HomeMy WebLinkAboutBLD2006-01396 Final SFR DDR2006-00387 DDR2006-00270 - BLD Permit / Conditions - 7/20/2007 Inspection Line(360)327-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2006-01396
OWNER: MARTIN GARLAND
CONTRACTOR: HI-LINE HOMES 253-840-0409 LICENSE: HILINH*981 BT EXP:2/10/2008 RECEIVED: 8/7/2006
SITE ADDRESS: 2450 NE OLD BELFAIR HWY BELFAIR ISSUED: 10/18/2006
PARCEL NUMBER: 123162300040 EXPIRES: 4/18/2007
LEGAL DESCRIPTION: TR 4 OF SW NW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR Old Belfair Hwy to address.
Stock Plan#2003-0002
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 4 Type of Constr.: V-B
Type of Use: SF Insp.Area: No.of Bathrooms: 3 Occ. Group: R-3 U-1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: 2 Occ. Load: Building:2,776 Garage-Attached 624
Valuation: Building Height: 33 Occ. Status: Basement: cov. porch 228
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 30.0 Ft. Shoreline: 165.0 Ft. Water Body: Union River
Rear: E 358.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 20.0 Ft. Shoreline Desig.: Rural
Year: Serial No.: Side 2: S 10.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 8/7/2006 $314.11 S22006000
Hosebibs 2 Furnace<100K 1 Planning Review Fee KKK 8/7/2006 $155.00 S22006000
Kitchen Sink 1 Ventilation Fan 4 Building State Fee RTB 8/16/2006 $4.50 8 bbo 000
Lavatories 5 Heat Pump 1 Building Permit Fee RTB 8/16/2006 $1,570.55 S22006000
Showers 1 Dryer Vent 1 Mechanical Fee RTB 8/16/2006 $72.35 s22oo6000
Water Closets (Toilets) 3 Mechanical Base Fee RTB 8/16/2006 $23.50 S22006000
Water Heaters 1 Plumbing Fee RTB 8/16/2006 $110.00 S22006000
Bath Tubs 2 Plumbing Base Fee RTB 8/16/2006 $20.00 S22006000
Clothes Washer 1 EH Plan Review ADR 10/17/200 $75.00 S22006000
Total $2,345.01
BLD2006-01396 Please referto the toilowing pages for conditions of this permit. 1 of 5
CASE NOTES FOR
7 BLD2006-01396
• J
CONDITIONS FOR
BLD2006-01396
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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) 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
3) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(360)427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
been"finaled"and approved.
X
4) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
5) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X
6) 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
7) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X
8) A site inspection by planning staff is required prior to final permit approval. Please contact Charles Mead McCoy III at (360)427-9670 ext. 294 to schedule
the inspection. X
9) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Plan" to ensure these structures are shown and meet the setback conditions listed.
X
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BLD2006-01396 Please refer to the following pages for conditions of this permit. 2 of 5
10) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
ithese structures meet the setback conditions listed.
X
11) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
12) 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 i
13) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
X
14) 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
15) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
16) 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
Buildipg Department prior to any further inspections being performed or approvals granted.
X
17) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight(Max U-Factor):0.58,
Doors;(Type/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
X
BLD2006-01396 Please referto the following pages for conditions of this permit. 3 of 5
18) Stock Plan Identification number: 2003-0002
'this project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Insper,tor at each required inspection.
X
19) 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
20) 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
21) 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
22) 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
� 1
23) 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
Inspec or shall be made prior to requesting additional inspections.
X� '
24) All property lines shall be clearly identified at the time of foundation inspection. X
25) 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 Pounty ordinances and building regulations.
X
BLD2006-01396 Please referto the following pages for conditions of this permit. 4 of 5
26) 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.
27) 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 �.
28) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information.
X f.
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 owneror 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 foC review and inspection.
OWN ER OR AGENT: \ DATE:
BLD2006-01396 Please referto the following pages for conditions of this permit. 5 of 5
:A
o CONCRETE MECH"C�L MANUFACTURED HOME D
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Date Ely
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Footings !Setbac `y '7 'r' Ribbons t—
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Interior a 40� ey �L�' Interior-Date By Date By Z
Exterw Date BY//7,W Exterior-Date By S*t ------ Q
Point Load/Isolated Footings INSULATION Date By
Date By Date SLAB INSULATION By FIRE DEPARTMENT _ X
Foundation Walls
Floors Date l-3y Z
Date By�l Data c i�" 07 Bye`,- DECKS
FRAMING Walls Date By
Date Bye Data 5 Z� �� ey1� PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic'
Date By Date /(-L/0-1 By l Type:
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D.W.v DR LL Type:
Int Brace Wall Date By W
Date By Y
Date - e FINAL INSPECTION 0
Water line Fins Separation IV
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ROOF FRAMING NOTES I!)- CUT OUT FOR VENTING.KITCHEN-8"x 8"FOR HOOD 12"RIPPED ROOF
VENT,FOR HOOD VENT BATHROOMS-4"X 4",AND SHEATHINGjln
1. ALL EXTERIOR WALL HEADERS ARE TO BE 6x8 D.F.#2 U.N.O. UTILITY-6"x 6"FOR HOOD WHOLE HOUSE FAN '�' I.B.C.CASE 1 ROOF —
2. JOISTS AND RAFTERS ARE TO BE H.F.#2 MIN.U.N.O. •= GUTTER DOWNSPOUT SHEATHING LAYOUT
FULL HEIGHT WALL-ATTACH TO BOTTOM TRUSS 3. TRUSSES SHALL CARRY MANUFACTURER STAMP AND HAVE CHORD W/(2)10d NAILS AT EACH FRAME UP STUDENGINEERING DRAWINGS ON SITE FOR INSPECTION. ■= 64 SQ.INCH ROOF VENT PLACE V-0"FROM RIDGE
4. NO TRUSS SHALL BE FIELD MODIFIED WITHOUT PRIORAPPROVALFRON THE ENGINEER AND BUILDING DEPARTMENT. _5. FRAMING CONNECTIONS SHALL BE"SIMPSON STRONG TIE" RA O(OR)AN APPROVED EQUIVALENT. U S
6. PROVIDE ATTIC VENTILATIO�Ny PER I.R.C.806.2.THE NET FREE _ _- P. .TR SS S lkpldTR 55 5 24" .
VENTILATED AREA SHALL BE 3W SQ.FT.50%OF THE REQUIRED _ _ 24'0. ' L=
VENTS•THEOBALANCE OF REQUIREDD VENTIILUM ATION FT.
BEAD I I I ( I I I I I I C PyrgX lM HUNE r MES
PROVIDED AT THE EAVES. -.' A
7. PROVIDE A MIN.22"x30"ATTIC ACCESS PANELWITH TIGHT- O
INSULAGYION IF LOCH D ABOVE HEOARTED SPACE BACKED
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LOCATION ACCESS WITH OWNER. chi -
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8. ALL ROOF SHEATHING SHALL BE CASE I PER I.B.C.NAILED WITH ♦ Y 12 R Z N x
Ed NAILS @ 6"O.C.EDGE AND 12'O.C.FIELD. 55 @ — RIDGE E o,
9. TOE-NAIL ALL GABLE END TRUSSES WITH(2)IOd NAILS @ 16" x0 42)Z ,' _ ==;t1.'..V• 6� O — d =cv 3
O.C.INTO TOP PLATES. �`N E" RF o _ - w C o o:g
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—� A IN6 TRUSS TIES AT EVERY J
No.6x1 i'LONG TYPE 5 NP.6xf+'LONG TYPES PER MEMBER.
FASTEN
TO TRUSSES
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OR W DRYWALL SCREWS OR W DRYWALL SCREWS
@ 4"O.C.EDGE,4"O.L. @ 4"O.C.EDGE,4"O.C. O
I G.W.B. I FIELD. II G.W.B. FIELD. O.S.B.
FI FI FI I•I I 2x STUDS TYPICAL SHE
BLOCKED
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2x STUDS NAILING PER DETAIL PANELS
PANELS @ 16"O.C. PANELS @ I6"O.L. I I I I I I 1 (2)lOd NAILS
1 ON SHEET 52 VERTICAL 1
IVERTZCAy VERTICA EA.STUD BAY
(OR) I IOd NAILS I I(OR) 10d NAILS 2x STUDS (OR) ` INTO TOP HILINE HOMES
I,I,NORIZ @ 6"O.C. NORIZ @ 6"O.C. @ 16"O.C. I I I HORIZ. I I PLATES FOR 11306 62ND AVENUE
Lam- BOTTOM PLATE BOTTOM PLATE I FIRST FLOOR. PUYAU.UP WA,98373
12
(2)SOd NAILS (253)U_UP Aexi.73
2x4 STUD 2x4 STUD EA.STUD BAY (2)10d NAILS
—PONYWALL-SEE SHEAR PONYWALL-SEE BOTTOM PLATE EA.STUD BAY PLAN: 2776
O.S.B. O.S.B. INTO PLATES DATE: 10/04/06
WALL NAILING AT SHEAR WALL 8d NAILS @ 3"O.C. (�Wlfl
DETAIL 1 ON SHEET 52 NAILING AT MUDSILL� OSB�O LAP JOB#: _
DETAIL 1 ON THE RIM JOIST
FOOTING FOOTING SHEET 52 ..SIMPSON}"x10"WEDGE-ALL"------ TO VENT
FOOTING
REBAR BELOW S.W. #4 REBAR BELOW 5.W. WEDGE ANCHOR W/2"x}"WASHER. WHERE REQU. Bd NAILS @
2x6 MUDSILL 2x6 MUDSILL MAX.6"FROM INSIDE STUD. 4"O.C. ^^
INTER. SHEARWALL INTER. SHEARWALL S/W HOLD DOWN CONNECTION J3
1 PARALLEL TO JOIST NTS 2 PARALLEL TO JOIST NTS 3 1/2"x10"WEDGE ANCHOR NTS 4 FLOOR TO FLOOR NTS
Request To Revise An Approved Plan
Permit Number: BLD200_- Name MAPT�N GAr,�,,ja
Parcel Number
- CXJO Phone Number daytime ( 34 o ) D-7 S - 9 4 t o
Project Address z'I5 o Nir oLO r3�,#{�,e, Mailing Address i c z
Please provide a complete, detailed description of the proposed revisions to the approved plans:
FAO \JRIt.�N, r1C Li S ib NnP�r�iAl�f t l0 5
AT RkA/L.
U(- (�Cf J S F• Oyu.) 1•�fL S l �V�1M 1S S c U� a. V3A S U.�A+a A,.n,�
of c oyc'-1'M IF r-\
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ �NoAre the approved site plans included? ❑ Yes
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Ye ❑ No
If Yes,Has the engineer or architect approved this revision? es ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ 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? 0 Yes ❑ No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
0 Yes ❑ No
Additional Information:
Applicant's signature
Date: ►2 •o� •n(o
office use oniy
Received by.
Date Sent Assigned To Approved By pat
Original Valuation: $
�{ Additional Valuation: $
p lZ,"ft Sq.Ft x$ $
BE / .� Total New Valuation $
P.W Additional Fees:
Additional Planning Dept. $
New Setbacks: Front Additional Plan Review $
/ Rear / Additional Building Permit $
Side 1 Side2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept.
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
Tact iailial
ReYi ed SAG i 7ZtM
Request To Revise An Approved Plan
Permit Number: BLD200 4,:�_- ) q Name MN P--T,N GAtLcA^�O
Parcel Number"� _ _ �_ Phone Number daytime 3b0 ) a-7 5 - 9 4 k D
Project A Wdress zLt5 o NE oLO r3E,��,rt. Ow� Mailing Address i o 2 c_o\.JA1?tNr
n!4 �Pt
�AS�^�please provide a complete, detailed description of the proposed revisions to the
r2o,�i �IRM1 k r1i: s i'o "P,kriA tf tlo5 (--i TZ) U�,00ved rt ?�tJ'C�-
t�cr�SC- orJ i�rz.S1 SvF3yv\�SS�u,-�
o� covnlst.) c�Str,Mc�► .
Are two sets of the revised plans or addendum indicating the changes included? O Yes ❑ No
Are the approved site plans included? ~
D Xes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes> ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yet. ' ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ V es ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
JEote:No structural changes to a"designed"plan will be aMroved without the written consent of the engtrncer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? 11�-Yes ❑. No
If Yes, Is a revised site plan,-with all new setback dimensions included with this request?
/"`b Yes ❑ No
Additional Informati c � &
Applicant's signature Date: 1,2 °7 •o to
office use arty
Received by:
Date Sent Anigned To Approved By Date
Original Valuation: $
Additional Valuation: $
Sq.Ft x$ $
~ Sq.Ft. z S S
E.H. Total New Valuation $
P.W. " Additional Fees:
Additional Planning Dept. $
New Setiiacks: Front Additional Plan Review $
Rear / Additional Building Permit S
Side / Sido2 / Additional Plumbing S
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept. $
n Other $
Total Amount Due: S
Amount To Be paid Up-Front S
rteviea SRC vunpo3
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kX_04 C)006"f WO) %Aao;-,n A- \N C-CAV t 66r\04
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Coy 4ac� 360 a7S- 9H 10
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Plot Map Drawn To Meet
HlUne Homes Specifications. /
Any Revisions To Be Made qC(SFr
By The Home Owner. P FRS gOks �
Rp�FCraj rytFRFMk�.7,'
�N OF ryF;Y14
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APPROVED D
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
AN ES SUBIECT TO APPROVAL
�' ` PLANNING:
FALLSETEBACKSAREMEASURED
FROM THE FURTHEST PLAN PLOT REVISION
F ROJECTION OF THE BUILDING RECEIVED
DATE
MASON COUNTY PERMIT NO.
S+0 ()U2- BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584
VWI1 1 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 2- tlEe0kEP- �R(�tA�-a Company Name Nk Lt PE l30`1ES
Mailing Address iEz £ Cc1)crti3,n)c t,,\� Mailing Address ►D3 LC jOC7 Re
CRAPfiq)Eo '21" C11354) city CEX124c�k.kR State wA Zip Code
City State Zip Code y
Phone(3bo) 275- `1N io Other Ph. (360) Phone 3k,o Other Ph.
Lien/Title Holder W �` c.c:`Sm ac\� Contractor Reg. # ML-_I d rff(3Y _Exp.
E mail address ''`NAP-12' SA(��at,[ 'aRtmtrz;���."'gN.V5 E Mail Address
Drivers Lic.# )r'\RLR V103o51-lb DOB 0b12h W! Drivers 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 I�3 Ibz3 ooc>yo Fire District Z-
Legal Description Tk� kA of 5u�) NO
Site Address(Please include street name,street number and city) 21162 NE coo Bra►e,c. ROJ , B6LfAKt?_ V.)a �i3�2tj
Directions to site F&,um ?�EtxA%P. } Tu^.a cN U<<) 13ELfAliL A0q �0`�t itoPszox.tmA�E�v
'L l'o o.t PLkizitA
Will timber be cut and sold in parcel preparation?Yes/ o' vxiticfj
Is property within 200' of Saltwater Lake River/6reek 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 o
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑
Use of Building5stAO-E T�m�c`LP-,ES'°ii-x Describe Work NEw t{omE
No. of Bedrooms 3 No. of Bathrooms 4 '1'- Square Footage- 1st Floor t(?'`k 2nd Floor t242
3rd Floor 'k'/� Basement a Deck Covered Deck Other Sq.ft.
Garage 6Z`1 Attached �� Detached Carport h 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.
PROOF O C0 AT OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date• �Tu� �16 , 2oc,h, 2oc,h
Owner Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date !k6
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee /. ' 6� S� - Site Inspection
Plan Review Fee EH Review Fee
Plumbing& Base Fee ���. G'C Planning Review Fee
Mechanical& Base fee �� Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee - / a� Pre-Paid at Submittal
Valuation$ TOTAL FEES
I
MASON COUNTY PERMIT NO.
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 ' . ,- ,,, 61)r`«',� Company Name Nr Lr N go CAE
Mailing Address 10b E. LoLvfr:*S,.JE lA Mailin Address 12.13 LoNti Ro
City q"9EJ1Ev3 State 0P, Zip Code `�°'`'yb City CE0&.A41A ate ��P Zip Code
Phone =�'�2'1`�' �4j° Other Ph. 31-0) '% 1- Soya Phone 360) DEL lkl _Other Ph.
Lien/Title Holder 'T �O��s nAa►�— Contractor Reg.g"IL1114A 'Albl oT Exp.
Email addressr�A�na'-GARt�ao�� C►. v" Sff,'E2ot$ . !L!!� E Mail Address
Drivers Lic.# DOB oe-Zlb- 19-10 Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic `I/ Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. = )L? C^° 4-L� Fire District 2
Legal Description 1Y< y v} SvP 00
Site Address (Please include street name, street number and city) 'yob o W a«-«��� ttwy i�c��A ►�� • `Ig:2.9
Directions to site fil"' trt�A�k.. 1 TV" NOCTA 0t3 f -y cE%-fNtL Ov,,U 'bLr4c r\0?itox W
A A.�p p.) (460T
Is property within 200'of Saltwater Lake jljive Creek -Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
r TYPE OF JOB - New v Add Alt Repair Other Use of Building ` "t„tr vA""L4 `errS'S>L5tE
Location of Fixtures/Units - 1 st Floor_ 2nd Floor--,.,-- Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
j Type of Fixture No. of Fixtures Fees Fuel Type:ElectriL LPC7— Natural Gas Heat Pump
Toilets C Type of Unit No. of Units Fees
Bathroom Sink - Furnace
Bath Tubs 2 Heatpumps
Showers 2 Spot Vent Fan
Water Heater ' Propane7a-nTc
Clothes Washer t Gas Outlets
Kithen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher ' Kitchen 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�ONTIAII�A 0f4 F WORK IS BY MEANS OF A PROGRESS INSPECTION.
X ��� Date: °$• 01- 0(0
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
`fee
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT 0 �Dt
411 N. Fifth Street/P.O. Box 186, Shelton WA 98584
360.427.9670 ext. 352 DDRQQ C��--C)
Rec'd by
Request for
Administrative Variance for Reduction in the Required Setbacks ($90.00)
For administrative review, the minimum variance on a setback request is 5 feet
from the side yard lot lines and 10 feet for front and rear lot lines or any access
easement. Request for further reduction requires a standard variance.
Setbacks are measured from the furthest projection of the structure including
roof eaves.
Applicant/Owners: A2Ati-,,,j CArl-i-A-1C,
Mailing Address: to z E. Gncyin g,Nf Z.-I. 6ANPEV,ELj * cte'5tk6
Telephone : 3bd) .275- qL}ko
City: 6QA1?fgt[-w State: wi� Zip: 995yb
If this reduction is tied to a building permit, please give permit
case number. BLD 2obb — c F391b
Parcel Number(s): I Z-6162.3 o00 to v Zoning
Site Address: 7450 Ut pl o a3 A�+z. ".
Requested varianc . Front Rear/ Side Yard (please circle all that apply)
Requested setback variance: i L' ft.
An illustrated site plan is required
Your site plan must show the following: north arrow, abutting street or
easements, set backs to all property lines and existing buildings, slopes, surface
water, wetlands, critical areas, septic, well and driveway. Show all proposed new
development.
The following circumstances must apply:
FRONT AND OR REAR YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following: (Please circle all that apply)
One of the following exists on the lot:
Isoils
steep slopes, wetlands, or streams present;
that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
ee
lot size of no more than one-fourth acre,
)�existing improvements of buildings, septic systems, and well areas.
IAPLANNING\PAC\FORMS\DDR.doc Created on 03/07/2006 15:58:00
SIDE YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
2) One of the following exists on the lot:
a) steep slopes, wetlands, or streams present;
b) soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d) lot size of no more than one-half acre;
e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal
from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
= 'Vb rnfGi lb5 6 To VNIOX)
JGP-- A�T P-C-NfL of P*Stoe-'tk Z w1Lu ►iEcr�
v.
•,0 b
(Owner/Ag t (please indicate)
e and date
Official Use Only
Approved Date
Denied
Date
Reason for denial:
'APLANNINGTACTORM SODR.doc
Created on 03/07/2006 15:58:00
progress of construction on such progress. Such buildings and/or structures shall be abated and
removed from the premises within thirty(30)days after completion of the project, or thirty(30)
days of cessation of work.
1.05.023 Temporary Construction Signs
Signs identifying persons engaged in or responsible for construction on a site shall be permitted
while construction is in progress upon the issuance of a building or use permit. Such sign shall not
exceed 64 square feet(per face)in size,and shall be removed within six(6)months of its
placement on the site.
1.05.030 Variances
1.05.031 Purpose
The purpose of this Section is to provide a means of altering the requirements of this Ordinance in
specific instances where the strict application of these regulations would deprive a property of
privileges enjoyed by other properties which are similarly situated,due to special features or
constraints unique to the property involved.
1.05.032 Use Variances Prohibited
No variance shall be granted to permit the establishment of a use otherwise prohibited within the
development area in which the property concerned is located,except as provided in Section
1.05.018(B). Applications for such variances shall not be accepted for processing or review.
1.05.034 Granting of Variances Authorized
A. The Hearing Examiner shall have the authority to grant a variance from the provisions of
this Ordinance when,in their opinion,the conditions set forth in Section 1.05.036 have
been met. The Hearing Examiner shall have the authority to attach conditions to any such
variance when,in their opinion,such conditions are necessary to protect the public health,
safety or welfare,or to assure that the spirit of this Ordinance is maintained.
B. The Administrator shall have the authority to grant a variance from the provisions of this
Ordinance when the granting of such variance will result in a measurable deviation of ten
(10%)percent or less from the provisions set forth in this Ordinance. In issuing such
variance,the Administrator shall make a positive determination that the conditions set
forth in Section 1.05.035 have been met. The Administrator shall have the authority to
attach conditions to any such variance when,in his(her)opinion,such conditions are
necessary to protect the public health,safety or welfare,or to assure that the spirit of this
Ordinance is maintained.
C. The Administrator may allow a reduction in the required front yard setback or rear yard
setback by administrative variance under the following circumstances: for existing lots of
record as of March 5,2002,where physical attributes of the lot(such as steep slopes,
wetlands, streams, soils; lot width at the front yard line of no more than 50 feet or lot size
of no more than one-quarter acre; and existing improvements of buildings, septic systems,
and well areas)preclude a proposed development from meeting the 25-foot front yard
MASON COUNTY DEVELOPMENT REGULATIONS Feb.28, 2006 page 49
setback or 20-foot rear yard setback standards. The front yard setback or rear yard setback
shall be the minimum necessary to accommodate a reasonable development proposal,but
not less than 10 feet distance from the property line or road access easement boundary.
The Administrator shall document in the property file the rationale for said administrative
variance decision.
D. The Administrator may allow a reduction in the required side yard setback by
administrative variance under the following circumstances:for existing lots of record as of
March 5,2002 that are parcels designated as Rural Residential 2.5,Rural Residential 5,
Rural Residential 10,or Rural Residential 20;and where physical attributes of the lot
(such as steep slopes,streams,wetlands,and soils; lot width at the front yard line of no
more than 50 feet or lot size of no more than one-half acre;and existing improvements of
buildings, septic systems,and well areas)preclude a proposed development from meeting
the 20-foot side yard setback standard. The variance to the side yard setback shall be the
minimum necessary to accommodate a reasonable development proposal. This side yard
setback shall not be less than 5 feet distance from the property line. The Administrator
shall document in the property file the rationale for said administrative variance decision.
1.05.035 Findings Required for Approval of a Variance
See Mason County Code Title 15 Development Code Section 15.09.057.
1.05.036 Procedural Requirements for a Variance
A. Application for a variance shall be made to the Department of Community Development,
on forms furnished by the County.
B. Any application for a variance shall include an application fee as established by the Board.
C. Variance applications decided by the Hearing Examiner shall require a Public Hearing,as
set forth in Section 1.05.050 of this Ordinance.
1.05.040 Special Uses
1.05.041 Purpose
A Special Use is one which possesses unique characteristics due to size,nature,intensity of use,
technological processes involved,demands upon public services,relationship to surrounding
lands, or other factors. The purpose of this Section is to provide for adequate oversight and review
of such development proposals,in order to assure that such uses are developed in harmony with
surrounding land uses,and in a manner consistent with the intent of this Ordinance and the
Comprehensive Plan.
1.05.042 Authority
Review authority is granted under Title 15 Development Code Section 15.03.050 Hearing
Examiner.
1.05.044 Decision Criteria
The review of Special Use permit applications shall be in accordance with the following criteria.
MASON COUNTY DEVELOPMENT REGULATIONS Feb.28, 2006 page 50
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MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
411 N. Fifth Street/P.O. Box 186, Shelton WA 98584
360.427.9670 ext. 352 `
DDRDC�Cc
Rec'd by
Request for
Administrative Variance for Reduction in the Required Setbacks ($90.00)
For administrative review, the minimum variance on a setback request is 5 feet
from the side yard lot lines and 10 feet for front and rear lot lines or any access
easement. Request for further reduction requires a standard variance.
Setbacks are measured from the furthest projection of the structure including
roof eaves.
Applicant/Owners: MAasuJ 6)AiLLA.-J=�
Mailing Address: IO2 E. CoL.vm%.,-3E
Telephone :06co a75- 9410
City: State: wP Zip: g8$4b
If this reduction is tied to a bu' i permit pl se a permit
case number. BLD , ? i��_,
Parcel Number(s): 123 I623 010040 Zoning
Site Address: 14SO NE 0Lz 3c&.kA%j.
Requested variance: Front / Rear/(EideYard please circle all that apply)
Requested setback variance:
An illustrated site plan is required
Your site plan must show the following: north arrow, abutting street or
easements, set backs to all property lines and existing buildings, slopes, surface
water, wetlands, critical areas, septic, well and driveway. Show all proposed new
development.
The following circumstances must apply:
FRONT AND OR REAR YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following: (Please circle all that apply)
2) One of the following exists on the lot:
a) steep slopes, wetlands, or streams present;
b) soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d) lot size of no more than one-fourth acre;
e) existing improvements of buildings, septic systems, and well areas.
IAPLANNINGTACODR.doc Created on 07/03/06 3:58 PM
I
SIDE YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
One of the following exists on the lot:
a steep slopes, wetlands, or streams present;
soils that restrict building or septic development;
c) lot width at the front yard line of no more than 50 feet;
d) lot size of no more than one-half acre;
e) existing improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal
from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
') 0A4>&3 . Ib MAW% 'ate S£SNC4. 'AE Vr3io#3
R-JC'e► Th !f/c 94h� of -,-A ST"Cxvak
t�uVSg uJ�1.�. 1�Avt ib %E 110 fT f atv..j A0joIN%N{0
PrwQC-r ►b 'ME Soy i�i
06 - 01-6f.
Owner gent (please indicate)
re and date
Official Use Only
Approved Date l 17�,
Denied Date
Reason for denial:
IAPLANNING\PAC\DDR.doc Created on 07/03/06 3:58 PM