HomeMy WebLinkAboutBLD2004-00806 Final SFR - BLD Permit / Conditions - 4/28/2005 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 3 426 W. Cedar P.O. Box 186
Irplo Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2004-00806
OWNER: TONY HUBERT RECEIVED: 5/27/2004
CONTRACTOR: SINGER CONSTRUCTION LICENSE: EXP: ISSUED: 6/28/2004
SITE ADDRESS: 1240 NE BELFAIR MANOR DR BELFAIR EXPIRES: 12/28/2004
PARCEL NUMBER: 123302490004
LEGAL DESCRIPTION: S1/2 N1/2 SE NW LOT:4 OF SP#2319
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR/attached garage Sandhill Rd. to Belfair Manor. Left to end.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: VN
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck:
Type of Work:, NEW Fire Dist.: 2 No.of Stories: 2 Occ. Load: Building:1,970 Garage-Attached 564
Valuation: Building Height: Occ. Status: Primary Basement: cov porch 382
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: 195.0 Ft. Shoreline: 217.0 Ft. Water Body: Larson Lake
SEPA?: No
Model: Width: Ft. Rear: 2 Ft. Slope: Ft. Shoreline Desi
Side 1: 80.0.0 Ft. 9•: Not Applicable
Year: Serial No.: Side 2: 45.0 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 5/27/2004 $798.82 B12004
Hosebibs 3 Furnace<100K 1 Planning Review Fee KKK 5/27/2004 $155.00 B12004
Kitchen Sink 1 Gas Outlets 3 Address Fee GMM 6/3/2004 $140.00 S12004
Laundry Tray 1 Propane Tank 1 EH Plan Review CEW 6/7/2004 $75.00 §12004
Lavatories 4 Pellet Stove 1 Adjust Plan Check Fee DLC 6/23/2004 $32.76 S12004
Showers 1 Ventilation Fan 4 Building State Fee DLC 6/23/2004 $4.50 S12004
Water Closets (Toilets) 3 Dryer Vent 1 Building Permit Fee DLC 6/23/2004$1,279.35 S12004
Water Heaters 1 Plumbing Fee DLC 6/23/2004 $103.00 512004
Bath Tubs 1 Plumbing Base Fee DLC 6/23/2004 $20.00 S12004
Clothes Washer 1 Mechanical Fee DLC 6/23/2004 $135.30 S12004
Mechanical Base Fee DLC 6/23/2004 $23.50 S12004
Total $2,767.23
BLD2004-00806 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2004-00806
CONDITIONS FOR
BLD2004-00806
1) A site inspection by planning staff is required prior to approval to pour the foundation in order to verify wetland setbacks. Please contact Rick Mraz at
(360)42 ' 670 e t 577 to schedule the inspection.
X
2) Temporary erosion control measures must be implemented to prevent water quality e r da� of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
3) Larson Lake is regulated as a category II wetland Category II wetland require a 100'total setback, which is comprised of an 85' undisturbed vegetative
buffer+ a 15' building set b c o tic drainfield or reserve may be located within 100' of the lake without additional environmental review and
permitting. X
4) 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 ri(hr further inspections being performed or approvals granted.
X
5) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are p tenti I risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800- 47 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
6) In accordance with the Uniform Building Code 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 jurisdictiorl and the Uniform Building Code will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspections
X
BLD2004-00806 Please referto the following pages for conditions of this permit. 2 of 4
7) The plate review check'list and corrections, along with the Energy Compliance Worksheet(when applicable)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 ch nged or altered without authorization from the Building Official. The permit holder is responsible to retain the complete approved set of
plans on ' t uration of the project. Failure to comply and/or removal of approved documents will result in failure of required building inspections.
X
8) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight(Max U-Factor):0.58� Type/Max U-Factor):0.40 or less,
Wall insulation R-21 , Floor insulation R-30 , Ceiling Insulation R-38, Vault Insulation R-30. X
9) All construction must meet or exceed all local ordinances and the 1997 Uniform Building Code requirements as adopted and amended by Mason County
and the State of Washington. O cupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would
result in permit revocatio
X ntL:�
10) All changes to"approved" building plans that effect compliance with the Uniform Codes as amended and adopted, or any other Mason County ordinance
or regulation, must be r v e and approved by Mason County prior to construction.
X i
11) The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the Uniform Codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspector shall be made priorrtp r additional inspections.
X �\ u,
12) All propane tanks must be installed io acc dance with the Uniform Fire Code and all applicable Mason County ordinances. All propane tanks must meet
the installation requirements aud Vlp�_
setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
X
13) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time of inspection the test pressur shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not be used until the final in e i een performed and approved by a Mason County building inspector.
X
14) All property lines shall be clearly identified at the time of foundation inspection. X
15) 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 ins ectio to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason County i sand building regulations.
X
16) 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 of exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have p v action from being taken. No more than one extension may be granted.
X
LD2004-00806 Please referto the following pages for conditions of this permit. 3 of 4
17)' Pressure treated�woorna2uJactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, annstall metal connectors approved for contact with the new types of pressure treated material.
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 fora period of 180 days at any time after work is
commenced. Evidence of con uation 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 progre s pection.The own ror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described pr e an str t r iew inspection. /, Q
OWN ER OR AGE DATE:
gLD2004-00806 Please refer to the following pages for conditions of this permit. 4 of 4
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0ootings' / Setbacks Date By Ribbons
a e y Gas Piping ��i� /- — Date B y
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k;W4rn Foundation Walls NDate) y /Z Set-up
Date By INSULATION Date B y
B G / Slab Insulation Floors Final
Date By Date By Date By
FRAMING Walls FIRE DEPT
Date � By LEW - Date By //1 Date By
PLUMbING Attic ""4 `V OTHER
Groundwork Date 3 d' By 1-01
Date By WALLIJOARD NAILING
D.W.V. Date 2 - By
Date / - 2? By FINAL INSPECTION
Water Line Date y /
Date By Date B
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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 INFOFWATION CONTRACTOR IN
Owner b" - Company Name /
Mailin Add e C. L Mailin ddr ss
City State A- Zip Code City A, ate _ Zip Code
Phone Other Ph. X U Phone Other Ph.
Lien/Title Holde Contractor Reg. #
E mail address k a, A (�YI't E Mail Address
Drivers Lic.# KAViKS4 4L DOB 5` 2-1 Drivers Lic.# 0�414806
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Conne t Water System Name of Water System
Well— Water System Name of W ystem
PARCEL INFORMATION -)12 Digit Parcel No. Fire District
Legal Description I 3 b
Site Address (PI se i clude str et pame, street number and city) n i r Ill, 1(( t
Directions to site 0 m
Will timber be cut and sold in parcel preparation?Yes N
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New X Add Alt Repair Other RIMARY RESIDENCE PSEASONAL ❑
Use of Building C^ Describe Work
No. of Bedrooms No.of Bathrooms2--'�T Square Footage - 1 st Floor 2nd Floo,,r
3rd Floor Basement Deck Covered Deck OtherSq.ft.
Garage Attached __%f_Me__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.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
j 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 permis-
sion from all the necessary parties.If permission is required from any easement holder or any other party in interest regarding this applica-
tion or the work proposed in the application, ►have obtained permission from them to apply for this permit and conduct the work proposed.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYQ19D THIS POINT P: o
Accepted by:A� � - C1(�Planning Pd ` Ck# A a- Date Bid Pd _1 9 6.", Receipt No.�
DEPARTMENTAL REVIEW APPRO ED DENIED NOTES
Building Department LP a4
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee a 7 .`� EH Review Fee
Plumbing & Base Fee f / Plannin Review Fee •
Mechanical & Base fee } / -3`� Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ Q TOTAL FEES
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PERMIT NO.:
MASON COUNTY C�CC
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W.Cedar/P.O.Box 186 Shelton,WA 98584
Shelton(360)427-9670 Belfair(360)�75-4467 Elma(360)482-5269
APPLICANT INFORMATION t CONTRACTOR INFORMATION
Owner b0,14 '-44AKIkItki T Iz ( Contractor Name
Mailpg Address M tSkl Lk— Mailing Address
City -i t !(✓1 State Zip Code City State Zip Code
Phone ` 27'-, 5 4&k Other Ph.(5kQ ) 2,65Ph.0 Other Ph.0
Lien/Title Holder Contractor Reg. #
Address Expiration
SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION - 12 digit Tax Parcel No. / / n Fire District
Legal Description
Site Address(Ple se inc de street name,street oumber and city)
Directions to site Uhl —t
Is your pvp�serty within 200'of the following: Body of Water(Name) LA E3 D kt ( _A It lam' Saltwater
Lake /� River/Creek Pond Wetland Seasonal Runoff Stream
Slopes or Bluffs
TYPE OF JOB New Add Alt Repair Other Use of Building A t-� S "
Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets �' Type of Unit No.of Units Fees
Bathroom Sink v Furnace 1
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank I
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas el�ood
Dishwasher Kitchen Exhau
Hosebibs _� Dryer Vent I
Other_ L `►� Other
���� Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
approval. first obtaining approval.
X Date X Date
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
E7EPARTMBNTAI"iilwViElftf APPROV DENIEI} COND[TIQN COC3>C5
BuildingQepartment
Occ Group Type Constr.
Planning Department
Other
Other
. twE
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( )
Violation Fee TOTAL FEES
Mason County Permit ,Assistance Center
Planning Intake Checklist
Owners Name: "JQ96(1' Date:
Project: Reviewed By.-
Commercial Developm ES NO Comments.
Planner: SAL GBM M RD
Site Plan:
❑ North Arrow
❑ Property Dimensions: y X C)M(
o Streets and Driveways Shown. Road name:
❑ All Existing Structures shown with setbacks
❑ Well Location, Septic and Drain-field Shown with setbacks
❑ Identify all surface water(streams, ponds, shoreline, wetlands, etc.)
❑ Topography (slopes)
❑ Proposed Struct e Setbacks (Direction/Setback):
F: W/q!� R: /W S 1: t-- /115 S2: Q
❑ Utility and Drainage Easements: Yes No (if yes enter condition #5022)
❑ Other Easements
Shoreline and Planning Info
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rural Zoning:
O Not Applicable 0 Agricultural 0 RR 2.5 5 10 20
0 Urban 0 In-holding O RMF
0 Rural ❑ LTCFL ❑ RC 1 2 3
0 Conservancy ❑ Rural 0 RI
0 Natural ❑ RAC 0 RNR
O Unknown 0 RCC-Hamlet 0 RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body (type of water if unnamed):
SEPA: Yes No Unknown
Flood Plain: YES NO Unknown Map#
Aquifer Recharge: YES NO Unknown Map#
Tags/Cases:
RLC/SPI Case: 6-Year Dev. Moratorium: YES NO
Eagle Nest Tag: YES NO Other YES NO
Addressing: Check box if needed Reviewed by:
❑ County Access Permit Needed(add condition#0010)
❑ State Access Permit Needed(add condition#0020)
Standard Conditions to be added to all Building permits that planning reviews:
#0046, #4999, and #5019
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/ 1t �• jam, % f'� j '� SOIL PROFILE- 7-15-03
PLAN
o "-28"FINE TAN SAND » _
l` 28"-49"FINE GR SAND i 1 —3 O
�. 49"-73"GR SILTY SAND
j � �' '�• `� TH#2
APP
f `, 6t=:13 w 0 24"FINE TAN S
Q r j 24%55"FINE GR.SAND ; MASON
55"-68" CO U N 1
GR SILTY SAND i
� � `� :�i� — 4 s p,.�Ox TZI#3 rf / SITE P1 AN REQ�
I'k" ?KEPT ` \ - ; o -27"FINE TAN sAND i ANGES SUB.
MC r / 27%54"FINE GR SAND %I /
s '8as ¢
54"-67"GR SILTY SAND i i �'' BY
OC ► !o `.t 200,E ;: \ r ens TTI#4 r i
r 0 "- 10"FILL
F P S D% ! `' t 10"-34"FINE BR. SAND i
34%68"FINE GR. SAND
975
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des IPA
— `--
100.
BENCHMARK.• GROUND ® SW COR.
ELEV.= 100.0 (REL.) '82 898.9' '
NOTE TO HOMEOWNER BUILDER OR DEVELOPER:
INYER T ELEVATIONS =CLEARING IN THE DRAR,&ULD AREA TO BE DONE
UNDER THE SUPERVISION OF THE INSTALLER.
*MINIMUM HOME SETBACKS TO BE VERIFIED BY THE
FIN. FL. = 8 .a BUILDING DEPARTMENT.WE ASSUME NO LIABILITY L-7*4
IF GREATER SETBACKS ARE REQUIRED
STUB OUT = S 3.S CLIENT: �ti.l• � 5 551041�- ��T
SEPTIC IN = S3.Z5 THIS DESIGN IS NOT A SURVEY: 2�� �� # 65
ALL PROPERTY LINES AND DIMENSIONS,AS SHOWN ('� Z75-5
OUT = s�3 ARE FROM INFORMATION SUPPLIED BY THE CLIENT
OR COUNTY OFFICE.WE ASSUME NO LIABILITY FOR SITE ADDRESS: `/ �11Z� ��,v/V�jj� ��� DATE ,'7-2q—p,�j
V COUNTY A OFFICE.
E ASS Y E NO L LIABILITY
ITBE_ NOTE:FOOTING DRAINS INSTALLED MUST BE
RECENT SURVEYS- USED IN CONJUNCTION WITH INFILTRATION PARCEL #: REV. DATE:
✓p�y� L�.f `` 8 '� TRENCHES 4ND MUST MAINTAIN A 30FT.QvfIN-)
1 / s1s SETBACK F20M ALL DRAINFIELD COMPONENTS. PENINSULA SEPTIC D�i+sjGNs
*WATER SERVICE- KEEP 10' (MEN.) FROM ALL NOTE: ROOF TOP DRAINS INSTALLED,MUST SMITH
DRAINFIELD TRENCHES AND SEPTIC TANKS AND EITHER DA.'LIGHT INTO THE STREET OR MUST P.O. BOX 1444, G1G HARBOR WA 98335 PH# (253) 851-2178
PIPES OR ENCASE WITH SCH 40 PIPE. ALSO PROVIDE BE USED IN CONJUNCTION WITH AN INFILTRATION C 7 Q 7
ALL TANKS MUST HAVE RISERS TO FINISH GRADE CRUSH PROOF SLEEVE UNDER DRIVING SURFCES. TI2EICI�A4 tetra 34F F.(N41K-)-SETBACKS- HUGp ER T #V�JU�J PG 1 OF 2
* w W W w_ FROM ALL DRAINFIELD COMPONENTS. I
RECEIVED
'MAY ? 7 2004
BELFAIR OFFICE