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BLD2011-00528 Final SFR - BLD Permit / Conditions - 1/24/2012
Inspection Line(360)427-7262 toMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 too Shelton, WA 98584 o RESIDENTIAL BUILDING PERMIT BLD2011-00528 OWNER: BRIAN JONES RECEIVED: 6/28/2011 CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*981 BT EXP: 2/10/2012 ISSUED: 7/20/2011 SITE ADDRESS: 152 E CASCADE VIEW ALLYN EXPIRES: 1/20/2012 PARCEL NUMBER: 122311450010 LEGAL DESCRIPTION: LOT 1 OF LLS#06-01 PTN OF SE NE S 33/12 S 33/200 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR HILINE HOME 2318 ST RT 3 TO ALLYN, JUST BEFORE STRETCH ISLAND FRUIT, ON THE RIGHT SIDE IS A NEW GATED COMMUNITY. GATED (CODE 01497), FOLLOW IN TO CASECADE VIEW, THEN FOLLOW TO THE END General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 4 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:2,318 Garage-Attached 598 Valuation: $ 259,321.82 Building Height: 18 Occ. Status: Primary Basement: COV PORCH 108 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 30.0 Ft. Shoreline: Ft. Water Body: Rear: S 140.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Shoreline Desig.: Not Applicable Side 1: E 290.0 Ft. Year: Serial No.: Side 2: W 400.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee GMM 6/28/2011 $1,228.34 S12011000( Lavatories 3 Heat Pump 1 EH Plan Review GMM 6/28/2011 $103.00 S 120110001 Laundry Tray 1 Ventilation Fan 4 Water Adequacy Plan Review GMM 6/28/2011 $103.00 S 120110001 Bath Tubs 2 Dryer Vent 1 Planning Review Fee GMM 6/2 812 0 1 1 $205.00 S12011000( Showers 1 Exhaust Hood 1 Fire Warden Review GMM 6/28/2011 $73.00 S1 20110001 Water Heaters 1 Building State Fee LDK 7/19/2011 $4.50 S1 201 1 0001 Clothes Washer 1 Building Permit Fee LDK 7/19/2011 $1,889.75 S 120110001 Kitchen Sink 1 Mechanical Permit Fee LDK 7/19/2011 $94.70 S120110001 Dishwasher 1 Mechanical Base Fee LDK 7/19/2011 $28.50 S120110001 Hosebibs 2 Plumbing Permit Fee LDK 7/19/2011 $128.00 S12011000i Plumbing Base Fee LDK 7/19/2011 $24.70 S120110001 Total $3,882.49 BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2011-00528 CONDITIONS FOR BLD2011-00528 1) Approv d per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. XA• 2) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X 3) 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, straw, or jute matting). XG� 4) All construction and demolition debris must be removed from the site after project completion. Proper 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 foi 5) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your Ap roved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X Rk 6) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X 7) 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 acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 1�.- BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 2 of 6 8) 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 1-80 -647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X o- 9) 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 to any further inspections being performed or approvals granted. X TQ 10) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X*IS V 11) 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 approved documents will result in failure of required building inspections. X 1� 12) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X IJ 13) 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 Zci_ 14) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, 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: 1 a X c� BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 3 of 6 15) 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 County Permit Center will also have some available. X 16) 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 WSEC 505. X �} 17) 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 .b._ 18) 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 acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 19) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X Dt� BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 4 of 6 20) • 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). X -96L 21) 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X g. �T 22) 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 shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X�?Ly 23) 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 24) 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 pro ect. X Ar 25) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. Xo- 26) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordi ance or regulation, must be reviewed and approved by Mason County prior to construction. X ' 27) 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 Ins pe for shall be made prior to requesting additional inspections. X BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 5 of 6 28) ` All property lines shall be clearly identified at the time of foundation inspection. X1� 29) 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 ordinances and building regulations. X 30) 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 prevented action from being taken. No more than one extension may be granted. x 3� 31) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X �: V 32) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. 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 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 and structure for review and inspection. OWNER OR AGENT: 11!.7 1�� DATE: BLD2011-00528 Please refer to the following pages for conditions of this permit. Page 6 of 6 N� CONCRETE MECHANICAL MANUFACTURED HOME p Footings!Setback , Date B /` Ribbons m Gas Piping o Interior Date ey, Interior-Date By Date By w Exterior Date $-L�/� BY Exterior- Date By Sot-up -- INSULATION Point Load!Isolated Footings Date By Z BG!SLAB INSULATION — - - - Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date g.- _ BY Data By DECKS FRAMING Walls 1 Date By Date 6-- By Data 115- 13YJ PROPANE TANKS PLUMBING vault Date S v ._.......____-- Date By OTHER Groundwork Attic Date By Date By Type. Date ByD wv DRYWALL Type_ int Brace Wall Y v pate By W C Date ���- BY a Date r CD FINAL INSPECTION p y Water Line Fin Sepsration N (D Date By Date By Date Z By O m � o Pass or Request Inspect. c Type of insp. Fail Date Date Done By CommentsCD c�a, co 0 )::&&T)Alt�o : 7 CD v 0 /XF-� s� o- ��..Z, CL s 542 ° I t i s ��- -i/ /d 20) /Lz— z - ro 0 h Building Permit # MASON COUNTY . BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 ' (360) 427-9670 CORRECTION NOTICE Job Location IS 4- C'4sc�V' lxl This structure has been inspected by Mason Co Building Department and the fol wing VIOLATION of County Law nd Or -nances has been found: ms Listed below must be correcte gain cod ompliance wg c. G 02 Ak o~ 2— -z-- � 5.3 �� �.��> v✓ter Ay o r -✓ jLAfiS N,c'�i �/� cc� L N_S .:s �- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK to-Call for re-inspection when corrections are made before continuing AMake corrections, items will be checked on next inspection El awe `i 'This is not a complete inspection Department 3cv0 Date Z 0 -J- Inspector 144 NOOT MOOV THI , T M Lot r Permit# MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 1572- This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: listed below must be correctedA gain mpl �n 7A —,E s� 13.E 45S c t-e— Z,4A 4(1 Z/ yG� Td iv q�., Cd-y,G� J , w T t} AT 4J � ir/���E�-✓�-iT v U You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural OK to �� damage incurred by recent "natural/man made" This is not a c peete i pection disasters.This is NOTa Date / Z —lzf —/z Department '46 CORRECTION NOTICE. Inspector 4 J* VT ' 'iml* 014 ' THImah, T, *4* qg ACCESS & GRADE INSPECTION BLD 00r2 5"' ADDRESS: �xS'Z INSPECTOR: rr�"1 DRIVEWAY ACCESS ( ) need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Width: Surface: Condition of Shoulders: Vertical clearance: (_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: - (ap' - RECEIVED JUN 2 8 2011 Ct AS C, �� �� 426 W. CEDAR ST. N PLANNING -� ALL SETBACKS ARE MEASURE ) i FROM THE FURTHEST PROJECTION OF THE BUILDI;' 4�� rop��ccd APPROVED MASON COUNTY DCD lh C SITE PLAN' R QUfRED TO SE© SITE �t CHAN ES SUBJET TO APPRO AL rp BY Date i 1 � -7 (r S( Zoo G( a T 3 MASON COUNTY PERMIT NO.�ICIvCCI -CaU�Z' 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 A '' ^^ �.1 rL On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner 'AA*,,-..7 * r-:_rr;z IA)At Company Name H; L,.u-t Ndus,_ Mailing Address /_52 F Ca 5c c.aL ya e tk) Mailing Address /i 3n U t,2 A)6 V-f E City A it &2 State(42G� Zip Code City State Wr4 —Zip Code cl$37 4 Phone 5 apt- 7$-5ll k Other Ph. Pho e 153 Rqd 18q g Other Ph. Lien/Title Holder Contractor Reg. #(1 4i yu H fSgo Exp. E mail address E Mail Address H1K'I,,.a:}t of N,AAA►, CcA& Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septick, Connect to Water System Name of Water System Well_Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No.i. 1 j Iq 5'u;^1 o Fire District 0 Legal Description 00 .Nc CL"t 3 ,LII-S n)C- 0112-01) Scck:or.J 1 70vv�',�p 33 Nci44*7 Ac.&4, L .vrS,* w;N1 Site Address(Please include street name,street number and city) c Directions to site I :I -S 5��►�, �Q �4// .; r. Q,��. c�,,f�:�,' �ew st .+-< G,�. C ' Will timber be cut and sold in parcel preparation? Yes/ o Is property within 200'of Saltwater/,L) Lake ru0 River/Creek A.)0 Pond M) Wetland A. L Seasonal Runoff A,lti_Stream Vj Slopes or Bluffs > 15%. C1 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes o TYPE OF JOB - New_ CX Add-Alt-Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building 5 F R Describe Work 5-Hr-1:- buitt No. of Bedrooms A—No. of Bathrooms 21 Square Footage- 1st Floor 2318 2nd Floor 3rd Floor Basement Deck Covered Deck 103 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.1 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.ff permission is required from any easement holder or any other parry 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECT] N. X (rn.) 4sri Date' '' I Owner/ ners Representative/Contractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted b . Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 7JAIltt4y nn7 > Planning Department Environmental Health Department -A. { _ el Public Works Department Fire Marshal FEES Buildina Permit Fee Site Inspection (, Plan Review Fee EH Review Fee P' Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NOXIU261 1-W r.9 5 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 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner�l3.c c�r�:.t 3o,�cS Company Name �, Li.�t ��Mjs Mailin Address-152 t GcSc.�.c�t v.zw Mailing Address City State_Zip Code 5Y501 CityRL+-46t/L-12 State �—Zip Code Cl*77S Phone '7-4 Other Ph. PhonenS� FSyb )gycl Other Ph. Lien/Title Holder Contractor Re # Exp. E mail address E Mail Address JI l:A-0 NON , cc.%n 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 )c5 ow i o Fire District Legal Description &IR: w1F (ILO LS A)o. tb -oi 5tij-;.3.,,i 1 .: 'Tc�w�s�j:� �c►t►, , �� i w:rsi w.� Site Address(Please include street name, street number and city) 16.3, F_ C-s L It L Directions to site � !rv►`It S 5c H h )/Ta.I —,�i :j ui—, A S. c raAJ Is property within 200' of Saltwater;10 Lake N C River/Creek -)y Pond AJO Wetland A)r) Seasonal Runoff A!J Stream AJ0 Slopes or Bluffs > 15%,,0D TYPE OF JOB - Newer_Add Alt Repair Other Use of Building Location of Fixtures/Units- 1st FloorL_ 2nd Floor Basement Garage 1—Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric k LPG—Natural Gas—Heat Pump Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace ) Bath Tubs *z Heatpumps I Showers Spot Vent Fan 4 Water Heater I Propane Tank Clothes Washer I Gas Outlets Kithen Sinks I Wood/Gas/Pellet Stove Dishwasher I Kitchen Exhaust Hood 1 Hosebibs Z Dryer Vent Other Other Base Fee Base Fee II 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X [7i�.C,, Date: - Owner/ ners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEY ND THIS POINT 'Accepted b Planning Pd Ck# Date Bld Pd Receipt NIP.- DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. '7 # #1 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 MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name:Alin 3 ,J t)n,� Date: I Q-2.6~ 1�)I , Reviewed By: Documents:/ v✓ uilding Permit Application Completed Stormwater Chec 'st anning Intake Checklist Completed, k•te plan includes:Allowable building area, overhangs,decks, etc. re Apparatus Access Road info required? Yes No Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace *Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type O Other. Specify: 06 Vechanical/pIpaking Application-WATER HEATER FUEL TYPE/LOCATION Clluzint gineering? e o Snow load:s 56 Seismic:—L Stock Plan—approved snow load: Seismic. Aknufac;ured Homes— OOR PLANS oundatio Type: ANS L acture thod ngmeered�oting�/fotion Basement cks: ove�red? covered over 6 over 30"? ion plans re Constructio Pans: v' 3 COMPLE SETS / �� 'Lp11 ans Legible � cognized Scale VE vation Views Cross Section 't V Foundation Plan �oof Framing Plan �ljoor Plan-Use of rooms noted(all floors) v"Floor Framing Plan-all floor levels including loft,crawlspace,etc. (<200 S.F. ??—stairs?) �26 W•C,E�A Deck Framing Plan,incl cov.porch framing (� Q` OC, Plan Details: oof framing details,truss lay-out may be needed (Hip and girderCa�yberequired) wn) m� - all Framing-Does bearing-wall height exce@ 0'?(Engineering,,_ loor framing: Floor joists(size&spacing): ��.�T � i�i5 ,Floor beams: Oft indow headers. Typical header. Garage header: )C foundation: footing size,reinforcement t KC Crete Walls-Does Concrete Wall Height c 8 ( gineering may be required see details) dings at all exits?Less than 30"above gradegN eated By Furnace-Location of Furnace Fuel type: ——f epla'C2/Stove Information Shown-Fuel Type? Location(s): Ymdow Sizes Mark p Biaced wall panels(shear walls arked on plans or lateral engineering? j�.,�S�1 CL(�L U�4—Q�• PIA J� ? (En . g may be required) 1s`story of two story D1—45%,D2—5 5% COMMENTS: ENGINEERING REQUIRED Braced wall panels/brace wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow___psf. IRREGULAR BUILDINGS R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line. 3)End of BWP extends more than 1 ft.over an opening more than 8 ft in width below. 4)Opening in a floor or roof exceed the lesser of 12 ft. or 50%of the least floor or roof dimension. 5)Portions of floor level are offset vertically 6)Shear wall lines do not occur in two perpendicular directions. 7)When a story above grade is includes masonry or concrete construction(exc:fireplaces, chimneys,and veneer). When this applies the entire story shall be designed.In accordance with accepted engineering practice. H:\permit tech building checklist.doc Revised 11-29-2007 r 1 NameJ'SZ cJ J Lcx.'t SOWS Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surfacez. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 2Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Tabl Surface Type Length X Width = Area * All dimensions in feet Buildings X = I Y X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = Any paved, gravel or packed area per definition Grp, X = .5 cis: above table X = Patios/Walks X = 1 t1 X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) . If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Pagel of 2 'l Name/ t..) + cc ,,.t :Se[�i Parcel# /"Lg',?1 114 5,,010 BLD#,2 D 1 1 — N)52b 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 M----,c i�� htty//www.co.mason.wa—us/code/commissioners/index.htrn jj E LL Please follow the links to"Title 14,Chapter 14.48 Stormwater Management". JUN 2 8 2011 Regulated activities shall be conducted only after Mason County Public Works approves a stft�twb`li rgg� S-1-. (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of C s ocument entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system(see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A)-- � The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical:415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT. 352 Mail:P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St,Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. a GIN A Owner/Agent/Contractor(circle one)Date: ZY / (J Page 2 of 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVE WSEC/Ventilation Code Compliance Applica ion t 20�� UN 2 Owner: �t7 { Parcel#: lq 5rnc�0 Type of project tir �c Total Sq. Ft. 1 S Floor: 2" floor: Heated Basement: of heated area:: 23 I$, 2315 Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace *Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump O Boiler, specify fuel type: O Other: Specify: Glazing Compliance P Prescriptive Option see reverse side circle one: I II III Percentage: Method p Component Performance , Chapter 5— Calculation worksheets required ( H % Check one:: Other (specify): Check one µ Whole House Ventilation system µ Whole House Ventilation µ Other, Ventilation using exhaust fans&window or Integrated with a Forced Air describe: System wall fresh air vents(M1508.4) System (M1508.5) Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements,"all NkW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used ENERGY to comply. If the table is not attached to this form you can access the table on our website at: htt ://www.co.mason.wa.us/forms/Communi Dev/index. h . CREDITS Option: Description: Table 9-1 1 A Air Ss.,u �j d pv HSPP- 6.6 Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Roomllocation U-Factor Size Quantity Square Feet Windows:A qfev- . 30 2ok5o I /o x o 5 (02. 5 i I i+-y To;Lct 30k3o I 9 k 3ok30 ► 9 4w Sv'4.t (PO k40 1 24 Media oxso 3o G,r,ftx VWA^ 214 K50 25 G,r*^kjto&-n S60 b01r(n'r0 1 41 p.(* 2- 40 trL10 I 1L IBM W3 Soxso I 25 13Ad-*Lit 50 c5-0 i 25 Windows: Total Sq. ft. Z 71k, 5 Doors: . Zo 30X `8 / 2.o (2 r E>r . Z.o 2g >r��8 ► �S Doors: Total Sq. Ft 3$ Total window and door area 314. 5 r� I Total window& door area 314•5 /(divided by)total sq.ft of heated area 2 31 S = 14 %of glazing