HomeMy WebLinkAboutBLD2013-00452 SFR, Garage, Patio - BLD Permit / Conditions - 7/19/2013 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
IP Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2013-00462
OWNER: RJ PEABODY RECEIVED: 6/19/2013
CONTRACTOR: ^� ISSUED: 7/19/2013
SITE ADDRESS: L( NG �� c�5 Wes( �Z�tn,er EXPIRES: 1/19/2014
PARCEL NUMBER:
LEGAL DESCRIPTION: BEARDS COVE DIV 8 LOT: 114
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
RESIDENCE, GARAGE, COVERED DECK STOCK PLAN 2009-00015 FROM BELFAIR OUT NORTH SHORE RD TO LARSON LAKE RD TO RIGHT
TO CUTLESS ON LEFT ON CORNER
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: N 25.0 Ft. Shoreline: Ft. Water Body:
Rear: S 55.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 32.0 Ft. Shoreline Desig.:
Year: Serial No.: Side 2: W 10.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee TW 6/19/2013 $281.63 S2201300000001
Lavatories 3 Ventilation Fan 4 Address Fee TW 6/19/2013 $ 173.50 S2201300000001
Bath Tubs 2 Exhaust Hood 1 Planning Review Fee TW 6/19/2013 $205.00 S2201300000001
Water Heaters 1 Dryer Vent 1 EH Plan Review KKK 7/5/2013 $ 103.00 S6201300000001
Clothes Washer 1 Water Adequacy Plan Rev[ KKK 7/5/2013 $ 103.00 S6201300000001
Kitchen Sink 1 Building State Fee DLC 7/15/2013 $4.50 S1201300000001
Dishwasher 1 Building Permit Fee DLC 7/15/2013 $ 1,408.15 S1201300000001
Hosebibs 2 Mechanical Permit Fee DLC 7/15/2013 $ 76.50 S1201300000001
Mechanical Base Fee DLC 7/15/2013 $28.50 S1201300000001
Plumbing Permit Fee DLC 7/15/2013 $ 110.60 S1201300000001
Plumbing Base Fee DLC 7/15/2013 $24.70 S1201300000001
BLD-Plan Copies DLC 7/16/2013 $27.00 S1201300000001
Total $2,546.08
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2013-00452
CONDITIONS FOR
BLD2013-00452
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 "finaled" and approved.
X
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. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
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.
X
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
Department prior to any further inspections being performed or approvals granted.
X
5) 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.
X
6) 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 approved documents will result in failure of required building inspections.
X
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X
8) 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.
X
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 2 of 6
9) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric furnace, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, 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, Vault Insulation R-38, and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: Option 6, dwelling less than 1500 sq. ft.
X
10) 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
11) 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).
Reference WSEC 505.
X
12) 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.
X
13) 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
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 3 of 6
,14) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. "NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan"constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system
of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
15) 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,
original 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.
X
16) 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 shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
X
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.
X
18) 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
19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
X
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 4 of 6
20) 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 shall be made prior to requesting additional inspections.
X
21) All property lines shall be clearly identified at the time of foundation inspection. X
22) 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 ordinances and building regulations.
X
23) 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 prevented action from being taken. No more than one extension may be granted.
X
24) 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.
X
25) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
26) 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
27) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing or matting
must be installed and maintained until upland vegetation has become established. X
28) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
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 Site Plan"to ensure these structures are shown and meet the setback conditions listed.
X
30) 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.
X
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 5 of 6
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:
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 6 of 6
CASE NOTES FOR
BLD2013-00452
CONDITIONS FOR
BLD2013-00452
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 "fina d"and approved.
X
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
X 800-647-098rt2.. Theme person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
3) Owner/Ag 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 `
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
Depart t r'or to any further inspections being performed or approvals granted.
X \\
5) Owner/Agen i� responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
� , I
6) 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 approved documents will result in failure of required building inspections.
7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
X���n
8) 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 Depart ent prior to any further inspections being performed or approvals granted.
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 2 of 6
9) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric furnace, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, 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, Vault Insulation R-38, and Slab Insulation R-10.
In ad on he following credit from Table 9-1 shall be completed: Option 6, dwelling less than 1500 sq. ft.
X
10) 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
11) 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).
Referenn SEC 505.
X
12) 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.
X
13) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufactu er's installation instructions.
X
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 3 of 6
14) A Mason County Stormwater Management vvorKsneet was compieteo ano slgneu as pol L uI ll IIJ UUIIUII I Y pCl I I Ill QppIR.GUVA I. L.JCW JI I, 014.111y, v1w VI i ici n,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. *NOTE if Stormwater Management option "A" was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system
of this, or any other, parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/contrac�7n
owledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
15) 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,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspector at each reNuired inspection.
X
16) 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- n shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
X
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. *�7�
X
18) 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��X
19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
X
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 4 of 6
20) CONSTRUCTION PROCE55 1 U BE FIELU UUKKIzU I tU AJ Kt: UUIKtU NtK iwHaUN kUUN i YOUILUnvk7 UtrrArt 1 iviEZry i MINU i nF-r\uvr i r.0
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
Inspectors II a made prior to requesting additional inspections.
X
21) All property lines shall be clearly identified at the time of foundation inspection. X
22) 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 Cq ty dinances and building regulations.
X
23) 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 ev nted action from being taken. No more than one extension may be granted.
X
24) 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 ROADWAY.
X
25) Approved per,dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X 1af,
26) All construction and demolition debris must be removed from the site after project completion. Prope diR sposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X —.
27) Temporary erosion control measures must be implemented to prevent water quality degracj�tion`of adjacent waters or properties. Silt fencing or matting
must be installed and maintained until upland vegetation has become established.
28) Prior to final approval, all upland areas disturbed or newly cr ated by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
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 Site Plan" to ensure these structures are shown and meet the setback conditions listed.
X
30) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures met the setback conditions listed.
X dk>�E�
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 5 of 6
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 ccess to the above described property and structure for review and inspection.
OWNER OR AGENT: DATE:
BLD2013-00452 Please refer to the following pages for conditions of this permit. Page 6 of 6
Name 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 Plant 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:
httD//wv,rw.co.mason.wa—us/code/r,ommissionerslindex.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 hots, 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 DVIT AL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Sma11 Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360) 427-9670 EXT.450
Mail:P 0 Box 1850, Shelton WA 98584
Physical:415 N 6th St,Shelton WA 98584
If this development has, or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system vdH Dot adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason
County Division of Environmental Health can be reached at:
Phone: (360) 427-9670 EXT.352
Mail:P 0 Box 1666, Shelton WA 98584
Physical:426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
Name N Parcel# O_. 11 S / — 01�l i 1 L� BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/VVorksheet (page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a sormwater 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 stonnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
T�.£alcirlate Impeni,r�oUs Sufaces=�feas Goinp�ete Fhls T�b1,e
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
L X _ ' Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways 1, X S = - 0 �D
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 =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = tf.the total-impervious area of the proposed-site
X = development is.gr�atei than.20DO square feet a
Small Pa_rcel:Stormwatere . Site Plan;is Required
Total]mpegvious.Surface Area(sum bf`all areas)
If the Total Impervious Surface Area is LESS THAN 2000 Square Peet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan LS 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 and inspection as may be required. /
X& OAmer/ �gen Contractor(circle one)Date:
If the Total Impenious 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
co
o CONCRETE MECHANICAL MANUFACTURED HOME .m
o Gate �� z��- ( 3 6,, D
W Footing I Setbacks Ribbons Im
Gas Piping
a Interior Date By Interior-Date E.y Date ay 0
NExterior Date By Exterior-Date By Set-up
Point Load t Isolated Footings INSULATION Date By
6G I SLAB INSULATION
Date By Data y: FIRE DEPARTMENT
Foundation Wails Floors loost_ Date 8y
Date By NO DECKS
FRAMING was Date By
Date !�`3 i • /3 Bye Data tp -3� By PROPANE TANKS
PLUMBING 'fault Cate 9y
Date OTHER
Groundwork Attic
Data By type
Dace By Date By:
n.w_v DRYWALL rape.
13y l�'Z�— (3 J
Int.Brace Wall Date By W
Date
v DOW
'' FINAL INSPECTION 0
m Water Line t( Fin Sops ration N
Date By Date By mate By O
m W
g Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments P.
o T_
N
0 S�CD
23— —,zy—/3 c
CD
l ' sus s s s
0
o21
E
244—/� z-13—13
3
v
0
0
1
MASON COUNTY PERMIT NOT__ ic-J 62
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467• Elma (360) 482-5269<��06 (�
On the web www.Co.mason.wa.us
APPLICANT INFOR N CONTRACTOR INFORMATION
Owner G - -� Company Name 11 ��^.,� T F v.�
Mailin Address 'cp; f_ , Mailing Address
City I State� Zip Code 7S � 2 City State Zip Code
Phone _� nS- 313- ther Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address�r z,\L'�rNTt® W 5 h ,C of h E Mail Address P j_z ��STET-c F h�s Z,,C ►1�
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System i/ Name of Water System q S i'-)-\ C �w -J
Well Water System Name of Water System i3_o,,r c
PARCEL INFORMATION - 12 Digit Parcel No Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site -",, F�( k G +-C -�t� �Vo�'ff� S)6 r, Ta 1c oil L C
Will tim er be cut and sold in parcel preparation? Yes o
Is property within 200'of Saltwater /. Lake N River/Creek 1.—Pon.
Wetland property
Runoff/ Stream Slopes or Bluffs > 15% A o
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New_j.�dd Alt Repair Other PRIMARY RESIDENCE E] SEASONAL ❑
Use of Building Jg0 s . Describe Work >-'
No. of Bedrooms 3 No. of Bathrooms c2 - S Square Footage- 1 st Floor 6 2nd Floor_P)--D
3rd Floor Basement Deck Covered Deck 4 x �— Other Sq.ft.
Garage 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$ 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.
PR OF CONTILNUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X U Date:
Owner/0vtp6rs Representat /Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department f-p
Environmental Health Department r I'ya ✓
Public Works Department 7
Fire Marshal
FEES
Building Permit Fee /S Site inspection
Plan Review FeecQ D% /Rrm, _ 8/. ' 3 EH Review Fee
Plumbing & Base Fee 76 /6 • Planning Review Fee
Mechanical & Base fee 8 f Other /
Wood/Gas/Pellet Stove Fee State Fee S
Violation Fee Pre-Paid at Submittal �3
Valuation $ TOTAL FEES
PERMIT NO.
MASON COUNTY
PLUM BING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belb (360)275-4467•Elma(360)482-5269
On the we www.co.mason.wa.us
APPLICANT INFO MAT ON CONTRACTOR INFORMATION
Owner O Company Name
Mailin Address- 5 Mailing Address
City L'-f State kl&Zip Code 5 X 5 �- L� City State Zip Code
Phone 3 o -i Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address Ir rkg fit^ST', C e C 4\ .0 E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No J I - S i oo I I Fire District
Legal Description
Site Address (Please include s reet name, street number and ci )
Directions to site -'�v Z , ) ( -G Cy-" k o r_0 `1 a )-a t s u'-\, L k- RA Y q
7 cc,Tl c.,5 s
Is property within 200' of Saltwater � ' Lake N River/Creek !V� Pond
Wetland Seasonal Runoff _A Stream_bL, Slopes or Bluffs > 15% /V,�
TYPE OF JOB - New ✓Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1st Floors 2nd Floor ✓' Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electhc 1�LPG—Natural Gas_Heat Pump_
Toilets 3 Tvoe of Unit No. of Units Fees
Bathroom Sink 3 Furnace —�
Bath Tubs Z 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 —1 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.
PRQW OF C,O�NT�INUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
Date: y ` `1 - 13
Owner/Owners 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 Group T e 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 _
Contractors or Tradespeople Printer Friendly Page Page 1 of 1
General/Specialty Contractor
A business registered as a construction contractor with L&I to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name ALMOST FREE GUTTERS INC UBI No. 603159445
Phone 3606893918 Status Active
Address Po Box 565 License No. ALMOSFG897Q1
Suite/Apt. License Type Construction Contractor
City Burley Effective Date 11/21/2011
State WA Expiration Date 11/21/2013
Zip 98322 Suspend Date
County Kitsap Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Business Owner Information
Name Role Effective Date Expiration Date
PEABODY, RONALDJOHN IManager 11/21/2011
Bond Information
Bond Bond Company Name Bond Account Numbe Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
2 IRLI Ins Co ILSM0332746 02/24/2012 Until Cancelled 1 1 $12,000.0002/24/2017
1 IRLI Ins Co ILSM0332746 11/17/2011 lUntil Cancelled I $6,000.0011/21/2011
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
2 Western SCP0928532 11/16/2012 11/16/2013 $1,000,000.0011/08/2012
Heritage Ins Co
1 Western SCP0877081 11/16/2011 11/16/2012 $300,000.0011/21/2011
Heritage Ins Co
Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period
Warrant Information No unsatisfied warrants on file within prior 6 year period
Infractions/Citations Information
Infraction/Citation Date RCW Code Type Status Violation Amount
NFERD00630 2/24/2012 18.27.200(1)(a)RCW CONSTRUCTION INFRACTION Satisfied $500.00
https://fortress.wa.gov/lni/bbip/Print.aspx 7/19/2013