Loading...
HomeMy WebLinkAboutBLD2012-00895 Final SFR DDR2012-00091 - BLD Permit / Conditions - 4/10/2013 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar P.O. Box 279 Shelton, WA 98584 too RESIDENTIAL BUILDING PERMIT BLD2012-00895 OWNER: RJ PEABODY RECEIVED: 11/30/2012 CONTRACTOR: ALMOST FREE GUTTERS INC 1.360.689.3918 LICENSE: ALMOSFG897Q1 EXP: 11/12/201: ISSUED: 1/7/2013 SITE ADDRESS: 118 NE LARSON LAKE RD BELFAIR EXPIRES: 7/7/2013 PARCEL NUMBER: 123315000002 LEGAL DESCRIPTION: BEARDS COVE DIV 2 TR 2 PROJECT DESCRIPTION: DIRECTIONS TO SITE: BUILD RESIDENCE (Stock Plan 2009-0015) General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R3U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,478 Garage-Attached 415 Valuation: $ 173,664.63 Building Height: Occ. Status: Primary Basement: cov porch 28 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: S 15.0 Ft. Shoreline: Ft. Water Body: Rear: N 20.0 Ft. Slope: Ft. SEPA?: Model: Width: Ft. Side 1: E Ft. Shoreline Desig.: Year: Serial No.: Side 2: W 5.0 Ft. Comp. Plan Desig.: Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee TW 11/30/201. $922.58 S220120000000t Lavatories 3 Ventilation Fan 4 Address Fee TW 11/30/201'. $ 173.50 S2201200000001 Bath Tubs 2 Exhaust Hood 1 Planning Review Fee TW 11/30/201. $205.00 S2201200000001 Water Heaters 1 Dryer Vent 1 Fire Warden Review TW 11/30/201. $73.00 S2201200000001 Clothes Washer 1 EH Plan Review KKK 11/30/201. $ 103.00 S6201200000001 Kitchen Sink 1 Water Adequacy Plan Revi KKK 11/30/201. $ 103.00 S6201200000001 Dishwasher 1 Building State Fee DLC 12/21/201 $4.50 S1201300000001 Hosebibs 2 Building Permit Fee DLC 12/21/201 $ 1,408.15 S1201300000001 Mechanical Permit Fee DLC 12/21/201 $76.50 S1201300000001 Mechanical Base Fee DLC 12/21/201 $28.50 S1201300000001 Plumbing Permit Fee DLC 12/21/201 $ 110.60 S1201300000001 Plumbing Base Fee DLC 12/21/201 $24.70 S1201300000001 ADJUST—Plan Check Fee DLC 12/21/201 $-7.28 S1201300000001 Additional Plan Check Fee DLC 12/21/201 $73.00 S1201300000001 Total $3,298.75 BLD2012-00895 Please refer to the following pages for conditions of this permit. Page 1 of 7 CASE NOTES FOR BLD2012-00895 CONDITIONS FOR BLD2012-00895 1) 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. t` X 2) Own T�� t is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) 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 per evocation. X 4) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinan� X gr regulation, must be reviewed and approved by Mason County prior to construction. 5) All construction and demolition debris must be removed from the site after project completion. P er disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 6) 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 M nd approved. X 7) 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 char and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 8) Prior to final approval, all upland areas disturbed or n"I created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X__',�, BLD2012-00895 Please refer to the following pages for conditions of this permit. Page 2 of 7 9) 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 Inspectorall be made prior to requesting additional inspections. X �3� 10) 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 Cow ordinances and building regulations. 11) Landings and stairs must meet the same setback conditions as any permitted structure-, and, must be shown on your site plan. Please check your "Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed. X 12) 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). Refer ce WSEC 505. X 13) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project X BLD2012-00895 Please refer to the following pages for conditions of this permit. Page 3 of 7 14) 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%sheets. The Mason County Permit Center will also have some available. X Qt3 - 15) 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 holde ve prevented action from being taken. No more than one extension may be granted. X a 16) 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 rem I f approved documents will result in failure of required building inspections. X _ 17) 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 Depart�or to any further inspections being performed or approvals granted. X 18) All property lines shall be clearly identified at the time of foundation inspection. X 19) 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 1-800-64,M The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 20) Retaining walls needed to support a sure` r e such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X ,, BLD2012-00895 Please refer to the following pages for conditions of this permit. Page 4 of 7 21) 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. X 22) WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. 23) App� ed per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. 24) 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,pepartment prior to any further inspections being performed or approvals granted. X �.��`� 25) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANYADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WA . X C. 26) Temporary erosion control measures must be implemented to preventwater quality degradation of jacent waters or properties. Silt fencing or straw matting must be installed and maintained until upland vegetation has become established. X 27) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option II, Window(Max U-Factor):0.32, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-49 standard. In addition the following credit from Table 9-1 shall be completed: Option 6, dwelling less than 1500 sf X Please refer to the following pages for conditions of this permit. Page 5 of 7 28) 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 M1401. 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 accor ance to WSEC Section 1411. � X 29) Stock Plan Identification number: 2009-0015 This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department, approved building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building Inspector at each required inspection. Future use of this stock plan shall require approval for use, without changes, that include a site-specific letter from the engineer of record, Hodge Engineering, Inc., and required documents listed on the approved MASTER SITE COPY and stock plan policy. Stock plans expire upon adoption of a new building code edition or may be canceled for misuse of this process. Code changes are expected on July 1, 2013. X BLD2012-00895 Please refer to the following pages for conditions of this permit. Page 6 of 7 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 commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the 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. OWNER OR AGENT: \ DATE: I , LBLD2012-00895 Please refer to the following pages for conditions of this permit. Page 7 of 7 r 4 ` ONCRETE MECHANICAL MANUFACTURED HOME m N N Footing /Setbacks Date j �f�� BY �� Ribbons _ Gas Piping 0 o Interior Date By Interior•Date By 6a gy co Extereo+Date/iy �3 Exterior Date By Set-up Point Load!Isolated Footings INSULATION Date By Date � 3 By �� D� SLAB INSULATION By FIRE. DEPARTMENT Foundation Walls Floors Date By Data By Date ti /3 By j,t�l DECKS FRA10-Nd Wails Date By Date ,9 43 By Data -� �(—".2 By PROPANETANKS PLUMBING Vault Data By Date °y OTHER Attic . Groundwork Data By Date By Type. Date By D.w.v DRYWALL Type- o Date 3 -/4 j By, Int Brace Wall Date By W Date By FINAL INSPECTION 0 v y Water Line Fire Seperation N m Date By Date By Date d/10 MY m N s Pass or Request Inspect. c Type of insp. Fail Date Date Done By Comments co W CD Cn v 0 IG*Iriv �s a m 23_ ..yam= 1977- 141,0/1 0 0 Building Permit # ./ > e5�� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location //9 Le< RZ9 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 9i t - 6 G � � Q G� �S /n/ b ic n/ O/ O L- T _o v SS o O oT Eram. 7 1 y C.. �7/4 C Av.4,tv -✓ G fJ�/ O s _ C You are hereby notified that t above corrections shall be made_ BE ORE PROCEEDING WITH ANY FURTHER WOR �`-����� i�/,G s,�qF"V`/ �i✓� J /d-# -Z iS TNT c7�71G- 7.6 , � '!X'J `-� 1z j lY� 3 wit/ ❑ Calrfor �specti4on�whencor �o{ps are made before continuin ❑ Ma �'correcti' 'ons,t ems�wilrbe checked on next inspection c-� ❑ O K to� � ,� ts{�.vnoc�,i ��//�ii;Ti ,�S/i9�'j�i, c:., ❑ This is not a complete inspection Department Date 1 2 Inspector _l -DO NOT REMOVE THIS T A LG Y Buildina Permit # MASON COUNTY 4 � - BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTI E Job Location/.5? / 11%'O,11 Ll--' � 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) �s - � „V �-O 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 RW Date — -� Inspector ■ �� NnT MOOV THI Tmk Permit# -1,2 -� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location I/S? 12 0 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been ound: Items listed below must be corrected to gain compliance �C v Y/cc 2 KP i -aS 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 GC damage incurred by recent "naturaliman made" ❑This 'is not a c mplet inspection disasters.This is NOT Date / 5 Department- CORRECTION NOTICE. Inspector //� • CEI"D ' NOV COUNri • ' PLANNING P nr ,' >C ALL SETS A'V NING: • FROM THEARE MEASURED ROJECTION FURTHEST .�� . . OF THE BUILD lNG I . ' ui ---- - ---- 1'� b r ' 50 o ° ------ _- am S o ------ ----------3A?l343?J 0 50 ---o o m N C APPROVED MASON COUNTY DCD PLAN SITE PLAN REQUIRED TO BE ON SITE I ENG �G CHA GES S BJECT TO APPBy "OVAL Datej Z l t 1 MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION �� 426 W. Cedar• P.O. Box 186, Shelton,WA 98584 Shelton(360)427-9670 • Beifalr (360)275-4467•Elma(360) 4-82-5269 On the web www_Co.mason.wa_us APPUCAff 1bffFOR TI CONTRACTOR INFORMATION Owner, r lk O 10 Company Name Mai[i Address r o+ -, Mailing Address city State iM"')Zip Code Ce 50 D- Z- City State Zip Code Phone © , 5-3 Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic. DOB Drivers Lic.n DOB SEPTIC/WATER SYSTEM INFORMATION-Connect to New Sep.0 Existing Septic Connect to Water System_u,-,' Name of Water System ►� ��-y__Q Well Water System ' Name of Water System PARCEL INFOR ATIO 12 Digit Parcel I TS ca 00 0 d Fire District Legal Description -)- -an Vj 1, C� Site Address (Please include street name,street number and ) Directions to site ' t a o kt r o Y 4 C r Will timb6r be cn aAd sold in parcel preparation?Yes/ o Is prop ,within 200' of Saltwater- 1) Lake --River/Creek_11 o Pon �_ Wet Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y o TYPE OF JOB- ew Add Aft Repair r PRIMARY RESIDENCE "f' SEASONAL E]Use of Building <� Describe Work •�: C~�?� , No. of Bedrooms.—No.of Bathrooms .�5 Square Footage-1st Floor S�-- 2nd Floor �� o 3rd Floor Basement Deck Covered Deck Other Sq.ft. Garaoe t; o Attached Lr— 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$ Replacement Unit? Yes/No Installer Name CertificatiDn No. OWNERI BULDER Aclmowledges s ibmission of inane infomnafim may resift in a step work order or permit revocation.Acknowiedgement of s,-ich is by signatn-e below.I declare that I am the owner,owners legal representative,or the contractor.i further declare that I am entled to rive this par nft and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.tf pemiission is ra#red from arty easement hoider.or any other party in interest ragardng this app5ca5on or the work proposed kite app5cAon I have obtained P--7nission from them to apply for this pvrrrit and conduct the work proposed The owner or agrnt on owners behalf,represents that the infomr35on provided is accurate and grarfs employe>.s of Mason County access to the above described property and structr.ire for review and inspecbD L PROO OF CO7/ F ON OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date-eprssentatrve Contractor Crndoate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department •-3 - Planning Department r&CQ ilRe Environmental Health Department 5'e� GL. cc f Public Works Department Fire Marshal FEES Building Permit Fee D Site Inspection Plan Review Fee /J`-r EH Review Fee PIUMbing&Base Fee -7 t 'Planning Review Fee Mechanical &Base fee S� + Other b fp GK Wood/Gas/PeH Stove Fee State Fee Violation Fee i e_x ¢ Pre-Paid at Submittal 2 50 Valuation$ TOTAL FEES T�; ra q/ a a �xan moo �j COy/ �rG yl 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 On the web www.co.mason.wa.us APPLICA FOR TI N CONTRACTOR INFORMATION Owner Q'' C� Company Name Mailino Addres­ Mailing Address City tl u r _- State( ,Zip Code 4 L City State Zip Code Phone Other Ph Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic L:� Existing Septic. Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Di it Parcel No j.4 3 c.® co Fire District Legal Description o T 2 /�z, o �'� �l-2 Site Address (Please include street name, street number and city) Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff —Stream _Slopes or Bluffs > 15% DL0 TYPE OF JOB - New_L_.,--Add Alt Repair Other Use of Building Location of Fixtures/Units- 1st FlooL-J--- 2nd Floor L__ Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG_Natural Gas_Heat Pump_ Toilets Tvoe of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers -4/1 Spot Vent Fan Water Heater —j— Propane Tank -40— Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/PelletStove Dishwasher 1 Kitchen Exhaust Hood Hosebibs Dryer Vent Other 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 CONTIN A ON OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/qwners Representative Contractor (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 Grou TVpe 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 ACCESS & GRADE INSPECTION BLD 2.0 1 L—00 9'X5 ADDRESS: r 1 411�'L It Z INSPECTOR: DATE OF INSPECTION: L— FIRE SPRINKLER REQUIRED? (circle) ro YES IF fire sprinkler required, was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS ( ) need post at access of driveway with reflective address numbers Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Width: Surface: Condition of Shoulders: Vertical clearance: (� BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. (� LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: Name ��?G Parcel# 3 3 l 5 o 0 o-o c- 2, BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) 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 surface2. 'Redevel^prn 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 zCommon 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 in$ltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. .. ,; T�.�Calclate:trn enrousSuces'�leaseCopi?ete`.Tfais Surface Type Length X Width = Area ' All dimensions in feet Buildings X = X _ S Measurements for buildings are taken at the perimeter of the farthest projections(example: 3 X = eaves/gutters) X 7 = Drive-ways; o X .2, O = O X Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Pabos/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X _ •.,\:.. �•.�..•:.•....rig..'.. •_ :a.......h•.y ..'C i•.-.' .. X if:the tatal.impervrous area of thd proposed site' X = development is,graatei than. bbo•square feet a Sm red.z. a{IPar�el:Stomiwater;Srte.Plan-is Requi. T -.7-777777 otal impstvioijs.Surfac Area:jsirm-bf.`a)1 areas) If If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below. Based Upon the information you have provided a SYormwater 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- descri property for ew and inspection as may be required. X r Owner/ gen ontractor(circle one)Date: o ^ 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 Name Parcel# BLD# Mason County Department of Community Development SmaIl Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormmwater 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: http//www.co.mason.wa--us/code✓commissioners/mdex.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.49.section 14.49.70). You will receive a copy of the Public Works document entitled "Managing Stone 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 INTrIAL BELOW TO INDICATE THE STORMPVATER 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 0 conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 r . tz(-14 ( tY MASON COUNTY Mason County Permit Center Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR2-,e--)I 2. - ne0l�- 1 411 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. D Applicant/Owners: I 6 J � IL{� , , d� Mailing Addres§ . City: w10 l State: Zip: Telephone: 3 6© ��l.S 3 �-3 5 Email: If this reduction is tied to a building permit, please give permit case number. BLD 710( y - Parcel Number(s): Oct Zoning Site Address: Requested setback variance: S ft. L'Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear 4 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 DevelopmentTAOVARIANCES\Admin Variance.doc Edited on 7/16/10 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; '4 d) lot size of no more than one-fourth acre; IX'fe) 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; N* 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. 12� CU Owner/Agent lease indicate) L 3.0 ignature Date Official Use Only / Approved by: Date Denied by: Date Reason for denial: 1ACommunity DevelopmentTACWARIANCES\Admin Variance.doc Edited on 7/16/10