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MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2009-00206
OWNER: COVIE SMITH RECEIVED: 3/24/2009
CONTRACTOR: LICENSE: EXP: ISSUED: 4/13/2009
SITE ADDRESS: 530 E LAKESHORE DR ALLYN EXPIRES: 10/13/2009
PARCEL NUMBER: 122205400048
LEGAL DESCRIPTION: LAKELAND VILLAGE 5 TRACT 48
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
Carport Lakeland Villiage
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type ofConstr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building: Carport-Attached 462
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft.
Side 1: Ft. Shoreline Desig.:
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KKK 3/24/2009 $117.81 S22009000
Building State Fee ARC 4/10/2009 $4.50 S22009000
Building Permit Fee ARC 4/10/2009 $181.25 S22009000
Total $303.56
BLD2009-00206 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2009-00206
CONDITIONS FOR
BLD2009-00206
1) 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 roads n ect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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2) 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
1-800-647-098 T e person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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3) 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 pri t any further inspections being performed or approvals granted.
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4) Owner/Ag s Jesponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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5) 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 off d documents will result in failure of required building inspections.
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6) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use
permit sh p ed for, reviewed and approved prior to the change.
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7) 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 wdJ 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 Dent prior to any further inspections being performed or approvals granted.
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BLD2009-00206 Please referto the following pages for conditions of this permit. 2 of 4
8) Per 2003 IRC -SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC MPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
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9) Per IRC -SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordanc wi the applicable provisions of this section and the manufacturer's installation instructions.
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10) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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11) This structure is limited to U-occupancy use only (private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the
inter es and Mason County Regulations unless a"Change of Use" permit is applied for, reviewed and approved.
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12) 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
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13) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinarf lation, must be reviewed and approved by Mason County prior to construction.
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14) 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
Inspectors I e made prior to requesting additional inspections.
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15) All property lines shall be clearly identified at the time of foundation inspection. X —�
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16) 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 in nces and building regulations.
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17) 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 ha ented action from being taken. No more than one extension may be granted.
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BLD2009-00206 Please refer to the following pages for conditions of this permit. 3 of 4
18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connect��flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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19) Retaining walls needed to support a surc. h s structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
20) 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 it Ian"to ensure these structures are shown and meet the setback conditions listed.
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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 continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property a d tructure for reviie d inspe ion.
OWNER OR AGENT: DATE:
BLD2009-00206 Please refer to the following pages for conditions of this permit. 4 of 4
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. —)- 0 7c
PLEASE PRESS HARD BUILDING 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
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APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Address Mailing Address
City State WA Zip Code r ' City State Zip Code
Phone ' Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address 3.l!nM E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No.� Fire District
Legal Description !°'A' 7_11 !A;11A!�';
Site Address (Please include street name, street number and city) "_ S 30
Directions to site "
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 515%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work— IL` "
No. of Bedrooms No. of BathroomEi Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents 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
MEANS OFAPROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
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Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APP ED DENIED NOTES
Building Department
Planning Department
Environmental Health Department g
Fire Marshal
FEES
Building Permit Fee 17 Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee /1�0 Pre-Paid at Submittal
Valuation $ 14415. TOTAL FEES