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HomeMy WebLinkAboutBLD2006-01529 Cancelled SFR DDR2006-00292 - BLD Permit / Conditions - 8/19/2008 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT inspection Line(360)427-7262 Mason County Bldg. III 426 W. Cedar P.O. Box 186 Phone: (360)427-9670,ext.352 Shelton, WA 98584 IP10 RESIDENTIAL BUILDING PERMIT OWNER: B & G PROPERTIES 01D2006-01529 CONTRACTOR: B&G PROPERTIES, INC. LICENSE: BGPROGP956ON EXP: 9/15/2007 RECEIVED: 8/25/2006 SITE ADDRESS: 50 E ANGUS CT SHELTON ISSUED: 11/22/2006 PARCEL NUMBER: 321275300157 EXPIRES: 5/22/2007 LEGAL DESCRIPTION: LAKE LIMERICK 4 TRACT 157 PROJECT DESCRIPTION: NES SFR DIRECTIONS TO SITE: Hwy 3 to left on Mason Lk right after Lk. Limerick store on Dartmoor, left on Balbrig an, right on An t is marked on right at end of court. General Information Construction&Occupancy Inf mati No.o Bedrooms: 3 Type of Cons .: V Square Footage Information Type of Use: SF Insp.Area: No. of Bathrooms: 3 Oc rou Type of Work: NEW Fire Dist.: 5 R-3 Lot Size: Deck: 40 No.of Stories: 2 O ad: Building:1,747 Valuation: Building Height: 25 c. t us: Garage-Attached 371 M a Basement: COVPORCH 40 Manufactured Home Information ck I ormatio Shoreline&Planning Information Make: Length: Ft. Front: W Water Bod : NONE •0 eline: Ft. Y Model: Width: Ft. R ar: E .0 Ft. Slope: Ft. SEPA?: No Year: Serial No.: S' e . N 0 Ft. Shoreline Desig.: Not Applicable de 2: S 5. Ft. Comp. Plan Desi Plumbing Fixtures 9•: Rural e nical Fixtures Type t T FEES yp Dishwasher 1 Qt ' Type By Date Amount Receipt Ex aust Hood Ch Fee Ks 8/25/2006 $227.87 s12006000 Hosebibs V ntilation Fan 1 Plan eck Kitchen Sink 1 4 Planning Review Fee KS 8/25/2006 $155.00 S12006000 LBVatOfl@S oodstove 1 Building State Fee ARC 10/13/200 $4.50 S12006000 4 Dryer Vent 1 Building Permit Fee Showers 1 ARC 10/13/200 $1,139.35 S1200600b Water Closets (Toilets) 3 Mechanical Fee ARC 10/13/200 $99.20 S120o6000 Water Heaters 1 Mechanical Base Fee ARC 10/13/200 $23.50 S12006000 Plumbing Fee ARC 10/13/200 $103.00 S12006000 Bath Tubs 2 Plumbing Base Fee ARC 10/13/200 $20.00 S12006000 Clothes Washer 1 Adjust Plan Check Fee ARC 10/13/200 $35.00 S12006000 EH Plan Review TW 10/16/200 $75.00 S12006000 Public Works Review PMC 11/9/2006 $38.50 S12b060b0 Total $1,920.92 BLD2006-01529 Please referto the following pages for conditions of this permit. 1 of 6 "W CASE NOTES FOR ' BLD20 0 6-01 529 CONDITIONS FOR B LD2006-01529 1) 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 1-800-647-098n signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 2) 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 Departure to say further inspections being performed or approvals granted. X-- 3) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background. Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting inspection , X / 4) 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 removal of a cuments w and/or ill result in failure of required building inspections. p y X 5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 4 17 6) 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 Bui—iI���r to any further inspections being performed or approvals granted. X BLD2006-01529 Please refer to the following pages for conditions of this permit. 2of6 Washington State Energy Code Compliance has been approved using Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor)0.40, Skylight(Max U-Factor):0.58, Doors (Type/ ctor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10. 8) Per 2003 IRC - SECTION 1609 -WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WI _E3-SECOND GUST)the wind speed for Mason County is 85 MPH. X "4 9) Per 2003 IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordance wi a pticable provisions of this section and the manufacturer's installation instructions. X 10) Stock Plan Identification number: 2003-0126 This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mash n CountygBued ngment, Inspector at each r fi ection. 11) 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). X f 12) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remainna to hied g 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 s recollected by the Building Department prior to any further inspections being performed or approvals granted. X 13) 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 14) 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 affect your project. �--� ure planned work which may X BLD2006-01529 Please referto the following pages for conditions of this permit. 3 of 6 15) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regula us a reviewed and approved by Mason County prior to construction. X 16) 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 requesting additional inspections. X 17) All property lines shall be clearly identified at the time of foundation inspection. X � 18) 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 X Mason County and building regulations. 19) 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 pre n from being taken. No more than one extension may be granted. X � 20) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and fl��gq., n metal connectors approved for contact with the new types of pressure treated material. X /�� 21) 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 22) 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"toe sure these structures are shown and meet the setback conditions listed. X 23) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.X /- 24) 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%/t with a county maintained public road or to another fire apparatus access r X oad which connects to a county maintained public road. BLD2006-01529 Please referto the following pages for conditions of this permit. 4 of 6 25) y 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"an oved. X v 26) All development is to follow recommendations made within the Geotechnical Assessment prepared by Bradley Noble geotechnical Services, dated September, 2006 ��� X Recommendations for backfill being placed in conformance with the International Building Code (IBC)to ensure positive drainage away from the structure are necessary. This will prevent ponding against the foundations. The collected water is to be conveyed below the drain field and infiltrated into the slope soils. X Installation of roof rain leaders, catch basins, and trench drains are to be connected to a tightline collection system conveyed to the toe of the slope for disposal, which will prevent discharge of storm water on the surface adjacent to the structure. The footing drain which is also required may be connected to the common discharge line at an elevation such that backup into the footing zone cannot occur. Use of to for both systems is recommended. X `G The tightline storm water collection system should incorporate glued watertight joints. Use of flexible ADS pipe used for the infiltration system must be staked to t� a and may be connected to this discharge line at an elevation such that backup into the footing zone cannot occur. X Good site grading practices and water management including minimum vertical separation between bottom of crawl space and top of landscape soils of three inches, w�required to ensure a dry crawl space. X Adequate erosion and sediment control features need to be implemented during and after land disturbing activities to protect neighboring properties and State waters from adverse stormwater runoff impacts. The migration or release of silty water or mud from the applicant's property will be considered a violation of an -State water quality protection regulations. X 27) Prior to final approval, all upland areas disturbed or newly cr � by c nstruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X Z 28) Temporary erosion control measures must be implemented to prevent water quality de r ion of adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation has become established. X z -Z ' 29) Approved imensio ns and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 30) Xhis parcel is ,led in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. BLD2006-01529 Please referto the following pages for conditions of this permit. 5 of 6 This Oermit 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 anytime after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be a of work is by means of a progress inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and Ig anntts employees of Ma obe occupied. fn C unity ion access to the above described property and structure for review and inspection. OWNER OR AGENT: DATE: BLD2006-01529 Please referto the following pages for conditions of this permit. 6 of 6 o " 't✓'ONCRETE MECHANICAL MANUFACTURED HOME Oo o __ Ip Date 9 Footings!Setbacks Gas Piping By Ribbons G7 a Interior Date // )�Q/�/ Sy Interior-Date By Date BY � / U� N Exterior Date Exterior-Date By up 0 INSULATION set- Point Load!Isolated Footings; Date By M 6G E SLAB INSUl.AI1QN ---- ----------- Date BY Data By FIRE DEPARTMENT Foundation Walls Floors Date By Fn to Date I2 OLD By L40( Data By DECKS FRAMING waits Date By Date ' By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Atic Date By Date By Type' Date By n.W.v DRYWALL_ Type_ Date By int Brace Wall Date By W Date By FINAL INSPECTION 0 CD Water Line Fire Saperation NC 2 1 Date B Data By Date By O (D 0) Pass or Request Inspect. c Type ofInsp. Fail Date Date Done By Comments CA154AAf l 1 �� 11/jar ? nay cc CD 17— 7 06, z � � LOY_ it a O /. 5 , _36-47 y-z- OQ (D S 112 2-a7 127. oc�s n � O h Building Permit # MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found- Items Listed below must be corrected to gain code compliance 3 i.. G: / tr' liL� r b eA r 7 `.n► rt. Z uJs LlG `r-" / " � � � t r r �QG / •i .� I / L , s" s% 13, You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK j Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection ❑ OK to ❑ This is not a complete inspection Department Date Z— 19 —o x Inspector ■ �� NnT Mo *V THt T " ,�.. Building P6rmit # IYa-QhnrZ9 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location BCD A17gLy 67 — 11 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 Z r.s eeaz- You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK --A Call for re-inspection when corrections are made before continuing ❑ Make corrections, items will be checked on next inspection This is not a complete inspection Department Date 3 ' 2t?D-2 Inspector s ■ �� NOT ► nm MO OV THF- T iolm Building Permit # 2g MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items Listed below must be corrected to gain code compliance POO- 24 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 �wr� 6 ,G/rf-�c,�- ❑ This is not a complete inspection Department �� Date Inspector 11- ,74l� moos VOOT MOOV THIT-- T, PLANNING APPROVED MASON COUNTY DCD PLANNING X PLAN REQUIRED TO BE ON SITE J � CHANGES SUBJECT TO APPROVAL By Date i J`� 1 `f 8 , F B' wo MA 3 5 0 Z_ , I oo 0 •� S CS NC ON±ISCNSS rj0 X� � C .... E�• ES�Gt�ER yo' �s3. JCS Z n5 v+11.Z5 I cn ,SX .\� Lzt` t '�bLk�--ts c� \�.ok�-�•� �' o Jt- 'C l�.v� - L.O�- I S I� �S 3 r Sa.,.s. t SO a • p�v�Sr S ' ,j . _ �r ors `� \ Lv © _ 2 ,i �,yc,,,,�ze P,t, �-k L yJ,. ry D 2 .1 ,1 � �►�k���'^Q-r � `{ a�"+'µ` MAY �" _ 30 �� S Zv` O 2-2- � 4 Z006 L" 't oc LAC-- o �S' 3o, y5' bo S 2 22 MAY 7 n Z00� oN-STAI- MASON COUNTY �Py c �� DEPARTMENT OF COMMUNITY DEVELOPMENT 4 MO o N z Planning Division i� N y ti P O Box 279, Shelton, WA 98584 1864 (360)427-9670 REQUEST FOR ADDITIONAL INFORMATION September 06, 2006 B & G PROPERTIES PO BOX 2856 OLYMPIA WA 98546 Parcel No.: 321275300157 Project Description: NEVSFR Dear Applicant: You have submitted a permit application (case no. BLD2006-01529) for proposed construction or development in the county. Upon review of your application, I require additional information to complete the permit review process. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 593 if you have questions. Sincerely, Re ecca Hersha Land Use Planner Mason County Planning Department 9/6/06 Page 1 of 2 BLD2006-01529 REQUEST FOR ADDITIONAL INFORMATION 9/6/06 Case No.: BLD2006-01529 Comments: A site inspection was conducted on Septemeber 5, 2006 to assess critical areas relevant to future residential construction. It appears that the property is on slopes of more than 15%, and therefore, a Geotechnical Assessment will be required to evaluate slope stability for development proposed within 300 feet of slopes on and near the site. The assessment must meet the requirements of the Mason County Y Resource Ordinance section 17.01.100 EA (enclosed). The assessment must also state that the hazards of the landslide area can be overcome in such a manner as to prevent harm to property and public health and safety, and must also assure that project will cause no significant environmental impact. See Mason County Ordinance section 17.01.100, E.7. A Geotechnical Report may be needed if through a Geotechnical Assessment it is determined necessary. If you have any questions, please don't hesitate to contact me at extension 593. 9/6/06 Page 2 of 2 BLD2006-01529 1pMason County Dept. of Community Development Mason County Bldg. 3 426 W. Cedar P.O. Box 186 (360)427-9670 Local (360) 482-5269 Elma Shelton, WA 98584 (360) 275-4467 Belfair r 14 Notice to Obtain Final Inspection March 04, 2010 B & G PROPERTIES PO BOX 2856 OLYMPIA WA 98546 Case No.: BLD2006-01529 Parcel No.: 321275300157 Project Description: NES SFR The Mason County Department of Community Development is currently reviewing all permits that are expired and have not been approved for occupancy and use. Pursuant to Mason County Code, Title 14 Building and Construction, a permit and final inspection for this type of activity is required under the 2006 International Building Code or the code your permit was issued and your property is currently in violation status of occupancy and use. Please contact our office to make the necessary arrangements 21 days from the date of this letter. Failure to contact our office to make the necessary scheduled inspections may result in enforcement actions. To bring your site into compliance, you must schedule an inspection. One (1) $73.00 site investigation fee will need to be paid prior to inspection along with any outstanding fees currently due on your building permit. For every inspection required after that, you may be charged $73.00 again, per inspection until final inspection and conditions are met. To schedule an inspection, please call (360) 427-9670 ext. 262. If you should have any questions regarding this notification, please contact me at (360) 427-9670 ext 726. Sincerely, Larry y Mason County Department of Community Development Cc: Property File March 04, 2010 BLD2006-01529 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: Telephone: Type of project (,--Mew Residence ( )Addition ( ) Remodel Total Sq. Ft. 1 15 Floor: 7ndfloor: Heated Basement: of heated area:: /7'1 7 ;7-/_3 e� Heating System Type: ® Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing O Prescriptive Option see reverse side circle one: 1 II I Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: O Systems analysis, Chapter 4 Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (VIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) su I fan. VIAQ 303.4.3) Window & Door Schedule (if needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window&door area /(divided by)total sq. ft of heated area = %of glazing 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 2004 Washington State Energy Code (WSEC) 2003 Ventilation and Indoor Air Quality Code (VIAQ) effective July 1, 2004 Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSECNIAQ)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On your building plans note the location and fuel type of water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC and VIAQ compliance information is available on the internet at: http✓/www.energy.wsu.edu/code/ Prescriptive Requirements °,'for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor poor Wall Wall Wall Area %of Vaulted Above interior° exterior Slab° Option Floor Vertical Overhead's Factors Ceiling Ceiling3 Grade below 4 Below Floors on '° z 1z grade Grade Grade 1 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 IV Unlimited Single Family Res .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call(360)427-9670 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. MASON COUNTY PERMIT NOQ. 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 o�Mb -6 1,;( On the web www.co.mason.wa.us APPLIC INFORM TIO CONTRACTOR INFORF�ATIqy Owner =pany Nqmt--S'f Mailin Ad ress Mailin dress jjr City-1 tate Zip Cod a7 City State Zip Code"7- -10 Ph -Z-,�q-f 7e—77�U other Phone Contractor Reg. # 11 ­ - , - 1 Lien/Title Holder --Pf r, -�Z�e- — pc Email address X. E Mail Address 40L&e4gu,/,-,s • ,;/,co.;Drivers Lic.# DOB f-z!L-' Drivers Lic.014fCz&n.--' nng SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic >C Existing Septic Connect to Water System —Name of Water System Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel N --3 Z i��7 o/5"7 Fire District Legal Description Site Address(Please include street name, s e t num er and city) Directions t ite Zf.4-Y 5s'o 60- Will timber be cuf and sold in parcel preparation?Yes Is property within 200'of Saltwater —Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No_ TYPEOFJOB - NewV Add AltRepair Other PRIMARY RESIDENCE [:] SEASONAL ❑ Use of Building 5'=1111 Describe Work No. of Bedrooms :3 No. of Bathroom)�- uz re Footage- 1st Floor 2nd Floor. 3rd Floor—Basement—Deck Covered Deck­i6sWC)ther —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 per cation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or th declare [i 0 that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obAtai I r r ll the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application proposed in the application, I have obtained permission from them to apply for this permit and conduct the work prop -gh5ager or agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County acce ove described property and structure for review and inspection. This permit/application becomes null & void if wo r" r' ed construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CON1609 *By '�S INSPECTION.INACTW13Y OF TMS PERMIT APPLICATION CATON OF 180 DAYS WILL INVALID MEANSOFAPROGRE I I ATETHE AWP X Date: Owner j Owners Representative/Cont-ractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department af P� Environmental Health Department Fire Marshal FEES Building Permit Fee 7597 Site Inspection Plan Review Fee - ;z EH Review Fee Plumbing & Base Fee 3 - Planning Review Fee T'c Mechanical & Base fee Other flAHS Prl'o-00 Wood /Gas/ Pellet Stove Fee State Fee Violation Fee 'Vo C-A)#=. Pre-Paid at Submittal Valuation $ ('Z'T 12-7- . q TOTAL FEES PERMIT NO. (�6%0 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 APPLICAN INFORMA ��ON CONTRACTOR INF RMAT N Owner �� Company Name Mailing_Addres Mailin Address ' Cit tate Zip Code Q<,!�sD7 City tate�l� Zip Code�'-�'' Phone T OtherPh. Phone Oth r h. Lien/Title Holder ti�• Contractor Reg. bal xp E mail address '• - GB E Mail Address p-& " � Drivers Lic.# S � O DOB `'f-/�-69 Drivers Lic.# �Ae*-Sl863/94c✓ DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic: Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. Fire District —5,;1.�5 Legal Description Site Address (Please include strut name, street numbe and city) .S Directions tQ�?ite L -1' r13-11 Is property within 200'of Saltwater a k e River/Creek Pond Wetland Seasonal Runoff—Stream—Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units - 1 st Floor. 2nd Floor 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 Type of Unit No. of Units Fees Bathroom Sink T Furnace Bath Z Heat um s Showers s p Spot Vent Fan Water Heater Propane Tank Clothes Washer. T— Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL O/VNER/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 CONTINUATION/OF WORK IS B MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Represen ive/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—Type Constr. Planning Department Environmental Health Department FEES Plumbinq & Base Fee Site Inspection Mechanical & Base fee UFC Plan Review Fee Wood/Gas/Pellet Stove Fee Other Violation Fee TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 411 N. Fifth Street/ P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 �-�.� DDF�� _ ���ac'� Rec'd by Request for Administrative Variance for Reduction in the Required Setbacks ($90.00) 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. / Applicant/Owners: 7� Mailing Address: Telephone City: State: Zip: If this reduction is tied to a building permit, please give permit case number. BLD Parcel Number(s): iS- 7 Zoning Site Address: Requested variance: Front/ Rear/ Si e Yar (please circle all that apply) Requested setback variance: ft. 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. The following circumstances must apply: FRONT AND OR REAR YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following: (Please circle all that apply) 2) One of the following exists on the lot: 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 s c�stems, and well areas. IAPLANNING\PAC\FORMS\DDR.doc Created on 03/07/2006 15:58:00 SIDE YARD REQUIREMENTS: 1) Existing lots of record as of March 5, 2002; You must meet one of the following. (Please circle all that apply) 2) One of the following exists on the lot: 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. e�44'151'7�1 i 5 �s Owner/Agent (please indicate) Signature and date Official Use Only Approve Date Ale 6 1 Denied Date Reason for denial: L\PLANNING\PACIFORMS\DDR.doc Created on 03/07/2006 15:58:00