HomeMy WebLinkAboutBLD2010-00365 Final Dock - BLD Permit / Conditions - 9/1/2010 Inspection Line(360)127-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2010-00365
OWNER: RODNEY POLSON RECEIVED: 5/7/2010
CONTRACTOR: LICENSE: EXP:
SITE ADDRESS: 170 NE LAKE DR TAHUYA ISSUED: 7/2/2010EXPIRES: 1/2/2011
PARCEL NUMBER: 223305000174
LEGAL DESCRIPTION: HAVEN LAKE TR. 174
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New fixed wooden dock extending 28 feet into Haven Lake; 4.5 ft. wide by ST RT 3, L ON ST RT 300/NORTH SHORE RD, R ON BELFAIR TAHUYA RD,
12 ft long section at shore and 12 ft. wide by 16 ft. long section farther into R ON TAHUYA BLACKSMITH RD, R ON LAKE DR TO SITE ADDRESS ON
the lake. THE RIGHT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.:
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: Lot Size: Deck:
Type of Work: ACC Fire Dist.: 2 No.of Stories: Occ. Load: Building:
Valuation: Building Height: Occ. Status: Basement: PIER/DOCK 246
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body: HAVEN LAKE
Rear: Ft. Slope: Ft. SEPA?: Yes
Shoreline Desi
Model: Width: Ft. Side 1: Ft. 9•: Urban
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Plan Check Fee GMM 5/7/2010 $73.00 S12010000
Planning Review Fee GMM 5/7/2010 $205.00 S12010000
Building State Fee LDK 5/19/2010 $4.50 S12010000
Building Permit Fee LDK 5/19/2010 $141.00 S12010000
Total $423.50
BLD2010-00365 Please refer to the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD20 1 0-00 3 65
1
CONDITIONS FOR
BLD2010-00365
1) 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
DepaXtment prior to any further inspections being performed or approvals granted.
2) Own /Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
3) 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
remoy al of approved documents will result in failure of required building inspections.
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4) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
5) 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.
X..,
6) Con rete 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).
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7) 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
perm,4 revocation.
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BLD2010-00365 Please referto the following pages for conditions of this permit. 2 of 4
8) 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 proje t.
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9) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordin nce or regulation, must be reviewed and approved by Mason County prior to construction.
10) 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.
11) All property lines shall be clearly identified at the time of foundation inspection. X
12) 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
Masop County ordinances and building regulations.
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13) 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.
14) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
con�ctors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
15) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. XIY
16) 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.
BLD2010-00365 Please refer to the following pages for conditions of this permit. 3 of 4
17) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed.
18) 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.
19) Appro ed per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
20) The proposed project must be consistent�yvith all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program. X-�
21) Prior to final approval, all upland areas disturbed or ne ly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting).
22) All construction and demolition debris must be removed from the shore area 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.
23) Dock facilities must be maintained in a safe and sound condition. X
This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended for a period of 180 days at any time after work is
commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be occupied. Proof of continuation of
work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to
the above described property and structure for review and inspection.
OWN ER OR AG EN DATE 710211 t)
BLD2010-00365 Please referto the following pages for conditions of this permit. 4 of 4
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o CONCRETE MECHANICAL MANUFACTURED HOME p
o Data By
Footings!Setbacks Ribbons U)
Gas Piping
o Interor Date By Interior.Date By Date By Z
0) Exterior Date By Exterior-Date B
0
Point Load/Isolated Footings INSULATION BG!SLAB INSULATION Date By—_- 0
Date By Data By FIRE DEPARTMENT m
Foundation Walls Floors Date By <
Date By Data By DECKS
FRAMING Walls Date By
Date By Data Dy' PROPANE TANKS
PLUMBING vault Dates ey
Data By OTHER _
Groundwork Attic
Date By Onto By Type
Date By
DW.'V DRYWALL Type.
Dace By
Int.Brace Wall Date By W
D Date BY FINAL INSPECTION p
Water Line Fire Separation N
Dale By Date By Date By
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Pass or Request Inspect. c
Type of Insp. Fail Date Date Done By Comments w
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RECEIVED
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BUILDiNG. ,MASON COUNTY o
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Poison's Dock Material List W
Parcel number; 4625 S JAUBURN WA
IPOLSON, RODNEY K& DONITA 223305000174 170 NE LAKE DR TAHUYA 98588 (HAVEN LAKE TR. 174) 289TH PL 98001-2832
rD
Footings Price @ Qtv 1 0
Cement 80 Lb. High Strength 5000 plus Sacrete $4.98 24 $119.52 2.
Simpson Bracket CB66 - 6x6 H Bracket $17.66 6 $105.96
Pier Block 16" square pier block for 4x4 post $7.97 2 $15.94
0
Post & Beam a)
n>
Post - Platform 6x6x8 Treated Post $22.97 6 $137.82 :3
Beam - Platform 6x6x12 Treated Beam $39.97 3 $119.91
Simpson Bracket 6x6 Post to 6x6" Beam Heavy Bracket $24.97 6 $149.82
Galvanized Nails Heavy Galvanized Nails 10D5HDG 5 Lb. Box $13.93 1 $13.93
Galvanized Nails Heavy Galvanized Nails N8D5HDG 5 Lb. Box $15.86 1 $15.86
Galvanized Bolt Heavy Galvanized Bolt 1/2 x 5" CNL Box of 25 $52.57 1 $52.57
Galvanized Washer Heavy Galvanized Washer 1/2 Box of 26 $7.34 1 $7.34 vNi
Cross Bracing 2x4x12 Treated $12.97 10 $129.70 w
Post for Walkway 4x4x8 $10.97 1 $10.97 Un
Beam for Walkway 4x6x8 $14.97 1 $14.97
o�
Decking
N
Joist Supports 2x8x16 Platform $24.97 10 $249.70 v
Joist Supports 2x8x12 Walkway $16.97 5 $84.85 V
Joist Simpson Brackets Hurricane Tie Joist Hangars - H 1 Z $0.74 40 $29.60
Composite Decking Veranda 5/4x6x12 for Platform $19.97 32 $639.04
Composite Decking Veranda 5/4x6x12 for Walkway $14.97 8 $119.76 w
Deck Screws Deck Mate Coated 3" Screws 25 Lb. Box $98.85 1 $98.85 0
Total BOM $2,116.11 ry
Tax $181.99 -4
X Total Cost $2,298.10 10
10
2 O0
Washington State Department of Ecology
2008 Water Quality Assessments
Listing Detail Category WRIA Water Body Name Parameter Medium Map Link
51553 1 15 HAVEN LAKE 2,3,7,8-TCDD Tissue
,iRnR 2 15 HAVEN LAKE 2,3,7,8-TCDDTEO Tissue fi1Rnfi
51665 1 15 HAVEN LAKE 4,4'-DDD Tissue 51665
.5172R 1 15 HAVEN LAKE 4,4'-DDE Tissue 517919
517AR 1 15 HAVEN LAKE 4,4'-DDT Tissue 517RR
51908 1 15 HAVEN LAKE Alpha-BHC Tissue 51908
51gRq 1 15 HAVEN LAKE Beta-BHC Tissue 51gRg
52030 1 15 HAVEN LAKE Dieldrin Tissue 52030
590R7 1 15 HAVEN LAKE Endosulfan I Tissue 590A7
52133 1 15 HAVEN LAKE Endosulfan II Tissue 52133
591A9 1 15 HAVEN LAKE Endosulfan Sulfate Tissue 591A9
599d9 1 15 HAVEN LAKE Endrin Tissue 59949
52302 1 15 HAVEN LAKE Endrin Aldehyde Tissue 52302
52362 1 15 HAVEN LAKE Gamma-bhc(Lindane) Tissue 52362
52423 1 15 HAVEN LAKE Heptachlor Tissue 52423
U4t$4 1 15 HAVEN LAKE Heptachlor Epoxide Tissue U464
59544 5 15 HAVEN LAKE Hexachlorobenzene Tissue 5954d
aLOVJ 1 15 HAVEN LAKE Mercury Tissue ,"✓ht O
59RR9 5 15 HAVEN LAKE PCB Tissue 59RR9
.1 1 15 HAVEN LAKE Total Chlordane Tissue 59795
Number of Listings 20
5/6/2010 10:09:11 PM 1 of 1
FORM MUST BE COMPLETED INJNK MASON COUNTY PERMIT NO.
B
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 - Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ?,nd.0eW K. 4 D0n-40, o L SO M Company Name
Mailing Address 'y4?5 S• �$/tb pi., Mailing Address
City Aitb"r-h State 01A Zip Code 9 V0 0 l City State Zip Code
Phone .253-9W—G 27.5 Other PhZO(c gC16 - 9539 Phone Other Ph.
Lien/Title Holder A/a Lein'l Contractor Reg. # Exp.
Email address rodnetvpol soh @ MSA/. Cc"" E Mail Address_
Drivers Lic. #PmsoRK Nla2NU DOB 9-311195Y Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System J4 a ve_n L et ke
Well Sewer System Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. 2-2- 330500017Y Fire District
Legal Description Lo
Site Address (Please include street name, street number and city) 173 Nt Lakes r-i've- , "T�I_ l4q 4.
Directions to site
Will timber be cut and sold in parcel preparation?Yes No
Is property within 200'of Saltwater —Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs>15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Ye No
TYPE OF JOB - New-X_Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL
Ci:. !�� ock on NU r7 Litice-
Use of Building Describe Work f/
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model —Year—
Length—Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price $ Replacement Unit? Yes/ No
Installer Name Certification No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or the contractor. I further declare
that I am entitled to receive this permit and to do the work as proposed in the application. I declare that 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. 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
X�A PROGRESS INSPECTIO CTIVITY OF T P. RMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
��d e Date f6la-01 o
Ow r .Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by' Dat - o� '2.6 14)
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
tiox—
Planning Department
Environmental Health Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES