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HomeMy WebLinkAboutBLD2014-00137 Final SFR - BLD Permit / Conditions - 2/17/2015 lnspecuon Line toou/4u-rro� 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 oto RESIDENTIAL BUILDING PERMIT BLD2014-00137 OWNER: JAMES DERRIG RECEIVED: 2/13/2014 CONTRACTOR: DOUGHERTY CONSTRUCTION 360-633-6578 LICENSE: DOUGHCL881 R7 EXP: 12/27/201- ISSUED: 3/18/2014 SITE ADDRESS: 1991 NE HAVEN WYTAHUYA EXPIRES: 9/18/2014 PARCEL NUMBER: 223305000034 LEGAL DESCRIPTION: HAVEN LAKE TR. 34 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR 2 bedrooms + office on main floor ST RT 3, L ON ST RT 300/ NORTH SHORE RD, R ON BELFAIR TAHUYA RD, R ON HAVEN WY TO SITE ADDRESS ON THE LEFT SIDE General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R3 Lot Size: Deck: 144 Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,322 Valuation: $ 159,305.68 Building Height: Occ. Status: Seasonal Basement: cov deck 134 Manufactured Home Information Setback Information Shoreline& Planning Information Make: Length: Ft. Front: N 60.0 Ft. Shoreline: 85.0 Ft. Water Body: HAVEN LAKE Rear: S 85.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 8.0 Ft. Shoreline Desig.: Urban Year: Serial No.: Side 2: W 8.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 2 Ventilation Fan 3 Plan Check Fee GMM 2/13/2014 $835.22 S1201400000001 Lavatories 2 Propane Tank 1 Planning Review Fee GMM 2/13/2014 $205.00 S1201400000001 Bath Tubs 1 Gas Outlets 2 EH Plan Review WOM 2/13/2014 $200.00 S7201400000001 Showers 1 Fireplace 1 Building State Fee DLC 3/11/2014 $4.50 S2201400000001 Water Heaters 1 Exhaust Hood 1 Building Permit Fee DLC 3/11/2014 $ 1,329.75 S2201400000001 Clothes Washer 1 Dryer Vent 1 Mechanical Permit Fee DLC 3/11/2014 $201.40 S2201400000001 Kitchen Sink 1 Mechanical Base Fee DLC 3/11/2014 $28.50 S2201400000001 Dishwasher 1 Plumbing Permit Fee DLC 3/11/2014 $93.20 S2201400000001 Hosebibs 2 Plumbing Base Fee DLC 3/11/2014 $24.70 S2201400000001 ADJUST--Plan Check Fee DLC 3/11/2014 $29.12 S2201400000001 Total $ 2,951.39 BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2014-00137 CONDITIONS FOR BLD2014-00137 1) SWG2013-00106 MUST HAVE FINAL INSTALLATION APPROVAL PRIOR TO TEMPORARY/FINAL OCCUPANCY. X 2) A separate inspection in addition to the inspections required in IBC, Section 110 shall be required in accordance with the 2012 IBC, Section 1707.11.2. The additional inspection is required when shear wall fastener spacing is required to be less than 4-inches. The shear wall schedule shown on sheet S3 designate wall type 4 with fastener spacing less than 4-inches. The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections, the engineer of record(EOR), or an authorized representative of the EOR. The special inspectors duties & responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection special inspection reports shall be submitted to the Mason County Building Department, PO Box 279, Shelton WA 98584 and also available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing inspections. X 3) 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric wall mount, 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: 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 WATER HEATER, AND FAUCETS AVAILABLE AND ON-SITE FOR FINAL OCCUPANCY INSPECTION. Maximum heat equipment output: 15,825 btu/hr X ::Sy BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 2 of 6 4.) Gontractor registration laws are governea unaer Kuvv iu.zt ana eniorcea oy ine vvmoiate wept or Lauui aim I uu5uie5, %,unuaL;wi UUIIIpnanLc vrvibFun. There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X V 5) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building Deptment prior to any further inspections being performed or approvals granted. X 6) Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X�-� 7) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building Official. The permit holder is responsible to retain the completo approved set of plans on site for the duration of the project. Failure to comply and/or rer!val of approved documents will result in failure of required building inspections. x ) 8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL. X� 9) The "approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the"approved" site plan is not on site, then approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. —J 10) 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 Y4 or Y2 sheets. The Mason County Permit Center will also have some available. X se BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 3 of 6 11) A minimum of 15 percent of all permanently mstaiieo lamps in ngntrng rimures snail De nign emcacy lamps m accoruance win 1t%.,U/VV0r_k. 0ecuu11 R404.1. X 12) 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. X 13) 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 .A 14) 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/agen t/contractpr is acknowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. 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 charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X i') 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 of Washington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X -C 17) 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 projes$ X T. BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 4 of 6 18) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 0 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 Inspector shall be made prior to requesting additional inspections. X:::32 20) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X 1'O 21) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used until the final inspection has been performed and approved by a Mason County building inspector. X 42 22) All property lines shall be clearly identified at the time of foundation inspection. X 23) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County ordinances and building regulations. X� 24) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. 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 OR R AD WAY. X (`l 26) Approved per dimensions and setbacks on submitted site plan; 83 to 93 ft. setback from lake to the south. Setbacks are measured from the furthest projection of the structure. X ,S:D 27) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Shoreline Master Program. BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 5 of 6 28) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X 29) All construction and demolition debris must be removed from the site after project completion. Pr per 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 30) WELL LOG AND SATISFACTORY BACTERIALOGICAL TEST MUST BE SUBMITTED PRIOR TO TEMPORAY/FINAL OCCUPANCY. X '9 31) 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 antil upland vegetation has become established. X 32) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X� 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. di �69 S ture \\ Date J �''' s J e <<^ Y OWNER - REPRESENTATIVE - CONTRACTOR Print Name (Circle one to indicate) BLD2014-00137 Please refer to the following pages for conditions of this permit. Page 6 of 6 o CONCRETE MECHANICAL MANUFACTURED HOME m o - - Date )DiZ"p(1,4 By�j X � Footings Setbac Ribbons X Gas Piping o Interior Date By Interior-Date 10 jXV/4 By LPL. pate By +n CD _ J Exterior Date Z7 �/� By Exterior-Date B Set- D INSULATION Point Load!Isolated Footings Date By 9 Date (, z1 By �'I DBE a1 SLAB INSULATIONBy FIRE DEPARTMENT N Foundation Is Floors Date By Date By Data By DECKS FRAMING Watts ✓1 gate By P ate Iv 2`� >H By�i,I Data Iv L /`t By (��/ PROPANE TANKS LUMBIN vault Date _. y _. Dater' OTHER Groundwork Attic Date By Type.: Date By Date By D.W.V DRYWALL Type. ' Date BY Int Brace Wall Date By W IV ZZ'�� Date By r m FINAL INSPECTION v (D Water Line Fire Separation mCD Date By Date By Dato By m � s Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments CDw 6 4 cfl v �;UV4 w4,1, 0 hi 0 Z`)-t (Z­ C761 Z I/Il '91/3J 1 t-( EP �^ 3� hirw►4� G�l Cn 3 ell PAZ." 1, �JA' 0 A N C 0 7i� l'f lXQL_ �.►�, l c. 2 't /5r -71 It I s na Perm it*I y a 1`3'3 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location ��� u vewt W 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 s vvntf -P a► ,kg' <-- Cyw Zcc� a ✓VP5, c e- L 1�c�,1�c.c� ! f sC� c�Lf '�1 t ' Ci ,,.. 'Cei. J� v� ►GG�► G.v�G "T 9 l y a-vim► -e�'� G Ta It s LJ•Al —rJ eu Sa TFA&k&e- is a Z2 �•n 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 co ections, items 'll be checked on next inspection regarding possible structural damage incurred by recent "natural/man made" ❑This is not a complete inspection disasters.This is NOT Date GT))LI Department i4l CORRECTION NOTICE. Inspector li01L— s ,O U NUT , MCOV THIa T `-omff Permit# ��,�'7 MASON COUNTY BUILDING Ill 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location �1`� 1 j�)� ftG �� 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 ,. t cc. t��Cti ve, '` %JL` Gn'S .� rau 11 Tv t� c: I u `� 'Z�.� fi. -) " rl {✓L � 12- i.l L.'a;;V. �� 1 !v-E'f�. 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 �1fV► :• l ti t' damage incurred by recent �T "natural/man made" ❑ This is not a complete inspection disasters.This is NOT Date ( ujZ Z J i "1 Department CORRECTION NOTICE. Inspector ■ *�L * %LET ' '#-1* 01" ', ' THII T'Fmkmw I Permit# 1 q 7 MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location l°�� JVq —Y`-k This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found: /J Items lis d below must be corrected to gain compliance 1 f. K -3o I,n x1a� -�- otiTkG1 l Z 01'C-t 30 - / , 't rJ r T , rd sh s1-f' 4 &.e. t °d 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 c mplete inspection disasters.This is NOT a Date Department L CORRECTION NOTICE. Inspector Loy_-- n�L 0 N�'%T i �-�1 t�4 ' ' TH1 ,43i T A �OL ms r r r / ^r�gp 48 —28�� ELEVATION ADJACENT PROPERTY: v,i (Q NO r th 380 FT. +— 1991 NE HAVEN WAY TAHUYA WA. MASON COUNTY WASHINGTON 12'76 PARCEL #22330-50-00035 WITH CABIN 31 16 •8, 100' S " 01 ELEVATION 9 3'-416 9 3'N Lil = j W i 400 FT. +— 0 o Z P L 196 24' N 06* 30' 23' 32'I I PROPOSED WELT w 10�" i � 10 SETBACK LINE � � SED SETBACK FROM LAKE � 0 70' 2 — / _ �-- BASED ON SITE MEETING WITH ///� N 1 _ MASON CO. PLANNER (AADJA _ LINE OF SITE BETWEEN ADJACENT / HOUSES RIDGE ONES (LAKE SIDE)�'� � Y 32 m, "' 1 — PROPOSED NEW HOME ' 41 Y y �'� SUBJECT PROPERTY z Z W/ Z �s` o \ DRAINFlELD ZI -0�� 768 S0. FT. FOOTPRINT N w ,� 2001 NE HAVEN WAY TAHUYA WA. N S/ U1�\ RESERVE DRAINFlELD olt - o- TOTAL.tROUND AREA N 1 �` MASON COUNTY WASHINGTON to = �/ SEE SEPTIC SYSTEM PLAN �1 ` �} TZr1 a � PARCEL COVERED BY ROOF: #22330-50-00034 �O 1073 S0. FT. � ay � y 1 J V-11 / EQUIPMENT 1 O 1 WELL SPACE o_c�wttt'� 83 �- D—Bo m�L �, IN cTuwL / — 5� rwN_oEf 'O / ET�gCKE PUMP SEPTIC 9.63 2 E%ISTING / _ SEVIER_LH' TANK — TANK ELEVATION GRAVEL DRI Q� SYSTEM PLAN j SEE SEPTIC 38.36 ELEVATION 1 37.30' O ---- , S 06 49 06 E 400 Fr. +- 10.2BB'-p2 � � �---P.L. 170.37 1, II q Pow ramPOLE _3— g4.5 32 ADJACEN PROPERTY: PLANNING : � Site Plan Requirements Checklist METER BASE ON 1�J" � MASON COUNTY WASHINGTON �+ Number UNDERGROUND 50 16 ��� UNDEVELPARCEL OPED3LAND-00033 ALL SETBACKS ARE MEASURED RECEIVED Shown N/A 22330-50-00034 SERVICE TO HOUSE A General Property Information: 14 ��� SITE P LAN FROM THE OF THETBUILDING EST F Tax ID Number and Property Address 'A r Aw Property lines and dimensions B Z 4 2 SCALE 1 INCH=20 �26 W. CEDAR �� Elevations of property and the ---— direction of natural drainage C� ❑ Slopes that exceed 15X including any I(�4 il r cut banks greater than 4' in height 1-1 G ❑ North arrow and site plan scale Marine waters, lakes and ponds and SUBJECT PROPERTY ,,,�, ❑ thier associated high water lines • Streams, creeks & wetlands and this NE HAVEN WAY TAHUYA WA. PLANNING E:] associated buffer areas MASON COUNTY WASHINGTON r, B Existing Property Improvements: PARCEL #22330-50-00034 Ir VA LacoHon of all exiaGng Mrudures ❑ in the locations of existing NE HAVEN WAY structures on adjacent waterfront properties n/�� Location of all existing wells and thier A • \®1/ ❑ 19J well radii,including those wells on adjacent APPROVED 1V' properties within 100'of property lines MASON Location of all existing droinfields COUNTY DCD PLAN': II)\�G ❑ asIthe l the 10' No Build Zone as well North � SITE PLAN REQUIRED TO B ;I as the locations of existing droinfields we `' i E _ adjacent properties within 100'of any well CNA BE � GES SUBJECT TO APP ❑ Locations of existing drainage facilities, HA VEN LANCE ROV, L including all sub—surface InfiltmBon systems Location a all cease and abutting road j�j///�j By Date ❑ ways, driveways, easements, buffers and // required open spaces ❑ Location ocatio^eosf existing water, sewer and / t R� a J I M D E R R I G utility lC Proposed Property Improvements: �rC� 0 y C 2001 NE HAVEN WAY km Locations and dimensions of all Qroposed �� Z TAHUYA WASHINGTON ❑ structures, or building envelo,I n rclatio to property lines, other structures,ecL .1 m ❑ Location ' we all proposed wells, including PARCEL #2 2 3 3 0—5 0—0 0 0 3 4 thie.r 100ll radii and all water lines Location ❑ tonal,pro—of trea all tment un proposed itssepti,andc tdnanks.%,riepumplda, includdng the 10''nob 7d'zone ❑ Location and dimensions of all proposed SITE PLAN drainage and infiltration systems VICINITY MAP _ _ Locations, dimensions,surfacing materials, ❑ and clearing limits of oil proposed parking NOT TO SCALE Jim Derrig 1 Drees,driveways,aidewalka,k rood apPn. MASON COUNTY WA. AGE ❑ Location of proposed water, sewer and utility lines 02 07/14 SITE PLAN OF 1 2/12/2015 Conditions Associated With 11:06:04AM Case #: BLD2014-00137 solo Permit Condition Status Updated item# Code Title Status Changed By Tag Date By 1) 1000 ON SITE CONDITION Met 2/11/2015 CEW 2/11/2015 CEW SWG2013-00106 MUST HAVE FINAL INSTALLATION APPROVAL PRIOR TO TEMPORARY/FINAL OCCUPANCY. X 2) 1000 SHEAR WALL INSPECTION-2012 IBC NOT MET 3/11/2014 DLC A separate inspection in addition to the inspections required in IBC,Section 110 shall be required in accordance with the 2012 IBC,Section 1707.11.2. The additional inspection is required when shear wall fastener spacing is required to be less than 4-inches. The shear wall schedule shown on sheet S3 designate wall type 4 with fastener spacing less than 4-inches. The required inspection may be performed by the Mason County Building Department,a WABO certified inspector,certified to inspect lateral connections,the engineer of record(EOR),or an authorized representative of the FOR The special inspectors duties&responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection special inspection reports shall be submitted to the Mason County Building Department,PO Box 279,Shelton WA 98584 and also available for inspection. Inspection reports shall be completed and submitted to the dept.in a timely manner and shall be submitted prior to the framing inspections. X 3) 1020 IECC/WSEC compliance NOT MET 3/11/2014 DLC 2012 IECC/Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric wall mount,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: 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 WATER HEATER,AND FAUCETS AVAILABLE AND ON-SITE FOR FINAL OCCUPANCY INSPECTION. Maximum heat equipment output: 15,825 btu/hr X 4) 700 RCW 18.27 NOT MET 3/11/2014 DLC Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries,Contractor Compliance Division.There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor.Further information can be obtained at 1-800-647-0982.The person signing this condition is either the homeowner,agent for the owner or a registered contractor according to WA state law. X 5) 1001 PLANS REQUIRED ON SITE NOT MET 3/11/2014 DLC 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 Page 1 of 5 CaseConditions..rpt 2/12/2015 Conditions Associated With 11:06:04AM Case #: BLD2014-00137 l� Permit Condition Status Updated item# Code Title Status Changed By Tag Date By ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT PROPERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM OR ROAD WAY. X 26) 200 SITE PLAN NOT MET 3/14/2014 AHB Approved per dimensions and setbacks on submitted site plan;83 to 93 ft.setback from lake to the south. Setbacks are measured from the furthest projection of the structure. X 27) 70 Shoreline Management Act NOT MET 3/14/2014 AHB The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules,and the Mason County Shoreline Master Program.X 28) 6500 ACCESSORY STRUCTURE NOT MET 3/14/2014 AHB By definition,propane tanks and heatpumps are structures,which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meet the setback conditions listed. X 29) 100 Construction Debris Removal NOT MET 3/14/2014 AHB All construction and demolition debris must be removed from the site after project completion. Proper 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 30) ]000 WATER ADEQUACY Met 2/12/2015 ALP 2/12/2015 ALP WELL LOG AND SATISFACTORY BACTERIALOGICAL TEST MUST BE SUBMITTED PRIOR TO TEMPORAY/FINAL OCCUPANCY. X 31) 170 Temporary Erosion Control NOT MET 3/14/2014 AHB 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 32) 60 Erosion Protection NOT MET 3/14/2014 AHB Prior to final approval,all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection(silt fencing or straw matting). X Page 5 of 5 CaseConditions..rpt 51te flan for On-5ite 6 �, 5ewage 5t45tem ,` ti Q 0, 600 ft v s 5C Der rig Septic Design Site Plan - o With Andy 9 (ARC) siteplan material OVERLAY .K% ARC site measurements from eirvey v > provided by Jim Derrig ` S D r Ive w a y -------------- ARC property lines ARC setback lines ---- ARC Roof lines ` ARC Foundation line .0 RELATIVE SCALING SET: Qi C L e A N 0 u r 100 FEET AT WELL RADIUS 196.24 FEET AT FAST PROPER-Y LINE DISTANCE ROW TO Uk,'-: .may ® rn EAST LINE�196.24'+11.76'_209'® NEW 1466G. 2-COMPARTMeNT WHIfEWATI:R Arj �• WEST UNE=170.37'+c..63'-180' `eVERGREC1j "ReCAST , TANK c s.e cur S IeET> Propo ed 2 —ACCe55 RISERS REOUIoeD TO r N15H -191vE Dadr Homa I o m _� t PER MR. DERRIGS SURVEY � ,, — 3' f.41N. PRO IA HOUSE NEW 10304 t'UMP CHAMOeR Ins 1060P1L', +^ S' MIN. PROM HOUSE i / It -� +^ACCESS RISER REOUIRED TO PI'J13H GRo^e. It to I I, O •.,� ® NEW 2" SCH PVC TRANSPORT L;'JE � I 1.25" PLOW CONTROL VALVES N VALVE tlOX AT PIN 15H GRADE. it 1.25" 5CH 40 PVC LATaRAL5 WITH r b/ 16 1 ORIPICES Af 6' O.C. [Sr a LA51r .a g It g0 0 ® 5-26' LATe RALS ON 6' CCNfE1Q5 IN TRENCH 1 ` r COI,IPIGURAT ON O —OU1CK 4 LP INPILtRA10R CHANA13ER5 TO SY 1 12.76' De -15ev - j ROPERTY CORNER TO LACE " MAY. 1!E P TH 15 10" PER SURVEY — MIN- 6" COVER MAfFRIAL ReGUIReD G — �- ��Y� � OVER TOP GP CNAMC-ERS. '�t�� � 963 „ 100' MIN. TO WCLLS. '0. MI`1 1 i PROPERTY C N TO LAKE Haven Lake TO [3UILDIN65, ./ PER SURVEY " 100' MIN. TO SURPACe WAfE ® 4" INSPCCTIOFJ PORT5 EXTENVEO TO '.N -� �PPRp HEDTM PIN15H GRADE AT EACH I-ATERAL iND I�.......o....r..��..,. �^ AO4AW ORX CONTROL PANEL. 8 ATU COh.TROL r'A�-'E, v EB 21 2014 PANEL OF' SIGHf10P^THE I'JMP C.-`fACA IZ DIRe CT I O- c L?L9 20Y, 60 t3 -7 -a' 22 3:?6-�v- 600 ?Y Name Parcel# Z2 3 3c)��OU3 q BLD# Lj %j I LOLOF I 4ING 1(hurlyz", Mason County Department of Community Development FEB 7014 Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14,Chapter 14.48 a sormwater 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. 'Redevel_pment 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. alcr late/mper►i��ous`Su�ces: ease Gorfip�ete;Th>s Tab1� Surface Type Length X Width = Area "All dimensions in feet Buildings X X = Measurements for buildings are taken at the perimeter of the farthest projections(example: X = eaves/gutters) X = Driveways 5-0 X 12 = 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/VJalks Z X �3 X = Any paved, gravel or packed area per definition above table X = Others X X = "ff,the total_impervious drea`of the proposed-site X _ -,develop menl is.greater thata,2000.square feet a Small Pa rt;el:Stormwat er:Srte.Pl* - Required.:. Total Im :.... :... . per 6 us.Surface Area(surri.of'all areas) 7 _ 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 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 y►Lm^ -'[�`��. �Jp�,,,q (Ownerr gent/Contractor(circle one)Date: Z I)3 I)y 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# UiMason County 1 „r,,;�V "'t 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: httn//vww.co.mason.wa---us/code/commissioners/mdex 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 14.49.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 I1 TFIAL 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 property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 Hodge engineering�+ inc. 6/12/2014 Letter#14.0005A RE: 2001 Northeast Haven Way Derrig Cabin Corrections Letter To Whom It May Concern: I have provided the lateral and gravity load engineering for Derrig Cabin being built by Dougherty Construction located at 2001 Northeast Haven Way Tahuya Washington. The items listed below are in response to the builder's notes of a corrections notice provided to Hodge Engineering 6/11/2014. Items not addressed are to be completed by others. 1. Per the builder a 6' cut has been made approximately 3' away from the 24"x24"x8" isolated footing at the west side of the residence (plan orientation). This undercuts the footing soil support. As a fix the builder is required to follow one of the two options below: - Replace the 4x12 beam and 24" footing with continuous 16"x8" strip footing with (2) #4 rebar and 2x4 pony wall following the attached STRIP FOOTING/PONY WALL detail. - Dig down isolated footing to meet 45 degree load cone (approximately 3 feet). As an option builder may use attached sonotube detail for bringing post bearing up to grade. 3. Due to the topography of the site the builder has made a 6' cut and is using a tall crawlspace to support the southeast corner of the structure (see attached layout for approximate cut line). To adequately support the tall crawlspace the builder is required to attach coupler nuts to the (2) HDU5 holdowns and (2) HDU8 anchors and extend to the first floor of the structure. Reference detail 17/D2 for coupler nut to all threaded rod installation. Sheath walls with nailing pattern of shear walls above. 4. The builder has added a 4' stem wall on top of the 18"x6" interior strip footing specified for the interior shear wall. Due to this modification detail 17/D2 is no longer valid at this area in question. The SB5/8 anchor will be located in the 4' stem wall and does not need to extend down to the footing. The builder has extended the footing and 4' stem wall throughout the crawlspace to serve as a small retaining wall for soil that may sluff off from the 6' cut. This modification does not adversely affect my original engineering provided the builder followed the rebar schedule located indetail 4/D1 on page D1,of my original engineering. Additional item , As an option the builder may`add a crawlspace access located at the east wall of the cabin. The crawlspace is to be located directly under the window above. Builder is to Hodge Engineering, Inc. John E. Hodge P. E. Awe kiv 2615 Jahn Ave NW Ste. E5 Gig Harbor,WA 98335 (253)857-7055 Fax(253) 857-7599 Hodge g g en ineerin inc. use a 4x8 header over the new opening. See attached layout of areas in question and new construction details for interior strip footing and sonotube construction. Please contact me with any questions regarding this project. 6/12/2014 Letter# 14.000 John H g E. 37 86 NAL This letter is the professional opinion of the engineer of record and regards his engineering only. This letter does not allow the builder to disregard Code requirements. Any schedule or cost impact is the responsibility of the builder or owner. The Building Inspector, not the engineer, has the final authority to allow field changes to approved plans. Hodge Engineering, Inc. John E. Hodge P.E. -- 2615 Jahn Ave NW Ste.E5 Gig Harbor,WA 98335 (253)857-7055 Fax(253)857-7599 • v CONCRETE LANDING 3 Dl 6x6 POST NDU5 US w/AW I I ' l 777 24 18 I I I I I I I I I I I I I I I I I I I I I I I —24 - - - - - - X— — of U5 I I I I 1 Ki 81 Nl 604 I I I 18 X M4 2B "�"�WRCI I I I I I pl i — — — }}'L $2 — — — N W 4x4 PT POSTS W/ABW 04 D=02I� D2 24 I l —4 — — — — ' 12' 4'III1 2M�''z (Trr)(uNo4),12' II JII II, DECK 21R'xA10l1E'97 ;T:lNCT — 1 L�— NE S`P A—s WNDU5 DU 15 4 -EULC 17 A' AL 02 04 NDU5 6BA 24FOLQO OtATIbs GE� Q Ma U L 1� 10 NDU5 bx(6 P205T Dl 22 w/A5w 12 4 02 Dl Dl APPROXIMATE V CUT LINE O T$G FLOORING MALL A00A O FLOOR JOIST PER PLAN O 4X6 HEADER UN.O ® ACCE55 PER PLAN UN.O 0 2x4 PONY WALL 4 P.T. SILL 51MP50N MA5A 5TRAP5 6 4'oc OR 1/2' ANCHOR 5OLT5 AT 4'oc(1/4'x2-1/0 X-CF 12 POWDER ACTUATED NAILS 6 3'oc O 12'x6' CONCRETE FOOTING ® 3 W/ (1)#4 REBAR FOR SINGLE STORY LOAD. 16'x8' CONCRETE FOOTING W/ (2)04 REBAR FOR TWO °a STORY LOAD ® INTERIOR PONY WALLS OVER 6' TALL, SHEATH W/ ° 1/16' 5HEATHING s Sd NAILS 6:12 O (2) ad TOE NAIL EACH J015T ® ALIGN 5TUD5 WITH J015T5 BLOCK AT BEARING WALLS 5Ti;Rifi= FOOTING / PON*' WALL 0 FAILING SOIL BEARING CONDITION. PAD NOT SUPPORTED FOR PORTION OF 45 DEGREE BEARING Tj CONE. FIX #1: ADD NEW \ ob L COMPACTED SOIL TO \\ FRONT OF SLOPE TO FILL LOADING CONE. 2 O FIX #2: REMOVE SOIL AND LOWER THE PAD. USE 3 LONGER POST TO MEET MINIMUM EDGE DISTANCE. \ Q \ A ONCi��T� PAD SOIL 5EARING FIX FOR C CD12' 50NOTU5E W1 (4) #4 REBAR 1 ° 1 O #3 HOOP 6 12' oc 2 O PAD PER PLAN . a a r�'L ° ® J BAR 12' 0 a O UNDISTURBED NATIVE 501L FILL 3 ® _ _ � -1111111111�11111�11111�11111�111�1_III;, ' 50NOTU5E ELEVATION a 'a a 3 a ° a 4 a a . ° a 50NOTU5E TO FOOTING FAD CONNECTION s°r Co MASON COUNTY PERMIT NO.�(C� 'LAI,4— 00131 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 IS 1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext. 352� MIJIL ANC BUILDING PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: O Oct De r/' NAME:k.�r MAILING ADDRESS: R3 55 Trruytu, diva. NO MAILING ADDRESS: j 334 Ira�s�c(cs lav c CITY: 2,eewc-it-n STATE: WA- ZIP: �-3 i I STATE: trVA ZIP: 31 O PHONE:3C,o (,c($-2-010 CELL: -36 U 471 5 i 09 PHONE:Ao Ar 33--%577t�' CELL: &'�t_- EMAIL: }A GLC_-cc t� 1 (§� waue_ea[Dle' e:e#�' EMAIL : ba scam, ctonke•tj—c.crosf+'"fe F n cr--, L&I REG 4 DOLtc-H e c-fg 1K 7 EXP. 12 PARCEL INFORMATION: ( yc I PARCEL NUMBER(12 DIGIT NUMB I Q 2 z 33U--50 1OU3 4 FIRE DISTRICT 2- LEGAL DESCRIPTION(A I VIATED) . 2,a-� I�i H a ue A (�r� SITE ADDRESS �4� F vex CITI' DIRECTIONS TO SITE ADDRESS A) 56teo14 k� F�- I ( lt,' ic;I-" On N ram- �e (��tom, -"T�k-",J k rZ'Ck --FU v n lz!�q � fJ ! l-6kotivt LAJC t IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE X RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NOf TYPE OF JOB: NEW 'R ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) :S 2J IS USE: PRIMARY ❑ SEASONAL X NUMBER OF BEDROOMS Z NUMBER OF BATHROOMS 2- DESCRIBE WORK Ne.u w U-0 -\CV-O.—c.( r'csc CUit'Vce SQUARE FOOTAGE: 1ST FLOORI CA B sq. ft. 2ND FLOOR_Si 0 sq. ft. 3RD FLOOR 0 sq. ft. BASEMENT O sq. ft. DECK_ t6$ sq.ft. COVERED DECK_W sq. ft. STORAGE i 5`t .ft. OTHER sq. ft. GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT Q sq. ft. ATTACHED ❑ DETACHED ❑ � MANUFITOME ION:7 *4 COPIES OF THE FLOOR PLAN MODEL YEAR L WIDTH BEDROOMS BATHS SE 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 RrPECTI N. ACTIVITY OF TH S PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X 2i" 13�►� Sign ture o Applicant x5ri,ej� Derr;4 46Ala QWNE / REPRESENTATI RACTOR Print Name J (CIRCLE T DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE /NOTES/CONDITIONS BUILDING DEPARTMENT 3 -�1 ��`�` o s a PLANNING DEPARTMENT 0 FIRE MARSHAL l� .SX 5q � 13 2z ac. 3g S r� - io �6 b �8 MASON COUNTY (360)427-9670 Shelton ext.352 ��a�ap DEPARTMENT OF COMMUNITY DEVELOPMENT (360)275-4467 Belfair ext. 352 BUILDING• PLANNING•FIRE MARSHAL (360)482-5269 Elm@ ext. 352 _ Mason County Bldg. III, 426 West Cedar Street PO Box 279, Shelton, WA 98584 www.co.mason.wa.us IAA PLUMBING & MECHANICAL PERMIT APPLICANT INFO RMATI� CONTRACTOR INFORMATION Owner G✓✓ ► Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drivers Lic. # DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No Fire District Legal Description Site Address(Please include street name, street number and city) Z 'I A Directions to site Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New Add Alt Repair Other Use of Building Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric, LPG—Natural Gas_Heat Pump_ Toilets _I _ Tvpe of Unit No. of Units Fees Bathroom Sink — Furnace Bath Tubs I Heatpumps Showers I Spot Vent Fan Water Heater I EF 0•`f 3 Propane Tank Clothes Washer I Gas Outlets 1:01 Kithen Sinks I Woo Ga ellet Stove i Dishwasher / Kftchen—nhaust Hood / Hosebibs a- Dryer Vent 1 Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDE: Acknowledges submission of inaccurate infom-ation may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties.If,permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application,I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bid Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Grouo Tvoe Constr. Planning Department Environmental Health Department FEES Plumbing & Base Fee Site Inspection Mechanical.&Base fee UFC Plan Review Fee Wood/Gas/ Pellet Stove Fee Other Volation Fee I TOTAL FEES