HomeMy WebLinkAboutBLD2006-01044 ATF Remodel Final - BLD Permit / Conditions - 10/1/2009 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
Ir Shelton, WA 98584
flo
RESIDENTIAL BUILDING PERMIT BLD2006-01044
OWNER: REGINA HANNAN RECEIVED: 6/14/2006
CONTRACTOR: MILES BRAINARD CONST INC 3602753470 LICENSE: MILESBCO24QR EXP: 1 1/6/2007 ISSUED: 8/15/2006
SITE ADDRESS: 2731 NE OLD BELFAIR HWY BELFAIR EXPIRES: 2/15/2007
PARCEL NUMBER: 123093400050
LEGAL DESCRIPTION: TR 5 OF SE SW
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
AFT REMODEL
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: V-B
Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:
Valuation: Building Height: 21 Occ. Status: Basement: remodel 2,250
Manufactured Home Information Setback Information Shoreline &Planning Information
Make: Length: Ft. Front: E 140.0 Ft. Shoreline: Ft. Water Body:
Rear: W 70.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 20.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 90.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 6/14/2006 $532.19 S22006000
Hosebibs 2 Ventilation Fan 3 Planning Review Fee KKK 6/14/2006 $155.00 S22006000
Kitchen Sink 1 Dryer Vent 1 EH Plan Review TW 6/27/2006 $75.00 522006000
Lavatories 2 ADJUST--Plan Check Fee RTB 8/10/2006 $157.43 S22006000
Showers 2 Building State Fee RTB 8/10/2006 $4.50 S22006000
Water Closets (Toilets) 2 Mechanical Fee RTB 8/10/2006 $39.65 S22006000
Water Heaters 1 Mechanical Base Fee RTB 8/10/2006 $23.50 S22006000
Bath Tubs 1 Plumbing Fee RTB 8/10/2006 $82.00 S22006000
Clothes Washer 1 Plumbing Base Fee RTB 8/10/2006 $20.00 S22006000
Building Permit Fee RTB 8/10/2006 $1,060.95 S22006000
Total $2,150.22
BLD2006-01044 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
B LD2006-01044
w
CONDITIONS FOR
BLD2006-01044
1) Approved per gimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X A
2) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information.
X
3) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-09 The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
x hJ J
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 roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
x �l
5) 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. X
6) 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 pri r to any further inspections being performed or approvals granted.
x
7) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads," all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections.
x ,�1
BLD2006-01044 Please referto the following pages for conditions of this permit. 2 of 4
8) 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
r6tnoval of approved documents will result in failure of required building inspections.
X
9) All exterior wall cavities posed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected prior to
covering. X -ZV
10) 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.
11) 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.
X Z4 6
12) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made prior to requesting additional inspections.
X
13) 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 County ordinances and building regulations.
X e4Yf
14) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prevented action from being taken. No more than one extension may be granted.
X L
15) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
X nnectors, and fl�in. Install metal connectors approved for contact with the new types of pressure treated material.
BLD2006-01044 Please referto the following pages for oonditionsof this permit. 3 of 4
This permit.�ecomes 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 structure for review and inspection.
OWN ER OR AGENT: DATE: -
BLD2006-01044 Please referto the following pages for conditions of this permit. 4 of 4
Q7 �
r CONCRETE MECHANICAL �
o MANUFACTURED HOME D
Data g ,ow/
0 Footings/Setbacks '� i�N FUbbons z
Gas Piping
o Interior Date By Interior-Date By Date By Z
Exterior Date By Exterior-Date BSety
Point Load l Isolated Footings INSULATION Date By M
BG I BLAB INSULATION +n
Date By Data By FIRE DEPARTMENT z
Foundation Walls Floors Date By D
Date By Data By DECKS
g FRAMING waits Date By
Data i —t f•-D g By 8TA
,. Date By PROPANE TANKS
s PLUMBING vault Data By
oat® By OTHER
Groundwork Attic
Date 8y Date By Type:
Date By
D.W.V DRYWALL Type:
Date l ' �j B Int.Brace Wall Date By W
Data t3y FINAL INSPECTION p
Water Lin Fire Saperatlon IV
Date By Date By Data By p
m �
Pass or Request Inspect. c
Type of Insp. Fall Date Date Done By Comments C1
z
0
0
a
/iv c_ ��43 09 //-��8 TAW _
CD
0
Look Up a Contractor, Electrician or Plumber License Detail Pagel of 2
Topic Index Contact Info
Search
Home Safety Claims f Insurance Workplace Rights Trades fit Licensing
Find a Law or Rule Get a Form or Publication
Look Up a Contractor, Electrician or Plumber
Printer Friendly Version
General/Specialty Contractor
A business registered as a construction contractor with LEtl 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.
License Information
License MILESBCO24QR
Licensee Name MILES BRAINARD CONST INC
Licensee Type CONSTRUCTION CONTRACTOR
601909109 Verify Workers Comp Premium
UBI Status
Ind. Ins. Account 42609602
Id
Business Type CORPORATION
Address 1 PO BOX 1851
Address 2
City BELFAIR
County MASON
State WA
Zip 98528
Phone 3602753470
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 11/19/1998
Expiration Date 11/6/2007
g Suspend Date
Separation Date
i Parent Company
Previous License MILESC'090JH
i Next License
Associated
License
https://fortress.wa.gov/1ni/bbip/Detail.aspx?License=MILESBCO24QR 8/14/2006
/,;� 3C9- 3V - 0c5<D
427-9670 MASON COUNTY
BUILDING DEPARTMENT
ALL PERSONS ARE HEREBY ORDERED TO AT ONCE
TOP WORK
On these Premises at
This order is issued because
A.M.
Posted P.M. 19 By
'WARNING The failure to stop work, the resuming of work without permission from the
Building Official, or the removal, mutilation,destruction or concealment of this
Notice is punishable by fine and imprisonment.
�Y�Ov"' k,v uiv t x ict;alllL'N 1'lA.L PLANS SUBMITTAL GHEUKL15T
Owner's Name-._ ._! �.V�Lit V� Dater `� Reviewed By., 1UhA
Documents:
LBtuil,ding Permit Application Completed '
LPGnaing Intake Checklist Completed,
mite plan includes:Allowable building area,roof overhangs,docks,etc.
�4ue Appantus Access Road info. required? Y No
•l.�acrgy Code Application Form-O Electric will eater O Electric central furnace O LPG Furnace
O Heat pump with electric furnace O Heat pump with LPG fumacc O Boiild(heat type 1
IDOther.Specify: ti� � . 1 c 1 C
JC
s Mtchad al/Plumbing Application-WATER HEATER FUEL TYPE
Pn&=ing? Yes (Need 2 sots of calculations)No Gcotec nical report or assessment? Yes No
Snow load I: _ Seismic Zonc(circle one): DI or•D2
Constfuction Plans:3 COMPLETE SETS
Plans Legible _Recognized Scale _Elevation View= _Cross Section
Foundation Plan Roof Framing Plan _Floor Plan—Use of rooms now(an floor lords)
—Floor Framing Plan-all floor levels mprescated? Loft,crawlspacc,etc,
Dock Framing Plan,including covered.porch framing
Pkur Details:
—Roof framing dctar'ls,truss lay-out nary be necded,truss or stick framod?
_Wall Framing-Does bearing wall height exceed 101(Bxglncerlxg may be requlr4
—Floor framing: Floor joists: Floor beams:
Window headers marixd on plans: Typical bender:
—Foundation:footing size,rcinfmcemrat
CNXrcto Walls-Does concrete Wall Height Exceed 917(Engineering aray be required)
—Landings at all a,zits? Less daa 30"above grade? Y / N
Heated By Furnace-Location offurnacc
—F'rrcplace/Stove Information Shown-lVud Iypc7 . Location(s):
—Window Sizes Maricod on Plans
—Braced wall pameis(shear walls)marked on plans or lateral engineering? (Plans may not be approved J'not provided)
3--(F-hgW&*tg maybe required) R602.10.1 l"story of a two-etory D 1-45%,D2—55%
N �N
ENGINEERING RF;QUIRED:
Braced wall panels/braeed will lines are not marbod on plans(R602.10)
Amount and location of bracing dots not meet minimum roquirt is Table R602.10.1
IRREGULAR BUILDINGS(Irngular Shape)R301.2.2.2.2
hregulaur portions of structures stall be designed in accordance with accepted engineering practice. A portion of a building shall 1
musidetcd to be irregular wtxca one or more of the following conditions occur:
1)Extaiot braced wall line or BWP eantiilcvcrtd or offset by more than 4'
2)Roof or floor is not laterally;upported ore all edges
2A)Portion of roof or floor extend more than 6&beyond the braced wall line.
3)End of BWP extends more than 1 ft,over an opening more than 8 ff is width below.
4)Opening in a floor or roof exceed the lesser of 12 fL or 50°/.of the least floor or roof dimamsion.
5)Portions of floor level are offset vertically
6)Shear wall lines do not occur in two
�When a storyabove perpeudreurHr eons.
grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and vor,=).
When this applies the entire story shall be designed,In accordance with accepted engineering practice.
DESIGN CRITERIA:Wind 85 mph cap B(unless proven otherwise), Seismic Zone: Snow: psf
2003 MC Plans submittal chef-Ust$hVlMcdN
U, V rz,z r o 8
T 141S IS
OvE 7-0 4ti J , ,; L� c
r
1 A'.r'E 2 r
4 /4 �-
1v Aj ES' Lc
PL .
E LiF'S�4/2S � ov/c L f�Qll1r'D !Al e�/=
7-1-I E
/� Sfl�Er ,2c:ctc � LNSv1'io .0 tic>v✓LS' 'i L `
VL 0 S•l4-4i< E )V C7 2 L A, o S J�/ P S WE ri ,v c
('`}' /T(4 i�L C l�y�, jD L y. J r� L P�) r e= r- �;+�w 714 c A. tis rJ
40 y2 C'c� rr► to i� ���_l � G.,� J� o S r n � �Z-�; .� L t
AS-
iJ
7't t F i-� o�1� 1 S ��t��. � :� P� T�+� �1.+4 til i S•
U 1 I S r 4L L ki
M ►� << T v ►� S C v S , i t-E L�L
I-L- LLL r3 � 2� ��gc.E � i,v� rH �jpct,
r - ✓ i—1 c> a-A 3 \J E w i-1 4 rL4 r — Ire L A ..al L S r 01
14LL N C)E.-l"iLj L U 21 0"L 4 0-� 0 EXT-(CvL to
1-14 E JA U o-1 Jr u.J , j_C
ti w i-z rrcrtt c �j AN .)
t�s •a r/ �� , r 2 i rv� , Oj T ! �j t r L - T-•k-k- E O N L Y
A- R=q
Tt+ 17i ;,jl i AjL b2r►l . r++ � .S ► S �� � -ram �t vs S0P,> EEO .
�- µ�2� :.� �S � /1 T ri-�c_/f t� �'�2 2 P v/L r � � -r,r+� l-4 v►�-��
i l�1 T G uLj_4 PS ✓J rH Z (;--z j2 t, _
1 il, S 1 S 4t-,S c> 1'.� ��Lut r►Zi r.�rs t� r� aT'rF-
V2r
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Ow "4 � NA-), Telephone: (P.3 Parcel#:
27S- T,1 / Z
ner: �� 309 3 ooso
Type of project ( ) New Residence ( )Addition N Remodel
Total Sq. Ft. 16 Floor: 2 nd floor: Heated Basement:
of heated area::
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O;c. F(-2OV'4cZ
O Other'.Specify
Glazing O Prescriptive Option see reverse side circle one: 1 II IV
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets required
% Check one:: O Systems analysis, Chapter 4
Whole House Ventilation system O Whole House Ventilation using a Heat
Ventilation using exhaust fans&window or wall fresh air
Recovery Ventilation System (VIAQ 303.4.4J
System vents (VIAQ 303.4.1)
Check one
O Whole House Ventilation Integrated O Whole House Ventilation using an inline
with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3J
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
�11/r2 2. o c,
,Circa
f3�Da4201 ,S 3 o
9-Ir0
� v o p
Windows: Total Sq. ft.
Doors:
L 33 /
/1/7-ce 3
, ems "P 1 S E8
Doors: Total Sq. Ft
Total window and door area
Total window & door area /(divided by) total sq.ft of heated area = %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR(360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2004 Washington State Energy Code (WSEC)
2003 Ventilation and Indoor Air Quality Code (VIAQ)
effective July 1, 2004
Code Compliance Application Form
The following information will be required for the WSEC and VIAQ plan review:
1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code
(VVSECNIAQ)application located on the reverse side.
2. Complete the window and door schedule on the reverse side. Include all windows, skylights,
sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening
dimensions of the windows and doors. Information about the U-factor of the window will also help
to expedite the energy code review. If you are complying with the WSEC by prescriptive path and
are using the area weighted average method you must include your calculations.
3. On your building plans note the location and fuel type of water heater, location of exhaust fans
(bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and
slabs,
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional
WSEC and VIAQ compliance information is available on the internet at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements 0,1for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor wall wall wall
Area % of Door Ceiling Vaulted Above interior' exterior Slab'
Option Floor „ U 2 Ceiling3 Grade below 'Below Floors on
10 Vertical Overhead Factor' 12 grade Grade Grade
I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
IV Unlimited
Single
Family Res .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
(R-3)Only
*Reference Case/Call (360)427-9670 ext.352 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Mason County Bldg. III, 426 West Cedar Street
PO Box 186, Shelton, WA 98584
1854 www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269
NON-STRUCTURAL RE-ROOF APPLICATION
Roof Slope: /Z
Old Roof Material: C E0,42 SC4/4,-'
New Roofing Material: Cf Inya. y� .
Sheathing: Or/E2 C.4i Q Ski to 3 A14ff 9T'i L-*—'
Lt""rs,' lz .. C,OX ,DG yap.o0 o
Underlayment: : , /-8 fi�T
Existing Insulation:
New Insulation:
Roof Slope: IRC section R904.1
Roof slope must be indicated to ensure selected roof covering is allowed on designed pitch.
Roof Covering: IRC section R905
Selected roof covering must be installed in accordance with manufacturer's specifications and IRC
requirements.
Insulation:WSEC 101.3.2.5 exception 2a& 2b 2i o �>ENi
Existing roofs shall be insulated to the requirements of this Code if:
a. The roof is uninsulated or insulation is removed to the level of the sheathing or,
b. All insulation in the roof/ceiling was previously installed exterior to the sheathing or non-
existent.
Attic Ventilation: IRC section 806
Enclosed attic and rafter area shall be supplied with cross-ventilation.The net area shall not be less than 1/150
of the area of the space to be ventilated. If 50% and not more than 80% of the ventilating area is provided
from the upper portion of the space to be ventilated, then 1/300 is allowed.
B,n/" AO
Applicant/Owner:I;ZA.,A- i44-y N4 AD Contractor: M1LAFS G'CUIS: 111�Co&-)
Parcel No: _t -30 9 3 Y OOp S p Permit No.:
Signature: Date:
ARC 10/19/04 re-roofapplication.do
£ �Z COOZ aagw@ld@S
D D C�
T 0 3 SLIM FULL X
CD
(n
(' CD n nC T m T � p
o a o CD • n
C a m T D N C- a -u T Do m _
_ _
Cn
O C
C (D C
CD c <
p c L p p o p m n 3 c m
CD C � 0 (n CCDD 0 0 0 0 co 3
O O O O
m v v � o � a 0, 3
m cz � CD a CD
Cu N
a (D N
_ (D F
n' O
� � � 0 �' cn( W � � � �' � �
Dl o 0) 0 0)
CL a� 0 cn wl ch
'D m
°'. aZ � CD zoZ0zoozozo00 000 00 00 00 00 00 00 0on
O D A D A D A A Cn cJt (n Ja ? A A A A ? A A A ? ? ? ? (7, A A A — (D
O � � �! A A m D O A 0 0 cD cn Ul cn (D (D V -4 w w W w (D (D O (D (D (D _ M
CD
_ 7
O (n � < O zO zO zO O zO zO z0 OOO OO OO OO OO OO OO OO (p CD
af0 m F W W W W W W WWW Ww -0 WW WW WW W -1 ,1 (P aA 0 �
o � o - m Dj D � D � (, D DU DA www Aw � o — o — o N -� cn A UtA o
m < 3 •o �c
? N z o z o z o 0 z o z o z 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 o a /0
(D C (CD N W W W (.J C, W W W W co W j W W N w W co W W W W`R a W 7�' O
fnD N <' D p D .� D .� N D O D A D A W W W W FN O (o O O O CD N�;0 A FP A'\�W
_ 0 K N
n O O (n z 0 Z Z P O Z p Z O z_ O z Z Z O O O O O O O O O O O O O O n W
O �' (U N A A A A A A A A A A A J� A A A A A A A A A —
CD N Do Dti DN Aoo DO Dm DD D V V OO NN NN mm mm COW C
a� pQ0 o zoz0ZO0ZPZoz CD
D 4.7 C C N N N W W W W W W N N N N N N W W W W W W A 0 fQ
Co s D D D0 D0 N D0 Dw DW DDD � � Oo ocD 00 0o ww NN C) O
c N CD :3
j '06 n z O z O Z O O z O z O Z O z Z z O O O O 0 0 0 0 0 0 O Cl 0 0
(D N IJ N W N W W W W IJ N N N N N N N W W W W
co � o D (D D (D D (D D (D Dr" DN DDD � � moo OD OD mm (D (D NN N) N)
0 v D LD.
0
C -I DA 0O 00 00 o Oo 00 00 000 00 00 00 0O o0 Oo 00 0
Cn
_? (D A .A A A A A A Cn Cn Cn Cn Cn Cn A A .A. Cn A A A A A A A (n A (n Cn Ln U CD
N ¢7 N a (D m M CP m (n (D N O A N A (A O W o (D Co m A A A A 0 O -� O 00 D
N
QAj O a On 00 00 00 O 00 00 00 000 00 00 00 00 00 00 00 C
-Cl. O W W W W W W W W W A W A w W W W C.J W W W W C.J W W W C.7 W W W W A —
(D a A N Cn N Cn N A V N w -+ m A A A Cn W N W .--� W -+ w N W cn m U7 0 3
C CD
!n 0 0 0 0 0 0 0 0 0 0 O O O O O O 0 0 0 0 0 O O O O 0 0 0 0 0 0 ._.� 3 (D
(n W W W W W W W W W A W A W W W W W W W W W W W W W W W W W W - O,
3' A j A N A N W V CP 0 m A A A A W .� N --� N N -� O � Ln A
(D � Y
z O O z O z O z 0 0 0 O O O O O 0 0 0 0 0 0 0 0 0 0 C
— D (D A A(D D CT)
0 D (n Ln cnA A A cn Cn A A la .4 A A Cn Cn Cn Cn Cn Cn a
D Ql D N D N V V w (D (D A A 44
7 1
(D
m Z O O Z O O Z O Z O Z 0 O 000 00 00 00 00 00 0 00
Z
n W w W W W W W W W W W W W W GJ W W W W W W W W A 0
D A D A D A CA D Cn D Cp D m w CT Cn V m A A A W A W 0)Ql (n m �! m V 0
CD
z O z O z O O z 0 O O z 0 0 0 0 0 0 0 0 O O O O O O 0 0 0 0
< DA Da Aa ul Dvwl cwnowo Dm mLnncn -4rn aw wrwv wrwv M4 W -4 ww - s
n�
c z o z o z o o z o z o Z o Z Z Z o 0 0 0 0 o p o o O o o O O
A A A A (n CJl CIl A A A A. A A A A CJl (n cn (.n (Jl cn
Am D1, D 1, 0 Do D , D � DDD (DCD co co Cl) CA) ww oO 00 00 c
Z_ O z_ 0 Z_ 0 O z_ 0 Z_ o z_ o Zz_ Z o0 0O 00 Oo oO C) CD C) CD m D
Dw Drwv Dni n Da Dv Am DAD UCwn W W NN NN AA 0) CD 00 O -0
Ot
zP zO z0 ol zP z_ O ZCl z_ Z Z 00 00 00 00 00 00 00 (�D
D 'wDNDW W W W WW WW WW WW WW WW WW 7T
N A D w D a, D 0w D D D A A W W N N N N A A W CD 0 C)
O O O O O O 0 0 0 O O 0 0 0 0 0 0 0 O O O O O O 0 .0 0 CD 0 0
(n Cn A A A A Cn (n (n cn6 6 (n A -I A Cn (n cn cn A A A A .n Cn cn cn cn Ul
N O Co V m V — m N V A V w m V V N — 00 m m m Cn N W N N N D
0 0 0 0 0 0 O O O 0 0 O O O O O O O O !D O O O O O O O O O O C
W W W W W W w A W A A A A W W W W W W W W W W W W W A w W W A 3
O Cn m (n CO Cn V W CA w 0 CA O V V V m w Q) Vl Cn A cn A V Q) O CD co m 0 7
C
O O O O O O O O O O O O O O O O O O O O O O 00 00 00 0 0 3
W W W W W W W A W A A A W w w w W W W W W W W W W w W W G7 W 7'
(D (n m Cn m cTl m W (m O O Cn (D V V W m O� L- A cn A Cn A m Cn (D m cD m
Mason County Permit Assistance Center
Planning Intake Checklist 1S-
Azt,
Tc
Name: Date:
Reviewed By:
4qt9!�___
Commercial Developm S Comments:
Planner: GBM TSC MM; KJM PBC RDH 1S
Sit!,Flan:
IDKi �
NN rth Arrow
ti/Property Dimensions: _X
nS!leets and Driveways Shown. Road name:
]�xisting Structures shown with setbacks
n, Septic and Drain-field Shown with setbacks
o--ldentify all surface water(streams, ponds, shoreline,wetlands, etc.)
�T"opqffaphy(slopes)
roposed Structure Setbacks(Direction/Setback):
F: �— /NU R: W / I b S 1: / b S2:
_1a�3Ttility and Drainage Easements: Yes yes en
(if ter condition#5022)
��O�t er Easements NO
Cr Accessory Appurtenances y\.O
A�ounty Access Permit Needed(add condition#0010)
,p—State Access Permit Needed(add condition#0020) �2
Standard Conditions to be added to all Building permits that planning reviews: #5019 and#0700
Are there any impediments that may restrict access to your site? (dogs/gates)
I �'>ti't
Shoreline and Planning Info
Setbacks: Shoreline: Slope: _ A
Shoreline Designation: Comprehensive Plan: Rural Zoning:
,ET--Rot Applicable ❑ Agricultural f�l�2.5 D0 20
❑ Urban "
❑ In-holding ❑ RMF
❑ Rural ❑ LTCFL ❑ RC 1 2 3
❑ Conservancy ural ❑ RI
❑ Natural . ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body(type of water if unnamed):
SEPA: Yes No �1(ikno
Flood Plain: YES NO L 0 Map#
Aquifer Recharge: YES NO Unkno Map#
Tags/Cases:
RLC/SPI Case: 6-Year Dev. Moratorium: YES
Eagle Nest Tag: YE O Other YES/r5
Addressing: Check box if needed ❑ Reviewed by:
Revised: 11-01-2005 1:\PLANNING\PAC\PLANNING INTAKE
�. MASON COUNTY PERMIT NO. JA :)-t�BUILDING PERMIT APPLICATION d� 6
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 ".4 Company e a T-
Mailing Address Maili ddress .tom. �oX /BS"�
City d LL�GiJ State�Zip C Y t?�L��t//z State w� Zip Code 98S22S
Phone 27S-6A 7 V Other P S`a 9 - S-,y 7_tI Phone 27 S• :3 V:Zoo Other Ph.
Lien/Title Holder Contractor Reg. # 17,f[.Ec Re',>2yeAExp.„//• 6-02
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic.#dnjjA//1✓ gj4 DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System SrR+ u C-
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No.1:'3�3 V C00-ViD Fire District
Legal Description '7112 S" OrC" SEE S LZ
Site Address (Please include street name, street number and city)
Directions to site o ^4Cs 0&0-
}-_ T T
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
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action? 's/No
TYPE OF JOB - New Add Alt Repairer Other P IMARY RESIDENCE ® SEASONAL ❑
Use of Building Describe Work Y `L
No. of Bedroom&—#--—No. of Bathrooms 20P Square Footage- 1st Roo _ or
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport A-O'' Attached "� Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. _No. of Bedrooms _ ,�Nathrooms
Type of Heat— Purchase Price $ Replaceme if,> Yes/ No
Installer Name Certffffation 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 information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFA PROGRESS SPECTION.1 CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
�► G
X ' C A,I-/L Date: Cv-f,�-nj� ,
Owner/owners Represents ive/Contractor (indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by� l./ Date
DEPARTMENTAL REVIEW PROVED D NIED NOTES
Building Department L<tLD Q6
Planning Department
Environmental Health Department 1
Fire Marshal
FEES
Building Permit Fee 0Ba PS- Site Inspection
Plan Review Fee -Or - 1 EH Review Fee
Plumbing & Base Fee (9 }' _p^Q PlanningReview Fee
Mechanical & Base fee , l S` Other
Wood /Gas/ Pellet Stove Fee State Fee Y S�
Violation Fee " /(T"0"6 Pre-Paid at Submittal
Valuation $ �Ca. 7S_ TOTAL FEES
1 A ►, r ILL-�'/ _ /�C r-1-r
361
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar• P.O. Box 186, Shelton,WA 98584
Shelton (360) 427-9670•Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner J' �Av4 IMAJA M Company Name 42i4DS` 42"JV44t) CVA'r�
Mailing Address I9 o• 0a-9 �0-7 Mailing Address A'.o, &oA / Sr
C v 4t-j—j&� State Zip Code VASS&V City 19 C L PAUd. State fav Zip Code
Phone 2-7„5"—&A7y Other Ph. Phone ZiZsi �' �l7a Other Ph.
Lien/Title HolderA&10&*AJ Contractor Reg.#&-4L . A9Qk2 t"Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic -=& Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. /Z 30 3t' Oor►S"c� Fire District
Legal Description 1 & .S o F S All' —C�+
Site Address (Please include street name, street number and city)
Directions to site T'
T-- ,...---
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 J. 2nd Floor Basement J Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPQ Natural Gas_ Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace e�L. ysKr�v�-
Bath Tubs Heatpumps
Showers Spot Vent Fan
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 apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CONTINUAT19N OF WOR IS BY MEANS OF A PROGRESS INSPECTION.
n /-v 3— CP(
X o iv7' ca' Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: `'Manning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbina & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES