HomeMy WebLinkAboutBLD2007-00499 Final SFR - BLD Permit / Conditions - 10/22/2007 r
I Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. 111426 W. Cedar P.O. Box 186
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2007-00499
OWNER: VINCELLE DURAND RECEIVED: 3/26/2007
CONTRACTOR: ADAIR HOMES INC. LICENSE:ADAIRH*262RZ EXP: 1/9/2009 ISSUED: 6/14/2007
SITE ADDRESS: 80 E TYLER LN SHELTON EXPIRES: 12/14/2007
PARCEL NUMBER: 321322290054
LEGAL DESCRIPTION: TR 5 NW NW LOT: D OF SP#884
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SINGLE FAMILY RESIDENCE BROCKDALE ROAD, R ON JENSEN RD, L ON TYLER LN, TO SITE
STOCK#2003-0019 GARAGE OPTION #2 REVERSED ADDRESS AT THE END
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No.of Bathrooms: 2 Occ. Group: R-3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,702 Garage-Attached 440
Valuation: Building Height: 17 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 25.0 Ft. Shoreline: 250.0 Ft. Water Body: John's Creek
SEPA?: No
Model: Width: Ft. Rear: W .0 Ft. Slope: Ft. Shoreline Des
Side 1: N 264 i.0 Ft. g"
Year: Serial No.: Side 2: S 36.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Planning Review Fee GMM 3/26/2007 $170.00 S12007000
Hosebibs 3 Ventilation Fan 3 Plan Check Fee GMM 3/26/2007 $239.07 S12007000
Kitchen Sink 1 Dryer Vent 1 Building Permit Fee GMM 3/26/2007 $1.12 S12007000
Lavatories 2 EH Plan Review TW 4/12/2007 $75.00 S12007000
Water Closets (Toilets) 2 Building State Fee ARC 4/13/2007 $4.50 S12007000
Water Heaters 1 Building Permit Fee ARC 4/13/2007 $1,200.95 S12007000
Bath Tubs 2 Mechanical Fee ARC 4/13/2007 $43.75 S12007000
Clothes Washer 1 Mechanical Base Fee ARC 4/13/2007 $25.30 S12007000
Plumbing Fee ARC 4/13/2007 $82.50 S12007000
Plumbing Base Fee ARC 4/13/2007 $22.00 S12007000
Total $1,864.19
BLD2007-00499 Please refer to the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2007-00499
CONDITIONS FOR
BLD2007-00499
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. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X .ca
2) Mason County Building Codes Standards for Fire Apparatus Access Roads Chapter 14.17.160 require posting address at driveway beginning---no other
issues for Fire/Ems.
X------- r--------------------
3) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X ,.'Y is; -
4) 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 connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X
5) 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
6) 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
inspections.
X
BLD2007-00499 Please referto the following pages for conditions of this permit. 2 of 5
7). 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 -�
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X }
9) 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 "
10) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window (Max U-Factor):0.40, Skylight (Max U-Factor):0.58,
Doors (Tye��,/�M�;ax U-Factor):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 '"4L
11) 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 WIND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
X =+ -
12) Per 2003 IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordance with the applicable provisions of this section and the manufacturer's installation instructions.
X
13) Stock Plan Identification number: 2003-0019
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
14) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X -<'=1
15) 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
BLD2007-00499 Please referto the following pages for conditions of this permit. 3 of 5
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 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
17) 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
18) 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 shali.be made prior to requesting additional inspections.
X `
19) All property lines shall be clearly identified at the time of foundation inspection. X -
20) 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
21) 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
22) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
Xta.
23) 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
24) 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
BLD2007-00499 Please referto the following pages for conditions of this permit. 4 of 5
25) Water quali�_i5 not to be degraded to the detriment of the aquatic environment as a result of this project.
X S
26) 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 ;, ;
27) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be
- installed and maintained until upland vegetation has become established. X s
28) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
29) 1. First habitable floor must be elevated at least 2 feet above surrounding grade. 2. Mobile homes must be securely anchored. 3. Foundation or skirting
vents must be within 1 foot of grade. 4. An elevation certificate must be completed by a licenced land surveyor certifying the as-built elevation of the first
floor to the nearest 10th of a foot prior to final inspection. X
30) Subject to conditions of Aquifer Notification letter. X �;
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 owneror 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 struct a for revi d_inspection.
OWNER OR AGENT: DATE:
- - _
BLD2007-00499 Please refer to the following pages for conditions of this permit. 5 of 5
W r .
o CONCRETE MECHANICAL MANUFACTURED HOME
�/ C
o Date � d'1 By LtQ1(,
Footings 1 Setbacks G7l Gas Piping Ribbons D
o Interior Date I By ( interior-Date BY Date By Z
Exterior Date B DIY' - v�/ Y Exterior-Rate B
co Set-up <
Point Load I Isolated Footings INSULATION Date By Z
BG!SLAB INSULATION -- 0
Date By Data By FIRE DEPARTMENT M
Foundation Walls r
Floors Date By ril
Date 6 p-I Byt3r bate By &4L DECKS
FRAMING Walla Date By
Date$ ILA O-t By L1J1G Data '9 l6 d-7 By L.O- PROPANE TANKS
PLUMBING vault Date By
Date 11107 By OTHER
Groundwork Attic
Data By Date _ ByType:Date 8y
D.W.V DRYWALL Type:
Int Brace Wall
Date By W
Date I '' BY c�Y Date q a &"I By Boil.,
FINAL INSPECT N C
v Water Lane Fire Separation N
m Da1e Q By L14� Date By Date /Q -z 7 By !4/fC-- C
`° Pass or Request Inspect c
Type of Insp. Fail Date Date Done By Comments
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PLOT PLAN
Name
Mailing Address
Home #(mo Work # — Cell
Property Locotion-00 E, jwd& 1'1, S k U L.-I--c"k-) 0 A
Legal Address T5 z \Aj
Sec i Tax Lot #
County, 5tate of
THE I NFORMATI ON ON TPUS PLOT PLAIT I IAS BE EI I PROVIDED A I Jb REV I E%VC I),,,II IE In r)P[n i y
OWNER WHO BY 516HI NG 0 ELO%V:1)A CKI 10 WL E b6 E 5 A I It,A ccc P I s r IA L 1;E 5 rot I,I,IL I I Y
FOR ITS ACCURACY AND COMPLETVIE55.2)15 RE 51"JI 151 OLE TO El ISUnC II 1,A r I)IC
IMPROVE)AENTS TO THE 511 E TAKE PLACE I I it:OIIFOnM At ICE WITI 1 11115 PI.At L 3)%V I I.L
SCALE: V 4c)' ESTABLI 511 ALL TI IE CORNER IRONS,LOT LIt)E5 At ID Coor-REq Imm)5E rrIACI:5 n(qIjI nEt)of:
THIS PROPERTY.ANY CHANGE(S)TO TI If 5 PLAN MU5 T BE FnE-APPROVED BY II IE
GOVEW)MENTAL AGENCIES WI TI I 1L)RI St)IIC T"OtT
TIIEIIORTGIrE LEI l)En/AIR) 11F.CONTRACTM AND DOCuM'I ITED. 4
c
OWNER SIGNATURE A OWNER SIGNATURE
PATE
ay Y PLAN PLOT REVISION
DATE RECEIVED
CJAJ
CV
APP ED
MASON COU Y DCD PLANNING
SITE PLAN UIREo TO BE ON SITE
CHANG SUBJECT TO APPROVAL
By Date -S 102
A0
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PLANNING .
ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
3 L_I`ROJECTION OF THE BUILDING
L y
'30
+ 'n/05/2007 08:03 3G042G7557 GERLACH LLC III PAGE 01r'02
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MASON COUNTY
Government and
• • L s
Building; Dept ► Some information/ uses may net be displayed
► This information may be outdated and inaccurate
Planning dept ► Information is only for the unincoporated areas of Mason County ar
show items since April 1st, 1992
Em ironmental Health ► Please contact the Permit Center (360) 427-9670 ext 352 to verify
DqA information
Records ► This information was last updated: 10/03/2007 at 10:58 am
► Building permits are NOT ready to issue until Case Status is APP a
New Sea Ch activity "Approved for Issuance" is listed
Assessor/ Information for Permit: BLO2007-00499
Treasurer Case Number BLD2007-
Parcel Information 00499 VINCELLE DURAND
Case Statu' ISS Applicant 141 W LOERTCHF_R RD
Parcel 321322290054 SHELTON WA 98584
Number
Project 80 E TYLER LN SHELTON
Address
Valuation ? $ 136,275,60
Description NEW SINGLE FAMILY RESIDENCE STOCK# 2003-OC
GARAGE OPTION #2 REV
ERSED
Activities
Date Date Assigi
Description Assigned Done Status To.
Wallboard Inspection 08/31/2007 09/04/2007 PASS
Framing/Plumbing/Mechanical08/14/2007 08/16/2007 PASS
ITEM#2 STILL NOT COMPLETED
Insulation Inspection 08/14/2007 08/16/2007 PASS
WALL
FraminglPlumbing/Mechanical 08/08/2007 08/09/2007
Item#2 still not complete.
Framing/Plumbing/Mechanical 07/30/2007 07/31/2007 FAIL
1. FRONT OF GARAGE T-111 NOT NAILED OFF PER ABP REQUIREMENTS 6" OC
AND 12" OC IN FIELF 2. NAIL T-1I I TO SILL PLATE AT 6" NOT JUST BOTTOM PLA
3. CAULK AND SEAL NOT COMPLETED 4. IS SUPPLY(WATER)CONNECTED TO
COULD NOT FIND TEST GAUGE 5, ALL
TOP PLATE SPLICES LESS THAN 2 ARE f
TO HAVE METAL CONNECTION Wt77i MIM 6-8,DS EACH
SIDE
OF SPLICE SEE WF
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'0/05/2007 08:03 3604267557 GERLACH LLC III PAGE 02/02
lmorinauon Ior pit: ss i uavv i-v i vA_P -o_ _ _•-
Building Plan Review 06/11/2007 06/29/2007 DONE ARC
STOCK 2003-0022
WSEC Compliance Review 0612=007 DONE ARC
Environmental Health Review 06/11/2007 06/25/2007 DONE TW
BEDROOMS AND PLOT PLANS OK. MUST KEEP 54FT SETBACK FROM SIDE YARD TO THE
NORTH.
More Info Letter-EH 06/25/2007 DONE TW
Need approved two parry well.Two party pending recorded Notice to Future Property owners of
Private Two Party well, Need a recorded copy I
Fire Warden Review 06/11/2007 06/19/2007 DONE DHS
Property cleared and level--no Issues for Fire/Ems Apparatus,
Application Received 06/11/2007 06/11/2007 CONE KKK
Permit Fees
Fee Type Amount Due Amount Paid
Building Permit Fee $ 1,402.55 $ 1,402.55
Plan Check Fee $280.51 $280.51
Planning Review Fee $ 170.00 $ 170.00
Plumbing Fee $97-90 $97.90
EH Plan Review $75.00 $ 75.00
Fire Warden Review $64.00 $64.00
Mechanical Fee $60.00 $ 60.00
Mechanical Base Fee $25.30 $25,30
Plumbing Base Fee $22.00 $22.00
Building State Fee $4.50 $4.50
Total Fees. $2,201.76 $2,201.76
Amount Outstanding: $ 0.00
Conditions
No Degradation of Water Quality
Water quality is not to be degraded to the detriment of the aquatic environment as a result of this
project.X
Erosion Protection
Prior to final approval, all upland areas disturbed or newly created by constnrction activities shall be
seeded,vegetated or given an equivalent type of erosion protection(silt fencing or straw matting),
x
Temporary Erosion Control
Temporary erosion control measures must be implemented to prevent water quality degradation of
adjacent waters or wetlands. Silt fencing must be installed and maintained until upland vegetation
has become established.X
SITE PLAN
Approved per dimonsions and setbacks on submitted site plan. Setbacks are measured from the
furthest projection of the structure. X
Floodplain without BFE
1. First habitable floor must be elevated at least 2 feet-above-surrounding grade. 2.Mobile homes
must be securely anchored.3.,'Foundation or skirting vents must be within 1 foot of grade, 4,An
elevation certificate must be completed by a licenced land surveyor certifying the as-built elevation of
the first floor to the nearest 10th of a foot prior to final inspection.X
RCW 18.27 - ^-
http://www.co.mason.wa.us/pe--nnits/Mai-n.php?caseno=BLD2007-01025&case-type=BLD 7111/2007
ADAIR HOMES,INC.
2303 93rd Ave.SW I P I
Olympia,Washington 98512
Phone:360-352-7641
Fax:360-943-0701
0
Practical Homes for Practical People!
March 19, 2007
Mason County
Department of Community Development
P.O. Box 186
Shelton, WA 98584
Dear Official,
I am applying for the Building Permit for Vincelle Durand. Her site is located at
953 Jensen Rd, Shelton, WA 98584.
Included in this application are plot plans, site plans, (3) full sets of plans, environmental
permit forms, and the application fee of$410.19. The water adequacy form will be turned
in by the homeowner.
Please contact me at (360) 352-8571 if you have any questions or if there is anything
missing.
Thank you, RECEIVED
MAR 21 2007�
Aura Chamburs 426 W! CEDAR ST,
Branch Administrator
Adair/Olympia
®FHB ADAIR HOMES,INC. AURORA BEND CALDWELL CRESWELL MEDFORD OLYMPIA WOODLAND
a� OR:CCB#593 WA:ADAIRH`262RZ ID: RCE-2703 ,,,,me-Id-A11.11,11-
www.adairhomes.com
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner:y bu,t y, D kuTelephone: v-� Parcel#: 32 3 222
Type of project ( New Residence ( )Addition ( ) Remodel
Total Sq. Ft. 15 Floor: i O2 26,1floor: Heated Basement:
of heated area::
Heating System Type: • Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with as furnace O Boiler, specify fuel type:
O Other: Specify Z
Glazing O Prescriptive Option see reverse side circle one: 1 II IV
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
O Systems analysis, Chapter 4
O 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) supply fan. VIAQ 303.4.3)
Window & Door Schedule (if needed, attach an additional sheet)
Total
Manufacturer Roomllocation 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
i
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
(WSEC/VIAQ)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 Ll-factor Door Wall Wall Wall 4
Area %of U- Vaulted Above interior4 exterior a Slab
Option Floor „ a Ceiling Ceiling Grade below Below Floor on
10 Vertical Overhead Factor 2 12 grade Grade Grade
I 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 Map Output Page Page 1 of 1
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DISCLAIMER AND LIMITATION OF LIABILITY:
The data used to make this map have been tested for accuracy,and every effort has been
made to ensure that these data are timely,accurate and reliable.However,Mason County LWEND
makes no guarantee or warranty to its accuracy as to labeling,dimensions,or placement or
location of any map features contained herein.The boundaries depicted by these data are . '-''Roaeta F.okat Ltittttls
approximate,and are not necessarily accurate to surveying or engineering standards,and are
intended for informational purposes only.Mason County does not assume any legal liability Hifl aSdS City of 8helWn
or responsibility arising from the use of this map in a manner not intended by Mason County.
In no event shall Mason County be liable for direct,indirect,incidental,consequential, ram+RROM sttowns Cmity 8ftndery JONR)
special,or tort damages of any kind,including,but not limited to,loss of anticipated profits r Patro6la Comrnisaton Districts
benefits arising from use of or reliance on the information contained herein t...
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®2006-Mason County sections Lakes
415 N.Sixth Street r'-j Tomnshos Puget Sage 3 MOW Lakes
Shelton,WA 98584
http://mapmason.co.mason.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=amason... 2/21/2007
MASON COUNTY PERMIT NO.Jan Q �1
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 -TA VhwL4-)
On the web www.co.mason.wa.us
APPLICA T INFO MATI I CONTRACTOR INFORMATION
Owner VJ�VV'Q Vj. Company Name �.
Mailin Address �. LO r Gi' Mailin Address �
City Sta:�eyy� Zip Code ,'- City State �—Zip Code 01Z
Phone 0' :WOther Ph. Phone 12Q-,WZ_ Other Ph.
Lien/Title Holder Contractor Reg. # H 2- xp,
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic. # DOB
EPTIC ATER SYSTEM INFORMATION - Connect to New Septic k Existing Septic
Connect t Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No, Fire District
Legal Description "1.5. , LOT--
Site Address (Please include street name, street n tuber and ity) Y q
Directions to site ._t3L�OLf't 0.f0 Doil ID I
tum rr�jhe ail w e
Will timber be cut and sold in parcel preparation? Yes Qp
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasor•al Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice, Correction Notice or other enforcement action?Ye
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE U SEASONAL ❑
Use of Building-�V Describe Work aL; .�1 i� -lat�.r 14
,No. of Bedrooms —No. of Bathrooms_I Square Footage- 1 st Floor i "7 OZ 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage_�H_Q Attached X_Detached Carport Attached Detached
MANUFACTURED HOIIA FORM N - Make Model Year
Length Width No. of Bedrooms No. of Bathrooms
Type of Heat —Bert urc e 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 dec are 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 prc Dosed 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 CONT NUAT N Oi'WORK IS BY MEANS OF A PROGRESS INSPECTION
X Date: /I�1y7
Owner/Owners Repre:;entative/ ontractor (indicate which one)
FOR OFFICIAL USE BI=YOND THIS POINT Accepted by424WU Date -d
DEPARTMENTAL REVII:=W APPROVED DENIED NOTES
Building Department
Planning Department r�j
Environmental Health Department)
Public Works Department
Fire Marshal It>
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee /0 4. 5b Planning Review Fee
Mechanical & Base fee . D Other
Wood/Gas/Pellet Stove free State Fee • �
Violation Fee /V0 ��//; Pre-Paid at Submittal
Valuation $ j 27 ' �O TOTAL FEES
MASON COUNTY PERMIT NO.VJ;?b6j -06d�_9
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670-Belfair(360)275-4467- Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICA TINFORMATIO CONTRACTOR INFQRMATIO 'v,►�,+�
Owner 1 e- Company Name
Mailin ddre Mailin Address
City Stated Zip Code �-� City _State —Zip Code
Phone Other Ph. Phone A OtheL Ph.
Lien/Title Holder Contractor Reg. # ADA I" *22RAIExp.
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 ' 2226I CIO 9-f Fire District
Legal Description
Site Address(Please include street na
e me, street number d city) 5
kd
D' ctions t site
S
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream__)L—Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units- 1 st Flool-X_ 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric A 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 I Wood/Gas/Pellet Stove
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 F CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTIONj
X �Pf 44L' Date:
Owner/Owners Representative/ ontractor (indicate which one)
FOR OFFICIAL USE BEYQND.THIS POINT
Accepted by Planning Pd Ck# Dat n:I—Bld Pd Receipt No.
DEPARTME TAL 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