HomeMy WebLinkAboutBLD2017-01248 Final Lakeland Village Lot 7 - BLD Permit / Conditions - 8/15/2018 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County
615 W Alder St
Shelton, WA 98584
,x RESIDENTIAL BUILDING PERMIT BLD2017-01248
OWNER: JOSH JESSUP RECEIVED: 12/26/2017
CONTRACTOR: LICENSE: EXP: ISSUED: 2/8/2018
SITE ADDRESS: 60 E EUGENIA PL ALLYN EXPIRES: 8/8/2018
PARCEL NUMBER: 122184000000
LEGAL DESCRIPTION: PCL 1 OF BLA#07-21 PTN SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
LAKELAND VILLAGE DIV: 14 LOT: 7 (STOCK PLAN) ST RT 3 TO ALLYN, L ON HOMESTEAD DR, R ON OLD RANCH RD, R ON
STIRLING DR, L ON SODERBERG RD, R ON EUGENIA PL TO SITE
ADDRESS ON THE RIGHT SIDE
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 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:2,588 Garage-Attached 624
Valuation: $ 330,024.72 Building Height: Occ. Status: Primary Basement: Coved Deck 38
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 24.0 Ft. Shoreline: Ft. Water Body:
Rear: W 27.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 5.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 10.0 Ft. Comp. Plan Desig.: Urban Growth Area
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 12/26/201 $457.47 S1201700000001
Lavatories 5 Heat Pump 1 EH Plan Review GMM 12/26/201 $210.00 S1201700000001
Bath Tubs 3 Ventilation Fan 4 Address Fee GMM 12/26/201 $ 173.50 S1201700000001
Showers 1 Propane Tank 1 Planning Review Fee GMM 12/26/201 $240.00 S1201700000001
Water Heaters 1 Gas Outlets 2 Building State Fee JTL 2/6/2018 $4.50 S3201800000001
Clothes Washer 1 Propane Stove 1 Building Permit Fee JTL 2/6/2018 $2,287.35 S3201800000001
Kitchen Sink 1 Exhaust Hood 1 Mechanical Permit Fee JTL 2/6/2018 $246.90 S3201800000001
Dishwasher 1 Dryer Vent 1 Mechanical Base Fee JTL 2/6/2018 $28.50 S3201800000001
Hosebibs 2 Plumbing Permit Fee JTL 2/6/2018 $ 145.40 S3201800000001
Plumbing Base Fee JTL 2/6/2018 $24.70 S3201800000001
Total $3,818.32
BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 1 of 9
CASE NOTES FOR
BLD2017-01248
CONDITIONS FOR
BLD2017-01248
1) Prior to final approval, all upland areas disturbed or ne ly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X 6
2) Ap ved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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3) Ap lication acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is R-1 P.
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4) 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
beer"finaled"and approved.
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5) 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.
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6) Energy credit 5a was chosen. Please ensure at time of final inspection to have all shower head and all other faucet manufacturers information
onsite, to ensure compliance with 5a requirements.
5a-All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at
1.0 GPM or less.
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7) 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.
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8) Own /Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 2 of 9
9), Tne 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.
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10) XH FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
11) 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.
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BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 3 of 9
12) Adopted IECC/Washington State Energy Code Compliance has been approved as follows:
• Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window(Max U-Factor):0.30, Skylight(Max
U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credits from WSEC table R406.2 shall be completed as follows:
2a-AIR LEAKAGE CONTROLAND EFFICIENT VENTILATION 2a:
Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a high efficiency fan
(maximum 0.35 watts/cfm), not interlocked with the furnace fan. Ventilation systems using a furnace including an ECM motor are allowed, provided that
they are controlled to operate at low speed in ventilation only mode.
To qualify to claim this credit, the building permit drawings shall specify the option being selected and shall specify the maximum tested building air
leakage and shall show the qualifying ventilation system.
3b-HIGH EFFICIENCY HVAC EQUIPMENT 3b:
Air-source heat pump with minimum HSPF of 9.0
5a-EFFICIENT WATER HEATING 5a:
All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or
less.
5c-EFFICIENT WATER HEATING 5c:
Water heating system shall include one of the following: Gas, propane or oil water heater with a minimum EF of 0.91
or
Solar water heating supplementing a minimum standard water heater. Solar water
heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation (SRCC)Annual
Performance of OG-300
Certified Solar Water Heating Systems
or
Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water
Heaters
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BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 4 of 9
13) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution
parrel. 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 105.4, 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 5 air changes per hour when tested
with a blower door in accordanve with IECC/.WSEC Section R402.4.
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 IECC/WSEC R401.3.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate"and are available in %or'/z sheets. The
Mason County Permit Center will also have some available.
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14) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section
R404.1.
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15) 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.
A drip edge shall be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5)
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16) 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/contrac r is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 5 of 9
17) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation.
In,Mason County the electrical code is regulated by Washington State Department of Labor& Industries(L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000.
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18) Aseparate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with the 2015 IBC, Section 1705.12.2
and Section 1707.1. The additional inspection is required when shear wall fastener spacing is required to be 4 inches or less. The shear wall schedule
shown on sheet S4 designate wall(s) type 2 and 5, along with details 1/S2 ans 1/S3 with fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections,
the Engineer of record (EOR), or an authorized representative of the (EOR). The special inspectors duties and responsibilities shall be as specified in
Chapter 17. When a third party inspector is used to perform the inspection, special inspection reports shall be submitted to the Mason County Building
Department, 615 W Alder St, Shelton, WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and
submitted to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said project. X
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19) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created.
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20) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
suc roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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21) 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
ch ged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
22) 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
per t revocation.
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BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 6 of 9
23) Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the
IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC
systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be
available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made
substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous
glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape.
Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive
tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened.
Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts
shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets
equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit documenting test results in accordance
to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are
available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit"or"Duct Leakage Testing Results (Existing Construction)." Duct
tightness testing is not required if the air handler and all ducts are located within the heated space.
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24) 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.
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25) 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
Insp ctor shall be made prior to requesting additional inspections.
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26) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to
Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think s ch features exist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
27) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 7 of 9
28) 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
Mawn County ordinances and building regulations.
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29) 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.
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30 Pressure treated wood manufactured after January1 2004 may contain highconcentrations of copper which could quic
kly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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31) 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.
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32) 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.
33) ALL SURFACE WATERAND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITEAND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR ROAD WAY.
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34) Stock Plan Identification number: 2015-0008
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
Insnector at each required inspection.
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BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 8 of 9
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 contractor. I further declare that I am entitled to receive this permit and to do the
work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s) 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 OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
— eal'ol �Jr
Sig atu Date
`L �`°S�Ls� OWNE - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2017-01248 Please refer to the following pages for conditions of this permit. Page 9 of 9
W
o CONCRETE MECHANICAL MANUFACTURED HOME m
CD Date By Cl)
Footings I Setbacks Ribbons to
Gas Piping C
C) Interior Date By Interior-Date By Date By C
Exterior Date By Exterior-Date BOD - t-� L
INSULATION O
Point Load I Isolated Footings Date By tY)
BG 1 SLAB INSULATION =
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Walls Date By
Date By Data By PROPANE TANKS
PLUMBING Vault Date By
Date By OTHER
Groundwork Attic
Date By Date By Type_
DRYWALL Data By
D.W.V Type♦
Int Brace Wall Date By
Date By
Date By FINAL INSPECTION Q
y Water Line Fire Seperation N
CD
O
Date By Dale By Date By
m V
s Pass or Request Inspect. Co
Type of Insp. Fail Date Date Done By Comments
Co
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MASON COUNTY 360-427-9670 Shelton ext.352
360-275-4467 Belfair ext.352
COMMUNITY SERVICES 360-482-5269 Elma ext.352
Inspection Hotline 360-427-7262
Building, Planning,Environmental Health,Community Health
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us
CORRECTION/INSPECTION REPORT
PERMIT/CASE NUMBER: ZCD 2017 -01214-
ADDRESS/LOCATION: IeU' 6 6!e'ealA I Zk1jLt1
FINDINGS:
ott r hS
2 4—as
13 Trim owl sl t Elf�Ar s -rokt rcl t
Items listed above must be corrected to gain compliance.
❑ THIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ C for re-inspection when corrections are made before proceeding with any further work.
ake corrections, items will be checked on the next inspection.
�Kto pie.,u py Igo &5
Date: 7)`(1 tog ❑ Please contact our office regarding possible
Department:�LD structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
k°AgON �o� MASON COUNTY COMMUNITY SERVICES
PERMIT ASSISTANCE CENTER: Perinit No:
•BUILDING•PLANNING •PUBLIC HEALTH•FIRE MARSHAL
615 W.Alder Street.Shelton,WA 98584
_- ) Phone Shelton:(360)427-9670 ext. 352•Faxgutt
rBelfair. (360)275-4467 Phone Elma: DI NI G8RECEIVED
1 BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATI
NAME: 051� es5� NAME"LITS
1WMAILING ADDRESS: �O� (���, oo.`� MAILICITY: �3 �11 STATE: ` ZIP: �Ola CITY: E:bi ZIP. \
PHONE#1:_ J5 - 7Q SG 6 PHONE. 6 CELL:
PHONE#2: EMAIL 6 _ 'S o
EMAIL: ]as�.S�ss�p � { �'� C SYv. L&I REG# EXP.�/ /
PRIMARY CONTACT: OWNER N CONTRACTOR❑ OTHER�]
,NAME 5 � EMAIL
MAILING ADDRESS -'10 cl awes , CITY too( r-lf STATE W j ZIP o)a
PHONE CELL_ 4d,S- '7)O- S`Cd--C
PARCEL INFORMATION: -` o -000co- ^ Z�"
,PARCEL NUMBER(12 Digit Number) ,fr�.n.-4--�G(�i ZONIN _
LEGAL DESCRIPTION(_Abb viated) ( t ( L4 L,—7 FIRE DISTRICT
SITE ADDRESS D e (_� CITY
DIRECTIONS TO SITE ADDRE S
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO%
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑
TYPE OF-WORK: NEW,Q ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc)
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES (Whole Bldg) N/ YES (Part[s]of Bldg) ❑ NO ❑
DESCRIBE WORK
SQUARE FOOTAGE: (propose+existing)
1 ST FLOOR '(j-,Y _sq. ft. 2ND FLOOR l(V&Y sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK_ rr sq. ft. COV8RED DECK_'3'i _sq.ft. STORAGE sq.ft. OTHER sq. ft.
GARAGL_bd,` sq.ft. Attached Detached❑ CARPORT sq.ft. Attached❑ Detached❑
UFACTURED H I + RMATION: *4 COPIES OFT�OOR PLA QUMD*
MAKE MODfiL YEARS .E{�IGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC ❑ SEWER[ / NEW EXISTING ❑
PLUMBING IN STRUCTURE? YES V NO ❑ If yes, attach cot leted Water Adequacy Form
PERIMETERMOUNDATION DRAINS PROPOSED? YES ❑ NO[G EXISTING SQ.FT.
EXISTING BEDROOMS a PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.1 have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the Information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permit/application becomes null 8 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
Sign r of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED -DATE-,,.. DENIED DATE ' TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1'� 2-o-/g
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
900 MASON COUNTY
COMMUNITY SERVICES RECEIVED
Building,Planning,Environmental Health,Community Health g U I L D I N ,� DEC 2 6 2017
Physical and Mailing Address: 615 W Alder St.,Bldg 8, Shelton, WA 98584
Shelton Phone: (360)427-9670 ext 352 ❖ 77 Fax (360)427- 98 6 5 W• Alder Street
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: i!d 2017- i2. 8
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: NAME: BC(1 1 yrYe.S
MAILIN AD RESS: otO Vas o MAILING ADDRESS: 90ei c\,,�s
CITY: 1 STATE: $ZIP: `1 0 �. CITY: Qo4e-0 STATE: �.AA ZIP: C110U
151 PHONE: PHONE: CELL:
2nd PHONE: EMAIL: 5 f�1 OM 1v� 61t1A1[
EMAIL: C�IV\t tr, orv\ L&I REG# (3CL.I.k[A 13 L EXP. 1 /-
PARCEL INFORMATION: - I
PARCEL NUMBER (12 Digit Number): ( rl I -�0 Zonin : 11LyXLrZA
LEGAL DESCRIPTION (Abbreviated): leli.net Div 1
SITE ADDRESS: /Q CITY.
DIRECTIONS TO SITE ADDRE
TYPE OF JOB/WORK: NEW X . ADD ALT REPAIR OTHER
USE OF BUILDING 5�� � �p„d►�;(y }�{r�rL
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No_ oT s Fuel Tyoe Fees
Toilet(s) Furnace G/LPG]
Bathroom Sink(s) S Heat Pump _ G/LPG]
Bath Tub(s) -- o Ductless H.P. [E/G/LPG]
Shower(s) ( Spot Vent Fan
Water Heater(s) '
/LPG] Propane Tank _ _gal.]
Clothes Washer(s) �— [E/ /LPG] Gas Outlet(s) _2__
Kitchen Sink(s) ( Heat Stove �_[E/GAQ�W]
Dishwasher(s) ( Kitchen Exhaust Hood
Hose bib(s) 3— Dryer Vent
Other Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection 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 contractor. I further declare that I am entitled to receive this permit and to
do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this
project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure(s)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 OF
,INSPECTIO INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X 1 I�k6-0
ature of Applicant Date
X ST "�Ycssv Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
Vasil us on-line lltl.pi//www.co.mason.wa.us/community_aev/ Rev:3/08/2017
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PLANNINGPLANNING : I ID VW(i
A.L L SETBAC S ARE MEASURED
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PROJECTI F T%- B I i-D
DEC 2 6 2017 �
I UTILITIES (WATER,SEWER,POWER)
615 W. Alder Street
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MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE LOT AREAi 10,039 SQ FT
CHANGES SUBJECT TO APPRO`AL, BUILDING AREA: 1869 SQ FT
By ,� Date �� DRIVEWAY AREA; 1281 SO FT
SITE PLAN NOTE: THIS IS NOT A SURVEY
LOT 7 - LAKELAND VILLAGE N❑,14 ELEVATI❑NS ARE FOR
A --'N,WA REFERENCE ONLY
SCALE, 1"=20'
1
Name �n "�-� Parcel IL
� 12 2 0 --]y
- BLD#
BUI
Mason
L D I N County
DEC 2 6 2017apartment of CommuntYDevelopment
Small Parcel Stormwater Management Application/Workshee6(1 *JII Street
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:
hllp//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 th it 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
100 W. Public Works Dr
Shelton.WA 98584
If this development has, or will have,a septic/d ra infield 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 400
415 N. 6th St—Bldg#8 lower level
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 erty for review and inspection as may be required.
X U " Owner/Agent/Contractor(circle one)Date:_ I —
Page 2 of 2
}
Name Jai, 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 Table
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
X _ above table
Patios/Walks X =
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 Wrp erty for review and inspection as may be required.
X ( Owner/Agent/Contractor(circle one)Date:
If a otal 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
Lod 7 -
MASON COUNTY RESIDENTIAL PLANTS SUBMITTAL CHECKLIST
Owners Name: J h Date: LL7 Project description: �>D
Documents: •
'Building Permit Application Completed. R E C E O V iC..D
V schanical/Plumbing Application Completed. BUILDING
Planning Intake Checklist Completed. DEC 2 6 2��7
rte plan includes: Allowable building area, roof ove ngs, decks, etc.
_Fire Apparatus &Access Road info required? Yes No 615 W. Alder Street
_/Stormwater Checklist Completed.
Energy 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 Ductless Heat Pump O Other: Specify:
Construction Plans:
v'3 Sets (2 full size sets w�engineered calculations & 1 reduced sized set 11X17 min.(no calculation needed )
_✓Mans Legible _✓Recognized Scale ✓elevation Views _Z16ross Section
_foundation Plan ve Roof Framing Plan w`door Plan—Use of rooms labeled(all floors)
door Framing Plan -all floor levels including loft, crawlspace, etc.
_Deck Framing Plan including covered porch, carports
Plan Details:
'-)Qj�ceG �X1a
"Roof framing details, truss lay-out may beCeedd (Hip and girder location shown) M FGi " esall Framing-Does bearing-wall height a 10'? (Engineering may be required) YYl
Floor framing: Floor joists (size & ing): x 1 C ) Floor beam: )(U
Window headers. Typical header.�a�,,.X t o Q.n. o Garage header: 3 X 11 �3 (_
_ Foundation: footing size, reinforcement
nOConcrete Walls- Does Concrete Wall Height Exceed 8'? (Engineering may be required, see details)
✓ Landings at all exits? Le than 30" bove grade. Y/N (must be shown on site plan)
• ater Heater. Location: 6RCL 1 )6
Heated By Furnace- Location of Furnace Cl Fuel type: C-J
'Fireplace/Stove Information Shown - Fuel Type? Location(s):
/ endow Sizes Marked on Plans.
✓ Braced wall ' (shear walls) MUST be marked/indicated on plans. r V ICL)L" U6—
Z'Engineered es,# No Snow load: Seismic: D2 Design Code: 26 15 Are plans stamped
Man omes:
4 Floor Plans�Iwms &areas must be labeled)
Foundation Type:
ANSI/Manufacture method Engineered footing/foundation Basement
Decks*: 4x4 min. landings required at each entrance (must be shown on site/plot plan)
*Covered decks and/or any decks greater than a 4'x4' (that exceed 30"from grade) requires a permit and
construction plans.
COMMENTS: ,
Intake review (initi Dater
`tl:\permit tech building checl ist2015.doc Rased 8.5.2016