HomeMy WebLinkAboutBLD2011-00993 SFR - BLD Permit / Conditions - 3/12/2013 Inspection Line (360)427-7262
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ASON COUNTY DEPT. OF COMMUNITY Phone: 360 427 7 O Y DEVELOPMENT ( ) gs o, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
1T
RESIDENTIAL BUILDING PERMIT BLD2011-00993
OWNER: MASON LAKE, LLC RECEIVED: 12/16/2011
CONTRACTOR: ROGER DENNY LICENSE: DENNYH1973BG EXP: 1/7/2013 ISSUED: 3/8/2012
SITE ADDRESS: 2741 E MASON LAKE DR EAST GRAPEVIEW EXPIRES: 9/8/2012
PARCEL NUMBER: 222335200064
LEGAL DESCRIPTION: MADINGS SUNNY SHORE ADD#6 TR 64
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR ST RT 3, L ON MASON LAKE RD, L ON MASON LAKE DR EAST TO SITE
ADDDRESS ON THE LEFT SIDE
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: 1 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,584
Valuation: $ 240,444.83 Building Height: 25 Occ. Status: Seasonal Basement:621 COV PORCH 684
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 278.0 Ft. Shoreline: 65.0 Ft. Water Body: MASON LAKE
Rear: N 65.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 6.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: W 6.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 1 Furnace<100K 1 Plan Check Fee GMM 12/16/201 $ 1,130.06 S1 201 1 00000001
Lavatories 2 Heat Pump 1 EH Plan Review GMM 12/16/201 $ 103.00 S1 201 1 00000001
Showers 1 Ventilation Fan 3 Water Adequacy Plan Revi GMM 12/16/201 $ 103.00 S1201100000001
Water Heaters 1 WDodstove 1 Planning Review Fee GMM 12/16/201 $205.00 S1 201 1 00000001
Clothes Washer 1 Dryer Vent 1 Building State Fee LDK 1/12/2012 $4.50 S1201200000001
Kitchen Sink 1 Exhaust Hood 1 Building Permit Fee LDK 1/12/2012 $ 1,783.35 S1201200000001
Dishwasher 1 Mechanical Permit Fee LDK 1/12/2012 $ 158.70 S1201200000001
Hosebibs 2 Mechanical Base Fee LDK 1/12/2012 $28.50 S1201200000001
Plumbing Permit Fee LDK 1/12/2012 $75.80 S1201200000001
Plumbing Base Fee LDK 1/12/2012 $24.70 S1201200000001
Total $3,616.61
BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2011-00993
CONDITIONS FOR
BLD2011-00993
1) The first 50 feet from the lake is a protected vegetated buffer and shall be maintained in its natural condition (Mason County Resource
Ordinance FWHCA Chapter). No native vegetation shall be removed or compromised in this buffer. To site a structure or retaining wall, add
gravel, or other improvement within 65 feet of the lake,please contact the Planning Department to determine the necessary permits and
required mitigation. The buffer shall be enhanced for wildlife, which will include at a minimum planting with native vegetation. Development
is subject to the best management practices such as those in Appendix C of the Mason County Resource Ordinance to limit impacts to the
resource.
X clA\_,
2) 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
3) The applicant acknowledges that this development was sited such that further shore protection measures will not be required for protection of the facility.
X ,<�
4) 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
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) Owner/Agent is 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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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 roved documents will result in failure of required building inspections.
X
BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 2 of 6
8) All slabs within the heated space shall be insulated-to a minimum R-10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X3
10) 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 DeLartment prior to any further inspections being performed or approvals granted.
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11) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: 2
X � V
12) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where there
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower
door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required
for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in '/<or Y2 sheets. The
Mason County Permit Center will also have some available.
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13) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Reference WSEC 505.
X
BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 3 of 6
14) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
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15) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. "NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting 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. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater management system have been
installed as approved on the stormwater site plan. X
16) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft 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.
X
17) 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
18) 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
charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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19) 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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20) 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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BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 4 of 6
21) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
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22) 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 .ate
23) 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 sf all be made prior to requesting additional inspections.
X
24) All property lines shall be clearly identified at the time of foundation inspection. X
25) 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
26) 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 havesprevented action from being taken. No more than one extension may be granted.
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27) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectoZs—and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
28) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall.X J_r>
29) 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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30) Your site appears to be approaching 60% of impervious surface area, which is the maximum allowed along Urban Shorelines. Impervious
surfaces include the footprint of structures, all pavement, and all graveled areas. Please ensure your impervious surface areas comply with
this 60%limit.
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X
BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 5 of 6.
31) 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.
32) 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 =
33) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Rural Residential 5.
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34) The Waghington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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35) The approval of this project is subject to the recommendations and specifications outlined in the attached geological assessment prepared by Michael
State (Envirotech), dated January 2012. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation
requires stamped written approval from the registered design professional responsible for the assessment, and may require special inspection by same.
Structures and/or land modifications(grading, cuts, fills, etc.) required in the geological assessment, may require a separate permit. The geological
assessment shall remain attached to the approved building plans.
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36) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR ROAD WAY.
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37) Per page 10 of the Geological Assessment, a qualified engineer shall observe and document the construction, and Envirotech shall be
promptly notified if project or subsurface conditions found on-site differ from that presented in the Geological Assessment.
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 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 and inspection.
OWNER OR AGENT: 2 r DATE: > �`
BLD2011-00993 Please refer to the following pages for conditions of this permit. Page 6 of 6
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PIONEER DIGGING, INC. PAARR�=3�N-000M r. a
SEPTIC DESIGNS DRAVMQ PLOT PLAN
3083E MASON BENSON RD. GRApe jEw,wA 98.546 DESIGNER: R.OBERT PAYSSE
OFFICE-360-426-1803 FAX-360,4272353 DRAWN BY: AUX PAYSSE
MASON COUNTY,
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RECEIVED
" MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/ Ventilation Code Compliance Application DEC 2� 2�1�
Owner:wyjj W L.LC Parcel#222_33S-24oa c,/ IType of project:
Total Sq. Ft. 15 Floor: 2" floor: Heated Basement:
of heated area:: � s
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance Prescriptive Option see reverse side circle one: I C10 III
Percentage: Method O Component Performance , Chapter 5— Calculation worksheets required
l 8'to % Check one:
O Other (Specify):
Check one O Whole House Ventilation system O Whole House Ventilation O Other,
entilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1 credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply. If the table is not attached to this form you can access the table on our website at:
CREDITS http://www.co.mason.wa.us/forms/Community Dev/index. h .
Option: Description:
Table 9-1 Z
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
Windows: Total Sq. ft.
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window& door area I (divided by)total sq.ft of heated area = %of glazing
Namel y)H6o n LaK Parcel#aaaz ,—S,;z — q BLD I Q-bld� ,
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Mason County DEC 2 0 2011
Department of Community Development
Small Parcel Stormwater Management Application/Worlisheet (1449 BOUNTY
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:
h=//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"
PLEAS&INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A). The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in thei The
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 46W Owner/Ag t/Contracto circle one)Date:
Page 2 of 2
J
Name WA)A l•k �C Parcel# 22233 61 2-a d U6 y BLD# aO 00 1fel
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page I 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 lmpervrous�Surf.aces please Complete This Table'
Surfa a Type Length X Width = Area *All dimensions in feet
Buildi s X
X = Measurements for buildings are taken at the
1 X = perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways
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 =
atio alks X
Any paved, gravel or packed area per definition
U X _ 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 ofall areas) (,
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
OwnerBuilder/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:
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 1 of 2
°N_STA MASON COUNTY
o PS A o - DEPARTMENT OF COMMUNITY DEVELOPMENT
> S N Planning Division
°Y ti P O Box 279, Shelton, WA 98584
(360)427-9670
1864
REQUEST FOR ADDITIONAL INFORMATION
December 28, 2011
i✓ �rl/ � L L L
Parcel No.: 222335200064
Project Description: NEW SFR
Dear Applicant:
You have submitted a permit application (case no. BLD2011-00993) for proposed
construction or development in the county. Upon review of your application, I require
additional information to complete the permit review process.
Therefore, review of your application will not proceed until the necessary information
is provided (see the comment section of this letter for details.) Once the information
is submitted and the application is complete, I will continue to process your
application accordingly. If the additional information is not provided to the County
within 180 days of this request, the application shall expire and no further action on
the proposed development shall take place.
Please contact me at (360) 427-9670, ext. 287 if you have questions.
Sincerely,
Rebecca Hersha
Land Use Planner
Mason County Planning Department
12/28/2011 Page 1 of 2 BLD2011-00993
REQUEST FOR ADDITIONAL INFORMATION
12/28/2011 Case No.: BLD2011-00993
Comments: The Planning Department has placed your building permit application
on hold for the following reasons:
1. It appears that the proposed development is on or near slopes of
more than 15 percent, therefore a Geological Assessment will be
required to evaluate slope stability for development.
The assessment must meet the requirements of the Mason County
Resource Ordinance section 17.01.100 EA. The assessment must
also state that the hazards of any landslide area can be overcome in
such a manner as to prevent harm to property and public health and
safety, and must also assure that the project will cause no significant
environmental impact. See Mason County Ordinance section
17.01.100, E.7 (MCC 8.52.140 (5)(D)). A Geotechnical Report maybe
needed if through a Geological Assessment it is determined necessary.
The geologist and/or geological engineer must submit the enclosed
checklist with his/her Assessment.
2. The proposed development will either approach or exceed the
maximum impervious surface area allowed for Urban Residential
Shorelines, which is 60 percent. Impervious surfaces include gravel
driveways and walkways, roof areas, and any paved areas. Please
assure that the site will not exceed the maximum lot coverage.
3. There is an outstanding violation regarding one or more retaining
walls. Please contact the Building Department to rectify this issue.
If you have any questions, please don't hesitate to contact me at (360)
427-9670 extension 287.
12/28/2011 Page 2 of 2 BLD2011-00993
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_ _. MASON COUNTY PERMIT NOI�
o", DING PERMIT APPLICATION
. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670- Belfair(360)275-4467-Elma (360)482-5269 �_5
On the web www.co.mason.wa.us
APPLICW INFORMATION CONTRACTOR INFORMATION
Owner LLQ Company Name (�>�N
Mailini 5 IL .3E Mailing Address 3665 AtA-30 W,-�
City State_WA Zip Code M0_2 y City 6�I- W ic- J StatewA_Zip Code
Phone '+'Z57 3L-9 1 q1 I Other Ph. Phone,3L-,n 4U S' 0 Other Ph.
Lien/Title Holder Contractor Reg.#QgAJAYk1 1 z-Aet 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 Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No. -Z.ZZ 3.9 sZ 00040'4 Fire District
Legal Description rA AOj L 3 L'A/N'( S}.� 1)1 V wy 6 4
Site Address(Please nclude street name,street number and city) 2-�� C C X- EW
Directions to site 14 Gymr .3 '7-b ► E-,.J S�,J -M MAb(;-^j L
Will timber be cut and sold in parcel preparabo ? es/
Is property within 200'of Saltwater ke River/Creek Pond
Wetland Seasonal Runoff ream Slopes or Bluffs > 15%
Is this permit sub the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB JNew.1 Add Aft Repair Other PRIMARY RESIDENCE ❑ SEASONAL
Use of Building Describe Work ['0AY'U R� -
No. of Bedrooms No.of Bathrooms Square Footage-1st Floor 158 0 2nd Floor
3rd Floor Basement ` Deck Covered Deck-(08 4L Other Sq.ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORM TION -Make Model Year
Length Width Serial N No.of Bedrooms No. of Bathrooms
Type of Heat Pur ase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
OWNER/BULDER 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
perrnft and to do the work as proposed in the application.I declare that I have obtained the pemnission from all the necessary parties.If pemussion 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
pemaission from them to apply for this perat 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 eL Date:
Dwfrer/Owners Representalive/Contractor (indcate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted b ffU P Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 1L wk
Planning Department En _ _
Environmental Health Department
Public Works 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 RMItlyNi
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation$ TOTAL FEES
it
PERMIT NO�"—"
MASON COUNTY
PLUMBING/MECHANICAL PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton,WA 98584
Shelton(360)427-9670•Belfair(360)275-4467•Elma(360)482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INPEJMAT ON
Owner nJ � t>� Company Name ,�+` �
Mailinq,Addres ZS i, Did ,e Mailing Address
City ` 1hA0#VJ -! State d�Zip Code CX2_) City State Zip Code
Phone42s 3di((ill Other Ph. Phone<<� -4 3 ) Other Ph.
Lien/Title Holder A 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 "Z'ZZ Fire District
Legal Description
Site Address(Please include street name, street number and city) 2—'7q I E IZ
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- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES(Show Number of each) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric_LPG—Natural Gas_Heat Pump_
Toilets _L_ Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers —� Spot Vent Fan
Water Heater T Propane Tank
Clothes Washer �— � t'esstsPellet
Kithen Sinks / Stove=
Dishwasher c en Exhaust Hood
Hosebibs -- Dryer Vent 1
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 1 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 COIFINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X a Date: /% d-
caner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THI POINT
Accepted tanning Pd Ck# Date ly I!p Bld Pd Receipt No.
DEPARTM NTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr. L ►L C"'14(
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection DW 20.2011
Mechanical& Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other MASON COUNTY
Violation Fee TOTAL FEES