HomeMy WebLinkAboutBLD2008-01150 Final Addition - BLD Permit / Conditions - 4/21/2009 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
RESIDENTIAL BUILDING PERMIT BLD2008-01150
OWNER: ILENE ELKAN RECEIVED: 9/10/2008
CONTRACTOR: PIONEER REMODELING 360-259-0370 LICENSE: PIONER"94701 EXP.- 11/21/2008 ISSUED: 10/14/2008
SITE ADDRESS: 2371 E MASON LAKE DR EAST GRAPEVIEW EXPIRES: 4/14/2009
PARCEL NUMBER: 222335200033
LEGAL DESCRIPTION: MADINGS SUNNY SHORE ADD#6 TR 33
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
2 STORY ADDITION (DINNING AND BEDROOM) ST RT 3 L ON MASON LAKE RD, L ON MASON LAKE DR E TO SITE
ADDRESS ON L
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 1 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: r3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:484
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: S 32.0 Ft. Shoreline: Ft. Water Body: MASON LAKE
Rear: N Ft. Slope: Ft. SEPA?: Unkn
Model: Width: Ft. Shoreline Desig.: Unknown
Side 1: E 6.0 Ft.
Year: Serial No.: Side 2: W Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee KS 9/10/2008 $293.70 S12008000
Planning Review Fee KS 9/10/2008 $190.00 S12008000
EH Plan Review KS 9/10/2008 $40.00 S12008000
Building State Fee DLC 9/15/2008 $4.50 S22008000
Building Permit Fee DLC 9/15/2008 $522.55 S22008000
ADJUST--Plan Check Fee DLC 9/15/2008 $45.96 S22008000
EH Plan Review ADR 9/24/2008 $60.00 S22008000
Total $1,156.71
BLD2008-01150 Please referto the following pages for conditions of this permit. 1 of 4
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CASE NOTES FOR
BLD2008-01150
CONDITIONS FOR
BLD2008-01150
1) 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.
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2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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3) 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.
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4) Owner/Agenhis responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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5) 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.
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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
Building Department prior to any further inspections being performed or approvals granted.
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BLD2008-01150 Please referto the following pages for conditions of this permit. 2 of 4
7) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
�- (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
underside of the
roof
f sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
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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 WIND�PEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH.
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9 Per 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.
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10) 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.
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11 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.
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12) 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.
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13) 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
X Inspector shall a made prior to requesting additional inspections.
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14) All property lines shall be clearly identified at the time of foundation inspection. X s
BLD2008-01150 Please referto the following pages for conditions of this permit. 3 of 4
15) 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.
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16) 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.
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17) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
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18) 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 ite Plan"to ensure these structures are shown and meet the setback conditions listed.
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19) 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.
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This permit becomes null and void if work orconstruction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review an inspection.
OWN ER OR AGENT: DATE:
BLD2008-01150 Please refer to the following pages for conditions of this permit. 4 of 4
00
o ~ GaNCRETE MECHANICAL MANUFACTURED HOME r
C) Date By
Footin eWae Ribbons Z
00 Gas Piping
o Inten ate By Interior-Date By Date By
Cn Jter ate/Q-Zo,of BjtjW Exterior-Date By set-up m
Point Load I Isolated Footings INSULATION Date By z
BG I SLAB INSULATION
Date By Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date By Data By DECKS
FRAMING Wails Date By
Date - By Data �a .�L6 ey " PROPANE TANKS
Date kzg
PLUMBING vault Date By j
----____._
Date By OTHER
Groundwork Attic ,
Date��� �� B Type
DateBy y Data 13y
D.W.v DRYWALL Type-
Date
Brace Wail Date ay
Date By Dale By r
FINAL INSPECTION 0
m Water Line Fire Separation K)
m
Date By Date By Date H ( q ByL Q tCD
D
CD
Pass or Request Inspect. c
0 Type of Insp. Fail Date Date Done By Comments
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Multi-Loaded Beam[2006 International Buildinq Code(05 NDS)1 Ver: 7.01.14
By: Debbera Coker,,Mason Co my on: 10-31-2008 :09:06:24 A
Project: -Location: _ �� g� A/all,
� .. O✓ I tSummary: �—I/ �jy 5.125 IN x 15.0 I x 14.0 FT /24F-V4- Graded estern Species- Dry Use Q/1N�1 rl
Section Adequate By:40.5% Controlling Factor: Section Modulus/Depth Required 12.65 In
Center Span Deflections:
Dead Load: DLD-Center= 0.07 IN
Live Load: LLD-Center= 0.25 IN = U674
Total Load: TLD-Center= 0.32 IN = U530
Camber Required: C= 0.10 IN
Center Span Left End Reactions(Support A):
Live Load: LL-Rxn-A= 3850 LB
Dead Load: DL-Rxn-A= 1079 LB
Total Load: TL-Rxn-A= 4929 LB
Bearinq Lenqth Required (Beam only, support capacity not checked): BL-A= 1.48 IN
Center Span Riqht End Reactions(Support B):
Live Load: LL-Rxn-B= 3850 LB
Dead Load: DL-Rxn-B= 1079 LB
Total Load: TL-Rxn-B= 4929 LB
Bearing Length Required(Beam only, support capacity not checked): BL-B= 1.48 IN
Beam Data:
Center Span Lenqth: L2= 14.0 FT
Center Span Unbraced Lenqth-Top of Beam: Lu2-Top= 0.0 FT
Center Span Unbraced Length-Bottom of Beam: Lu2-Bottom= 14.0 FT
Live Load Duration Factor: Cd= 1.00
Live Load Deflect. Criteria: U 360
Total Load Deflect. Criteria: U 240
Center Span Loading:
Uniform Load:
Live Load: wL-2= 220 PLF
Dead Load: wD-2= 55 PLF
Beam Self Weight: BSW= 17 PLF
Total Load: wT-2= 292 PLF
Point Load 1
Live Load: PL1-2= 4620 LB
Dead Load: PD1-2= 1155 LB
Location (From left end of span): X1-2= 7.0 FT
Properties For:24F-V4-Visually Graded Western Species
Bendinq Stress: Fb= 2400 PSI
Shear Stress: Fv= 265 PSI
Modulus of Elasticitv: E= 1800000 PSI
Adjusted Modulus of Elasticitv: E-Min= 930000 PSI
Stress Perpendicular to Grain: Fc perp= 650 PSI
Bendinq Stress of Comp. Face in Tension: Fb_cpr= 1850 PSI
Adjusted Properties
Fb' (Tension): Fb'= 2400 PSI
Adjustment Factors: Cd=1.00
Fv': Fv'= 265 PSI
Adjustment Factors: Cd=1.00
Design Requirements:
Controllinq Moment: M= 27358 FT-LB
7.0 Ft from left support of span 2 (Center Span)
Critical moment created by combining all dead loads and live loads on span(s)2
Controllinq Shear: V= 4602 LB
At a distance d from riqht support of span 2 (Center Span)
Critical shear created by combining all dead loads and live loads on span(s)2
Comparisons With Required Sections:
Section Modulus(Moment): Sreq= 136.79 IN3
S= 192.19 IN3
Area(Shear): Areq= 26.05 IN2
76.88 IN2
Moment of Inertia(Deflection): f h Ireq=
v, 1= 1441.41 IN4
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FACT SHEET
INSULATION R-VALUES
FIBERGLASS BATT
R-11 3 ''/z" STANDARD R-25 8 '/4" STANDARD
R-13 3 ''/z" HIGH DENSITY R-30 10" STANDARD
R-15 3 '/2" HIGH DENSITY R-30 8" HIGH DENSITY
R-19 6+" STANDARD R-38 10" HIGH DENSITY
R-21 5 ''/z" HIGH DENSITY R-38 12" STANDARD
BLOWN-IN INSULATION
CLIMATE PRO-MANVILLE INSUL-SAFE III
R-30 12%" (17.6 BAGS PER 1000 SQ. FT.) R-30 12 %2"
R-38 15 %" (22.8 BAGS PER 1000 SQ. FT.) R-38 15 '/z" (26.6 BAGS PER 1000 SF)
R-50 19%" (29.8 BAGS PER 1000 SQ. FT.) R-49 19 ''/<" (34.3 BAGS PER 1000 SF)
SUMMIT ROCKWOOL
R-19 8" (10.9 BAGS PER 1000 SQ.FT.) R-19 6.27" (23.0 BAGS PER 1000 SF)
R-30 12 '/z" (17.9 BAGS PER 1000 SQ.FT.) R-30 9.90" (37.0 BAGS PER 1000 SF)
R-38 15 ''/z" (22.9 BAGS PER 1000 SQ.FT.) R-38 11.4" (50.0 BAGS PER 1000 SF)
KNAUF JET STREAM
R-30 10 3/8" (13.6 BAGS PER 1000 SQ. FT.)
R-38 13" (17.8 BAGS PER 1000 SQ.FT.)
R-49 16 3/8" (23.5 BAGS PER 1000 SQ. FT.)
BLOWN IN BLANKET SYSTEM (BIBS)
R-4 1"(material can be fiberglass,or cellulose)
RIGID INSULATION
POLYISOCYANURATE J6-k
Thickness R-Values Piece(s)Required
''/2" R-3.2 (1) '/2"piece I 1
1" R-5.9 (1) 1"piece
1 ''/z" R-9.4 (1) 1 ''/z"piece
2" R-12.9 (1)2"piece
3" R-19.8 (1)3"piece
3 ''/z" R-23.3 (1)3 ''/2"piece
4" R-26.8 (1)4"piece
4 ''/2" R-30.3 (1)4 ''/z"piece
5" R-32.7 (1)2"+(1)3"piece
+ 5-1/2" R-362 (1)4 %2"+(1) 1 piece
6" R-39.7 (1)4 '/2"+(1) 1 '/z"piece
STYROFOAM BRAND INSULATION(Dow Chemical)
3/<" R-3.8
1.00" R-5.0
1.50" R-7.5
2.00" R-10.0
i
BUILDINGIINSULATIONFACTSHEET ,L �v• REVISED: 51512008
NamT1 Q_0 Jh _ Z�_'A T&A_ Parcel #am BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface'.
'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include, but are not limited to, rooftops,walkways,patios,driveways, parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stormwater.Open, uncovered retention/detention facilities shall not be considered as impervious surfaces.
To Calculate Impervious Surfaces Please Complete This Table
Surface Type Length X Width = Area * All dimensions in feet
Buildings X =
X = GtoMeasurements for buildings are taken at the
X _ perimeter of the farthest projections (example:
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
above table
X =
Others X =
X = If the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area (sum of all areas)
If the Total Impervious Surface Area CLLE"TAIN 2000 Square F"p a read,acknowledge and sign below.
Based Upon the information you have pro ided a Stormwater Site Plan IS NOT r quired for this development activity.
Owner/Builder/Agent Acknowledges that submi of i accurate ' formatio result in a stop work order or permit revocation.
Acknowledgement of such is by sig ture below. I declare t a am th er, owner's legal representative,or the contractor. I
further acknowledge that the by tion provided is accurate and employees of Mason County are granted access to the above-
described property for review
pection as may be required.
X Owner/Agent/Contractor(circle one) Date:
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page I of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/Commissioners/index.htm
Please follow the links to"Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70). You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR TH IS SITE
A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at:
Phone: (360)427-9670 EXT.450
Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or
any other,parcel.You may also wish to consult with the septic design professional involved with the project. Mason
County Division of Environmental Health can be reached at:
Phone: (360)-427-9670 EXT. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, Shelton WA 98584
A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met
prior to a request for final inspection of the building permit.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
IL
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 RL
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner 1L
Company Name
Mailing Andress Z 21 Ec-4 Mailin Address-1 ;
City State MA Zip Code q fSy L City State Zip Code '
Phone I^G. tT`t-a 3 D Other Ph. Phone �(.O- L S 5- G 311& Other Ph.
L�nLTitle l-i ie� Contractor Reg. ;An c/ 9 y J-Z l Exp.
E mail a�.dress E Mail Address.T�
Drivers.Lic_# DO& Drivers Lic.# DOB //1
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic yr'
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. - Q a Fire District -
Legal Description
Site Address (Please include eet name, street number and city) Z S / r
Dy ections to site
Will timber be cut�ahcl sold in parcel preparation?Yes/No
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
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 BuildingDescribe Work / "
No. of Bedroom=No. of Bathrooms 1 Square Footage- 1st Flo 2nd Floor 194
3rd Floor Basement Deck_ Covered Deck 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 informaticn 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 WILL INVALIDATE THE APPLICATION.
X Date: —
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date ` I
DEPARTMENTAL REVIEW APPROVED DENIED i NOTES
Building Department -
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee t '�(V 3 ,6�Co EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee `22lo
qp Pre-Paid at Submittal v�
Valuation $ S — X OTAL FEES
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Mason Lake Water Front
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APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN
CHN REQUIRED TO BE ON SITE
GES SU13JECT TO APP 0V E
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RECEIVED
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MASON COUNTY
�? Garage PLANNING:
ALL SETBACKS ARE MEASURED
18' FROM THE FURTHEST
PROJECTION OF THE BUILDING
PLANNING