL NUMBER: 122285001002 LEGAL DESCRIPTION: SISSON BEACH BLK: 1 LOT: 2 PROJECT DESCRIPTION: DIRECTIONS TO SITE: REPLACEMENT NEW SFR ST RT 3 TO ALLYN, R ON NORTH BAY RD, FOLLOW TO STATE ROUTE 302 TO SITE ADDRESS ON THE RIGHT SIDE, SHARED DRIVEWAY WITH 4550 General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 4 Occ. Group: R3U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:2,561 Garage-Attached 780 Valuation: $ 312,095.77 Building Height: Occ. Status: Primary Basement: cov porch 478 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 98.0 Ft. Shoreline: 22.0 Ft. Water Body: CASE INLET Rear: W 22.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: N 9.2 Ft. Shoreline Desig.: Urban Year: Serial No.: Side 2: S 902.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 4 Furnace<100K 1 Plan Check Fee GMM 6/28/2013 $ 1,410.34 S1201300000001 Lavatories 5 Heat Pump 1 EH Plan Review GMM 6/28/2013 $ 103.00 S1201300000001 Bath Tubs 1 Ventilation Fan 6 Planning Review Fee GMM 6/28/2013 $205.00 S1201300000001 Showers 1 Propane Tank 1 Building State Fee DLC 7/17/2013 $4.50 S1201300000001 Water Heaters 1 Gas Outlets 3 Building Permit Fee DLC 7/17/2013 $2,186.55 S1201300000001 Clothes Washer 1 Fireplace 1 Mechanical Permit Fee DLC 7/17/2013 $264.90 S1201300000001 Kitchen Sink 2 Exhaust Hood 1 Mechanical Base Fee DLC 7/17/2013 $28.50 S1201300000001 Dishwasher 1 Dryer Vent 1 Plumbing Permit Fee DLC 7/17/2013 $ 154.10 S1201300000001 Hosebibs 5 Plumbing Base Fee DLC 7/17/2013 $24.70 S1201300000001 Laundry Tray 1 ADJUST--Plan Check Fee DLC 7/17/2013 $ 10.92 S1201300000001 Total $4,392.51 BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 1 of 7 CASE NOTES FOR BLD2013-00489 CONDITIONS FOR BLD2013-00489 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 1-800-647-09 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) Owner/Age ryt is�responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X n, 3) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer's installation instructions. X 4) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA). It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or operator has ob i ed written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org X 5) 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 Department prior t y further inspections being performed or approvals granted. X �- 6) 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 removal of apprgved documents will result in failure of required building inspections. X 7) THE FOUND SYST M SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 2 of 7 8) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building a ment prior to any further inspections being performed or approvals granted. X 9) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option II, Window(Max U-Factor):0.32, 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 the following credit from Table 9-1 shall be completed: Option 1A, Heat pump HSPF 8.5 or better X Q 10) 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'/2 sheets. The Mason Coun Permit Center will also have some available. X 11) A minimum of 50 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). Reference( ��EC/505. X BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 3 of 7 12) Windows in High Exposure Area All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during inspections. In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference IRC R301. 1.4 & IBC 1609.4. The design criteria for this project is established at 85 mph wind speed, exposure C. X 13) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. X 14) 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/contractor is owledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 15) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roaosConnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 16) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and all be collected by the Building Department prior to any further inspections being performed or approvals granted. X v 17) 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 revocatio . X / BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 4 of 7 18) Installation of heating equipment in a single-family residence shall meet the requirements of the current Washington State Energy Code, applicable sections of the IRC and IMC. Heating equipment shall be sized in accordance to IRC, Section M1401. 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 WSEC Section 503.10.3 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. All heating equipment shall meet the requirements of the National Appliance Energy Conservation Act(NAECA) and be so labeled. (WSEC503.4) or in accordance to WSEC Section 1411. X 19) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 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 project.X 20) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 5 of 7 21) 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 Inspector shall"ade prior to requesting additional inspections. X 22) All property lines shall be clearly identified at the time of foundation inspection. X 23) 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 County ordinanc and building regulations. X r 24) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have preventedtion from being taken. No more than one extension may be granted. X nk 25) Retaining walls needed to support a surcharg.,such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 4_2 26) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD n x &2 27) Approved per dimensions and setbacks on 6/27/2013 submitted site plan; replacement of existing covered porch and expansion to the east(towards State Rte 302) allowed as proposed. Setbacks are measured from the furthest projection of the structure. X 28) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program.X CA 29) All construction and demolition debris must be removed from the site after project completion. Proper dispo I,a of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X (J* 30) Temporary erosion control measures must be implemented to prevent water quality degradation of cent waters or properties. Silt fencing, straw, or matting must be installed and maintained until upland vegetation has become established. X 31) Prior to final approval, all upland areas disturbed or neriy created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 6 of 7 32) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Appro tZ Plan"to ensure these structures are shown and meet the setback conditions listed. X 33) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structu es meet the setback conditions listed. X 34) Retaining walls needed to support a surcha" such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 35) All prope�all be clearly identified at the time of foundation inspection and 3-ft. easement on north side shall be removed. X This 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 continu . in 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 Mas County access the above described property and structure for review and inspection. OWNER OR AGENT: DATE: - �� BLD2013-00489 Please refer to the following pages for conditions of this permit. Page 7 of 7 Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General/Specialty Contractor A business registered as a construction contractor with L&I 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 ROBINSON HOME BUILDERS UBI No. 602107800 Phone 3602770546 Status Active Address 2859 Burlington Tpke License No. ROBINHB994LH Suite/Apt. License Type Construction Contractor City Towanda Effective Date 6/8/2001 State PA Expiration Date 2/28/2015 Zip 188488460 Suspend Date County Out Of State Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ROBINSON HOME BUILDERS INC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status ROBINH'033BPROBINSON 1construction General Unused 1/17/1997 2/6/2002 Archived HOMES lContractor Business Owner Information Name Role Effective Date Expiration Date ROBINSON, DANIEL DUANE President 06/08/2001 ROBINSON, JANE P Vice President 06/08/2001 OLSSON, NEIL Secretary 06/08/2001 02/25/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 MERICAN STATES INS 6090663 02/12/2002 Until Cancelled $12,000.00 10/01/2001 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 9 Western SCP0837314 02/28/2011 02/28/2014 $1,0002000.0002/25/2013 Heritage Ins Co WESTERN 8 HERITAGE INS scp0784253 02/11/2010 02/11/2011 $1,000,000.0002/12/2010 CO 7 ATLANTIC CAS L0650006616 02/12/2007 02/12/2010 $500,000.0002/05/2009 INS CO Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 7/23/2013 FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO I20(3 - Do`-I8 J PLEASE PRESS HARD BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 n f Zhelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 In"l , " On the web www.co.mason.wa.us APPLICANT INFORMAT ON CONTRACTOR INF RMATION Owner e.-SIC t► Company Name Mailing Address Mailing Address V,55.2. City_�j =;r State$) Zip Code�4=%ca city oJ��.^ State Zip Code Phone a(on_.. OtherPhgeg Ph $��?-Q�µ� Phone Other Ph.;�lvd-�� Lien/Title Holder �- kl.0 'Pina Contractor Reg. E mail address E Mail Address s c:L,4%I. c Drivers Lic.# Q OB Drivers Lic. # DOB -'3o=1 qjs SEPTIC /WATER SYSTEM INFORMATION- Connect to New Septic Existing eptic Connect to Water System Name of Water System Well Sewer System Name of Sewer System A"�Jr a-j PARCEL INFORMATION - 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) L b Directions to site Will timber be cut and sold in parcel preparation?Yes Is property within 200' of Saltwater M-o'7 S Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs 15% Is this permit submittal the result of a Stop Work Notice, Correction Notic or other enforcement action?Ye o TYPE OF JOB - NeewVAdd Alt Repair Othe -RIMARY RESIDENCE SEASONAL ❑ Use of Building Ya cdorl ��escr be Work ly No. of Bedrooms—�—No. of Bathroom Square Footage- 1 st Floort5ki'6-1 2nd Floor 3rd Floor Basement Deck Covered Deck �Other . —Sq. ft. Garage 2 Li:! Attached Detached -- Carport _--Attached Detached MANUF FORMATION - Make Model Year Le Width Serial No. of Bedrooms o. of Batki�pom T pe of Heat Purchase Replaceme it? Yes/ No nstaller Name nication 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 that the information provided is accurate and grants employees of Mason County access to the above described property and structure 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 MEA PROGRESS INS P TION.INACTIVITY OFTHIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPUCATION. ri.> Date: X Ow r Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee o'f / Site Inspection Review Plan Fee 2� /• EH Review Fee Plumbing & Base Fee a o t IS 1O Plannin Review Fee Mechanical & Base fee SD 1- oR(p9`{o Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee i A Pre-Paid at Submittal Valuation $ �3/ R TOTAL FEES a z. Ca p x Q -75 ( � Z a I �x I eZ G6A ac� x 3d - 78c) MASON COUNTY PERMIT No..��C1'iGi?J PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton(360)427=9670•Belfair(360)275-4467•Elma(360)482-5269 On the web www.co.mason.wa.us APPLI T INFORATIO CONTRACTOR INF RMATION Owner M , -� �'i e)SC V1 Company Name Mailing Address, - 3 Mailing ddress �- p 2 City AQ I J h State —Zip Code ��5 , '_ City State « Zip Code Phoneme°��"'� ar&-Other Ph -QS Phone t=� [� h( 5� Other Ph`'3 6n- -2 05 Y Lien/Title Holder �� -�5 -*" n Contractor Reg. # ���!� �Ep. - E mail address ►'' r l" +1*�S E- � �• ``"` E Mail Address Drivers Lic.# Clp ` OB Sj - o 'O Drivers Lic.# Awii5ND DOB C� SEPTIC INFORMATION.-Fonnect to New Septic Existing Septic Connect to Sewer System Name of Sewer System IV M I-A &,=,'! PARCEL INFORMATION - 1 Digit Parcel No !6-a 8-Lsc 0) O 0 v'-'- Fire District IG— Legal Description 5 Site Address(Please include street name, street number and city Direptions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units- 1st Floo 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS jype of Fixture No. of Fixtures Fees Fuel Type:Electric )L LPG_Natural Gas_Heat Pump-9- Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs _ Heatpumps Showers y Spot Vent Fan Water Heater Propane Tank Clothes Washer / Gas Outlets 3 Kithen Sinks Wood/Gas,(Peliet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other L&U4'Ar Other Base Fee �asFee..� . TOTAL PLUMBING TOTAL MECHANI AL OWNER/BUILDER Acknowledges submission of inaccurate infomtiation 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 that the information proode"accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PRbOpOF OF CO UATI=0FORK BY MEANS OF A PROGRESS INSPECTION, X .4--- Date: Owne /Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYON THIS POINT Accepted by: anning Pd Ck# D Bid Pd Receipt No. DEPARTM TAL 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 P LA N t I N C�4 CASE INLET 5' high bulkhead 92� LAN NING: ALL TBACKS AR MEASURED ROM THE FU THEST o PR JECTION OF T E BUILDING_ W VERTICAL LOG BULKHEAD N RAMp A � A 120 N O � O N 6/4 N OP GA co � 1 rn Ida � NEW UND E LNN R EW � d WATER ^ NIAS N COUNTY CD PLANNIN : TO BE ON SITE 10'-9° FOR j SIT PLAN REQUIR S�ERGRNN RPUMP CH NGES S BJEC TO APPR VAL DRNEY' cr ate 'r; _ WELL i RT OVEIA RHEAD �. OADAP ER NBLE By 0 2��_6 314" co •. Y 16'-51 FUTURE GARAGE 22T B `� B QPROPAN K o cp 8 25, i i Title PLOT PLAN SCALE: 1"=30'-0" Drawing Number Drawn By Date 1 DDR 06/27/13 CAD File Name BEACH HOUSE PROPERTY ADDRESS: 4552 E STATE ROUTE 302 BELFAIR,WA 98528 1 2 3 1 2 3 5' BULKHEAD CcEINLE7 • 92' 0 n 0 + VERTICAL LUG tJ EXISTING b a (� BULKHEAD s Oi ITO A A eXg(INGHDIISE '�•�$e INDER rump Q Os .P r A O_ ��ING GARAGE SHED .� 24,-0" 32!-0" 4,A" O �CISTING WELL . pVERHEAD PUMF N b O 9a 25 Bi ST P�ROUE g02 /// J // f / Title EXISTING PLOT PLAN SCALE: 1 "=30'-0" Drawing Number Drawn By Date 2 DDR 06/27/13 CAD File Name PROPERTY ADDRESS: EXISTING PLOT 4552 E STATE ROUTE 302, BELFAIR, WA 11 2 1 3 rr CASE�NLET 5' high bulkhead 92' 0 w 0 -� GBULKHFPD NP W VERTICAL LOG - A a 12-0 c�,�rCaA ,p q O N 6A A 00 ,. e C� b � i tdar A R EW a NE pp NE E W ATER LIN � 1 LU TI FOR © SENN SEWER GRIN R PUMP\IFRVAFpD DRN �1 RO SV MERSIBEELL 21'_6 314" U � ADAPTER r16 51 FUTURE GARAGE B nPROPAN K 6. b � 8 25 LLD 2 3 ,SU,o va � VIED ri 7.7.�� MC PURI:.Ir HEALTH JUL 17 2013 Title PLOT PLAN (A&L: 1"=30'-0" 2 6 Drawing Number Drawn By Date 1 DDR 06/27/13 CAD File Name BEACH HOUSE PROPERTY ADDRESS: 4552 E STATE ROUTE 302 BELFAIR,WA 98528 1 2 3 Name7D/jre-1' 6/d5a4 Parcel# /,'2Vaz8-SO- 1)/00 a BLD#-201 -3 a r";! 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/r,ode/c.ommissioners/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- desc ' e roperty for review and inspection as may be required. X gent/Contractor(circle one)Date: Page 2 of 2 Name ve I 6 ►z. a Parcel# I — 56 —0/00,�L 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,oT 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. T�- alcclafe lmperu><ous Surfaces_Pfease Goinpirete 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 1/ 0/ = 70 X = Length of drive begins at the right of way X = Parking Areas AstX 0 1 _ / 0 50 X = Any paved, gravel or packed area per definition _ above table X Patios/Walks V X 5 = D Any paved, gravel or packed area per definition above table X Others X = X if the total mipervrous 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(svm of`all areas) 3 d 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- describ roperty for review and inspection as may be required. X 6;wn:elAgent/Contractor(circle one)Date: D/3 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 C oWractors or Tradespeople Printer Friendly Page Page 1 of I General/Specialty Contractor n I A business registered as a construction contractor with L&I 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 ROBINSON HOME BUILDERS UBI No. 602107800 Phone 3602770546 Status Active ddrPss 2859 Burlington Tpke License No. ROBINHB994LH Suite/Apt. License Type Construction Contractor City Towanda Effective Date 6/8/2001 State PA Expiration Date 2/28/2015 Zip 188488460 Suspend Date County Out Of State Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company ROBINSON HOME BUILDERS INC Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status L(:O °ii`033BP!ROBINSON Construction General Unused 1/17/1997 2/6/2002 Archived HOMES Contractor Business Owner Information Name Role_ Effective Date Expiration Date ROBINSON, DANIEL DUANE President 06/08/2001 ROBINSON,JANE P Vice President 06/08/2001 OLSSON, NEIL Secretary 06/08/2001 02/25/2011 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 2 AMERICAN STATES INS 6090663 02/12/2002 Until Cancelled $12,000.0010/01/2001 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 9 Western SCP0837314 02/28/2011 02/28/2014 $1,000,000.00 02/25/2013 _ Heritage Ins Co (WESTERN 8 !HERITAGE INS scp0784253 02/11/2010 02/11/2011 $1,000,000.00 02/12/2010 CO 7 ATLANTIC CAS L0650006616 02/12/2007 02/12/2010 $500,000.0002/05/2009 INS CO 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 Infractions/Citations Information No records found for the previous 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 7/2/2013