HomeMy WebLinkAboutBLD2024-01430 SFR - BLD Application - 12/5/2024 Permit No: 2�LD2o241- U(�i30
MASON COUNTY
COMMUNITY DEVELOPMENT RECEIVED
Permit Assistance Center,Building,Planning
DEC 0 5 1U14
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATftfi W,.Alder S eet
NAME:PATRICK AND HEATHER MCGILLIVARY NAME:OWNER GC
MAILING ADDRESS:»N SEAGULL WAY MAILING ADDRESS:
CITY:LILLIWAUP STATE:WA ZIP:98555 CITY: STATE: ZIP:
PHONE#1:206-498-5416 PHONE: CELL:
PHONE#2: EMAIL:
EMAIL:PMCGILLIVARY2020QGMAIL.COM L&I REG# ENP.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME CHRIS ARNOLD EMAIL CHRIS NWPERMITSOLUTIONS.COM
MAILING ADDRESS 2646 RW JOHNSON BLVD SW STE 112 CITY TUMWATER STATE WA ZIP 98512
PHONE 360-878-9341 CELL 360-359-2967
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) 32412-11-90061 ZONING
LEGAL DESCRIPTION(Abbreviated) PnrS of LOT 1 OF SP a781 a 546 PCL 4 of BLA 001.53 s 27129,s 4M FIRE DISTRICT
SITE ADDRESS 722 N SEAGULL WAY CITY LILLIWAUP
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO® SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Checkall that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW® ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.)RESIDENCE
IS USE: PRIMARY.® SEASONAL❑ NUMBER OF BEDROOMS 2 NUMBER OF BATHROOMS 2
HEATED STRUCTURE? YES(Whole Bldg)® YES(Parrpl of Bldg)❑ NO❑
DESCRIBE WORK NEW BUILD OF A CABIN KIT HOME
SQUARE FOOTAGE: (proposed)
IST FLOOR 1044.26 sq.ft. 2ND FLOOR 950•06 sq.fL 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK 701 sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEW® EXISTING❑
PLUMBING IN STRUCTURE? YES® NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES❑ NO® EXISTING SQ.Fr.
EXISTING BEDROOMS PROPOSED BEDROOMS 2 TOTAL BEDROOMS 2
OWNER 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 and 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 legal
representative,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 8 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
Dec 2,2024
Sil
Signature of OWNER(Must be signed by the OWNER) Date
k� P�RTNIEN'rAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT C
FIRE MARSHAL
PUBLIC HEALTH
Permit No:RLnZc�2�1-01`i 3U
job MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:PATRICK AND HEATHER MCGILLIVARY NAME:OWNER GC
MAILING ADDRESS:722 N.SEAGULL WAY MAILING ADDRESS:
CITY:LILLIWAUP STATE:wA ZIP:98555 CITY: STATE: ZIP:
I" PHONE:206-498-5416 PHONE: CELL:
2°d PHONE: EMAIL :
EMAIL:PMCGILLIVARY2020@GMAIL.COM L&I REG # EXP.
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number):32412-11-90061 Zoning:RURAL RESIDENTIAL 5 ACRES
LEGAL DESCRIPTION (Abbreviated):PTN'S OF LOT 1 OF SP#781 &846 PCL 4 OF BLA#01-53 S 27/29,S 48/62
SITE ADDRESS:722 N.SEAGULL WAY LILLIWAUP,WA 98555 CITY:LILLIWAUP
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW=ADD=ALT=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1 ST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHERO
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric=LPG=Natural Gas=Ductless=
Toilets 2 Type of Unit No.of Units Fees
Bathroom Sink 2 Furnace
Bath Tubs 2 Heat Pump 1
Showers Spot Vent Fan
Water Heater 1 Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks 1 Wood/Gas/Pellet Stove
Dishwasher 1 Kitchen Exhaust Hood 1
Hose bibs 1 Dryer Vent 1
Other Solar Panel
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
�IkcGiul`V'01�� Dec 2, 2024
XPM<Gfllivary(Dec 2,202410. 5 PST)
Signature of Owner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN
toMASON COUNTY
COMMUNITY SERVICES
Building,Planning Environmental Health.Community Health
These requirements apply to all IRC building types, including detached one-and two-family dwellings
and multiple single-family dwellings(townhouses).
Contact information Project Information
Owners Name: Site Address:
VAT PL%C"t HE RTNEf2 MC t LV A R 112 1`1• SER u Lf`
Mailing Address: Parcel Number:
31AII - 11— 01oO01
Square Feet(total): Project Description:
1I1°14 -32 ivE w SF R
Ventilations Compliance:
❑Whole House Ventilation system ❑ Whole House Ventilation
using exhaust fans Integrated with a Forced Air
System
Other,describe:
Instructions:This single-family project will use the requirements of the Prescriptive Path below and
incorporate the minimum values listed. Based on the size of the structure,the appropriate number of
additional credits are checked as chosen by the permit applicant.
Provide all information from the following tables as building permit drawings:Table R402.1- Insulation and
Fenestration Requirements by Component,Table R406.2- Fuel Normalization Credits and 406.3- Energy Credits.
Marine 4(Table R402.1.3)
Fenestration U-Factor bJ 0.30
Skylight U-Factor b 0.50
Ceiling R-Value° 60
Wood Frame Wall R-Value 9' 20+5 or 13+10
Floor R-Value 30
Below Grade Wall c,h 10/15/21 int+TB
Slab 0 R-Value&Depth 10,4ft
R-values are minimums.U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design
' thickness of the insulation,the compressed R-value of the insulation from Appendix A Table A301.4 of chapter 51-11C WAC shall not be less
than the R-value specified in the table.
b The fenestration U-factor column excludes skylights.
"30/15/21+5TB"means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on the interior of the wall,or R-
e 21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall."10/15/21+5TB"shall
be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or
exterior of the wall."5TB"means R-5 thermal break between floor slab and basement wall.
d R-10 continuous insulation is required under heated slab on grade floors.See Section R402.2.9.1.
For single rafter or joist vaulted ceilings,the insulation may be reduced to R-38 if the full insulation depth extends over the top plate
of the exterior wall.
R-7.5 continuous insulation installed over an existing slab is deemed to be equivalent to the required perimeter slab insulation when applied
f to existing slabs complying with Section R503.1.1.If foam plastic is used,it shall meet the requirements for thermal barriers protecting foam
plastics
For log structures developed in compliance with Standard ICC 400,log walls shall meet the requirements for
9 climate zone 5 of ICC 400.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
Int.(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard framing 16 inches on
h center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 insulation.
The first value is cavity insulation,the second value is continuous insulation.Therefore,as an example,"R33+10"means R-13 cavity
insulation plus R-10 continuous insulation.
I A maximum U-factor of 0.32 shall apply to vertical fenestration products installed in buildings located above 4000 feet in elevation above
sea level,or in windborne debris regions where protection of openings is required under Section R301.2.1.2 of the International
Residential Code.
Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 (Energy
Equalization credits) and Table 406.3 (energy credits)to achieve the following minimum number of
credits.To claim this credit,the building permit drawings shall specify the option selected and the
maximum tested building air leakage and show the qualifying ventilation system and its control sequence
of operation.
1. Small Dwelling Unit: 5 credits
Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area.
Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf.
2. Medium Dwelling Unit:8 credits
All dwelling units that are not included in#1 or#3
3. Large Dwelling Unit:9 credits
Dwelling units exceeding 5,000 sf of conditioned floor area
4. Additions less than 500 square feet: 2 credits
All other additions shall meet 1-3 above.
Summary of Table R406.2
System Energy Equalization Credits gredits Select-ONE System Type
Type Single Family
1 For combustion heating equipment meeting
minimum federal efficiency standards for the 0.0 ❑
equipment listed in Table C403.3.2(5)or C403.3.2(6)
22 For an initial heating system using a heat pump
that meets federal standards for the equipment
listed in Table C403.3.2(2)and supplemental 1.5 ❑
heating provided by electric resistance or a
combustion furnace meeting minimum
standards listed in Table C403.3.2(5)b
................. — __.. ..._.._ ---._-
3 For heating system based on electric resistance only
(either forced air or Zonal) ❑
- _ 5 _
4` For heating system using a heat pump that meets
federal standards for the equipment listed in Table ❑
C403.3.2(2)or C403.3.2(9)or Air to water heat pump 3.0 i
units that are configured to provide both heating and
cooling and are rated in accordance with AHRI
550/590 --- - - --- ---
5 For heating system based on electric resistance with
1. Inverter-driven ductless mini-split heat pump 2.0
system installed in the largest zone in the dwelling,or
2.With 2kW or less total installed heating capacity
per dwelling
b.The gas back-up furnace will operate as fan-only when the heat pump is operating.The heat pump shall operate at all temperatures above 38"F
(3.3'C)(or lower).Below that"changeover"temperature,the heat pump would not operate to provide space heating.The gas furnace provides heating
below 38'F
(3.3"C)(or lower).
c.Additional points for the HVAC system are included in Table R406.3.
Prescriptive Path—Single Family 2021 Washington State Energy Code-R
-........-.................._._................_........._......._........................................................................._............_............_.................................._..............._....................._.,._.........................
- ---1-- ------..._._-... ........__._...._...-
Energy Energy Credit Option Descriptions Please indicate I Details
Options chosen credit
1...... -- - _ _ ............................ .......
1.2 Efficient Building Envelope 1.0 _
----.... - -.--- -. ........--------.._.._._......._....._..._.._.....
1.3 Efficient Building Envelope 1.5
---- ---- *-----................._.._.....--...-- _. ... . ..._-..-..-
1.4 Efficient Building Envelope _ 2.5
-
_ g - ...._.. - -_..__......._.. -- -
2.1 Air Leakage -----
a Control and Efficient Ventilation I 1.0
2.2 :Air Leakage Control and Efficient Ventilation j 1.5
2.3 Air Leakage Control and Efficient Ventilation 2.0
3.1a High Efficiency HVAC 1.0
_.. ----- -------. ..._.._..................-- -....-- ----.....-.-.__..........._.._._.... -.__...---- -.._ --
3.2' High Efficiency HVAC 0.5
33,,c,d High Efficiency HVAC 0.5 i
3.4'd High Efficiency HVAC 1.5
- -. -- ---
3.5d High Efficiency HVAC _ - - ; 1.5
3.60 High Efficiency HVAC 1.0
3.7'd° High Efficiency HVAC 2.0
3 8-A High Efficiency HVAC 1.0
3.9 High Efficiency HVAC 1.5
3.10f High Effi iency HVAC 2•5
3.11` High Efficiency HVAC 0.5
4.1 High Efficiency HVAC Distribution System 0.5
5.1d Efficient Water Heating 0.5 j
5.2 Efficient Water Heating
5.3 Efficient Water Heating 0.5
�5.4 - Efficient Water Heating 1.0
5.5 Efficient Water Heating 1.5 1
r_ _
5.6 Efficient Water Heating 2.0
..... - -...------- ----�
5.7 Efficient Water Heating 2.5
I 5.8 Efficient Water Heating 2.5
_._
6.1 Renewable Electric Energy(3 credits max) 1.0
- ...............----- ... _.................--_...
7.1 Appliance Package 0.5
-� .... ---. ---
Total
Credits
a. An alternative heating source sized at a maximum of 0.5 Watts/ft2(equivalent)of heated floor area or 500 Watts,
whichever is bigger,may be installed in the dwelling unit.
b. See Section R401.1 and residential building in Section R202 for Group R-2 scope.
c. Option 3.11 can only be taken with Options 3.1 and 3.3.To qualify to claim Option 3.11 with 3.3,the system shall be a 1-2 speed
heat pump system.Variable capacity heat pumps are ineligible from claiming this option.
d. This option may only be claimed if serving System Type 4 or 5 from Table R406.2.
e. Primary living areas include living,dining,kitchen,family rooms,and similar areas.
f. Option 3.10 may one be taken with Efficient Water Heating Option 5.1 or 5.2.Equipment sizing for space
heating shall be calculated as provided in Section R403.7 with increased capacity to provide a minimum
of 75 percent of peak hot water demand or shall be sized in accordance with approved manufacturer's
specifications or guidance.Supplementary heat for water heating shall be in accordance with Section
R403.5.7
Prescriptive Path-Single Family 2021 Washington State Energy Code-R
Date Roreiwd:
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center,BulldinQ,Planning
Permitll:
Property Owner's Authorization Letter
Name
Mailing Address-17-Z
City Z__w�Q----State I�JPt ZIP
Phone Z,04-LA9-541W Email Q��121iS�JPtQ►�L07A�(7rMA21.
Parcel Number VAA 12-1\-0100k01 Col-A
Site Address lZ2 N S71tdll- W 1l`"l
city L611LA hLfh Q State%'hpt ZIP atSS5
l�we):PiPtT�C.J- MCCn�a.�f'rR�1
n,1,, (Pwperry Ownee<Name)T
Hereby Authorize:_lk-7rS P&+XW
(Name of Person1C0n1rm-1.'to Sign Permii)
To apply for,sign,and pick-up building permits for the following proposed work:
�1�1JST� 'COON o'F C,PrB2l') yx--C
(Brief Description of Work to be Done)
As property owncr(s),I(we)hereby grant permission to the applicant referenced above to apply for,sign,and pick-
up the building permit for the work as indicated above.All work performed must meet all provisions of the
Building Codes and the Laws of Mason County and the State of Washington,as applicable,whether specified or
not.Residential Contractors arc required to have a current State of Washington Contractors License(RCW 18.27).
CMG Jl(�IVQ{N Dec 2,2024
MA.GlIh�ry lUn l.lPl�t _P511
(Propem Owner Stgnature) (Date)
� V
WATER WELL REPORT Notice ofInG'ntNo -- U 135664
Original& Ist copy-Ecology,2nd copy-owner,3rd copy-driller
Unique Ecology Well ID Tag No AFE 754
ConAmetion/Deconummion(x"in ctrrle)
Q Construction Water Right Permit No
• C) Decommission ORIGINAI,CONSTRUCTION Notice j
C 7 Lr of Intent Number Property Owner Name Knudsen C:mm—anv
PROPOSED USE ®Domestic ❑industrial ❑Municipal Well Street Adt i>rss Hybl i T., ??Woup
❑DeWater ❑tmgation ❑Test Well ❑Other!
PE OF WORK Owners number of well(if more than one) City Lll i waup county__Mason
cle
EL New Weil ❑Reconditioned Method ❑Dug ❑Bored ❑Dnven LA)c,lion-,)F-1/4-1/4 �1/4 Scc Twnz11} x-3�EWM or one
Deepened [Cable [Rotary ❑Jetted tat/Long Lai Deg Lat Mtn/Sec WWM
DIMENSIONS Diameter of well inches drilled 110 ft (s,t r still
Depth of completed well 110 ft REQUIRED) Long Deg Long Min/Sec;
CONSTRUCTION DETAILS Tax Parcel No
Caving ®Welded 6 Diam from Oft to 4Q_ft CONSTRUCTION OR DECOMMISSION PROCEDURE
nstalled ❑Lmef installed _- 4 Diam from 2 rt to�-�_ft Formation Describe by color,character,size of material and structure,and the
❑7lireaded
Diam From ft to ft kind and nature of the material in each stratum penetrated,with at least one
try for each change of information Indicate all water encountered
Perforations ®Yes [:]No (USE ADDITIONAL SHEFTS IF NECESSARY)
Type of perforator used Saw rut MATERIAL FROM TO
SIZE of perk—kin by_-3—in and no of perfs from R to ft
Screens ❑Yes f)No ❑ K-Pac Location
Manufacturer's Name
Type —___ Model No
Dam _Slut Size from ft to fl Blar-k 1-uggalt -rnrk Tozith 9c; rill A
lam Slot Size from__ ft to__ ft
Cravel/Filler packed ❑Yes fl No ❑Size of graveUsand
Matenals placed from ft to ft
Surface Seal ®Yes ❑No To what depth? I R ft
Materials used in seal— Beton1te
Did any strata contain unusable watcr? ❑yes O No
+
Type of water" --- Depth of strata
Method of sealing strata off
PUMP. Manufacturers Name
Type HP
WATER LEVELS Land-surface elevation above mean sea level___ ft
Static level 15 ft below top of well Date
Artesian pressure Ibs per square inch Date
Artesian water is controlled by
(ca ,valve,etc)
WELL TESTS Drawdown is amount water level is lowered below static level
Was a pump test trade? ❑Yes ®No If yes,by whom?
+ Yield ealJmro with ft drawdown after his
Yield galJmm with fL drawdown after hrs
Yield eat/min with �ft drawdown after his
Recovery data(time taken as zero when pump turned off)(nater lei el measur ed from
well top to water level)
Time Water Lcvel Time Water Level Time Water Level
J
Date of test
Bader lest gal/min with ft draw down after his
Airtesl �dUU QalJmrn with stem set at 310 ft for-__1�lrrs ` t
Artesian flow g p m Date I171C11 ()I VLV Vc
Temperature of waterTWas a chemical analysis made? ❑Yes ®No Stan Date 1 _T_ Completed Date 11/29/00
WELL CONSTRUCTION CERTIFICATION I constructed and/or accept responsibility for construction of this well,and its compliance with all
Washington well construction standards Materials used and the information reported above are true to my best knowledge and bebef
[]Driller []Engineer []Trainee Name(punt) �I-tts Drilling Company nave G Dri 1 1 i%
Driller/Engineer/Trainee Signatu Address 340 NE DAW s Paxal Rd
Driller or Trainee License No 1773 City,State,Zap BWP1 fai jr, WA 9R59R
1Zgnature
trainee licensed dnHer's Contrictor's and License m Registration No D V19i)I=rwzi Date —��n
Ecology is an Equal Opportunity Employer ECY 050.1-20(Rev 4/01)
Thurston County Environmental Health
i
412 Lilly Rd NE ! Olympia, WA 98506
360 867-2631
t}iUR4R)N(Y)UATY
COLIFORM BACTERIA ANALYSIS
Date Sample Collected Time Sample County
Collected
i O Ala
M Dey Year —— -- O
onts
Type of Water System(check only one box) ❑ Private Household
❑Group A ❑Group B ❑Other____,_,_
Group A and Group B Systems-Provide from Water Facilities Inventory(WFI):
ID#
System Name
Contact Person
Day Phone( } Cell Phone ( ) '
E-mail: IEve.Phone ( )
Send results to (Print full name.address and zip code or email address) i
_
SAMPLE INFORMATION
Sample collected by(name);
4
Specific location or address where sample coNecled Special instructions or comments
Type of Sample(must check only one box of#1 through#4 listed below)
1.❑Routine Distribution Sample 2.Repeat Sample(after unsat.routine)
Chlorinated:Yes____No ❑Distribution System
Chlorine Residual:Total Free Chlornated:Yes No
3.Raw Water Source Sample Chlorine Residual:Total____ Free
❑E coli-GWR(A/P) ll
i
❑Fecal—Surface.GVVI,springs(numeration) Unsatisfactory routine lab number: I
Filtered Yes
❑Assessment Monitoring(AIP) Unsatisfactory routine collect date
❑Other / l
S
4.0 Sample Collected for Information Only
Investigative Construction/Repairs Other
LAB USE ONLY DRINKING WATER RESULTS LAB USE ONLY
❑Unsatisfactory Total Coliform Present and ❑Satisfactory
❑E coif present ❑E.coli absent No Coliform detected
Replacement Sample Required:
❑Sample too old(>30 hours) ❑TNTC ❑
Bacterial Density Results Total Coliform _1100ml. E.coli ___1100m1
Fecal Coliform 1100ml Enterococci --_1100 MI.
Method Code❑SM 9223B ❑SM 9222D Date and Time Received,
❑SM 9215E ❑Enterolert9
Date and Time Analyzed. Date Reported
Sample Numter(DOH number ) Lab Use Only
0 8 0
bid-permit-packet filled
Final Audit Report 2024-12-02
Created: 2024-12-02
By: chris amold(chds@nwpermitsolutions.com)
Status: Signed
Transaction ID: CBJCHBCAABAA9OzS3h8KItz85xCbpy7EDsdOFfCUHJw
"bld_permit_packet filled" History
Document created by chris arnold (chris@nwpermitsolutions.com)
2024-12-02-6:36:18 PM GMT
Document emailed to pmcgillivary202O@gmail.com for signature
2024-12-02-6:38:48 PM GMT
Email viewed by pmcgillivary202O@gmail.com
2024-12-02-6:43:33 PM GMT
da Signer pmcgillivary202O@gmail.com entered name at signing as PMcGillivary
2024-12-02-6:55:54 PM GMT
Document e-signed by PMcGillivary(pmcgillivary2020@gmail.com)
Signature Date:2024-12-02-6:55:56 PM GMT-Time Source:server
Q Agreement completed.
2024-12-02-6:55:56 PM GMT
Adobe Acrobat Sigh
Name Parcel# BLD#�p2q —U1�►30
Mason County
Department of Community Development,c �` ���)
Small Parcel Stormwater Management A lication/Wor eV 1
E0 5 2024
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever uilding application is
made for residential development, or redevelopment', with more than 2,000 square feet6o15 pglvjqu�es�afae 2
et
'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 =
MAIN STRUCTURE X = 1261 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 =
PATIO/WALKWAY X = 701 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) 1962
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.
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. 1
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.
XPM�McGrGG2VGfY 5P'S Owner/Agent/Contractor(circle one)Date: Dec 2, 2024
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
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 THIS SITE
A) ca 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) PMC 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.
,PMcGiGGivB ( • ) Dec 2 2024
PMcGillivtl ary(Dx 2,202410.5 PST) Owner/Agent/Contractor circle one Date: ,
Page 2 of 2
BLD
MASON COUNTY
COMMUNITY DEVELOPMENT `�° --moo DEC 0 5 2024
Permit Assistance Center,Building,Planning RCVD BY:• 6 5 W.Alder Street
APPLICANT INFORMATION (please print clearly)
Name of Applicant: CHRIS ARNOLD Parcel Number 32412-11 -90061
Site Address: 722 N. SEAGULL WAY LILLIWAUP, WA 98555
This checklist must be completed and signed by the owner or owner's authorized agents at
time of submittal.
Incomplete applications will NOT be accepted. For a complete application, all items on this checklist shall
be submitted, unless waived by Staff.
PERMIT APPLICATION RECEIVED
Provide a completed and signed(by owner or authorized representative)application and applicable
fees are due at submittal.
Provide a completed plumbing and Mechanical Application
SITE PLAN VERIFIED
Provide one(1)copy of proposed site plan. Drawn to scale of either.
I"= 10' or I"=20' depending on lot size.
North Arrow, location and dimensions of all property lines and easements.
Vicinity map showing location and names of all roads and easements. (public andprivate)
Show distances to all structures,septic tanks, drain fields, property lines,top of slopes or cuts and (�
easements.
Zoning(indicate):
Rural Residential:0 2.5 O 5 0 10 0 20 Other:
Urban Growth Area: Zone:
Front yard: 25 Direction: east Side yard: 20 Direction: north
Rear yard: 20 Direction: west Side yard: 20 Direction: south
All access points,width of access. easements and driveways).
Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website
Building height shown on elevations at all four corners of structure.
Flood lain boundaries and setback distances. See Plans for additional requirements.
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland report may need to be
submitted.
Is the site near a Shoreline stream, creek, lake, saltwater if yes, please indicate?
Name of shoreline: na
Shoreline designation: na
Stream type F, S,Ns,N : na
Is the proposed site within 300 feet of a slope l 5%or greater?If yes,a geological report or assessment
may be required.
Existing/proposed on-site septic s stem and reserve areas,providing setback to structures.
Existing/proposed wells show 100 ft well radius,with distances to structures). IT
Existing and proposed stormwater controls(downspouts, dry wells,etc.
Exterior storage tanks(propane)and HVAC equipment.
CONSTRUCTION PLANS
LOCATED
Provide three(1)copy of plans(1 full size min. 18"x 24"and 1 small size)and one(1)copy of all
specifications and engineering. Plans must be drawn to scale of/4"= 1'.All notations and drawings must
be clear and legible.All Engineering callouts must be on plans.
Engineered plans must provide calculations/analysis.Analysis must include the following information:
• Adopted International Code
• Snow load(by location)
• Seismic zone(D-2)
• Exposure(by location and topography)
• Windspeed 85 MPH basic and 110 ultimate w/3 secondgust)
If project is in a flood hazard area,the submittal must include an Elevation Certificate,flood venting
compliance and an elevation detail indicating the location of finished floor relative to the Base Flood lti
Elevation or Design Flood Elevation as designated by surveyor or engineer.
FOUNDATION PLAN
Plan view of foundation/footings/pads
Type,size and location of footing(stepped foundation provide detail
Elevation view of foundation steps,with final grade
Cross-sections of footing and foundation(including height of wall).
Floor joist andspacing each floor).
Location of flood venting,size and method of compliance for venting. when in a flood zone
Type and locations of hold-downs and anchors.
Crawl access location and size.
Insulation value for foundation(if slab or basement). See Energy Credits for additional requirements,
credits must be indicated on the plans.
If the project is in floodplain provide flood venting compliance including vent locations,vent type,
elevation detail for venting location interior and exterior of the crawls ace.
FLOOR PLAN
Square footage of each floor
Use of each room
Attic access size and location
Dimensions of building and rooms.
Location and type of furnaces,water heaters, smoke detectors, and carbon monoxide detectors. Include
location of bollard for appliances located in garage.
Heat Detector in garage(required in all garages attached,must be hardwired to smoke&carbon
Plumbing fixture locations
Location of doors windows include size egress,tempered and skylights)
Insulation value in floor. See Energy Credits for additional requirements,must be indicated on the plans.
Location of ventilation fans and CFM for each.
Location of whole house fan and CFM continuous or intermittent
Location,side and type of brace wall or shear-wall panels.If structure is engineered,must supply two
copies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts,ledgers. Plan MUST include
sizegrade,spacing, length andspecies or type of material
ELEVATIONS AND WALL DETAILS
Typical and rated walls(garage separation)
Listing of fire-resistive wall designs(duplex or townhouse
Building elevations-all 4 sides Show distance from grade at each corner.
If project is in floodplain must provide Elevation detail indicating the location of finished floor relative to
the Base Flood Elevation or Design Flood Elevation as designated by surveyor or engineer.
Exterior wall details when distance between overhangs is less than 5 feet to property line or other
structures.
Insulation value for walls. See Energy Credits for additional requirements,must be indicated on the plans.
ROOF PLAN
Layout of roofs stem
Label type of roofs stem,rafters,engineered trusses&spacing
Headers noted at each location or typical header noted.
Roof pitch and covering materials
Sheathing s,dimensions and fastening
Attic venting e, location and amount
Insulation value for roof(R38 vault and R49 ceiling)See Energy Credits for addition requirements,must
be indicated on the plans.
ENERGY CODE REQUIREMENTS RECIEV
Completed Washington State Energy Code form
Plans must indicate fuel source for furnaces,water heaters and other appliances.
Manufactures Specifications for each unit or component for HVAC &plumbing
Compliance to the Washington State Energy Code and required Credits. Construction drawings/plans PAGE#
MUST include all credit information on the plan details such as insulation,ventilation,furnaces,
windows etc.Plans must also include the number of credits and which credits are chosen.
I verify all required documents,plans,and specifications associated with this application have been submitted and are
accurate.
TRC61 ai PMcGillivary Dec 2,2024
PMcGillivary(Dec 2,20241 . 5 PST)
Signature of owner or authorized agent Print Name Date
ACCESS & GRADE INSPECTION BLD 2o,<I-oj, - ,c-,R EC r I V E D
DES U 5 1Ut4
ADDRESS
1 010 Alder Street
INSPECTOR li1�N� DATE OF INSPECTION:
FIRE SPRINKLER REQUIRED? (circle) NO YES
IF fire sprinkler required,was notification letter mailed? DATE MAILED: /Z y
DRIVEWAY ACCESS
( ) need post at access of driveway with reflective address numbers
Length: Width: Surface:
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface: f
f" Li0?1'GYG,�pn'fv �
Condition of Shoulders: J
Vertical clearance:
BURN PERNIIT REQUIRED FOR LAND CLEARING FIRE.
(� LOT INSIDE UGA-NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2X3FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
RENLARKS: int � �7, S
ry
I
�
Atrh/o, t,4
!c. 9 v S)Z
° l
PROJECT NAME:
MGGILLIVARY CABINa� AEI
N r,prr
ci
3
PROJECT
LOCATION z
11 6If
S,
Pvi� 3 u
Ej
e
III
l l -J13
// s.� �� � �� � \tom-' \ f _awe0.>^•.a; _i �� � � � �
c"rr ne ? Q j(n
/ f
'41n
_ .._�Z6-
u �, -;\ � / V C�V J 11
// 2c�W m l '`� �q esel-\-_-- �.,` ,. 0 20 4a IMPERVIOUS SURFACES J
m h\\ \- yv es \ n
I f
,b ' PROP05ED EXISTING
y \.\ S� S (5F) (5F)
10 \ �-SS 6 A MAIN STRUCTURE 1,261
Jv h411�IIIll I �I I - N \`Qr..-
6S / �� III. I, 4�Iili�ll Il l i _$,roP 'fit ``� 6S KEY NOTES:
B ADDITION
i 1 �� ' tL�m \ 5 \ (II: i 4 BSBL G ACCESSORY BUILDINGS(GARAGE, 221
1.PROPOSED RESIDENCE SHOP,SHED)
' -(�� \\ \ f ` =BSBL-, >S• 2.PROPOSED RESIDENCE ROOF OVERHANG-1,261 5F DRIVEWAYS 2,991
PaoP 19� 3.EXISTING DRIVEWAY-2,g91 5F
9p• m - '�s/o�eo t�' 1�� 4.PROP05ED DECK-701 5F SIDEWALKS,PATHWAYS,PATIO,DECKS '101
s t'p f J ---- 80 5.EXISTING SHED-221 5F E
qo, It/1 m 1 6.PROPOSED 5EPTIG TANKS F OTHER IMPERVIOUS AREAS
TOE I BS 6.PROPOSED DRAT FIELDS G TO BE REMOVED
ID W (A+B+G+D+E+ 1,962 3,212
1.PROPOSED SEPT 0
0 '\\ \ O _ i 10.EXI5TING WATERLINES TO BE RE-ROUTED J TOTAL
10 I T ro m ! 11.EXISTING ATERLINE K TOTAL PROPOSED AND EXISTING 5 1-14af
Fsere m / I ry 12.EXISTING 20'EASEMENT (H+1)46)
75 mJ _ ^ - Apt W L SQUARE FEET OF PARCEL(ONE ACRE 44,566 2
m \ \
.703 / \ --__- 1 M PERCENTAGE OF IMPERVIOUS 11.53%
SURFACE COVERAGE(K DIVIDED BY L)
„� / -B513
r.--
/70• / J SaL
BSBL---__ 'BL� aexsNec by,
'--_ BSBL B B L GENERAL NOTES:1 N NWPS
B5BL. m r
_ TO THE BEST OF MY KNOWLEDGE THESE PLANS ARE DRAWN TO LOMPLY WITH "N�
�1L1.�.� OWNER'S ANDI OR BUILDER'S SPECIFICATIONS AND ANY GRANGES MADE ON 1_'
'�GD - THEM AFTER PRMTS ARE MADE WILL BE DONE AT THE OWNER'S AND I OR
_��•.��� �, `- I 95' 13UILDER-5 EXPENSE AND RESPONSIBILITY.THE CONTRACTOR SHALL VERIFY ALL
DIMENSIONS AND ENCLOSED DRAWING-NORTHWEST PERMIT SOLUTIONS,INC.15
NOT LIABLE FOR ERRORS ONCE CONSTRUCTION HAS BEGUN.WHILE EVERY
( EFFORT HAS BEEN MADF IN THE PREPARATION OF THIS PLAN TO AVOID q/30/2024
MISTAKES THE MAKER GAN NOT GUARANTEE AGAINST HUMAN ERROR.THE
PRIOR TO CONSTRUCTION AND CHECK
SOLELY ALL
ESPONSIIBLE THEREAFTE DETAILS
eNEET TIRE:
PROJECT DATA: PARCEL NO.: 32412-11-g0061 LINE TYPE LEGEND SITE PLAN
PROPERTY TYPE: q1-UNDEVELOPED-LAND
ACRES: 1.03 AG(44,866.8 5F)
JURISDICTION: MASON COUNTY BSBL B55L BUILDING SETBACK LINE - GAS— GAS NATURAL GAS
LEGAL DESCRIPTION: ADDRE55: l22 N SEA6ULL WAY C!L —OIL- C/L CONSTRUCTION LIMITS OHP -_-OHP—-- OVERHEAD POWER
LILLIWAUP,WA g8555
PTN5 OF LOT 1 OF 5P#781&546 PGL 4 OF BLA#01-53 5 2'1/2q,5 45/62 ZONING: RURAL RESIDENTIAL 5 ACRES O _ O -_ 0 SILT FENCE —--UGP—UGP- UNDERGROUND POWER PROJECT NUMBER
MIN SETBACKS: FRONT: 25' ROOF OVERHANG —OT OT—OT OVERHEAD TELEPHONE 24-11 q
51DE: 20' SUBJECT PROPERTY UT--UT— UNDERGROUND TELEPHONE
OWNER NAME: CISSNA REVOCABLE LIVING TRUST, REAR: 20'
PATRICK R MCGILLIVARY&HEATHER E MAX HEIGHT: 35 FT, ADJACENT PROPERTY —o—o--—e--o- - DITCH/SWALE SKIT NUMBER:
OWNER EMAIL: PMCGILLIVARY2020QG MAIL.COM WATER: PRIVATE _ - EASEMENT cc -e —c-- WOOD FENCE
OWNERADDRE55: P.O.BOX 130 5FNER15EPTIC: SEGPTIC
LILLIINAUP,WA g8555 ROAD ACCESS: PUBLIC 35--55 SS— SANITARY SEWER X X X CHAIN LINK FENCE G 1
STREET SURFACE: PAVED —W yy IN- WATER LANDSCAPE 000000a00000000o WALL