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BLD2008-00671, BLD2008-00673 DDR2008-00110 Cancelled MFG Home, Cancelled Garage - BLD Permit / Conditions - 7/25/2008
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 lr Shelton, WA 98584 f,, RESIDENTIAL BUILDING PERMIT BLD2008-00671 OWNER: JEFFREY WAIBEL RECEIVED: 6/3/2008 CONTRACTOR: D B & R LICENSE: DBRIN**044JQ EXP: 4/10/2010 ISSUED: 7/1/2008 SITE ADDRESS: 1000 NE COLLINS LAKE DR TAHUYA EXPIRES: 1/1/2009 PARCEL NUMBER: 223315000050 LEGAL DESCRIPTION: COLLINS LAKE#1 TR 50 PROJECT DESCRIPTION: DIRECTIONS TO SITE: GARAGE Collins Lake Dr. to North Shore Dr. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ACC Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building: Garage-Detached 576 Valuation: Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: S 35.0 Ft. Shoreline: Ft. Water Body: NONE Rear: N 90.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 10.0 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 65.0 Ft. Comp. Plan Desig.: Inholdin Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type City. Type By Date Amount Receipt Plan Check Fee KS 6/3/2008 $154.21 S12008000 Planning Review Fee KS 6/3/2008 $190.00 S12008000 Address Fee BLF 6/5/2008 $162.00 S12008000 ADJUST--Plan Check Fee MAL 6/11/2008 $18.20 S12008000 Building State Fee MAL 6/11/2008 $4.50 S12008000 Building Permit Fee MAL 6/11/2008 $265.25 S12008000 EH Plan Review ADR 6/13/2008 $40.00 S12008000 Total $834.16 BLD2008-00671 Please referto the following pages for conditions of this permit. 1 of 4 CASE NOTES FOR BLD2008-00671 CONDITIONS FOR BLD2008-00671 1) 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 800-647�-0 W2. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 2) 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 roa onnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) 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 nor to any further inspections being performed or approvals granted. X P9`f 4) Own 1 �q�nt is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. 5) 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 removJa proved documents will result in failure of required building inspections. X C � 6) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use permit sh4 b a plied for, reviewed and approved prior to the change. X 7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X ;91_ ( 8) 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 Buildin m1r, ment prior to any further inspections being performed or approvals granted. X BLD2008-00671 Please referto the following pages for conditions of this permit. 2 of 4 9) Per 2003 IRC -SECTION 1609-WIND LOADS - 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WIND SPEED (3-SECOND GUST) the wind speed for Mason County is 85 MPH, X M_ 10) Per IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS- R905.1 Roof covering application. Roof coverings shall be applied in accordanco,with the applicable provisions of this section and the manufacturer's installation instructions. 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/contract c nowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X�'�I J� 12) The use, handling and storage of haz rrdgus materials or flammable and combustible liquids in excess of 10 gallons is not allowed without the approval of the Mason County Fire Marshal. X Q K 13) This structure is limited to U-occupancy use only (private garages, carports, sheds, and agricultural buildings.) Any other use will be in violation of the internatiopal codes and Mason County Regulations unless a "Change of Use" permit is applied for, reviewed and approved. X 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 rev cabon. X 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 proje�� X 16) Placement Mine must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X BLD2008-00671 Please referto the following pages for conditions of this permit. 3 of 4 17) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance I tion, must be reviewed and approved by Mason County prior to construction. X 18) 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 shaj.be made prior to requesting additional inspections. X I 19) All property lines shall be clearly identified at the time of foundation inspection. X cy Fjly 20) 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 n ordinances and building regulations. X 21) 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 h ( ented action from being taken. No more than one extension may be granted. X 22) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connecto al r ;�h flashing. Install metal connectors approved for contact with the new types of pressure treated material. X yJ�7 23) Retaining walls needed to support a surcharg c a structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 24) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approv PI in"to ensure these structures are shown and meet the setback conditions listed. 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 pro spection.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 pr erty an truct i w and inspection. Lf_� r.6 OWNER OR AGENT: DATE: BLD2008-00671 Please referto the following pages for conditions of this permit. 4 of 4 7/1/2008 10:46AM Fees Associated With t Case#: BILD2008-00673 ............................:...:.:.::::::.:::::::::>:..... . . ::.:::::... ..... .... ........................ ......:.. ............................... ........................... . ......................................................... >> <:::>: .....................................:::.:::::::.. .....:::::::::.:. . . ,.; a tunas:................ ........ __ l err ueric ai �x..... ................................bat�...'a#... . F,e�e Pad :>;>:.>::>::::: `........... ::: : 1!.:::::.:.:::::.::::::::::.:::..... ._ ::::::.:::::::::::.:::::::::::::::::::::::::::::::. :::::::.::::::...:. ..::..:::::::. ..................................................... MHSF Mobile Home Submittal Fee 001.125.140.322.10.00.0000 6/3/2008 KS 247.00 247.00 0.00 Mobile Home Submittal Fee 001.125.140.322.10.00.0000 6/3/2008 KS 0.00 0.00 UML Mobile Home Issuance Fee 001.125.140.322.10.00.0000 6/11/2008 MAL 247.00 0.00 247.00 EHPR EH Plan Review 150.300.000.346.50.54.0000 7/1/2008 TW 100.00 0.00 100.00 WAR Water Adequacy Plan Review 150.300.000.346.50.54.0000 7/1/2008 TW 40.00 0.00 40.00 Total Fees:$634.00 Paid:$247.00 TOTAL REMAINING DUE: $387.00 Page 1 of 1 CaseFees.rpt o CONCRETE MECHANICAL. MANUFACTURED HOME By 03 0 Footings/Setbacks Gms Piping Ribbons m o interror Date By Interior-Dow By date By r Exterior Data By Exterior-Datr, BY Setup 1T1 Point load!isolated Footings INSULATION Date sty BG 1 SLAB INSULATION .�-- - Date By Date By FIRE DEPARTMENT m Foundation Wails Floors Date By Date By Dails By DECKS FRAMING Wails Date By Date By D W By PROPANE TANKS PLUMBING vault Date By Dale By OTHER Groundwot* Attic Date By Typo Date By ...._. R_ .,.. •. Data By ow.v DRYWALL Type Int.Brace Wall Data By W Date By oats By FINAL INSPECTION 0 v Water Line Fire Separation C �c Date By data By Datu By O m 00 `° Pass or Request Inspect. CD s Type of Insp. Fail Date Date Done By ` Comments a a 0 v CD i? CD J _a O J cn O S rn lD O 12/3/2008 Case Activity Listing 4:06:46PM Case #: BLD2008-00671 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By 13LDA010 Application Received 6/3/2008 6/3/2008 None DONE KS 6/3/2008 KS BLDB110 Building Plan Review 6/3/2008 6/11/2008 None DONE MAL 6/11/2008 MAL Review complete and sent to case manager,MAL 6/11/2008 BLDB200 Environmental Health Review 6/3/2008 6/13/2008 None DONE ADR 6/13/2008 ADR Plot plans match BLDB130 Planning Review 6/3/2008 6/18/2008 None DONE JMS JMS 6/18/2008 JMS Site Preinspection done by AllenBorden on 3/6/2007(see SPI2007-00042).No critical areas,no apparent issues with setbacks from wetlands,streams.Required building setbacks met(see DRR2008-00 1 1 0). BLDA100 Approved for Issuance 6/20/2008 None DONE CMH 6/20/2008 CMH BLDA200 HOLD 6/20/2008 7/l/2008 Bold DONE KS 7/1/2008 KS Applicant must show proof of approved RAP prior to issuing. BLDA200 HOLD 6/20/2008 7/1/2008 Hold DONE KS 7/1/2008 KS Please have applicant sign DDR prior to issuance-then attach copy to approved permit. BLDA500 Issue Building Permit 7/1/2008 None DONE KS 7/1/2008 KS BLDA540 Print Inspection Card 7/l/2008 None DONE KS 7/1/2008 KS BLDA560 Permit Cancelled 7/25/2008 None DONE CMH 7/25/2008 CMH written request fro ctor. Contractor will be returning approved plans. Page I of I CaseActivity..rpt Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Top ic Index Contact Info :. ''" Search Harne Safety ' Claims€t Insurance Workplace Rights ades LicnrrMnp. Find a Law or Rule Get a Form or Publication ......._..... ........._..............................._........... Look Up a Contractor, Electrician or Plumber Printer Friendly Version :General/Specialty Contractor A business registered as a construction contractor with LF 1 to perform construction work within the scope :of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License DBRIN*'044JQ Licensee Name D B Et R INC Licensee Type CONSTRUCTION CONTRACTOR 601692387 Verify Workers Comp Premium UBI Status Ind. Ins. Account Id Business Type CORPORATION Address 1 316 JACKSON ST Address 2 City CENTRALIA County LEWIS State WA Zip 98531 Phone 3602693877 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/18/1996 Expiration Date 4/10/2010 Suspend Date Separation Date Parent Company Previous License Next License Associated License ::......................:............................................................................................. ....................................: https://fortress.wa.gov/1ni/bbip/Detai1.aspx?License=DBR1N**044JQ 7/1/2008 ll v s ©\\ �6 r 4 -0 kO l 1 OZA APPROVED MASON COUNTY DCD PLANNING SITE PL N REQUIRED TO \SItJ 0 APPROVA a .� — Date �� 8A /r ? Mason County Planning Intake Checklist Owners Name: 1 I Date: 60 3 Project: Reviewed By: Proposed *s) of ucture(s) Commercial Development: YES NO PLANNER: GBM TSW PBC RDH RE JMS Site Plan: North Arrow o Surve r uired in All n GA — ❑ AF# ❑ Monuments *Sroperty Dimensions: - - X treets and Driveways Shown. Road name: _ P 1'Yl ❑ A-H Existing Structures shown with setbacks and use R,'�Wfell Location, Septic and Drain-field Shown with setbacks identify all surface water^(s eams, ponds, shoreline, wetlands, natural or historic drainage, defined d ainage ditches) n�( v— opography(slopes) 17 D rlx Minimum Structure Setbacks (ADirp ctio Setback): ' . /./ F: __/ 3� R: 1V S1: ^��S2: 1/ (,05 i� tility and Drainage Easements No (if yes enter condition #5022) e' Other Easements , - 0---Accessory Appurtenances: Propane / Heatpump { WIDoes site plan show landings at all exits? 10 e--Variance applied for: Yes / No - parking spaces allotted? Yes / No rS i r e�County Access Permit Needed (add condition #0010) R. State 4cessZditi=n eed dd ondition #0020) � Standard to a adde to all Buildingpermits that planning reviews: #5019 and #0700 P P 9 Site Access: Are there any . npediments(dogs/gates) that my restrict access to your site? Is the site clearly marked? How? ❑ Address ❑ Name Zoning: ❑ Other: Comp. Plan: Rural Zoning: UGA Zoning: ❑ Rural ❑ RR 2.5 5 10 20 ❑ RT/RTC 0 R-1 ❑ R-5 ❑ HC ❑ BI 0 RAC ❑ RMF ❑ Unknown ❑ R-1P ❑ R-10 ❑ LTA ❑ VC ❑ .Allyn UGA ❑ RC 1 2 3 ❑ Agricultural ❑ R-1R ❑ PD ❑ FR ❑ T 0 Belfair UGA 0 RI V In-holding 0 R-2 ❑ PF ❑ MU ❑ MHP ❑ Shelton UGA ❑ RNR ❑ LTCFL ❑ R-3 ❑ POS ❑ GC ❑ BP ❑ Tribal ❑ GC-CI Critical Areas: (streams, ponds, shoreline, wetlands, steep slopes) Shoreline Designation: q-N/A ❑ Urban ❑ Rural ❑Conservancy ❑ Natural ❑ Unkown Water Body(ty e of water if unnamed): no n.1Q— SEPA: Yes N Unknown Flood Plain: Y NQ Unknown Map# Aquifer Recharge: YEStO Unknown Map# Tags/Cases: RLC/SPI Case X0 7- 00Q 6-Year Dev. Moratorium: Y Eagle Nest Tag: YES NO Other Revised: 02-07-2008 I:\PLANNING\PAC\PLANNING INTAKE - - ' MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 TWJ Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 Cin the web www.co.mason.wa.us APPLICANT INFORMATION '- % CONTRACTOR INFORMATION Owner Company Name MailingAddress Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg. # Exp. E mail address E Mail Address Drive Lic. # DOB Drivers Lic.# DOB SEPT /WATER SYSTEM INFORMATION - Connect to New Septic— Existing Septic Conne t to Water System Name of Water System '� Well 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) Directions to site Pa �irfF��►" it�r I`�k ct- /� 4/IG jOX %0 ;I ez) Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs > 15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building nescribe Work 7 -jp a C4/&4 r No. of Bedrooms No. of Bathrooms Square Footage 1st Floor 2nd Floor 3rd Floor Basement Deck— Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price$ Replacement Unit? Yes/ No Installer Name Certification No. OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or the contractor. I further declare that I am entitled to receive this permit and to do the work as proposed in the application. I declare that I have obtained the permission from all the necessary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf, represents that the informaticn provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date: Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED E IED NOTES Building Department W v 101 D r Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee Z EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee S/ Violation Fee 11;4Pre-Paid at Submittal ? Valuation $ Zl� TOTAL FEES 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 � � 2�N���� RESIDENTIAL BUILDING PERMIT BLD2008-00673 OWNER: JEFFREY WAIBEL RECEIVED: 6/3/2008 CONTRACTOR: D B & R INC LICENSE: DBRIN'`044JQ EXP: 4/10/2010 ISSUED: 7/1/2008 SITE ADDRESS: 1000 NE COLLINS LAKE DR TAHUYA EXPIRES: 1/1/2009 PARCEL NUMBER: 223315000050 LEGAL DESCRIPTION: COLLINS LAKE#1 TR 50 PROJECT DESCRIPTION: DIRECTIONS TO SITE: MANUFACTURED HOME Collins Lake Dr. to North Shore Dr. General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: VB Type of Use: MH Insp.Area: No.of Bathrooms: Occ. Group: R3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building: Valuation: Building Height: Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make:CMH Length: 52 Ft. Front: S 25.0 Ft. Shoreline: Ft. Water Body: NONE SEPA?: No Model:FIRESIDE Width: 27 Ft. Rear: N 1 Ft. Slope: Ft. Shoreline Desi Side 1: W 22.0.0 Ft. 9.: Not Applicable Year:2008 Serial No.: 3766-1413 1 Side 2: E 35.0 Ft. Comp. Plan Desig.: Inholdin Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Mobile Home Submittal Fee KS 6/3/2008 $247.00 S12008000 Mobile Home Issuance Fee MAL 6/11/2008 $247.00 S12008000 EH Plan Review TW 7/1/2008 $100.00 S12008000 Water Adequacy Plan Review TW 7/1/2008 $40.00 S12008000 Total $634.00 BLD2008-00673 Please referto the following pages for conditions of this permit. 1 of 7 CASE NOTES FOR BLD2008-00673 CONDITIONS FOR BLD2008-00673 1) 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 1-800-647-0 he person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X F 2) 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 r a nect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 3) 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 DepaMIT to any further inspections being performed or approvals granted. X 4) Owner/�s sponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 5) 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 remov roved documents will result in failure of required building inspections. X 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 7) 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 nt prior to any further inspections being performed or approvals granted. X BLD2008-00673 Please refer to the following pages for conditions of this permit. 2 of 7 ' 8)' Any retailer, manufacturer or contractor who installs a manufactured home warrants that the manufactured home is installed in accordance with the State Installation code, chapter 296-150M WAC. All installers hired to do installation work shall be certified manufactured home installers and shall be present ` to supervise the installation of all on-site work. An Installer Tag shall be posted on site giving the certification number and signature of the certified installer responsible for each major part of the installation. RCW43-63B.090 An approved Installer cerification tag shall be placed on the end of the manufactured home directly above or below the HUD certification tag or temporarily located in plain site within three of the home's front entry. There shall be one certification tag for each certified installer accounting for the work that each installer performed or' certification number and signature of the certified installer responsible for each major part of the installation. WAC365-210 X 9) If you are installing a manufacturing home and no longer have the installation manual for the home, you must use the instructions of the American National Standards Institute (ANSI). To order the ANSI instructions you may either get an order form from the Mason County Building Department or you can contact the Offfice of Manufacturing Housing (360) 725-2800. 10) Per 2003 IRC -SECTION 1609-WIND LOADS- 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609 BASIC WIN ED (3-SECOND GUST) the wind speed for Mason County is 85 MPH. X - 11) Per IRC-SECTION R905- REQUIREMENTS FOR ROOF COVERINGS- R905.1 Roof covering application. Roof coverings shall be applied in accordance v e applicable provisions of this section and the manufacturer's installation instructions. X cJ� 12) 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 isowledging that all components of the stormwater management system have been installed as approved on the stormwater site plan. X %r( t G� 13) 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 re cA n 14) Lake Cushman area is designated with a 551b snow load rating. The owner/agent of this permit acknowledges that if the unit permitted under this permit does not me r commended snow load rating, there is a potential for failure due to weight accumulation beyond that of the design criteria. X BLD2008-00673 Please referto the following pages for conditions of this permit. 3 of 7 ' 15) REQUIRED INSPECTIONS (Footing Inspection-prior to pour, Set-up Inspection-prior to skirting, Final Inspection-prior to occupancy). I hereby assume all responsibility for the scheduling of my required inspections. If the required inspections are not requested, inspected and signed off(approved) by the ` inspector in the prescribed order, I understand that reinspection fees and an hourly investigation fee pursuant to the current fees adopted by the Mason County Building Dept., and will be assessed in addition to my original permit fees to resolve any questionable practices or problems that have been discovered. I further understand that this investigation will be scheduled as time allows. Until resolution of any/all problems no occupancy(Final Inspection)will be granted for the residence. OWNER/CONTRACTOR(indicate which) Signature X_@�q' 16) This permit is being issued to the applicant to allow the moving of this mobile home onto his/her private property to perform the necessary corrections to this unit to bring it into compliance with HUD Standards, and get the unit recertified by the State of Washington Department of Labor and Industries. This unit is not to be occupied. No utilities are to be connected. No permanent set up is to begin. This permit is valid for sixty(60)days only. No extensions will be granted. Any violation of the conditions of this permit or the denial of a permanent installation permit will result in the determination that the unit must be removeo� he property at the expense of the owner. X �j 17) This permit is for th c ment and installation of the manufactured home only and does not imply approval or review for any other items indidcated on the plot plan. X BLD2008-00673 Please referto the following pages for conditions of this permit. 4 of 7 18) Permanent Address must be posted and visible from the road Deck must be safe and meet code for year building permit was issued. Rebuilt decks are required to meet current code. All guardrails and handrails must be in good condition and meet code for year built or current code if replaced. Skirting must be vented 1:150 and backfill sloped away from unit 2% for a minimum of 5' around the perimeter of the unit Gutters and downspouts must be installed with splash blocks provided All exterior penetrations must be sealed HWT Pressure relief line and dryer vent must exit skirting a minimum of 6"with a maximum of 24" above grade. The unit shall have a minimum of 16"x24" crawl space access provided HOWEVER, if the unit has not received a set up inspection and is skirted, 4 panels centrally located (one on each side of unit) shall be removed by the owner/applicant prior to requesting the inspection. All conditions on the original or issued permit must be met If the unit was installed by a WAINS certified installer/contractor since July 1, 2003, CTED Installer Tags must be available It shall be the responsibility of the person requesting the inspection to provide the manufacturer specifications, ANSI Standards or approved engineered design for the installation of the unit and have them available on site for inspection. Each inspection required will be assessed a fee as adopted under Mason County current fee schedule. Re-Inspection fees will be assessed each time an inspection is requested and required items are not completed prior to the inspection being performed ENFORCEMENT PROVISION: Any manufactured/mobile home and/or appurtenant structures found non-compliant with any county or state regulation are subject to enforcement action and subsequent violation and penalties pursuant to the Mason County Code. X c �✓lA 19) 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 20) PlacemegtXf str cture must comply with standards set forth per the international codes regarding descending and/or ascending slopes. X (r 21) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or g a i n, must be reviewed and approved by Mason County prior to construction. X BLD2008-00673 Please referto the following pages for conditions of this permit. 5 of 7 22) CONSTRUCTION PSS 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 internationl odes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspector shall t%e prior to requesting additional inspections. X , 23) The installation permit shall be displayed in clear view of the site access road. The approved site plan and other applicable instructions, including installation instructions, shall be available in this location OR placed in the location specified by WAC 296-150M-655. Support configuration shall be clearly marked in the installation instructions. 24) Owner/applicant must obtain a seperate permit f�the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit prior to the placement of the tank. X 25) All property lines shall be clearly identified at the time of foundation inspection. X X> 26) 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 Maso VYO rdinances and building regulations. X i 27) 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;Qrr�nied action from being taken. No more than one extension may be granted. 28) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connect d flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 29) Retaining walls needed to support a surchKr e such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 30) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 31) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "ApproN t Plan"to ensure these structures are shown and meet the setback conditions listed. 32) By definition, pr pane 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 BLD2008-00673 Please referto the following pages for conditions ofthis permit. 6 of 7 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 anytime after work is commenced. Evidence of continuation of work is a progress' spection 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 a ent on the owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above described prope nd c u for din ection. OWNER OR AGENT: DATE: Z / -13'r BLD2008-00673 Please referto the following pages for conditions of this permit. 7 of 7 W MECHANICAL MANUFACTURED HOME to CONCRETE Ribbons D Footings I Setbacks Date By ��'� 00 Gas Piping m 0 Inter*r Date By Interior-Dole By Date By r 0 m . . w Extercr pate By Exterior•Cute By Set-up m a _ _. Paint Load I Isolated Footings INSULATION Date By T BG I SLAB INSULATION � n D t By Date By FIRE DEPARTMENT m foundation Walls Floors Date By -� Date By Data By DECKS FRAMING walls pate By Date ,, By PROPANE TANKS PLUMBING vauft Date ey Date By OTHER Groundwork Attic Type, Data By Die ByDate By D:w.v DRYWALL Type- Int.Brace wall Data By_ Date By Data By FINAL INSPECTION 0 CD v water Line Fire Seperation N O 8 Date By Date By Date By Q CD 00 `° Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments CD w 0 N (� fD I N O 8 8 a _ 5 0 N O 3 En N B i O Case Activity Listing 12/3/2008 4:05:44PM Case#: BLD2008-00673 Assigned Done Activity Description Date 1 Date 2 Date 3 Hold Disp To By Updated Updated By BLDA010 Application Received 6/3/2008 6/3/2008 None DONE KS 6/3;2008 KS BLDB110 Building Plan Review 6/3/2008 6/11/2008 None DONE MAL 6/11/2008 MAL Review complete and sent to case manager,MAL 6/11/2008 BLDB200 Environmental Health Review 6/3/2008 6/13/2008 None DONE ADR 6/13/2008 ADR Bedrooms and plot plans match BLDB130 Planning Review 6/3/2008 6/18/2008 None DONE JMS JMS 6/18/2008 JMS Site Preinspection done by Allen borden on 3/6/2007(see SPI2007-00042).No critical areas,no apparent issues with setbacks from wetlands,streams.Required building setbacks met(see DRR2008-00110). BLDA200 HOLD 6/3/2008 6/30/2008 Hold DONE KS 6/30/2008 ACB FOR RAP RAP issued. BLDA100 Approved for Issuance 7/l/2008 None DONE CMH 7/1/2008 CMH BLDA500 Issue Building Permit 7/l/2008 None DONE KS 7/l/2008 KS BLDA540 Print Inspection Card 7/1/2008 None DONE KS 7/1/2008 KS BLDB210 Water Adequacy 6/3/2008 7/1/2008 None DONE TW 7/l/2008 TW ag fog ad in on of adequacy 06.30.08 Faxed H for compliance check pending response.tw 07.01.08 WATER SYSTEM COMPLIANT AT THIS TIME.TW BLDA560 Permit Cancelled 7/25/2008 None DONE CMH 7/25/2008 CMH contractor. Contractor wi�llbe returning all approved site plans. Page 1 of 1 CaseActivity..rpt Look Up a Contractor, Electrician or Plumber License Detail Page 1 of 3 Topic Index Contact Info Home Safety Claims Es Insurance Workplace Rights Trades&t Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version General/Specialty Contractor A business registered as a construction contractor with I-Ed to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. License Information License DBRIN""044JQ Licensee Name D B if R INC Licensee Type CONSTRUCTION CONTRACTOR UBI 601692387_Verify Workers_CQmp-_Premitm Status Ind. Ins. Account Id Business Type CORPORATION Address 1 316 JACKSON ST Address 2 City CENTRALIA County LEWIS State WA Zip 98531 Phone 3602693877 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 4/18/1996 Expiration Date 4/10/2010 Suspend Date Separation Date Parent Company Previous License Next License Associated License https://fortress.wa.gov/lni/bbip/Detail.aspx?License=DBRIN**044JQ 6/20/2008 Lib 2 oog,co(o 7 5 6 s z /0 >c) 4��b�� b�roflaPra THESE Pl-ANS MUST BE ON THE JOB SITE FOR INSPECTION. CHANGES SUBMIT CHANGES FOR APPROVAL PRIOR TO PERFORMING WORK MUST MEET ALL CURRENT WASHINGTON STATE CODES VENT -F AT I Sq Ft Per 150 SO APPROVED MASON BUILDING INSPECTOR CHANGES SUBJECT TO App AL DATE—� L�- VVWST- k-�k CCAAA-af,,� c)k) c�� �tv VENT Access AT 1 Sq Ft Per 150 Sq Ft o� � s (7D+ G 01 p; �9�s 0 O,s,�q� MUST MEET ALL CURRENT WASHINGTON STATE CODES FROM (THU)MAY 8 2008 19:07/ST. 19:00/No. 6820026887 P 2 A t CMH Retail Presents. . . (EXCLUSIVE to CMH Locations) Please see the attached Mason County Q 3 I 132 33 ' I plan review checklist for important code 3� information and details that may pertain to this structure. Especially read those ite #'s aLL 9 that appear circled in red on this plan. Q S'3 5-L- b4 r• �•••r titifi fit_ • \ •, I �� 3 BED/2 BATH tf ' 1,395 Square Feet' 1 -� to •Y ■Y I-,Re AD MUST MEET A.°.I_ CURRENT Included St andard_F_eatur= WASHINGT011 S fATE CODES • Fieldstone 1/2 Wood Burning Fireplace • Electric Black Cook Top&Built In • Painted Feature Wall at Dining Room (2)Walls Oven/Microwave • 2-Panel Doors T/O • Black Pot Scrubber Dishwasher ■ Nickel Fan with bight in the Living Room • (3)Phone jacks • Rustic Shaker Cabinets • Oval Fiberglass Tub/Shower in Master Bath • Ceramic Backsplash T/O Curved Shower Rods • Stainless Steel 8"Deep Sink in Kitchen • Shelf Over Washer and Dryer Area • Doorbell ENERGY STAR • 9-Lite Rear Door • (7) 6"Can Lights in Kitchen Upgraded Lighting Package(8"Nickel T/O) • 32"LCD Flat Screen TV • Rock Accent at Entry 20 CF Side by Side Black Refer • Home is SILVER KEY READY! • Programmable Thermostat Single Lever Faucet w/Sprayer in Kitchen THESE PLANS MUST BE C N- -ES ON THE JOB SITE SUBMIT CHANGES FOR APPROVAL FOR INSPECTION. PRIOR TO PERFORIMIING WORK Name vva h MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT FEE CALCULATION WORKSHEET VALUATION DETERMINATION Occupancy Type Square Footage Valuation Amount Total Valuation (sq.ft. x valuation) Residence /Addition /Basement $76.65 $ Garage /Storage Building $27.66 $ Basement (semi-finished/unfinished) $37.70 $ Deck $13.40 $ Carport/Covered Deck $19.05 $ Other ft V AA h� ry-L _ $ $ Total Valuation$ 0[» _5io Estimated Plan Review Fee, due when the permit is submitted:$ Planning Dept. Review Fee ($190/$310), due when permit is submitted:$ Addressing Fee (S162.00), due upon submittal:$ Fire Warden Review Fee ($68.00), due upon permit submittal-.$ TOTAL DUE WHEN PERMIT IS SUBMITTED:$ 7 - U C� The estimated plan review fee is based upon information provided at the time of application and is subject to change. Planning Department fee is a flat fee which is due when permit is submitted. Building, mechanical, and plumbing permit fees will be calculated during plan review. Environmental Health, and other fees will be collected when the permit is issued. ESTIMATED BUILDING PERMIT FEES Building Permit Fee (see table attached to Building Permit Fee list U.B.C.,table 1-A) $ Estimated Mechanical Fees (U.M.C. ,Table 1-A) $ Estimated Plumbing Fees (U.P.C. ,Table 1-1) $ Estimated Environmental Health Fees: $ Estimated Fire Marshal Fees (Commercial projects-50%plan review) $ State Fee $ 4.50 Estimated Fees due when permit is approved: $ Total Cost: $ IABUILDING�ESTIMATED FEES-revised 8-25-2004 MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST Owner's Name: Wa 1 Date: L Reviewed By:� _ /Documents uilding Permit Application Complete STORM WATER WORKSHEET COMPLETE? Planning Intake Checklist Complete ►7 Site plan includes: Allowable building area,roof ov� ngs,decks,etc. _Apparatus Access Road info required? Yes/1 0 ElizrgrCode Application Form-O Electric wall heater O Electric central furnace O LPG Furnace O Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type O Other:Specify: _MM'Ii fical/Plumbing Application-WATER HEATER FUEL TYPE/LOCATION_Bagiaeering7 Yes/No Snow load: Seismic: S&Od I an—approved snow load: Seismic: Manufactured Homes— 4 FLOOR PLANS Foundation Type: ANSI/Manufacture method V Basemen- Decks: Covered? n(I Uncovered over 4 x 6 and over 30"? � Construction plans required. Construction Plans:_3 COMPLETE SETS _Plans Legible �flo!ormvels ognized Scale _Eleva ' Views Cross Section _Foundation Plan Framing Plan oor Plan-Use of rooms d(�f floors) _Floor F - in clu ' oft,crawlspace,etc 2A 77—stairs?) Deck F ' g Plan,incl cov.porch framing Plan Details: —Roof framing details,truss lay-out may be need p and girder location shown) _Wall Framing-Does bearing-wall height 10'?(Engineering may be required) —Floor framing: Floor joists: ,Floorbeams: _Window headers. Typical head _Foundation:footing size, orcement _Concrete Walls-Does ncrete Wall Height Exceed 8'7(En ' eering maybe required,see details) _Landings at all exi s than 30"above grade?Y/N _Heated By F -Location of Furnace _Fireplace✓S a Information Shown-Fuel Type? Location(s): _Window rzes Marked on Plans — B wall panels(shear walls)mark n plans? 2 ry garage? (Engineering may equired) 1'`story of two story D1=45%,D2—55% COMMENTS: ENGINEERING REQUIRED Braced wall panels/brace wall lines are not marked on plans(R602.10) Amount and location of bracing does not meet minimum required in Table R602.10.1 DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow_psf. IRREGULAR BUILDINGS R301.2.2.2.2 Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be considered to be irregular when one or more of the following conditions occur: 1)Exterior braced wall line or B WP cantilevered or offset by more than 4' 2)Roof or floor is not laterally supported on all edges 2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line. 3)End of B WP extends more than 1 ft over an opening more than 8 ft in width below. 4)Opening in a floor or roof exceed the lesser of 12 ft.or 50.%of the least floor or roof dimension. 5)Portions of floor level are offset vertically 6) Shear wall lines do not occur in two perpendicular directions. 7)When a story above grade is includes masonry or concrete construction(exc:fireplaces,chimneys,and veneer). When this applies the entire story shall be designed In accordance with accepted engineering practice. H:\permit tech building checklistdoc Revised 11-30-2007 c ©NP 96� 4 - 21, ce i K5 fan �a Mason County Planning Intake Checklist Owners Nam I Date: 3 Project: Reviewed By: Proposed use(s) of structure(s) Commercial Development: YES O PLANNER: GBM TSW PBC RDH RED JMS Site Plan: V North Arrow ❑ Sury equired i All UGA - ❑ AF# ❑ Monuments ca/Property Dimensions: x b q 0 e"-Streets and Driveways Shown. Road name: ejfilng Structures shown with setbacks and use a' cation, Septic and Drain-field Shown with setbacks Identify all surface water(streams, ponds, shoreline, wetlands, natural or historic drainage, defined drainage ditches) .a Topography (slopes) �46u-�- ar" Minimum Structure Setbacks (D,irpcdon/Setback): F: I�R: /V / S1: -/ - S2: = / ef"' Utility and Drainage Easements: Yes ) No (if yes enter condition #5022) ®'' Other Easements - cg.-'Accessory Appurtenances: Propane / Heatpump AWAS er'Does site plan show landings aall exits? r� riance applied for: Yes / No parking spaces allotted? Yes / No er' County Access Permit Needed (add condition #0010) _- ❑ State Amass Permit Neede -(a condition #0020) \StwTdard Conditions o added to all Building permits that planning reviews: #5019 and #0700 Site Access: Are there any imp iments (dogs/gates) that my restrict access to your site? Is the site clearly marked? How? ❑ Address ❑ Name Zoning: ❑ Other: Comp. Plan: Rural Zoning: UGA Zoning: 0 Rural ❑ RR 2.5 5 10 20 o RT/RTC 0 R-1 ❑ R-5 ❑ HC ❑ BI 0 RAC ❑ RMF 0 Unknown ❑ R-1P ❑ R-10 0 LTA 0 VC ❑ .Allyn UGA ❑ RC 1 2 3 ❑ Agricultural ❑ R-1R 0 PD ❑ FR 0 T ❑ Belfair UGA 0 RI �(_In-holding ❑ R-2 ❑ PF ❑ MU ❑ MHP ❑ Shelton UGA ❑ RNR ❑ LTCFL 0 R-3 ❑ POS ❑ GC ❑ BP ❑ Tribal ❑ GC-CI Critical Areas: (streams, ponds, shoreline, wetlands, steep slopes) Shoreline Designation: -+D_N/A ❑ Urban ❑ Rural ❑Conservancy ❑ Natural ❑ Unkown Water Body (type of water if unnamed): n D a. _ SEPA: Yes/ OAnknown Flood Plain: YES !O )Unknown Map# Aquifer Recharge: YES NO Unknown Map# Tags/Cases: RLC/SPI Case: 6-Year Dev. Moratorium: YES/NO Eagle Nest Tag: YES NO Other YES/NO . Revised: 02-07-2008 I:\PLANNING\PAC\PLANNING INTAKE Name ! lJe/ Parcel# ,7,1,53(y`-OCrjM BLD# Mason County TO BE KEFT IN T. �E Department of Community Development Y 2) � Small Parcel Stormwater Management Application/Worksheeli t page o-' 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. T�f�re..........:...:.......:.:::::::::::.::::::. Surface Type Length X Width = Area 'All dimensions in feet Buildings Af X f = lzlbZ X = ,13,41 Measurements for buildings are taken at the X = perimeter of the farthest projections (example: eaves/gutters) X = Driveways X X = Length of drive begins at the right of way X = Parkin Areas X = X = Any paved, gravel or packed area per definition IX _ above table PatiosMalks X = X = Any paved, gravel or packed area per definition X _ above table Other s X = X = >#f #I Al rr�p�N area l the prnposect s ::::::. X = t#v 1gttr theft square fq ...;: .e�i+�0�>5aoe..: . :. :.........::.:.:::::::.:.................:::..:::::: .:::..........................:.::::}.:::::: ::::.::::..................................................::::..:..::::::.::::::::::::::::::::._:::.:.. 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 for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: 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 ame Parcel # BLD# p•� l t f A ,.. 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: hLtp//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 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) ✓SE The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)427-9670 EXT.450 Mail: P 0 Box 1850, Shelton WA 98584 Physical:415 N 6th St, Shelton WA 98584 If this development has, or will have, a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other, parcel.You may also wish to consult with the septic design professional involved with the project. Mason County Division of Environmental Health can be reached at: Phone: (360)427-9670 EXT. 352 Mail: P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner, owner's legal representative,or the contractor. I further acknowledge that the ormation provided is accurate and employees of Mason County are granted access to the above- descrevie d inspection as may be required. Owner/Ag Contractor(c' le one)Date: Page 2 of 2 \� 96' o b We � �'� 35' A4 y� OVED 3� I N�•`u ,`��►Y ti COUNTY DCD PLAN \� SITE PLAN REQUIRED TO BE ON SITE c �� BJtCT TO AP�� K- A �{� OCJ ._Date. - � jv PERMIT NO. MASON COUNTY BUILDING PERMIT APPLICATION �n� 426 W. Cedar• P.O. Box 186, Shelton, WA98584 Ij ��' Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 Qn the web www.co.mason.wa.us APPLICANT INFORM TI N CONTRACTOR INFORMATION Owner Gr-kr._) Company Name 43 3` k MailinQ.Address L,04r 410 MailirwAd4ress /b ,7ck-SLm City <<1 State "' ip Code City t�' State L Zip Code Phone '�? �� Other Ph. Phone - `'77 Other Ph. Lien/Title Holder Contractor Reg. # ' Ip��oyryCi�, Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic. # DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic ✓ Existing Septic Connect to Water System Name of Water System Well 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) "/ k Directions to site gu' y-(--'4e.1r Will timber be cut and sold in parcel preparation?Yes/No Is property within 200' of Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff—15% Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑ Use of Building Describe Work No. of Bedrooms, No. of Bathrooms Square Footage 1 st Floor 2nd Floor 3rd Floor Basement Deck— Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make 041 Model Year Length Width Serial No. ' 741 No. of Bedrooms No. of Bathrooms Type of Heat Purchase Price $ "b/ 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 informatics provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection. This permit/application becomes null & void if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. X Date 5:1- SfC) -CDA' Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: �` Date DEPARTMENTAL REVIEW APPROV DENIED NOTES Building Department /1 Planning Department Environmental Health Department 11 Fire Marshal FEES Building Permit Feree Site Inspection Plan Review Feel/ EH Review Fee Plumbing & Base Fee Planning Review Fee Mechanical & Base fee Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal 7 Valuation $ TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 411 N. Fifth Street/ P.O. Box 186, Shelton WA 98584 360.427.9670 ext. 352 DDR-D() O Rec'd by [L� Request for Administrative Variance for Reduction in the Required Setbacks ($105.00) 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: ✓ 1 Mailing Address L �) I ? _ VILLT11O WUAn Telephone : J 9— (- City. mjo I State: Zip. If this reduction is tied to a building permit, please give permit case number. BLD Parcel Number(s). J- a3 3 / — 50— 06D50 Zoning Site Addres&_ CfilLj nS 1 AK C 'Dy O`L Requested variance: Front / Rea Side Yar V(please circle all that apply) Requested setback variance: 1 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 following circumstances must apply: FRONT AND OR REAR 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: 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; e) existing improvements of buildings, septic systems, and well areas. \\CLUSTERI HOME SERVER\HOME\COMMON\PLANNING\PAC\VARIANCES\Adminstrative.var.doc Created of a< 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: a) steep slopes, wetlands, or streams present; b) soils that restrict building or septic development; Calot width at the front yard line of no more than 50 feet; 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. Owner/Agent(pl ase indicate) Signature and d to Official Use Only r Approved Date C6 C� Denied Date Reason for denial: \\CLUSTERl HOME SERVER\HOME\COMMON\PLANNING\PAC\VARIANCES\Adminstrative.var.doc Created o -- OC, OS D TO: Mason County Treasurer From: Community Development REFUND - Customer Name DB&R Inc. Date 7/24/2008 Address 1149 Rush road Refund No. 08-40 City Chehalis State WA ZIP 98532 Phone 360-269-3877 PERMIT# BARS TOTAL 001.125.140.322.10,00.0000 $ 409.80 TOTAL $ 409.80 REFUND DETAILS TREASURER'S RECEIPT#: 145572 DEPOSITED DATE: 07/02/08 Jul 24 08 04: 48p 1DBR INC. (360) 748-9499 p. 2 r6oil coin MASON COUNTY Shelton (360) 427-9670 DEPARTMENT OF COMMUNITY DEVELOPMENT Beifair (360) 275-4467 - - Permit Processing/Inspections/Addressing Eirila (360) 482-5269 Mason County Bldg.Ill 426 W.Cedar is f P.O.Box 186 Sh lton,WA SASA4 Q- aa33I- REQUEST FOR REFUND DATE: NAME: J G.;y) �� t- nG ADDRESS : CITY, STATE: ���> s �(� �j�Q�h ZIP: PHONE : c�lD'! V�� \, 1 Gl�)� L�q 3 I � The applicant does hereby request a refund on receipt , Dated c7 ^ i Permit ## acoe-c6q hied for $�'j��p Reason for Refund Request Cr <2,0�0 14) 4S VVAyUI CV0C1Wkq(-d , S I GNATURE 0 7 m STATE AUDITOR REQUIREMENTS n m rm YOU MUST ENCLOSE THE ORIGINAL RECEIPT WITH THIS REQUEST r _� T Z IF A BUILDING PERMIT WAS ISSUED AND THE REQUEST WILL CANC r THE PERMIT THE ISSUED PERMIT MUST BE RETURNED WITH THIS M = REQUEST. M Jul 22 08 04: 58p 1DBR INC. (360) 748-9499 p. l ° MASON COUNTY Shelton (360) 427-9670 L DEPARTMENT OF COMMUNITY DEVELOPMENT Belfair (360) 275-4467 Permit Processing/Inspections/Addressing Elma (360) 482-5269 Mason County Bldg.Ill 426 W.Cedar ,8 ✓ P.O.Box 186 Shelton,WA985B4 REQUEST FOR REFUND DATE: _ C20 " de - NAME: OciS Cam%Vi ADDRESS: CITY, STATE: CIteC' ZIP : (�3� PHONE : 300 " 9L�fi S� The applicant does hereby request a refund on receipt , 4zslued Dated `7 ^ 1 -��5� Permit # 02,08, for Reason for Refund Request wS�C: 2t��ia 10 S S �Il'Wi e `���Ct 5 S c��� 4✓1 c.� do,�,5 l'l o� S��- o� C C'I'j c.CA {{ SIGNATURIC 4 STATE AUDITOR REQUIREMENTS YOU MUST ENCLOSE THE ORIGINAL RECEIPT WITH THIS REQUEST IF A BUILDING PERMIT WAS ISSUED AND THE REQUEST WILL CANCEL THE PERMIT THE ISSUED PERMIT MUST BE RETURNED WITH THIS REQUEST. -� 5 z Z' 'X Jul 24 08 04: 48p 1DBR INC. (360) 748-9499 p. 1 a r re ll e i'1 ecj✓tccatc � q,)c O)c1 I i '� �o G4►�cc c-"U P�Y�'1i�- �1'oce��C�:S c�✓�c! Y�4c�� ��/� 7- 1'Yl�svte , e�c t:1 a��- coo ro�73 Old MASON COUNTY, WA 7/24/2008 Building Department 1:12:31PM Environmental Health Department Planning Department Permit status and inspection results can now be checked on the web -www.co.mason.wa.us/permits Building Dept. inspections requests can be made via the web -www.co.mason.wa.us/community_dev Receipt #: S12OO8O0000000001311 Date: 07/01/2008 Line Items: Case No a Tran Code Description Revenue Account No Amount Paid BLD2008-00671 Address Fee 001.125.140.345.80.00.0000 162.00 BLD2008-00671 ADJUST--Plan Check Fee 001.125.140.345.83.00.0000 18.20 BLD2008-00671 M Building State Fee 650.170.010.386.00.05.0000 4.50 BLD2008-00671 Building Permit Fee 001.125.140.322.10.00.0000 265.25 BLD2008-00671 EH Plan Review 150.300.000.346.50.54.0000 40.00 ----------------------------------------------------------------- PRIMARY APPLICANT FOR BLD2008-00671: WAIBEL,JEFFREY BLD2008-00673 Mobile Home Issuance Fee 001.125.140.322.10.00.0000 247.00 BLD2008-00673 EH Plan Review 150.300.000.346.50.54.0000 100.00 BLD2008-00673 Water Adequacy Plan Review 150.300.000.346.50.54.0000 40.00 ----------------------------------------------------------------- PRIMARY APPLICANT FOR BLD2008-00673: WAIBEL,JEFFREY Line Item Total: $876.95 Payments: Method Payer Bank No Account No/Check No Confirm No How Received Amount Paid Check D.B.&R INC SECURITY 5289 In Person 876.95 Payment Total: $876.95 I. � Page 1 of 1 cReceipt.rpt 7/23/2008 4:06PM Fees Associated With IP14 Case#: BLD2008-00671 Due Type Description Revenue Account Number Date Paid By Fees Paid History PLCK Plan Check Fee 001.125.140.345.83.00.0000 6/3/2008 KS /Ve1t16 154.21 154.21 0.00 Plan Check Fee 001.125.140.345.83.00.0000 6/3/2008 KS 0.00 0.00 PLRV Planning Review Fee 001.125.145.345.83.03.0000 6/3/2008 KS �nN�' 190.00 190.00 0.00 Planning Review Fee 001.125.145.345.83.03.0000 6/3/2008 KS 0.00 0.00 ADDR Address Fee 001.125.140.345.80.00.0000 7/l/2008 KS 162.00 162.00 0.00 Address Fee 001.125.140.345.80.00.0000 7/l/2008 KS 0.00 0.00 PLCK ADJUST--Plan Check Fee 001.125.140.345.83.00.0000 7/1/2008 KS Al41 1/5 18.20 18.20 0.00 ADJUST--Plan Check Fee 001.125.140.345.83.00.0000 7/l/2008 KS 0.00 0.00 STFE Building State Fee 650.170.010.386.00.05.0000 7/l/2008 KS 4.50 4.50 0.00 Building State Fee 650.170.010.386.00.05.0000 7/l/2008 KS 0.00 0.00 PRMT Building Permit Fee 001.125.140.322.10.00.0000 7/l/2008 KS yo 265.25 265.25 0.00 Building Permit Fee 001.125.140.322.10.00.0000 7/l/2008 KS 0.00 0.00 EHPR EH Plan Review 150.300.000.346.50.54.0000 7/1/2008 KS 40.00 40.00 0.00 EH Plan Review 150.300.000.346.50.54.0000 7/l/2008 KS 0.00 0.00 Total Fees:$834.16 Paid:$834.16 TOTAL REMAINING DUE: $0.00 vv � ' ( -3 / � Paoe 1 of I CaseFees.rpt 7/23/2008 4:06PM Fees Associated With 1P4 Case #: BLD2008-00673 Due Type Description Revenue Account Number Date Paid By Fees Paid History MHSF Mobile Home Submittal Fee 001.125.140.322.10.00.0000 6/3/2008 KS U ti ' 247.00 247.00 0.00 Mobile Home Submittal Fee 001.125.140.322.10.00.0000 6/3/2008 KS 0.00 0.00 MHBL Mobile Home Issuance Fee 001.125.140.322.10.00.0000 7/1/2008 KS � �� 247.00 247.00 0.00 Mobile Home Issuance Fee 001.125.140.322.10.00.0000 7/l/2008 KS 0.00 0.00 EHPR EH Plan Review 150.300.000.346.50.54.0000 7/l/2008 KS �t�)iir;I, 100.00 100.00 0.00 EH Plan Review 150.300.000.346.50.54.0000 7/l/2008 KS 0.00 0.00 WAR Water Adequacy Plan Review 150.300.000.346.50.54.0000 7/l/2008 KS Ott)P 40.00 40.00 0.00 Water Adequacy Plan Review 150.300.000.346.50.54.0000 7/l/2008 KS 0.00 0.00 Total Fees: $634.00 Paid:$634.00 TOTAL REMAINING DUE: $0.00 Paoe 1 of I CaseFees.rpt