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BLD2007-01571 Final SFR - BLD Permit / Conditions - 10/10/2008
360)427- 262 MASON`L`O '44Y DEPT. OF C%v*AUNITYU LOPMENT y* P f7e i0)427(9670,ext7352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD2007-01571 OWNER: JEFF OLSON CONTRACTOR: R.A. HANKINSON AND CO. 360-275-9854 360-731-5407 LICENSE: RHANKC*063N9 EXP: RECEIVED: 9/4/2007 SITE ADDRESS: 1260 NE BELFAIR MANOR DR BELFAIR ISSUED: EXPIRES: 5/29/2008 PARCEL NUMBER: 123302490003 LEGAL DESCRIPTION: S1/2 N1/2 SE NW LOT: 3 OF SP#2319 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR FROM BELFAIR: OUT N SHORE. R ON SAND HILL RD, L AFTER SCHOOL ON MANOR RD. FOLLOW RD AROUND R COURNER TO END OF EASEMENT. PROPERTY ON R ACROSS FROM EXISTING HOME ON nTHFR SInF OF FASFMFNT Pni �IC;N Pos 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: R3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No.of Stories: 2 Occ. Load: Building:2,443 Garage-Attached 708 Valuation: Building Height: 22 Occ.Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: W 144.0 Ft. Shoreline: 312.0 Ft. Water Body: LARSON LAKE R E" 3�2:6 Ft Slope: Ft. SEPA?: No Model: Width: Ft. Si N 20.0 Ft. Shoreline Desig.: Unknown Year: Serial No.: ide 2: S _ 0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical ures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 9/4/2007 $1,057.26 S12007000 Hosebibs 2 Furnace<100K 1 Planning Review Fee KS 9/4/2007 $170.00 S12007000 Kitchen Sink 1 Gas Outlets 2 Fire Warden Review DHS 9/10/2007 $64.00 S22007000 Lavatories 4 Propane Tank 1 Building State Fee MAL 9/26/2007 $4.50 522007000 Showers 2 Ventilation Fan 4 Building Permit Fee MAL 9/26/2007 $1,626.55 522007000 Water Closets (Toilets) 2 Heat Pump 1 Mechanical Fee MAL 9/26/2007 $204.20 S22007000 Water Heaters 1 Propane Stove 1 Mechanical Base Fee MAL 9/26/2001 $25.30 S22007000 Bath Tubs 2 Dryer Vent 1 Plumbing Fee MAL 9/26/2007 $113.30 S22007000 Clothes Washer 1 Plumbing Base Fee MAL 9/26/2007 $22.00 S22007000 utw1. � Total $3,287.11 N BLD2007-01571 Please referto the following pages for conditions of this permit. 1 of 5 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Ir Shelton, WA 98584 flo RESIDENTIAL BUILDING PERMIT BLD2007-01571 OWNER: JEFF OLSON RECEIVED: 9/4/2007 CONTRACTOR: R.A. HANKINSON AND CO. 360-275-9854 360-731-5407 LICENSE: RHANKC*063N9 EXP: ISSUED: SITE ADDRESS: 1260 NE BELFAIR MANOR DR BELFAIR EXPIRES: PARCEL NUMBER: 123302490003 LEGAL DESCRIPTION: S1/2 N1/2 SE NW LOT: 3 OF SP#2319 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR FROM BELFAIR: OUT N SHORE. R ON SAND HILL RD, L AFTER SCHOOL ON MANOR RD. FOLLOW RD AROUND R COURNER TO END OF EASEMENT. PROPERTY ON R ACROSS FROM EXISTING HOME ON OTHFR SInF nF FASFMFNT Pnl SII;N Pn.q General Information Construction&Occupancy Information Square Footage nformation No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF \ Insp.Area: No. of Bathrooms: 2 Occ. Group: R3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Buildi 443 Garage-Attached 708 Valuation: Building Height: 22 Occ. Status: Primary Ba ent: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: W 144.0 Ft. Shoreline: 312.0 Water Body: LARSON LAKE SEPA?: No Side 1: N 31 Model: Width: Ft. Rear: E 331.0.0 Ft.Ft. Slope: Ft. Shoreline Desig.: Unknown Year: Serial No.: Side 2: S 41.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixt FEES Type City. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Ho 1 Plan Check Fee KS 9/4/2007 $1,057.26 S12007000 HOSebibS 2 Furnaces OK 1 Planning Review Fee KS 9/4/2007 $170.00 512007000 Kitchen Sink 1 Ga5s,06tlets 2 Fire Warden Review DHS 9/10/2007 $64.00 S22007000 Lavatories 4 pane Tank 1 Building State Fee MAL 9/26/2007 $4.50 522007000 Showers 2 Ventilation Fan 4 Building Permit Fee MAL 9/26/2007 $1,626.55 S22007000 Water Closets (Toilets) 2 Heat Pump 1 Mechanical Fee MAL 9/26/2007 $204.20 S22007000 Water Heaters Propane Stove 1 Mechanical Base Fee MAL 9/26/2007 $25.30 S22007000 Bath Tubs 2 Dryer Vent 1 Plumbing Fee MAL 9/26/2007 $113.30 S22007000 Clothes Washer 1 Plumbing Base Fee MAL 9/26/2007 $22.00 S22007000 Total $3,287.11 N BLD2007-01571 PI se refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2007-01571 CONDITIONS FOR BLD2007-01571 1) The international code requires a fire apparatus access road for eve facility, building, or portion of a building that is more than 150' from an approved every Y 9 9 pp access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where suc o ds connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 2) This p 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 1-80!�-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X ���� 4) WaterLmuality is not to be degraded to the detriment of the aquatic environment as a result of this project. X 5) Prior to final approval, all upland areas disturbed or ngyijy created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X _ 6) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approv d Site Plan"to ensure these structures are shown and meet the setback conditions listed. X 7) 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 a 61 8) App d per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 9) 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 De p ent prior to any further inspections being performed or approvals granted. X BLD2007-015A Please referto the following pages for conditions of this permit. 2 of 5 10) Owner gent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 11) 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 f approved documents will result in failure of required building inspections. X 12) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 13) The"approved"site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved"site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building partment prior to any further inspections being performed or approvals granted. X 14) Washington State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab Insulation R-10. Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the undersidthe roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X 15) Per 2003 IRC- SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BAS IND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 16) Per 2003 IRC -SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accords ,F with the applicable provisions of this section and the manufacturer's installation instructions. X LL// 17) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion air frogs-cVtside in accordance with the international codes. X U 18) The use, handling and storage of hazes materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X C� BLD2007-01571 Please referto the following pages for conditions of this permit. 3 of 5 19) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charge nd shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 20) 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 re cation. X 21) Installation of heating equipment in single family residences shall meet the requirement of the current WSEC. The furnace to be installed shall not exceed 200% of the heating design load or prescriptive requirements of Chapter 9. Furnace efficiency shall be .78 AFUE or higher or rated 80% combustion efficiency. All ducts shall be securely fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with nufacturers installation instructions. Duct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated to R-8. X 22) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. X 23) Placemen structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 24) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or ulation, must be reviewed and approved by Mason County prior to construction. X 25) 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 sh l be made prior to requesting additional inspections. X L 26) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet theme {lation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X ' P/ BLD2007-01571 Please referto the following pages for conditions of this permit. 4 of 5 27) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be us _ ntil the final inspection has been performed and approved by a Mason County building inspector. X 28) The placement of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulations primarily consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such fe res exist on or nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X 29) All property lines shall be clearly identified at the time of foundation inspection. X 30) 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 C y ordinances and building regulations. X 31) 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 fora jperiod not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder h7"prevented action from being taken. No more than one extension may be granted. X 32) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, 51nd flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 33) Retaining walls needed to support a surchargay�ch as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X ���(� This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation 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 proper ructure f r review nd inspection. OWNERORAGENT: DATE: &��I'd BLD2007-01571 Please refer to the following pages for conditions of this permit. 5 of 5 co r- 0 0 CONCRETE MECHANIQAL MANUFACTURED HOME N) - r- CD . Date By 77� cn C) Footings Ribbons 0 �4 C! Gas Piping b_/ 0 Interior Date By Interior-Date By7_77 Dale By cr) 4 Exterior Date By Exterior-Date By Set-up M o Point Load I Is I ItFootings d Date By n 'I, INSULATION -n BG I SLAB INSULATION Date 2-1, OZ By Dato By FIRE DEPARTMENT Foundation Walls Floors Date By Date By Data 7-C, By DECKS FRAMING Walls Date By Date 6—/gl-c,- Ir By/7_/� Data By PROPANE TANKS PLUMBING Vault Date By Date sy OTHER Groundwork Attic Type, Data By Date By Data By D.W.V DRYWALL Type. Int.Brace Wall Date By W Date e By nf Date By -0 FINAL INSPECTION 0 (1) Water Line Fire Soperation IN) 0) Q Date e��12r_,29 By D111 By Date c-�-23' t3 y T'T a -4 Pass or Request Inspect. 6 5 0 Type of Insp. Fail Date Date. Done By Comments CA - -4 (D COUP. 6 CD Cn 615C 19 (n 0 F4 110- EF (n 'a or "? c sli's-5 A57 7© Ao-A:9120R 0 ��' _ ■ 1 ■■■■■11■■ ! ■ ■ ■■■ r 1 ■i ■■ 1■■ i ON it 1 °°�' ■■ '� mom ME l ■ M■■■■ ■1 ■■ ■�'� ■■■�■■Ii 1� i ■■ ■■■moll■ NONE 1■■ s Ell 1�/■■,/�■■■11 ■ I ■■■■1115.i■■ ■■■■�l■■r/■■■■■■ i ■ ■■■�rf■■ ■//■■■■ ■ i ■ ■■■II■�■ _ ■■ 211 ■■■■■LIME = � i■ Ins ■1 0 In ME wilso ■■ ■■■■ ■la Ili ■ ■■■i rI ■ r Direcdowy SITE PLPI AJECT s d0"raulm�-- 1 .=,mil■ �s • ._•Ci A a Elkam N�t 11 ���11N ■ ��ME ME rMiMEN a maims le / ■���1 MASON &IN1■11 i ■ 111111WIM �E//MONE/fn 1 ■ NOUN III SEE Ell ' ! %a Ili ■1I TWA ',r•.,.� Xg �►�l�.t�.►�tr��►�1.Vo—,P-OGRAPHY PROFILE: t1�1���r��1�,1 ��ft ■ ��..�,,,�.�5..��.r. ■Ia'''11���������Irk ' - 11 Y • OS �. to Approval:for oft&use Building a •a , Owner/Applicant J Parcel Number J 2�330 2 ' DI ! IVIUNU11%-UWIty IVIUP vutPut rapt, rage 1 oI i Mason County Ma Jot % AI, • ji • �` i w - K R J 1 m lu ji a ~ AL 4 I DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to ensure that these data are timely,accurate and reliable.However,Mason County LEGEND makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are Ro 345 � Fp91-rd?Ldlutr approximate,and are not necessarily accurate to surveying or engineering standards,and are intended for informational purposes only.Mason County does not assume any legal liability Hig'wag5 City of 8heltan or responsibility arising from the use of this map in a manner not intended by Mason County. �tivFr' g ,lr«a n; ye:t^1y •un20ty lC ttR) In no event shall Mason County be liable for direct,indirect,incidental,consequential, special,or tort damages of any kind,including,but not limited to,loss of anticipated profits Parcels '.omns,sslor�-f Ds!ncls or benefits arising from use of or reliance on the information contained herein C�Sct/ons Lakes ®2006-Mason County 415 N.Sixth Street Tonhsh p; rs P.M=•t Sound 8 Wufrr Lakeli Shelton,WA 985M http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason_... 3/5/2007 i s , 1 AJE i I i41 � I I E—� 4 51 j :.� TOPOGRAPHY PROFILE: Direction: Scale: i/ u Approval: for ofiiceuse Building Permit number: 1 = !0 Building: Owner/Applicant: N Date of Planning: 1 application: Env. Health: Parcel Number: ( Z 3�d �� q�d Q3 SUBMITTAL STANDARD INSTRUCTIONS/INFORMATION A. Site Plan: Site plans must be drawn to scale.On at least K. Aquifer Recharge Areas: Areas where water infiltrates the soil to the groundwater table. Call Planning Department, 8'h" x 11"paper. A checklist indicating information required on extension 281 the site plan is listed in the site plan application. Incomplete site plans will not be accepted. L. Critical Area: Critical areas include shorelines,flood B. Construction Plans: Plans must be drawn to scale, plains,streams,wetlands, important wildlife habitat areas and preferably'/4'= 1'. Dimensions must be noted on the plans. A landslide hazard areas (such as steep slopes and marine complete set of plans shall include foundation plan,framing bluffs). The planner may need to visit your site to decide plans,floor plans,cross sections,and elevations. A complete whether a buffer zone is required between the critical area and building plan will give the building department enough the proposed structures. Please mark the corners of proposed information on how your project will be constructed. If you plan structure(s) with flags or stakes. to construct a log home, pole building greater than 864 square feet, or a metal structure, calculations stamped by a Washington M. Geotechnical Study: A geotechnical assessment or State licensed engineer or architect,will be required. Also, report will be required if the parcel is located within a Landslide/ red Erosion Hazard Area. require an engineered masonry or concrete structures, ma y q g design.The building official may require additional drawings, details,sections,or stamped-engineered calculations and/or N. Wetland: Areas that are inundated or saturated by surface details. water or ground water at a frequency and duration sufficient to support, under normal circumstances, a prevalence of C. Directions to Site: Provide accurate directions to your vegetation typically adapted for life in saturated soil conditions. project site. This information will be used by staff when they Wetlands generally include swamps, marshes, bogs, and similar review the project and by building inspectors. areas. D. Structural Engineered Calculations: Will be required O. Buffer: An area of land or designated for the purpose of if the proposed structure does not meet conventional insulating or separating a structure or land use from a critical construction standards. Include 2 sets with your building permit area or resource land in such a manner as to reduce or mitigate application. any adverse impacts of the developed area. E. Road Access Permit: May be required if accessing a P. Parcel Number: a 12-digit tax assessment number public road or right of way. Contact Mason County Public assigned to each parcel by the Assessor's Office. Works at(360)427-9670, ext.450 for more information. Q. Legal Description: This describes the parcel of land F. Washington State Energy Code and Ventilation & identified by the 12-digit tax identification number. It is Indoor Air Quality Code (WSEC &VIAQ): Refers to acceptable to submit a brief legal description of the parcel as it Energy envelope calculations and air quality code compliance. appears on record at the Assessor's office. Legal descriptions are used to check the dimensions of a parcel and any G. Existing On-Site Septic System: Documentation of an underlying restrictions such as setbacks from property lines or approved on-site sewage system will be required. An existing easements, lot coverage,or height of buildings. system must have records and a pumpers report,dated within the last three years, per Mason County Health Services Policies. R. Address: Site addresses are assigned through the Mason These policies are case/job specific if you have any questions County Department of Community Development,for more please contact Environmental Health at(360)427-9670 ext. information (360)427-9670 ext. 291. 352. S. Contractor Registration Number: Contractors must be H. Septic Approval or Sewer Permit: A Septic design licensed with the state. The contractor license number can be application must be approved by the Mason County obtained from the general contractor that will be performing the Environmental Health Department prior to permit issuance for all work or through the Labor& Industries website at: Nvwv.iniA-va, single family developments using septic systems. If sewer is govwcontractors. available,sewer permits can be obtained by calling Mason County Utilities at (360)427-9670 ext. 270 or ext. 296 An owner can be an owner-contractor when building on his or her own property. I. Water Availability: The local water purveyor must complete a water availability application if the project will be T. SEPA: The State Environmental Policy Act, RCW 43.21C connected to a public water system. Private well systems and implementing State and County administrative rules. require a water well report, or capacity test,and bacteriological test dated within the previous 12 month period. U. Fire Apparatus Access Road: Mason County Standards J. RLC/Pre-Inspection: Resource Lands and Critical areas require a fire apparatus access road for every facility, building, or portion of a building that is more than 150 feet from an checklist. Includes a site visit by a planner to identify critical existing approved access road. When the new fire apparatus areas on a site. road is installed, it is to extend to within 150 feet of any portion of the exterior walls of any building. Fire apparatus Access Roads Ordinance and details are available. To request a copy call(360)427-9670 ext. 352 NOTE: 51 3 ` SHORT PLA � � J SEE SURVEY BY GORDON GRAYUM LEGEND: N. APP OVED BOOK 10, PAGE 97. SEE ALSO SURVEY 19 DNR 4 C BY WASHINGTON STATE DEPARTMENT OF • C5 (R BAR PLASTIC N 1. 300 D I RECT R NATURAL RESOURCES, BOOK 11, PGS. 155-156 CAP- SEETT 30 3 SEC. ALL RECORDS OF MASON COUNTY, WASHINGTON. Q LS 20106,FUND INLESS OTHERWISE c, SCALE. 1"=200' NOTED ^ �_�0 S n O R 7 FOUND IRO N BAR SOIL LOG NORTH-SOUTH T � , F( W/CAP LS 20708 POSSIBLE WELLSI TE CENTERLINE w o MICHAEL AND E 4.67 N, 1. 10 W 0 100 200 400 SECTION 30 y OF PROPERTY (JEFFREY SMITH do SOURCE OhE MORTAGE SERVICE CORP.) SE ! CORNS 4 N 8732'1 ' W ,1323.57 SECT!ON 30, TOWNSH I P � 330.89 P. O. BOX 34, TAHUYA, V �- ( 30 ESMT. A3 99268 v PARCEL 1123302400000 1 W /r RECORDED UNDER L O T 2 �- Q` DA V I D CHR!ST t ANSEJ� I A.F. J234579 5.58 AC.^ m / ✓� y✓ p th. ■ / 6. N LINE TABLE ,� N0. BEARINGro i Q 'y L 1 S 1834'13" W LOT 1 r �lo ` (ERNEST L2 S 23'17'46" W •.•cm5. 13 AC. _ — ` 9 f.39 r� 3 ` 650+92 Lh P so HUL TGREN)T L4 S 69'16 '52" W j 8T4 50" E �� 3 L 5 S 39 W'55" W :v o LOT 3 G L 6 S 39 45 56" W ° (►� o / 1 i3 ' -'�a`"oo3 �.V rn ,':� L7 S 3377 28 W 2.30 AC. �. Y o; t� L8 S 41'51 '39' W o$ '30 �R I VATE ■ d` s �0 990.72 ,j,8� `- `�° L 9 S 41 5 f '39' W v� I ESMT. iO- 52226 -- �� ---- C L 10 S 6156 '45" W 1 NGRES ,`EGRESS, 5 �. , , E / 9 L 11 S 10*02 '26" W INC (DRAINAGE AND I v + c, L 12 S 10'71 '24' W � UTILlTIES ■ g co LOTS 4 \ ��0 Q� 9 L13 N 52W '14" E N 2:02 AC. y 0o' -.09 ACC SEVEN L 14 N 6077'S4' E L__� (2. 11:AC. TOTAL) `' F, s� 5 S a- 1� PUDD I CODE) L 15 N 01-44'50' E a � 989.92 `_' � �' ��' L 16 S 87 44 50 �' 405.2 -�,1� L 17 S 39'14 '55' W I'-�30' ESMT. AS (FIRST UNION ROL AND AL T~) FND. IRON BAR RECORDED UNDER MTG. CORP.) ��' FOUNDS I A.F.# 380738 DOUGLAS de JOAN W/CAP LS 20706 r IRON BAR NEYHART) ALL ACREAGES CALCULATED TO 3.33N, 0. 13 E r W CAP J AA ES AND THE L I NE OF EXTREME H I GH WATER OF PROP, COR, HOLM , ROF L520706 ( JUDY WARNING. MASON COUNTY HAS NO RESPONSIBILITY TO BUILD, IMPROVE, ?.78 N, JESF I EL D) MAINTAIN OR OTHERWISE SERVICE THE PRIVATE ROAD CONTA I ICED W 1 TH 1 N 232 -,� W OR PROVIDING ACCESS TO THE PROPERTY DESCRIBED IN THIS SHORT (201 Mo SUBDIVISION. RECEIVED MASON COUNTY PERMIT NO. U I ]-T SLF _ 4 Z007 BUILDING PERMIT APPLICATION 426 W. Cedar • P.O. Box 186, Shelton, WA 98584 MAS01Pljeopj�M427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 U�II�v On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner i LACP► ►Jh IJ Company Name ZL�g Z/&62.1/A/_�r Mailing Address _X Z Mailing Address_ /7D Cit State��Zip Code q 8 52-9 City �3�z — "—State �yf� Zi Code - Y P P Phone &O-�752090 Xa o Other Ph. 3(10.91' -1o3.5'8 Phone D -Z7s—yus-�l Other Ph.,:3&r,-7.�/-57/D Lien/Title Holder Contractor Reg. # Ex ZZ— E mail address J TEB rc,GoM E Mail Address ti rrl Drivers Lic.# DOB a Drivers Lic.# ir DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic ✓ Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION - 12 Digit Parcel No Z- 3v Z-4 ,10063 Fire District #Z. Legal Description iN ' - � N� > A--Z Site Address (Please include str e name, s reet number a d city 0 - LFA( t4"6 R.D r� Di r ctions to sit a-) e a„v 'e o 0r r4 1 S ova f2-. .e. ,-fa.e Ja p--f- Will timber be cut and sol in parcel preparation?Yes o Is property within 200'of Saltwater Lake t./ 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 o TYPE OF JOB - New ✓ Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms_—Square Footage- 1st Floor L LOS 2nd Floor 3 5 3rd Floor Basement Deck Covered Deck 6 44 Other Sq.ft. Garage ✓ OD Attached Detached Carport 331 Attached Detached MANUFACTURED HOME INFORMATION - Make Ill/A- 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.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 rmit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided isaocuraie and g nts emp yees f Mason County access to the above described property and structure for review and inspection. PROOF N O O BY MEANS OF A PROGRESS INSPECTION. X Date Owner/Owners 6epresentative/C tractor indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: 1-- Date U DEPARTMENTAL REVIEW APPROV D DENIED NOTES Building Department Planning Department Environmental Health Department Public Works Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee 7 EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee r Other Wood/Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal .� Valuation$ TOTAL FEES 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 I O MATION CONTRACTOR INFORMATION Owner cf.. DLst)Fj Company Name Mailing dres _ Mailin Address-IIZZ City ►V State Wh Zip Code City State Zip Code g ks2-,? Phone .3(e0..xK-Aogd X-oOther Ph._ Phone, —Other Ph. _7_-_'1, Lien/Title Holder Contractor Reg. # 'Exp. E mail address J d i) ea .&YVt E Mail Address-1?!,4AAL 4 10 /rlSit/ D/n Drivers Lic.# L NTb33 43 DOB E111V7 Drivers Lic.# i DOB i SEPTIC INFORMATION - Connect to New Septic t/ Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No 7-33 2-4 6P000'_1? Fire District #t Z Legal Description_S' r12 !J Vl- SL NW Lvf 3 1rl Se *Z 311 Site Address (Please include street na street niirnber and city)TIZ �� NE �R-►_Q kAOD2 R-D Dire�tipnls to$ite P� m swe'dtq' ✓� 't1)IJ k4 0- t✓'I heo r 4.rfeia .r. f- I d 00 +-D Y'o er4-w 16 bn 12 c� f'be j L /a'j 0 Un 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 KLSAKV d\ � Location of Fixtures/Units - 1st FlooL 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric✓LPG v- Natural Gas_Heat Pump Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace 1 Bath Tubs 2-- Heatpumps Showers 'L Spot Vent Fan Water Heater I Propane Tank Clothes Washer I Gas Outlets Kithen Sinks I Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood I Hosebibs Dryer Vent f 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 fr them to apply for thi permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided i ur to nd ants em oye of Mason County access to the above described property a d structure for review and inspection. PROOF U ION F O IS BY ANS OF A PROGRESS INSPECTION. X Date: Owner/Owners epresentative/ ntractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group TVpe 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 r ACCESS & GRADE INSPECTION PERMIT #: 9--D ADD 7— Dl 5-711 ADDRESS. D INSPECTOR DAT : l U 7 DRIVEWAY A4 CESS 1 Length: C11� Width: Z S rface: V/R Size of turn-around: Condition of shoulders: Vertical clearance: need ost at end of drlvew@j with reflective address numbers. o 6 T- GRADErOF DRIVEWAY G 1,� %, OF ROAD Of- ROAD ACCESS Length: Width: Surface: Condition of shoulders: Vertical clearance: ( ) BURN PERMIT REQUIRED FOR LAND Q CLEARING FIRE. (�) LOT INSIDE SMZ, 4X4 FIRES ONLY. ( ) LOTJNSIDE UGA, NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4X4 FIRES. REMARKS IJ61 �Gtil S L-e- (continue remarks on back)