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HomeMy WebLinkAboutBLD2011-00124 Final SFR - BLD Permit / Conditions - 12/28/2011 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 too RESIDENTIAL BUILDING PERMIT BLD2011-00124 OWNER: JIM WALKER RECEIVED: 2/17/2011 CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*981BT EXP:2/10/2012 ISSUED: 3/9/2011 SITE ADDRESS: 931 NE COLLINS LAKE DR TAHUYA EXPIRES: 9/9/2011 PARCEL NUMBER: 223315000030 LEGAL DESCRIPTION: COLLINS LAKE#1 TR 30 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 COLLINS LAKE DR TO SITE ADDRESS ON THE LEFT SIDE General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No.of Stories: 2 Occ. Load: Building:2,281 Garage-Attached 528 Valuation: Building Height: 30 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 84.0 Ft. Shoreline: 104.0 Ft. Water Body: COLLINS LAKE Rear: S 104.0 Ft. Slope: Ft. SEPA?: Unkn Model: Width: Ft. Side 1: E 6.0 Ft. Shoreline Desig.: trim Year: Serial No.: Side 2: W 6.0 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 2/17/2011 $1,195.58 S12011000 Hosebibs 2 Furnace<100K 1 Plan Check Fee GMM 2/17/2011 $1,195.58 S12011000 Kitchen Sink 1 Ventilation Fan 4 Plan Check Fee GMM 2/17/2011 $1,195.58 S12011000 Lavatories 5 Heat Pump 1 Planning Review Fee GMM 2/17/2011 $205.00 S12011000 Showers 1 Dryer Vent 1 Planning Review Fee GMM 2/17/2011 $205.00 S12011000 Water Closets (Toilets) 3 Planning Review Fee GMM 2/17/2011 $205.00 S12011000 Water Heaters 1 EH Plan Review SJC 2/17/2011 $103.00 572011b00 Bath Tubs 2 Water Adequacy Plan Review SJC 2/17/2011 $103.00 S72011000 Clothes Washer 1 Building State Fee LDK 3/7/2011 $4.50 S12011000 Building Permit Fee LDK 3/7/2011 $1,839.35 S12011000 Mechanical Permit Fee LDK 3/7/2011 $94.70 S12011000 Mechanical Base Fee LDK 3/7/2011 $28.50 S12011000 Plumbing Permit Fee LDK 3/7/2011 $136.70 S12011000 Plumbing Base Fee LDK 3/7/2011 $24.70 S12011bob Total $6,536.19 BLD2011-00124 Please referto the following pages for conditions of this permit. 1 of 6 CASE NOTES FOR BLD2011-00124 CONDITIONS FOR BLD20 1 1-00 1 24 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 Department prior to any further inspections being performed or approvals granted. X d 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 o proved 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 epartment prior 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 the following credit from Table 9-1 shall be completed: 1A& 5A X[A BLD2011-00124 Please referto the following pages for conditions of this permit. 2 of 6 � I 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 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 WSEC 505. X 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 acknowledging 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 ifUrinfield/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 foundation drains within 30ft, down gradient of drainfield/reserve area. X BLD2011-00124 Please referto the following pages for conditionsof 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 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 roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 1 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 chargjd end shall be collected by the Building Department prior to any further inspections being performed or approvals granted. X A 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 revocation. X n_✓ 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 17) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X 1 18) 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. 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 be made prior to requesting additional inspections. X 6� BLD2011-00124 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 W" 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 ordinances and building regulations. X Ir 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 ha a prevented action from being taken. No more than one extension may be granted. X 23� 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 attached to the approved building plans. X 24) 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. x 1 25) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connector, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X y�.J 26) 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. X 142 27) 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 1N 28) 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 Ian"to ensure these structures are shown and meet the setback conditions listed. X BLD2011-00124 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 1-800-647-0982. 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 per dimensions and setbacks on submitted site plan (100 feet from edge of lake). Setbacks are measured from the furthest projection of the structure. X 31) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. 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 created by construction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). XJ I 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 reviewo1,annd inspection. OWNER OR AGENT:v DATE: 3 l BLD2011-00124 Please referto the following pages for conditions of this permit. 6 of 6 4W o . ' CONCRETE MECHANICAL MANUFACTURED HOME eD Date / Footings I Setbacks / 1 By73 R 6bons Gas Piping o Intbrior Date By Interior-Date By Date By M Exteror Date ? -� BY Exterior-Date By Sot-up --------•-____ _ C_ Point Load I Isolated Footings INSULATION Date By BG I SLAB INSULATION —......_._.._.___....-._ ..... _ Date By Data By FIRE DEPARTMENT Foundation Walls Floors Date By Date 7- By Data By DECKS FRAMIN C.�,r_e Walls n Date By Datr p ,L.�_�� ey Data /©. / By /` PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Type- Data By Date By Date By D.w.` DRYWALL Type. Date ��'�� B Int Brace Wales Date By W Y Date // -3 f� By FINAL INSPECTION 0 w Water Line Fire Separation NC I6 Date By Date By Date 2 By I _a m 1, Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments N fD _ i ST /�/G i 0 cn 0 N - -L ° D70 � CD w /3F - C,OT/3 b v +OAW? JOW 716y, AV,sc'L .d�.f oL 74 c i p,� �/� vc.��� C✓i9LGS /f ti v Tlvn/ jQ.s�S `d- _ Cerro e o n,0t-,q.WW _tv O ' J Building Permit # /A MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location q,3f Ccr-cllys, This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been ,,,Aound: Items Listed below must be corrected to gain code compliance � �� /S ea C 'IV EL !1 Jo 044- `f C f C-c- % / O� A l�Yy J anf p You are hereby notified that the above corrections sha made BEFORE PROCEEDING WITH ANY FURTHER WOR itb I I I -� ❑ Call for re-inspection when corrections are made before continuing ❑ Make coFrections, i ems will be checked on next inspectionee- ❑ This is t a co ete inspection CaD S � Department Date* Inspector , moos NOT THI Building-Permit # i l- ad/Zf� MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 4:/Y77W1,C�— (360) 427-9670 --eS'T.14-C L- H6-11?,17/C.,51 ,,A—�' C C--�S CORRECTION NOTICE Job Location 9' 1) C��L t�`1 G"�/ L01 This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been und: Items Listed below must be corrected to gain code compliance � � /�G— �9sT13./� y✓rS�L / L N 0- v w c.� Gas � c.. .✓�- �- /� C i✓ I n/. GL cS �+% r�i Ld - G „tlG- • .S I.+i��� l vs� �� s ivG- L Lv , � C c®ems T hv c c. /'r✓�S'T �L /� i�✓� PdKe- oy4 iNSc ­uare hereby notified that the above corrections shall be made 0-11 6FOAtAiROCEEDING WITH ANY FURTHER WORK c=/,07 c-/r',� 4�/ L. /-�/�!O/� Td ZY Call for re-inspection when corrections are made before continuing 'Sf Make corrections, items will be checked on next inspection 1✓�4c,c ,BvT B 45v/y� T+�,B,� o QK'to ,(,e This is not a complete inspection Department Date Inspector /040 w NnT V THI T, � '� ►..,.,, lv Fr'G 6 01cam pL�g i✓S /t A-1 e Building'Permit # I�. MASON COUNTY BUILDING 111 426 W. CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location G7. 3 / C-e5!7-C This structure has been inspected by Mason County Building Department and the following VIOLATION of County Laws and Ordinances has been Aound: Items Listed below must be corrected to gain code compliance d— ��_� s/TAG - � -vtA C1_ 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 M OK to ❑ This is not a complete inspection Department ,,1� C--,4::�? Date �� Inspector ■ i0k 0 NOT Mo *V THI Tm Permit#, &z- 2-cf MASON COUNTY BUILDING /II 426 W, CEDAR SHELTON, WASHINGTON 98584 (360) 427-9670 CORRECTION NOTICE Job Location W/ /� L� 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 GC� 7 � 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 � �/ �� 7/s' ��� a damage incurred by recent OK to /' ��l �/ ,�'C= / fir' / � "natural/man made" This is not a complete inspection " / C� /� ! - disasters.This is NOTa /�7R� j9!; CORRECTION NOTICE. Date I� - 2- ,/ // Department � � Inspector /ge) I ■ ��� Nil1 ,1E t o4 THI qx T , -� qff WATER CO� C'g uawzom � RECEIVED 4I'I'AT M—31 NOTES FEB 17 2011 D,Q/' / 1. AVOID 111STALLING M-31 UNITS WHERE THE INFILTRATIVE AREA GOES THROUGH 426 W. CEDAR .�T v� OLD GROWD-1 STUMPS OR OTHER LARGE TREES. IF TREES ARE MARKED ON THE SITE PLAN, DO NOT USE THEM AS BENCHMARKS. INSTALLER IS RESPONSIBLE TO AVOID INSTALLING DRAINFIELD LATERALS THROUGH LARGE TREES OR LARGE STUMPS. +30'+- STUMPS MAY BE CUT OR GROUND DOWN BELOW FINAL GRADE FOR AESTHETIC INSURE THAT WATERLINE CONSIDERATIONS. SEC44P GROWTH STUMPS THAT ARE PARTIALLY DECAYED OR IS AT LEAST 70' AWAY ROTTEN, HAVING BEEN ;IN THE GROUND FOR A NUMBER OF YEARS, MAY BE FROM SEPTIC COMPONENTS REMOVED A THE INSTALLER'S DISCRETION. CALL THE DESIGNER IF THERE IS A 1 , RESER �'`• CONCERN A3OUT DAMAGING THE DRAINFIELD AREA. - - MOVE DRIVEWAY SLIGHTLY TO THE 2. ALL POTABLE WATER LINES MUST BE AT LEAST TEN FEET AWAY FROM SEPTIC 10 '-7" Easy As SHOWN. COMPONENTS OR BE SLEEVED IN ACCORDANCE WITH ALL APPLICABLE REGULATIONS D MATERIAL TO EDGE of Cur ro 3. LOCATION OF SEPTIC TANK OR PUMP TANK MAY CHANGE DEPENDING UPON PLANNING : �I A I�.I I�1 I I�I/� . LESSEN SLOPE AND THEN PLANT AESTHETIC -ONSIDERATIONS, DECKS, ENTRANCES, ETC., AND SUBJECT TO ALL i- L.r1' !� f �J I V ll 125 6" HEALTH DISTRICT REGULATIONS ALL SETBACKS ARE MEASURED 3Ln4. DO NOT ENCROACH UPON OR DISTURB DRAINFIELD AREAS DURING CONSTRUCTION FROM THE FURTHEST PHASE 5. LAYOUT OF M-31 UNITS MAY VARY SOMEWHAT DURING CONSTRUCTION PHASE. PROJECTION OF THE BUILDING THE ANGLE OF M-31 UNITS MAY CHANGE WHEN THE LOT IS CLEARED AND FINAL +• :................. TOPOGR4PHICAL FEATURES ARE EXPOSED. _ 6. ALL NEW IRRIGATION LINES MUST HAVE DOUBLE CHECK BACK FLOW PREVENTORS N '"'-•"'."""" ... ' '""... 7. ALL RISERED LIDS MUST REMAIN AT SURFACE AT FINAL GRADE �` N S. DO NOT USE SOIL LOGS AS A BENCHMARK- SOIL LOGS SIMPLY DEFINE SOIL r PROFILES WAGIA 9. ALL OTHER CONSTRUCTION NOTES ARE A BINDING PART OF THIS DESIGN AND SHOULD BE READ CAREFULLY 10. ALL KNOWN WELLS THAT IMPACT THE SUBJECT PROPERTY ARE SHOWN TO THE BEST OF OUR KNOWLEDGE AND THE KNOWLEDGE OF THE SUBJECT PROPERTY OWNER 11. WHEN Ih'PERVIOUS SURFACE RUNOFF FROM HOUSE IS SHOWN IT IS 10'X25'. u HOWEVER T-IE SIZE AND LOCATION OF THE INFILTRATION AREA MAY CHANGE DURING THE ACTUAL DESIGN OF THE SYSTEM. WHAT IS SHOWN IS NOT THE DESIGN OF THE INFILTRATION) AREA, BUT ONLY A CONCEPT. INFILTRATION MAY NEED TO BE i ENGINEERED 5' 12. A NEW DESIGN MAY BE REQUIRED IF HOUSE FOOTPRINT AND DRAINFIELD FOOTPRINT ARE NOT COMPATIBLE, OR IF VERTICAL SEPARATION CANNOT BE �8A pu MAINTAINED. OR IF SOILS IN DRAINFIELD AREA ARE DISTURBED OR ENCROACHED c/o s' r_ UPON SLO E 13. IF THE M-31 UNITS ARE DOWNSLOPE OF THE PUMP TANK, THE INSTALLER MAY NEED TO INSTALL THE LATEST GLENDON MEASURES TO CONTROL OVERDOSING THE M-31 UNIT.''. REFER TO THE LATEST GLENDON INSTALLATION MANUAL. 14. ALL GTHER GLENDON CONSTRUCTION NOTES AND PRACTICES MUST BE ADHERED TO AS OUTLINED IN THE LATEST GLENDON INSTALLATION MANUAL. m -kz. APPROVED . GRAPHIC SCALE ��� Wes 104 A80N COUNTY DCD PLANNING tic SITE PLAN REQUIRED TO BE ON SITE 30 0 30 30 60 120 :N ='AP CHANG S SUBJET TO APPROVAL 1 DO' o 3Y Date D wC� o: s,00,az m l Eric Knopf ( IN FEET ) ::............................. LICENSED D SIGNER 1 inch = 30 ft. EXPIRES 10-14-06 BAR G A ABO IS 5" NGTH AD T ALE RDINGLY -30'+- L 60'+- i i SICSYS AS-BUILT _ INDIGO REVISIONS DATE: BY I LAKESHDRE DESIGN �� SCALE: P.O. BOX 163 TAX NO: 22331500003E POULSBO, WASHINGTON 98370 SHEET OF SHEETS �. 360-779-5233, 360-779-3528 FAX Request To Revise An Approved Plan Permit Number: BLD2001-- MIZ Name i Parcel Number ZZ,�� I - -(J Phone Number da-,time ( 2 ICI— Project Address Mailing Address Please providq a com lete, d tailed Oescription of the propos r visions to the approvedplans: Are two sets of the revised plans or addendum ' icati he hanges i uded? es ❑ No Are the approved site plans included? Yes ❑ No Are the revisions clearly and accurately i ntifie t plans or ddendum? ElYes ❑ No Does the plan contain an engineer's or ar i ct's la ral or ve 'cal analysis? ❑ Yes ❑ No If Yes, Has the engineer or architect ro d this r lsion? ❑ Yes ❑ No Is a stamped and signed approval includ d with t i request? ❑ Yes ❑ No (Note:No structural changes to a"desi ed" an " be roved ' out the written c sent of the engineer and/or architect of record. Does the proposed revision modify Vfoprint or ocation of the tructure? ❑ Yes ❑ No If Yes, Is a revised site aw etback dime ons included with this request? ❑ Yes ❑ No Additional Inf".ati Applicant s signature Date: O / / Office Use Only Received by: Date Sent Assigned To Approved By Date Original Valuation: $ Additional Valuation: $ Sq.Ft x$ $ P. `oitx'i Sq.Ft x$ $ E.H. Total New Valuation $ ' Additional Fees: ❑ P.W. Additional Planning Dept. $ Additional Plan Review $ Additional Conditions/Comments: Additional Building Permit $ Additional Plumbing $ Additional Mechanical $ Additional E.H.Dept $ ' t Other $ 426 W. C Total Amount Due: Amount To Be Paid Up-Fro $ DAILY FIELD REPORT E3RA PO Box 44840, Tacoma WA 98448 Phone: (253) 537-9400 FAX: 253-537-9401 ❑ 9802 29"Ave W #B102, Everett WA 98204 Phone: (425) 356-3372 FAX: 425-356-3374 PRQJE T NAME PROJECT NO. f � � FIELD REPORT NO. - , AD?'ti ES$ DATE / { PAGE OF CITY OR COUNTY -FERMITNO. A IVAL TIME DEPARTURE TIME CLIENT E3RAP,ROJECT MANAGER/PHONE NUMBER GE L CONTRACTOR 3 PRESENTATIV ONE NU R f / SUBCONTRACTOR EATHE �t i � I TYPE WORK PERFORMED 0 .�n T(/V�- s6,(45,4!!,�,1Z 4O11 " 15,) 4� /4-77 0/✓ EOUIPMENTLSED _ COMMENTS 6J Lc y cs' — RiS s=" PIT- �� ro <. seem _eoioylst '�• ne aum E3RA FIELD REPRESENTATIVE The contents of this field report were discussed with the contractor's on-site representative. ❑ E3RA PROJECT MANAGER A preliminary copy of this field report was left on site. All recommendations contained herein are subject to change pending review by the E3RA project manager. yj E3RA, Inc. male rrr 1 LO . . MASON COUNTY PERMIT N0.06 U 1 !• A BUILDING PERMIT APPLICATION All�� 426 W. Cedar- P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 - Belfair (360) 275-4467 - Elma (360) 482-5269 �I, _� On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INF R ATION Owner o1 i � /a ( r C-i W e� h Q 115� f°L Company Name a Mailin Address 2'& Mailing Address City State W-& Zip Code S City State Zip Code Phone Other Ph._1dj!j A50q Phone Other Ph. Contractor Reg. # Exp. E Mail Address ;e.# Drivers Lic.# DOB SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic Connect to Water System Name of Water System Well Water System Name of Water System PARCEL INFORMATION- 12 Digit Parcel No - Fire District Legal Description Site Address (Please include street name, street number and city) I( e Directions to site Will timber be cut and sold in parcel preparation?Yes/ o 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?Yes/No TYPE OF JOB Ne Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms No. of Bathrooms___5 Square Footage- 1 st Floor'LH I 2nd Floor 3rd Floor B nt Deck Covered Deck Other Sq.ft. Garage 5 9Z ttache Detached Carport Attached Detached M N�UFACTUR I RMATI -Make_ Mod Year Le W dth S rial N . of B rooms No of Ba oo�Ty He Purcha a rice$ Replace nit? 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 CO INIYATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X l Date- Owner/Owners Re resentative/Contractor (indicate which one FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 3thl, Planning Department Environmental Health Department Public Works Department f Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing& Base Fee PlanningReview Fee Mechanical & Base fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ TOTAL FEES MASON COUNTY PERMIT NO. jdzou-.0012q 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 INFORMATI N CONTRACTOR INFORMATION Owner i= A kL' /'Sit Company Name Mailin Addressa Mailing Address City tate VA Zip Code "3 ' s City Mate Zip Code Phone Other Ph. 4797 ZS-6 7 Phone Other Ph. Lien/Title Holder Contractor Reg. 4 Exp. E mail address✓ - -.-23 E Mail Address Drivers Lic.# KtJ S/ DOB Zi- Drivers Lic.# DOB tr/ SEPTIC IN - onnect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 Digit Parcel No. Fire District Legal Description Site Address (Please include street name, street number and city) nke AY Directions to site Is property within 200'of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% TYPE OF JOB - New V Add Alt Repair Other Use of Building Location of Fixtures/Units - 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UN1,T9 Type of Fixture No. of Fixtures Fees Fuel Type:Electric_ LPCz_ Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace I �Bath Tubs I CA11n.bo Heatpumps Showers Spot Vent Fan Water Heater Pik Clothes Washer Gas Out',s-- Kithen Sinks Dishwasher Kitchen Exhaust Hood �— Hosebibs ;7- 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 1 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 F CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X h�t_� _ ,_ Date: -1 -i/ Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYONPTFVS POINT Accepted by- Panning Pd Ck# Date . Bld Pd Receipt No. DEPARTM TAL REVIEW APPROVED DENIED NOTES Building De aft ent Occ G- ype Constr.-(�3 Z C� 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