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HomeMy WebLinkAboutBLD2010-00653 Addition - BLD Permit / Conditions - 9/16/2010 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 Irpto Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2010-00653 OWNER: MARK BIERI RECEIVED: 7/26/2010 CONTRACTOR: LICENSE: EXP: ISSUED: 9/16/2010 SITE ADDRESS: 1051 E VICTOR RD BELFAIR EXPIRES: 3/16/2011 PARCEL NUMBER: 122211490012 LEGAL DESCRIPTION: LOT: 2 OF SP#2067 PTN TR 1-B SE NE PROJECT DESCRIPTION: DIRECTIONS TO SITE: ADDITION (MASTER SUITE, BEDROOM, UTILITY,CHANGE CLOSET TO TAKE 3 NORTH TO 302 E TOWARD PURDY LEFT ON E VICTOR RD DEN ), GARAGE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck: Type of Work: ADD Fire Dist.: 2 No. of Stories: Occ. Load: Building: Valuation: Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: SEPA?: Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi Side 1: Ft. g': Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Lavatories 2 Ventilation Fan 2 Plan Check Fee TW 7/26/2010 $656.86 S12010000 Showers 1 Dryer Vent 1 Planning Review Fee TW 7/26/2010 $205.00 S12010000 Water Closets (Toilets) 1 EH Plan Review KKK 7/29/2010 $103.00 S62010000 Water Heaters 1 Building State Fee LAW 8/2/2010 $4.50 Si20i0000 Clothes Washer 1 Building Permit Fee LAW 8/2/2010 $1,010.55 S12010000 Mechanical Permit Fee LAW 8/3/2010 $27.00 S12010000 Mechanical Base Fee LAW 8/3/2010 $28.50 S12010000 Plumbing Permit Fee LAW 8/3/2010 $52.20 S12010000 Plumbing Base Fee LAW 8/3/2010 $24.70 S12010000 Total $2,112.31 BLD2010-00653 Please refer to the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2010-00653 CONDITIONS FOR BLD2010-00653 1) OwnM ent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 2) Approve6r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 1 3) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building XepartM,pnt prior to any further inspections being performed or approvals granted. 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. Tie 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 remova proved documents will result in failure of required building inspections. X 5) All replacement windows shall be installed per manufacturer's specifications and be flashed per IRC section R703.8. All installations shall meet requirements for guards per R613 and safety glazing per R308.4. WSEC requires a U-factor of.35 or less in all heated spaces. Existing, non-conforming, egress window openings are not required to be enlarged, but it is highly recommended. Egress windows replaced in an existing opening shall be brought into compliance with current codes if a product is available for this application. Building plans/permit are required for windows in new, e J�ed or relocated openings these installations must meet all current codes. X 6) All exterior w I avities exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected prior to covering. X 7) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved"site plan is not on site, then approval 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 Buil i Department prior to any further inspections being performed or approvals granted. X BLD2010-00653 Please referto the following pages for conditions of this permit. 2 of 4 8) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab Insulation R-10. Exce on: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the under of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X 9) 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 0 10) Installation of heating equipment in single family residences shall meet the requirements of the current Washington State Energy Code. The furnace to be installed shall not exceed 150% of the heating and cooling design load. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted engineering practice, including infiltration and ventilation. Design calculations shall be available for inspection during the framing inspection. Warm-air furnaces shall have a minimum efficiency of 78%AFUE or higher or 80%combustion efficiency. All ducts shall be securely fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with manufacturers installation in ions. Duct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated to R-8. X 9 11) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County XVnce or regulation, must be reviewed and approved by Mason County prior to construction. X 12) 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 pg or shall be made prior to requesting additional inspections. X 9 13) All property lines shall be clearly identified at the time of foundation inspection. X 14) 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 Mpn County ordinances and building regulations. BLD2010-00653 Please referto the following pages for conditions of this permit. 3 of 4 15) 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 16) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, conn�ctQrs, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X �� 17) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "App,�oved Site Plan" to ensure these structures are shown and meet the setback conditions listed. X 18) 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 yp�,6 47-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 19) Prior to final approval, all upland areas disturbed or nVC-- eated by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 20) Temporary erosion control measures must be implemented to prevent water q y degradation of adjacent waters or properties. Silt fencing must be installed and maintained until upland vegetation has become established. X 9 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 pro erty and structure for review and inspection.OWNER OR AGENT: `- DATE: ], l BLD2010-00653 Please refer to the following pages for conditions of this permit. 4 of 4 v ` f MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269 FAX: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 2006 Washington State Energy Code (WSEC) 2006 Ventilation and Indoor Air Quality Code (VIAQ) Effective July 1, 2007 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ) application located on the reverse side. 2. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will assume all window & door glazing will have a u-factor of .35 or less. When using the area weighted average method to comply with the prescriptive path include calculations with submittal documents. 3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor. All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps. To verify compliance, provide lighting information on plans. 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC and VIAQ compliance information is also available on the WSU-Energy Program website at: http://www.energy.wsu.edu/code/ Prescriptive Requirements " for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing Ll-factor Vaulted Wall Wall Wall Area%of Door Ceiling Ceiling3 Above interior exterior Slab s Option Floor U s 2 see note Grade 4 below 4 Below Floor 5 on 10 Vertical Overhead Factor below 12 grade Grade Grade I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 11* 15%" .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 IV Unlimited Single Family Res .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only "Reference Case/Call (360)427-9670 ext. 352 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft. of ceiling area for any one dwelling unit. r MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: � � ; ,i Telephone:3i�o Z7S-z3oiv Parcel#: 027? Iycl 001 Z Type of project ( ) New Residence Addition ( ) Remodel Total Sq. Ft. 1 S Floor: 2" floor: Heated Basement: of heated area:: Z�v 2,ZoO Heating System Type: of Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing O Prescriptive Option see reverse side circle one: 1 II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one.,:% O Systems analysis, Chapter 4 Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (vIAQ303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window &door area /(divided by) total sq. ft of heated area = %of glazing A + * L TE V.360.0373-3840 E EMail: y 740 Eden Rd W, Bremerton, WA. 98312-3261 AceLocates@comcast.net February 8, 2010 Mr. Mark Bieri 1051 E. Victor Rd Belfair, WA/ 98528 Dear Mr. Bieri, This letter is to create a record of our site work done by Ace Locates at the address listed above performed on February 7, 2010. Site survey confirmed location of all privately owned utilities including a septic sys- tem. Please be aware that in accordance with RCW 19.122 a utility locate must be called in prior to any excavation work being done. Si rely yours, Brian A. Olsen Name Parcel# BLD# . 12-e5c,U-e-P- 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 surface2. 'Redevelopment means,on an already developed site, the creation or addition of impervious surfaces, structural development including constriction, 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. ZCommon 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. Cl:<:..::. :... XX w: :... .. Surface Type Length X Width = Area *All dimensions in feet Buildings Z X 3 = 2J 0Le X Measurements for buildings are taken at the perimeter of the farthest projections (example: X = eaves/gutters) X = Driveways l fb X 3 = yso ti X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = PatiosNValks X = X = Any paved, gravel or packed area per definition above table X = Others X - X 1 tfle tgt�I,r� r,r�ous� ped, ::iits<`:tl�i�teraFi it> [ItD ;:.;;;, < X :::::::.::..::... .:::::.:.....::::::::.:::::::.::::::....::.... ..... ...................:................;:.:::<.; . :.::.::::::::::::.:::::::....................... €..t:5tt .:Pln.:i5: ...ured.....:. 1......::..::...... a..rn ry.aus.tad .......... . .. .:...;:.;;:.:;:.;;.;::.:...;::... . .:..:.::... . .;:..:-:.::: a:.: :.: .ea::sum.of all.areas........ ......................... .........................:. .:...... �l 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 gent/Contractor(circle one)Date: qZo110 If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name R>,C A Parcel# I Z7Z 1 l 4'tODi'Z BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14, Chapter 14.48 of the Mason County Code(MCC) regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14, Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions, guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT. 450 Mail: P 0 Box 1850, Shelton WA 98584 Physical: 415 N 6th_StsShelton 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. Owner/Agent/Contractor(circle one)Date: Zd l D Page 2 of 2 MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name: ` QJV Date:7- -10 Reviewed By:__FLA_2 Documents: Building Permit Application Completed Stormwater Checklist Planning Intake Checklist Completed, _Site plan includes: Allowable building area,roof overhangs,decks,etc. \4 Fire Apparatus Access Road info required? Yes/No Energy Code Application Form-* Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type ) O Other: Specify: Mechanical/Plumbing Application-WATER HEATER FUEL TYPE/LOCATION--4) Q Engineering? Yes/No Snow load: Seismic: Stock Plan—approved snow load: Seismic: Mang Lactured Homes—4 FLOOR PLANS Foundation Type: ANSI/Manufacture method Engineered footing/foundation Basement Decks: Covered? Uncovered over 4 x 6 and over 30"? Construction plans required. Construction Plans: 3 COMPLETE SETS _Plans Legible _Recognized Scale _Elevation Views _Cross Section _Foundation Plan Roof Framing Plan _Floor Plan-Use of rooms noted(all floors) _Floor Framing Plan-all floor levels including loft,crawlspace,etc. (<200 S.F.??—stairs?) Deck Framing Plan, incl cov.porch framing Plan Details: Roof framing details,truss lay-out may be needed (Hip and girder location shown)(YI ��°t-iS � ' Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) 7—X CO �C Floor framing: Floor joists(size&(spacing): 2_X � (�_, Floor beams: Z Window headers. Typical header: `Y X 1 Garage header: S q k 1 Z �l Foundation: footing size,reinforcement Ld' 1( 121 Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required, see details) ',>L_Landings at all exits?Less than 30"above grade?Y/N --,j Heated By Furnace-Location of Furnace Fuel type: ­_4' Fireplace/Stove Information Shown-Fuel Type? Location(s): Window Sizes Marked on Plans Braced wall panels(shear walls)marked on plans or lateral engineering? --.j 2-story garage? (Engineering maybe required) 1"story of two story D1—45%, D2—55% NTS: Y _- ENGINEERING REQUIRED 009 — _1--,eZ' 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:lpermit tech building checklist.doc Revised 11-29-2007 ..� MASON COUNTY PERMIT NO. � BUILDING PERMIT APPLICATION } 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICAN INFORMATION ,- CONTRACTORINFORI1.ATION Owner i F C `i Ea 1 t*~ Company Name � Mailing Address ,5 s i i:: d^C-Ao " ' Mailing Address City +" State `yT1 Zip Code, City State Zip Code Phone ,'i.0 i° uM c to Other Ph. �JA Phone Other Ph. Lien/Title Holder t )C tt5 f s f_y; Contractor Reg. # Exp. E mail address k!.A E Mail Address Drivers Lic.# 6 LRi ME 315 N 14 DOB "3 i 1c Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic X• Connect tQ Water System Name of Water System Well 7� Sewer System Name of Sewer System PARCEL INFORMATION - Digitparcel IN �- 0 Fire District Legal Description 1 K kF 0 Se Lod. 2. o �P 4 : ,00 :W S241340 Site Address (Pleas include street name,street number and city) ASI F_ V,C-}ar Directions to site `A�.c °"' �" . ": j'-4� V'V 4 19 S L nn \J'C c6e_ RA Will timber be cut and sold in parcel preparation?Yes/ 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?YesW6 TYPE OF JOB - New Add X Alt Repair Other PRIMARY RESIDENCE Ej SEASONAL ❑ Use of Building ,e-,,ic4. Describe Work Au,k, No. of Bedrooms No. of Bathrooms i Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck— Covered Deck Other Sq. ft. Garage " Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X ff,,� �,• U� Date' LAZO b Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES 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 ftxax�- L, �.t�'t Company Name A11A Mailin Address IG51 1E. V:c Q-A Mailing Address CityState Wilk Zip Code 'ft2C' City State Zip Code Phone 31-0 27C- 23010 Other Ph. W1+'- Phone Other Ph. Lien/Title Holder W<1� r gn Contractor Reg.4 Exp. E mail address W114 E Mail Address Drivers Lic.# LIKIM015ML DOB _81t3jo 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 A 1-$ (A 'Sc We Lob Z of Sp 5 Z4841P Site Address (Please include street name, street number and city) Tall E. v:c Directions to site kjaJkv\ 40 3©2 E =fnwtard It non Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff-Stream-Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st Floor. 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPCL-- Natural Gas`_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace Bath Tubs �_ Heatpumps Showers Spot Vent Fan Water Heater Propane Tank T Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove "{ U 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X � tr ' � Date: 4 42*1 I0 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYONDTHIS POINT Accepted by: Planning I'd 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 I�. I� . I I I � I s a 11d = z -10 n � I v I -n � � 4 N adzrn rn � r > / rn � r OzZul I N Opp ni D � � z 2 = Oz also �tg 7C O IVAOdddV 01103rans S NVHO 311S NO 38 O103a1nblJ NVld 311S NINNVid 030 h1Nq03 NOSY' V I I I rn i 0 z yam..... n. I c -lu— ........... 50' EASEME T 150.0, 7FRKNFI,K SHALT.CONFORM THE REQUIREAIENiS L STATE OR FEDERAL AGENCIES HAVNG �� �� � IO"I. THE DESIGNER ASSUMES NO It31Uil FOR THE PROPER IXECUiIONORK SHOWN ON THESE DRAWINGS. ISDNG CONDmONS AND DIMENSIONS �UILD11�65161�1 11�1G• LISTED DIMENSIONS TAKE PRESIDENCELED LENGTHS. DIMENSIONS ARE TO LENGTHS. DIMENSIONS ARE TO THE FINISHED �1051VICTOR RD, BELFAIR, WA ' FACE OF STUDS UNLESS NOTED OTHERWISE 39498 SE MILE HILL DR, PORT ORCHARD, WA 98366 . 360-876-6893 /� ERRORS OR OMISSIONS IN THESE DRAWINGS J ARE TO BE REPORTED PRIOR TO WORK. FAX - 876-7419 E-MAIL - HERSTAD�WVIN.COM 1 I I I I I s mCI = rnp0 > d -Tirr ti N O i rn > I ° i z Apo I I I I o ox / 0 A O � 5C Z / rTl o � ...... i:: - - - - - -- - - - - 50' EASEME T 150.0' FFRE SHALL CONFORM THE REQUIREMDNE ST TE OR FEDERAL AGENCIES HAVNG TOM i�ST,�I� OIJ. THE DESIGNER ASSUMES NO ILITY FOR THE PROPER IXECUi ONORK SHOWN ON THESE DRAWINGS.51 ER I SiTNG CONDmONS AND DIMENSIONS $U I L1�i 1�6 D516�1 11�lG• ON SITE USTED DIMENSIONS TAKE PRESIDENCE LLARE SCALED LENGTHS. DIMENSIONS ARE TO -- HS. DIMENSIONS ARE TO THE RNISHm OF STUDS UNLESS NOTED OTHERWISE 3949E SE MILE HILL DR, PORT ORCHARD, WA 98366 •360-876-6893 1051 E VICTOR RD, BELFAIR, WA ' RS OR OMISSIONS IN THESE DRAWINGS J/ O BE REPORTED PRIOR TO WORK. FAX - 876-7419 E-MAIL - HERSTAD®WVIN.COM