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HomeMy WebLinkAboutBLD2015-00019 Final SFR DDR2015-00001 - BLD Permit / Conditions - 7/21/2015 Inspection Line(36U)427-1262 °�r� MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT BLD2015-00019 OWNER: R J PEABODY CONTRACTOR: LICENSE: EXP: RECEIVED: 1/12/2015 SITE ADDRESS: 90 NE PEG LEG CT BELFAIR ISSUED: 2/26/2015 PARCEL NUMBER: 123305100031 EXPIRES: 8/26/2015 LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 31 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR STOCK PLAN 2012-00007 ST RT 3 TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD, FOLLOW TO BEARDS COVE TO PEG LEG CT TO SITE ADDRESS AT THE END 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: 3 Occ. Group: R-3, U Lot Size: Deck: 96 Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,472 Garage-Attached 400 Valuation: $ 184,170.48 Building Height: Occ. Status: 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 10.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Shoreline Desi Side 1: N 5.0 Ft. 9.: Not Applicable Year: Serial No.: Side 2: S 57.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee GMM 1/12/2015 $284.99 S1201500000001 Lavatories 3 Ventilation Fan 4 Planning Review Fee GMM 1/12/2015 $205.00 S1201500000001 Bath Tubs 1 Exhaust Hood 1 Address Fee GMM 1/12/2015 $ 173.50 S1201500000001 Showers 1 Dryer Vent 1 EH Plan Review KKK 1/12/2015 $205.00 S6201500000001 Water Heaters 1 Building State Fee RTB 1/23/2015 $4.50 S120150000000i Clothes Washer 1 Mechanical Permit Fee RTB 1/23/2015 $76.50 S1201500000001 Kitchen Sink 1 Mechanical Base Fee RTB 1/23/2015 $28.50 S1201500000001 Dishwasher 1 Plumbing Permit Fee RTB 1/23/2015 $ 110.60 S1 2 0 1 5 00000001 Hoseblbs 2 Plumbing Base Fee RTB 1/23/2015 $24.70 S1201500000001 BLD-Plan Copies RTB 1/23/2015 $45.00 S1201500000001 Plan Check Fee RTB 1/23/2015 $8.96 S1201500000001 Building Permit Fee RTB 1/23/2015 $ 1,469.75 S1201500000001 Total $2,637.00 BLD2015-00019 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE NOTES FOR BLD2015-00019 CONDITIONS FOR BLD2015-00019 1) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are r fired for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. 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 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 3) 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 Departme t rior to any further inspections being performed or approvals granted. X 4) Owner/(�PVgeent\is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X a- 5) 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 removal of appr ved documents will result in failure of required building inspections. X_ \ 6) 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 De ment prior to any further inspections being performed or approvals granted. X 7) 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. In addition the following credits from R406.2 shall be completed as follows: 5a W.H. minimum EF 0.93 X BLD2015-00019 Please refer to the following pages for conditions of this permit. Page 2 of 5 8) A permanent certificate, completed by the owner, 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 105.4, 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 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4. 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 IECC/WSEC R401.3 & R101.4.3 Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in %4 or%2 sheets. The Mason County Permit Center will also have some available. X 9) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. 1 X 10) A concrete encased grounding electrode must be installed and used at each new building or structure that is built upon a permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I). For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000. X Pd� 11) 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 exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X A,\ 12) 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 charged and _all be collected by the Building Department prior to any further inspections being performed or approvals granted. X 13) 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. X BLD2015-00019 Please refer to the following pages for conditions of this permit. Page 3 of 5 14) 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 �J�,� A 15) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance I tion, must be reviewed and approved by Mason County prior to construction. X 16) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND 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 shfq,jl be made prior to requesting additional inspections. X �}�y� 17) All property lines shall be clearly identified at the time of foundation inspection. X 18) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a 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 Coun o dinances and building regulations. X Mom, 19) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder ha v r vented action from being taken. No more than one extension may be granted. X 20) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, a fl shing. Install metal connectors approved for contact with the new types of pressure treated material. X 21) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAY. X 22) Approved r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X BLD2015-00019 Please refer to the following pages for conditions of this permit. Page 4 of 5 . .23) All construction and demolition debris must be removed from the site after project completion. Pro er disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 24) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing, straw, and surface matting must be installed and maintained until upland vegetation has become established. X 25) Concrete leachate and wash water must be contained during construction pouring, such that water quality degradation of adjacent waters does not occur. X A� v 26) 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 Site Plan"to ensure these structures are shown and meet the setback conditions listed. X Q-A -- 27) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meetthe setback conditions listed. X V" y 28) On-site septic system final installation required prior to temporary/final occupancy. 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( am the owner, owners legal representative, or contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) 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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICAT N OF 180 DAYS WILL INVALIDATE THE APPLICATION. Signature Date OWNER - PRESENTATIVE - CONTRACTOR Print Name cle en o indi te) BLD2015-00019 Please refer to the following pages for conditions of this permit. Page 5 of 5 W o CONCRETE MECHANICAL MANUFACTURED HOME m o Date `71S�/ By LU)L D ' j Footings !Setbacks Gas Piping Ribbons W oInterior Date By Interior-Date By Date By 0 o _ (0 Set-up Date By Exterior-Date By Sent r Point Load I Isolated Footings INSULATION Date By Date By BG I SLAB INSULATION L Data By FIRE DEPARTMENT Foundation Walls Floors &Wu 5 X- i- Date By Date By Data By DECKS FRAMING Walls (j Date By Date Z �— By L t( Data Z By 41016 PROPANE TANKS PLUM IN Vault Dates By Date 7 Zi /s' ey LVL OTHER ^ Groundwork Attic Date By Date By Type. Date 6y D.w.v DRYWALL Type- Date " Int.Brace Wall Date Date By B FINAL INSPECTION p (D Water Line Fire Separation N m m Date By Date By Date Zt �� By �1'1 C m cn s Pass or Request Inspect. c Type of insp. Fail Date Date Done By Comments o CD S w► ass 3 3 !s' 3 1 I l.i7i l co 10 .. Pro o J I'w to a' V C° y {�i i Cr SS �u 0 s...r IDro + t.,� W4 0 CL ra�ne 0 ®lr�a- h t Cn �0 -r A, I'D/ Log— ASS cn m 0 h Permit# ZD)511WD/9 MASON COUNTY . BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 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 3 G 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 ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural ' OK to �, �/ e G � ,r /J �(.G damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT Date — 195'-;�q-15-, Department CORRECTION NOTICE. Inspector . �� N* VT , ' �rl* 014 T I " T `-smni N G ' Name 1D O Parcel#!X 3 O li I bo o 3 BLD#2 OIW 1J Mason County JAN 2 12015 Department of Community Development 426 E Small Parcel Stormwater Management Application[Worksheet(page "o 2gA� $� 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 2,0DD square feet of impervious s•urfacez. tRf--d vmlorsment means,on an already developed site,the creation or addition of impervious surfaces,struct s 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 imoervious 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 othm-surfaces which similarly impede the natural infiltration of stormwate:r.Opel,uncovered retention/detention 56dities shall not be considered as impervious surfaces. oet :Tyr"s 7rabT '='- T .. actlafe:lriipeiviosceTeasE C rip- Surface Type Length X Width - = Area *All dimensions in feet Buildings X 3 = O X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per dennitifln above table X = PatiosAvalks X = X = Any paved, gravel or packed area per definition above table X = Others X X = if.the total impervious area thd proposed-site X = �.develoPrnei�is.graater than.�pDDsquare t�eef a.. _- Smail Pa_r-cel,Stomiwater;Site;PTari is Required.: Tot*irn o.i§.Surfacei Via:-94m-afA7are37k 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 Stormweder Site Plan E NOT required for this development activity. OwnevBuilder/Agent Aclmowledges that submission of inaccurate information may result in a stop work order or pezmit revocation. Acknowledgement of such is by side below.I declare that I am the owner,owner`s legal representative,or the contractor.I further acknowledge that the information provided is acme-ate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X OwneJAgent/Contractor(circle one)Date: I �_ 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. Paz- 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 Sde 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: httD//www.co.mason.wa--us/code/commi-ssioners/mdex 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 stonmwater 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 altemative 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, 77w Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO DgDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS Sri'E A) The relevant details from Ianaging Storm Drainage on Small Lots, 772e Small Parcel Stormwater Site Plmi 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 Depa-,tm=t of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have farther 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 OVA 98584 Physical:426 W Cedar St, Shelton WA 98594 A condition will be added to the building permit that states, in part,that all conditions the stonmwater site plan will be met prior to a request for final inspection of the building permit. Ov,m-/Builder/agent Aclazowledees that submission of inaccurate information may result in a stop wort:order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner, ovmer's legal representative, or the contractm I further acknowledge that the information provided is aceuiate and employees of Mason County are granted access to the above- descnbed property for review and inspection as may be required. v -a Owner/Agrnt/Contraetor(circle one)Date Pazt 2 of 2 �. RECEIVED BUILDING zo,4 engineering Hodge MAY28 inc. 426 W. CEDAR $1 Thursday, May 01, 2014 BPL 2014.3 Project # 14.0293 Mason County Planning Dept. PO Box 279 Shelton, WA 98584 RE: Stock Plan Letter RON THOMAS SKD Plan # Thomas 5 To Whom It May Concern: I have provided the lateral load engineering for SKD Plan #Thomas 5. The engineering may be submitted for stock plan in Mason County. Each use of the engineering must have a site specific letter to ensure site compatibility. Please call with any questions regarding this matter. 5/1/1 0� 1^e- :.: BPL o z ,37886 John " Hodge Engineering,Inc. John E.Hodge P.E. 26oi Jahn Ave.NW Ste.A].Gig Harbor,OVA 98335 (253)857-7055 Fax(253)857-7599 °N °p����' MASON COUNTY Permit No•1�1d oZ 15 fi, -61(9 DEPARTMENT OF COMMUNITY DEVELOPMENT jc. BUILDING•PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352 http:/Iwww.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352 7854 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352 BUILDING BUILDING PERMIT APPLICATION PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: ME NA : T Pam.C, b ® ok L, NAME: MAILING ADDRESS: -'O 6 S MAILING ADDRESS: CITY: R U STATE' . ZIP:q bw CITY: STATE: ZIP: PHONE, o fib: I-3UQ-340- PHONE: CELL: EMAIL: Y i y-P-cd LQ s: 1 T-e Q Vvi s ti •C a'YI„ EMAIL : L&I REG# EXP. CONTACT : OWNER CONTRACTOR BELOW ❑ NAME: as MAILING ADDRESS: CITY: o K I STATE: UJ " ZIP: 4 S-3 Y ro PHONE: CELL: 3(.,o 3 4-o 0,z o EMAIL: C o S ( � S 2 G by►Q i C VI PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT MBER) 2, 2) 3 O I0 0 O 3 1. FIRE DISTRICT o� LEGAL DESCRIPTION(AB ED): o n r C. SITE ADDRESS CITY DIRECTIONS TO SITE ADDRE w, s,'�. J ®Y 1 -t—p I q Y S o J'Q C� vi Ta tD IRh �V \ 0. fir�� tog IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO TYPE OF JOB: NEW [>,\ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(REsiDENcE,GARAGE ETC.) IS USE: PRIMARY a SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS z DESCRIBE WORK n-a%,,, SQUARE FOOTAGE: I ST FLOOR S O sq.ft. 2ND FLOOR (�k"7 10 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK &O sq.ft. COVERED DECK_L o sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. ATTACHED K DETACHED ❑ CARPORT sq.ft. ATTACHED iETACHED ❑- MANUFACT ORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED MODEL YEAR LENGTH TH BEDROOMS BATHS NUMBER OWNER 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 or owner's legal representative. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42) Xi�-( � � Signature of OWNER Date DEPARTMENTAL REVIEW APPROVE DATE. DENIED DATE TA ONS BUILDING DEPARTMENT sN JM 2 9 20b PLANNING DEPARTMENT FIRE MARSHAL FEE'5 TOTAL,;VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE ` .ilyt K J ASos Co, `MASON COUNTY PERMIT NO. 616120115 .� 19 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 7854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: c,V)o 9 NAME: MAILING ADDRESS: (',0, ti a G S MAILING ADDRESS: CITY: v. STATE: ZIP: CITY: STATE: ZIP: PHONE: 0CELL: PHONE: CELL: EMAIL: '0 M S'Y) . C'6'li," EMAIL : L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): 3 3 0 ( - © e 3 I LEGAL DESCRIPTION(ABBREMTED): L- o 3 I a J ' C a " SITE ADDRESS: CITZ' DIRECTIONS TO SITE ADDRESS: TYPE OF JOB 1n NEW i/' ADD ALT REPAIR OTHER USE OF BUILDING R�S LOCATION OF FIXTURES/UNITS— 1 IT FLOOR t/' 2ND FLOOR -*' BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_V' LPG Natural Gas Ductless_ Toilets 3 Type of Unit No. of Units Fees Bathroom Sink Furnace F Bath Tubs Heat Pump Showers Spot Vent Fan T Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove -- Dishwasher I Kitchen Exhaust Hood 1 Hose bibs Dryer Vent Other Solar Panel 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X _ Signature of Applicant Date X �� .711 D VVX 0-f Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT C PLANNING DEPARTMENT FIRE MARSHAL SON cou MASON COUNTY r Permit No:1516 615-(&jq DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL (360)427-9670 Shelton ext. 352 http://www.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352 `` -- 426 W Cedar Street, Shelton WA 98584 (360)482-5269 Elma ext. 352 1854 PLA N I BUILDING PERMIT APPLICATION 1 ' PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: T P-Q Ct b ookLy NAME: MAIL G ADDRESS: V' O G 5 MAILING ADDRESS: CITY: tc►- STATE: ZIP: CITY: STATE: ZIP: PHONE:, bon 64aGE-EL: I- HONE: CELL: EMAIL: h ' v �LT-e C tr� EMAIL : L&I REG# EXP. CONTACT : OWNER J CONTRACTOR BELOW ❑ NAME: as MAILING ADDRESS: CITY: 0 oKl ,o STATE: GJ " ZIP: 4 �-3 'r /6 PHONE: CELL: 3Go 3 4-o-o—o EMAIL: C-o W S , f S 2 a1 w►Q; � , C a rv► PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT ER) 3 3 O I 031. FIRE DISTRICT LEGAL DESCRIPTION(AB D): P p r C. SITE ADDRESS CITY DIRECTIONS TO SITE ADDRES � w, G,'Y a� / oV 1 . -r8 I q Y S 1), - 1,0 �� Tn S(C t �D IR-y w\ 0. t 1. Re. to a IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RTINOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO TYPE OF JOB: NEW [�\ ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) R-0-.,. IS USE: PRIMARY a SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS Z DESCRIBE WORK SQUARE FOOTAGE: � ,� I� Y1 20 f 2.y QQQ 1 ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK &D sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. ATTACHED K DETACHED ❑ CARPORT sq.ft. ATTACHED ijETACHED ❑ MANUFACT $Ah-1�I +FORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED MODELI '�` YEAR LENGTH TH BEDROOMS BATHS NUMBER OWNER 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 or owner's legal representative. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or legal representative, represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)for review and inspection. This permittapplication 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 OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MAS�� 2) x - 1 AN 2 t 2015 Signature of OWNER Date DEPARTMENTAL REVIEW APPROVE DATE H- DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT IL 1L FIRE MARSHAL FEE'S TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO-TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE i NOTE: 160' PRESCRIPTIVE FLOW CONTROL MEASURES 83' , +2' ARE TO BE DESIGNED BY LICENSED INDIVIDUALS 60' �`�� IAW WITH APPLICABLE STATE AND COUNTY CODES. ti°� 10�fl L3.4 ,AN 2 0 20b THE DEPICTION OF I-PITS ON THIS SEPTIC DESIGN IS FOR 55' �� I,Ubbe.2.ots ILLUSTRATIVE AND PLANNING PURPOSES ONLY,AND 50' y ��' 426 W. CEDAR S1 SHALL NOT BE CONSTRUED AS A FINAL SOLUTION TO o STORMWATER MANAGEMENT. 35' PL I NU 24"ROUND R ERS RECEIVED p ROPO, 3e F�yo PROPERTY OWNER NOTE: F e� FOR �'SF JAN 2 12015 Carefully review ALL aspects of this septic 0 F EOM design.ANY costs incurred due to changes to o 426 W. CEDAR ST this design after submission to KCHD and DCD are the sole responsibility of the property owner. 40 ^o SLR �! i �z ,5Ae)A i MgRyoR9/ i CLEANOUT AND MONITORING PORT DETAIL NR�F�D e I- o W -2' 53' -2' a� 59 ,a�,� PLANNING � ALL SETBACKS ARE MEASURL :- FROM THE FURTHEST PROJECTION OF TH 4"PIPE - - - - - - - - E BUILDIN MASON APPROVED • �.P�G-_L�G� �-- = • - ' . - � . -- - SITE P N COUNTY DCD PLANNING l � - REQUIRED TO BE ON SITE • : - CH NGES SUBJECT TO APPROVAL 0' 5'10' 2 5' S 0' 75' 100' e• ::o_ e_ e : o : By - ate%_MM6 Md- SCALE (FEET) O; AC...... ?i y2:!ir- THIS IS NOT A SURVEY. ALL PROPERTY LINES/BOUNDARIES HAVE BEEN DEMONSTRATED BY THE OWNER(S) AND/OR THEIR AGENT(S). DRY WEATHER INSTALLATION AND SITE PREP REQUIRED. PROTECT PRIMARY AND RESERVE DRAINFIELD AREAS FROM ANY VEHICLE TRAFFIC. MASON COUNTY galohCounty Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 411 N. Fifth Street/P.O. Box 279, Shelton WA 98584 GG 360.427.9670 ext. 352 Date Rcvd Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) For administrative review, the minimum variance on a setback request is 5 feet from the side yard lot lines and 10 feet for front and rear lot lines or any access easement. Request for further reduction requires a standard variance. Setbacks are measured from the furthest projection of the structure including roof eaves and gutters. zuuCEWED Applicant/Owners: YIQ �0 JAN 2 12015 Mailing Address: d °'1 G 426 W. CEDAR ST. City: �j V�V, State: �✓ Zip: � 3a Telephone on 46 V yiaC� �tob• 3` b.D0 0 Email: `C�\ias\� @ ` \S V\ .C6xM If this reduction is tied to a building permit, please give permit case number. BLD 26 15 - 00019 Parcel Number(s): 1 AMC) '51 • OW3 1 , Zoning Site Address: L Requested setback variance: ft. ❑ Front Rear ❑ Side ft ❑ Front ❑ Rear Side ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks—From access easements and road right of ways. Minimum 10 feet. Rear Setbacks—From the rear property line. Minimum 10 feet. Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations. An illustrated site plan is required. Your site plan must show the following: north arrow, abutting street or easements, set backs to all property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and driveway. Show all proposed new development. IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/16/10 w FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ cL) lot size of no more than one-fourth acre; .Q e) existing improvements of buildings, septic systems, and well areas. SIDE YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot(check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 Feet; �,❑ d� lot size of no more than one-half acre; ❑ e) existing improvements of buildings, septic systems, and well areas. Explain how these circumstances preclude a reasonable development proposal from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones. Lo 4 i Owner/Agent (please indicate) ignature Date Official Use Only Approved by: 1 r? Date Denied by: Date Reason for denial: IACommunity Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/16/10