HomeMy WebLinkAboutBLD2012-00382 Cancelled 2 Story Garage - BLD Permit / Conditions - 4/14/2021 Inspectior ie (360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT: Phone: (36 -' 1.7-9670, ext. 352
Mason County Bldg. ; 426 W. Cedar P.O. Box 27��
IP4 Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2012-00382
OWNER: MIKE EACRETT RECEIVED: 6/4/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 4/3/2013
SITE ADDRESS: 80 E BUCKINGHAM LN GRAPEVIEW EXPIRES: 10/3/2013
PARCEL NUMBER: 121081100010
LEGAL DESCRIPTION: TRACT 1 OF GOVT LOT 9' &TAX 700 EX M.C. JUDGMENT AF#1768835
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW 2 STORY GARAGE (35-ft x 30-ft) Garage lower floor, heated ST RT 3, R ON GRAPEVIEW LOOP RD, R ON ECKERT RD, L ON
habitable space upper floor. (2 bathrooms roughed in) BUCKINGHAM LN
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R31U Lot Size: Deck:
Type of Work: ACC Fire Dist.: No. of Stories: 2 Occ. Load: Building:1,050 Garage-Attached 1,050
Valuation: $ 149,211.60 Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: N 10.0 Ft. Shoreline: Ft. Water Body: Case Inlet
Rear: S 20.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 10.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: W 50.0 Ft. Comp. Plan Desig.: Rural
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 1 of 7
Plumbing fixtures Mechanical Fixtures FEES
Type Qty. ype ')ty. Type By Date Amount Receipt
Water Closets (To ets) 2 Ventilation Fan 2 Plan Check Fee TW 6/4/2012 $827.94 °20120000000i
Lavatories 2 Dr.,er Vent 1 Plan Check Fee TW 6/4/2012 $-827.94 �1201200000001
Water Heaters 1 Plan Check Fee TW 6/4/2012 $827.94 20120000000(
Clothes Washer 1 Planning Review Fee TW 6/4/2012 $205.00 S1201200000001
Kitchen Sink 1 Planning Review Fee TW 6/4/2012 $-205.00 S1201200000001
Dishwasher 1 Planning Review Fee TW 6/4/2012 $205.00 S1201200000001
EH Plan Review KKK 6/4/2012 $ 103.00 S6201200000001
Building State Fee DLC 8/20/2012 $4.50 S1201200000001
Building Permit Fee DLC 8/20/2012 $ 1,273.75 S1201200000001
Mechanical Permit Fee DLC 8/20/2012 $27.00 S1201200000001
Mechanical Base Fee DLC 8/20/2012 $28.50 S1201200000001
Plumbing Permit Fee DLC 8/20/2012 $52.20 S1201200000001
Plumbing Base Fee DLC 8/20/2012 $24.70 S1201200000001
Additional Plan Check Fee DLC 3/1/2013 $ 146.00 S1201300000001
Plumbing Base Fee DLC 3/1/2013 $ 11.60 S1201300000001
ADJUST—Plumbing Permit DLC 3/1/2013 $ 17.40 S1201300000001
EH Permit Revision ADR 3/27/2013 $41.00 S1201300000001
Total $2,762.59
CASE NOTES FOR
BLD2012-00382
CONDITIONS FOR
BLD2012-00382
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 alre potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-8 - 47- 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Dep rlor to any further inspections being performed or approvals granted.
X a en
3) Own e /Age is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 2 of 7
4) The pi:, review check list and core-.. _;ns are part of the approved 7,.s and must remain theretc s the responsibility of the :;cant to make the
• correc.cr,s indicated on the plans. ''--,e the plans are marked "AP --' OVED", they shall not be c� ,,-- ,ed or altered without authc-.7)tion from the Building
Officia'. -he permit holder is respc-,-. 1e to retain the complete api - :ed set of plans on site fort , --iration of the project. Fail._-,- .o comply and/or
remov<;: `approved documents wo. -esult in failure of required buii:. nq, inspections.
• X
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5) The lower floor of this structure is approved as un-heated space and the upper floor is approved as heated space and shall be fir!shed to meet minimum
Washington State energy Code specifications. If at any time this building is to be used for anything other than what it is approved for, a change of use
permit shall be applied for, reviewed and approved prior to making any changes.
X g,��
6) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building ep rtment prior to any further inspections being performed or approvals granted.
X
7) Washington State Energy Code Compliance has been approved as follows:Upper floor, used as habitalbe space. Revised engineered plans specifiy
12-3050's + full-lite door-19%
Heat Type: Electric wall mount heaters, Compliance Method: Prescriptive option II up to 25% glazing, Window(Max U-Factor):0.32, No Skylights, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-49 standard.
In addition the following credit from Table 9-1 shall be completed: Option 6, heated upper floor less than 1500 sq. ft.
X 6��
8) 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%sheets. The
Mason ounty Permit Center will also have some available.
X Z
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 3 of 7
9) A minimum of 50 percent of all uminaires shall be high efficac% :.:minaries unless lighting cc,- ti.iance was approved using the cptions available in WSEC
Section 1520 or 1530. Luminai!es providing outdoor lighting and permanently mounted to a dential building or to other bur irgs on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by . —otion sensor(s)with integral cn)tocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted ,th T-8 or smaller lamps (but r T-10 or T-12 lamps).
Refere ce EC 505.
X
10) 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 /119-
11) 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.
X6�
12) 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/contracor is knowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X g
13) 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
suc ads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X }�
14) The use, handling and storage of hazardous m erials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X ►LH�
15) 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
permi r oca n.
X
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 4 of 7
16 Installation of heating ec ,nent in a single-family rest:w:.-„e shall meet the requiremer ,. cf the current Washington Energy Code, applicable
sections of the IRC and
Heating equipment shall a sized in accordance to IRC .-section M1401. Heating and &,--.:cn load calculations for the ::_- >ose of sizing HVAC systerr> - re
required and shall be ca�_:::iated in accordance with ac: :::ted practice, including infiltra� _ and ventilation. Design ca :_.._ .ations shall be available for
c, o inspection during inspen
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.
X4
17) 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 projects/) /
X �' r✓/
18) 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.
X
19) 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�hallb made prior to requesting additional inspections.
X
20) All property lines shall be clearly identified at the time of foundation inspection. X 46��
21) 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
Masoro ordinances and building regulations.
X
22) 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
holde evented action from being taken. No more than one extension may be granted.
X r ve
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 5 of 7
23) ALL SURFACE WATERl.`, D POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLYr.FFECT ANY ADJACENT
PROPERTIES NOR INC'�EASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTE'.l
OR--F,'9AD WAY._
X r�
24) Approve per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
25) Applicgt'nac nowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5 zone.
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X ''
26) The proposed project must be consistent w t applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program. X
27) This structure has a heated second floor and has NOT been reviewed or approved as an Accessory Dwelling Unit(ADU): A second dwelling unit detached
from an existing single-family dwelling for use as a completely independent or semi-independent unit with provisions for cooking, eating, sanitation and
sleeping. ADUs are required to meet erquirements under Mason County Development Regulations 17.03.029, including public hearing review and
approval prior to occupancy. X�_�
28) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X �
29) All construction and demolition debris must be removed from the site after project completion. Prop disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X 6j
30) Temporary erosion control measures must be implemented to prevent water quality deg atii of adjacent waters, wetlands, or properties. Silt fencing
must be installed and maintained until upland vegetation has become established. X [�
31) Use of property for outdoor wedding activities(tents and portable restrooms) will need further public review if complaints result regarding the
on-goipgyg#future use.
X
32) The revised floor plan, approved March 1, 2013, is approved for the following use:
A 30-ft x 35-ft 2-story structure. The lower is approved for use a a parking garage for the storage of private or pleasure-type vehicles and shall
include a bathroom containing one water closet and one lavatory.
The upper floor is approved with 2-office use rooms, not for sleeping purposes, a bathroom containing a water closet, shower, and lavatory.
220V cooking appliance(s)are NOT allowed in the kitchenette or anywhere within the structure.
X
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 6 of 7
This permit becomes null;and void if work or construction au:,,orized is not commenced within -80 days, or if construction or wo -, suspended for a period of 180 co/sat any
time after work is commer;,ed. Evidence of continuation of work is a progress inspection withir•the 180 day period. Final inspe .•cn must be approved before build.-,--,, can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, rep _ents that the information providec accurate
and grants employees of ason County access to the above described property and structure for review and inspection.
OWNER OR AGENT DATE: 4a� � I
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 7 of 7
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 186
Ir Shelton, WA 98584
flo
RESIDENTIAL BUILDING PERMIT BLD2012-00382
OWNER: MIKE EACRETT RECEIVED: 6/4/2012
CONTRACTOR: LICENSE: EXP: ISSUED: 9/10/2012
SITE ADDRESS: 80 E BUCKINGHAM LN GRAPEVIEW EXPIRES: 3/10/2013
PARCEL NUMBER: 121081100010
LEGAL DESCRIPTION: TRACT 1 OF GOVT LOT 9"&TAX 700 EX M.C. JUDGMENT AF#1768835
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW 2 STORY GARAGE (35-ft x 30-ft) Garage lower floor, heated ST RT 3, R ON GRAPEVIEW LOOP RD, R ON ECKERT RD, L ON
habitable space upper floor. (2 bathrooms roughed in) BUCKINGHAM LN
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3U Lot Size: Deck:
Type of Work: ACC Fire Dist.: No. of Stories: 2 Occ. Load: Building:1,050 Garage-Attached 1,050
Valuation: $ 149,211.60 Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front N 10.0 Ft. Shoreline: Ft. Water Body: Case Inlet
Rear: S 20.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 10.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: W 50.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Ventilation Fan 2 Plan Check Fee TW 6/4/2012 $827.94 S1201200000001
Lavatories 2 Dryer Vent 1 Plan Check Fee TW 6/4/2012 $-827.94 S1201200000001
Water Heaters 1 Plan Check Fee TW 6/4/2012 $827.94 S1201200000001
Clothes Washer 1 Planning Review Fee TW 6/4/2012 $205.00 S1201200000001
Planning Review Fee TW 6/4/2012 $-205.00 S1201200000001
Planning Review Fee TW 6/4/2012 $205.00 S1201200000001
EH Plan Review KKK 6/4/2012 $ 103.00 S6201200000001
Building State Fee DLC 8/20/2012 $4.50 S1201200000001
Building Permit Fee DLC 8/20/2012 $ 1,273.75 S1201200000001
Mechanical Permit Fee DLC 8/20/2012 $27.00 S1201200000001
Mechanical Base Fee DLC 8/20/2012 $28.50 S1201200000001
Plumbing Permit Fee DLC 8/20/2012 $52.20 S1201200000001
Plumbing Base Fee DLC 8/20/2012 $24.70 S1201200000001
Total $2,546.59
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2012-00382
CONDITIONS FOR
BLD2012-00382
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
1-800-647-098 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Departme t rio o any further inspections being performed or approvals granted.
X
3) Owner/Agent' re onsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
4) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of apprpve5 documents will result in failure of required building inspections.
X
5) The lower floor of this structure is approved as un-heated space and the upper floor is approved as heated space and shall be finished to meet minimum
Washington State energy Code specifications. If at any time this building is to be used for anything other than what it is approved for, a change of use
permit shall be pplied for, reviewed and approved prior to making any changes.
X
6) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
X
O_Z/
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 2 of 6
7) Washington State Energy Code Compliance has been approved as follows:Upper floor, used as habitalbe space. Revised engineered plans specifiy
12-3050's +full-lite door-19%
Heat Type: Electric wall mount heaters, Compliance Method: Prescriptive option II up to 25% glazing, Window(Max U-Factor):0.32, No Skylights, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-49 standard.
In addition the f Ilow g credit from Table 9-1 shall be completed: Option 6, heated upper floor less than 1500 sq. ft.
X
8) 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'/sheets. The
Mason Co ty Permit Center will also have some available.
�4
9) 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 WSEQ 595.
X
10) 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
11) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's in tall tion instructions.
X ,/�i,
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 3 of 6
12) 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 acknowI dging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
PP
13) 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 nn ct with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
14) The use, handling and storage of hazardous materi s or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of
the Mason County Fire Marshal. X
15) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit revocation.
X \4,
16) 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.
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 6
17) 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 with" 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
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 4 of 6
18) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regul 9tion, ust be reviewed and approved by Mason County prior to construction.
X
19) 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 be m pp or to requesting additional inspections.
X
20) All property lines shall be clearly identified at the time of foundation inspection. X /
21) 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 ordi an s and building regulations.
X
22) 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 preventled action from being taken. No more than one extension may be granted.
X
23) 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 WAY.
X
24) Approved p dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
25) Application a know dges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5 zone.
X
26) The proposed project must be consistent wi> all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program. X��
27) This structure has a heated second floor and has NOT been reviewed or approved as an Accessory Dwelling Unit(ADU): A second dwelling unit detached
from an existing single-family dwelling for use as a completely independent or semi-independent unit with provisions for cooking, eating, sanitation and
sleeping. ADUs are required to meet h regyirements under Mason County Development Regulations 17.03.029, including public hearing review and
approval prior to occupancy. X 7
28) Prior to final approval, all upland areas disturbed or newly create I by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 5 of 6
29) All construction and demolition debris must be removed from the site after project completion. Prop9t dismal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
30) Temporary erosion control measures must be implemented to prevent water quality degrafJy�rtion f adjacent waters, wetlands, or properties. Silt fencing
must be installed and maintained until upland vegetation has become established. 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 cont inu tion 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�0 ason County access to the above described property and structure for review and inspection.
OWNER OR AGENT Q G DATE:
BLD2012-00382 Please refer to the following pages for conditions of this permit. Page 6 of 6
Request To Revise An Approved Plan
Permit Number: BLD2LU-_ - 00�%,_ ?_ Name m I Vt_ Y cr94
Parcel Number) IO-�_- Phone Number daytime �)
Project Address Iv Mailing Address
Please provide a plete, detailed descr'ption f the sed revisions to the approved plans:
w - r- 5
Are two sets of the revised plans or a en in indi c inc ? Yes ❑ No
Are the approved site plans include '//, <Yes EX'No
Are the revisions clearly and accurately iden t e lans or ad ? R Yes ❑ No
Does the plan contain an engineer's or architect's lateral or ve an sis. X0 Ye ❑ No
If Yes, Has the engineer or architect approved this revision? s 7i(7 No
Is a stamped and signed approval included with this request? es No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ `Yes No
If Yes, Is a revised site plan, with all new setback dimensions included with this request?
❑ Yes ,!� No
Additional Information:
Applicant's signature 1C� �� �Q U Lei/ J Date:
Office Use Only Received by:
Date Sent Assigned To Approved By Date
�y � Original Valuation: $
B. �� 3 Addition atluation:
P. Ao J -�N 6 L t, t s9 F X$ $
H Total u n
Ad itional Fees:
❑ P.W. Additional Pl i pt. $
Additional Plan view o� /
Additional Conditions/ Comments: Additional Building Permit $
Additional Plumbing $
J` - Additional Mechanical $
Additional E. H. Dept. $
4,6 T11Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
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ALL SETBACKS ARE MiERSURED � PLANNING
FROM THE FURTHEST
_PROJECTION OF THE BUILDING
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hnp://mapmason.co.mason.wa.us/website/mason/MapFrame.htm 6/4/2012
Nam I Parcel#as io8 "o—a^j BLD#�D) a - C630 2—
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 stonnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
Ta=£alculate lrnpervous Surfaces please Corntete_This Table'
Surface Type Length X Width = Area "All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X ,
6rivewE4s X =
X = Length of drive begins at the right of way
X =
Parkin Area X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/1Nalks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X = _
X he total Impervious area of the proposed site
Uh = development is greater:than 2000 square feet a
Small Parc4Stormwater.Site.Plan:is Required ..
Total lmperviodt.Surfaae 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-
descnbo property for review and inspection as may be required. U�^
Owner/Agent/Contractor(circle one)Date: LO
If the Total 'm ervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the inform provided on page 2 of 2. ,^J
Page I of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application)Vorksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/mdex.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 Aril]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 inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
PERMIT NOZI J �t L2 '( 6U�
MASON COUNTY
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 INFOR�TIQN �r�, I CONTRACTOR INFORMATION
Owner I (_ n (�' Company Name
Mailing Addressi Ej V16 nn I fLA Mailing Address
City State Zip Coa City State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic _ Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions 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- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITEr
Type of Fixture No. f Fixtures Fees Fuel Type:Electdc_LPG—Natural Gas_Heat Pump_
Toilets __cat}++ 1 woe of Unit No.of Units es
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan 123
Water Heater � --�— Propane Tank
Clothes Washer _L— __l�___ Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher IGtchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or 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.
PROOF O CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION:, `
X Date:
ner/Owner presentative/Contractor (indicate which one)
FOR OFFICIAL USE BEYQQND HIS POINT
Accepted Planning Pd Ck# Date l(!- �a Bld Pd Receipt No.
DEPARTMlkNTAL 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 l ra , b ` .
Wood/Gas/Pellet Stove Fee Other
Volation Fee TOTAL FEES ' ` I
MASON COUNTY PERMIT NO. Id,26U -bb�k2
BUILDING PERMIT APPLICATION A lAn
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
APPLICAN INF RMATION i t- CONTRACTOR INFORMATION
Owner `I' ompany Name
Mail* g Address _ 9 Mailing Address
Cite t t ip Coe City State ode
Oth r_P UI Phone her
Lien/Title Holder Contractor Reg. # Exp.
E mail addresC✓ S E Mail Address efl
Drivers Lic.# B I/ vers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION-12 Digit Parcel No O - Fire District
Legal Description
Site Address (Pleas in I de st t name, reet n mb nd city) (� n
i ections o sit 3 o rl
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 > 15%
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 PRI ESf FNC SE AL ❑
Use of Building Describe Work
No. of Bedrooms No.of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement I D Covered Deck Sq.
Garage Attached etached 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 rate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF F CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPE TION.
X Gam% Date 0 -� � �.
Owner/Own apresentative/Contractor indicate which one
FOR OFFICIA SE BEYOND THIS POINT Accepted by Date - -2_'
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Departmen
Public Works Department �oZ f cne_�E)
Fire Marshal
FEES
Building Permit Fee / Site Inspection jila
Plan Review Fee 8 a .9 EH Review Fee
Plumbing&Base Fee 50?.'g0 t Planning Review Fee
Mechanical & Base fee + $�0 Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ,
Valuation$ /� r 11,Lq Al y . &0 TOTAL FEES
Ob:% t
CERTIFIED 126Mmm--
i Kathleen Eacrett 'ss� [ ► i
12101 30th St. NE •wif 5,,,�,F ^•"'�
Lake Stevens, WA 98258-tom
UNITED STATES ICI IIIIIIII�III � RMOUNT
POSTAL SERVICE
7008 2810 0002 0695 3821 i000 �•��
gg5g4 00086g58-0-
RECEIVED
JUN 0 4 2014 Musvn C�aun+y l�ep�- °� CU�YItI'tU�1�� I��nn�'
y
426 W1 CEDAR Sly PO -B 0 X ),-7 q
JUN -4