HomeMy WebLinkAboutBLD2007-01885 MFG Revised to SFR - BLD Permit / Conditions - 9/22/2011 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
Shelton, WA 98584
to
RESIDENTIAL BUILDING PERMIT BLD2007-01885
OWNER: LISA ROOT RECEIVED: 10/30/2007
CONTRACTOR: LICENSE: EXP: ISSUED: 9/22/2011
SITE ADDRESS: 200 E NORTH BAY RD BELFAIR EXPIRES: 3/22/2012
PARCEL NUMBER: 1222050TF$83 1-1010
LEGAL DESCRIPTION: ALLYN TRACT C &T/L BLKS 17-19
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SUBMITTED BUILDING PERMIT IN 2007 FOR A MANUFACTURED Hwy 3 to North Bay Rd.
HOME, RESUBMITTED IN 2009 TO CHANGE TO STICK BUILT.
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V-B
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,381
Valuation: $ 144,574.35 Building Height: 16 Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: 0 Ft. Front: W 48.0 Ft. Shoreline: Ft. Water Body:
Rear: E 35.0 Ft. Slope: Ft. SEPA?:
Model: Width: 0 Ft. Shoreline Desig.:
Side 1: N 25.0 Ft.
Year:0 Serial No.: Side 2: S 193.0 Ft. I Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Furnace<100K 1 Mobile Home Submittal Fee KKK 10/30/200 $235.00 S22007000i
Lavatories 2 Ventilation Fan 3 Planning Review Fee KKK 10/30/200 $170.00 S22007000i
Bath Tubs 2 Propane Tank 1 Plan Check Fee TW 8/11/2011 $817.02 S12011000i
Water Heaters 1 Gas Outlets 2 Planning Dept. Permit Revisioi TW 8/11/2011 $60.00 S120110001
Clothes Washer 1 Woodstove 1 EH Plan Review GMM 8/25/2011 $103.00 S12011000i
Kitchen Sink 1 Exhaust Hood 1 Water Adequacy Plan Review GMM 8/25/2011 $103.00 S120110001
Dishwasher 1 Dryer Vent 1 EH Waiver Review KKK 9/13/2011 $113.00 S62011000i
Hosebibs 2 Building State Fee DLC 9/15/2011 $4.50 S1 201 1 0001
Building Permit Fee DLC 9/15/2011 $1,245.75 S12011000i
Mechanical Permit Fee DLC 9/15/2011 $219.70 S12011000,
Mechanical Base Fee DLC 9/15/2011 $28.50 S12011000i
Plumbing Permit Fee DLC 9/15/2011 $93.20 S12011000i
Plumbing Base Fee DLC 9/15/2011 $24.70 S1 201 1 0001
ADJUST--Plan Check Fee DLC 9/15/2011 -$7.28 S12011000i
Total $3,210.09
BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2007-01885
CONDITIONS FOR
BLD2007-01885
1) 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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2) Owner/Acient 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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3) All other necessary permits from Mason County, Washington State and/or Federal Agencies that arejequired for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
4) 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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5) All construction and demolition debris must be removed from the shore area after project completion. Proper disposal of construction debris must be on
land in such a manner that debris cannot enter or cause water quality degradation of State waters. X Z/ 16
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) 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
Xspec�r�hall be made prior to requesting additional inspections.
8) 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,Qounty ordinances and building regulations.
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BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 2 of 6
9) 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 rq�d onnect 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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10) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect your project
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11) Buffer vegetation to wetland and shoreline areas will be enhanced per the MEP2007-00103 plan, will be completed during site preparation and
construction of the proposed residence.
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12) 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).
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13) 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.
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14) 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 �-z_
15) Approved per dimensions and setbacks on submitted site plan (per approved variance SHR2009-00013). Setbacks are measured from the furthest
projection of the structure.
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16) This parcel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
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17) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
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
X 800f 982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 3 of 6
19) 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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20) 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
X mova�pproved documents will result in failure of required building inspections.
21) 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.
22) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: Opyion 1A, High efficiency HVAC Equipment, AFUE 92%
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23) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower
door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required
for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in %.or'h sheets. The
Mason County Permit Center will also have some available.
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BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 4 of 6
24) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSEC 505.
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25) 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.
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26) 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/contractX is acknowledging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X 67-L
27) 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
X charged faLnd shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
28) 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.
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29) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operator hasobtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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30) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meet t installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 5 of 6
31) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be-used until the final inspection has been performed and approved by a Mason County building inspector.
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32) All property lines shall be clearly identified at the time of foundation inspection. X �2
33) 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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34) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR ROAD WAY.
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35) An inspection performed by a representative of the engineer of record, N.L. Olson &Associates, Inc., shall be completed on-site prior to the
footing pour to verify that the subgrade and foundation are placed in accordance with their design specifications and placed on firm native
soils. If taller stemwalls will be required as a result of the subgrade inspection a revised reinforcement schedule shall be provided by the
engineer of record.
A letter prepared by N.L. Olson &Associates, Inc shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584, prior
to the footing inspection and also available for inspection.
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36) Well shall be drilled prior to construction of the home. No temporary or final occupancy without meeting water adequacy requirements. Must
provide well log and satisfactory bacteriological sample.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection. The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason County access to the above described property and structures for review and inspection.
OWNER OR AGENT: DATE: ! —
BLD2007-01885 Please refer to the following pages for conditions of this permit. Page 6 of 6
8°N CO MASON COUNTY
� ap Shelton (360) 427-9670
DEPARTMENT OF COMMUNITY DEVELOPMENT
Belfair (360) 275-4467
Planning
Mason County Bldg. 1 411 N.5th Elma (360) 482-5269
P.O.Box 279 Shelton,WA 98584
1854
March 11, 2009
William and Lisa Root
P.O. Box 1959
Silverdale WA 98383
RE: Continued Review of Building Permit BLD2007-01885
on Parcel Number 12220-50-k;EM
Dear Mr. and Mrs. Root:
This letter is to request additional information and application materials that will
continue the review of your building permit.and the location of your proposed residence
on the subject property located along North Bay Road in Allyn, WA. Staff recently
observed the location of the proposed buildings on the property and noted the travel
trailer and portable building present adjacent to the wetland and shoreline critical areas.
Staff checked office records on past permitting or reviews done on the subject parcel. A
site pre-inspection was done on this property in December 2006 [SPI2006-00313] that
described certain wetland characteristics on the property at the time of inspection and
concluded that a wetland study be completed prior to further development. This site
information was provided at the request of the owner in March 2007.
Your building permit submittal on October 30, 2007 did include a wetland study report
and accompanying site plan. As noted in the 2006 site pre-inspection SPI2006-00313,
development standards for both wetland and shoreline areas are applied in proposing
development on this property. The wetland report provides a review of the wetland
characteristics and conditions on the property and a 60-foot wetland buffer for the
proposal, but the report site plan proposes minimal building setbacks [13 to 17 feet] and
no vegetation buffers adjoining the edge of the mapped wetland areas. If this site plan
is the project site plan, the wetland biologist must submit a wetland enhancement
and/or buffer restoration plan that will compensate for wetland area and habitat losses
resulting from the development not meeting the proper wetland buffer distance of 60
feet from the edges of wetland. To date, this restoration plan has not been received bx
this Department, although it was requested in a Letter of Incompleteness, prepared by
the permit planner Rebecca Hersha in November 2007.
Another fact stated in the December 2006 site pre-inspection was a proposal that
follows the shoreline area development standards. Part of that narrative stated:
"Shoreline development is guided by the Mason County Shoreline Master Program
and Resource Ordinance Fish and Wildlife Habitat Conservation Areas standards.
Root progress letter Mar 2009.doc
Any possible building would need to meet setbacks from the ordinary high water
mark of the inlet, likely to be between 60 and 100 feet distance."
The information provided in your permit application for the residence does not follow
these standards. Proposed residences must meet the proper setback from the shoreline
area, in this case measured from the ordinary high water mark along North Bay in a
landward direction to the roof eaves of residences on adjacent properties. Rebecca
Hersha's letter noted that this setback distance is 71 feet (resulting from the average of
42 feet distance for the house on the south and the 100 feet distance for the default
setback on the north). Due to the alignment of the shoreline and wetland boundaries
on this parcel, the submitted wetland site plan distance of 35 feet from North Bay / Case
Inlet does not meet either of the Shoreline Master Program and Resource Ordinance
Fish and Wildlife Habitat Conservation Areas standards.
Based on these facts, little area exists on this parcel that would not be unencumbered
by the shoreline area buffer and building setback. A variance from the Fish and Wildlife
Habitat Conservation Areas chapter may be requested to pursue residential development
on this property. A Habitat Management Plan (HMP), prepared by a qualified biologist
is required as part of the variance request to support the proposed development. The
HMP addresses impacts to the buffer and offers measures to preserve and protect the
buffer or to mitigate impacts of the development proposal (like the wetland restoration
efforts). A copy of the Fish and Wildlife Habitat Conservation Areas chapter, including
details on the contents of an HMP and the variance public review procedure, is available.
A variance request (application and HMP) is evaluated by the permit planner who assists
in the Hearings Examiner public review process. The shoreline and wetland buffer/
setbacks should be accurately identified on the project site plan that is submitted for a
variance request and building permits. Application for a variance to these standards
does not guarantee approval of the development as proposed.
As stated above, the travel trailer, portable building, and fences have been located
adjacent to the wetland and shoreline critical areas. Please note that structures or land
uses done without building permits would still need to provide proper water supply and
septage disposal, and shall be located at proper distances from property lines and from
shore or wetland critical areas to meet current standards.
Specific County Codes standards for future development noted above may be found at
the County website address http://www.co.mason.wa.us. then Codes & Regulations,
and Community Development. If you have any questions on these issues, please feel
free to call me at (360) 427-9670 extension 365. Thank you.
Sincerely,
Allan Borden
Senior Planner
Site Reviews and Long Range
Enc: SPI2006-00313 findings
Root progress letter Mar 2009.doc
SON copy MASON COUNTY
_ Shelton (360) 427-9670
DEPARTMENT OF COMMUNITY DEVELOPMENT Belfair (360) 275-4467
Planning
Mason County Bldg. 1 411 N.5th Elma (360) 482-5269
P.O.Box 279 Shelton,WA 98584
1 .p
April 1, 2009
William and Lisa Root
P.O. Box 1959
Silverdale WA 98383
RE: Follow-up Letter on Building Permit BLD2007-01885
on Parcel Number 12220-50-13=- 1-7610
Dear Mr. and Mrs. Root:
This letter is a follow-up on the March 11, 2009 letter to request additional information
and application materials that will continue the review of your building permit and the
location of your proposed residence on the subject property located along North Bay
Road in Allyn, WA.
That progress letter requested several applications and studies that are needed to
further evaluate this building permit:
1. A wetland restoration plan has not been received by this Department, although it
was requested in a Letter of Incompleteness, prepared by the permit planner Rebecca
Hersha in November 2007.
2. An application for variance from the Fish and Wildlife Habitat Conservation Areas
chapter may be requested to pursue residential development on this property.
3. A Habitat Management Plan (HMP), prepared by a qualified biologist, is required as
part of the variance request to support the proposed development.
As of this date, none of this material has been submitted to this office, and you have
provided no letter or telephone conversation to respond to these issues or to discuss the
permit review. A note entered by the Mason County Permit Assistance Center staff on
September 26, 2008 indicates that no information had been submitted at that time, but
the applicant wishes to keep the permit active.
The Mason County Development Code Section 15.05.040(C) [a copy is enclosed] states
that in order to make an application more complete, a Letter of Incompleteness is sent
by the County to the applicant, and that if the requested information is not provided to
the County within 180 days of the request, the application shall expire. Mason County
staff sent a Letter of Incompleteness on November 6, 2007, and no written response
has been made. As a result, the applicant now risks that no further action will be taken
to evaluate their request, in this case, a residence along North Bay Case Inlet. Even if
September 26, 2008 note date could be interpreted as the start of this 180-day period,
the date of April 3, 2009 is day number 188 of this notification date and no response is
yet made. If there is no response to this time of completeness issue by Wednesday
April 15, 2009, your permit application will be deemed as an expired application.
Another important County concern is that you have located residential land uses that do
not meet the same development standards that are being evaluated in the Mason
County Building Permit BLD2007-01885 review. You currently have a motor home and
modular building sited on the property within the vegetation buffer and setbacks for the
wetland and shoreline critical areas that are present on Parcel Number 12220-50-17003.
If you do not submit the information stated above and do not complete the process as
noted in the March 11, 2009 letter, you will be required to remove these structures from
the property OR move these improvements outside of the vegetation buffer and building
setbacks by applying for (or revising) the necessary building permits to site these
improvements at correct distances. If this is your course of action, this must be done
within 30 days and by Monday May 4, 2009.
Specific County Codes standards for future development noted above may be found at
the County website address http://www.co.mason.wa.us. then Codes & Regulations,
and Community Development. If you have any questions on these issues, please feel
free to call me at (360) 427-9670 extension 365. Thank you.
Sincerely,
Ilan orden
Senior Planner
Site Reviews and Long Range
Enc: March 11, 2009 letter
0 STgTF MASON COUNTY
�P5 ,�,c DEPARTMENT OF COMMUNITY DEVELOPMENT
0
S N z Planning Division
T P O Box 279, Shelton, WA 98584
T n
(360)427-9670
1864
NOTIFICATION OF INCOMPLETE APPLICATION
November 06, 2007
LISA ROOT
PO BOX 1959
SILVERDALE WA 98383
Parcel No.: 1222050 1_1010
Project Description: Manufatured Home
Dear Applicant:
You have submitted a permit application (case no. BLD2007-01885) for proposed
construction or development in the county. Upon review of your application, I have
determined that the contents of the application are incomplete or do not provide
enough detail for review.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 593 if you have questions.
Sincerely,
Rebecca Hersha
Land Use Planner
Mason County Planning Department
1116107 Page 1 of 2 BLD2007-01885
NOTIFICATION OF INCOMPLETE APPLICATION
11/6/07 Case No.: BLD2007-01885
Comments: The Planning Department has received your Mason Environmental
Permit (MEP) and Wetland Report. However, to continue our review
you will need to address the following:
1. The house is sited too close to the shoreline. According to aerial
photo, the average setback would be 100 plus 42 divided by 2 = 71
feet. If your propose a structure cannot meet the required shoreline
setback and you can show that you meet the Variance criteria
(attached), you will need to apply for a Resource Ordinance Variance.
2. Both encroachments into wetland buffers and encroachments into
shoreline setbacks require mitigation, which needs to be addressed in
writing by the biologist that you have hired. I did not see a mitigation
plan in the wetland report submitted.
Please call me at (360) 427-9670 extension 593 if you have any
questions. Thank you.
11/6/07 Page 2 of 2 BLD2007-01885
FORMMUST6E COMPLETED IN INK MASON COUNTY PERMIT NO.
PLEASE PRES ARD 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
i� T INFOF44ATION. CONTRACTOR INFORMATION
Owner Company Name
Mailin Ad r ss Mailing Address
City State Zip Code City State Zip Code
Phone Othef P Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATI N - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer SystenL,,---' Name of Sewer System
PARCEL INFORMA IQN - 12 Di it Parcel No. Fire District
Legal Description
Site Address (Please include Atreet na e, street number a d city)
Directions to site
Will timber be cut and sold in parcel prep ration?Yes No"
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland_o"Seasonal Runoff Stream Slopes or Bluff /o
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/go,
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL
Use of Building �escnb Work
No. of BedroomNo. of Bathrooms—Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANU A TURED OME INFORMATION - Make Model Year
LengthWidt Serial No. No. of Bedrooms —No. olj3athroomsA
Type of Heat P rchase Price$ Replacement Unit? Yes/
Installer Name �m 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 A PROG ESS Ik4SLPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
XMMDate:k
Owner/Ow pre entative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date jb V
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 Dept. of Community Development
Mason County Bldg. 3 (360) 427-9670 Local
426 W. Cedar (360) 275-4467 Belfair
P.O. Box 186 (360) 482-5269 Elma
Shelton, WA 98584
Notification of Permit Cancellation
September 26, 2008
LISA ROOT
PO BOX 1959
SILVERDALE WA 98383
Case No.: BLD2007-01885
Parcel No.. 122205017 1'101 O
Proiect Description: Manufatured Home
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified that
your building permit application has been inactive since 11/15/2007. Permits must make
some progress every six months.
If you intend to keep this permit active, you need to contact me within fourteen (14) working
days from the date of this letter. If we do not hear from you within the that time, your permit
will be cancelled and a building inspector will make a site visit. In the event that your project
has been completed and a permit was never issued, you will be assessed penalties as
allowed under Mason County Title 14 and Mason County Title 15.
If your project has been cancelled or if you wish to withdraw the permit, please notify me as
soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice
in error please contact me. Thank you for your cooperation.
Sincerely,
Charell Holcomb
September 26, 2008 BLD2007-01885
(10/22/2008) Charell Holcomb- Re: expired permit
From: Charell Holcomb
To: Rebecca Hersha
Date: 10/22/2008 3:46 PM
Subject: Re: expired permit
I just had message from Lisa Root that she wants this permit to remain active. I have made those comments in TM and
called back and left her a message of same...FYI..
Have you actually sent her the VAR packet?
>>>> Rebecca Hersha 10/22/2008 9:14 AM >>>
>
OK great! Thanks.
>>>Charell Holcomb 10/22/2008 8:17 AM>>>
Hi Rebecca-I actually sent them a letter called notification of permit cancellation on September 26,2008. It states that applications must
have activity/progress every 6 months. If they intend to keep this permit active they need to contact me within 14 days from the date of the
letter. If we do not hear from them the permit is cancelled and a building inspector will make a site visit. If the project has been
completed and a permit was never issued they will be assessed penalties. So,the 14 days have come and gone and there has been no
response. Send your packet over to me and I will cancel it. Per the building code,the applicant has 1 year after cancellation to re-instate
it for half the initial permit fee so we do hold the old info here for one year after cancellation.
Hope this helps!!
Charell
>>>Rebecca Hersha 10/21/2008 2:31 PM>>>
Hi Charell,
BLD 07-1885 and MEP 07-103 haven't had activity since I sent a letter to Lisa Root on November 6,2007.PN 12220-50-17003
Since it has been 6 months,could we close this BLD? I can't find a timeline for MEP's that have not been issued(the 2/5 year expiration
is for after it is issued).So how about we just cancel the BLA and associated permits? Would you like me to call them first,or do you
contact them?
Thanks!
Rebecca Hersha, Planner 11
Mason County Department of Community Development
(360) 427-9670,Ext.593
Mason County Dept. of Community Development
Mason County Bldg. 3 (360) 427-9670 Local
426 W. Cedar (360) 275-4467 Belfair
P.O. Box 186 (360) 482-5269 Elma
Shelton, WA 98584
Notification of Permit Cancellation
September 08 `;�,M 'ho4ife- c
LISA ROOT na
PO BOX 1959
SILVERDALE WA 98383
Case No.: BLD2007-01885
Parcel No.: 122205017003
Proiect Description: Manufatured Home
Dear Applicant:
Upon review of our records, the Mason County Permit Assistance Center has identified that
your building permit application has been inactive since 11/15/2007. Permits must make
some progress every six months.
If you intend to keep this permit active, you need to contact me within fourteen (14) working
days from the date of this letter. If we do not hear from you within the that time, your permit
will be cancelled and a building inspector will make a site visit. In the event that your project
has been completed and a permit was never issued, you will be assessed penalties as
allowed under Mason County Title 14 and Mason County Title 15.
If your project has been cancelled or if you wish to withdraw the permit, please notify me as
soon as possible at (360) 427-9670, ext. 616. If you feel that you have recieved this notice
in error please contact me. Thank you for your cooperation.
Sincerely,
Charell Holcomb
September 26, 2008 BLD2007-01885
1vitiJvlV t�VUN 1 Y 1(�J11J�N 11AL YLA1Va JUtiMl1 1AL (;ri>✓t;KL1S 1
Owner's Name: Date: Reviewed By:6"
Document` .
1�Building Permit Application Completed
lanning Intake Checklist Completed,
Site,plan includes:Allowable building area,roof o- gs,decks,etc.
ire Apparatus Access Road info required? Ye /No
ire Apparatus
Code Application Form-O 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:
VkKe-chaZI/Plumbing Application-WATER B L TYPE
Engineering? Yes (Need 2 sets of calculations)�1°� P
chnical report or assessment? Yes o
Snow load:��` Seismic-Zone(circle one): or D2
Construction Plans:_3 COMPLETE SETS
_Plans Legible _Recognized Scale _Elevation Views oss Section
—Fou tion Plan _Roof Framing Plan _Floor Plan-Use ooms noted(all floor levels)
Floor Fra g Plan-all floor levels represented? Loft,crawlspace,etc.
_Deck Framing ,including covered.porch framing
Plan Details:
Roof framing details,truss la ut may be needed,truss o ck framed?
_Wall Framing-Does bearing-wa lit exceed 10' ngineering may be required)
Floor framing: Floor joists: ,Floor beams:
Window headers marked on plans: Typi der:
Foundation:footing size,reinforce
Concrete Walls-Does Concret all Height Exceed 9 . Engineering may be requir I.
_Landings at all exits? Le n 30"above grade? Y
s P
—Heated By Furnace- cation ofFurnace f o
Fireplace/Stove ormation Shown-Fuel Type? Locatio s):
_Window S�lz `s Marked on Plans
_ Braced'wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved if not provided.)
— 2-Story Garage? (Engineering may be required) R602.10.1, 0 story of a two-story D1-45%0,D2-55%
CO NTS: i
ENGINEERING REQUIRED:
Braced wall panels/braced wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
IRREGULAR BUILDINGS(Irregular Shape)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 B WP 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.
DESIGN CRITERIA:Wind 85 mph exp B(unless proven otherwise), Seismic Zone: Snow: psf
2003 1RC Plans submittal checklist simplified/WORD
�4 d e-Sj lus� J
THESE PL.ANJ MUST BE 9 /� n6v� d J4 ,�, 5
I-I � /�
ON THE JOB SITE.
FOR INSPECTION, S/4
w MUST MEET ALL CURRENT
WASHINGTON STATE CODES
CHANGES
\ \ �� N SUBMIT CHANGES FOR APPROVAL
` `�r-1� \`\� PRIOR TO PERrORIAING WORK
+!1 ` 11
16. ad , Sa 4-s
s�5 y - 3G. 3�
60- 7 3
S/.
/� ),oly;?- C) /ems FILE
•
COPY
d,as E -
2 a - �
o-
THESE PLANo MUST BE=
ON THE JOB SITE
FOR INSPECTION,
MUST MEET ALL CURRENT
Documents a to ed to approved plans: WASHINGTON STATE CODES:
ate-�Irr
Plan revi check" ages
Engineering: Y Co Lateral Verde I
Number of pages
CHANGES
SUBMIT CHANGES FOR APPROVAL
PRIOR TO PERFORn9ING WORK
APPROVED
MASON BUILDING INSPECTOR
CH S SUBJECT T�APPROVAL
7
,_DATE
Aso Co
UfT
r� MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Mason County Bldg. III, 426 West Cedar Street
PO Box 186, Shelton, WA 98584
Ik' www.co.mason.wa.us (360)427-9670 Belfair(360)275-4467 Elma (360)482-5269
Inspection Request Line (360)427-7262
MANUFACTURED HOME CHECKLIST
Owner: ��0'Of Contractor: (/C.✓kx_ r
Permit Number: MG0 7 �l `� Site Address: �h
Plans Examiner: LO Date:
• 2006 International Residential Code (IRC) WAC51-51
• 2006 International Building Code (IBC)WAC51-50
2006 International Mechanical Code (IMC) WAC 51-52
• 2006 Uniform Plumbing Code (UPC) WAC 51-56 & 51-57
2006 Washington State Energy Code (WSEC), WAC 51-11
2006 Washington State Ventilation and Indoor Air Quality Code (WSVIAQ), WAG 51-13
• Seismic Zone -k Wind load 85 mph, exposure B,
• Roof snow load �3` lbs. Per square foot. Floor live load varies, see R301.5.
The numbered items on the following pages are associated with the above referenced codes, as adopted
by Mason County. The same number identifies items in the checklist and noted on the approved plans. This
checklist shall remain attached to the approved plans and be available during inspections by Mason County
Building Inspectors. This checklist is submitted as information only, and shall not be construed as an all-
inclusive list of code requirements. Errors or omissions in the plans and specifications shall not prevent the
Building Official, or his authorized agents, from requiring revisions or corrections to these plans, and stopping
the progress of the project under permit.
Office hours are from 8:30 a.m. until 4:30 p.m. Monday through Friday.
Inspections can be scheduled by calling(360) 427-7262. From Belfair call (360) 275-4467 ext. 262.
Requests can also be faxed to (360) 427-7798 or via the Mason County website at www.co.mason.wa.us. Go to
Community Development, then click the link"Request an Inspection, Building Division":
http://Www.co.mason.wa.uslcommunity_devlindex-php.
To schedule an inspection the following information will be needed: Permit number, site address, name
of owner, type inspection requested, and the telephone number Mason County staff should use when they call to
confirm the inspection.
Word:2006plan review checklist coversheet
r
R
FLOOR PLAN
1. CONSTRUCTION DOCUMENTS&COMPLIANCE provided with protection from outdoor environment '
TO APPROVED PLANS :IRC Section R106. factors that.influence operability,durability and safety of
Approved site plans shall be attached to the approved the equipment. Appliances installed in a compartment,
building plans during inspection. Property lines shall be alcove,basement or similar space shall be accessed by an
marked. Setback distances will be measured from the opening or door and an unobstructed passageway
furthest projection of the permitted structure. measuring not less than 24-inches wide and large enough
Manufacturer's installation instructions shall be available to allow removal of the largest appliance in the space,
on the job site at the time of inspection. All work shall be provided there is a level service space of not less than 30-
installed in accordance with the approved construction inches deep and the height of the appliance,but not less
documents. Any changes made during construction that than 30-inches,at the front or service side of the appliance
are not in compliance with the approved construction with the door open. Attics containing appliances
documents shall be resubmitted for approval as an requiring access shall have an opening and a clear
amended set of construction documents. To request unobstructed passageway large enough to allow removal
approval of revisions complete a"Request To Revise An of the largest appliance,but not less than 30-inches high
Approved Plan"form and submit to the Mason County and 22-inches wide and not more than 20-feet long when
Permit Center along with approved plans and documents measure from the opening to the appliance. The
detailing the proposed changes. R106 passageway shall have continuous solid flooring not less
than 24-inches wide. A level service space at least 30-
16. PLIANCE INSTALLATION:IRC Chapter M12, inches x 30-inches along all sides. Appliances located in
hapter M 13, M2005,IMC Section 303,and UPC, underfloor spaces shall have an unobstructed passageway
ection 308&309. Appliances shall be listed and labeled large enough to remove the largest appliance,but not less
for the application in which they are installed and used. A than 30-inches high and 22-inches wide,nor more than
permanent factory-applied nameplate shall be affixed to 20-feet long,measured from the opening to the appliance.
appliances with information listed in accordance to A level service space at least 30-inches x 30-inches along
M1303. The standards for liquefied petroleum gas all sides. If the service space exceeds 12-inches below the
installations shall be the 2004 Edition of NFPA 58 adjoining grade,the walls on the passageway shall be
(Liquefied Petroleum Gas Code)and the 2006 Edition of lined with concrete or masonry extending 4-inches above
ANSI Z223.1/NFPA 54(National Fuel Gas Code). the adjoining grade. Appliance supported from the
The manufacturer's operating and installation instructions ground shall be level and firmly supported on a concrete
shall remain attached to the appliance. Fuel-fired slab. Appliances suspended from the floor shall have a
appliances shall not be located in,or obtain combustion clearance of not less than 6-inches from the ground. A
air from,sleeping rooms,bathrooms,toilet rooms,or luminaire,controlled by a switch at the passageway
storage closets.Exception: 1)direct vent appliances that opening shall be installed near underfloor and attic
obtain all combustion air from the outdoors or 2) appliances.
Appliances located in a dedicated enclosure in which
combustion air is taken directly from the outdoors in 17. APPLIANCES LOCATED IN GARAGE:IRC Section
accordance with IMC,section 703. Access to such M1307,IMC Section 303.4, 304.3.Appliances located in
enclosure shall be through a WSEC approved solid door, a garage,carport or other location where subject to
weatherstripped and equipped with an approved self- mechanical damage shall be protected with approved
closing device.-Appliances shall be accessible for barriers. Vehicle barrier systems for passenger cars shall
inspection,service,repair,and replacement without be designed to resist a single load of 6,000 lbs.Applied
removing permanent construction,other appliances,or horizontally in any direction to the barrier system and
other piping or ducts not connected to the appliance. shall have anchorage or attachment capable of
Appliances shall not be installed in a location where transmitting this load to the structure. For design of the
subject to mechanical damage unless protected by system,the load shall be assumed to act at a minimum
approved barriers. height of 1'6"above the floor or ramp surface on an area
Appliances designed to be in fixed positions shall be not to exceed 1 sq. ft. Equipment and appliances having
anchored or strapped to resist horizontal displacement an ignition source shall be elevated such that the source of
caused by earthquake motion in an approved manner. ignition is not less than least 18"above the floor surface
Strapping shall be at points within the upper 1/3 and lower on which the equipment or appliance stands. Rooms or
1/3 of the appliances vertical dimensions. At the lower spaces that are not part of the living space of a dwelling
point the strapping shall maintain a minimum distance of unit and that communicate with the private garage through
4-inches above the controls.. Fuel-fired furnaces and openings shall be considered to be part of the garage and
boilers installed in closets and alcoves shall be listed for appliances located in the space shall be elevated as
such installation. Equipment installed in outdoor specified above.
locations shall be either listed for outdoor installation or
1
shall have guards not less than 34"in ht. Measured
20. ANUFACTURER'S SPECS. IRC Section M1302, vertically from the nosing of the treads. Open side of
M 1303,and IMC 304.1. All appliances shall be listed guards shall be designed such that a sphere 4"in diameter
and bear a permanent factory applied nameplate(s)affixed cannot pass through. Exceptions: 1) The triangular
to the appliances with manufacturer's name or trademark, openings formed by the riser, tread and bottom rail of a
model number, serial number,and seal or mark of testing guard at the open side of a stairway are permitted to be of
agency. The installer shall leave the manufacturer's such size that sphere 6-inches.cannot pass through. 2)
installation and operating instructions attached to the Openings for required guards on the sides of stair treads
appliance. shall nor allow a sphere 4-318 inches to pass through.
Handrail assemblies and guards shall be able to resist a
21. VACUUM BREAKERS:UPC Section 603.4.7. Potable single concentrated load of 200 lbs.,applied in any
water outlets with hose attachments other than water direction at any point along the top,and have attachment
heater drains,and clothes washer connections shall be devices and supporting structure to transfer this loading to
protected by a listed non-removable backflow preventer,a appropriate structural elements of the building.
non-removable frost-free hose bib type vacuum breaker, Intermediate rails(all those except the handrail),balusters
or an atmospheric vacuum breaker installed at least 6" and panel fillers shall be designed to withstand a
above the highest point of usage located on the discharge horizontally applied normal load of 50 lbs.on an area
side of the last valve. equal to 1 sq.ft.,including openings and space between
rails.
22. TRAP PRIMERS:UPC Section 1007. Floor drains or
similar traps connected to the drainage system and subject 33. ANDRAILS:IRC Section R311.5.6,R311.5.1 All
to infrequent use shall be protected with a trap seal primer stairways with 4 or more risers shall have at least one
d all be accessible for maintenance. handrail. Such handrails shall be placed not less than 34"
nor more than 38"above the nosing of the treads.
63L, DINGS AT DOORS AND STAIRWAYS:IRC Handrails for stairways shall be continuous for the full
R311.4.3,R311.5.4. There shall be a floor or landing on length of the flight,from a point directly above the top
each side of each exterior door.The floor or landing at the riser to a point directly above the lowest riser. Handrail
exterior door shall not be more than 1 ''/2"lower than the ends shall be returned or terminate in newel posts or
top of the threshold. The landing shall be permitted to safety terminals. Handrails adjacent to the wall shall have
have a slope not to exceed.25 unit vertical in 12 units a space not less than 1 '/2"between the wall and the
horizontal(1:48). Exception: 1) Where a stairway of two handrail. Circular handrails shall have an outside
or fewer risers is located on the exterior side of a door, diameter of at least 1 '/<"and not greater than 2".
other than the required exit door, a landing is not Handrails with a perimeter greater than 6 ''/,"shall provide
required for the exterior side of the door provided the a graspable finger recess area on both sides. See handrail
door,or other than exterior storm or screen door does not option in IRC Section 311.5.6.3 for additional handgrip
swing over the stairway. 2) The exterior landing at an requirements. Handrails shall not project more than 4 ''/z"
exterior doorway shall not be more than 7-314"below the on either side of the stairway. See#34,stairway width for
top of the threshold,provided the door, other than an additional information. Refer to handout.
exterior storm or screen door does not swing over the
landing. 3) The height offloor at exterior doors other (34.]STAI WIDTH:IRC Section R311.5.1 Stairways shall
than the required exit door shall not be more than 7%- a less than 36"in clear width at all points above the
inches lower than the top of the threshold. The width of handrail height and below the required headroom height.
each landing shall not be less than the door served and Handrails shall not project more than 4 %"on either side
have a minimum dimension of not less than 36"measured of the stairway and the minimum clear width of the
in the direction of travel. There shall be a floor or landing stairway at and below the handrail height,including treads
at the top and bottom of each stairway. Exception: A and landings,shall not be less than 31 %:"where the
floor or landing is not required at the top of an interior handrail is installed on one side and 27"where handrails
flight of stairs, including stairs in an enclosed garage, installed on both sides,
provided a door does not swing over the stairs. A flight
of stair shall not have a vertical rise greater than 12-feet 35. ST TREADS&RISERS: IRC Section 311.5.3 The
between floor levels or landings. Landings shall be the ximum riser height shall be 7'/<".The greatest riser
same width of the stairway served and at least 36-inches height within any flight of stairs shall not exceed the
/ba
ured in the drection of travel. smallest by more than 3/8". The minimum tread depth
shall be 10". The tread depth within any flight of stairs
[32. RDS: IRC Section R312.R301.5 Porches, shall not exceed the smallest by more than 3/8". A nosing
lconies ramps,or raised floor surfaces located more not less than but not more than 1 '/<"shall be provided
than 30"above grade or a floor below shall have guards on stairways with solid risers.Open risers are permitted,
not less than 36"in height. Open sides of stairs with a provided that the opening does not permit the passage of a
total rise of more than 30"above the floor or grade below 4"
2
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R
diameter sphere.Exception:Nosing is not required where the grade level shall be provided with an artificial light source
tread depth is at least 11". The opening between located in the immediate vicinity of the bottom landing of
adjacent treads is not limited on stairs with a total rise of the stairway. Where lighting outlets are installed in the
30"or less. interior stairways, there shall be a wall switch at each
floor level to control the lighting outlet where the stairway
36. STAIR HEADROOM CLEARANCE:IRC R311.5.2 has 6 or more risers. The illumination of exterior
All parts of the stairway shall not be less than 6'8" stairways shall be controlled from inside the dwelling unit.
measured vertically from the sloped plane adjoining the
tread nosing or from the floor surface of the landing or 39. SPECIAL STAIRWAYS:IRC Section R311.5.3.2,
platform. See exception for spiral stairways. R311.5.8.1. Circular stairways,spiral stairways,winders
and bulkhead enclosure stairways shall comply with all
7. USABLE SPACE UNDER STAIRS:IRC Section requirements of stairways except: Winder treads shall
R311.2.2 Enclosed accessible space under stairs shall have a minimum tread depth of 10"measured at a point
have walls,under stair surface and any soffits protected on 12"from the side where the treads are narrower. Winder
the enclosed side with''/:"gypsum board. treads shall have a minimum tread depth of 6"at any
point. Spiral stairways are permitted,provided the
38. ILLUMINATION: IRC Section R303.6,R311.5.7 All minimum width shall be 26 inches(660 min)with each
nterior and exterior stairways shall be provided with a tread having a 7 '/z"minimum tread depth at 12"from
eans to illuminate the stairs,including landings and the narrower edge.All treads shall be identical,and the
treads. Interior stairways shall be provided with an rise shall be no more than 9 1/2".A minimum
artificial light source located in the immediate vicinity of headroom of 6 feet 6 inches shall be provided.Note.
each landing of the stairway. Exterior stairways shall be Washington State Amendment to IKC R311.1:Stair and
provided with a light source located in the immediate ladders are permitted within an individual dwelling unit u ed for
vicinity of the top of the landing of the stairway. Exterior access to areas of 200 sq.ft. or less, and not containing the
stairways providing access to a basement from the outside primary bathroom or kitchen.
STRUCT
48. UNDATION DRAINAGE: IRC Section R401.3,
44 FOOTING DEPTH:IRC Section R403.1.4.1,-403.1.4.2. 405. R405.1: Surface drainage shall be diverted to an
11 exterior footings shall be placed at least 12"below approved point of collection so as to not create a hazard.
undisturbed ground. Interior footings supporting bearing Lots shall be graded so as to drain surface water away
or bracing walls and cast monolithically with a slab on from foundation walls. The grade away from foundation
grade shall extend to a depth of less than 12"below the walls shall fall a minimum of 6"within the first 10.'
to of slab. Exception: Where lot lines,walls,slopes or other
physical barriers prohibit 6"of fall within 10'drains or
r.47. D P-PROOF FOUNDATION WALLS:IRC Section swales shall be provided to ensure drainage away from the
06. 1 Except where required to be waterproofed by structure. Drains shall be provided around all concrete or
section R406.2, foundation walls that retain earth and masonry foundations that retain earth and enclose-
enclose habitable or usable spaces located below grade habitable spaces located below grade. Drainage tiles,
shall be waterproofed from the top of the footing to the gravel,or crushed stone drains,perforated pipe or other
finished grade. R406.2:In areas where a high water table approved systems or materials shall be installed at or
or other severe soil-water conditions are known to exist, below the area to be protected and shall discharge by
exterior foundation walls that retain earth and enclose gravity or mechanical means into an approved drainage
usable spaces located below grade shall be waterproofed system. Gravel or crushed stone drains shall extendat
with a membrane extending from the top of the footing to least 1-foot beyond the outside edge of the footing and at
the finished grade. The membrane shall consist of 2-ply least 6 inches above the top of the footing and be covered
hot mopped felts,55-pound roll roofing,6-mil polyvinyl with an approved filter membrane material. The topof
chloride,6-mil polyethylene,40-mil polymer-modified open joints of drain riles shall be protected with strips of
asphalt or 60-mil flexible polymer cement. The joints in building paper,and the drainage tiles or perforated pipe
the membrane shall be lapped and sealed with an adhesive hall be placed on a minimum 2 inches of washed gavel
compatible with the waterproofing membrane. See ir crushed rock at least one sieve larger than the tilejoint
exceptions for additional information. opening or perforation and covered with not less than 6
inches of the same material.
49 FOOTING/PIERS ON OR ADJACENT TO SL OPES:
IRC Section 403.1.7. The placement of buildings and
3
f
' structures on or adjacent to slopes steeper than 1 unit 552). OOD IN CONTACT WITH CONCRETE&
vertical in 3 units horizontal(33.3-percent slope)shall ASONRY:IRC Section R319.1 #2. All wood framing
conform to Sections R403.1.7.1 through R403.1.7.4. members that rest on concrete or masonry exterior
Buildings below slopes shall be set a sufficient distance foundation walls.and are less than 8"from the exposed
from the slope to provide protection from slope drainage, ground require the use of naturally durable wood or wood
erosion and shallow failures. Where the existing slope is that is preservative treated accordance with AWPA U1 for
steeper than one unit vertical in one unit horizontal(100% the species,product,preservative,and end use.
slope),the toe of the slope shall be assumed to be at the Preservatives shall be listed in Section 4 of AWPA U1.
intersection of the horizontal plane drawn from the top of
the foundation and a plane drawn tangent to the slope at 53. COLUMNS AND POSTS:IRC Section R319.1.3,
an angle 45 degrees to the horizontal. Where a retaining R319.1.4&R407.3. Posts,poles and columns supporting
wall is constructed at the toe of the slope,the height of the permanent structures that are embedded in concrete in
slope shall be measured from the top of the wall to the top direct contact with the ground or embedded in concrete
of the slope. Footings on or adjacent to slopes shall be exposed to the weather shall be approved pressure
founded in material with an embedment and setback from preservatively treated wood suitable for ground contact.
the slope surface to provide vertical and lateral support for Wood columns shall be approved wood of natural decay
the footing without detrimental settlement. Except as resistance or approved pressure preservatively treated
provided for in Section R403.1.7.4 and Figure wood. Exceptions: 1)Posts or columns which are
R403.1.7.1,the following setback is deemed adequate to exposed to the weather or located in basements or cellars,
meet the criteria. Where the slope is steeper than one unit supported by concrete piers or metal pedestals projecting
vertical in one unit horizontal(100%slope),the required 1"above the floor or finished grade and 6"above exposed
setback shall be measured from an imaginary plane 45 earth,and are separated by an approved impervious
degrees to the horizontal,projected upward from the toe moisture barrier.2)Posts or columns in enclosed crawl
of the slope.Footings adjacent to slopes shall be founded spaces or unexcavated areas located within the periphery
in firm material with an embedment and setback sufficient of the building,supported by a concrete pier or metal
to provide vertical and lateral support for the footing pedestal at a height greater than 8"from the exposed earth
without detrimental settlement. Alternate setbacks and and the earth is covered by an impervious moisture
clearances are permitted,subject to the approval of the barrier. Columns shall be restrained to prevent lateral
building official. The building official is permitted to displacement at the bottom end. Wood columns shall not
require an investigation and recommendation of a be less in nominal size than 4"x 4"or approved
qualified engineer to demonstrate that the intent of the equivalent.
code has been satisfied. Such an investigation
(geotechnical evaluation)shall include consideration of 54. GIRDERS ENTERING MASONRY OR CONCRETE
material,height of slope,slope gradient,load intensity and WALLS:IRC Section R319.1 #4. The ends of wood
erosion characteristics of slope material. Exception: girders entering exterior concrete or masonry walls shall
Mason County Development Regulations may specify be provided with a 1/2"airspace on tops,sides and ends
addi onal requirements. unless an approved species and grade of lumber specified
in Sections R319.1 &R319.2 and listed in#56 of this
51. DER-FLOOR VENTILATION:WAC amendment ch cklist is used.
IRC Section R408.1 and R408.2. The under-floor
space between the bottom of the floor joists and the earth 55. OST-BEAM CONNECTIONS/FASTENING:IRC
under any building(except space occupied by a basement Section R502.9,R301. Where post and beam or girder
or cellar)shall be provided with ventilation openings construction is used to support floor framing,positive
through foundation walls or exterior walls having-a net connections shall be provided to ensure against uplift and
area of not less than 1 square foot for each 300 square feet lateral displacement. The construction of buildings and
of under-floor space area. In addition,a ground cover structures shall result in a system that provides a complete
shall be installed in accordance to item#96. One load path that meets all requirements for the transfer of all
ventilating opening shall be.within 3-feet of each comer of loads from their point of origin through their load resisting
the building,except one side of the building shall be lements to the foundation.
permitted to have no ventilation openings. Ventilation
openings shall be covered for their height and width with 6. INIMUM STANDARDS&PROTECTION
any of the following materials provided that the least AGAINST DECAY:IRC Sections R319.1,R319.2,&
dimension of the covering shall not exceed%<": 1) R319.3,R502.1,R602.1,R802.1,R202. Areas subject to
perforated sheet metal plates not less than.070"thick, 2) decay and where required,the use of an approved species
Expanded sheet metal plates not less than.047"thick, 3) and grade of lumber shall be required, including.wood
Cast iron grills or grating,4)Extruded load-bearing brick pressure treated in accordance with AWPA U1,listed in
vents,5)Hardware cloth of.035"wire or heavier, 6) Section 4,or naturally durable wood such as decay
Corrosion-resistant wire mesh,with the least dimension resistant redwood,black locust,black walnut or cedars.
being 1/8". See exceptions for additional options. Lumber and plywood required to be pressure
4
1
preservatively treated in accordance with Section 319.1 spaces. Access openings through the floor shall be a
shall bear the quality mark of an approved inspection minimum of 18"x 24". Openings through a perimeter
agency that maintains continuing supervision,testing and wall shall be at least 16"x 24". When any portion of the
inspection over the quality of the product and that had through wall access is below grade,an areaway not less
been approved by an accreditation body that complies than 16"x 24"shall be provided. The bottom of the
with the requirements of the American Lumber Standard areaway shall be below the threshold of the access
Committee treated wood program. Load bearing opening. Through wall access openings shall not be
dimension lumber used for joists,beams,girders,studs, located under a door to the residence. Where appliances
plates,headers,rafters,trusses,and ceiling joists, are located under floors a rough-framed access shall be
including,end jointed lumber,pre-fabricated I joists, provided not less than 22-inches x 30-inches. Access
structural glue-laminated timber,structural log members, shall be unobstructed by pipes,ducts or similar
wood structural panels,fiberboard sheathing(when used construction.
structurally),hardboard siding(when used structurally),
particleboard,preservative treated wood,fire-retardant- 6 . ECKS&EXTERIOR STAIRS:IRC Section
treated wood,hardwood plywood, shall be identified by a 19.1.2,R319.1.3,R502.2.2. All wood in contact with
grade mark of a lumber grading or inspection agency that the ground,embedded in concrete in direct contact with
has been approved by an accreditation body that complies the ground or embedded in concrete exposed to the
with DOC PS 20. In lieu of a grade mark,a certificate of weather that supports permanent structures intended for
inspection issued by a lumber grading or inspection human occupancy shall be naturally durable wood as
agency meeting the same requirements shall be accepted. specified in item#56 or approved pressure-preservative-
FASTENERS: Fasteners for pressure preservative and treated wood suitable for ground contact use. In addition
fasteners for pressure-preservative and fire-retardant- naturally durable wood or pressure preservative treated
treated wood shall be of hot-dipped zinc-coated wood shall be used in those portions of wood members
galvanized steel,stainless steel,silicon bronze or copper. that form the structural supports of buildings,balconies,
The coating weights for zinc-coated fasteners shall be in porches or similar permanent building appurtenances
accordance to ASTM A 153. See also manufacturer when those members are exposed to the weather without
specifications or distributor specific installation adequate protection from a roof,eave,overhang or other
instructions or recommendations.Exception: 1) '/2" covering that would prevent moisture or water
diameter or larger steel bolts(where required by location). accumulation on the surface or at joints between members.
2)Fasteners other than nails and timber rivets shall be Such members may include: 1)Horizontal members such
permitted to be mechanically deposited zinc-coated steel as girders,joists and decking. 2)Vertical members such
with coating weights in accordance with ASTM B 695, as posts,poles and columns.3)Both horizontal and
Class 55,minimum. Sill plate need not be pressure vertical members. Field applied treatment is not an
treated if sill plate installed over an approved moisture approved method. Treatment must be applied by
arrier such as 30 lb.Felt or equivalent and the sill plate is manufacturer,see item#56 of this checklist. Where
"or more above grade. supported by attachment to an exterior wall,decks shall be
positively anchored to the primary structure and designed
59. ER-FLOOR CLEARANCE/REMOVAL OF for both vertical and lateral loads as applicable. Such
EBRIS:IRC Section R319.1 #1,R408.5. When floor attachment shall not be accomplished by the use of
oists or the bottom of a wood structural floor are located toenails or nails subject to withdrawal. Where positive
within 18"or wood girders are located within 12"to the connection to the primary building structure cannot be
exposed ground in crawl spaces or unexcavated area verified during inspection_,decks shall be self-supporting.
located within the-periphery of-the buildingfoundatioi;all For-decks with cantilevered framing members,
components of the floor assembly shall be wood approved connections to the exterior walls or other framing
in areas subject to decay as identified in#56 of this members,shall be designed and constructed to resist
checklist.Included are the posts,beams or girders,joists uplift.
and sub-floor. The under-floor grade shall be cleaned of
all vegetation and organic material. All wood forms used 74. OOF DRAINAGE:IRC Section R903.4. Unless roofs
for placing concrete and construction materials shall be a sloped to drain over roof edges,roof drains shall be
removed before the building is occupied or used for any installed at each low point of the roof. Where required for
purpose. roof drainage,scuppers shall be placed level with the roof
surface in a wall or parapet. Overflow drains shall
60. UNDER-FLOOR ACCESS:IRC Section R408.4, discharge to an approved location and shall not be
M 1305.1.4. Access shall be provided to all under-floor connected to roof drain lines
GENERAL
5
h
V
r�oads��
FICATION: IRC Section R321 & shall be returned to the applicant,shall be kept at the site
ards for Fire Apparatusssof work and shall be open to inspection by the building
. Approved numbers or addresses shall be provided official or hid duly authorized representative. The work
for all new buildings in such a position as to be plainly shall be installed in accordance with the approved
visible and legible from the street or road fronting the construction documents,and any changes made during
property.Approved numbers or addresses shall be placed construction that are not in compliance with the approved
on all buildings,at the beginning of long driveways when construction documents shall be resubmitted for approval
the address is not clearly visible from the access road,or as an amended set of construction documents.
in any other areas deemed necessary by the local fire
district or Fire Marshal. They shall be placed in such a 86. RETAIMNG WALLS: IBC Section 1806.1,IRC
position as to be plainly visible and legible from the street Section R105.2. Shall be designed to ensure stability
or road fronting the property. Said numbers shall contrast against overturning,sliding,excessive foundation pressure
with their background. See address posting and private and water uplift. Retaining walls shall be designed for a
road signage requirement information attached. safety factor of 1.5 against lateral sliding and overturning.
Retaining walls that are not over 4'in height measured
6cons
PROVED PLANS. IRC Sections 106.3.1, 106.4. from the.bottom of the footing to the top of the wall not
hen the buildingofficial issues a permit,the supporting a surcharge is exempt from permits.
truction documents shall be approved in writing or by
stamp.One set of the construction documents so reviewed
shall be retained by the building official. The other set
GENERAL REQUIREMENTS:
FOR THE PLACEMENT OF NEW MANUFACTURED HOMES
AND FOR FINAL INSPECTIONS ON CANCELLED PERMITS
Any decks must be free standing not supported by manufactured home.
See attached detail for landing and deck requirements. Decks over 4'x 6' require separate permit.
Covered decks regardless of size require separate permit.
Permanent Address must be posted and visible from the road
Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code.
All guardrails and handrails must be in good condition and meet code for year built or current code if replaced.
Skirting must be vented 1:150 and backfill sloped away from unit 2%for a minimum of 5' around the perimeter of the
unit
Gutters and downspouts must be installed with splash blocks provided
All exterior penetrations must be sealed
HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24"above grade.
The unit shall have a minimum of 16"x24"crawl space access provided HOWEVER,if the unit has not received a set up
inspection and is skirted,4 panels centrally located(one on each side of unit)shall be removed by the owner/applicant
prior to requesting the inspection.
All conditions on the original or issued permit must be met
6
If the unit was installed by a WAINS certified installer/contractor since July 1,2003, CTED Installer Tags must be ,
available
It shall be the responsibility of the person requesting the inspection to provide the
manufacturer specifications,ANSI Standards or approved engineered design for the installation of the unit and have them
available on site for inspection.
Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees
will be assessed each time an inspection is requested and required items are not completed prior to the inspection being
performed
ENFORCEMENT PROVISION:
Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation
are subject to enforcement action and subsequent violation and penalties pursuant to the Mason County Code.
REQUIREMENTS:
For manufacture homes that have hinged roof systems
Manufactured Homes with a hinged roof system that a data plate nunber ends with AC will require a 3`d
party inspection performed by the manufacturer or by an inspector approved by the manufacturer.
1.) If the manufactured home has a yellow 4"x 6"label located at the electrical panel, the
tow hitch, or inside any cabinet a 3`a party inspection will be required.An inpection report prepared by the
manufacturer inspector shall be submitted to the Mason County Building Department at the time of final
inspection.
2.)Hinged roof systems that do not have the AC (alternate construction) label or a data plate on the
manufactured home, shall be inspected by Mason County Building Inspector prior to enclosing the attic.
WAC 296-15OM-0614
How may I obtain a copy of the American
National Standards Institute (ANSI) A225.1-
Manufactured Homes Installation?
Copies of the standard are available from:
National Fire Protection Agency
Item Number: ANSIA2251
Phone: 800-344-3555
Address: 1 Batterymatch Park
P.O. Box 9101
7
V
Quincy, VIA 02269-9101
Manufactured Home Installation Inspection Checklist
Installer Certification
If present during inspection, has the supervising installer shown proof of certification?
One or more Installer Certification Tags attached to the home indicating all installation work performed by a
certified"installer? (Not required for work performed by homeowner,Park Model Manufactured Homes, or Commercial
Coaches)
Site Preparation
Is the home site properly graded and sloped to prevent water from collecting under the home? (minimum 6 inch
drop in 10 feet around home.)
If home is pit set and/or on a sloping site, is natural drainage adequately diverted to prevent water from
collecting under home?
Installation Instructions
Are the manufacturer's installation instructions, instructions of an engineer or architect, or ANSI A225.1 —1994
ed. (for relocated homes) available for use during inspection?
Foundation & Support Piers
Do clearances under the home meet the requirements of WAC296-150M-0610(g)? 18 inches beneath at lease
75% of the lowest member of the main frame and no less than 12 inches anywhere under the home.
If applicable, are pre-poured concrete runners or full slabs placed to the minimum thickness required by: 1)
home manufacturer's instructions, 2) instructions of an engineer or architect, 3)ANSI A225.1 -
1994 ed. (for relocated homes)?
Do footings (individual pads, runners, or slabs)meet the local frost-depth requirements?
Are foundation pier pads and support piers sized and placed according to the specifications set forth in the: 1)
home manufacturer's instructions, 2)instructions of an engineer or architect, or 3) ANSI A225.1 —
1994 ed. (for relocated homes)?
If prefabricated piers are used, are the piers installed according to the pier manufacturer's instructions?Has
engineering documentation been provided?
Are concrete piers shimmed and wedged so all piers make equal contact with the home? Or, are metal piers
adjusted and connected so all piers make equal contact with the home?
If an engineered full foundation system is installed, is the installation according to the system manufacturer's
instructions? Has engineering data been supplied?
Anchoring
Are anchors spaced according to:
1) home manufacturer's installation instructions,
2) the instructions of an engineer or architect, or 3)ANSI A225.1 — 1994 ed. (for relocated homes); and are
they installed according to the equipment manufacturer's instructions?
8
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If an earthquake resistant bracing system is installed, is the installation according to the equipment
manufacturer's instructions?Has engineering data been supplied? (The requirement to use '
earthquake resistant bracing systems is set by the local jurisdiction)
Skirting
Are skirting vents installed according to the home manufacturer's instructions? Or, do vents have a net area of
not less than one square foot for each 150 square feet of under floor area as set out in WAC 296
150M-0610(l)(d)(ii)? (Homes sited in flood plains:Local jurisdictions determine venting
requirements)
Is skirting made of materials suitable for ground contact?
Is skirting recessed behind the siding or trim?
Is an access opening of not less than 18 x 24 inches located so that all areas under the home are available for
maintenance? Is it covered with a sufficient access cover?
Other
Is a ground cover installed? (Minimum 6 mil black polyethylene or equivalent per WAC 296-15OM-0610(1)(k),
not required for full concrete slab with minimum thickness of three and one-half inches or
Manufactured Homes with,factory installed porchs, these require the porch be seperated from rest of
crawl space no visqueen shall be placed under porch.)
Are the structural connections of the home sections made per the manufacturer's instructions?
Is the heating crossover duct connected properly?
Is the heating crossover duct supported off the ground? Minimum 4 inches clearance
As per M 1601.3.6.
Are the plumbing water and waste crossovers connected properly?
Is the drain pipe supported according to the manufacturer's installation instructions?
If under floor plumbing was shipped-loose, is it installed according to the instructions provided by the home
manufacturer?NOTE.Any deviation from the home manufacturer's original design and
instructions is considered an alteration to be permitted and inspected by Department of Labor and
Industries and must be completed by a certified plumber.
Are all holes and tears in the belly fabric patched in an approved manner?
If required,where a wood or pellet stove is-installed, is it blocked?Is the combustion air vented to the crawl
space or exterior of the home?
Is the dryer vented to the exterior and 1) does it comply with the dryer manufacturer's specifications; or 2)is
metal with smooth interior surfaces used?
Has the testing of water lines,waste lines, and gas lines been verified with the installer?
Are heat pump and air conditioning condensation lines extended to the exterior of the home?
Is the water heater pressure relief valve terminated to the exterior and then down?
Is water piping protected against freezing per the home manufacturer's instructions?
Or is a heat tape listed for use with manufactured homes installed per the tape
manufacturer's instructions?
9
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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.
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.
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.
10
X W�e-Ej use 9
THESE
PLANS MUST BE 9. /4j�/VLX9 f4l.- i
ON THE JOB SITE
FOR INSPECTION. 5,,,,(�
�P�(t� �� b,)po �2 MUST MEET ALL CURRENT
WASHINGTON STATE CODES
Q`otp
CHANGES
SUBMIT CHANGES FOR APPROVAL
PRIOR TO PERFORMING WORK
16. aO, Ylv4s
1 `^
C) SITE
S-0 17003 copy
�aa �� b
2 Qa �-
THESE PLANo MUST BE
ON THE JOB SITE
FOR INSPECTION,
MUST MEET ALL CURRENT
Documents a to ed to approved plans: WASHINGTON STATE CODES
mte-Blatt I'Mclo-J
Plan revi check' ages
Engineering: Y Lateral Vertical
Dumber of pages��
CHANGES
SUBMIT CHANGES FOR APPROVAL
PRIOR TO PERFORMING WORK
APPROVED
MASON BUILDING INSPECTOR
BJECT TO AP7
BATE
f_6RMf M`tlST_6E COMPLETED IN INK MASON COUNTY PERMIT NO.
PLPEASE PhES ARD 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
APPLICANT INFO ATION_ CONTRACTOR INFORMATION
Owner Company Name
Mailin Ad r ss Mailing Address
City State Zip Code City State Zip Code
Phone Phone Other Ph.
Lien/Title Ho l Contractor Reg. # Exp.
E mail addres E Mail Address
Drivers Lic.# Drivers Lic.# DOB
SEPTIC /W - Connect to New Septic Existing Septic
Connect to Wa ter System
Well ewer System
PARCEL INF Fire District
Legal Descripti
Site Address ( t number a d city)
Directions to si
Will timber be cut and sold in parcel prepJ�ration?Yes kLo"
Is property within 200' of Saltwater _,�Lake R1er/Creek ondv__
Wetland_�_Seasonal Runoff Stream Slopes B ffs 15%
Is this permit submittal the result of a Stop Work Notice,Correction N or other enfor ment action?Yes/To"
TYPE OF JOB - New Add Alt Repair Other RIMARY RQWIDENCE 'SEASONAL ❑
Use of Building —Descnb Work
No. of Bedroom No. of Bathrooms—Square Fo e- 1 st Floo 2nd or
3rd Floor Basement Deck— Covere eck Sq. ft.
Garage Attached Detache Carpo hed Detached
MANUFA TURED OME INFORMA ON - e Mo el Year .
Length Widt Serial No. No. o edrooms No. f athrooms a oil
Type of Heat P rchase P e $ Rep ement ? Yes/Co
Installer Name Cert ati o.
OWNER/BUILDER Ackno\hand
submission of i curate i ormation result in a stKplarre
ork order or permit revocation.
Acknowledgement of such isature below. I de re that I the own , owners le sentative, or the contractor. I further declare
that I am entitled to receive tit and to do the k as pro sed in th applicatio that I have obtained the permission from all
the necessary parties. If peris required from a easeme holder any oth rty in interest regarding this application or the work
proposed in the application, tained permission om them ap or tLae
it and conduct the work proposed. The owner or
agent on owners behalf, rept the information ovided is a annts employees of Mason County access to the above
described property and strur ew and inspectio This permiUapplicatcomes null & void if work or authorized construction is
not commenced within 180 co truction work is spended for a per' 80 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS APROG ESS IN.I CTIVITY OF T PERMITAPPL OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X :\�
Owner/Ow presentative/Con ctor (indi a which o
FOR OFFICIAL USE BEYOND THIS PNQlT Accepted by: -- Date V
DEPARTMENTAL REVIEW APPROVE ED NOTES
Building Department 4-0_ 2
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.
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
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name
Mailin Qd r Mailing Address
City State Zip Code City State Zip Code
Phone Other P . Phone Other Ph.
Lien/Title Hold el,
Contractor Reg. # Exp.
E mail address� E Mail Address
Drivers Lic.# �f_ N 'k l 401, DOB" .r Drivers Lic. # DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No.XW41 i Il"', Fire District
Legal Description -�
Site Address (Please include ttreet name, street number a d city)
Directions to site . ;fi t^ :% :
Will timber be cut and sold in parcel preparation?Yes N
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs 5 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms a Square Footage- 1 st 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_.L�Widt Serial No. No. of Bedrooms - No. of Bathrooms
Type of Heat A P rchase Price$ Replacement Unit? Yes/ No
Installer NameW 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 OF A PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X -TR Date:.. 1 -
Owner/Ow epresentative/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 i ` t 0
Fire Marshal '"'
FEES
Building Permit Fee Site Inspection
Plan Review Fee -Oa EH Review Fee
Plumbing & Base Fee Planninq Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee — Pre-Paid at Submittal
Valuation $ TOTAL FEES