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HomeMy WebLinkAboutBLD2015-00400 Revised Pole Bldg Final - BLD Permit / Conditions - 1/12/2016 Inspection Line(360)427-7262 �05aN Ca�T� MASON COUNTY DEPT. OF COMMUNI E LOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar IV 1 _3 Shelton, WA 98584 1854 RESIDENTIAL BUILDING PERMIT BLD2015-00400 OWNER: KEVIN KORDELL CONTRACTOR: TOWN & COUNTRY 800-824-9552 LICENSE: TOWNCPF099LT EXP: 6/30/2016 /2015 RECEIVED:ISSUED: 5 5//26 5 /201 SITE ADDRESS: 80 E HALBERG RD SHELTON EXPIRES: 1/14/201 PARCEL NUMBER: 221314303020 LEGAL DESCRIPTION: E1/4 SW SE S OF HALBERG RD PROJECT DESCRIPTION: DIRECTIONS TO SITE: DETACHED POLE BLDG STOCK PLAN 2012-0003....ADDED RUFF IN ST RT 3, R ON AGATE RD, L ON SPENCER LAKE RD, R ON HALBERG RD PLUMBING 11/4/2015 TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck: Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building: Garage-Detached 1,680 Valuation: $ 72,072.00 Building Height: 22 Occ. Status: Unknown Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 145.0 Ft. Shoreline: Ft. Water Body: na Rear: W 35.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: N 290.0 Ft. Shoreline Desig.: Not Applicable Year: Seri Side 2: S Ft. Comp. Plan Desig.: Rural or-g Fixtures Mechanical Fixtures FEES ype Qty. Type Qty. Type By Date Amount Receipt Lavatories 1 Plan Check Fee GMM 5/26/2015 $ 160.95 S120150000000i Water Closets (Toilets) 1 Planning Review Fee GMM 5/26/2015 $205.00 S1201500000001 Showers 1 EH Minor Plan Review MRB 5/26/2015 $ 100.00 S620150000000i y� Building State Fee MAU 7/2/2015 $4.50 S120150000000i Build EV!S ED Plumlbng Permit Fee GMM 11/4/2015 $26 105 S1201500000001 f ...... ,� Plumbing Base Fee GMM 11/4/2015 $24.70 S120150000000( DATE 1!J--2ZI!� EH Minor Plan Review SDW 11/4/2015 $75.00 S6201500000001 Total $ 1,401.00 BLD2015-00400 Please refer to the following pages for conditions of this permit. Page 1 of 5 jO & OLt, lilt ° 16521 Highway 99,Suite C•Lynnwood,WA 9803 7-31 61 Draw North Arrow in Cirr Everett:(425)2584171•Puyallup:(253)840.9552 _ POST FRAME-BUILDINGS Administrative Headquarters:Puyallup: 743) 555 840- Building • FAX: (actor 74 ic.#:T•8NCPF0.9 LT Desig n • FAX: (4 5)S Lic.F:TOWN-824. LT Quality:Our Future Mpands On rr," Permabilt.com•facebook.com/permabilt PEASE CHECK Poll-up doors fit( in Bays LL Wind MPH a: { 111 /�-• `,�`� d Roll-up doors will not hit Truss Wind Exposure Roof Pitch ..� Eave Height IJ Snow Load `1 Minimum Ciearanc _w FLOOR PLAN . DENIM YES �NO� ?(please circle) +� PUBLIC HEALTH NOV 0 4 2015 r ; I ALP l ; Q 1 \n ¢ ECEIVED NOV 0 5 2015 426 W. CEDAR ST 0 (.'R'X l !i15 �-Y pp's4tV tV W LL l�L l OLlI1tT a""'y rr,auae°•Lynnwood,WA 98037-3161 Draw North AITOW in Cirt POST FRAME BUILDINGS Everett:(425)258 4171•Puyallup:(253)840-9552 (♦ ® Administrative Headquarters: (425)743-1555 Building FAX; (425)742-4378•800-824-9552 Des� onisia.oo Contractor's Lic.#:TOWNCPF099LT n Quality:Our Fururc Depend.On It.*" Permabllt.com•facebook.coMpermabilt g PLEASE CHECK 0i G . � r; •;^ / — ;.� ,,. ^,, oll-up doors fit in Bays Wind MPH j"` Roll-up doors will not hit Truss = Wind Exposure r(� ( ",�-'^ -•, t;.F—' - Roof Pitch Eave Height i I ! Y Snow Load Minimum Clearanc •�. I[, FLOOR PLAN J �..� DEl 11 YES i Q (please circle ,...a... .... ..,. ,. _ 1rI ) AP ugC1G HEATH 042015 ALP 1 kID _. �. _ . ..•.r RECEIVED NOV 0 5 2015 (� w, 426 W. CEDAR ST. (,��/�(� TM �h ..;� I � j. ('� i„f R;,Yr�y� i'�.�•�i'�y�f/I �(yl I qo'ooy� . ..' l N' Yak �p F-}••t/�r� � � v f IN 000 �j- ��— 0 , )ate 14WI +, F'J �.' !� .ar .lr t Z,,gym t ►h .;s�', "t'ti1 F:d.' 4 V Inspection Line 27- 262 + MASON COUNTY DEPT. OF COMMUNITY DEVELC PMENT Phone: (360)427(967004ext7352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 `R RESIDENTIAL3UILDING PER IT BLD2015-00400 OWNER: KEVIN KORDELL CONTRACTOR: TOWN & COUNTRY 800-824-9552 LICENSE. TOWNCPF099L EXP: 6/30/2016 RECEIVED: 5/26/2015 SITE ADDRESS: 80 E HALBERG RD SHELTON ISSUED: 7/14/2015 PARCEL NUMBER: 221314303020 EXPIRES: 1/14/2016 LEGAL DESCRIPTION: E1/4 SW SE S OF HALBERG RD PROJECT DESCRIPTION: DIRECTIONS TO SI E: DETACHED POLE BLDG STOCK PLAN 2012-0003 ST RT 3, R ON A ATE RD, L ON SPENCER LAKE RD, R ON HALBERG RD TO SITE ADDRE S ON THE RIGHT SIDE General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U-1 Lot Size: Deck: Type of Work: ACC Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building: Garage-Detached 1,680 Valuation: $ 72,072.00 Building Height: 22 Occ. Status: Unknown Basement: Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: E 145.0 Ft. Shoreline: Ft. Water Body: na SEPA?: No Model: Width: Ft. Rear: W 35.0 Ft. Slope: Ft. li ene es Shoreline Di Side 1: N 290.0 Ft. g.: Not Applicable Year: Serial No.: Side 2: S Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee GMM 5/26/2015 $ 160.95 S120150000000( Pk nning Review Fee GMM 5/26/2015 $205.00 S120150000000( EF Minor Plan Review MRB 5/26/2015 $ 100.00 S6201500000001 Bu Iding State Fee MAU 7/2/2015 $4.50 S120150000000( Bu Iding Permit Fee MAU 7/2/2015 $804.75 S120150000000( i Total $ 1,275.20 BLD2015-00400 Please refer to the following pages for conditions of this permit. Page 1 of 5 CASE ROTES FOR BLD2015-00400 CONDITIONS FOR BLD2015-00400 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No fou i gains within 30ft, down gradient of drainfield/reserve area. X 2) Approved i ensions and setbacks on submitted site plan. Setbacks are measured fro the furthest projection of the structure. X 3) Prior to final approval, all upland areas disturbed or newly, by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X T�1—• 4) Application =edges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5. X 5) 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. �i X /� 6) By definition, propane tanks and heatpumps are structures, which mu�,t meet setback cond tions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. I X -- 7) 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",ts�gsure these structures are shown and meet the setback conditions listed. X �- 8) 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 unregistere contractor. Further information can be obtained at 1-800-647-0982. .egrson signing this condition is either the homeowner, agent for the o ner or a registered contractor according to WA state law. X BLD2015-00400 Please refer to the following pages for conditions of this permit. Page 2 of 5 9) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Departme any further inspections being performed or approvals granted. X 10) Owner/Agent onsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X T 11) This structure is approved as unheated space. To be considered unheated space the area may be provided with a heating system that doe not exceed energy usage of 1 watt per sq. ft., or 3.4 Btu/h per sq. ft. A permit and approval shall be required prior to installation of any heating syste When a heating system exceeds 1 watt per sq. ft (or 3.4 btu/h per sq. ft) the heated space E hall be insulated in accordance with the energy code in effect at the time of permit application. Xi,%G. --r 12) THE FOUNT�I�N SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X „C 13) The "approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building De�t prior to any further inspections being performed or approvals granted. X 14) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordan a with the applicable provisions of the current code and the manufacturer's installation instructions. A drip edge shall be provided at eaves and gables of shingle roofs. (IRI, 2012 R905.2.8.5) X 15) Stock Plan Identification number: 2012-0003 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 Inspector at ea red inspection. X 16) 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 f 3000 psi (IRC Table R402.2). X BLD2015-00400 Please refer to the following, pages for conditions of this permit. Page 3 of 5 V) This structure is limited to U-occupancy use only(private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the internationa and Mason County Regulations unless a"Change of Use" permit is app ied for, reviewed and approved. X 18) 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 sha �ollected by the Building Department prior to any further inspections being performed or approvals granted. X 19) 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 L ; 20) All changes to"approved" building plans that effect compliance with the international codes Os amended and adopted, or any other Mason County ordinance or regulati st be reviewed and approved by Mason County prior to constru tion. X s 21) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector s ade prior to requesting additional inspections. X ff�� ) 22) All property lines shall be clearly identified at the time of foundation ins;�ection. X - 23) 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 rE cords on file with Mason County as being non-compliant with Mason Counr ances and building regulations. X 24) 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 have preve d action from being taken. No more than one extension may be granted. X 25) Pressure treated wood manufactured after January 1, 2004 may contain high concentrationt of copper which could quickly corrode metal fasteners, connectors, fishing. Install metal connectors approved for contact with the new types of pressure treated material. X /G BLD2015-00400 Please refer to the following,pages for conditions ol this permit. Page 4 of 5 1 OWNER / BUILDER acknowledges submission of inaccurate information may,result in a stop work )rder or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or.contractor. I further ceclare 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 easernE nt 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 8:void if work or au horized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINPATION OF WORK S BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT P ICATION O 180 DAYS WILL INVALIDATE THE APPLICATION. Signature Date OWNER - REPRESENTATIVE - CONTRACTOR Print Name IF (Circle one to indicate) I I t i 1 i n, i I I BLD2015-00400 Please refer to the following pages for conditions f this permit. Page 5 of 5 1 r o CONCRETE MECHANICAL P�, No MANUFACTURED HOME c Footings!Setbao% - Date By Ribbons Gas Piping IntenorDBte By interior-Date By Date By im" Jh. n 0o Extergr Date 11 i 3 BY ]..+V� Exterior-Date By Sot-up r Point toad I lsolatsd Footings INSULATION Date By BG 1 SLAB INSULATION M Date By Data By FIRE DEPARTMENT < Foundation Wails Z Floors Date By Date By Data By DECKS FRAMING Walls Date. By Date By Data By PROPANE TANKS PLUMBING vault Daft By Date By OTHER Groundwork Attic Date I Z Z S By 1.0& Date By Type- Date By D.W.V DRYWALL Int.Brace Wall Dat � �aP Type- By Date BY W CDDate By m FINAL INSPECTION p m Water Line Fire Seperation IV CAP By Date By Date 1112 /b By mCA g Pass or Request Inspect. c Type of Insp. Fail Date Date Dane By CommenEs fD o o LL C Il • � 1� �3 �� '' Ph a zq 15 t �� Cif �� v�-e N O r fD 3 m co cu 0 Permit MASON COUNTY BUILDING 111426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 66 E. fftAC 6'E2C� DLO 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 m 1 rJ ct�►c� ��-- c�Jf15`t6 fl tLr+t��S J�o c�FLc�C �.J Iv �-l�r-r� SS i o S 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 damage incurred by recent "natural1man made" ❑ This is not a complete inspection disasters.This is NOT Date \Zd V6`J Department CORRECTION NOTICE. Inspector Lc�,- • v* N* 10T , i��1 �4 ' ' THI , , Tfi,- * qg Building Permit # �O MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 'Fo lln't 362 6 R-A 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 v 2 / P -A6 F s ON i -y T " lItF ° AS&'?F 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 ,Q ❑ This is not a complete inspection U� Department Date — O�' — 2� �S Inspector moos NOOT MOV THI T " ,� 11 W CX\-ou try 16521 Highway 99,Suite C•Lynnwood,WA 98037-3161 Please Check After Doing Site Plan: Septic and drainiield �TlME BUILDINGS Everett:(425)258-4171 • Puyallup:(253)840.9552 roperty dimensions of size Draw North Arrow a Administrative Headquarters: (425)743.1555 SeWBr IinBs Elevation of property ��a FAX: (425)742-4378 • 800-824.9552 xisting buildings etbacks of proposed&existing buildings Bodies of water Contractor's Lic.rt:TOWNCPF099LT Proposed building Main road with name Quality:Our Future Depends On[t.'" permabilt.com tacebool.xom/permabllt Easements ❑�Ioorplen Access to proposed building I'�`Slopes&Contours(5'increments) Job Name: ' t L<y Tax Account#: � i �, j w Legal Description: { _ Job Sile Address: v; a^ r tF..r°• ('l o'Q 35 AISA J � - � � r.. W o CSl Uj ^�L!it. >-- ff, 1.7 n/ti}fi '�r C.) ,yam of 1a AeA T. r . I o � - 1 DO NOT SIGN INCOMPLETE SITE PLANT Customer has verified and approved the location of the building,orientation of the building to the North,and verifies that all Grid White-Customer Copy Plain White-Office Copy utilities are shown on this drawing in thJe correct locatioy. CUSTOMER SIGNATURE LEAD k "j L� ®2012 Perma-Bilt®Industries FR-34 07/12 I IIIIII IIIII IIII I'I 1 0 �l�c rian To L OUj]}��° 16521 Highway 99,Suite C•Lynnwood,WA 98037.3161 Please Check After Doing Site Plan: Septic and drainfield POS�FRAME B%QILDINGS�' Everett:(425)258-4171 Puyallup:(253)840-9552 roperty dimensions of size Draw North Arrow in C Administrative Headquarters: (425)743.1556 Sewer lines Elevation of property FAX (425 742-4378 800-824-9552 Existing buildings ❑❑ etbacks of proposed&existing buildings Bodies of water°1A81ON°P Contractor's Lic.n:TOWNCPF099LT t\ Proposed building Main road with name Quality:Cher Future Depends Chi It.'" permabilt.com •facebook.com/permabiit Easements ❑ loorplan Access to proposed building Slopes&Contours(5'increments) Job Name: EM f # Job Site Address: tilt t } c' r Tax Account#, i�`*'L� ^y t) { Legal Description: 7 APR 2 0 2015 PLAN : 426 W. CEDAR ST PROJECTION OF THE BUILDI !'4 5 1 ,4 6A 7 n y 4� 1 �u is �tOC �. ._. .,.�....�..�..�...� �. . 4�•, ,�.. APPROVED MASON COUNTY LDCD PLANNING SITE PLAN REQUIRED TO BE ON SITE CHANGES SUBJECT TO APPROVAL BY —.._.— Date MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name: ,( j r) D rd� Date: 5-2b-26l,.r' Reviewed By. , Do M % VNED ,Buildin Permit Application Completed / Stormwater Ch 7 g APP mP L LI � � w . ,gfanning Intake Checklist Completed, APR 2 6 2015 ite plan includes:All building area,roof o gs,decks,etc. -jZlre Apparatus Access Road info required? Yes AZLV 6 W. CEDAR Sl V Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furs O Heat pump with electric furnace O Heat pump with LPGfigwe O Boiler(heat type ) O Ductless Heat Pump • Other. Specify:_U_►'Z h L,( Y echatucaU g Application-WATER HEATER FUEL OCATION _Engineering YesXo Snow load:�_ Seismic -D2 Stock Plan- oved snow load: Seismic: D2 Man ed Homes-4 FLOOR 11 Foundation Type: ANSI/Manufacture m�4x_ �Engineered footing/foundat�plans�� ment Decks: Covered? Uncovered ov an ? Constructio Constructio.n Plans:_3 COMPLETE SETS Plans Legible ✓ ecognized Scale _V/Elevation Views /Cross Section ='P"oundation Plan _✓Roof Framing Plan ---F-ioor Plan-Use of rooms noted(all floors) — Mor Framing Plan-all floor levels including loft, crawlspace,etc. (Q00 S.F. ??-stairs?) Beck Framing Plan,incl cov.porch framing Plan Detail : / of framing details,truss lay-out may be needed (Hip and girder location shown) M FEA i ,o yz2 e S �ZWall Framing-Does bearing-wall height exceed 10'?(Engineering may be required) _door framing: Floor joists(size&spacing): I Floor beams: —Window headers. Typical header. Garage header. „__Eoundation:footing size,reinforcement =-Seucrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required, see details) �dings at all exits?Less than 30"above grade?Y/N mated By Furnace-Location of Furnace Fuel type: =-Fireplace/Stove Information Shown-Fuel Type? Location(s): ­71W4ndow Sizes Marked on Plans Braced wall panels(shear walls)marked on plans or lateral en e)ing? ✓b",�� l .� na COMMENTS: f - QC0 3.. ENGINEERING REQUIRED Braced wall panels/brace wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: Snow_psf. IRREGULAR BUILDINGS R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1)Exterior braced wall line or BWP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line. 3)End of BWP extends more than 1 ft.over an opening more than 8 ft in width below. 4) Opening in a floor or roof exceed the lesser of 12 fL or 50%of the least floor or roof dimension. 5)Portions of floor level are offset vertically 6) Shear wall lines do not occur in two perpendicular directions. !)When a story above grade is includes masonry or concrete construction(exc: fireplaces, chimneys,and veneer). When this applies the entire story shall be designed.In accordance with accepted engineering practice. H:\permit tech building checklist-doc Revised 11-29-2007 Mason County Map Output Page # , , Page 1 of 1 Mason County Map SPJVC s = *t A O C W , W U U } W 2 5 �- a w DISCLAIMER AND LIMITATION OF LIABILITY: The data used to make this map have been tested for accuracy,and every effort has been made to LEGEND ensure that these data are timely,accurate and reliable.However,Mason County makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or location of any map features contained herein.The boundaries depicted by these data are approximate,and are not necessarily R005 F040ral L8n05 accurate to surveying or engineering standards,and are intended for informational purposes only. Mason County does not assume any legal liability or responsibility arising from the use of this map Highways City of Shelton in a manner not intended by Mason County.In no event shall Mason County be liable for direct indirect,incidental,consequential,special,or tort damages of any kind,including,but not limited to, `_f RIV@r5 $trBamS [� county BOurWary�ONR) loss of anticipated profits or benefits arising from use of or reliance on the information contained herein PafG91s COmmi5Si0ner C1�5tAet5 Seebons 3r Lakes ®2009-Mason County GIS 100 W.Public Works Dr (j Townships Puget Sound 8 Malct LakeS Shelton,WA 98584 http://mapmason.co.mason.wa.us/serviet/com.esri.esrimap.Esrimap?ServiceName=amason ov&ClientVersion=4... 6/3/2015 BUILDING l Name, at[17ELL Parcel#_Z Z%3/-Y3---D 36 ZG BLI}# Mason County APR 2 6 2015 Department of Community Development Small Parcel Stormwater Management Application/Worksheel�-6- A�e"f "r 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 2,000 square feet of impervious surface'. 'Redevelopment 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 infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings y X 0 _ X = Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: _ eaves/gutters) X = Driveways X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition X _ above table Patios/Walks X = X = Any paved, gravel or packed area per definition X _ above table Others X = X = If the total impervious area of the proposed site X = d elopment is greater than 2000 square feet a S II Parcel Stormwater Site Plan is Required Total Impervious Surface Area(su of all areas) �(p Pjv If the Total Impervious Surface Area is ESS THAN 2 0 S uare eet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. 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 inspection as may be required. X Owne�gent/C ntractor(circle one)Date: 5 -j S z 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. Page 1 of 2 Namc 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 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: ht!pHwww.co.mason.wa—us/code/commissioners/index.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 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 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 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(INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) ✓The relevant details from Managing Storm Drainage on Small Lots, The Small 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 acknowled&,Aat the information provided is accurate and employees of Mason County are granted access to the above- described prop64'for review and' spection as may be required. X Owner�ontractor(circle one)Date: Page 2 of 2 Z 51-36 7 f• Spty C6U+y`..W` MASON COUNTY PERMIT NO. 0 -bo460 _ 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 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 f2 BUILDING PERMIT APPLICATION rJ OWNER INFORMATION: CONTRACTOR INFORMATION: ' NAME: NAME:16 y 1_y ��u,v�PteY 1�C :trGD/itfF�S y MAILING ADDRESS:Rp,egA- �77 MAILING ADDRESS:1GSLf fir /2Sk C CITY: STATE: W* ZIP: IA95 Z�q a CITY: A_ ?7c O - STATE: TE ZIP:��7 CELL:�SICELL:PHONE: � p I EMAIL: EMAIL: '�P�,/TS c' i+�R6i •<�a.+ L&I REG#o 3�l 1 PARCEL INFORMATION: t APR 2 0 2015 I PARCEL NUMBER(12 DIGIT NUMBER) ZZ 13!-y3-636 Z0 FIRE DISTRJ�1 LEGAL DESCRIPTION(ABBREVIATED):E 2 _ C W. CEDA' S I SITE ADDRESS CITY i DIRECTIONS TO SIV ADDRESS *,vA7'0AJ lib 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 g ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) r4� IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK yp;tr�Z �f7�Ul�D d�2ST -rPi �,� -c,C=, SQUARE FOOTAGE: I ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft. GARAGE b sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER 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 permittapplication becomes null&void if work or authorized construction is not commenced within 180 days or if co struction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTI MINA IVI OF HIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X '�5 -r✓�__ ignatu a of Ap icant Date X p'�—Y5E l 6'�c.'T� OWNE /REPRESENTATIVE/CONTRACTOR Print Name ___(L RCLE TDJNDICATE) DEPAIiTi1ZEIVTAi.REVIEW (') fiVft" )(IN"lED ffAft T Q o YniT c' s BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Z30 7 21 �p A!r t� CO l> I I MASON COUNTY PERMIT NO. id I ,oo4w DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL RECEIVED _ 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 VR 2 6 2015 1 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 PLANNINGUILDING PERMIT APPLICATION FAj r FDAR rum OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: X&11'1te L NAME:��icy=u,J7,ey MAILING ADDRESS:PQ gOA- 9 MAILING ADDRESS:I6SZi 9i/V i9._SA C y CITY: "- Z�f VA/ STATE: W-4- ZIP: W6 CITY:L Lv A(" 0 STATE:jf� ZIP:1o3_ PHONE: 4W O13--'CELL: PHON : CELL: EMAIL: EMAIL: + •L��:"� L&I REG#;C�&&f-0-77(,7 EXP. lP /30/ i PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) LZ I31-Y3"636 20 FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED): Z ' i SITE ADDRESS — CITY N DIRECTIONS TO SITS ADDRESS ,=,v g / oAJ D 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 V ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) IS USE: PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK�p XyZ �f7<1C/! 6�2STite C �<,e SQUARE FOOTAGE: 1ST FLOOR sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft. COVERED DECK sq.ft.STORAGE sq.ft. OTHER sq.ft. GARAGE /! sq.ft. ATTACHED❑ DETACHED❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑ MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER 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 co struction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION INA IVI OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. ignatu a of Ap icant Date x OWNE41 REPRESENTATIVE /ZONTRACTOR Print Name _(GIBCLE TO-INDICATE) .DEPaxTMErrrAL ItEYIEW n D+NIED +©�T> Ini BUILDING DEPARTMENT PLANNING DEPARTMENT ' FIRE MARSHAL