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BLD2013-01016 SFR Final - BLD Permit / Conditions - 8/4/2014
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 279 Ir Shelton, WA 98584 flo RESIDENTIAL BUILDING PERMIT BLD2013-01016 OWNER: JAMES PYLE RECEIVED: 11/21/2013 CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*983BD EXP: 11/8/2014 ISSUED: 12/12/2013 SITE ADDRESS: 3441 E RASOR RD WEST BELFAIR EXPIRES: 6/12/2014 PARCEL NUMBER: 222247600080 LEGAL DESCRIPTION: TR 8 OF SURVEY 18/205-209 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR HILINE HOME 2188SS - 3 bedroom + office ST RT 3, L ON MASON LAKE RD, R ON TRAILS RD, R ON TRAILS END DR, L ON RASOR RD WEST TO SITE ADDRESS..LOCATED ON THE CORNER OF RASOR RD WEST& CHELSEY LN 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: R3U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:2,184 Garage-Attached 484 Valuation: $ 264,409.68 Building Height: Occ. Status: Primary Basement: roof/porch 156 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 57.0 Ft. Shoreline: Ft. Water Body: WETLAND Rear: S 25.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 75.0 Ft. Shoreline Desig.: Natural Year: Serial No.: I Side 2: W 240.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee GMM 11/21/201: $ 1,246.54 S1201300000001 Lavatories 3 Heat Pump 1 Planning Review Fee GMM 11/21/201: $205.00 S1201300000001 Bath Tubs 2 Ventilation Fan 3 Fire Warden Review GMM 11/21/201: $73.00 S1201300000001 Showers 1 Propane Tank 1 EH Plan Review WOM 11/21/201: $ 103.00 S7201300000001 Water Heaters 1 Gas Outlets 4 Water Adequacy Plan Revi WOM 11/21/201: $ 103.00 S7201300000001 Clothes Washer 1 Exhaust Hood 1 Building State Fee DLC 12/5/2013 $4.50 S2201300000001 Kitchen Sink 1 Dryer Vent 1 Building Permit Fee DLC 12/5/2013 $ 1,917.75 S2201300000001 Dishwasher 1 Mechanical Permit Fee DLC 12/5/2013 $ 164.90 S2201300000001 Hosebibs 2 Mechanical Base Fee DLC 12/5/2013 $28.50 S2201300000001 Plumbing Permit Fee DLC 12/5/2013 $ 110.60 S2201300000001 Plumbing Base Fee DLC 12/5/2013 $24.70 S2201300000001 Total $3,981.49 BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 1 of 7 CASE NOTES FOR BLD2013-01016 CONDITIONS FOR BLD2013-01016 1) 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. D. Do-not encumber Attenuation Zone with driveways or buildings X 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 1-80 - 47-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 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. X (�U 4) Owe /Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 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 rem�vy�,l of approved documents will result in failure of required building inspections. X /� 6) XTOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. 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 BuilcJjny Department prior to any further inspections being performed or approvals granted. X ��ll BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 2 of 7 a- 8) 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Heat pump with Electric back-up, Compliance Method: Prescriptive option Marine -4C, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38, and Slab Insulation R-10. In addition the following credits from R406.2 shall be completed as follows: Required 1.5 credits: Option 3B (1.0 credit): High efficiency HVAC equipment, air source heat pump minimum HSPF 8.5. Option 5A(0.50. credit): Efficient water heating, Electric water heater with min. EF of 0.93. All showerheads and kitchen sink faucets shall be rated at 1.75 GPM or less. All other lavatory faucets shall be rated at 1.0 GPM or less. PROVIDE COMPLIANCE INFORMATION FOR HEAT PUMP, WATER HEATER, AND FAUCETS AVAILABLE AND ON-SITE FOR FINAL OCCUPANCY INSPECTION. Maximum heat equipment output: 27,329 btu/hr X J2 9) A permanent certificate, completed by the owner, 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 105.4, 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 5 air changes per hour when tested with a blower door in accordanve with IECC/.WSEC Section R402.4. 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 IECC/WSEC R401.3 & R101.4.3 Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate" and are available in '/4 or'/2 sheets. The Mason County Permit Center will also have some available. X 10) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section R404.1. X 11) WIND LOADS - Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85 MPH. 11-1 X V BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 3 of 7 12) 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. A drip edge shall be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5) X 13) 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 own er/agent/contracto is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 14) 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 suc ds connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 15) 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 ch �� and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 16) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State off,Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in peqJevocation. X BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 4 of 7 17) ,_Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/WSEC R403, applicable sections of the IRC, and IMC. Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be available for inspection during inspection. Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181Aand shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation instructions. Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8 DUCT TIGHTNESS TESTING shall be conducted by person(s) trained to perform such testing. A signed affidavit documenting test results in accordance to IECC/WSEC Section R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct tightness testing is not required if the air handler and all ducts are located within the heated space. X v 18) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordir a or regulation, must be reviewed and approved by Mason County prior to construction. X 19) 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 Ins pee�shall be made prior to requesting additional inspections. X 20) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must me:Z installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X 21) All property lines shall be clearly identified at the time of foundation inspection. X(-/ BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 5 of 7 22) ,_All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mas�ounty ordinances and building regulations. X 23) 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 hoT ave prevented action from being taken. No more than one extension may be granted. x 24) Retaining walls needed to support a su ge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 25) 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 ORX D WAY. X 26) P ed per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. 27) All construction and demolition debris must be removed from the site after project completion. ZPr disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X 28) Temporary erosion control measures must be implemented to prevent water quality degradation of adj waters or wetlands. Silt fencing, straw, or surface matting must be installed and maintained until upland vegetation has become established. X 29) Prior to final approval, all upland areas disturbed or y created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X 30) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Ap� ed Site Plan" to ensure these structures are shown and meet the setback conditions listed. X 31) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structuresmeet the setback conditions listed. X ` , BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 6 of 7 -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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project. The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s) 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 OF INSPECTION. INACTIVITY OF THIS PERMIT A (CATION OF 180 DA S WILL INVALIDATE THE APPLICATION. Signature,"' Date -50 OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2013-01016 Please refer to the following pages for conditions of this permit. Page 7 of 7 4 � r - N CONCRETE MECHANICAL MANUFACTURED HOME o Date �/ Lf BY �-I�J'( r w Footings!Setbacks ` Ribbons ri i Gas Pi ping o interior Date 31p1 By ;��� Interior-Date By Date B o W� y Exterior Date By Exterior-Date By Sot-up S Point Lead!Isolated Footings INSULATION mn Date By ( Date ''� I v IN By L�l�i Bra l SLAB INSULATION Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date -3 17 /`(" By "I Data � By LOU DECKS FRAMIN Walls Date By Date �`�9-� g Data 5- Byyr//W PROPANE TANKS PLUMBING vault Data __. y__.. Date By OTHER Groundwork Attic Data By Date By TypeDato By D.W.V DRYWALL Type- ux By Brace Wall Date By, cov Date /�( By m Date B FINAL INSPECTION O v y Water Line Fire Separation N m m Date By Date By Data BY CD m __T 41 g Pass or Request Inspect. b Type of Insp. Fail Date Date Done By Comments o 6;vk pktA -5)711 Lt v in° l(it u7 r lvt to erP 0 0 o_ a fir✓ N N wo�I ��, :E, 1/av1 LOl1 c pr o v' is. Ok 0 I'psi 0 0 PO,rm't# 13 i of(� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been f nd: Items listed below must be corrected to ain compliance cold h c. "rT 1< D✓� /rs� G r 1 �✓ a�ruj /"!95 'Aszk lCt� Zu 1 1 14 i 11,. qat,11.4A �.s-rv,a,GLAI, a nd� L,'n42 • TiIAD w..�.*z- zy p✓a✓,'y�2, s vzec�s You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK ❑ Call for re-inspection when corrections are made before continuing ❑ Please contact our office 1,';D Make corrections, items will be checked on next inspection regarding possible structural �-j] OK to t- damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT a Date�/I b 0 Department CORRECTION NOTICE. Inspector bMl-. o t o NkOT " 'MCOV ' THI c T A rmw Permit °: '-d/0/0 MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 5'yV l ,O�' 9=6 . t4lzg 7 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: Items listed below must be corrected to gain compliance 1. , r You are hereby notified that the above corrections shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK Call for re-inspection when corrections are made before continuing ❑ please contact our office ❑ Make corrections, items will be checked on next inspection regarding possible structural damage incurred by recent U "natural/man made" ❑ This is not a complete inspection disasters.This is NOT a Date � �� -7,/ Department 4�;Ioo CORRECTION NOTICE. Inspector i ,f}c:l • so $ N* ,0T , ' iv7* ,#4 ' ' THImsk T,6,- *w&ME Permit# 13dolbMASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location 3qq l C paw aA This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been fo nd: Items listed below must be corrected to gain compliance C Gtrf a-r �%f car, I 4 4. -V�t K w r a( A.- -wear.- ce#,"htt S 1 vn !.�/ u•GrL for,om► A ,yy.s'ra 11 P4,77 �t 11K a n n 74 Y'a T,tjG-- � 1rU 1 4 qTk t/%s G'f YCrc v�,s w i 5 i'yr!e G.'A -r w� 2vt u2 C13L � k v— 7, 1�zzs �1s.11 Lv+K�� t GJ -�� d ✓� �1 � � �/lam t� You are he4gy notified that the above corrections shall be made %1W,t PROggPING WITH �NY FURTHER WORK t� w'., A✓iCS 6T W ❑ Call for re-inspection when corrections are made before continuing ❑ please contact our office Make corrections, items will /b�e�checked on next inspection regarding possible structural rr OK to 1 -05 W 0 Q(� 1?SV 1✓��/S 0�- damage incurred by recent "natural/man made" This is not a complete inspection Gr�rW disasters.This is NOT Date 713�)�L? Department CORRECTION NOTICE. Inspector 1,IolL nO NOOT , MnV ' THI qmk T A rmg Materials Testing & Consulting, Inc. Beatadlnical F.141aa win&ClmwMina•Sprinl Imlkrtiun a%Inlrrial%TrH,n4 Of nrinmmenlal t'r istlrM F'n,Krrr�n�d lyyuran.v.\+mv/YA! •� Jim Pile Project - 14SO26 - IPD-Soil Compaction: Report #D33526 CLIENT Mason County Excavating DATE 02/21/2014 PROJECT LOCATION 3441 E Rasor Rd West PERMIT# Belfair WA Inspection Information: Inspection Date: 02/21/2014 Time Onsite: 1:OO PM Weather Conditions: Rainy,50F. Inspection Performed: IPD-Soil Compaction Field Data: Work/Location: Bldg pad subgrade Gauge Standard MS: [630 Equipment ID&Serial#: Troxler 3430F,Ser.#19143 ]Gauge Standard DS: 1882 Test Samples: Sample#:Description: Proctor Value(pcf):Optimum Moisture and Oversize Rock Correction: _._.r_--- _- 1.S14-059 Drown Gravel w/Sand 142.7 .3% TEST METHOD ® ASTM D-1557/AASHTO T-180 In Place Density Test Results (ASTM D-6938): Test# Mode/ Location of Test Elev. Wet Dens. Dry Dens. Moist% Sample# %Comp. %Regd. Depth 1 2" _;20'S,45'W of NE corner of b Idg pad, 0" 148.5 137 8.4 1 96 95 � 138.2 7.5 1 J 96.8 95 2 2" 28'S, 10'W of NE corner of bldg padJL 0" - 148.6I �[ ❑ Native Soils Soils consistent with Proctor O Yes O No ® Imported Fills Soils found to be firm and stable;and to the best of our O Yes O No knowledge,meet compaction Contractor notified of results 0 Yes O No Remarks: MTC onsite as requested for sample pickup and density testing on bldg pad subgrade.Material was placed and compacted prior to arrival. Contractor was not onsite during testing and sampling,could not obtain plans onsite.One sample of well graded gravel w/sand was obtained for proctor testing.Compaction results will be calculated upon completion of laboratory testing. REPORTED BY:Richard C Amell REVIEWED BY:Deane Ramsdell,Project Manager A.rwalp+wab�hMo�w44nM4MenMrar.Agw•Wt wMM a*r*V r*."/A•R"Comm",+wawl�Yw4�fMwlwlwA.swAw1�� a�rcwhww�ras�rr 140a014 rwfm--a P 3401 •lllr 012091181-TW101 A Cnwtrlq.Inr All r1�N,a,.rrN. t'nrp0rate • 777 Chrysler Drive 9 ■erlisOtee,WA 92231 • Phaee 3".7415.1990• Fes 364.755.1M .r•w krRulo • 2118 Black Lake Blvd. S•W •Olympia. WA 911312 • Phone 360.314.9177 • Fax 360,534.9779 NH kritlom • $03 Dupool Street, Stine S• Belll•tham+WA 98223• Phone 360.641.6%1 • Fax 360.647AI I 1 Visit our website: w+ww.mic inc-set Jim Pile Project-145026,OL21/2014,#D33526,Page 1 of-1 MASON COUNTY 4 PERMIT NO. O DEPARTMENT OF COMMUNITY DEVELOPMENT D, O BUILDING. PLANNING• FIRE MARSHAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III, 426 West Cedar Street (360)275-446-Bair ext. 352 �xsa PO Box 279, Shelton,WA 98584 (360)482�2.�6,[9�I Ef a ext. 3�52 5 BUILDING PERMIT APPLICATI N OWNER INFORMATION: CONTRACTOR INk ORMATW NAME: ZAMC5 R514e- NAME: gib-op- R'6fneS MAILING ADDRESS: 9 t"AV' S MAILING ADDRESS: 11306 2' Aye- E CITY:CeJera1 WA;., STATE: yVh ZIP:7 f3oD3 CITY: STATE: WA ZIP: `6373 PHONE: CELL:'ZG6q&1J6s;q/ PHONE: ;253-?q0- i$yq CELL: 253•i 06 1?Zga EMAIL: 5%W1 ri Ty1 P- i G1,saX EMAIL : 6bosme-n I1�Iar1@GtavneS.Ga✓i, L&I REG# J4j u NH'Ig:i*e3o EXP. D_/O?/_L3 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) Z 7.22 t% -7 apt FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIATED) : T(R & /8Z Z e S-- Z 67 SITE ADDRESS 3 y 4 1 E Kago, iZ f 14 eS.T CITY DIRECTIONS TO SITE ADDRESS %� `!: L :� %t L Ts �`1s C n®1 b2 ke,i- tj%S 'r IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ® SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO TYPE OF JOB: NEW R ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) res i d o y1( 1 S i 114� - 1M�' LJ( 4cffa 6 eJ JLq fZ4 y-e IS USE: PRIMARY(q SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BAT OOMS 2— DESCRIBE WORK SQUARE FOOTAGE: 1ST FLOOR 2�sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK Y Sfa sq. ft. STORAGE sq. ft. OTHER sq. ft. GARAGE q 7 3 sq. ft. ATTACHED R DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MAN -EA-CTL��E HOME INFORMATION: *4-COPIES OF THE----FLOOR PLAN — MAKE MODEL / YEAR ENGTH XDTH BEDROO B SERIAL NUMBER 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSP ON. INACTIVITY O T S PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x e2 -v /%,, yl ,zJ r,y 2a 3 SS*ature of Applican Date x urn�f A( . Pyles OWNER / REPRESENTATIVE /CONTRA_ CTOR Print Name (CIRCLE DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT NOV ') PLANNING DEPARTMENT A CEDAR ST, FIRE MARSHAL ♦ 8 FEE'S TOTAL VALUATION: L BUILDING PERMIT FEE J j FIRE ACCESS AND GRADE PLAN REVIEW EO- TECH REVIEW PLUMBING&BASE FEE ll D f -70 STORMWATER REVIEW MECHANICAL&BASE FEE /(a �Q5 TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE 2Z c31 s/A 10 ( 90) 1 abx v,ov ch 2LleX �ryo� ca`'"rr MASON COUNTY PERMIT NO.E(,fJ 20 I - �_� DEPARTMENT OF COMMUNITY DEVELOPMENT C BUILDING•PLANNING• FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 ixsr PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352 PLUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: 3afA 0 5 Pyle NAME: N;L;A& 4preS MAILING ADDRESS: 3 z3 ld 9 t""/I,r,-- 5 MAILING ADDRESS: /J,?0C 0 12 1'14f. E CITY:redz`11 L`�,� STATE:OJA ZIP: CITY: • A o STATE: WA ZIP: %�373 PHONE:2g6 %y,7cx;5q( CELL: PHONE: 253 -,9go-I?w`i CELL: :253- 6 Of,- 82Y0 EMAIL: -+ XPVj`, Q, EMAIL : bkosiPA w 4i444tmio• ran L&I REG# l/%W A)V y93}l36 EXP. l I lnl i 3 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): '7-6 b P a LEGAL DESCRIPTION(ABBREVIATED): 2 P, OF 5uR JC-y' / fLo S-Zvi; SITE ADDRESS: 3 `l4 I & gas,0— 1 w CITY: y- DIRECTIONS TO SITE ADDRESS: (- T rQ, IS E7,j -A PiZ- 4w 4 P�o'Se.- -"e-cl Wcj,+' TYPE OF JOB NEW 3r ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1 ST FLOOR k 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas Heat Pump_ Toilets 2- Type of Unit No. of Units Fees Bathroom Sink \s 3 — Furnace 1 Bath Tubs `f. C. Heatpump 1 Showers '4i I Spot Vent Fan — Water Heater 1 Propane Tank 1 Clothes Washer I Gas Outlets Kitchen Sinks 1 Wood/Gas/Pellet Stove Dishwasher / Kitchen Exhaust Hood 1 Hosebibs Z 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. XJ'r'� A, Z/ //j/r6 V i 3 Signature of Applicaril Date X Al - Owner/Owners Representative/Contractor Print Name (indicate which one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE J(&kJiW1VXM4ONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL MASON COUNTY PERMIT NO. h DEPARTMENT OF COMMUNITY DEVELOPMENT O 0 BUILDING• PLANNING•FIRE MARSHAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 Mason County Bldg. III, 426 West Cedar Street (360)275-446,-8?#5 ext. 352 PO Box 279, Shelton,WA 98584 (360)482 j5169 E(r a ext.'352 -A NNN BUILDING PERMIT APPLICATI N �� OWNER INFORMATION: CONTRACTOR IN ORI jATJON: NAME: -S A MCA q P;,`le, NAME: 1'Tit'inp_ Hoftuos MAILING ADDRESS: 3•2..310 170 Ay, 5 MAILING ADDRESS: 1130& .2°' Ave. E CITY:reJerj Woo.e STATE: W,4 ZIP: SVD3 CITY: Qgy',k(4 STATE: WA ZIP: `6,373 PHONE: CELL:"Zc?6gJ76�y/ PHONE: 3-?qp-is'gq CELL: EMAIL: 5:WtM y ryylP_ P ;Ci, ,gee, ca." EMAIL : 61hosmo-r h0iii&Airrle-s.covy, L&I REG# 141 a NH c1gJ*c30 EXP.D_ O?/_13 PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) 22 22 Li -76, OVV G d FIRE DISTRICT LEGAL DESCRIPTION ABBREVIATED) : 7(d S c>� c�2 cf /8Z Zp.~ ZC7 SITE ADDRESS j `� 1 G ilaSOr 7Zd P1 eS.- CITY j3 e i' DIRECTIONS TO SITE ADDRESS F j,�,;(f �.�.�t ;� 4-p L- TT.ds 4 11-1 bA Itz, Ic 2a-$_0_ IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND © SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO LS TYPE OF JOB: NEW R ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) reSi d@yU ) LJ/ 6lfp6 ed �ta yz y e IS USE: PRIMARY& SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BAT ROOMS 2- DESCRIBE WORK SOUARE FOOTAGE: I ST FLOOR 2TT sq. ft. 2ND FLOOR sq. ft. 3RD FLOOR sq. ft. BASEMENT sq. ft. DECK sq. ft. COVERED DECK 15b sq. ft. STORAGE sq. ft. OTHER sq. ft. GARAGE y 7 3 sq. ft. ATTACHED R DETACHED ❑ CARPORT sq. ft. ATTACHED ❑ DETACHED ❑ MANU HOME INFORMATION: COPIES OF THE FLOOR PLAN MAKE MODEL / / YEAR ENGTH *DTH BEDROO B SERIAL NUMBER 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure(s)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 OF INSP ON. INACTIVITY O T S PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. x /Z-1 z( ,V c-✓ Z.:s 3 �Signnature of Applican Date x �ulwt-ff- /L( . &/c OWNER / REPRESENTATIVE /CONTRACTOR Print Name (CIRCLE DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT IIUIF it PLANNING DEPARTMENT 426 1l1/,CEDAR ST FIRE MARSHAL f :J FEE'S TOTAL VALUATION: BUILDING PERMIT FEE FIRE ACCESS AND GRADE PLAN REVIEW GEO- TECH REVIEW PLUMBING&BASE FEE STORMWATER REVIEW MECHANICAL&BASE FEE TOTAL FEES WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE PLANNING REVIEW FEE VIOLATION FEE lo 000 PLANNINGPLAN 4 , SETBACKS ARE ME�,' FROM THE FURT PROJECTION OF_ro,i-!7 r Gam_. "`. RECEIVED MASON APPROVED NOV 2 5 2013 , ' � j COUNT DCD PLANNING v SITE PLAN REQ RED TO BE ON S1T iC 0ED��, �y�{4� �' C ANGES SUJJECT TO APPROVAL Fl "`T ft BY Date it N '" _ _ _ •— Q uj t mog z Q Audio-Visual Alarm O 0Cleanctut. i200 Gallon Septic"l'anlc O k0 2 Coinpartment with N Effluent I+iter 1 q 1000Gallen pump Cliamber Valve Conhvl Box p M C M B V �y1YH1w, D No WELLS . NOV Z ! 2013 200' DOWN GRADI OF DRAINFIELD BY:-- W-M - CJ � 0 3 0 .. a L4 Z W � � C POf r o APPROv Eo MC PUBLIC HEALTFl ° _ ___ E- O� s /So DEC 0 3 2013 ALP 777 6LA)Zo13-o ► o 1p do Z222oogo 1 1p °5ed o �'p C. y r . Planner: Grace Allan , Rebecca MASON COUNTY PLANNIlN G INTAKE CHECKLIST Owners Name J A Le, Date: 1 I-2 I-Z6 Project: �J- Commercial ?: yes no Site Plan: PLANNING _ North Arrow f `_ .- Property Dimensions: �(1 / x j,38 / egular Shape . s no Streets and Driveways hown e- i6 Road Frontage Name: ,z C..f1rz. 1S XAll Existing Structures Shown with setbacks and use. XIdentified Surface water(streams,ponds, shoreline,wetlands,natural/historic drainage, defined drainage) Topography (slopes) ;EF � �QS {�p0Lh_CL_"v_ (,�.l_�� Minimum Structure Setbacks (direction/setback): F: 0 / S 1 ' R: S / a S' S 1 E / 95 S2 l.0 / Qz4 y t Utility and Drainage Easements: yes no (if yes enter condition 45022) �ther Easements Accessory Appurtenances: propane aDPUMP 61'��Sc�2, P1,d n Does site plan show landings e is . ��ariance applied for: yes no Parkin spaces allotted: yes no County Access Permit Neede add condition #0010) nr — -Sstat�'Access Permit needed (add condition #0020) —�ridard Planning conditions: #5019 and 4700 ❑ Are there any impediments (dogs/gates) that may restrict access to your site? yes no ❑ If yes, do we need appo' ent. y nos site clearly marked? Addr ssName Other ZONING UGA'S ALLYNBELFAIR/SHELTON Rur LAND DESIGNATIONS GC PF R-1 R-1P RC 1 .5 AGRICULTURAL POS FR R-2 R-1R RC 2 KR 5 LTCFL BI GC-CI R-3 RI RC 3 RR 10 IN-HOLDING HC LTA R-5 RT RAU RR 20 TRIBAL T MU R40 RT/RTC RNR J NIHP I BP vC RAC NR NOV 2 Critical Areas: (streams,ponds, shoreline,wetlands & steep slopes) 426 W. CEDAR ST Shoreline Designation: o l� �N/A ❑ Urban ❑ Rural ❑ Conservancy ❑ Natural Water Body: w SEPA: yes no unknown Flood Plain: yes no unknown Map # Afer Recharge: yes �o unknown Map# ,4 0 2013 - Do0`13 Tags/C ses: RLC/SPI: S P 12.0 l3 - noo 73 6 year Reforestation: yesQ) Eagle Nest Tag: yes Clio Other/North Bay Sewer: yes no riKt MARSHAL ACCESS & GRADE INSPECTION BLD Z o 1 2�) - b 10 1 CO ADDRESS: 3 y 1 E ►� 2�oC�c�'--1� INSPECTOR: DATE OF INSPECTION: a- 1 FIRE SPRINKLER REQUIRED? (circle NO YES IF fire sprinkler required, was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS RECEl Y ra ( ) need post at access of driveway with reflective address numbers NDV 2 5 24M . Length: Width: Surface: 4216 W CEDAW S p Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY — %. OF ROAD % ROAD ACCESS Length: Width: Surface: 6iZMZ Condition of Shoulders: / Vertical clearance: BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. L� LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON BOLD ( ) REMARKS: L ( V VIA u..J 5 - Name J A Parcel# 1 I ' 2 - 13 BLD#JL( 1 Q L( 1(P Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Soormwater Site Plan IS Required for this development activity. q ..r Y Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for StORLO;X Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: httD//www.co.mason.wa—us/code/m=issionersrmdex.htm � 2 5 208- Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". k CEDE-61. 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 THIS 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 roperty for review and inspection as may be required. X Owner/ gent/Contractor(circle one)Date: Page 2 of 2 Name Parcel# 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 storrnwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. T�i-£alc late Iriiperv�oUs'SuKaces'-Pfeasb CWr7i to This Table_:; Surface Type Length X Width = Area *All dimensions in feet Buildings X = X = Measurements 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 = Any paved, gravel or packed area per definition above table X = Others _ ffae total-impervious area`of the proposed site X = development is.greater than.2�D0 square feet a- Small Parcef Stomlwater.Slid plan is Required'.; Total impervioiis.Surfaae prea:($um bf-a 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 Stormwafer Site Plan E NOT required for this development activity. 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: 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