HomeMy WebLinkAboutBLD2008-00168 Final SFR DDR2008-00084 - BLD Permit / Conditions - 10/16/2008 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
4- Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2008-00168
OWNER: WILLIAM PETERSON RECEIVED: 2/14/2008
CONTRACTOR: HILINE HOMES LICENSE: HILINH*981 BT EXP: 2/10/2010 ISSUED: 4/4/2008
SITE ADDRESS: 1611 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 10/4/2008
PARCEL NUMBER: 223305000239
LEGAL DESCRIPTION: HAVEN LAKE TR. 239
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR Collins Lake entrance at fire station. Main road to Lake View
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: V-B
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:897
Valuation: Building Height: Occ. Status: Primary Basement: cov. porch 62
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 76.0 Ft. Shoreline: Ft. Water Body: None
Rear: W 145.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: S 5.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: N 48.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 2/14/2008 $504.89 S22008000
Hosebibs 2 Furnace<100K 1 Planning Review Fee KKK 2/14/2008 $190.0o S22008000
Kitchen Sink 1 Ventilation Fan 2 Address Fee BLF 2/15/2008 $162.00 522008000
Lavatories 1 Heat Pump 1 Building State Fee RTB 2/20/2008 $4.50 522008000
Water Closets (Toilets) 1 Dryer Vent 1 Building Permit Fee RTB 2/20/2008 $783.75 522008000
Water Heaters 1 Mechanical Fee RTB 2/20/2008 $145.40 S22008000
Bath Tubs 1 Mechanical Base Fee RTB 2/20/2008 $26.60 S22008000
Clothes Washer 1 Plumbing Fee RTB 2/20/2008 $63.31 S22008000
Plumbing Base Fee RTB 2/20/2008 $23.10 5 bbb000
ADJUST--Plan Check Fee RTB 2/20/2008 $4.55 S22008000
EH Plan Review TW 4/1/2008 $10o.00 S22008000
Water Adequacy Plan Review TW 4/1/2008 $1o0.o0 S22008000
Total $2,108.10
BLD2008-00168 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
• "'` BLD2008-00168
CONDITIONS FOR
BLD2008-00168
1) Xpprovgd,{i�r dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
X 800- -0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
00
3) 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
X croads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
4) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are Mired for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. 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
Department prior to any further inspections being performed or approvals granted.
X
6) Owner/A ent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
X Ul
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 complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal o approved documents will result in failure of required building inspections.
X of
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
BLD2008-00168 Please referto the following pages for conditions of this permit. 2 of 5
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 Degartment prior to any further inspections being performed or approvals granted.
10) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab
Insulation R-10.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
X de��e�the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
11) 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 Countyy 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/contractor is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X 6L
12) 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 �_1 0
13) 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 sh-ll be collected by the Building Department prior to any further inspections being performed or approvals granted.
X U
1.
14) 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 rev1oc�t'i n.
X tit.. ��''''
BLD2008-00168 Please referto the following pages for conditions of this permit. 3 of 5
15) 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 project.
Xz
16) 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 '
17) 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 bade prior to requesting additional inspections.
X
18) All property lines shall be clearly identified at the time of foundation inspection. X
19) 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
20) 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
(older have prevented action from being taken. No more than one extension may be granted.
21) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connector,S
X �d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
t,,��
22) 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
23) 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.
X (I
BLD2008-00168 Please refer to the following pages for conditions of this permit. 4 Of 5
24; Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X
25) Prior to final approval, all upland areas disturbed or newly c�e�d by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X L
26) All construction and demolition debris must be removed from the beach after project completion. Proper d.isposal of construction debris must be on land
in such a manner that debris cannot enter or cause water quality degredation of State waters. X!1<e
27) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X w (J
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 apd structure revie Ind inspection.
OWNER ORAGENT4' y \I DATE: C>
BLD2008-00168 Please refer to the following pages for conditions of this permit. 5 Of 5
ao
o CONCRETE MECHANICAL MANUFACTURED HOME M
C 1 Footings !Setbacks Date B Ribbons m
Gas Piping X
o Interior Date By Interior-Date By Date By 0
Exterior Date 00 �"�/��� By /� Exterior-Date Bt-up Z
Point Load t Isolated Footings INSULATION Date By
BG i SLAB INSULATION
Date By Data By FIRE DEPARTMENT r
Foundation Walls Floors Date By
Date f �G-G�Sc' By TA, Data By DECKS
FRAMING Wails Date By
Date 7 B Data �- B PROPANE TANKS
PLUMBING vault Data By
Date By OTHER
Groundwork Attic
Date By Date By Type-
Date By
o.W.1v DRYWALL Type-
Int.Brace Wall
Date By W �
Date 6 Z3®'-C�2? ByT Date 7-4- Z By / r-
FINAL INSPECTION 0
m Water Line Fire Separation ON
Date By Date By Date By p
0o
Pass or Request Inspect. c
Type of Insp. Fail Date Date Dane Bp Comment�s,� �
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Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton, WA 98584
ot$
RESIDENTIAL BUILDING PERMIT BLD2008-00168
OWNER: WILLIAM PETERSON RECEIVED: 2/14/2008
CONTRACTOR: HILINE HOMES LICENSE: HILINH'981 BT EXP: 2/1 0120 1 0 ISSUED: 4/4/2008
SITE ADDRESS: 1611 NE TAHUYA BLACKSMITH RD TAHUYA EXPIRES: 10/4/2008
PARCEL NUMBER: 223305000239
LEGAL DESCRIPTION: HAVEN LAKE TR. 239
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR Collins Lake entrance at fire station. Main road to Lake View
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: V-B
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R-3 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:897
Valuation: Building Height: Occ. Status: Primary Basement: cov. porch 62
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 85.0 Ft. Shoreline: Ft. Water Body: None
SEPA?: No
Model: Width: Ft. Rear: W 145.0 Ft. Slope: Ft. Shoreline Desi
Side 1: S 10.0 Ft. g.: Not Applicable
Year: Serial No.: Side 2: N 48.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type City. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 2/14/2008 $504.89 S22008000
Hosebibs 2 Furnace<100K 1 Planning Review Fee KKK 2/14/2008 $190.00 S22008000
Kitchen Sink 1 Gas Outlets 2 Address Fee BLF 2/15/2008 $162.00 S22bb8bbb
Lavatories 1 Propane Tank 1 Building State Fee RTB 2/20/2008 $4.50 S22bb8bbb
Water Closets (Toilets) 1 Ventilation Fan 2 Building Permit Fee RTB 2/20/2008 $783.75 S22bb8bbb
Water Heaters 1 Heat Pump 1 Mechanical Fee RTB 2/20/2008 $145.40 S22bb8bbb
Bath Tubs 1 Dryer Vent 1 Mechanical Base Fee RTB 2/20/2008 $26.60 S22008000
Clothes Washer 1 Plumbing Fee RTB 2/20/2008 $63.31 S22008000
Plumbing Base Fee RTB 2/20/2008 $23.10 S22008000
ADJUST--Plan Check Fee RTB 2/20/2008 $4.55 S22008000
EH Plan Review TW 4/1/2008 $100.00 s22008000
Water Adequacy Plan Review TW 4/1/2008 $10o.00 S22008000
Total $2,108.10
BLD2008-00168 Please referto the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2008-00168
CONDITIONS FOR
BLD2008-00168
1) Approv d pr dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X 1
2) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X
3) 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
X croa&connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
4) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X � }
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
Department 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 (I!/ P,
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 complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
X L& I
8) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X t
BLD2008-00168 Please refer to the following pages for conditions of this permit. 2 of 5
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.
X y;
10) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window (Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab
Insulation R-10.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
underside of the roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
X
11) 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/contractor is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X , f
12) 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 W 0
13) 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 R
14) 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 jevpc4tign.
BLD2008-00168 Please referto the following pages for conditionsof this permit. 3 of 5
15) 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 project.
X
16) 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 '
17) 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
18) All property lines shall be clearly identified at the time of foundation inspection. X
19) 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
20) 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
21) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connector/�, d flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X l C/ �/
22) 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
23) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approve
e Plan" to ensure these structures are shown and meet the setback conditions listed.
BLD2008-00168 Please refer to the following pages for conditions of this permit. 4 of 5
24) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X C.t'i j(
25) Prior to final approval, all upland areas disturbed or newt c e�tgd by construction activities shall be seeded,vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X t— -
26) All construction and demolition debris must be removed from the beach after project completion. ProperAsposal of construction debris must be on land
in such a manner that debris cannot enter or cause water quality degredation of State waters. X
27) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X L'�/
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 a d structure revie and inspection.
OWNER OR AGENTI' DATE:
BLD2008-00168 Please refer to the following pages for conditions of this permit. 5 Of 5
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Request To Revise AnApproved Plan
Permit Number: BLD2005__- Q0 j(Q g Name I )'i 0_rnAigA.�n n
Parcel Number - �D -CVO n Phone Number daytime Project Address _ip i) n��ry U Mailing Address
Please provide a complete,detailed description of the proposed revisions to the approved plans:
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ZrNo
Are the approved site plans included? ❑ Yes ,ET'No
Are the revisions clearly and accurately identified on the plans or addendum? ❑ Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes,Has the engineer or architect approved this revision? ❑ Yes O No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record)
Does the proposed revision modify the footprint or location of the structure? XYes ❑ No
If Yes,Is a revised site plan,with all new setback dimensions included with this request?
pl/Yes ❑ No
Additional Information: IC.0 1 (LY10
Applicant's signa WON Date:
Office Use Only Received by:
Date sent Assigned To Approved By Date
Original Valuation: $
Additional Valuation: $
Sq.Ft. x$ $
Sq.Ft. x$ $
❑ 1✓.H: Total New Valuation $
❑ P.W. Additional Fees:
Additional Planning Dept. $
Additional Plan Review $ .
Additional Conditions[Comments: Additional Building Permit $
Additional Plumbing $
Additional Mechanical $
Additional E.H.Dept. $
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
Parcel# t�f��)"'(1`� � � BLD#iQa A-A' jO -50 - W� 1
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface 2.
'Redevelopment means,on an already developed site, the creation or addition of impervious surfaces, structural development
including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not
part of a routine maintenance activity, and land disturbing activities associated with structural or impervious redevelopment.
2Common 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.
x.
TO
//1€ .
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 X =
X = Length of drive begins at the right of way
X =
Parking Areas X =
X = Any paved, gravel or packed area per definition
above table
X =
Patios/Walks X =
X = Any paved, gravel or packed area per definition
X _ above table
Others X =
X =
i,1b .'aW��p , j-0gs�����€€the�ttposed i
€€�. e30` €€3t<'
X = 1 ::;:.;:.;:.; :;;9;:.;;:;.;:.;:.;:.;:;:.;:.;:.;.::.::.::::::::::: ua f :s.:
;::<: tn: lt.:;: rret:: t vr�t�f~.. . . .;:..
.:.:::........::::tom............:5tt :P1 0.;1 1 t..:utr d::>::»:::
::::..:.................. :::::
M.
it us: ur a e:Area. s.1w.6ff:all:.-ate
: :::: :::.::.......
.....
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read, acknowledge and sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner, owner's legal representative, or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property fo ie an ' spection as may be required.
X Owner/Agent/Contractor(circle one)Date: 2 d g
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14, Chapter 14.48 of the Mason County Code(MCC) regulates compliance requirements for Stormwater
Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan
(Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document
entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan". This document will assist
you in preparing the necessary information and plans for Public Works to review and approve. Per Department of
Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in
their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health
information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval.
A design by a registered professional may be required for more complex sites.
*These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A) 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_Sts-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
y MASON COUNTY PERMIT NO. ��
BUILDING PERMIT APPLICATION
426 W. Cedar- P.O. Box 186, Shelton, WA 98584 no
Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATIO CONTRACTOR INFORMATION
Owner 0 e- C 6 d'YN Company Name , G i'h p_ 14 o-rvm es
Mailing Address C,> 60y, l l Maili g Address PO ao� 33-7 r
City Sta,�t �S'�' C4 Zip Code City e_ �'r- State C.II m Zip Code
Phone,WO-2 - _Other Ph. Phone 3Coo- 7 -f k Other Ph._
Lien/Title Holder Contractor Reg. # 1 Exp.
E mail address E Mail Address
Drivers Lic.# PETE 4}1+$s KS DOB O LK Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic__) Existing Septic
Connect o Water System Name of Water System
Well A Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No Fire District —
Legal Description
Site Address (PleaW include street s name, rg-et num rand, i
Direct'o s to site ✓tti) ,Te-n � � O f
11 v 7"hu c> P
Wil amber be cut'and sold in parcel preparation-?Yes/ I0
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff .—C_Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - Neon dd Alt Repair ther � P} RY�RFSI CE 5& SEASONAL ❑
Use of Building Describe Work1 11t_22, 1 1 l yy
No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other Sq. ft.
Garage—X— 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 2nd grants employees of Mason County access to the above described property and structure for review and inspection.
PROOF ONTI A K IS BY MEANS OF A PROGRESS INSPECTIO .
X Date' d
Owner/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department 70
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee �, ,EH Review Fee -
Plumbing & Base Fee ,3 -3/ 01�_(d Planninq Review Fee
Mechanical & Base fee 6, (oO Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee cz, c�_ - d�� Pre-Paid at Submittal
Valuation $ TOTAL FEES
dkc[ 4/�1�
HiL II�E BUILDING PERMIT INFORMATION FORM - PLAN 897
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,some
of it may not apply to yours. If you have any questions please give us a call at(360)275-1849.
Applicant/Owner/Contact information: Your name, address, phone number
Contractor Information Name: HiLine Homes
Address: PO Box 3375
Belfair,WA 98528
Phone: 360-275-1849
License#: HILINH*983BD
Expiration: 11/08/09
Tax Parcel#/Assessor's Account M This will be with your property information.
Job Site Address: Your new home address(example: xxx Filmore St.)
Legal Description: This will be with your property information.(example:Lot X Large Lot SubDivision xxx in Clark County ect.)
This will be a New Single Family Residence
Describe work/type of job: NEW HOME CONSTRUCTION
HOME INFORMATION: Floor Area: (square footage)
Main/1st: 897 #of stories: 1 Carports: 0
Second: 0 Bedrooms: 2 Decks: 0
Basement: 0 Bathrooms: 1 Porches: 65
Total: 897
Garage: 0 (attached)
Construction Method: Wood Frame
Heating System:
Be sure to choose the information below that coorolated with the heat system you have ordered.
HVAC/Mecanical Contractoris the company installing your heat system.
Cadet/Wall Mount/Zone Heaters: standard heats stem
Installer: Evergreen State Electric Contact: Chris Moe
License#: EVERGSE066JA Phone: (253)770—0656
Expiration: 04/01/08 Location: Orting
Manuf: Cadet Brand: Register Plus
Model: RM202, RM162 KW: 7
AMPS: 20
On permits,for the#of wall heaters, put 1,oryou'll be charged extra for every one.
Heat Pump w.furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License M CHEHASM252MH Phone: 360.748.9221
Expiration: 03/01/08 Location: Chehalis
Manuf: Trane Model: 2TWBO03OA1000AB
Tonage: 2 HSPF: 7.2 KW: 10
LRA: 60 Efficiency: 100.00% Seer: 13
Natural Gas furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License M CHEHASM252MH Phone: 360.748.9221
Expiration: 03/01/08 Location: Chehalis
Manuf: Trane Model: TDE060A936
BTU: 60000 Efficiency: 80.00% Watts: 997
Propane Gas furnace w/HWH
Installer: Chehalis Sheet Metal Manuf: Trane
License M CHEHASM252MH BTU: 60000
Expiration: 03/01/08
Contact: David Pyles Model: TDE060A936
Phone: 360.748.9221 Efficiency: 80.00%
Location: Chehalis Watts: 997
Spot Vent Fan: 1 Kitchen exhaust Fan: 1 Dryer Vent: 1 Wood/Gas/Pellet Stoves: 0
Plumbing System: Installer: K&M Plumbing Contact: Shawn Moody
License M KMPLUS1995K5 Phone: (253)503—2676
Expiration: 05/07/08 Location: University Place
Toilets: _1 Bathroom sinks: 1 Bathtubs: 0 Showers: 1 Kitchen sinks: 1 Water heater: 1
Clothes washer: 1 Dishwasher: 1 Hosebibs: 1 (first 4 enter quanity of 1,every home has 2)
Energy Compliance Information: Compliance Method/ Path: Always#3 (Per Washington State Energy Code)
Total Sq. Ft.of glazing(glass): Standard home:_139� v:.sliding glass door option: na divided by total
sq.ft.of heated area: 897 equals a glazing percentage of 16%standard or na w/sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirements minimums.
Window Schedule: See attached form.
Ventalation System:
Intermittently operating Whole House Ventilation System using exhaust fans&window fresh air vents. (VIAQ 303.4.1)
House Fan Specifications: Whole house fan:qty: 1 Manuf: Solitaire Ultra Silent Module#: S11OU CFM: 110
Updated 11/30/07 Bathroom one-bulb heater/fans:City 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 70
Copyright 2003 HiLine Homes
4
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
411 N. Fifth Street/ P.O. Box 186, Shelton WA 98584
360.427.9670 ext. 352 DDR
Rec'd by
Request for
Administrative Variance for Reduction in the Required etb cks ($105.00)
For administrative review, the minimum variance on a setback uest is 5 feet
from the side yard lot lines and 10 feet for front and rear lot lines or any access
easement. Request for further reduction requires a standard variance.
Setbacks are measured from the furthest projection of the structure, including
roof eaves.
Applicant/Owners: LLJ ; ( j A= ��� r,S - r1
Mailing Address: p l C'J
Telephone ,�? - 7 "7 6' e—{,5 C)
City: State: Zip:
If this reduction is tied to a building permit, please ive permit
case number. BLD 2y ;S " O t G
Parcel Number(s): ? �y ,�aoC� � 9 Zoning -5
Site Address: l G (( WE TM1-tO y a,
Requested variance: Front / Re / Side Yard (please circle all that apply)
Requested setback variance: � ft.
An illustrated site plan is required.
Your site plan must show the following: north arrow, abutting street or
easements, set backs to all property lines and existing buildings, slopes, surface
water, wetlands, critical areas, septic, well and driveway. Show all proposed new
development.
The follow circumstances must apply:
FRONT AND REAR YARD REQUIREMENTS:
1) Existing lots record as of March 5 ;
You must meet one o e followin • ease circle all that apply)
2) One of the following 'st the lot:
a) steep slopes, wetlands, st s present;
b) soils that restrict b " ng or septic velopment;
c) lot width at th ont yard line of no mo an 50 feet;
d) lot size o o more than one-fourth acre;
e) exis i g improvements of buildings, septic syste and well areas.
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SIDE YARD REQUIREMENTS:
1) Existing lots of record as of March 5, 2002;
You must meet one of the following. (Please circle all that apply)
2) One of the following exists on the lot:
teep slopes, wetlands, or streams present;
b oils that restrict building or septic development-
that
lot width at the front yard line of no more than 50 feet;
d lot size of no more than one-half acre;
xisting improvements of buildings, septic systems, and well areas.
Explain how these circumstances preclude a reasonable development proposal
from meeting the setback standard for Rural Residential 2.5, 5, 10, or 20 zones.
+CA Y 0,S A y aw Ck u
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Owe --mcL= A--�,xe r x!! �xQ k A-o
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� r �
Owner/Agent (please indicate)
Signature and date
Official Use Onl
Approved Date S
Denied Date
Reason for denial:
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