HomeMy WebLinkAboutBLD2014-00553 Final Remove MFG Home with SFR DDR2014-00047 - BLD Permit / Conditions - 11/25/2014 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 279
Shelton, WA 98584
too
RESIDENTIAL BUILDING PERMIT BLD2014-00553
OWNER: R. J PEABODY RECEIVED: 6/19/2014
CONTRACTOR: RJ PEABODY, INC 360.895.3235 LICENSE: RJPEAP1861DU EXP: 3/31/2016 ISSUED: 8/5/2014
SITE ADDRESS: 410 NE LARSON BLVD BELFAIR EXPIRES: 2/5/2015
PARCEL NUMBER: 123305100041
LEGAL DESCRIPTION: BEARDS COVE DIV 4 LOT: 41
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REMOVE EXISTING MFG HOME REPLACE WITH NEW SFR (STOCK ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD, R ON SAND
PLAN 2012-0007) HILL RD, L ON LARSON BLVD TO SITE ADDRESS
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: R3U Lot Size: Deck: 96
Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,472 Garage-Detached 400
Valuation: $ 182,259.44 Building Height: Occ. Status: Primary Basement: COV PORCH 84
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 40.0 Ft. Shoreline: Ft. Water Body:
Rear: N 10.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 42.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W 10.0 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 6/19/2014 $282.75 S1201400000001
Lavatories 3 Ventilation Fan 3 Planning Review Fee GMM 6/19/2014 $205.00 S1201400000001
Bath Tubs 1 Exhaust Hood 1 EH Minor Plan Review ALP 6/19/2014 $ 100.00 S7201400000001
Showers 1 Dryer Vent 1 Building Permit Fee DLC 7/23/2014 $ 1,458.55 S2201400000001
Clothes Washer 1 Mechanical Permit Fee DLC 7/23/2014 $67.50 S2201400000001
Water Heaters 1 Mechanical Base Fee DLC 7/23/2014 $28.50 S2201400000001
Kitchen Sink 1 Plumbing Permit Fee DLC 7/23/2014 $ 110.60 S2201400000001
Dishwasher 1 Plumbing Base Fee DLC 7/23/2014 $24.70 S2201400000001
Hosebibs 2 ADJUST--Plan Check Fee DLC 7/23/2014 $8.96 S2201400000001
BLD-Plan Copies DLC 7/23/2014 $45.00 S2201400000001
Total $2,331.56
BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 1 of 7
CASE NOTES FOR
BLD2014-00553
CONDITIONS FOR
BLD2014-00553
1) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There arepotential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
X890.,647 . The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
2) 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
Depa any further inspections being performed or approvals granted.
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3) Ownesponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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4) 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 ap roved documents will result in failure of required building inspections.
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5) All slabs within the heated space shall be insulateAto a minimum R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X.
6) THE F= SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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7) 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
Buildi D rtm t prior to any further inspections being performed or approvals granted.
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BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 2 of 7
8) 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:
Option 5A(0.50. credit): Efficient water heating, Electric water heater with min. EF of 0.93. All showerheads and kitchen sink faucets shall be rated at 1.75
GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or less.
PROVIDE COMPLIANCE INFORMATION FOR THE WATER HEATER, AND FAUCETS AVAILABLE AND ON-SITE FOR FINAL OCCUPANCY
INSPECTION.
Maxim Am heat equipment output: 25,144 btu/hr
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9) 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 Y4 or Y2 sheets. The
Maso County Permit Center will also have some available.
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10) 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.
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11) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
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BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 3 of 7
12) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
Ad ' edge shall be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5)
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13) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system
of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contract r is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
14) Stock Plan Identification number: 2012-0007
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspeetpr at each required inspection.
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15) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created.ltzi
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16) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
access road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such r s connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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17) 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 s e d by the Building Department prior to any further inspections being performed or approvals granted.
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BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 4 of 7
18) 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.
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19) Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the
IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC
systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be
available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made
substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous
glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape.
Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive
tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened.
Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts
shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets
equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance
to IECC/WSEC Section R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are
available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct
tightness testing is not required if the air handler and all ducts are located within the heated space.
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20) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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21) 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.
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BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 5 of 7
22) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinan or egulation, must be reviewed and approved by Mason County prior to construction.
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23) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspect sh la 1 be made prior to requesting additional inspections.
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24) All property lines shall be clearly identified at the time of foundation inspection. X
25) 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 Couft ordinances and building regulations.
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26) 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 r�epv�ennttee�d action from being taken. No more than one extension may be granted.
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27) 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
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28) Approved.,pjqr dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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29) All construction and demolition debris must be removed from the site after project completion. Prop is osal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
30) Concrete leachate and wasb water must be contained during construction pouring, such that water quality degradation of adjacent waters or properties
does not occur. X
31) Temporary erosion control measures must be implemented to prevent water quality degradation of adjace at rs or properties. Silt fencing, straw, or
surface matting must be installed and maintained until upland vegetation has become established. X
32) Prior to final approval, all upland areas disturbed or newly ted by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 6 of 7
33) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Appr)aved Site Plan" to ensure these structures are shown and meet the setback conditions listed.
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34) 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.
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35) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 1Oft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foun {ion drains within 30ft, down gradient of drainfield/reserve area.
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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
PER T APPLICATI N OF 180 DAYS WILL INVALIDATE THE APPLICATION.
Signature Date
OWNER PRESENTATIVE) - CONTRACTOR
Print Name ( (Circle one to indicate)
BLD2014-00553 Please refer to the following pages for conditions of this permit. Page 7 of 7
90 '
_ 4Sr
AR ROVED
p MASON COU14TY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHANG S S BJECT TO APPR VAL
By Date
90
d
Lk S011 GLV
r
Name d2e � 1�. Parcel#1 cD D(D 04,t- � BLD#
Mason County BUILDING
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet(page I of 2)
Per Mason County Code, T-le 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface.
°Redevelonmant means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural innit ation of storrnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
T. rv, ces.= leasortip a# ;Thls T5b1 _
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
X = S Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X 13 _
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
PatioslWalks X
X = Any paved, gravel or packed area per definition
above table
X =
Others X = - - , - -
X if,the total.impervious area of the proposed site
X = development is.-greater than.2DDO•square feet a
Small Parcel:Stormwater:Site.Plan.i§Required..,
Total lrnperviou§Surface Area(sum of a(l areas [� S t
If the Total Impervious Surface Area is LESS TRAM 2 are Feet, please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan H NOT required for this development activity.
O-AmerBuilder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for eview and inspection as may be required.
X Owne,/A ntlCon r(circle one)Date: to- l'i-'-101
If the Total Impervious Surface Area is GREATER TRA 2000 Spuare Feet,please read, i\L'V � ED�
the information provided on page 2 of 2. altr V
Page 1 of JUN i ri 2014
NameT3 "1-L Parcel# )Q,3 3 05 �Q`�4V BLD#
Mason County
Department of Community Development
SmaIl Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
htto//www.co.mason.wa—us/code/commissioners/index.htm
PIease follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48.section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan".This document will assist.
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this docum ent will constitute an approved plan if all of the relevant details*are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout'
PLEASE E ITUL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SM
A) The relevant details from Managing Storm Drainage on Small Lots, The Sma11 Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT.450
Mail:P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has, or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel. You may also wish to consult with the septic design professional involved with the project Mason
County Division of Environmental Health can be reached at:
Phone: (360}427-9670 EXT.352
Mail:P 0 Box 1666, Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
Prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agtnt/Contractor(circle one)Date
Page 2 of 2
cop�� MASON COUNTY PERMIT NO. Ic1 20H- 53
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL
WWW.CO.MASON.WA.US 60)427-9670 Shelton ext.352
Mason County Bldg. III,426 West Cedar Street ( 0)275-4467 Belfair ext. 352 ,5
785a PO Box 279, Shelton,WA 98584 482-5269 Elma ext. 352 J
BUILDING P PPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: a -N poc- �011 NAME:
MAILING ADDRESS: ,, MAILING ADDRESS:
CITY: G Li v 19,, STATE:_ZIP: CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL,: c`�Q�;�a S Z'-Z�VYl n' EMAIL : p,
L&I REG# fin EXP.
PARCEL INFORMATION:
426 W r'FDAR ST
PARCEL NUMBER(12 DIGIT NUMBER) 3 O t�I a U* D FIRE DISTRICT_
LEGAL DESCRIPTION( BREVIATED)
SITE ADDRESS I ( nr'L v, U rJ CITY ct
DIRECTIONS TO SITE DRESS `-iY o'er Y' '
o Q X-h'-5 V a 1.
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 JJ
TYPE OF JOB: NEW *� ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) �-0 S .
IS USE: PRIMARY SEASONAL +�—NUMBEF,OF�DR COS S . �N MBE�OF BATHROOMS
DESCRIBE WORK rl.� �,, rpG
SQUARE FOOTAGE:
1 ST FLOOR TO sq. ft. 2ND FLOOR '�5 7 O sq. ft. 31RD FLOOR sq. ft. BASEMENT sq. ft.
DECK "�3 w sq. ft. COVERED DECK_sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE o� sq.ft. ATTACHED ❑ DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑
MANU IOME INFORMATION: *4 COPIES OF THE FLOOR P
ODEL YEAR LENGTH
TH BEDROOMS BATHS SERIAL ER
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
INSP59TION. IN TIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X � 12 A
ignature licant Date
X INIA Wd\,v,
R S OWNER/ RESE TIVE /CONTRACTOR
Print Name (CIRCL INDICATE)
DEPARTMENTAL REVIEW APPR VED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 1
PLANNING DEPARTMENT
FIRE MARSHAL l�l - 5 I - 00
ro�P$ON cot, MASON COUNTY PERMIT NO.31GI 20Ig 001173
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
1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elm 3
t"
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: c CONTRACTOR INFORMAT7
NAME: NAME: Vp
MAILING ADDRESS: MAILING ADDRESS:
CITY: U ylQ. STATE: ZIP: CITY: STATE: ZIP:
PHONE: CELL: PHONE: CELL:
EMAIL: r ` ,-Q c�,9 y-Tc;"('� y11 1� C' EMAIL :
L&I REG# EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER): 3 5
LEGAL DESCRIPTION(ABBREVIATED): L--,'
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS: D E!'rJJ-JAL T 7r.Tl
TYPE OF JOB
NEW_V- ADD ALT REPAIR OTHER USE OF BUILDING 426 W_ ( FILAR ST
LOCATION OF FIXTURES/UNITS— 1 IT FLOOR 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 Type of Unit No. of Units Fees
Bathroom Sink 3 Furnace
Bath Tubs 2., Heat Pump
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer V Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
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.
Signature of Applicant Date
X Owner/Owners Re resentat a/Contractor
Print Name (indicate w one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
< �CLtC�
MASON COUNTY Mason County Permit Center Use:
DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 2.011A - 6Wq_1
411 N. Fifth Street/P.O. Box 279, Shelton WA 98584
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.
Applicant/Owners: (�
Mailing Address: \ (D I l7 7
City: U VU State: —Zip:
Telephone"In
Email: t ('��i�t S \e��-�2 �M S h •C o
If this reduction is tied to a building permit, please give permit case number.
BLD ZQ 14 - 00�5
Parcel Number(s): I `,�) 3 8 S 10 0 O �F- Zoning-5
Site Address: �k� 10 L01 n gnA V J _ -5 1
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. RECEIVED
Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. 201
JUN 3 0
An illustrated site plan is required. 426 W. PTDAR S 1
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 Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/16/10
A
FRONT AND OR AR Y REDUCTION RE UESTS:
For existing lots of re d as 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-fourth acre;
'X 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.
C, r 9 N t —.e—
G�.
Owner/Agent (please indicate) 9,h — I
ignature Date
Official Use Onl
Approved by: L Date
Denied by: Date
Reason for denial:
IACommunity Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/16/10