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HomeMy WebLinkAboutBLD2011-00110 Final SFR DDR2011-00015 - BLD Permit / Conditions - 1/23/2012 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 IrP14 Shelton,WA 98584 RESIDENTIAL BUILDING PERMIT BLD201 1-00110 OWNER: KEN GIESE RECEIVED: 2/11/2011 CONTRACTOR: REALITY HOMES INC. 253-926-6330 LICENSE: REALIH1984CN EXP: 2/15/2012 ISSUED: 3/4/2011 SITE ADDRESS: 190 NE HAVEN LAKE DR TAHUYA EXPIRES: 9/4/2011 PARCEL NUMBER: 223305000300 LEGAL DESCRIPTION: HAVEN LAKE TR. 300 PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR ST RT 3 TO BELFAIR, L ON ST RT 300/ NORTH SHORE RD. R ON BELFAIR TAHUYA RD, R ON TAHUYA BLACKSMITH RD, R ON HAVEN WY , TO HAVEN LAKE DR TO SITE ADDRESS 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: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,489 Garage-Attached 485 Valuation: Building Height: 19 Occ. Status: Primary Basement: COV PORCH 502 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 212.0 Ft. Shoreline: Ft. Water Body: Haven Lake Rear: S 90.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 5.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 12.0 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 GMM 2/11/2011 $937.14 S12011000 Hosebibs 1 Furnace<100K 1 Planning Review Fee GMM 2/11/2011 $205.00 S12011000 Kitchen Sink 1 Ventilation Fan 3 Fire Warden Review GMM 2/11/2011 $73.00 Si2011000 Lavatories 2 Heat Pump 1 EH Plan Review KKK 2/11/2011 $103.00 S62011000 Water Heaters 1 Dryer Vent 1 Water Adequacy Plan Review KKK 2/11/2011 $103.00 S620i1000 Bath Tubs 2 Building State Fee LDK 2/25/2011 $4.50 S12011000 Urinal 2 Building Permit Fee LDK 2/25/2011 $1,441.75 S12011060 Clothes Washer 1 Mechanical Permit Fee LDK 2/25/2011 $85.70 S12011bob Mechanical Base Fee LDK 2/25/2011 $28.50 S12011000 Plumbing Permit Fee LDK 2/25/2011 $93.20 S12011000 Plumbing Base Fee LDK 2/25/2011 $24.70 S12011000 Total $3,099.49 BLD2011-00110 Please referto the following pages for conditions of this permit. 1 of 6 CASE NOTES FOR BLD2011-00110 CONDITIONS FOR BLD2011-00110 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 Departrpeyt prior to any further inspections being performed or approvals granted. X _ 2) 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 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 removal of a�roved documents will result in failure of required building inspections. X ��✓ 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 Depart pnor to any further inspections being performed or approvals granted. X 6) Washington State Energy Code Compliance has been approved as follows: Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38, and Slab Insulation R-10. In addition n,� wing credit from Table 9-1 shall be completed: X BLD2011-00110 Please referto the following pages for conditions of this permit. 2 of 6 7) A permanent certificate, completed by the 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 503.10.2, 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 0.00030 Specific Leakage Area (SLA) when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing. Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in '/4 or'/2 sheets. The Mason County Permit Center will also have some available. X e 8) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps). Reference)Af-C 505. X (f� 9) 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. X 10) 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 ackDavvjedging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X ( / 11) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 10ft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundatioil4rains within 30ft, down gradient of drainfield/reserve area. X BLD2011-00110 Please referto the following pages for conditions of this permit. 3 of 6 12 Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other _ ) P P P P 9 9 vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 13) 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 such roadsoopnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 14) 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 hall be collected by the Building Department prior to any further inspections being performed or approvals granted. X 15) 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 revo . X 16) 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 6E 17) Placemen ucture must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 18) All changes "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinanc or r ulation, must be reviewed and approved by Mason County prior to construction. X 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 ad e prior to requesting additional inspections. X BLD2011-00110 Please referto the following pages for conditions of this permit. 4 of 6 20) All property lines shall be clearly identified at the time of foundation inspection. X ', 21) 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 finances and building regulations. X 22) 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 prgyeented action from being taken. No more than one extension may be granted. X 23) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 24) Retaining walls needed to support a surcharge h as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 25) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structure s meet the setback conditions listed. X _ 26) 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 SAe-Pan"to ensure these structures are shown and meet the setback conditions listed. X / 27) The approval of this project is subject to the recommendations and specifications outlined in the attached geotechnical report or assessment. All applicable recommendations and specifications shall be applied to the development on this site. Any deviation requires stamped written approval from the registered design professional responsible for the report/assessment, and may require special inspection by same. Structures and /or land modifications (grading, cuts, fills, etc.) required in the geotechnical report/assessment, may require a separate permit. The geotechnical report/assessment shall remain attd to the approved building plans. X 28) An inspection performed by a representative of the geologist, their authorized representative, or engineer of record, shall be completed on-site prior to the footing pour to verify that earthwork and foundation installation activities comply with the Geotechnical report or assessment recommendations. In addition a final inspection report, prepared by a representative of the geologist, their authorized representative, or engineer of record shall be required to verify that erosion control, drainage and final work is completed in accordance to the Geotechnical report or assessment recommendations. Reports shall be submitted to the Mason County Building Dept., PO Box 186, Shelton, WA 98584, prior to the footing and final inspections and available for inspection.'t/ X BLD2011-00110 Please referto the following pages for conditions of this permit. 5 of 6 29) 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 1-800-647-098Z The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X 30) Approved "imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 31) Temporary erosion control measures must be implemented to prevent water quality de ation of adjacent waters or properties. Silt fencing must be installed and maintained until upland vegetation has become established. X 32) Prior to final approval, all upland areas disturbed or newly cr a d by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). 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. OWNER OR AGENT: DATE: S �! BLD2011-00110 Please refer to the following pages for conditions of this permit. 6 of 6 o40 S r CONCRETE IVIECHANCAL MANUFACTURED HOME - A CD Date By 71 Cl) M FootIngs I Setbacks Gas Piping Ribbons M 6 Inlenot Dale t,>^,,O By !nterior- Date By Date Ely C:) T Exteror Date By Exterior•- Date 7-13-11 By M Set-UP z INSULATION Point ad Isoliated Footl Date :��41t BG I SLAB INSULATION Da". r2 ;Vj U_ 7 Date By FIRE DEPARTMENT Foundation Walls,,,,,Wo ji/4-X/A0 Floor. D itc, By Date Byz%R2 Date BY DECKS FRAMING Walls Date By Dale 51 19�/ / By Data Sy PROPANE TANKS PLUMBING Vault Data By Date By OTHER Groundwork Attic Type fl Date By Date By Date y f D.W.V DRYWALL Type. int.Brace wall Date By 100 Date By 9-7-ff Date By r FINAL INSPECTION 0 Water Line Fire Seperation IN) L Date By 77? Date By Date By C? r Pass or Request Inspect. 6 CD 0 - Type of Insp. Fail Date Date Done By Comments =r (D /Ic zr1rDA1466 0. AbgOft OMC 6-�3 -f/ 11 -L2Z Cn 2, Z_ Cn (D C-,tf 7-ji-11 7,2 7 C�ZZ L C Cc jz--�'J 02Q3 If �7 OR R r,RF, Pyl L 4-17-11 7fA 4f- L Pe`r'mit 0 _ ' ��/-G��� MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NC)TICE Job Location /9� 4f� /t/ 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 t?&W4/ /�/t-c ©9 y�g4` e• O lJni ' Oit/ L/ti ' tJ� "Sv '� S //� ice✓ vT .� - s 0 0 ^> r V2., Z o zLf,215 C tI7`- avE,v d -T y L J�✓ A:,gr7. L .yoT You are herebynotified that the'above cor' ec ions shall be made BEFORE PROCEEDING WITH ANY FURTHER WORK n 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 ; D(��f?T ]-'QU/j damage incurred by recent "natural/man made" This is not a complete inspection disasters.This is NOT a Date .(' -,�'—// Department L CORRECTION NOTICE. I nspector;E4 . ,#*1 NOT , r 1* ,E114 ' T I T -* qr Permit# MASON COUNTY BUILDING 111 426 W. CEDAR ' SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location z ln This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been �tf und: Items listed below must be corrected to gain compliance �L M-44 i O N i L S LL — O ti L U Cr ;(/L9T� ►a/ �`' s 0a,4 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 acomplete inspection disasters.This is Nora Date Z2-&I Department CORRECTION NOTICE. Inspector MASON COUNTY BUILDING III 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location / !zo �/CVic /" This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been ound: Items listed below must be corrected to gain compliance 2- ZLF ram/ eqG G _ U L /o V,4 13 o s _o v r i _ �✓ i5 � + 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 damage incurred by recent OK to vG4i L�/4 "natural/man made" ❑This is not a complete inspection disasters.This is NOT a CORRECTION NOTICE. Date 7�/ � —�/ Department Inspector,�� oNOT , l T 1 IF Building Permx # 360/�� MASON COUNTY BUILDING 111 426 W. CEDAR i SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Locations This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been found' 101�n ems Listed below must be corrected to gain code compliance 711 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 ❑ Make corrections, items will be checked on next inspection OK to a '"—/ This is not a complete inspectiorfDepartment Date � Inspector • �� 1� �T �� ��� T 1 T ,� APPROVED MASON COUNTY DCD PLANNING SITE PLAN REQUIRED TO BE ON SITE ` RECEIVED CHANG SUBJECT TO APPROVAL �O By Date FEB 14 2011 LA N N I N G ' 426 W. CEDAR ST. ALL SETBACKS ARE MEASURED FROM THE:FURTHEST FROJECTION,OF THE BUILDING RANNING 376' Neighboring web > 5' Lij `i:z e p - Y 30'� L�-1-�2c...�'Pu rrt_p 10 J ❑ - 64' 100' � C Septic S et Ba k to Eaves > 45' Slope Tanks cu 75' 43' 40' _ Proposed 39, Garage 5' 36x36 Drain Field Set Back 1.1'A BA to Eaves D riveWay 5' 5 ft Drop 1 ft Drop 3 ft Drop 2 ft Drop 12 ft Drop 32' S4' 100, -90, 100' 190 Haven Lake Dr. z Haven Lak e Tract Lot 300 ill - 30' Tax ID 22330-50-00300 RECEIVED _ JAN 10 2012 ..� ,• •.�. tNtKC�Y 5 I AK-NomeS • Northwest Certified 426 W. CEDAR ST, • Residential Air Duct System Company Information Company Name cl5l M Technician 93 Date �/�/ Combustion Appliance Zone(CAZ)Test Main Zone Zone 2,if applies 1 CAZ WRT Outside Pa Pa ` < Baseline(WRT Outside,fans off) Pa Pa NET CAZ Pressure(subtract LM -�] baseline from CAZ WRT outside) Pa Pa ' Duct-;:"kage-{fill out one sticker per duct system) �l'� Description of Area System Serves Piw:;'Q LO Cond.Floor Area System Serves(11) -]55 44e-41-4 ❑yes•Kno Air Handler in conditioned space? 1 , )[yes❑no Air Handler present during test? /l ' " /�� I �-I�v L 1/ If"yes"for either,then maximum CFM is 75 CFM 0a 50 Pa or --.1_- floor area x 0.06 CFM a 50 Pa,whichever is greater. ✓�G G �� If"no"for both,then maximum CFM is 50 CFM a 50 Pa or f (� floor area x 0.04 = CFM a 50 Pa,whichever is greater. p f f R Test Method: ❑Leakage to Outside or `$Total Leakage Test Result (0F5 CFM@50Pa Fan Pressure�_Pa Gauge type: ❑ DG-3 or KDG-700 n Ring(circle one) Open 2� 3 (/l Duct Blaster Location t Pressure Tap Location UA e I e � L f wi89 9 0AUSIA O Aaanv-o - V uao�•�Gane•nnnVVAnnn Name Parcel# aa, BLD# 2r0 1 1 — O'D I I 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'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction, installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. W InnNON . To Calculate Irnpertrious;Sutfaces Please Complete This.Table _ Surface Type Length X Width = Area *All dimensions in feet Buildings X = X Measurements for buildings are taken at the X _ perimeter of the farthest projections(example: eaves/gutters) X = Driveways X C� 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 above table X = Others X = ti i x ' .., =� . X = If,the Total rimpei vious area'of the_proposed site : X development is greater than 2000 squarefeet a,,"" t; 1 Small arcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) z4 If the Total Impervious Surface Area is LESS THAN 2000 Square F ,please read, cknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required f r this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop ork order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal repres ntative,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)D e: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, pie se read,acknowledge and sign the information provided on page 2 of 2. Page I of 2 I - 01 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: httpHwww.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 Stormivater Site Plan on the pages that begin with"Handout" P A IN IAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE Fin elevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. ternative 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/d ra infield 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 /G /Y.-� �_ Owner/Agent/Contractor(circle one)Date: / l� Page 2 of 2 R 2011 PTCSTM Duct Sealing Certificate & Sealing Form << Instructions: All sections must be filled out by a PTCS-certified technician at the time of installation. A copy of the completed form must be promptly submitted to the utility and homeowner in accordance with utility policy. Please enter online at www.ptesnw.com or fax to Ecos IQ at 877-848-4074, Questions?Call 800-941-3867, Technician Certification Number Installati Company Electric Utility PTCS - 1 �v Name Company Customer Name Street Address � ` v Vv� Site Address 2 City State Zip Code Phone Number (Unit#/Mailing Address) V"S& I cztlsl'Zuds-"o1 Site Built(Existing) Gr Site Built(New Construction) Manufactured Home ❑Y ❑N Year Built, ❑Y ❑ N Energy Star Home? Sections 131 ©2 133 Energy Star Home? [3 Y El N Foundation Type: ❑ Barf Fu ement ©Basement [3 Crawl [3 Slab Super Gnod Cents? ❑Y 0 N Heated What type of heating system ❑ Electric ❑ Heat ❑ Gas Area was installed at this site? Forced Alr Pump Furnace Other (sq ft) Are at least 50%of the if the majority of the duds era 1n can&horred #of supply #of returns ducts in Unoonditioned spars? [I N space,the home does not quarrfy forPTCS registers: Dud Seating, House pressurization Test-Required for Existing Homes with Existing Ducts and Manufactured Homes Energy Cons s a Test-Pnly? Y Blower Door House Pressurized to: ❑RetroTec ervatory Is thi [3Equipment Type [] N ;50Pa CFM50 other Duct Leakage Test (DB)=Duct Blaster A)=Blower Door Leakage to Outside Test ONLY New Construction Existing Home New Duets Existing Home Existing Manufactured Home Ducts Pre Ring Open 1 2 3 Open 1 2 3 (Circle One) H M L H M L Duct Blaster Fan Pressure Pa Pa E a Pre Duct DB CpM @ o Pe 8D(gi+50 Pa DO CFM @ 0 Pa BD a+50 Pa Blaster CFM CFM CFM Post Ring Open 1 2 3 Open 1 2 3 Open 1 2 3 Open 1 2 3 (Circle one) H M L H M L H M L H M L 'ag Duct Blaster ~ Fan Pressure q ` L ` Pa Pa Pa Pe a Post Duct Flow Flow DO CFM @ 0 Pa BD @+50 Pa DB CFM @ 0 Pa ab @+50 Pa Blaster CFM 0-50pa G5l1Pa CFM CFM Pre-Conditlon Leakage: Pre-conditlon(check one) ❑>250 CFM or 0 Single wide>100 CFM in>15%of floor area ❑Double wide>150 CFM Ms%with AH (Whichever is Less) p Triple wide>225 CFM Compliance Path p 10% (Check One) ❑4%no AH Reduction 50%Reduction O 50%Reduction Was furnace to plenum ❑10%of Sq.Ft connection sealed? 0 Yes ❑ No Duct Blaster ❑ Return Grille ❑ Return Grille U Return Grille 0 Return Grille Location ❑ Other ❑ Other 0 Other 0 Other Pressure Tap Location(supply Register) Page 1 of 2 Form continued on next page M 2011 PTCSTm Duct Sealing Certificate &Sealing Form A CAZ test is required if there are any non-sealed combustion appliances In the home. Are there any combustion d Yes Combustion 0 Fireplace or Q Gas o Gas Water 13 Other. appliances in the house? ❑NC Appliance Type: Woodstove Furnace Heater Baseline Pressure with reference to outside Weather conditions 0 Calm (all exhaust devices and air handler OFF) Pa on day of test: ❑Windy With air handler ON,record gauge readings below Internal Doors Open Internal Doors Closed Tone Description Reeding Net Reading Net Zone 1 Pa Pa Pa Pa Zone 2 Pa Pa Pa Pa Zone 3 Pa Pa Pa Pa Net Depressurization Exampfe AEr Handler OFF Alr Handler ON Net"equals how much the pressure goes down when the Baeeune Reading 3 Pa 2 , o s z -a Pa o Readlnfl air handler is turned ON(compared to baseline). Net DWeesumadon is.4 Pa For systems to qualify,the air handler must cause no more than a-3 Pa net depressurization In Yes No any zone.Does this system qualify?(check one) E3 0 Is there a UL-approved and functioning A Carbon Monoxide(Co)detector Installed in the home is required in all oases when a sealed or non- CO detector installed in the home? sealed combustion appliance Is located In a conditioned space or attached structure,i.e.garage. [I Yes C)No RECOMMENDED CO detector specifications' UL 20341CSA 6.18-D1;digital display;peak CO memory and recall. Notes—Attach additional sheets if necessary PTCS"a Certification of Compliance— To be completed by technician at the time of installation As a certified PTCSTM Duct Sealing Technician, I certify the Duct Sealing at this site and related equipment is in accordance with the standards set for the Performance Tested Comfort Systems(PTCSTm)program. PTCSTM Certified Technician Name(Print) PTC ertified TochRan Signature(Required) � k -y`11 f-12� ?-uik" Completed Date PTCSym Cer[liled Technician Phone Number Customer Name Customer Signature Page 2 of 2 Request to Revise An Approved Plan Permit Number: BLD200 I/ - i,.Y; Name lzeln.7_e,7-1, Parcel Number 2.�- 310 - -47-0 - OZZ 3X Phone Number daytime (2 3 ) 31,7 —4!��/16 Project Addresr L/? X14�/lsroti L-�r/ze Mailing Address Please provide a complete, detailed description of the proposed revisions to the approved plans: g el nsZ, 7 Are two sets of the revised plans or addendum indicating the changes included? Yes ❑ No Are the approved site plans included? ❑ Yes ,Z"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? " .1e'Yes ❑ No If Yes, Has the engineer or architect approved this revision? ' P-Tes ❑ No Is a stamped and signed approval included with this request? 1P1*1yes ❑ 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? ,R<Yes ❑ No If Yes, Is a revised site plan, with all new setback dimensions included with this request? , -Er Yes ❑ No Additional Information: A { Applicant's signature Date: 4�,/a31/ Office Use Only Received by: Date Sent Assigned To Approved By Date � Original Valuation: $ kH. L t� �lL L/SOP Additional Valuation:I_ Sq.Ft x$DVVU D L,KC.., Sq.Ft x��4�k5 �. rt)al New Valuation $ �EUYl O [ 10 KAUonal Fees: Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/CV Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ c-r Additional E.H.Dept $ Other $ 426 W CEVAK - Total Amount Due: $ Amount To Be Paid Up-Front$ MASON COUNTY PERMIT NO. 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 ItJFORMAT ON CONTRACTOR INFORMTION 0wner1 G/e-4 � /z6!2fz ,�//�� Company Name Mailing Address -�-2 E ! L Mailing Address D e d City1— Stated Zip Code City rFile State &IIE Zip Code XZW Phone a '1 Z Other Ph. S' 7:>>" "(I% Phone :25'3 —9a6'le 334) Other Ph. Lien/Title Holder Contractor Reg. # Exp. Email address !Ct►. P t, O tt cS 11. e.r" E Mail Address t /"Pa i Drivers Lic.# G-jE v,r 1<tjl2 4 t6013 e`r-/' `` Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well 9 Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No 57) ' 2 473 a Fire District Legal Description Site Address (Please include street name, street number and�city) T v Directl*ons to site 1. >✓i v 2r. 1 r✓ T I'Z,,J 1 1; L L 1u;.� '� p i I } r'r Will timber be cut and sold in arcel preparation?YA/ ,Is property within 200'of Saltwater y OLakeRiver/Creek >11 l� PondWetland _1 Q Seasonal Runoff StreSlopes or Bluffs > 15% No Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes ) TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL Use of Building h P m Z Describe Work No. of Bedrooms _No. of Bathrooms A Square Footage- 1 st Floor{ Z 4 k 07 2nd Floo 3rd Floor Basement Deck Covered Deck �/OU G44eriitA�`2,- h � Garage Attached 0s 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. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. l X Date: r1�/ Owner/Owners Representative/Contractor (indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department -zftjjj JAI( I — (,o 11 Planning Department , Environmental Health Department Public Works Department JhAP 241iio_=42� Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing & Base Fee Planninq Review Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES r MASON COUNTY PERMIT NO. �' 20 11' nn I I (.) PLUMBING/MECHANICAL 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 INFORMATIOpN, CONTRACTOR I OR ATIO Ownerkpii L ese, W If,-ed Company Name Mailing Addres z' _ Mailin A dress o 19f '/-I'- F City F4h� State(,,,A Zip Code City -State Zip Code s Phone Other Ph. Phone � ` ' '� Oth r Ph. Lien/Title Holder Contractor Reg. 4864 LZT if V_Exp. E mail address E Mail AddressrewllT z l!jrS 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. 77 Fire District Legal Description Site Address (Please include street na street number an city) L' v Directions to site h. Is property within 200'of Saltwater Lake N n River/Creek Pond Wetland IL Seasonal Runoffi Stream ^.f fl Slopes or Bluffs > 15% 14 TYPE OF JOB - New Add AV Repair Other Use of Building d 2n Location of Fixtures/Units - 1 st Floor d Floor Basement Garage / Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:Electric,-Y,. LPC— Natural Gas Heat Pump., Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace �— Bath Tubs Heatpumps / Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kithen Sinks Wood/Gas/Pellet Stove Dishwasher �— Kitchen Exhaust Hood Hosebibs Dryer Vent / Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of such is by signature below.I declare that I am the owner,owners legal representative,or 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 /zl _ Date: A—A Owner/Owners Representative/Contractor (indicate which one) �, I FOR OFFICIAL USE BEYON T IS POINT Accepted b planning Pd Ck# Date t 2 Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Occ Group-Type 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 Violation Fee TOTAL FEES MASON COUNTY Mason County Permit ^^Center //Use: DEPARTMENT OF COMMUNITY DEVELOPMENT DDR 20 411 N. Fifth Street/P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 Date Rcvd Request for Administrative Variance for Reduction in the Required Setbacks ($115.00) For administrative review, the minimum variance on a setback request 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: se- Mailing Address: /V!F HAIVzu Lla'lc=e ID City: /L I'AA I 46A — State:Zip: 9 Telephone: 027 56-6o4_!2 3 cA d- 1`3 ) 30 7-00 Email: :;el- If this reduction is tied to a building permit, please give permit case number. BLD Q_0 l I - Or) I I C) --y� Parcel Number(s): a a330 -� SO-- LX��jdU Zoning K' S Site Address: ��l U h 4 -be, - Requested setback variance: ft. ❑ Front ❑ Rear ❑ Side 5 / ft ❑ Front ❑ Rear Side CD4 " ft. ❑ Front ❑ Rear ❑ Side ft ❑ Front ❑ Rear ❑ Side Front Setbacks-From access easements and road right of ways. Minimum 10 feet. Rear Setbacks-From the rear property line. Minimum 10 feet. Side Setbacks-From the side property line. Minimum 5 feet except for certain shoreline designations. 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. IACommunity DevelopmentTACNARIANCES\Admin Variance.doc Edited on 7/ FRONT AND OR REAR YARD REDUCTION REQUESTS: For existing lots of record as of March 5, 2002; You must meet one of the following: 2) One of the following exists on the lot (check all that apply): ❑ a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-fourth acre; ❑ -sting improvements of buildings, septic systems, and well areas. SI E YA REDUCTION REQUESTS: Fo mg lots of record as of March 5, 2002; You must meet one of the following: 2) On of the following exists on the lot(check all that apply): a) steep slopes, wetlands, or streams present; ❑ b) soils that restrict building or septic development; ❑ c) lot width at the front yard line of no more than 50 feet; ❑ d) lot size of no more than one-half acre; �e) existing 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. 'buE t,0 %Nb ge, c nd� I uA C_VU I 75 LO I d 4+\_ o -I- W6 u 1 d Lam. re bl�J O ner/Agent(please indicate 1� = Signature Date Official Use Only Approved by: Date Denied by. Date Reason for denial: IACommun4 Development\PAC\VARIANCES\Admin Variance.doc Edited on 7/