HomeMy WebLinkAboutBLD2013-00364 Final SFR DDR2013-00035 - BLD Permit / Conditions - 11/24/2014 Inspection Line (360)427-7262
MASON COUNTY '1 NT. OF COMMUNIT'' DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 4:_' ^,f. Cedar P.O. Box 279
3helton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2013-00364
OWNER: MICHAEL BRUNNER RECEIVED: 5/17/2013
CONTRACTOR: P D Q CONTRACTING INC (253) 549-5780 LICENSE: PDQCODQ950JG EXP.- 4/7/2014 ISSUED: 6/28/2013
SITE ADDRESS: 801 NE LARSON BLVD BELFAIR EXPIRES: 12/28/2013
PARCEL NUMBER: 123305300046
LEGAL DESCRIPTION: BEARDS COVE DIV 6 LOT: 46
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE (REPLACEMENT) NORTHSHORE TO RIGHT ON SANDHILL TO LEFT ON LARSON TO LOT ON
LEFT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: 100
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,320 Garage-Attached 440
Valuation: $ 159,275.92 Building Height: 18 Occ. Status: Primary Basement: COV PORCH 24
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: N 10.0 Ft. Shoreline: Ft. Water Body:
Rear: S 20.0 Ft. Slope: Ft.
SEPA?: No
Model: Width: Ft. Side 1: E 5.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: W 35.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee TW 5/17/2013 $864.34 S2201300000001
Lavatories 2 Ventilation Fan 3 Planning Review Fee TW 5/17/2013 $205.00 S2201300000001
Bath Tubs 2 Dryer Vent 1 EH Plan Review KKK 5/17/2013 $ 103.00 S6201300000001
Water Heaters 1 Exhaust Hood 1 Building State Fee LDK 6/13/2013 $4.50 S1 2 01 300000001
Clothes Washer 1 Building Permit Fee LDK 6/13/2013 $ 1,329.75 S1201300000001
Kitchen Sink 1 Mechanical Permit Fee LDK 6/13/2013 $67.50 S1201300000001
Dishwasher 1 Mechanical Base Fee LDK 6/13/2013 $28.50 S1201300000001
Hosebibs 2 Plumbing Permit Fee LDK 6/13/2013 $ 101.90 S1201300000001
Laundry Tray 1 Plumbing Base Fee LDK 6/13/2013 $24.70 S1201300000001
Total $2,729.19
BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 1 of 7
CASE NOTES FOP
BLD2013-00364
CONDITIONS FOR
BLD2013-00364
1) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(360) 427-9670, ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
been and approved.
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. Tj�e person siting this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
3) Owner/Agent is responsible 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) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Departme t.,p 'or to�any further inspections being performed or approvals granted.
5) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approve"ocuments will result in failure of required building inspections.
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6) THE FOUNPATIOI� 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
Building Department prior to any further inspections being performed or approvals granted.
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BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 2 of 7
8)' Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option '11, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U ,ctor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the lollowwiing credit from Table 9-1 shall be completed: 6
9) A permanent certificate, completed by the 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 503.10.2, 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 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in %or'/z sheets. The
Mason County Permit Center will also have some available.
10) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Refe nI)WSEC,(5A5.
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11) 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.
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BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 3 of 7
127 A Mason County Stormwater Management Work.sheet was completed and signed as part of this building permit application. Design, sizing. ;lacement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It �s the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for;.his parcel
prior to the commencement of any development activities. `NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Appiication/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/contractor is_pcko,,owl,oging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X 4-7 J_
13) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
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14) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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15) Carbon monoxide alarms, listed as complying with UL 2034 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
New and existing dwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon
monoxide alarms.�arbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms.
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 roads_connecS 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) 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.
BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 4 of 7
163 Installation of heating equipment in a single-family residence shall meet the requirements of the current Washington State Energy Code, applicable
sections of the IRC and IMC.
Heating equipment shall be sized in accordance to IRC, Section M14C,'1. 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 WSEC Section 503.10.3 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.
All heating equipment shall meet the requirements of the National Appliance Energy Conservation Act(NAECA) and be so labeled. (WSEC503.4) or in
accordance to WSEC Section 1411.
19) 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 within25' 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. r
20) Placement pf structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
21) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinancepr regulation, must be reviewed and approved by Mason County prior to construction.
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BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 5 of 7
22) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRE-D rPER MASON COUNTY BUILDING DEPARTMENTiaAiND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the 1,11ason County Building Departmeni. All construction must he 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 shall be ride prior to requesting additional inspections.
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23) All property lines shall be clearly identified at the time of foundation inspection. X
24) 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 County ord gonces and building regulations.
25) 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,,prevent faction from being taken. No more than one extension maybe granted.
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26) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors sand flas ing. Install metal connectors approved for contact with the new types of pressure treated material.
27) Retaining walls needed to support a surchargetsruch as Vructures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X (,I-, ---1' 5•^--�—�-Z
28) 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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29) 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 ate Plan o ensure these structures are shown and meet the setback conditions listed.
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30) Approved per dime n ions and set(.acks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
31) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
32) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing or straw
matting must be installed and maintained until upland vegetation has become established. Xf
BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 6 of 7
This permit becomes nuli and void if work or construction authorized is not commend,._� ithin 180 days, or if construction --,, voi k is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspec",.--.',vithin the 180 day period. Final :7� ,p_;ction must be approved before .uilding can be
occupied. Proof of continuation of work is by means of a progress inspection.The ow >-r or the agent on the owners behai;, - presents that the information provided is accurate
and grants employees of Mason County access tothe above described property and sL ucture for review andinspection.
OWNER OR AGENT: ��`� 4�—^- Z— DAI T E:
BLD2013-00364 Please refer to the following pages for conditions of this permit. Page 7 of 7
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Permit#� l��G�36 MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location S2
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
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IIfor re-inspection wherf corrections are made before continuingplease contact our o ice
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MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/ Ventilation Code Compliance Application
Owner: Parcel#:��33� I Type of project: SF
Total Sq. Ft. 1 Floor: 2" floor: Heated Basement:
of heated area:: i'
Heating System Type: O Electric wall heater Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance tgr Prescri five O ti (see reverse side) circle one: I II 0 I
Percentage: Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
O Other (specify):
Check one Whole House Ventilation system o Whole House Ventilation O Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply. If the table is not attached to this form you can access the table on our website at:
CREDITS htt ://www.co.mason.wa.us/forms/Communi Dev/index. h .
Option: Description:
Table 9-1
Window & Door Schedule (If needed, attach an additional sheet)
Tota I
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
t � ?C ��¢ f'
�e y" k ti
z # 3 S- C.
� xy i �v
.041
Windows: Total Sq. ft. 7
Doors: °
o uN 00oA, r.
T o L-,+...V aty 2,.e"--\
O rd NT Tf L 0 i J}^
T
Doors: Total Sq. Ft 1 t 11
Total window and door area
Total window & door area (divided by) total sq. ft of heated area %of glazing
III
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 International Residential Code (IRC), 2009
International Mechanical Code (IMC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-1 attached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions to calculate size. It is always helpful to
list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will
assume that all window& door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identifythe location and fuel type of the heating system, water heater, location of exhaust fans bathroom
YP 9 Y � (
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor 12 Wall Wall e
Area% Wall int° ext a Slab
Door U- Vaulted Above on
Option of Floor vertical Overhead Factors Ceiling2 Ceiling3 Grade below Below Floor 5 Grade
grade Grade
R-49 or R-21 R-21
I 13% .34 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
II* 25% .32 .50 .20 R-38 R-38 int 7 TB R-10 R-30 R-10
adv
R-49 or
III Unlimited .30 .50 .20 R-38 R-38 i t 7 TB1 R-10 R-30 R-10
adv
*Reference Case/Call (360)427-9570 ext. 352 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5" are
exempt from the above grade wall insulation requirements.
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO..Fj 6LOB—,
PLEASE PRESS HARD BUILDING PERMIT APPLICATION ���
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
64
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner.fy I ch ,/A/< Az- Company Name V.D0 TN
Mailing Address f 0 �SC:X A Mailing Address_ C fox Ll
City WALkN R StateLVA Zip Code F3`�-`' _ Cityi=t:Ati,,vA State N1 A Zip Code y5
Phone ,2S3- S4� -S'7FC> Other Ph. Phone "I53-5'11 1 -S 7P.0 Other Ph.
Lien/Title Holder P,% Contractor Reg. # i' )� C(n 1 Exp. q-2 - is
E mail address �� e �' L �� E Mail Address Y_ i k�a_��'; `'+ cc, �-� `�
Drivers Lic.# Ez.NNtv�w3'-t-1 F`t OB 11:j Drivers Lic. # t3;u ti^ �v�t4�i� `i DOB i)L-- Li -6Y,
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existin Se ti +)'\OSde Qivnr e D
Connect to Water System X Name of Water System h'll"sr-' ��=�-`► ` '� �` :Lc
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Di it Parcel No. 1-23 05 30 °(1 Fire District -
Legal Description�c C `'r -gwbs Sc--If Ix' x: l e+1""'N ` C I Msl s r CC v-�
Site Address (Please include street name, st et number and city) �� t �°t L A r'� N �I ,�� ?,�'I PA;�, WA
Directions to si e C-- `J c AN t 1' L-L
Will timber be cut and sold in parcel preparation?Yes/ v
Is property within 200'of Saltwater f,)�__Lake Q o River/Creek 1"C Pond
Wetland--!--)o Seasonal Runoff N c,) Stream f.; Slopes or Bluff—s>115%
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes o
TYPE OF JOB - New Add Alt Repair Other « PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building t F Describe Work F VJA< Q. �•��r��
No. of Bedrooms No. of Bathrooms -1- Square Footage- 1 st Floor ! 10 2nd Floor
3rd Floor Basement Deck 100 Covered Deck_`A _—Other Sq. ft.
Garage 4 J O Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ V Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection.This permittapplication becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGR SS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X ,�-- cam. Date: 1c i3
when Owners Representative Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepte Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department !i 3
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT No.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner %l/1 �c� t 1 ��E ✓N N'�` Company Name eD C�sty.. cr..�,a •�C
Mailing Address PC 6 ox y Mailing Address c G o.c
City t,ti)Aw--u State wA Zip Code `t 3'� c, City LvA;-k,v,4 State ki 'A Zip Code
Phone JL-S 3-S`I`f Other Ph. Phone-i;53 Other Ph.
Lien/Title Holder '�-^��T-�^'-y t Contractor Re #F"`1k"I N''n±k SS�-4E p. 12-� 2c 1 y
N:Nz - AEG c�� � g. � x 7
E mail address <<,Z-, E Mail Address C'°
Drivers Lic.# DOB - - Drivers Lic.# N N WJ109160B
SEPTIC INFORMATION - Connect to New Septic - Existing Septic Connect to$ewer System Ps f
Name of Sewer System N A tJ .3 8'� M r , I c cu►,�c'� h'At L"e,-ic 12 13
PARCEL INFORMATION- 12 Digit Parcel No-I .2, 3 3 C? 5 � C 0 Y b Fire District
Legal Description La W, )S Ci' N;% , v OLv-1 C P ' A s o ti CC T
Site Address(Please include street name eet number and city)Y.,o I t , 'h
Direct" to site Vi2 c •N • I LL
Is property within 200'of Saltwater Lake fiver/Creek o t ��+Pond I . V r
Wetland ti Seasonal Runoff - T Stream Slo es or Bluffs > 15/o
TYPE OF JOB - New, Add Alt Repair Other Use of Building �z F
Location of Fixtures/Units - 1 st Floo 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNIT
Type of Fixture No. of Fixtures Fees Fuel Type:Eiectric LPG_Natural Gas_Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace 1
Bath Tubs �_ Heatpumps
Showers Spot Vent Fan
Water Heater �— Propane Tank
Clothes Washer ' Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher ► Kitchen Exhaust Hood I
Hosebibs Dryer Vent
Other L .Tu-S I Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF OF CO"NU TION WORK IS BY MEANS OF A PROGRESS INSPECTION.
X w Date: '5 13
Owrier .Owners Representative Cont� (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing& Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
6 w( �b
MASON COUNTY
Maio MaioA County Permit Center Use:
2 _ ��
DEPARTMENT OF COMMUNITY DEVELOPMENT DDR �iJ
411 N. Fifth Street/P.O. Box 186, 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: IE)KU_ninc_y—
Mailing Address: 1L.-� L� x L4
City: OJ a Lk_y1�ti State: Zip: l
Telephone: 2,157 3 —0-7 '
Email: (� ,Coy-\
If this reduction is tied to a building permit, please give permit case number.
BLD 2013 - Od- tj_q
Parcel Number(s): �� �j^ p Zoning
Site Address: 1_J 1"'� ILEIA
Requested setback variance:
ft. ❑ Front ❑ Rear Side
ft �g Front ❑ Rear ❑ Side
ft. ❑ Front ❑ Rear ❑ Side
ft ❑ Front ❑ Rear ❑ Side
Front Setbacks—From access easements and road right of ways. Minimum 10 feet.
Rear Setbacks—From the rear property line. Minimum 10 feet.
Side Setbacks—From the side property line. Minimum 5 feet except for certain shoreline designations.
An illustrated site plan is required.
Your site plan must show the following: north arrow, abutting street or easements, set backs to all
property lines and existing buildings, slopes, surface water, wetlands, critical areas, septic, well and
driveway. Show all proposed new development.
IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/16/10
a
FRONT AND OR REAR YARD REDUCTION REQUESTS:
For existing lots of record as of March 5, 2002;
You must meet one of the following:
2) One of the following exists on the lot(check all that apply):
❑ a) steep slopes, wetlands, or streams present;
❑ b) soils that restrict building or septic development;
❑ c) lot width at the front yard line of no more than 50 feet;
❑ d) lot size of no more than one-fourth acre;
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.
ner< whS WVC,I,tC �Q�e CAN O Oye
T`C C.,tA IV �I -rh,' C-O CAT I O,v S
"tb 8u. (d -r4 y- ,OIAN wou -to
w ou A.2-e-e- rN A�
Owner/A ent ( ease indicate)
/ Signature Date
Official Use Only
Approved by: Date (, 0 `2V 13
Denied by: Date
Reason for denial:
IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/16/10