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BLD2012-00346 SFR Final - BLD Permit / Conditions - 5/10/2013
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 RESIDENTIAL BUILDING PERMIT BLD2012-00346 OWNER: RAYMOND MCCORMICK RECEIVED: 5/18/2012 CONTRACTOR: MCCORMICK CONSTRUCTION LLC 360-731-2270 LICENSE: MCCORCL962RL EXP: 12/131 ISSUED: 6/22/2012 SITE ADDRESS: 1687 NE OLD BELFAIR HWY BELFAIR EXPIRES: 12/22/2012 PARCEL NUMBER: 123174290040 LEGAL DESCRIPTION: LOT: D OF SP #1701 PTN NW SE PROJECT DESCRIPTION: DIRECTIONS TO SITE: RESIDENCE STATE ROUTE 3 TO OLD BELFAIR HWY TURN LEFT APPROX 4 MILES DOWN EASEMENT TO SITE AFTER CORNER General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,897 Garage-Attached 523 Valuation: $ 217,146.14 Building Height: 17 Occ. Status: Primary Basement: COV PORCH 84 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 25.0 Ft. Shoreline: Ft. Water Body: Rear: W 235.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: N 90.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: S 160.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Dryer Vent 1 Plan Check Fee TW 5/18/2012 $ 1,071.82 S1 2 01 2 00 00 00 01 Lavatories 3 Exhaust Hood 1 Plan Check Fee TW 5/18/2012 $3.64 S1 2 01 2 00 00 00 01 Bath Tubs 2 Furnace<100K 1 Address Fee TW 5/18/2012 $ 173.50 S1201200000001 Water Heaters 1 Heat Pump 1 Planning Review Fee TW 5/18/2012 $205.00 S1201200000001 Clothes Washer 1 Ventilation Fan 3 Fire Warden Review TW 5/18/2012 $73.00 S1201200000001 Kitchen Sink 1 EH Plan Review MRB 5/18/2012 $ 103.00 S5201200000001 Dishwasher 1 Water Adequacy Plan Revi MRB 5/18/2012 S 103.00 S5201200000001 Hosebibs 2 Building State Fee LDK 6/11/2012 $4.50 S1201200000001 Building Permit Fee LDK 6/11/2012 S 1,654.55 S1201200000001 Mechanical Permit Fee LDK 6/11/2012 $85.70 S1201200000001 Mechanical Base Fee LDK 6/11/2012 $28.50 S1201200000001 Plumbing Permit Fee LDK 6/11/2012 $ 101.90 S1201200000001 Plumbing Base Fee LDK 6/11/2012 $24.70 S1201200000001 Total $ 3,632.81 BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2012-00346 CONDITIONS FOR BLD2012-00346 1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at (360)427-95ZO, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has been " a ed� X 2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-64-1 person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 3) Owner/ onsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 4) 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 r a t with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 5) Please note: A separate permit is needed for the fire suppression system on this structure, as required by the Mason County Fire Marshal's office. Please be advised that the Fire Marshal's office needs to complete the fire suppression system inspection prior to the framing inspecti t. X i��--- 6) PER TITLE 14 MASON COUNTY BUILDING CODE- CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS- 14.17.110: A fire apparatus access road in excess of 14%grade and more than 150'to new residential or commercial structures will require an automatic fire sprinkler system installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information. x ii5�r 7) Appre�sions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 14 8) All construction and demolition debris must be removed from the site after project completion. Pro al of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 2 of 6 9) Temporary erosion control measures must be implemented to prevent water,qu t d ion of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X 10) Prior to final approval, all upland areas disturbed o d by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X�T 11) 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-it ensure these structures are shown and meet the setback conditions listed. x I_�n7 12) 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. X 13) The Mason County Resource Lands and Critical Areas Ordinance requires vegetative management of the site. There shall be a minimum disturbance of trees and vegetation in order to minimize erosion and stabilize Wetland Critical Areas. Limbing trees for view purposes is preferred over tree removal. Vegetation removal on the channel or banks between the ordinary high water mark and the top of the bank shall be minimized due to the potential for erosio . X 14) Wetland areas observed to the west of the home site;area cleared for home and septic more than 80 feet from wetland flow area;no additional cigar' s tt�e low& wet area is allowed. 15) 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 Depart pri Q ther inspections being performed or approvals granted. X I , 16) 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 remov a uments will result in failure of required building inspections. X 17) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL.,X 18) 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 Buildinn rior t_o any further inspections being performed or approvals granted. X BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 3 of 6 191 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: 1A X 20) 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 '/4 or'/2 sheets. The Mason Cou Permit Center will also have some available. X� I — 21) 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). Ref 05. X 22) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the manufacturer' ' stallation instructions. X 1 BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 4 of 6 23) 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/con --o� ledging that all components of the Stormwater management system have been installed as approved on the stormwater site plan. X 24) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) require -5ft setback from all footing/foundations. C. No foun s within 30ft, down gradient of drainfield/reserve area. X 25) 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 ex cse4to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 26) 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 rev — = X 27) 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 locate of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your projec . X 28) Placeme c t comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 29) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance o #be reviewed and approved by Mason County prior to construction. X BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 5 of 6 30) 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 Inspect prior to requesting additional inspections. X _J�31) All property lines shall be clearly identified at the time of foundation inspection. X 32) 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 Maso ances and building regulations. X - 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 (older ha� n from being taken. No more than one extension may be granted. 34) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectoo nstall metal connectors approved for contact with the new types of pressure treated material. X 35) Retaining walls needed to support a surch c ructures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 36) No temporary or final occupancy until a letter or invoice from Norweco/Singulair distributor stating the aerator and basket for Norweco tank has been installed. X I 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 �ounty acoss.tolhe above described property and structure for r view a inspection. OWNER OR AGENT: _ �' DATE: i r BLD2012-00346 Please refer to the following pages for conditions of this permit. Page 6 of 6 o rCONCRETE MECHANICAL 9 . MANUFACTURED HOME 40 -7 o Footings I Set Date Ribbons 0 1�1 Gas Piping 0 CD 1-ileftof Date By interior-Date By Date By CD Cl) Exie-saf Date By ic 7- BY Exterior-Date Set-up 0 Z? Point Load I Isolated Footings INSULATION Date By ?9 Date By BG I SLAB INSULATION X Data By FIRE DEPARTMENT > Foundation Walls Floors Date By ["ate 6 Data By y DECKS 0 FRAMING Walls Date. By z Date Sts"I I-L- By 14YL Data By PROPANE TANKS 0 PLUMBING Vault Date I By --- Date SS 31 IZ By OTHER Groundwork Attic Bate B Date By Type. y Daic U D.W.1v DRYWALL Type- ,5r-2 Date E3 v 1 Iz By InL Brace Wall 00 a Dale By I-:j- � N FINAL INSPECTION 0 Water Line Fire Separation I,%)Late 13 Date By Dale By CD Pass or Request CD E; Inspect. Type of Insp. Fail Date Date Done By Comments CD a) 15, ,S 6-22-1Z 6-2,7-1Z 0 s �� _ RS- y ,D�JTI,�l� � ��0� =� .,Eel S77, Cc 0 0 .!c 15 #11) (n 0 (D f- 7 IV /4V /--5'i"If Illy J-1-IC-c o,�7' '21Y 2- _j ti A, Q401 (D a-sl A /5W& F1 ,1VA jVV3 t9 17' t 13 Tr-l? paUX,- 6 1d6tj(k:�S' Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name MCCORMICK CONSTRUCTION LLC UBI No. 602443302 Phone 3602773355 Status Active Address Po Box 1710 License No. MCCORCL962RL Suite/Apt. License Type Construction Contractor City Belfair Effective Date 12/13/2004 State WA Expiration Date 12/13/2012 Zip 98528 Suspend Date County Mason Specialty 1 General Business Type Limited Liability Company Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type Status 1 2 Date Date MCCORC'072B5MCCORMICK Construction General Unused 1/25/1993 1/10/2005 Archived CONSTRUCTION Contractor Business Owner Information Name Role Effective Date Expiration Date MCCORMICK, RAYMOND A Partner/Member 12/13/2004 Bond Information Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date 4 Lexon Ins Co 9813635 06/22/2012 Until Cancelled $12,000.0006/22/2012 3 American States 32s221463 04/20/2012 Until Cancelled 06/04/2012 $12,000.0005/11/2012 Insurance Co 2 American States 6758558 04/27/2011 04/20/2012 $12,000.00 09/06/2011 Insurance Co 1 AMERICAN STATES INS 6209889 12/13/2004 Until Cancelled 05/19/2011 $12,000.00 12/13/2004 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date American 156AUI61895- 8 Safety 00 05/10/2012 05/10/2013 $1,000,000.00 05/15/2012 Indemnity Co AMERICAN 7 SAFETY 156AU16087500 12/14/2010 12/14/2011 $1,000,000.00 12/10/2010 INDEMNITY CO AMERICAN 6 SAFETY 156AU16013300 12/14/2009 12/14/2010 $1,000,000.00 12/15/2009 INDEMNITY CO 5 BENCHMARK INS BIC5001952 12/14/2008 12/14/2009 $1,000,000.00 12/11/2008 CO CAPITOL 4 SPECIALTY INS CS00356563 12/14/2007 12/14/2008 $1,000,000.00 12/06/2007 CORP WESTERN 3 HERITAGE INS SCP0636210 12/14/2006 12/14/2007 $1,000,000.0012/12/2006 Co https:Hfortress.wa.gov/lni/bbip/Print.aspx 6/22/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 2 IWESTERN TAGEINS SCP0586745 12/14/2005 12/14/2006 I$1,0O0,000.0O 12/13/2005 Summons/Complaint Information Cause County Complaint Judgment Status Payment Paid By 09-2-00560-9 Date: 06/08/2009 Date: Date: HOOD CANAL HEATING Et COOLING INC MASON Amount: $29,724.30 Dismissed Amount: $0.00 Amount: InterPlead: No Bond(s): 6209889 08-2-02385-2 Date: 10/10/2008 Date: Date: HANLEY CONSTRUCTION INC KITSAP Amount: $15,391.77 Dismissed Amount: $0.00 Amount: InterPlead: No Bond(s): 6209889 Warrant Information No unsatisfied warrants on file within prior 6 year period Infractions/Citations Information Infraction/Citation Date RCW Code Type Status Violation Amount ECHIR00251 2/5/2007 19.28.041 RCW ELECTRICAL CITATION Satisfied $500.00 https://fortress.wa.gov/lni/bbip/Print.aspx 6/22/2012 RECF MAI1 2O1Z MASON COUNTY PERMIT No.���, BUILDING PERMIT APPLICATION 426 yv• CFn'.R.ST' 426 W. Cedar• P.O. Box 186, Shelton, WA 985&4 Shelton(360) 427-9670• Belfair(360)275-4467•Elma (360) 482-5269 On the web www.co.mason.wa us APPLICANT INFORMATION CONTRACTOR INFORMATION � __ Owner �AL-gIAIIA/) /YId/ymif,lt Company Name ^ titI Ll� MaiCm Address ��. r' ul X M fflng Address��. &)x (7/4 1 c c State_�Z� Code City . / State IVA Zip Code 1� .7�— CRY P Phone 3 � Other Ph. Phone , ) Other��Ph. Lien/Title Holder GP� &v& Contractor Reg.# >c . E mail address - E Mail Address M \ 4 "'F= Drivers Lic.# DOB Drivers Lic.#Mt Lott Azcj�a DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic E)asbng Septic Connect to Water System Name of Water System Well-�—Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No -4A- Fire District Legal Description&T• (2 SD 1-1)/ Site Address(Please include street name,street number and city) Dfrectio to site 2 LO hn+TN tkr n 1 !nN _1 Will timber be cut and sold in parcel preparation?Yes/ Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB-New Add Alt Repair Other PRIMARY RESIDENCEM SEASONAL E]Use of Building S E ILDescribe Work &(: v 143 look r No.of Bedrooms 3—No.of Bathrooms Q Square Footage-1 st Floor-I A. :7 -2nd Floor 3rd Floor -- Basement " Deck L 1 Covered Deck at 0 f! Other Sq.ft. Garage " Attached- Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. OVVI`,(ER/BULDER Aclmowwledges submission of inane information may result in a stop work order or permit revocation.Aclmowledgement 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 pemuT 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 easp..ment holder,or any other party in arterest regarding this application or the work proposed in the app5ua5on,I have obtained Permission from them to apply for this permit and conduct the work proposed The owner or agent on owners behalf,represerrts that the information provided is acm rants employees of Mason County access to the above described property and structure for review and inspection. PROOF7 ORK IS BY MEANS OF A PROGRESS INSPECTION. X Date• ' /Z- r/6w6ers 14epresentabve/Contractor (ndcate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department 741 Environmental Health Departme Public Works Department Fire Marshal FEES Building Permit Fee Site Ins ection Plan Review Fee EH Review Fee Plumbin2&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 RET-34r'171VED la"l 18 2012 _42F JAI f �� sr�`�` sty fltZlo 67 f � . .A P -o 0 5 ALL SETBA S ARE MEASUR p.-`6 s� tp FROM T E FURTH ST th ° PROJECTION F THE 3U DI( � `� 0 �3 0 fill a ► ' �. �. e o O RECEIVEL 3tA. k APPROVE® MAY 18 2012 MASON COUNTY DCD PLANNING SITE By CHAN PLAN REQUIRED SUBJETDTO APPROVAL TO BE ON E 426 W. CEDAR Sl Date �!y —TD' alJ� VIK - � k +4 '`` ��f�. .�=s`i►�• f� _ e.... 317420 41*0` '?h�� ` ;.M'- .=, re ice. Oa Tw 44* 123174290030�* ' Sk lot ell tom- I i 3173&0 000. 123174290020Olt , s .Jj ' . . - p .'� .t • ��L`:t�f �fii 1231741,or lb ,_.�OC7�1U. ����" Y •6. 4 4. AIC LZ •� r + IMF yM 23 r34900;0 '`.s s "�gi 7 7693032 123 77690033 1. r 23'^7690v^;3�?#^°� " � ,! Kor.f.;. f" �yyk• J"•.at �� �. '�� rkr `,sF 11 Jf VI lop 1 inch = 100 feet W E WP�� 1 inch = 0.02 miles a'o6i S Planner: Grace Za Rebecca MASON COUNTY PLANNING INTAKE CHECKLIST �n 1 -1 Owners Name: , ,`�C0yyn( Dater 2- Project: Jq Commercial ?: ye no 7/0 t oegp 5 19; Site Plan: 1 North Arrow A Property Dimensions: 4�- Irregular Shape ? yes noD ?Q Streets and Driveways sh9�e ' nA Road Frontage Name: 4 r (`- 12 ❑ All Existing Structures Shown with setbacks and use. XWell Location, Septic and Drain-field show with setbacks shown. Identified Surface water(streams,ponds,shoreline,wetlands, natural/historic drainage, defined drainage) r Nf Topography (slopes) Minimum Structure Setbacks (direction/setback): F: / _ R: /� S 1_/ ',`Utility and Drainage Easements: yes no (if yes enter condition#5022) X Other Easements X Accessory Appurtenances: propane tank eat pum ; •14 Does site plan show landings at all exits ? ❑ Variance applied for: yes Parking spaces allotted no 'X County Access Permit Neede add condition 90010) ❑ State Access Permit needed (add condition#0020) Standard Planning conditions: #5019 and #700 ,AAre there any impediments (dogs/gates) that may restrict access to your site? ye no ❑ If yes, do we need appointment? e ` no ❑ Is site clearly marked? dress Other ZONING _ UGA'S ALLYNBELFAIR/SHELTON r I LAND DESIGNATIONS j GC j PF R-1 j R-1P RC 1 j RR 2.5 AGRICULTURAL j POS j FR j R-2 j R-1R j RC 2 LTCFL j BI j GC-CI j R-3 j RI tit 3 RR 10 IN-HOLDING j HC j LTA j R-5 j RT j RMF j RR 20 j TRIBAL j T j MU j R-10 j RT/RTC J RNR j ivy j BP j vc j RAC Critical Areas: (streams, ponds, shoreline,wetlands &steep slopes) Shoreline Designation: X N/A ❑ Urban ❑ Rural ❑ Conservancy ❑ Natural Water Body: SEPA: yes' unknown Flood Plain: ` no k!fft) unknown Map# Aquifer Recharge: y no mown Map# Tags/Cases: JJ/ RLC/SPI: 6 year Reforestation: yes<'n Eagle Nest Tag: yes no Other/North Bay Sewer: yes (j s � ��`� � � � �� s- L� � _� � C/� �� � �'�. �� �� ACCESS & GRADE INSPECTION BLD 21>% ADDRESS: INSPECTOR:j Ff DATE OF INSPECTION: �- FIRE SPRINKLER REQUIRED? (circle) NO S IF fire sprinkler required, was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS , y4C1,f- 4 C � Vol - (')S) need post at access of driveway with reflective address numbers Length: Width: Surface: / Size of turn-around: 12 Condition of shoulders: n /� ��a j ,•�,c- �— Vertical clearance: y�/� GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS n Length: Width: Surface: ,/�!✓ Condition of Shoulders: , Vertical clearance: V/7 czl I)KII57- FA? (� 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: ,s, it V � � , e r K �_ y i � a � �' it e � i � ��� ..Y f: '. _ ✓ \, y� A i � ,�' I �� , rr� 4 Y ��� � .- , ' I - i .. ��' ' I I � J +. � � Nv ` � f n � ,� S n. ,r/ f - fir/ .. ' f ACCESS & GRADE INSPECTION BLD 1 2 -CP03 V 6 ADDRESS: INSPECTOR: DATE OF INSPECTION: Z/ FIRE SPRINKLER REQUIRED? (circle) NO IF fire sprinkler required, was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS (-P need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: �-'e Vertical clearance: B��N Ri �►' i� GRADE OF DRIVEWAY ` �G' f % 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: PAW -re .ems v4-�—o� _d p�L �rH.4js�R,�•lr�s ��l���RC� !-fl., sT/(-c Z 3 t Permit# MASON COUNTY r BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location� 4el-/, This structure s been inspected by Mason County Building Department and the follo ing VIOLATION of County Laws and Ordi nces has been fOU terns listed belo4v must be cor"hected to gain compliance - . vv 3 - /� is�G IV L " i ��• �,4 at �fo�/e� �czti hall be madeu are ere �if � d S S T 0 7" s S "P PROCEED M� WITH ANY FURTHER RK- 8=e9ctv�sr �� n w�ien wections ar omade eG�continuing ❑ please contact our office 7q�Tio � ❑ M e ectiod, i ems will be checked on he t inspec� regarding possible structural oc Rc- 6voiP/� �� G�gW� yr BUTT T d ,fi r damage incurred by recent ❑ OK t O '7"O GCE iy�4, yElp 'natural/man made" ❑This is'&KFlom fete iVTon sei�T�,pE �T„�qi��� ra disasters.This is NOTa /0 C, 7,- a' � 7 �'/P/,v A r,M o y4` 'f��`'/d�Pr'� CORRECTION NOTICE. Date Z Department J�/ d- e� Inspector r-s si c c _.o c�T� �- i r✓ T� ,g�F.Qr A nogagcov f TAr- -s _� Nth Permit# -6 MASON COUNTY BUILDING 111426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 1671 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance ii �- /C L/ a,0 L G. —/may �'� r�'.✓�•GFI�c-k s You e h re ,y no fiec� at the aboWa6rreclions shal" a ma e BEFORE PROCEEDING WITH ANY FURTHER WORK all fOr re-inspection when corr�ct�orts'aPemrdObLefor on nuing please contact our office MM e c rrections, items will a checked on next inspection)/5', regarding possible structural - 1 fill "_�l��G� damage incurred by recent � T-e naturaliman made This Is n a comps,le e 1 ectl n/,�c•t/—.roc,4 L 600r, � �� disasters.This is NOT '41 j vs5 P�fif� C �G1TION� �4 NOTICE. Date -L�^/ �epartf C- InspeEtor T Dko NOT ' Mt ,#V ' TH/ 0 T A C7 nIc,, ,�� // �iF r�,c�. # I—Z S= 6 d-6,B �-oc3f -v_-7-yX Building Permit # 2-01Z-6a' MASON COUNTY { f BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location /ti�37 06-.0 .i�� Rl 14kl - This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance �S .c ay Alof y L You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department �('67 Date ��` Inspector ■ *O NOOT � MOV ; THINvah, T 'u Permit# /2 35�6 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location & ZI oc o At� 72-}/e This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance Oe,212 ,1 Z / _ ' DU-- ' - 7'5, -r f ✓ 7 � i� i --�#�6 You are hereby notified that the above corrections shall be 'madeL�� BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ❑ OK to damage incurred by recent "natural1man made" ❑This is not a complete inspection disasters.This is NOTa CORRECTION NOTICE. Date � � - 14 Department Inspector TI} o* v &49 4T , ' M* ,04 ' ' THI mlh, T A rmW s;. ^_ fC %yr. ZO 2© Page 1 of 1 , Larry Waters - Fire Access From: Jeromy Hicks<JHicks(,1,,mcfd2.com> To: "Larry Waters (Law@co.mason.wa.us)" <Law@co.mason.wa.us> Date: 4/29/2013 2:48 PM Subject: Fire Access Larry, I visited 1691 Old Belfair Hwy at your request for Fire Apparatus Access. While I do believe that the percentage of grade does exceed 14%, the approach and departure is sufficient to meet the current needs of the fire apparatus stationed in our Fire District. It shall be noted that the driveway should be maintained at the current specifications in width along with maintaining a compacted gravel or paved surface. We also noted that the current area just barely meets the turn-around specifications for our apparatus. Future development should include turn-around plans. Turn outs should also be included on the current road/driveway per county title 14. Have a good day. Jeromy Hicks, Captain Fire Inspections, Education, and Investigations Mason County Fire District 2 360-275-6711 ext. 2 office 360-801-2020 cell jhicks@mcfd2.com file:///C:/Users/law/AppData/Local/Temp/XPgrpwise/517E8857Masonmai1100133793611... 4/29/2013 Namei�(1rm e-,�� Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page I of 2) Per Mason County Code,Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common imvervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To alcuiafe impervious Surfaces ease.Co npie#e This Fable'' Surface Type Length X Width = Area *All dimensions in feet Buildings X _ X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways 1 X 1 = X = Length of drive begins at the right of way X = Parking Areas —' X — X = Any paved, gravel or packed area per definition above table X = Patios/Walks 3o X 3 = X = Any paved, gravel or packed area per definition above table X = Others X X _ `if,the total_mpeiv'ious area-of the proposed site X = ° development is.dr�ater than 2000 square feet a all Parcel tormwater tte Plan.fs Required Total`lmpervious Surface Area(sum-ofi`all areas) . If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Euilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 Name Parcel# BLD# Mason County ` { Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: htto//www.co.mason.wa—us/code/commissioners/index htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48.section 14.48.70). You will receive a copy of the Public Works document entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist. you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system wiII be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail:P 0 Box 1850,Shelton WA 98584 Physical: 415 N 6th St,Shelton WA 98584 If this development has, or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: (360) 427-9670 EXT.352 Mail:P 0 Box 1666, Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described pro v inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 MASON COUNTY xESIDENTIAL PLANS sUJM rAL CHECKLIST 's Name 1 1 '" 1/�Yl(1 (�F� _ Date Reviewed By wner ocuments: Stagywater Checklist )o(__Bulding Permit Application Completed Planning Intake Checklist Completed, Site plan includes:Allowable building roof overhangs,dam,etc. Fire Apparatus Access Road info ' d7 Yes o O LPG Pomace —Energy Code Application Form-O Electric wall heater O ic Electr cental famace A Beat pump with electric furnace O Heat pump with LPG foraace O Bailer(heat type ) O Other. Specify: McChanical/Plumb' Application-WATER HEATER FUEL TYPDLOCATION Engineering? YR�o Snow load. Seismic: ^ Stock Plan— ve3 snow load: Seismic: appro Lanufactured Flomes—4 FLOOR PLANTS Foundation Type: ANSI/Manufacti>re method Engineered footinglfoundation Basement Decks: Covered? Uncovered over 4 x 6 and over 30"? Construction Plans required- 'onstruction Plans: 3 COMPLETE SETS. _Plans Legible _Recognized Scale _Elevation Views _Cross Section _Foundation Plan _Roof Frmming Plan _Floor Plan-Use of rooms noted(all floors) _Floor Framing Plan-all Hoar levels including loft,crawlspace,etc. (<200 SF. ??—stags?) —Deck Framing Plan,incl cov.porch framing 'Zan Details: - der location shown)Roof fi arcing details, lay-Dort may be needed (Flip an �r Wall Framing-Does bearing-waIl height exceed 10'? Engineerin may be required) L Floor fr-zming: Floor j oists(size&spas oar b Window headers. Typical header Cage Foundation:footing size,reinforcement Caacrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be requirer�see details) Landings at all exits?Less than 30"above grade?Y/N Fue1 e Heated By Furnace-Location of furnace �j D r ' V Loeation(s : Fireplace/Stove Information Shown-Fuel Type? W endow Sizes Marked m Plans Braced wall panels(shear walls)marked on plans or lateral engineering? 2-story garage? (FDgineeriag maybe required) 111 story of two story DI—45°/g D2—55% CO12YMNTS: ENGINEERING REQUIRED _ Braced wall paneLVbrace wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum requ imd in Table R602.10.1 DESIGN CRITERIA, AIl notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Word 85 MPH, Exposure B(mless proven otherwise). Seismic Zone: ,Snow_psL MEGTTLAR BUILDINGS R3012222 A anion of a building shall be Irregular portions of structu res shall be designed in accordance with accepted engineering practice. P considered to be irregalar when one or more of the following conditions acc¢r: 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft beyond the braced wall Ime. 3)End of BWP extends more titan 1 ft over an opening more than 8 ft in width below. 4)Opening in a floor or roof exceed the lesser of 121 or 50%of the least floor or roof dimension. 5)Portidns 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 constucti-on(exc:fireplaces, chimneys,and veneer). When this applies the ent[e story shall be designed.In accordance with accepted engineering practice. E-: =it tech building checklistdoc Revised 11-29-2007 o 330 , k ,J Ep �- pkp p R a_ MC PUBLIC HEALTH JUN 21 2012 - ,� P o.�T S w�a.Q ADR r may. b 5 `'r ENVIRONMENTAL T- (P HEALTH �. r r � a ► ; e o CO i RECEIVED 32°'•`f` _ MAY 18 2012 o c) 324 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us ,7- P.O. Box 186, SHELTON 98584 2009 Washington State Energy Code (WSEC) 4 O Effective January 1, 2011. /�a 4 Ventilation & Indoor Quality Ventilation code provisions are now located in the 2009 International Residential Code (IRC), 2009 International Mechanical Code (IMC), & 2009 International Building Code The following information will be required for the WSEC and ventilation code plan review: 1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side including information about the project, proposed compliance methods and proposed energy credit(s) listed in Table 9-1 attached to this form. All dwelling units are required to develop at least one credit from Table 9-1. 2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more on the window and door schedule. Use rough opening dimensions to calculate size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will assume that all window& door glazing will have the required u-factor of the compliance option. When using the area weighted average methods to comply with prescriptive-path include calculations with submittal documents. 3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section 505. To verify compliance, provide lighting information on plans. 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance information and code text is also available on the WSU-Energy Program website at: http://www.energy.wsu.edu/code/ Prescriptive Requirements " for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazi U-factor Wall1Z Wall Wall Slab s Area % int ext Door U- Vaulted Above on Option of Floor vertical Overhead Factors Ceiling2 Ceiling3 Grade below Below Floor 5 Grade grade Grade � R-49 or I ` 13% .34 .50 .20 R-38 R-38 R-t1 R-2B1 R-10 R-30 R-10 adv R-49 or R-21 R-21 II* 25% 32 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10 adv R-49 or R-21 R-21 III Unlimited .30 .50 .20 R-38 R-38 in 7 TB R-10 R-30 R-10 2 a adv *Reference ase/Call (3 7-9670 ext. 352 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements. (2 / J/ QZ681 60Z I ZZ T1Sq7o /2Z (e 7 616 7D MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/ Ventilation Code Compliance Application Owner: hiamlu Parcel#:� f _4L_ Type of project:S�2 Total Sq. Ft. 1 Floor: 2" floor: Heated Basement: of heated area:: Heating System Type: O Electric wall heater 0 Electric Central Furnace O LPG Furnace Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump O Boiler, specify fuel type: O Other: Specify: Glazing Compliance Prescriptive Option (see reverse side) circle one: I II III Percentage: Method �Y Component Performance , Chapter 5— Calculation worksheets required 1 I % Check one:: O Other (Specify): Check one Whole House Ventilation system O Whole House Ventilation O Other, Ventilation using exhaust fans&window or Integrated with a Forced Air describe: System wall fresh air vents (M1508.4) System (M1508.5) Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used ENERGY to comply. If the table is not attached to this form you can access the table on our website at: http://www.c Mason-.wa.us/forms/Communi Dev/index. h . CREDITS O tion: Description: Table 9-1 Window & Door Sc edul (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: k4- c3�(V 9 FA) I �ox a p Ao a( D Windows: Total Sq. ft. /L d Doors: WA L,a r30 6 e l $ Doors: Total Sq. Ft 06 Total window and door area Total window&door area a I(divided by)total sq.ft of heated area /Al7 = _%of glazing J _ W� �� a 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 Coin an Name Owner �!-1�n r,.�� /Y1 t��lin1+� P Y MaiGn Address Mai[in Address_0 0 f ex / wl� his c c � State_Zip Code C City - � State._Zip Code��� City P �4L2 Phone Other Ph. Phone - 1 Othner�Ph- Lien Title Holder =?�' ISdNi� Contractor Reg.# E mail address — E Mail Address M u � C . Drivers Lic.# DOB Drivers Lic.#ft lSo a DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic. E)dsting Septic �( Connect to Water System Name of Water System well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No - — Fire District Legal Description & SO j-1)/ Site Address (Please include street name,street number and city) , Directio to site AW 1- 2 -r-n n1D �yJ<�z 1wt2 L/rPI ) 44[vk 4• + T N L k�r Will timber be cut and sold in parcel preparation?Yes/14 Is property within 200' of Saltwater Lake Rarer/Creek Pond �+ Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB-New Add Aft Repair Other PRIMARY RESIDENCE M SEASONAL ❑ Use of Building wit= 2 Describe Work bj6u j RFniluw, kizyMr. No.of Bedrooms No.of Bathrooms_Square Footage-1st Floor 19 ?2nd Floor 3rd Floor Basement — Decker�Covered Deck at G f! Other Sq.ft. Garage Attached-:: Detached Carport Attached Detached MANUFACTURED HOME INFORMATION -Make Model Year Length Width Serial No. No.of Bedrooms No.of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/No Installer Name Certification No. OV NERMILDER Acknowledges submission of inaccurate hbrinahon may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I dedare that I am the owner,owners legal representAve,or the contractor.)further declare that I am entitled to receive this Permit and to do the work as proposed in the applicaton.I declare that I have obt fined 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 pem-d and conduct the work proposed. The owner or agent on owners behalf,represents that the infornabon Provided is ao employees of Mason County access to the above described properly and sinuch rre for review and inspection PROOF N ORK IS BY MEANS OF A PROGRESS INSPECTION. X Date::��f °' Z Own r/ ers Mepresentafive/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department �, �r IZ V Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Buildinq Permit Fee Site Inspection_ Plan Review Fee EH Review Fee Plumbin2& 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 N07���1�yO ( PLUMBING/MECHANICAL PERMIT APPLICATION 426 W. Cedar•P.O. Box 186, Shelton, WA 98584 Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner a!, hic Company Name M-L' U-14—Wk- LU ' Mailing Address RU 110 Mailing Address City State►,a11 Zip Code'71457 ! City State Zip Code Phone — � Other Ph. Phone Other Ph. Lien/Title Holder I4+Q 4't A'" Contractor R E mail address E Mail Address Drivers Lic.# �-r'('P Drivers Lic.# DOB -a SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System ,. Name of Sewer System PARCEL INFORVATION- 12 Digit Rarcel No 44 0 —q — r")4 Fire District Legal Description �j foil Site Address (Please include street name, street number and city) Directions to siteHhjx- -:Z::r ty Lr. Try µ ai1/,% `1Z nnl LilrfPT 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 UNITS ape of Fixture No.of Fixtures Fees Fuel Type:Electric—LPG—Natural Gas Heat Pump_ Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs/&Ntz _ Heatpumps 1 Showers Spot Vent Fan 3 Water Heater Propane Tank Clothes Washer / Gas Outlets Kithen Sinks 1 Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood 1 Hosebibs ` Dryer Vent I 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 the apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is to and rants empplo4yy,ees of Mason County access to the above described property and structure for review and inspection. PROOF CO W O F�INORK IS BY MEANS OF A PROGRESS INSPECTIO . X - Date: Own r/ ners presentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group—Type Constr. Planning Department Environmental Health Department FEES Plumbing& Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other violation Fee TOTAL FEES