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Home My WebLink AboutBLD2000-00625 Cancelled SFR and Garage - BLD Permit / Conditions - 3/5/2003 Inspection Line (360)427-7262 MASON COUNTY PERMIT ASSISTANCE CENTER Phone: (360)427-9670, ext. 352 Mason County Bldg. 3 426 W. Cedar P.O. Box 186 Shelton, WA 98584 RESIDENTIAL BUILDING PERMIT � _s'CAL02,000-00625 OWNER: JOHN VANDIJK 275-4176 ��>5CONTRACTOR: � CEIVED: 05/30/2000 SITE ADDRESS: 31 NE SCHOONER PL BELFAIR J0g0 ISSUED: 11/21/2000 PARCEL NUMBER: 123305200023 �► �� EXPIRES: 05/21/2001 LEGAL DESCRIPTION: BEARDS COVE DIV 5 BLK: LOT: 23 PROJECT DESCRIPTION: DIRECTIONS TO SITblQ. RESIDENCE AND GARAGE LEFT ON LARSON LKRIGHT ON SCHOONER FOLLOW TO END OF CULDESAC VACANT LOT ON LEFT General Information Construction & Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: 5N Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R3U1 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,227 Garage-Attached 320 Valuation: $70,696 Building Height: 16 Occ. Status: Unknown Basement: Cvr Porch 48 Manufactured Home Information Setback Information Shoreline & Planning Information Make Length: Ft. Front: E 29.0 Ft. Shoreline: Ft. Water Body: Rear: W 15.0 Ft. Slope: 20.0 Ft. SEPA?: Model: Width: Ft. Shoreline Desig.: Side 1: N 10.0 Ft. Year: Serial No.: Side 2: S 60.0 Ft. Comp. Plan Desi .: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee KLW 05/30/200 $450.78 53538 Hosebibs 2 Ventilation Fan 3 Planning Review Fee AHB 06/28/200 $38.00 55118 Kitchen Sink 1 Building State Fee MJB 07/14/200 $4.50 55118 Lavatories 2 Adjust Plan Check Fee MJB 07/14/200 $8.12 55118 Water Closets (Toilets) 2 Building Permit Fee MJB 07/14/200 $706.00 55118 Water Heaters 1 Mechanical Fee MJB 07/14/200 $29.00 55118 Bath Tubs 2 Mechanical Base Fee MJB 07/14/200 $22.00 55118 Clothes Washer 1 Plumbing Fee MJB 07/14/200 $75.00 55118 Plumbing Base Fee MJB 07/14/200 $20.00 55118 EH Plan Review PSD 11/02/200 $50.00 55118 Canceled Permit/Plan KS 11/21/200 $184.50 55118 Total $1,587.90 41�NLD2000-00625 Please refer to the following pages for conditions of this permit. 1 of 3 CASE NOTES FOR BLD2000-00625 CONDITIONS FOR BLD2000-00625 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X ;1 2) This application is subj roBuffer and Landscaping requirements as established and ason County Ordinance 1.03.036.X 3) The use, handling and s orage of hazardous matey al ammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X 4) Provisions for surface/subsurface drainage control ust 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 fe our project. X 5) Proposed structure or any oion thereof greater than 30" in height from rade must maintain a minimum of 5' setback from all property lines, easements and 10' from all County and State Road right of ways. X 6) Structure must be setback 5' fro al lity and drainage easements, a total of 10' from each property line, or a variance must be obtained from the Building Department. X 7) Approved per dimensions and�Ptbacks on submitted site plan. X 8) All upland areas disturbed or newly cre by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 9) All approved plans are required to be on-site for inspection purposes. If inspection is called f-or and plans are not on site, Approval WILL NOT be granted. In addition, a Re-Inspection fee in the amount of$42.00 per hour (minimum 1 ur) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X BLD2000-00625 Please refer to the following pages for conditions of this permit. 2 of 3 10) PURSUANT TO 1997 UNIFORM BUILDING CODE, ALL SITES MUST HAVE APPROVED NUMBERS OR ADDRESSES PROVIDED IN SUCH A POSITION AS TO BE PLAINLY VISIBLE AND LEGIBLE FROM THE STREET OR ROAD FRONTING THE PROPERTY. MASON COUNTY BUILDING DEPARTMENT REQUIRES THAT THIS BE COMPLETED PRIOR TO CALLING FOR ANY SITE INSPECTIONS. A REINSPECTION FEE, BASED ON RATES AS ADOPTED BY THE JURISDICTION AND THE 1997 UNIFORM BUILDING CODE WILL BE ASSESSED IF OWNER/CONTRACTOR FAILS POST ADDRESS ON SITE PRIOR TO REQUESTING INSPECTIONS. X 11) The ap rov d plot plan is required to be on-site for inspection purposes. If inspectio is called for and plot plan is not on site, Approval WILL NOT be granted. addition, a Re-Inspection fee in the amount of$42.00 per hour(minimu 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. X 12) Any changes in construction shall be reviewed by engineer of record and submitte in riting to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans an ust remain attached thereto. If engineering documents are removed, approval will not be granted. In addition, a re-inspection fee of$42.00 per hour (minimu 1 ho ll be charged and must be collected by this department prior to any further inspections being performed or approval granted.X 13) ALL CONSTRUCTION MUST MEET OR EXCEED ALL LOCAL CODES AND UBC QUIREMENTS AND OCCUPANCY IS LIMITED TO THE PERMITTED AND APPROVED CLASSIFICATION. ANY CHANGE OF US OCCUPANCY WOULD RESULT IN PERMIT REVOCATION. CHANGE OF USE MUST BE APPROVED PRIOR TO CHANGE. x 14) Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Ind it uality Code, the Uniform Building Code and/or Mason County Regulations must be approved by Mason County prior to constructionX 15) CONSTRUCTION PROCESS T` BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND UNIFORM BUILDING CODE.x 16) All property lines shall be clear) Q entified at the time of foundation inspection. X This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any time after work is copiTenced. Evidence of continuation of work is a progress inspe tion within the 180 day period. Final inspection must be approved before b ilding c be ccupied. l OWNER OR AGENT: [DATE- OWNER BLD2000-00625 Please refer to the following pages for conditions of this permit. 3 of 3 i CCONC:-ETE MECHANICAL MOBILE HOME Footing--$-Abu-k date by Ribbons date_ '-O/ by Gas Piping date b Foundation Walls"` /� date b Set Up date �/" _ by 11��'' INSULATION date by BG/SLAB Insulation Floors Final date by date by date by FRAMING Walls FIRE DEPT. I date !69^-1 '!5'1 by date , �—� b j date by PLUMBING y OTHER Groundwork Attic date by date by D.W.V. WALLBOARD NAILING date _ L 'fi by date by Water Line FINAL INSPECTION date by date by date by g2 ,Ak2%O S 7c �Di?i LC Imo- b�Eli tic i�✓ n��u/ r� zL - 7W tV - 2 'f -cam/ k/ JU L • yu o.✓ JK OF Qv--, S/f-7r- 1' S GC3 f c mil es �i?J/ Lz jc c EI21e- ITT" 7—� Building Permit # �� c,G, MASON COUMTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427.9670 CORRECTION NOTICE Job Location i (-r ti < ' - , 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 code compliance 'Ce-- �, U:•y.�i,� VF��I S ��,,r" �?'l-/YT i C lr I �.,�-j� U,,.,9 � � _ 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 Make corrections, items will be checked on next inspection ❑ OK-to ❑ This is not a complete inspection Department Date s Inspector T/ nO NOT R F M O V ' T I Q T " ,� Building Permit'# 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 code compliance I �=' c�T � -� .✓ci � -uslyr�c.T-icy� sz-� c�-�,o�riC'-� 7 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department 2 Date Inspector ■ �� [woo *T Mo OV T 1 TALom 1 Building Permit # Qd -110 G MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location �1111yP1)x 30 IPL This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fund: Items Listed below must be corrected to gain code compliance LA '� r o� 9.0 � � �� G ///• mil. .f'/��ir�' ��,�=c_iT>� G V MC / 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 ❑ Make corrections, items will be checked on next inspection ' ( OK to r,EiIof 0c�V / 2d ,04S/.1` - ❑ This is not a co plete inspe tin Department 13 C'o Date 1 -/9-&/ Inspector !�� nog NO *T T I TA ,Olw � Building z� -o�6 hermit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRE TION NOTICE Job Location ? / �rcll '�- /)c- 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 code compliance G/ �✓1�-1� �1�/Y — l L i�i /= iA,47 `f GAT4e CI-9 n- zP , T� ,, - �' W'q c c- TD �p l?�//�G1 l✓J..,� / G r[ cd•,�ciTirr,C 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 Make corrections, items will be checked on next inspection ❑ o 10.111 iy07- 4022. ❑ This is not a compete inspection Department SC-90' Date 2 -,? Inspector 772 . ■ os NUT FinmMosV T t T A '%x ,Building Permit # GG �"-CZ,s MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 11,*v� k-' ,mac 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 code compliance G �-- -�% S/ ol— ,.fps � — CCU �•c� — ,�-. _ ,,� L �✓ 2 ,yG� ,G�i �/ You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK �` /h��c. ❑ Call for re-inspection when corrections are made before contiuing fc-e-11- Make corrections, items will be checked on next inspection /2 - v/G�c C.cyVVr7-- ❑ This is not a complete inspection Department :L3 � Date 10- 9- 2 ?-^�� Inspector ■ os No *T MosV THI TAk i Building Permit # !�C oQJ - MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location v�q1-yl rw ,? / sc 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 code compliance 2 '7- Cc Z .yam U� ,/r��> ;S` 5 , c' X 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 ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date le'- 'E ' Inspector moos NosT MOOV THF-1 TAAW WATTSUX 5 . 7 2000 WA STATE ENERGY CODE COMPLIANCE REPORT 10/02/01 FILE: C: \\WATTSUN5\\NEWFILE HOUSE ID: Site: 31 e_� Analyst : GO�C p l Jurisdiction: Utility: Homeowner: �, h �� House Type: Single Family Floor Area: 1239 ft2 Builder: Weather Data: Portland, OR a Climate Zone: 1 The PROPOSED design *COMPLIES* with 2000 WA State Energy Code. REFERENCE PROPOSED COMPONENT PERFORMANCE 221 220 Btu/hr-F ENERGY BUDGET 2 .44 3 . 14 kWh/ft2-yr REFERENCE DESIGN Reference Component Value X Area = UA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Floor U-0 . 029 1239 35 .9 Glazing @15o U-0 .400 185 .9 74 . 3 Doors U-0 .200 40 . 0 8 . 0 AG Wall U-0 . 058 1110 64 .4 Ceiling, Attic U-0 . 031 1239 38 .4 Infiltration ACH-0 . 350 9912ft3 ( 63 . 5) - - - - - - - - - - - - - - - - - - - - - - - - - - - - Reference UA 221 . 1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PROPOSED DESIGN COMPONENTS Component Description Value X Area = UA - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Floor R30 Vented Joist 24oc U-0 . 029 1239 35 . 9 Glazing @120 **Vinyl frame U- .48 or less S�2 U-0 .480 43 . 0 20 . 6 **vinyl Frame U- . 51 or less eel U-0 .510 63 . 0 32 . 1 **Vinyl Frame U- . 50 or less U-0 . 500 41 . 0 20 . 5 Doors **Foam Core Insulated Door U-0 . 190 40 . 0 7 . 6 AG Wall R21 INT T1-11 U-0 . 056 1149 64 . 3 Ceiling **R-38 Standard Baffle Truss U-0 . 031 1239 38 .4 Infiltration Standard Air Sealing ACH-0 . 350 9912ft3 ( 63 . 5) - - - - - - - - - - - - - - - - - - - - - - - - - - - - Proposed UA 219 . 6 Items in parentheses not included in COMPONENT PERFORMANCE totals . ** Denotes non-standard values - check calculation of thermal value. Page 1 Oct 01 01 08: 17a vnN DIJK HOMES (360) 275-4006 p.-2 • October 1, 2001 Debbie Coker Mason County Building Dept. Shelton, WA. Subject: Window sizes and U-factors for BLD. 00-00625 Debbie: Pledse find enclosed the window sizes and U-values for the windows installed in my son's place on Schooner Place Belfair, 3ea. 2ft. 6in. X 5ft. PIC. U-48 \ • lea. 3ft. X 5ft. D/H U-51 J 3ea. 4ft X 4ft. H/5 U-51 • lea. 6ft. X 6ft. 10in. Patio Door. U-50 -�-�-� 1pa. 1ft_ 6in_ X 5ft. Pic. 11-48 Total footage for the residence: 1189 sq. ft of living. Heat source: In wall electric. I Thank you, John van Dijk 260-275-4006 I 7 � x l.s� 1S I33 10 C , 0 °I r VAK UL3K HOMES SCALE 1 = �a Box 736 8c!-%"f 1100, (360) A75- y106 y/ 3 Rr{ s . � 36o pd. �Se;►^: 1.o Ppl Rp�� 1 " � s 3 vi 4 Saric� toug 00 a/ +o ' / L. � II 5' I *7w3 zc' -zoo/ to. AY 1J� TN-z n _ IO�x36' c�►�aca �36n" plttivcway I 3 BdcMS. 1.Z. pQ� Rp�c. I.O fop► Ra�c +'s bcl dts;Jne-8 -or 6uc A-- 6 wATE R -0() Tidemark Residential Plan Review Entry Checklist See Conditions on reverse BLD2000- Cif lca5 Area Information Applicant: �71Q �" A M O,T14, Lot Size: Building: r aa'L Construction: Occupancy: Basement: Deck: Bedrooms: Type of Const: 51V rage: 3� �et Bathrooms: Q Occupancy Group: R3V1 Carport: AWDet Stories: Occupancy Load: Cvr Porch: y Bldg Height: Occupancy Status: - Other: Plumbing: Mechanical: Water Closets: 7.00 Furnace: 13.25 Lavatories: a 7.00 Heat Pump: 9.50 Bathtubs: a 7.00 Vent Fans: 3 6.50 ��,Sp Showers: - 7.00 �l,��r').�� Range Hoods: _� 9.50 y. So Water Heaters: 1 7.00 U,00 Wood Stoves: � 42.00 ` Clothes Washers: _�7.00 Gas Stoves: - 42.00 Kitchen Sinks: I 7.00 Propane Tank: 9.50 Laundry Sinks: 7.00 Gas Outlets: f Dishwashers: 7.00 List gas appliances w Hose Bibbs: S, Subtotal ' 5.vc) Subtotal ag,00 Base Fee 20.00 Base Fee 22.00 Total Plumbing q5,tt.% Total Mechanical -5[,0 0 7777 X Valuation: Fees: M Use: Square feet Amount Dwelling R3: I aa-7 52.18 y o3 ,� Plan Review: `lO e U1: 18.92 (,os-A,yo Building Permit: '? g 0 Garage z Deck: 9.50 State Bldg : L1,So ti Covered Deck: y 13 12.85 6t 6, So Mechanical Subtotal: d Carport: 12.85 Mechanical Base: a a o Storage: 11.00 Plumbing Subtotal: ' 15,00 01-1 Basement: 15.58 Plumbing Base: C310,00 Remodel <50% 16.00 Remodel >50% 52.18 Total Fees $ Prepared by: MT9 Total Valuation $ 7006q4-,,CC- Date: '7 t 3 tQQQc xx s M 1 1 PLANS REQUIRED ON SITE All approved plans are required to be on-site for inspection purposes. If inspection is called for and plans are not on site,approval will not be granted In addition,a re-inspection fee in the amount of$42.00 per hour(minimum 1 hour) will be charged and must be collected by this department prior to any further inspections being performed or approval granted. 002 POST ADDRESS Pursuant to 1997 Uniform Building Code,all sites must have approved numbers or addresses provided in such a position as to be plainly visible and legible from the street or road fronting the property. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee,based on rates as adopted by the jurisdiction and the 1997 Uniform Building Code will be assessed if owner/contractor fails to post address on site prior to requesting inspections. 1003 PLAN REVIEW CORRECTIONS The plan review corrections,along with the Energy Compliance worksheet(when applicable)are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked APPROVED,they may 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 will result in failure of required building inspections. Every permit shall expire by limitation and become null and void if the building or work authorized by such permits is suspended or abandoned at any time after the work is commenced for a period of 180 days. 1005 UNDATED STRUCTURE This structure is considered unheated space(not to exceed 1 watt/square foot or 3.4 BTUAWsquare foot). At such time this condition changes,a change of use permit and a mechanical permit shall be applied for and approved prior to the change. 1006 SLAB INSULATION All slabs within the heated space shall be insulated to a minimum of R-10 for 24"total. Monolithic slabs shall be insulated around the perimeter vertically from top of slab to bottom of footing. 1007 INTERIOR REMODEL Any exterior wall cavities exposed during construction remodel shall be insulated to full depth of cavity and inspected prior to covering. 1008 MECHANICAL PERMIT All furnace installations shall meet the minimum efficiencies set forth in the 1994 Washington State Energy Code(WSEC). Any portion of the mechanical system that is altered or replaced shall meet the minimum standards set forth in the 1994 WSEC and the 1997 Uniform Mechanical Code. 1009 ROOF REPLACEMENT Single rafter joist roof replacement shall be insulated to a minimum of R-30 allowing for a minimum of one inch continuous vented airspace above the level of insulation. 1010 ROOF REPLACEMENT/EXPOSED DECKING Enclosed roof systems that are exposed to the sheathing shall be insulated to a minimum R-30 and inspected prior to cover. 012 PLOT PLAN REQUIRED ON SITE The approved plot plan is required to be on site for inspection purposes. If inspection is called for and plot plan is not on site,approval will not be granted. In addition,a re-inspection fee in the amount of$42.00 per hour(one hour minimum) will be charged and must be collected by this department prior to any further inspections being performed or approval granted 3006 COMBUSTION AIR UMC Chapter 7. In buildings of unusually tight construction, fuel burning appliances shall obtain combustion air from outside(excluding cooking appliances and clothes dryers). 4999 FLAMMABLE& COMBUSTIBLE LIQUIDS The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshall. 5000 U-1 USE ONLY No occupancy. This structure is limited to U-1 use only(private garages,carports,sheds,and agricultural buildings). Any other use will be in violation of the Uniform Building Code and Mason County regulations unless a"Change of Use"permit is approved. 5001 SPECIAL INSPECTION 1997 UBC Chapter 17,Section 1701: Special inspection is required for the 3000psi concrete. All reports shall be required to be provided to the Mason County Building Dept. prior to the final inspection, provide copy of approved testing laboratory certification to the Mason County Building Dept or as approved by the Building Official. 5002 ENGINEERING Any changes in construction shall be reviewed by engineer of record and submitted in writing to the Mason County Building Department prior to construction. All engineering documents are a part of the approved set of plans and must remain attached thereto. If engineering documents are removed,approval will not be granted. In addition,a re-inspection fee of$42.00 per hour(one hour minimum) will be charged and must be collected by this department prior to any further inspections being performed or approval granted 5003 ALL CONSTRUCTION All construction must meet or exceed all local codes and UBC requirements and occupancy would result in permit revocation. Change of use must be approved prior to change. 5004 WSEC RESIDENTIAL HEATING EQUIPMENT Installation of heating equipment in single family residences shall meet the requirements of the 1991 WSEC. The furnace to be installed shall not exceed 150"/o of the heating design load or prescriptive requirements of Chapter 9. Furnace efficiency shall be .78 AFUE or higher. Ducts shall be taped, sealed and mechanically fastened with a minimum of 3 fasteners per joint. Ducts shall be insulated to R-8. 5008 NON CONDITIONED AREAS This is a non-heated addition(separated from existing home by exterior doors or windows or both) and by being designated as such is exempt from and will not be constructed to meet the minimum Washington State Energy Code requirements. 5025 SIDEYARD SETBACK Proposed structure or any portion thereof greater than 30"in height from grade line,must maintain a minimum of 5'setback from all property lines,easements and 10'from all County and State road right of ways. 5026 STRUCTURE SETBACK Proposed structure or portions thereof with a projection over 30"in height from grade line must maintain a 5' separation distance between adjacent structures and that furthest projection. 5030 CHANGES TO APPROVED PLANS Changes to approved building plans that effect compliance to the 1991 Washington State Energy Code, 1991 Ventilation and Indoor Air Quality Code, the Uniform Building Code and/or Mason County regulations must be approved by Mason County prior to construction. 5045 FIELD CORRECT Construction process to be field corrected as required per Mason County Building Department and Uniform Building Code. 5090 PROPANE TANK If the tank size is between 125 and 500 gallons you must follow these guidelines: 1, Tank is to be 10 feet from any building,public way or property line. 2,If the tank is exposed to probable vehicular damage,provide protective bollards. 3,All weeds,grass, brush,trash,and other combustible material shall be kept a minimum of 10 feet away from LP containers. 5095 FUEL PIPING/GAS PIPING Fuel piping shall be inspected after the installation of gas 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 10psi held for no less than 15 minutes. Appliance attached to the piping shall not be used until the final inspection has been approved by the building inspector. 510 PROPERTY LINES All property lines shall be clearly identified at the time of foundation inspection. 1000 CUSTOM CONDITION FORM MUST BE COMPLETED IN INK PLEASE PRESS HARD MASON COUNTY PROJECT SITE INFORMATION Case No. Name.J(, KJ lf40 D I T1L PARCEL NUMBER 233U SZC�g7Z�jDate SHOW THE FOLLOWING ON SITE PLAN Show Direction by indicationg N, S, E, W in relation to the site plan Lot Dimensions Fences Existing Structures Driveways Structure Setbacks Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Names of Streets Easements Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties if on shoreline or within 100 feet of adjacent property line. adjacent property line4 I �s , Fadjacent property line I I IS 15 I I I V I 0 C o, I � I I � I I I I I I � I I � adjacent property line-� E-adjacent property line SAMPLE SITE PLAN adja�nt property line-> 31O _ _ f-adjacent property line D 30" I R�SCRvE 3�1 .gE-ILS�r✓AL_ I � � _�F�TSL—_� I. CREEK I Mon c \ Gciaeiu y I HOc�if� I ) � prioPoseD rapt:c I { — J bo' Pit I I VhCAt.T I fi CrARAG IS go' I j I �0.oPasCD I \ \ A4R LCu.LTu-MAL I � I �— 80. —� \ I /OU" I \ I L_e LL I I � /DO —� I I I lC I adjacent property line-� ; in"• ,o \i adjacent pro pert' line TOPOGRAPHY PROFILE(Show a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography profile.) SAMPLE TOPOGRAPHY PROFILE dts+a"c_a- to Srt ruc-tLa-Ye_ O o d atar.ce zU to 9U siopa -t- e;�+�..« i �ture Date Name,1[2141,J LIAO Jb 1 T IL.. PARCEL NUrection Z ate V SHOW THE FOLLOWING ON SITE PLAN; P, I dicatlong N, S, E, W in relation to the aF, site plan + Lot Dimensions Fences ` Existing Structures Driveways `. + Structure Setbacks. Shorelines Water Lines Topography Well Location (including adjacent) Drainage Plan Y Names of Streets Easements ' Names of Fronting Streets Septic System DRAW SITE PLAN BELOW Include adjacent properties If on shoreline or within 100 feet of ad aceht property line. .adjacent property line-> i i F scent property line ,. S y •1 '�`ro' •. ;,.,; •�;fir• 1 � r o� •� i i '•. ' d i. M... GAR RANGES W r TATE �s Pam- 3 SUBN IT CHANGES FOR APPROVAL /9pp/tE55 PRIM TO PERFORMING WORK I tj adjacent property line-> ' P� cent; ro' ert line SAMPLE SITE PLAN adjacent property line-> 3iO- fit. roperty li J ousa. I j rraaPns[a VACANT 1 GARAC.d \ + 30 ,. on,ePmcn `;• tdt I \ T A6RiGL.LrMAAL I I ,ell 1 / * adjacent propert lined ► E-adjacent ro ert!line_, TOPOGRAPHY PROFILE(8how a side view of property. Show slopes, cuts and fills. If possible include height and the degree of slopes. See sample topography prof le.) SAMPLE TOPOGRAPHY PROFILE dtsta»ca fiv ruci-La.Y� S�i }v �O� Slops a4z i R d1L+anCm to a Sian ture Date I' PERMIT NO.: BLD` MASON QUN BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner- 10J410 (/fall j 1-TIL Contractor Name IN G-Po. 00,143 Toy', Mailing Address W Mailing Address City r ELFAI it State!dA Zip Code- '` City aLEAIIL State WA Zip Code Phone(2,(.0 ;?:7c! - 4-1(Other Ph.( Ph.(.1.,0 )W` Other Ph.(� Lien/Title Holder--- E _ Contractor Reg. # AA£ 1N6,C.. Q�CeD1L Address Expiration LL ; /fit / � 1 SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic_)L_Existing Septic Connect to Sewer System Name of Sewer System Well Water System1,,Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. ( Z 33U / 72- / C7002 Fire District Legal Description &a6w-2J CDJI- ►�J t_(]S Z:;'. Site Address(Please include street name, street number and city) -T'�-I V40 8T. nk-) f k ci 01 L L Directions to site I-Q=T 06J WS2SOAV L.K. . R 14 VAT CV--J SLR.!on N�SrZ- EQ-.L4;kJ TO CM r L\,-_IL UA ZAi�T LOT O►�—) Will timber be cut and sold in parcel preparation? (Yes/(9 Is your property within 200' of the following: Body of Water(Name) NO Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs N TYPE OF JOB�ew- Add Alt Repair Other Use of Building Describe Work jI j.E AvN11L \!12 �It. 11G . No. of Bedrooms-9 No. of Bathrooms Z- SQUARE FOOTAGE-1st Floor ( _2nd Floor i 3rd Floor Loft Basement _ Deck Other - sq. ft. Garage . Attache Detached Carport Attached Detached S j MOBILE HOME INFORMAT N-Make Model Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat urchase Price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done i rmance therewith. No changes shall be made without approval. first btaini appr al. X Date X Dat FOR OFFICIAL US BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED CONDITION CORES .:... Building Department MTQ : �>✓I Z Occ GroupR3L)l Type constr. 5AJ f '4Favv;o 3 of Planning Department i Environmental Health Department Public Works Department Fire Marshal ,ram/� Valuation $ 1�� 0(0o l/l1 FIrES Building Permit Fee Site Inspection _ . �ntfo.b Plan Review Fee t50,')S S UFC Plan Review Fee Plumbing & Base Fee q5.00 Public Works Review Fee Mechanical & Base Fee Other St. SiA TE 9.50 Wood/Gas/Pellet Stove Fee Other Violation Fee Pre-Paid at Submittal ...x.....N TOTAL FEES �.. PERMIT NO.: MASON COUNTY 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 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner4j U l►iV J '1 Contractor Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone(____) Other Ph.( Ph.( Other Ph.( Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION-12 digit Tax Parcel No. / Fire District Legal Description Site Address(Please include street name, street number and city) Directions to site Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No. of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No. of Units Fees Bath Basins Furnace Bath Tubs .G- Heatpumps Showers Vent Fans Water Heater ! Propane Tank Laundry Wsher 1 Gas Outlets Sinks Wood/Gas/Pellet Stove Dishwasher �_ Direct Vent? Other Other Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining pproval. X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by Date Submittal Amount Due Receipt No. DEPART(tiAf�NTRtttEVIEVv APPR(]VED DEIVlED ------------- CG1fVDETIQNCbDESi Building Department Occ Group Type Constr. Planning Department Other Other Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES