HomeMy WebLinkAboutBLD2005-01122 Final SFR - BLD Permit / Conditions - 6/1/2006 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
11010
RESIDENTIAL BUILDING PERMIT
BLD2005-01122
OWNER: CAMPBELL PROPERTIES LLC RECEIVED: 7/6/2005
CONTRACTOR: HI LINE HOMES LICENSE: HILINH*981 BT EXP: 1/13/2006 ISSUED: 10/6/2005
SITE ADDRESS: 200 E WILLOW BLUE LN SHELTON EXPIRES: 4/6/2006
PARCEL NUMBER: 321367500040
LEGAL DESCRIPTION: TR 4 OF SURVEY VOL 2 PG 49
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR From Shelton on Hwy 3 to left on Lavander Ln. to top of hill follow for 1/2 mile
Stock plan 2003-0005 and turn right on Willow Blue Ln. follow for 1/4 mile to bottom of hill and see
Stock plan 2003-0005 site across street.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: VB
Type of Use: PUB Insp.Area: No. of Bathrooms: 2 Occ. Group: R3U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:2,112 Garage-Attached 528
Valuation: Building Height: 15 Occ. Status: Primary Basement: cov porch 96
Manufactured Home Information Setback Information Shoreline &Planning Information
Make: Length: Ft. Front: S 130.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: N 132.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: W 261.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: E 305.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KS 7/6/2005 $260.35 S12005
Hosebibs 1 Ventilation Fan 3 Planning Review Fee KS 7/6/2005 $155.00 S12005
Kitchen Sink 1 Dryer Vent 1 Address Fee GMM 7/11/2005 $140.00 S22005
Lavatories 3 Building State Fee DLC 7/11/2005 $4.50 S22005
Showers 1 Building Permit Fee DLC 7/11/2005$1,301.75 S22005
Water Closets (Toilets) 2 Mechanical Fee DLC 7/11/2005 $39.65 S22005
Water Heaters 1 Mechanical Base Fee DLC 7/11/2005 $23.50 S22005
Bath Tubs 2 Plumbing Fee DLC 7/11/2005 $89.00 S22005
Clothes Washer 1 Plumbing Base Fee DLC 7/11/2005 $20.00 S22005
EH Plan Review CEW 9/16/2005 $75.00 S22005
Total $2,108.75
BLD2005-01122 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2005-01122
CONDITIONS FOR
BLD20 0 5-01 1 22
1) The internationnl 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
X- , ,� connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
X 8X0 4 -0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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3) 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�n „ and approved.
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4) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
Depay�me prior to any further inspections being performed or approvals granted.
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5) 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 jurisdic
inspect ti nand the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
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6) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
remov, oved documents will result in failure of required building inspections.
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BLD2005-01122 Please referto the following pages for conditions of this permit. 2 of 4
7) 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
Buildi irtment prior to any further inspections being performed or approvals granted.
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8) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.40 or less, Wall
insulatio -21, Floor insulation R-30, Ceiling Insulation R-38.
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9) Stock Plan Identification number: 2003-0005
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
Ins each each required inspection.
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10) 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).
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11) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charge�,�an all be collected by the Building Department prior to any further inspections being performed or approvals granted.
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12) 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 Was ington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
per rev tion.
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13) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be locate 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 pro
je
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14) All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinarje regulation, must be reviewed and approved by Mason County prior to construction.
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BLD2005-01122 Please referto the following pages for conditions of this permit. 3 of 4
15), CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
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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 intern tional codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspect II be made prior to requesting additional inspections.
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16) All property lines shall be clearly identified at the time of foundation inspection.X2�r
17) 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 C my ordinances and building regulations.
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18) 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 bave�,{�revented action from being taken. No more than one extension may be granted.
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19) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
conrs/and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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20) ApV
per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora 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.The2wneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described prop nd struct , for view and inspection.
OWNER OR AGENT: DATE: Zd C3-S
BLD2005-01122 Please referto the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME
Footings 1 Setbacks Date2tz3/6" By jAVV Ribbons
Date //-Y-^ftcy— Gas Piping ! Date By .
K) Foundation Walls Data 8y Sat-up
Date By INSULATION mate By
Bc I Slab insuiatian Floom FINAL I NSPECTION
Date By Date By Date By
FRAMING Watts FIRE DEPARTMENT
Date 3 iG Gti By C,011, Dam 3 Iq6& By I" i(_ [date By
PLUMBING Attic OTHER
Groundwork Date ray
Date By WALLBOARD NAILING
Daly BY L4)�
DMM
Date z a3) By 1-16V—
Vltater Liter
FINAL INSPECTION
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ELECTRIC SYMBOLS ELECTRICAL NOTES _j
$ LIGHT SWITCH SURFACE MNT.LIGHT 1. SMOKE DETECTORS 51-!ALL BE 110v. HARD WIPED WITH BATTERY Ljj
jQr 110 V. DUPLEX OUTLET RECESSED DOWNLIGHT BACKUP AND SHALL BE INTERCONNECTED. OWNER SHALL BE
RESPONSIBLE FOR SMOKE DETECTORS IF A MONITORED FIRE
3& 220 V.OUTLET 6 EXHAUST FAN. VTOS SYSTEM IS REQUIRED.
]()-WP WEATHERPROOF OUTLET 0 EQUIPMENT CONNECTION 2. ELECTRICAL CONTRACTOR SHALL COORDINATE LOCATION OF HILINE HOMES
PANEL AND METER WITH CONTRACTOR. 11308 62ND AVENUE
$,;,Fl GROUND FAULT INTERRUPTER 0 SMOKE DETECTOR PUYALLUP WA,98373
3. ELECTRICAL CONTRACTOR SHALL PROVIDE HEAT-LOSS (253)840-1849 x.129
TV OUTLET Q0 HEATER/FAN COMBO. VTOS CALCULATIONS (OR)FOLLOW THE PRESCRIPTIVE PATH
RECESSED CAN LIGHTS TELEPHONE PEQIREMENTS FOR SIZING HEATHING EQUIPMENT.• PLAN: 2112
ZONED ELEC. HEATER 4. ELECTRICAL CONTRACTOR SHALL CONFORM TO ALL LOCAL AND DATE: 03/05/05
STATE CODES. JOB#:
EXACT LOCATION OF SWITHCHES,OUTLETS,LIGHTS,ETC.
MAY VARY.
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MASON COUNTY PERMIT NO.
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 j
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner '' 4 r Company Name rMFs
Mailin Address Ve F- Mailing Address 11306 AZvN A u F
city -State WA Code City ve �State ae Zip Code W3Z3
Phone Other Ph.--MO 1-12Z6 t�SO'8 Phone . 'h Other Ph.
Lien/Title Holder SwrnE Contractor Reg. Lj KI 0 Jk Exp. o
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 ; 4-t, ^' '` r% "A'
o I c k - all c�..r I 4c % i
Will timber be cut and sold in parcel pr paration?Yes o ' ��ctcr� "
Is property w'thin 200' of Saltwater O Lake o River/Creek �^ Ponds S
Wetland�_Seasonal RunoStream D Slopes or Bluff-�/o c• �o��r 1� aor�E
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New X Add Alt Repair Other PRIMARY RESIDENCE � SEASONAL ❑
Use of Building escribe Work
No. of Bedroom- No. of Bathrooms .. 1 Square Footage- 1sLFloor 2nd Floor
3rd Floor Basement Deck Covered Deck '1(0 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, 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 ha bk�tai d the permission from all
the necessary parties. If permission is required from any easement holder or any other party in interest rega�l►r i 'cation or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work pr aAp wner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason my ac a bove
described property and structure for review and inspection. This permit/application becomes null & void if wor nCptF�Ori� ction is
,not commM/00-hers
0 days or if construction work is suspended for a period of 180 days. PROOF NTIN WORK IS BY
M INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 AYS WILL I�TE THE LICATION.
Ca LL Date: 4S O�/N]`e
Represents ve/Contra or (indicate which one) �.
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVEQ DENIE NOTE
Building Department I G:/VF N 0 T-A
Ago-
Planning Department U 0 5- 00 q l-
Environmental Health Department Z 00 c
Fire Marshal to Z 0 0
FEES
Building Permit Fee O Site Inspection
Plan Review Fee l�0. 3 S EH Review Fee
Plumbing & Base Fee a Planning Review Fee
Mechanical & Base fee o� �' ` Other
Wood /Gas/ Pellet Stove Fee State Fee S
Violation Fee Pre-Paid at Submittal ®. 3
Valuation $ 1`Oq 4cD . SO TOTAL FEES
,
FORM MUST BE COMPLETED IN INK PERMIT NO.: c2X5 - 61�
PLEASE PRESS HARD 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 Seattle(206)464-6968
APPLICANT INF RMATION I CONTRACTOR INFORMATION
OwnerCr, 1i c L L( m."k �.J, Contractor Name 141 LINF tIaM�S
Mailing Address' -13r vC 0177 Mailing Qddress 11 o NC aQh .
City in State Wc�- Zip Code 'd _O City t'UYAL-1,U State (AJA Zip Code 49
Phone Other Ph.( S(,(, ) 426 Sc Ph.( 23S ) 040-I$yg Other Ph.(
Lien/Title Holder--3�,,F Contractor Reg. # N I LW H *9 B
Address Expiration II / o'7 / 05
SEPTIC INFORMATION-Connect to New Septic_,�( _Existing Septic Connect to Sewer System Name of
Sewer System
PARCEL INFORMATION- 12 digit Tax Parcel No. ►-�)clf 40 Fire District _
Legal Description _ _
Site Address (Please include street name, street number and city)
Directions to site
Is your property within 200'of the following: Body of Water (Name) Saltwater
Lake i;"r River/Creek t,"U Pond `v Wetland A, t" Seasonal Runoff Stream X, i
Slopes or Bluffs FS 5 i
TYPE OF JOB New Add Alt Repair Other Use of Building
Location of Fixtures/Units 1st Floor .z 1 t l 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric
Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump
Toilets 2-. Type of Unit No. of Units Fees
Bathroom Sink '3 Furnace
Bath Tubs Z Heatpumps
Showers r Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood j
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this ri mit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
conformance therewith. changes shall be made without first obtaining shall be done in conformance therewith No changes shall be made without
appr v I O first obtai pr
�C ate �' X Date
D 7 � C
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW:.....,.*. APPROVED iDENIED CONDITION CODES
Occ Group Type Constr.
Planning Department
Other
Other
FEES
Permit Fee Site Inspection
Plan Review Fee UFC Plan Review Fee
Plumbing&Base Fee Other
Mechanical&Base Fee Other
Wood/Gas/Pellet Stove Fee Prt-Paid at Submittal
Violation Fee TOTAL FEES