HomeMy WebLinkAboutBLD2007-00524 SFR - BLD Permit / Conditions - 4/27/2007 Inspection Line(360)427-7262
i MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
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RESIDENTIAL BUILDING PERMIT BLD2007-00524
OWNER: BONNIE STROHSCHEIN
CONTRACTOR: HIGHLAND HOME BUILDERS 427-6723 490-3295 LICENSE: HIGHLHB9440K EXP: 9/5/20 RECEIVED: 3/29/2007
SITE ADDRESS: 51 E KATHRYN CT SHELTON ISSUED: 4/27/2007
PARCEL NUMBER: 321344290033 EXPIRES: 10/27/2007
LEGAL DESCRIPTION: LOT: C OF SP#2438
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR CATFISH LAKE RD TO CATFISH LAKE LN TO CARRIE ANN LN TO
KATHRYN CT TO 2ND LOT ON LEFT
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: V
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: 178
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,901 Carport-Attached 480
Valuation: Building Height: 24 Occ. Status: Primary Basement: cov porch 109
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 128.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: W 92.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: S 35.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: N 35.0 Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 3/29/2007 $824.30 S12007000
Hosebibs 3 Furnace<100K 1 Planning Review Fee KS 3/29/2007 $170.00 S12007000
Kitchen Sink 1 Gas Outlets 3 EH Plan Review TW 4/5/2007 $75.00 S12007000
Lavatories 2 Propane Tank 1 ADJUST--Plan Check Fee MAL 4/20/2007 $25.48 S12007000
Showers 1 Ventilation Fan 3 Building State Fee MAL 4/20/2007 $4.50 sl2bb7b00
Water Closets (Toilets) 2 Heat Pump 1 Building Permit Fee MAL 4/20/2007 $1,307.35 S12007000
Water Heaters 1 Propane Stove 2 Plumbing Base Fee MAL 4/20/2007 $22.00 S obibbb
Bath Tubs 1 Dryer Vent 1 Plumbing Fee MAL 4/20/2007 $82.50 S12007000
Clothes Washer 1 Mechanical Base Fee MAL 4/20/2007 $25.30 S12007000
Mechanical Fee MAL 4/20/2007 $256.20 S12007000
Total $2,792.63
BLD2007-00524 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2007-00524
CONDITIONS FOR
BLD2007-00524
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
1-800-647-0982. e e on signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X �.
2) The internatio �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. Rotes-are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such roads cnect'w�ith a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
C..j
3) This parcel is to ed ' a smoke management zone. Please contact a fire warden at (36 7-9670 ext. 459 for further information.
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4) Owner/build assumes all responsibility if drainfield/reserve area is encumbered. X
5) Approve per d' ions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
6) 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 Mas ounty Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be I ted . ithin 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 projec .
X
7) 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�r�ial risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800el-0982. The rson signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
BLD2007-00524 Please referto the following pages for conditions of this permit. 2 of 5
,411 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 oe 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 ny further inspections being performed or approvals granted.
X
9) 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 tion ici
in
and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
inspection .
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10) 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 appr "d documents will result in failure of required building inspections.
X
11) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
12) 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 01� 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
Buildin a art ent prior to any further inspections being performed or approvals granted.
X
13) Washington State Energy Code Compliance has been approved using the following:
Heat Type: ct, is or other fuels, Compliance Method: IV, Window (Max U-Factor):0.40, Skylight(Max U-Factor):0.58,
Doors (Typ Max U- actor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
X
14) Stock Plan Identification number:
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 tans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspector at ch red inspection.
X
15) Any chan4es in �roposed 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 an be collected by the Building Department prior to any further inspections being performed or approvals granted.
X
BLD2007-00524 Please referto the following pages for conditions of this permit. 3 of 5
16) all construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
Statb.of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit r c tion.
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17) Instal ion of heating equipment in single family residences shall meet the requirement of the current WSEC. The furnace to be installed shall not exceed
200% of the heating design load or prescriptive requirements of Chapter 9. Furnace efficiency shall be .78 AFUE or higher or rated 80% combustion
efficiency. All ducts shall A�man
ly fastened and sealed with welds, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes
installed in accordance acturers installation instructions. Duct tape is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall
be insulated to R-8. 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
aproposed to be loca i in 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"apprWetrbuilding plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance or regula . u t be reviewed and approved by Mason County prior to construction.
X
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 de prior to requesting additional inspections.
X
21) All propert hall 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 i I inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason Co u fy o di nces and building regulations.
X
23) All permits a 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 ceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
holder have prev ted/a 'on from being taken. No more than one extension may be granted.
X
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BLD2007-00524 Please referto the following pages for conditions of this permit. 4 of 5
24) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors,and dashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
25) LandinEs and,stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved,8i Plan'to ensure these structures are shown and meet the setback conditions listed.
X
This permit becomes null and void if work or nstr tion 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 w rk 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. a ow er 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 proppgPOrInn-%ruct f revi and inspection
OWN ER OR AGENT: — / DATE:
BLD2007-00524 Please referto the following pages for conditionsof this permit. 5 of 5
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o CONCRETE MECHANICAL MANUFACTURED HOME
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o Gas Piping D Footings /Setbacks, Date '7 By qAL Ribbons
Piping �
o Intenor Date S/ �� 7 By`G�� Interior-Date By Date By (/)
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Point Load I Isolated Footings INSULATION_ Date By M
BG t SLAB INSULATION
Date By Data By FIRE DEPARTMENT 03
Foundation WWI& Floors Date By Q
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FRMING Cato , walls Date By rn
Date p By Data _ 0 d 6 PROPANE TANKS
PLUMBING Faun Date By
Date icy OTHER
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Date By Data By
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MASON. C` UNTY DCJ PLANNING p�at�1 �-` �i
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CH SUi3.iE r TO APP A�L a 4. F
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MASON COUNT` DvD F'LAiVNING
ITE PLAN REQt)IRED TO BE ON SITE
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FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.�D- 0 - V
PLEASE PRESS HARD 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
On the web www.co.mason.wa.us
APPLIC T IT� AT - CONTRACTOR INFORMATION
Dhl�'dOR � ��.hetn Company Name LI,�
I-1 t Mailing Address
Z 0 City torn State NAJ& Zip Code
Wall- �Z ? p S,J i A-1 Phone 1;�7 7 9.3 Other Ph. 2
r Contractor Reg. #0I6 QL H6 c1 q'4 a k Exp. V31 Z05s
Z, E Mail Address
# 1 a Drivers Lic.#Mk,4LV43c, J w1 DOB q-1 q- 7
25
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic— Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - kilo. Fire District
.QAWjWMMPI se include street name, tree nu+ e a d city)
t t2
Will timber be cu and sold in parcel preparation?Yes/No
1��' r t�—Lake River/Creek Pond
Wetland a ssonal Runoff Stream Slopes or Bluffs 5; 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye /No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms____3i—No. of Bathrooms 2 Square Footage- 1 st Floor 1 -74S O 2nd Floor
3rd Floor Basement Deck 4WQCovered Deck—Other Sq. ft.
Garage Attached —, _Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width S o. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replace nit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS 35 PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X - Date: 3 2 e O
Owner-/Ow s R re ntati /Contractor ndicate which one) 7 T�
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: .�� Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department ru
Planning Department
Environmental Health Department '
Fire Marshal
FEES
Buildinq Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO. , — -' k5
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
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ,r I: ;E; Company Name LL rl
Mailing Address Mailing Address 'De-
City State " - Zip Code > ` ` City jDY1 $tate�Ic Zip Code
Phone Other Ph. Phone I '-7 to 7>3 -Other Ph. 3
Lien/Title Holder Contractor Reg. # I(IQL 148 q Whk'Exp.
E mail address E Mail Address
Drivers Lic. # DOB Drivers Lic.�# 1�1 itrlL�p c:7 T t DOB 'i 7c1)
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic— Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. z Fire District
Legal Description +- ' i L!
Site Address (Please include street name, street number and city)
Directions to site �'"+ °� "` " �`� ` 4
Will timber be cut and sold in parcel preparation?Yes/No
Is property within 200'of Saltwater ij L Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE,,]- SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms—,_3 No. of Bathrooms Z Square Footage- 1 st Floor 1 :2IS 0 2nd Floor
3rd Floor Basement Deck aZQ Covered Deck
Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Seriat"No. �'PF No. of Bedrooms -No. of Bathrooms
Type of Heat Purchase Price$ Replacerxiarrt-13nit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative,or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILLINVALIDATE THEAPPLICATION.
X - Date: :51„2A,1y :2
Owner/Ow rs Rerprgsentati&Lqontractor ndicate which one) -�
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
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MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670•Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner Company Name A AQ E-
Mailing Address Mailing Addre§s 'air ► )tIr
City State Zip Code City Zip Code ®SAS
Phone Other Ph. Phones '°�^' Other Ph. en `
Lien/Title Holder Contractor Reg.# Exp.
E mail address 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. Fire District
Legal Description
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%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units - 1st 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 Furnace
Bath Tubs Heatpumps ��—
Showers Spot Vent Fan
Water Heater Propane Tank `
Clothes Washer ` Gas Outlets —�
Kithen Sinks Wood/Gas/Pellet Stove =a
Dishwasher ` 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 OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
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-Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbinq & Base Feed -' S D Site Inspection 717
Mechanical & Base fee s �3 " 'O.o UFC Plan Review Fee ,
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES
MASON COUNTY PERMIT NO.c; b
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
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION LC
Owner Company Name
Mailing Address Mailing Address-a 1'.6ty- iA itft-
City State Zip Code City "tOf) State Zip Code pjq
Phone Other Ph. Phone 1).-e I 4f 7 -5,- Other Ph.
Lien/Title Holder Contractor Reg. #1116UL NFs`?gtJbV- Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic ' — Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address(Please include street name, street number and city)
Directions to site
Will timber be cut and sold in parcel preparation?Yes/No
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
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE,1 SEASONAL ❑
Use of Building ---Describe Work
No. of Bedrooms—, No. of Bathrooms Square Footage- 1st Floor i :25A 0 2nd Floor
3rd Floor Basement Deck- " .IL-...Covered Dec 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. This permit/application becomes null & void if work or authorized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X r. r-
' . .. Date:
Owner/Owpers Representative/Contractor '(indicate which one) +
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department 1/1 10"1
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: �,�(�_/�-� Date: _ 0-7 Reviewed By: avy—L
Documents
Building Permit Application Completed
fanning Intake Checklist Completed,
�te Ian includes:Allowable building area,roof o erhangs,decks,etc.
ire Apparatus Access Road info required? Ye /No
Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace
Meat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type
O Other: Specify:
Mechanic biN Application-WATER HEATER FUEL TYPE
Engineering? es eed 2 sets of calculations)No Geotechnical report or assessment? Yes o
Snow load: Seismic Zone(circle one): D 1 or D2
Construction,Pl� �
Plans:_L, COMPLETE SETS
!/Plans Legible Recognized Scale "Elevation Views _Cross Section
�rO dation Plan oof Framing Plan �Plan-Use of rooms noted(all floor levels)
�1 or Framing Plan-all floor levels represented? Loft,crawlspace,etc.
ck Framing Plan,including covered.porch framing
Plan Details: � l`]� /
/o�f framing details,truss lay-out may be need ,truss Brick framed? ��/V` D�q i Uv
!/Wall Framing-Does bearing-wall h fight exceed 1 . ((Engineering may be re aired)
floor framing: Floor joists: PY—I a f d k 60Flaor beams:
L/-�mdow headers marked on plans: Typical header: "7 Y" b
1,-F6undation: footing size,reinforcement
_
oncrete Walls-Does Concrete Wall Height Exc '?(Engineering may be required)
Petedgs at all exits? Less than 30"above grade Y By Furnace-Location of Furnace
eplace/St ve Information Shown-Fuel Type? Location(s): a�
_��and izes Marked on Plans
rac d wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved if not provided.)
-Story Garage? (Engineering may be required) R602.10.1, 1"story of a two-story D1 45%,D2-55%
COMMENTS:
ENGINEERING REQUIRED:
Braced wall panels/braced wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
IRREGULAR BUILDINGS(Irregular Shape)R301.2.2.2.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1) Exterior braced wall line or BWP cantilevered or offset by more than 4'
2) Roof or floor is not laterally supported on all edges
2A) Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3) End of BWP extends more than I ft. over an opening more than 8 ft in width below.
4) Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.
5) Portions of floor level are offset vertically
6) Shear wall lines do not occur in two perpendicular directions.
7) When a story above grade is includes masonry or concrete construction(exc: fireplaces, chimneys, and veneer).
When this applies the entire story shall be designed. In accordance with accepted engineering practice.
DESIGN CRITERIA:Wind 85 mph exp B(unless proven otherwise), Seismic Zone: , Snow: psf
2003 IRC Plans submittal checklist simplified/WORD