HomeMy WebLinkAboutBLD2014-00625 Final SFR - BLD Permit / Conditions - 3/25/2015 11 IJ1./CVIIVII LIIIG 1JVV�YL1-/LVL
_ MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584
i�
RESIDENTIAL BUILDING PERMIT BLD2014-00625
OWNER: ROBERT HANKINSON JR RECEIVED: 7/14/2014
CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*983BD EXP: 11/8/2014 ISSUED: 8/27/2014
SITE ADDRESS: 220 NE STEELHEAD DR SOUTH BELFAIR EXPIRES: 2/27/2015
PARCEL NUMBER: 223254492002
LEGAL DESCRIPTION: S1/2 SE SE*TR 2 OF SP#2405 b Z3
PROJECT DESCRIPTION: DIRECTIONS TO SITE: tom+
NEW SFR -Access road >14%. Fire sprinkler system required ST RT 3 TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD, R ON MISSION
CREEK RD FOLLOW TO STEELHEAD DR SOUTH
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: R-3/U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:2,041 Garage-Attached 473
Valuation: $ 244,996.27 Building Height: 20 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: N 150.0 Ft. Shoreline: 330.0 Ft. Water Body: MISSION CREEK
Rear: S 575.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 330.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: W 175.0 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 7/14/2014 $ 1,173.74 S1201400000001
Lavatories 3 Heat Pump 1 Planning Review Fee GMM 7/14/2014 $205.00 S1201400000001
Bath Tubs 2 Ventilation Fan 3 Fire Warden Review GMM 7/14/2014 $73.00 S1201400000001
Showers 1 WDodstove 1 EH Plan Review MRB 7/14/2014 $200.00 S7201400000001
Water Heaters 1 Dryer Vent 1 Building State Fee LDK 8/12/2014 $4.50 S1201400000001
Clothes Washer 1 Exhaust Hood 1 Building Permit Fee LDK 8/12/2014 $ 1,805.75 S1201400000001
Kitchen Sink 1 Mechanical Permit Fee LDK 8/12/2014 $ 158.70 S1201400000001
Dishwasher 1 Mechanical Base Fee LDK 8/12/2014 $28.50 S1201400000001
Hosebibs 2 Plumbing Permit Fee LDK 8/12/2014 $ 119.30 S1201400000001
Laundry Tray 1 Plumbing Base Fee LDK 8/12/2014 $24.70 S1201400000001
Total $3,793.19
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 1 of 7
CASE NOTES FOR
' BLD2014-00625
CONDITIONS FOR
BLD2014-00625
1) 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.
X. A fo nd ion drains within 30ft, down gradient of drainfield/reserve area.
2) On-site septic system final installation required prior to temporary/final occupancy.
3) PER TITLE 14 MASON COUNTY BUILDING CODE- CHAPTER 14.17, STANDARDS FOR FIRE APPARATUS ACCESS ROADS- 14.17.110:
A fire apparatus access road in excess of 14%grade and more than 150'to new residential or commercial structures will require an automatic
fire sprinkler system installed. Contact the Mason County Fire Marshal at(360)427-9670, extension 352, for further information.
/�c x 1r`�
4) In accordance with the Standards forApparatus Access Standards, Mason County Code, Chapter 14.17 Section 110, an automatic fire sprinkler
system shall be required and installed in this structure.
A separate fire protection permit for the fire suppression system shall be required and submitted for review and approval prior to installation
of the required system.
Inspection of the installed fire suppression system shall be performed and approved by the Mason County building department/fire marshal
r
prior the framing inspection of this structure.
5) 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
Xch�yoas�yonnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
6) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
X�-647-0 82. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 2 of 7
7), 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
XeWrjtme or to any further inspections being performed or approvals granted.
8) Owned/i responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X
9) 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
re val of pproved documents will result in failure of required building inspections.
X
10) XHEFO��TION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
11) 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 ranted. In addition a re-inspection fee refer to current fee schedule minimum 1 hour will be charged and shall be pp g p ( ) g collected by the
Xu?in�rtment prior to any further inspections being performed or approvals granted.
12) 2012 IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, 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 follo 3B & 5A
X tel-1
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 3 of 7
N P12111ldnCi ll,UU]LlllUdLC, UU111p1ClCU UY Lilt, UM B--1, UUIIUCI UI l t:�JlJLCI CU UUOILJI I NI UIGJJIUI Tall 011C 1I V0 VVJLOU VVIL1111 l u n cc —C L— L— wcuu wui uwu lvuuUl l
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 %or'/z sheets. The
Mason County Permit Center will also have some available.
x
14) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/VVSEC Section
R404.1.
X
15) 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. (I RC 2012 R905.2.8.5)
X
16) 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/contraaor is wknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X A/ YG
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 4 of 7
-It) Aconcrete encaseo grUUnUIIlg eleGllUUd 11IUJL Ud IIISLdIICU d1IU UJCU dL Cdl.lI IICVV UUIIUIIIy UI aLIU%.AUIU Ulal IJ LJUnl UNU11 a Nc1IIIaIICIIL Uv1I%,Ictc IWUIIUauv1l.
In Mason County the electrical code is regulated by Washington State Department of Labor& Industries (L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-4000.
X
18) In buildings of unusually tight construction, fuel-burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion
air frAm d in accordance with the international codes.
19) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X
20) Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level of the dwelling.
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations (including addition or alteration of fuel burning appliances),
repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or created.
X
21) 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
Xrg�dan a hall be collected by the Building Department prior to any further inspections being performed or approvals granted.
22) 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
revocation.
perm
X
23) 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 pr Z01*1
X
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 5 of 7
'24) The placement of buildings and structures on or adjacent to slopes steeper than one unit vertical in three units horizontal (33.3% slopes) shall conform to
the International Residential Code Section R403.1.7 for descending or ascending slopes.
Alternate setbacks may be approved subject to approval of the building official based upon the investigation and recommendations of a qualified engineer
licensed in the State of Washington. Such an investigation shall include consideration of material, height of slope, slope gradient, load intensity, and
erosion characteristics of slope material.
SEE�
X //�� 7TE�WCH REPORT
25) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinan or regoation, must be reviewed and approved by Mason County prior to construction.
X
26) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND THE ADOPTED
BUILDING CODE.
The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with the international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
X speyr�slynll be made prior to requesting additional inspections.
27) All property lines shall be clearly identified at the time of foundation inspection. X
28) 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
Masos ordinances and building regulations.
X -
29) 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
hold have revented action from being taken. No more than one extension may be granted.
30) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. 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 report/assessment, and may require special inspection by same. Structures and/or land modifications
(grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall
X mai tta e o the approved building plans.
31) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
co nn torz
flashing. Install metal connectors approved for contact with the new types of pressure treated material.
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 6 of 7
.04) r\CIdII III RJ. WCIIIa IICCUCU W auyyuli a auIZI yc�,u�,'i Co au u,.,"uica,
to construction of the retaining wall. X �//�`/J
33) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan" to ensure
these
eeffstructures meet the setback conditions listed.
X / 1/�
34) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
Xpproved to Plan" to ensure these structures are shown and meet the setback conditions listed.
35) Xppr`,v/ed per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
36) The proposed project must be consiste�ry�ith all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X /Ca✓��
37) All construction and demolition debris must be removed from the site after project completion. Prop_gr sal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X K
38) Xo7n eteleachate and wash water must be contained during construction pouring, such that water quality degradation of adjacent waters does not occur.
39) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing, straw, or
surface matting must be installed and maintained until upland vegetation has become established. X
40) Prior to final approval, all upland areas disturbed or newly Great d by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X � -
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.
Signature Date
REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2014-00625 Please refer to the following pages for conditions of this permit. Page 7 of 7
o - CONCRETE MECHANICAL MANUFACTURED HOME y
o Date��` 23'�( ByoK Z
Footln !Setbac Gas Piping Ribbons T�
a Interior Date �✓ By Interior-Date By Data By N
N Exterior Da "91 7 B; Exterior-Date B Set-up 0
INSULATION Z
Point Load I isolated Footings Date By L
BG!SLAB INSULATION �
Date By Data By FIRE DEPARTMENT -
Foundation Walls Floors Date By
O
Date I()I ZZ /4I By LAIL, Data 3j;S7/,!5- By DECKS m
FRAMING walla Date By
Date f 3 V B Data �/ {� By '�- PROPANE TANKS
PLUMBING vauR Deter _ By
Date ,2_ By OTHER .
Groundwork Attic 0-►r t� '
Date By Date By LollData Tyke. 1I)61
-1;� I
D.W.V DRYWALL Type-
Int.Brace Wall
Dateo- Date By
2 23/ BY Date By FINAL INSPECTION 0
Cn Water Lin Fire Seperatian N
Date By Date By Date By L✓�
m �
Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments CD N
s -i
�. V
wwtC 0 17 t ID
Gf� ir�.►kll �w, ( El 3 rK �+ 25"/K l.+ok S If010 Gtw^1c;� .
f
0
N
It- emu, I -�v S, t
3 r -tens If
trolj 'ems
Pwife) &I I�t(4 -lftYAU
GY/)O1
'X. P46 I> LAC
tLQ�—
,r,
v
m p w rCS�t
0 14 ,
Permit 1-2 Z01 -ODii45- MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location 2Z i'/- Q . 54, 4Z
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
`.K >9 .�
i
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
❑ OK to damage incurred by recent
"natural/man made"
❑This is not a complete inspection disasters.This is NOT a
Date Department r- eF' CORRECTION NOTICE.
Inspector
• N�"*T P, "IM 19 A4 ' ' THP5 TAFM �Kmff
Permit
MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location ZZ0 M: 5;ceeA keJ Of. S
This structure has been inspected by Mason County Building Department
r
and the following VIOLATION of County Laws and Ordinances has been
VIN
found: Items listed below must be corrected to gain compliance
i I"L�J�� In r� Y tG:.I. �l t�G� �i � �s±rSH:.� S E 'y1 -tJ�� .��`► �i n`s`
N .SCi G1 $Tn�'� 1� 3/�( G !� �1 3 �� e) D'I +L 1SGl��
Jr,vrc.. Gc►� �,2` G✓�� ( S5 �v~C.2- t�r�:.�
,'i1 -6 N? W St�L Lc/'t c,t t=lr�-rr,`�.t. I e..e1
(A- t�A ,T.,�Z- A e;•Iuz s
_ Pro.,.,&L— c. " ' e--f J�;« C.- li-CCe 53 �✓' ����-7�'wt
_ .1Cc'fvlL ? (xc r Afj
� � �.�.t .,.r� l�- :>�f .cam i'�, �'+.c,rt'c' .�2. 0;--�,2. .{�►r ti G.:.�
1.01
,%Ava ,Aer, rL6s rmA,,e+,4 ��Cn i 1,, ' �'l -Gµ J :. J�...-
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
❑ OK to damage incurred by recent
"natural/man made"
This is not a complete inspection GtAwi �'1TI disasters.This is NOT
Date 30� Department CORRECTION NOTICE.
T
Inspector LI)it",
• �� 1 % ,OT 1 , r1 z *' 'F ' THIS T ,
Jk
ISO
i
►�s' 09�
330'
r} l
.., _ tv)
Ilk
PLANNI G:
ALL SETBACKS ARE EASURED
FROM THE FUR HEST
PROJECTION OF TH BUILDING
P NNING
0,11s �OL 201
_1110 APPROVED 426 W. CEDAR '
A
TOPOGRAPHY PROFILE: SITE PLAN REQUIRED TO BE ON SITE
CH AN ES SUBJECT TO APPROVAL
BY —Date_ l
noel SSE C�Eo 20 ��I - Out)"
Direction: Scale: _ , Approval: for office use
Building Permit number: 5 Building:
Owner/Applicant: ��t�r.1S�►�-- IQo�.�s�� Date of Planning:
Parcel Number: .2Z3Z'�''V y— 20o 2- application: Env. Health:
Planner: Grace' 1169
AIlan Rebecca
MASON COUNTY PLANNING INTAKE CHECKLIST
Owners Name: n Z-
r . Date: . H- &(44
Project: AC264 ( Commercial ?: yes no
Site Plan: PLANNING
�-
North AI ow
Property Dimensions: 5W x 725 Irregular Shape ? yes no
tee Streets and Driveways shown
Road Frontage Name: s+tgjhLCAA jrtVe Ool)++�,
All Existing Structures Shown with setbacks and use.
.mod Identified Surface water(streams,ponds, shoreline,wetlands,nat r-al/historic drainage, defined drainage)
,eT Topography (slopes) 5IEE (�03 24 v4-00033
1Z Minimum Structure Setbacks (direction/setback):
F:n/ 151) R 5 /,57 S 1 E /330 S21_/ 1-7
Utility and Drainage Easements: yes no (if yes enter condition 45022)
Other Easements
Accessory Appurtenances: propane tank Heat pump -wl tA.((l"-i-It*AxW s
/d Does site plan show landings at all exits ?
,,-1� Variance applied for: yes 6) Parking spaces allotted: yes no
,,i!�T County Access Permit Needed (add condition 90010) A '
� State Access Permit needed (add condition 90020) YKf
Standard Planning conditions: 45019 and 4700 U
-,e'Are there any impediments (do s/gates) that may restrict access to your site? ye no
❑ If es, do we need a ent. es no IoG�'t'd .
Y PP � � n
❑ Is site clearly marked. Address Name Other
UGA'S
ALLYNB LF E AIRISHELTON ra LAND DESIGNATIONS
Ru
GC PF R-1 R-1P RC 1 ' .5 AGRICULTURAL
POS FR R-2 R-IR RC 2 - LTCFL
BI GC-CI R-3 RI I RC 3 RR 10 IN-HOLDING
EEC LTA R-5 RT R-M 0 I TRIBAL
T MU R-10 RT/RTC RNR
MH BP VC RAC NR
Critical Areas: (streams,ponds, shoreline,wetlands &steep slopes)
Shoreline Designation, ❑ N/A *Urban ❑ Rural ❑ Conservancy ❑ Natural
Water Body:
�
Y
SEPA: yes no unknown Flood Plain: yes no o Map 4
Aquifer Rech ge: yes no o Map#
Tans/Cases:
RLC/SPI:_ 07��
eforestation: yes no
Eagle Nest Tag: yes no Bay Se er.. , es no
V loia' - {�,45 nc u
1
eon °pU� MASON COUNTY PERMIT NO.'602014-QW:25
DEPARTMENT OF COMMUNITY DEVELOPMENT
SUIL PING•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
a = �NG Shelton,WA 98584 (360)482-5269 Elma ext.352 A 1 n
9� BUILDING PERMIT APPLICATION --WR- 5
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: I?,csVa: 14o n K:rnS6r, Sr NAME: N,1..1 N 6 Not»&S
MAILING ADDRESS: I ,-
Oq of V6 U) MAILING ADDRESS: 1 1 3oU G I Nn AL)6
CITY:Imo,.re(m.r,6) STATE:W A ZIP:�31-� CITY:�y)YAL QP STATE: 1,06 ZIP: $�_
PHONE: 340- '1/0-46ggCELL:..360- 710- 2(o'•/z1 PHONE: 53 16Z -1gzfl CELL:
EMAIL:robe-,(A "olnrps i 20-0-OmO464,ne4 EMAIL -Con5irue ion@N;0 ra"OM45 .Cam
L&I REG# Jill-IN 11*`}$3 51� EXP.1I/off/2oJS
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) FIRE DISTRICI(_
LEGAL DESCRIPTION(ABBREVIATED): 16 W e "r" 3 N, W W1n'1.
SITE ADDRESS ,,- 0 N 6 S'tLe I V\eo a —Or CITY
DIRECTIONS TO SITE ADDRESS;K1yj1pn CrceK An S`��rtlh��ca� f. C`an��n ye � --so,I V, ar, rt ra,uc 1
ro�anA hn.x,e numbwa#Q3-0 Zt4ee 441aw r�1r��cua_� [5n Iht r`�V►R� v(J ��,� h' Il
IS PROPERTY WI'ITIIN 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 g ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ErC.)-kC:�tcket1Cf
IS USE: PRIMARY M SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS_
DESCRIBE WORK Ncw Onn51ruCBon
SQUARE FOOTAGE:
1 ST FLOOR Q6c4I sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE 1- '7 3 sq.ft. ATTACHED R DETACHED ❑ CARPORT sq.ft. ATTACHED❑ DETACHED❑
71DTTTI�1
E INFORMATION: *4 COPIES OF THE FLOOR PLAN
DEL YEAR LENGTH
BEDROOMS BATHS 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 permittapplication 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
INS I I i�THIS P��p�T APPLICATION OF 180 DAYS Il.INYALI!%�E THE APPLICATION.
X� ignature of Applicant �/ Date
d �?—i/ifi»..!!.'r►s«. ,�.. OWNER/ REPRESENTATIVE /CONTRACTOR
Print Name (CIRCLE TO INDICATE)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT ('10L
PLANNING DEPARTMENT
FIRE MARSHAL 2014
co U rA MASON COUNTY . PERMIT NO. 6(4
_ DEPARTMENT OF COMMUNITY DEVELOPMENT
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
IR54 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352
�LUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME:,tx.--1- LJ. tf«,, fir_
NAME: HiLINE HOMES
MAILING ADDRESS: 15&j 1>,� AVC )0 MAILING ADDRESS: 11306 62ND AVE E
CITY:-,k�relw(z+n STATE: W A ZIP:tl CITY: PUYALLUP STATE: WA ZIP: 98373
PHONE: CELL:360. '1/0-J&-4 ' PHONE:(253) 840-1849 CELL:
EMAIL:I �,.r�c�,�c�_>1r�s�i o� C oDm(-tts4. nil- EMAIL : Pre-Construction(a-)HiLineHomes.com
L&I REG#HILINH*983BD EXP. 11/08/2015
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):.29 3 a S
LEGAL DESCRIPTION(ABBREVIATED):/4 E Yet C5w Y4 et 15 T,�2 3 N.12.. 2 W l J r M.
SITE ADDRESS: _9J6 t l)✓ �S-lcelhcckA -N-.t. S CITY:' /(�,'r-
DIRECTIONS TO SITE ADDRESS:1�1i.��;�eY► Cr<<1L Nc, S SAee%he�xcl-%--),r. /'an-/jnoe. :a L))Lh cao 8'- -ye) ('e.y\a
tyyFe buiwbe< ;,21J le -CC:,-G -0Ltiow Josue 1 x" (�a Ate_ r',Ak► up khe.
TYPE OF JOB
NEW �,' ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—1ST FLOOR X 2ND FLOOR BASEMENT GARAGE DC 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 4 Type of Unit No. of Units Fees
Bathroom Sink 3 Furnace /
Bath Tubs .2 Heatpump /
Showers / Spot Vent Fan 143
Water Heater / Propane Tank or
Clothes Washer Vchentl
uets P�
Kitchen Sinks % Gas/Pellet Stove
Dishwasher / Exhaust Hood /
Hosebibs .X Dryer Vent %
Other La k S 1 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 DA S WILL INVALIDATE THE APPLICATION.
x - z .7Z irzoi�l
/J Signature of Applicant Date
X Ae,,,. Owner/Owners Representative/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT l,al� I Iv
PLANNING DEPARTMENT
FIRE MARSHAL