HomeMy WebLinkAboutBLD2012-00258 Final SFR - BLD Permit / Conditions - 1/6/2016 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPME T Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
' Shelton, WA 98584
i�
RESIDENTIAL BUILDING PERMIT e:v
2012-00258
OWNER: TM%gNIE JOHNSON RECEIVED: 4/25/2012
CONTRACTS STEPHEN JOHNSON 360-275-6734 LICENSE: STEPHJ*199LW EXP: 6/1/2014 ISSUED: 6/7/2012
SITE ADDRESS: 300 NE TIMBERLINE DR BELFAIR EXPIRES: 2/3/2013
PARCEL NUMBER: 123203400010
LEGAL DESCRIPTION: PCL 1 BLA#01-77 OF NE SW,SE SW,NW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR (BLA2012-00013 IS APPROVED- RESULTING PARCEL 3) ST RT 3 TO BELFAIR, L ON ST RT 300, STRAIGHT ONTO OLD BELFAIR
HWY, L ON TIMBERLINE DR, CROSS BRIDGE PAST SMALL SHED ON THE
LEFT TO SITE ON THE LEFT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,000 Garage-Attached 1,016
Valuation: $ 142,178.40 Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 360.0 Ft. Shoreline: Ft. Water Body: UNION RIVER
Rear: N 65.0 Ft. Slope: Ft.
SEPA?: Unkn
Model: Width: Ft. Side 1: W 260.0 Ft. Shoreline Desig.: ftIal
Year: Serial No.: Side 2: E 190.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Ventilation Fan 2 Plan Check Fee GMM 4/25/2012 $787.90 S120120000000f
Lavatories 1 Dryer Vent 1 Planning Review Fee GMM 4/25/2012 $205.00 S1201200000001
Showers 1 Exhaust Hood 1 Fire Warden Review GMM 4/25/2012 $73.00 S1201200000001
Water Heaters 1 Woodstove 1 Water Adequacy Plan Revi MRB 4/30/2012 $ 103.00 S5201200000001
Clothes Washer 1 EH Plan Review MRB 4/30/2012 $ 103.00 S5201200000001
Kitchen Sink 1 Building State Fee DLC 5/17/2012 $4.50 S1201200000001
Dishwasher 1 Building Permit Fee DLC 5/17/2012 $ 1,234.55 S1201200000001
Hoseblbs 2 Mechanical Permit Fee DLC 5/17/2012 $40.20 S1201200000001
Laundry Tray 1 Mechanical Base Fee DLC 5/17/2012 $28.50 S1201200000001
Plumbing Permit Fee DLC 5/17/2012 $84.50 S1201200000001
Plumbing Base Fee DLC 5/17/2012 $24.70 S1201200000001
ADJUST--Plan Check Fee DLC 5/17/2012 $ 14.56 S1201200000001
Mechanical Permit Fee GMM 6/26/2012 $73.00 S1201200000001
Mechanical Base Fee GMM 6/26/2012 $9.00 S12012000000D
Total $2,785.41
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 1 of 5
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
i�
RESIDENTIAL BUILDING PERMIT BLD2012-00258
OWNER: STEPHANIE JOHNSON RECEIVED: 4/25/2012
CONTRACTOR: STEPHEN JOHNSON 360-275-6734 LICENSE: STEPHJ*199LW EXP: 6/1/2014 ISSUED: 6/7/2012
SITE ADDRESS: 401 NE TIMBERLINE DR BELFAIR EXPIRES: 12/7/2012
PARCEL NUMBER: 123203400010
LEGAL DESCRIPTION: PCL 1 BLA#01-77 OF NE SW,SE SW,NW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR (BLA2012-00013 IS APPROVED-RESULTING PARCEL 3) ST RT 3 TO BELFAIR, L ON ST RT 300, STRAIGHT ONTO OLD BELFAIR
HWY, L ON TIMBERLINE DR, CROSS BRIDGE PAST SMALL SHED ON THE
LEFT TO SITE ON THE LEFT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,000 Garage-Attached 1,016
Valuation: $ 142,178.40 Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 360.0 Ft. Shoreline: Ft. Water Body: UNION RIVER
Rear: N 6 .0 Ft. Slope: Ft. SEPA?: Unkn
5
Model: Width: Ft. Side 1: W 26 .0 Ft. Shoreline Desig.: ftral
Year: Serial No.: Side 2: E 190.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Ventilation Fan 2 Plan Check Fee GMM 4/25/2012 $787.90 S1201200000001
Lavatories 1 Dryer Vent 1 Planning Review Fee GMM 4/25/2012 $205.00 S1201200000001
Showers 1 Exhaust Hood 1 Fire Warden Review GMM 4/25/2012 $73.00 S1201200000001
Water Heaters 1 Water Adequacy Plan Revi MRB 4/30/2012 $ 103.00 S5201200000001
Clothes Washer 1 EH Plan Review MRB 4/30/2012 $ 103.00 S5201200000001
Kitchen Sink 1 Building State Fee DLC 5/17/2012 $4.50 S1201200000001
Dishwasher 1 Building Permit Fee DLC 5/17/2012 $ 1,234.55 S1201200000001
Hosebibs 2 Mechanical Permit Fee DLC 5/17/2012 $40.20 S1201200000001
Laundry Tray 1 Mechanical Base Fee DLC 5/17/2012 $28.50 S1201200000001
Plumbing Permit Fee DLC 5/17/2012 $84.50 S1201200000001
Plumbing Base Fee DLC 5/17/2012 $24.70 S1201200000001
ADJUST--Plan Check Fee DLC 5/17/2012 $ 14.56 S1201200000001
Total $2,703.41
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 1 of 5
CASE NOTES FOR
BLD2012-00258
CONDITIONS FOR
BLD2012-00258
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are tential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-6 0 2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
2) All appro d 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 gr d. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Depart for to any further inspections being performed or approvals granted.
X
3) Owner/ t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
4) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remova proved documents will result in failure of required building inspections.
X
5) The"approv d" 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 w* of 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 rtment prior to any further inspections being performed or approvals granted.
X
6) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option I, Window(Max U-Factor):0.34, No Skylight, 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 *)following credit from Table 9-1 shall be completed: Option 6, dwelling <1500 sf
X
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 2 of 5
7) 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.
Complianc certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in %or'/z sheets. The
Mason ty Permit Center will also have some available.
X
8) A minimu 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 r 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).
Referenc SEC 505.
X
9) WIND LO S- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
X
10) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufactur installation instructions.
X
11) 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 con It with the septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contracto knowledging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 3 of 5
12) 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
bc4roaoads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
sunect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
13) Almust meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of n Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit re �higton.
on.
X
14) Provisions or 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 locat 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.
X
15) All changes "approve " building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance o ulation, must be reviewed and approved by Mason County prior to construction.
X
16) CONSTRUC ION 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 inter . nal codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector s b made prior to requesting additional inspections.
X
17) All property lines shall be clearly identified at the time of foundation inspection. X �"X4
18) 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 fin inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Coun o nances and building regulations.
X
19) 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 p d not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder ve a ented action from being taken. No more than one extension may be granted.
X
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 4 of 5
20) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROP TIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR R WAY.
21) Approved r dimensions and setbacks of proposed residence on submitted site plan. Setbacks are measured from the furthest projection of the
structure
X
22) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or ion to adjacent lands. Silt
fencing or straw matting must be installed and maintained until upland vegetation has become established. X
23) Prior to final approval, all upland areas disturbed or newly ed by construction activities shall be seeded, vegetated o given an equivalent type of
erosion protection (silt fencing or straw matting). X
24) All construction and demolition debris must be removed from the property after project completion. Proper dispo I f construction debris must be on
land in such a manner that debris cannot enter or cause water quality degradation of State waters. X
25) Landings and st4irs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Sit an"to ensure these structures are shown and meet the setback conditions listed.
X
26) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these struc s meet the setback conditions listed.
X
27) Retaining walls needed to support a surch r h as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation o work is by�means of progres fihspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mas County a ess to th a ove de abed property and structure for review and inspection.
OWNER OR AGENT: �� l/ �_DATE: �� I
BLD2012-00258 Please refer to the following pages for conditions of this permit. Page 5 of 5
y
co
M. CONCRETE MECHANICAL I MANUFACTURED HOME p
tj Footings I Setbacks Date?J3JIIZ By LA�I, Ribbons Z
Gas Piping Cn
o Interior Date By Interior-Date By Date By
Cil Exterior Date _/ f= BY Exterior-Date BSet,� ?
00 is Point Load I Isolated Footings INSULATION Date By Cl)
BG 1 SLAB INSULATION
Date By Data By FIRE DEPARTMENT 0
Foundation Wails Floors Date By =
Date -/. L By Data 3 7- ByBy L4`4 DECKS Z
FRAMING watts 3) �'�� y Date By m
Date 7 Z By O)v Data �- By PROPANE TANKS
PLUM ING vault Data By
Date By OTHER
Groundwork Attic
Date 6-z7 2_ By Data By Type,
Data By
D.w.v DRYWALL Type.
)L Int Brace Wall Date By
CD Date 7 3v IZ By Date By FINAL INSPECTION
0)
0 Water Line Fire Separation N
CD
Date By Date By Date `Z By CD
N
o Pass or Request Inspect. c
Type of Insp. Fail Date Date Dane By Comments
CD 01
00
o �'Tji✓�r i✓�:L Z—z 4 _O Z TAW
d
cn
m
0
0
0
a
0
an
0
_3: A
y I— 1�
N
1
3
fip I
4Sf ZL 12 7 3o rZ (Apx-- f.Al l �'or f✓I irG vy-H
�S7a l
Su IQi�L
8 I �Z Sf 3 JZ LOL
0
0
FORM MUST BE COMPLETED iN iNK MASON COUNTY PERMIT NO. IC_ L,12
PLEASE PRESS HAM BUILDING PERMIT APPLICATION
426 W. Cedar•P.O. Box 186, Shelton,WA 98584 f" G
Shelton (360)427-9670 • Belfair(360)275-4467 • Elma (360)482-5269
# �
On the web www_ca.mason.wa_us
APPLICANT INFORMATIO CONTRACTOR IN O TFON
Owner - h c a t�S d Company Name �+�'�evt J IA KS Oh
r Mailil Ad es 'O � b y `t Malltn Add Css . O o
tate�- A Tip Code 2- City e- g- State u)C_Zip Code Z
Phone 76, 0?-27 h�13S1 Oar Ph Phone 360 Z)S 6,7 Other Ph.
Lien/Tittle Holder Contractor Reg.# '7e ah I. ,L tZ-
E mail addresG E Mail Address 9-re u e S J n c c
Drivers Lic.# DOB Drivers Lic.# DOB
—
SEPTIC/WATER SYSTEM INFORMATION -Connect to New ptic�_ Existing Septic_
Connect to Water System Name of Water Syste �-
WelL Sewer System Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No. ( Fire District
Legal Description. ne` /". No.4 ,�`7 �;'�L` j7y fc Zp 7- N R
Site Address(Please include street name, street number and city) i r
Directions to site d v-7 7` ^ r, -�' 4`1 c4 r-
r'y- i u r" -3 0 c�N ►2� r
Will timber be cut and sold in parcel preparation. Yes ANo )
Is property within 200'of Saltwater Lake River/Creek 1 ` Pond_
Wetland Seasonal Runoff Stream Slopes or Bluffs �Q
Is this permit submittal the result of a Stop Work Notices Correction Notice or other enforcement action?Yes/No
TYPE OF JO - New X Add Alt Repair Other PRIMARY RESIDENCE I SEASONAL Q
eS n Work c+vim• n e P
Use of Building �T—�- r�3escribe �o e ��^'�� � �-� ¢ re s , d�
No. of rooms No_of Bathroom�S Square Footage- 1st Floor 2nd Floor
o Bed q �
3rd Floor. Basement Deck Covered Deck Other Sq. ft_
Garage O P,o Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ V J Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. i declare that I have obtained the permission from all
the necessary parties, it 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 cc
i accurate and rants employees of Mason County access to the above
agent on owners behalf,represents that the information provided s gtY
described property and structure for review and inspecton permit/application pp inspection.This rmit/a lication becomes null&void if work or authorized construction is
not commenced withi days or if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
THE APPLICATION_
MIT APPLICATION OF 180 DAYS WILL INVALIDATE
MEANS OG ESS[ P CTiON.INACTIVITY THIS PER APi
X Date: rLS lZ
Owner/ s Representative Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date -@ 5---)n I a
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department l
Planning Department L !G i n ( ay�
Environmental Health Department —
Fire Marshal
FEES
Building Permit Fee C3 S Site Inspection
Plan Review Fee -k / �O�• EH Review Fee
Plumbing & Base Fee SD_t' 71) Planning Review Fee
Mechanical& Base fee �v 't a�� Other r�QY s4
Wood/Gas/Pellet Stove Fee State Fee eel
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
FORM MUST BE COMPLETED IN INK PERMIT NO�l�7b 12 -�2.��
PLEASE PRESS HARD MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATIIU I L®I N G
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
APPLIC T INFORMATION CONTRACTOR INfipRIMftTION
Owner ayri 2 t)a in D Company Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg..4 Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Exddj
ng Sep ' onnect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. ^ ODb Fire District
Legal Description _
Site Address (Please include street name, street number and city) - 163 Yl
Directions to site
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL
Type of Fixture No. of Fixtures Fees Fuel Type:Elect Cz_ Natural Gas_ Heat Pump_
Toilets Type of Unit o.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan Z
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in,the application,I have obtained
permission from them to ly for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is acc an gran empl yees of Mason County access to the above described property and structure for review and inspection.
PROOF NU TION OF W RK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: Z�
Owner/Owners resentati Contractor indicate which one)
FOR OFFICIAL USE BEY914DTHIS POINT
Accepted b!IL
. tanning Pd Ck# Date 5-,30 1.- Bld Pd Receipt No.
DEPARTME TAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.-
Planning Constr.-
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee
UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Othert
Violation Fee TOTAL FEES
As/
K
B c
PLANT I1"'G: l
�;• -1 FROM THE FURTI-IEST
rROJECTlOi;3 Oz TIBE B111!Deb _
a
APPROVE®
MASON COUN r'Y OCr PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANGES UBJET TO APPROVAL
By Date s 25 1
Sara ,
3 1 -
bC
c zso o
Sep?-r
PLANNING
Stephen Johnson, Inc.
P.O. Box 488
Belfair, WA 98528 _ ,
zolz
^ t? nAPSON COUNT/
rr
I
ACCESS & GRADE INSPECTION BLD c;)(�,
ADDRESS: 46) nL. 1 l yn.2LU,�, nJ rl
INSPECTOR: DATE OF INSPECTION:
FIRE SPRINKLER REQUIRED? (circle)6 YES
IF fire sprinkler required, was notification letter mailed? DATE MAILED:
DRIVEWAY ACCESS
( ) need post at access of driveway with reflective address numbers
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
(� BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.
LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD
REMARKS:
�iT,
1 1/2"Iron Pipe
-1-Visited 8116104 y
19 /9 S 6976 08"E 2607.27'
1300.63' 1260.88' -
� I N�NE Corner ---r---
E mC i I NW1/4 SW1/4
I A- ed o
o _ I cel Re " o ^ RESUL TAN T I
from o I
°( dncy I 3 PARCELS
esu�taned � N
A
� I 1
os2 h I h ti I
I o9e( J. ��6 69
I R
S 89'20'04" E 1086.34' I p 4j I I
--------- —————————— Approx. d 1
Shed O
I cel
d( �C A�
1 esv►tart P Soil 5293.29' E 106.71' ss9 2846o ————— — J
" � I R -f I S0349.07"W T —7—— ————
a 6 Peres I 121.80• �-
Penn 667 I SO24727- L-------j
I I•� S3175'18 E
3 I R�trictives h seta e� 91.19" '�``
�d FZ e (c s S037824 E '\
o I Covenant per h a c{e
00 1314.60' A.F.�7984444 = �o P 7 p5 P 91.97'
---------- -- ----
S89Y70'19 E I
o S 6973 57"E —————
Ae
SURVEYORS NOTES App . Location `N`rs pr. G RCS?� j/ S76p6
Existing well ?�sro qj y9/ QO 3730p• f I
Property comers and line stakes shown were the only points set during 40 , —\rs8 37.86 Ira,,• V ��•`
this survey. Except as shown, off property lines were not checked for "� .02% 1 20'Easement
encroachments. `n r 4}i ——
0 0 ,y�r 40' Easement \ 1165� per A_F,f571468 .
con to 49"W�� y?�r for Ingress, Egress 1}69�4 \ / 1
No title report was furnished to the surveyor. There may exist other 57318 1 & Utilities to benefit
documents of record that would affect this parcel. k9+� }43.0 ti� Parcels 1 &2 58945'48"E \\ & �\ l I I
I Survey for use by original purchaser of survey only. 563 8 AO �1��0 �6S 119 89' (OApprox.
139.01' 2 - p0 `b t Shed J��, \ \
This map is not intended to show all matters related to the property tan I J\ /
including, but not limited to easements, restrictions and encroachments. 58578'49 W
esu� 1 3 Existing � �
1 Stream ��^,�`a V (ce` es I 40'Easement
Encroachments (fence, vegetation, improvements, driveways, etc.) may, �• a Pcr per AF. 571488 Oa
at times, establish lines of ownership. property owner should seek legal I (Boundary) 3 ^,/V10 }375 rn I i
advice in these cases. I v �� f I Timberline Drive
'' O
S893737 E Approx Union Ri r
LEGAL DESCPJP77ON I � 840.81' � —�— ————— ——— ———
n LEGEND — J---- I a
i See Boundary Line Adjustment recorded under Auditor's File No. I
�� • Set %2"rebor Hush with ground with yellow cap qy
I rn imprinted "S.EO. 20795" with 2 x2" white guard p
PROCEDURES &EQUIPJDWT 1 stake. 2
v
i m
I Standard field traverse with Nikon 1" Total Station and steel I EXISTING-TAX NUMBERS �u o
oiQ O Found survey point as noted.
tape. This survey meets minimum standards as set forth in 1232 0-32-01 000 a-
W.A.C. 332-130-090. I 12320-32-02 000 (D) Deed measurement
i I 12320 34 00010 Q. M Measurement per this survey.
SW Comer o ( ) P
1 20 1 E7/2, SWI/4 2I�
_ - _ _ - O - GRAPHIC SCALE
30 29 N 893137" W 265Z 13' - - - - - - --- 2���9 ---- mo o ,a mo 4W .00
Calculated Brass cap on
Position Iron pipe
Visited 8116104 IN FM�
I Inca- zoo tc
AUDITORS CERTIFTCATE SURVEYOR'S CERTIFICATE Record of Survey for,
This map correctly represents a survey made 1b �..M"'��o., PENINSULA TOP SOIL LLC SHT
me or under m direction in conformance with
the requirements of the Surrey Recording Act ofFJ of T��% P.O. BOX 488 BELFAIR, WA 98528
IVES
"9 rtuate in the,
PENINSULA TOP SOIL LLC `O: 2
the raquesc of P� BOX 488 eQFAIR WA 98S2B CONSULTANTS, INC. N�+n/4, sit/4 & SWIA see/4
in MAR. 2G12 o P_0. BOY 9W -MLVMMZ rA oases -(3W)U2-84M & NE1/4, SWI14 & N*714, OF
FLZA a D.v 6r B.J.M. Cha*vd B
IMOS���� Y sE.o. SN7/4 dt SE1/4, S4,
Steven E. Ottmar n�•�n,a"`� cola WP
Job Na SEC. 20, T . 2 , 2
COUNTY AUDITOR P.1-S 20795 3/12/12 3366 RG. I W {' M