HomeMy WebLinkAboutBLD2025-00187 - BLD Permit / Conditions - 6/23/2026 - r t�1r TY 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASO1�1 COUN 1 i SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELFAIR:360-275-4467,EXT 352
Building,Planning,EnvironmentalHealth,CommunityHealth
ELMA:360-482-5269,EXT 352
www.co.mason.wa.us
INSPECTION CARD AND CERTIFICATE OF OCCUPANCY**
To schedule an inspection call or visit http://www.co.mason.wa.us/community-services/bid-inspection.php
Permit Number BLD2025-00187 Date Issued 04/22/2025 Issued Bye
Project NEW SFR W/ATTACHED GARAGE
Site Address 21 E Country Club Dr N.
Applicant OLIVE HOMES LLC
Contractor OLIVE CONSTRUCTION
Contractor Phone 253-831-2798
2018 Primary Code UPC IBC,IRC,IFC,IEC,IMC,& Type
Permit Type NEW SINGLE FAMILY RESIDENCE Occupancy
-APPROVED PLANS MUST BE ONSITE FOR ALL INSPECTIONS.
-DO NOT PROCEED BEYOND EACH STAGE OR COVER WORK UNTIL APPROVAL IS GRANTED.
-THIS CARD MUST BE POSTED IN A CONSPICUOUS LOCATION,FRONT OF THE PREMISES IS BEST FOR MAKING ENTRY.
-ALL PERMITS EXPIRE 180 DAYS AFTER THE PERMIT IS ISSUED OR 180 DAYS AFTER DATE OF LAST INSPECTION.
-OWNER/AGENT IS RESPONSIBLE FOR REQUESTING ALL INSPECTIONS THROUGH FINAL INSPECTION.
**THIS STRUCTURE MAY NOT BE USED OR OCCUPIED UNTIL ALL APPROVALS ARE GRANTED.**
PRIOR TO CALLING FOR FINAL INSPECTION,ALL CONDITIONS OF THE PERMIT MUST BE MET
Public Works Access/Driveway Other
Health Septic Well
Deptartment
Planning Site Inspection
Department
Fire Marshall Fire Apparatus Access Fire Sprinkler
Auto Fire Alarm Hood and Duct
Other Final
Building Building Official: Community Services Designee
Department
Concrete Setbacks 57z f5 Z Slab zS .3 .
Footing Perimeter 5' 2� 2S Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls 4/ '/z. - Other
Rough-In Groundwork Plumbing Framing (j
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical
Gas Piping Shear Wall Nailing 'fI iI I ZS'
Underfloor ,
Other
Insulation Slab 6'/z Ceiling t0150 ZS SC
Floor Vaulted Ceiling EQ/11j rz.c-
Walls IIo( 5'o/Z5S Vapor Barrier 8 rc . 1(Q
Other I�a .ler� � (o-116 z16 ,3r
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building (o -2 3-2 G �Lt2
Manufactured Setbacks Setup
Home
Concrete Foot!Runners Final
Other
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tfrjj MASON COUNTY INSPECTION RESULTS Pagel
Department of Community Development
COMMUNITY DEVELOPMENT ,615 W Alder St,Shelton,WA 98584
Permit Assistance Center,Building,Planning (360)427-9670 ext.352
Application# BLD2025-00187 Application Type NEW SINGLE FAMILY Owner OLIVE HOMES LLC
RESIDENCE
Parcel# 321045400120 Site Address 21 E Country Club Dr N Union,WA 98592
.*✓� P a}T"# 4y l"6. 4 i.d3—L^.' "4"y.W.$c».w`J . C, , 1 "i k.« ,is a. C *".w k 'y' 1% Cukk.
kType
t a`w k rC"' "r r*( a .a� 1.
Inspector� " Inspection T, , e ; � � Date �Status .v; Comments:"
5-22-25-JQ
per page S3 and detail 1/S3 #4 verts with alternating hooks re required on all
lower step footings-verts shall be spaced 18"please install
Joshua FOOTING INSPECTION 05/22/2025 FAIL verts are not installed this date.
Quarders
**#4 verts are installed in the upper retaining section @9"
call for reinspection when ready -
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ot.c.-t $ yak- s/ ii,— o1,.-1a Povi
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INSPECTION RESULTS Pagel
MASON COUNTY Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St,Shelton,WA 98584
Permit Assistance Center,Building,Planning (360)427-9670 ext.352
Application# BLD2025-00187 Application Type NEW SINGLE FAMILY Owner OLIVE HOMES LLC
RESIDENCE
Parcel# 321045400120 Site Address 21 E Country Club Dr N Union,WA 98592
- t k`-y + iC '{�.*;'r"^r+A �'• X "aq,��r" yL �:�r`: w w�<` .. t!"a.
�i .•, s �.� "' '�'+ .3"x.5.. �+3 _aa 7.�._� rb `a.rS..+,^
:Inspector InspectionTypera . ,;; v Date ,.. $tatus Coments;
'3
6-16-26-JQ
Per item 2 of correction dated this date i spoke to Scott Ruedy and he has passed the
MEP for this project
so, I am ONLY waiting on the Photo for the HWT insulation in item I
Temp Occupancy is granted
Joshua BLD-FINAL INSPECTION 06/16/2026 TEMP-OCC
Quarders 6-16-26-JQ
t Install insulation pipe wrap on HWT supply water lines
2.There is a MEP (wetland delineation &planting plan)please contact your Planner
Schott Ruedy for a inspection prior to final being issued.
jG-
Please send Photos for item 1
MASON COUNTY INSPECTION RESULTS Pagel
Department of Community Development
COMMUNITY DEVELOPMENT 615 W Alder St,Shelton,WA 98584
Penult Assistance Center,Building,Planning (360)427-9670 ext.352
Application# BLD2025-00187 Application Type NEW SINGLE FAMILY Owner OLIVE HOMES LLC'
RESIDENCE
Parcel# , 321045400120 Site Address 21 E Country Club Dr N Union,WA 98592
` '.... '�' "` "e::°1"* &^S-₹G* .'"`s:' •`�";";" ..c" ,""a+*, ,**a.'-w � '-.,dk k-sz� .,.a.,vf" n Y. ax,5 z'�*�^t �r ->.' .`,
..',„„• g»'. ,
Ins ector InspectionType ti� , `;§ Date< Status .-. ..Comments
9-9-25-JQ
1. See approved plan pg S4 some areas are short nailed all SW2 walls are to be 4"
oc edge and 12"oc field
Joshua SHEARWALL INSPECTION 09/09/2025 FAIL please address areas marked on plan
Quarders 2. LSTA24 straps are missing on garage portal framing please install
Call for reinspection when corrections have been addressed
Do not cover
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
B DD2025-00187 NEW SINGLE FAMILY RESIDENCE
PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE ISSUED: 04/22/2025
SITE ADDRESS: 21 E COUNTRY CLUB DR N UNION
EXPIRES: 10/19/2025
PARCEL: 321045400120
APPLICANT: OLIVE HOMES LLC OWNER: OLIVE HOMES LLC
210 E EMERALD LAKE DR W 210 E EMERALD LAKE DR W
GRAPEVIEW,WA 98546 GRAPEVIEW,WA 98546
253-880-9226
GENERAL CONTRACTOR'S LICENSE: OLIVE CONSTRUCTION License: OLIVECI858KN
48050 DELRIDGE WAY SW Expires: 07/06/2025
SEATTLE,WA 98106
253-831-2798
VALUATIONS: FEES: Paid Due
Covered Deck/Carport 40.00 $960.00 Plan Check Fee $1,895.71 $0.00
Uncovered Deck 112.00 $1,904.00 Mechanical fees for new single $232.00 $0.00
family residences
R-3 VB Residential, one- 2250.00 $376,582.50
and two-family Mechanical Base Fee $30.00 $0.00
U VB Utility, miscellaneous 264.00 $17,550.72 Technology Surcharge $97.34 $0.00
Building Plan Review/Change of $140.00 $0.00
Use-Onsite Sewage
Building Permit Fee $2,916.48 $0.00
Residential Energy Code Fee $145.82 $0.00
Plumbing fees for new single $232.00 $0.00
family residence
State Fee-Residential $6.50 $0.00
Plumbing Base Fee $25.00 $0.00
Planning Residential Review $275.00 $0.00
Fee
Total: $396,997.22 Totals : $5,995.85 $0.00
FIXTURES
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Page 1 of 7
Mason County
Mason County - Division of Community Development
615 W.Alder St.
Building 8
Shelton,WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
G ty Mechanical Fixtures qty Plumbing Fixtures
1.0000 Dryer Vent(s) 1.0000 Number of Bath Tubs
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Clothes Washers
1.0000 Heat Pump(s) 1.0000 Number of Dishwashers
3.0000 Spot Vent Fan(s) 1.0000 Number of Kitchen Sinks
1.0000 Number of Showers
1.0000 Number of Water Heaters and or Vent
2.0000 Bathroom Sink
2.0000 Number of Toilets
3.0000 Number of Hose Bibs
REQUIRED INSPECTIONS
Setback Inspection Rough-Plumbing Inspection
------------------------------------------------------ — — — — — — — — — — — — — — — — — — — — — — — — —
Footing Inspection Mechanical Inspection
------------------------------------------------------ — — — — — — — — — — — — — — — — — — — — — — — — —
Foundation Wall-Pre-Pour Inspection Framing Inspection
................................... - - - - - _ -- - --. - - --. - - - - - - - - - - _ - -
Underground Plumbing Insulation Inspection
------------------------------------------------------ — — — — — .-- — — — — — — — — — — — — — — — — — — —
Slab Insulation Connection is to be verified by Health or Utilities
...................................................... - - - - -. _ _ -. - - - -- - - - - - - - - - - - -
Shearwall Inspection BLD-Final Inspection
------------------------------------------------------ — — — — -- --— — — — — — — — — — — — --- — — — ———
Exterior Wall Insulation Inspection
CONDITIONS
* The stamped 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, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule,
minimum 1 hour)will be charged and shall be collected by the Building Department prior to any further inspections being
performed or approvals granted.
* 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).
* Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site
plan. Please check your"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed.
--------------------------------------------------------------------------------------------------------------
* Adopted Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C,Window(Max U-
Factor):0.30, Skylight(Max U-Factor):0.50, Doors(Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation
R-30, Ceiling Insulation min. R-49,Vault Insulation R-38, and Slab Insulation R-10.
Printed by:Genie Mcfarland on:04/22/2025 01:28 PM
Page 2 of 7
Mason County
Mason County - Division of Community Development
} C 615WBuideng8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
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.
- --------- -------- --------- - - -------------------- ------------ -- ---- --- ------ ---------- ----
* Installation of heating equipment in a single-family residence shall meet the requirements of the current WSEC R403,
applicable sections of the IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.7. Heating and design load calculations for the
purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted practice, including
infiltration and ventilation. Design calculations shall be available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers,filter boxes, and building cavities shall be sealed. All joints of duct
systems and seams shall be made substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other
approved closure systems. Closure systems used with rigid fibrous glass ducts shall comply with UL181A and shall be
marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape. Closure systems used
with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-
sensitive tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings
shall be mechanically fastened. Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B
and shall be marked 181 B-C. Crimp joints for round metal ducts shall have a contact lap of at least 1-1/2 inches(38 mm)
and shall be mechanically fastened by means of at least three sheet-metal screws or rivets equally spaced around the joint.
Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be
insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit
documenting test results in accordance to IECC/WSEC Section R403.3.3 shall be provided to the Mason County Building
Department prior to the final occupancy inspection. Affidavit forms are available on at the WSU-Energy Program website
titles, "Duct Leakage Affidavit"or"Duct Leakage Testing.Results(Existing Construction)." Duct tightness testing is not
required if the air handler and all ducts are located within the heated space.
* All building permits shall have a final inspection performed and approved by 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.
-------------------------------------------------------------------------------------------------------------.
* When parcel development requires direct access to state road(s), a Road Access Permit or Approval must be granted and
approved by the Washington State Department of Transportation. For more information contact Washington State
Department of Transportation, at(206)357-2620, ext. 630.
* The use, handling and storage of hazardous materials or flammable and combustible liquids is not allowed without the
approval of the Mason County Fire Marshal.
* Carbon monoxide alarms, listed as complying with UL 2075 shall be installed in accordance with manufacturer
specifications and in accordance with IRC Section R315.
Alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms and on each level
of the dwelling. .
EXISTING DWELLINGS shall be equipped with carbon monoxide alarms when alterations(including addition or alteration of
fuel burning appliances), repairs, or additions requiring a permit occur, or when one or more sleeping rooms are added or
created.
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Page 3 of 7
1
• Mason County
Mason County - Division of Community Development
3q� 615 W.Alder St
N Ci Building 8
Shelton,WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
* All surface water and potential runoff must be controlled on site and shall not adversely affect any adjacent properties nor
increase the velocity flow entering or abutting to any state or county culverting/ditching system or road way.
--------------------------------------------------------------------------------------------------
* When parcel development requires direct access to county road(s), a Road Access Permit or Approval must be granted by
the Mason County Department of Public Works. 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.
For more information contact Public Works, at(360)427-9670,ext. 450 or 100 W Public Works Dr. Shelton. The building
permit will not be finaled until the permit holder can show proof that the access permit from Public Works has been finaled
and approved.
--------------------------------------------------------------------------------------------------•--.._..•_....
* 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
contact the Mason County Public Works Department prior to construction at Ext 450
* The plan review check list and corrections are part of the approved plans and must remain attached. It is the responsibility
of the applicant, owner or contractor to make the required corrections indicated on the plans. Once the plans are marked
"APPROVED",they shall not be changed or altered without authorization from the Building Official. The permit holder is
responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
removal of approved documents will result in failure of required building inspections.
-------------------------------------------------------------------------------------------------------------.
* All property lines shall be clearly identified at the time of foundation inspection.
* The foundation/footing must be placed on undisturbed,firm-native soil. Proper frost depth, minimum 12 inches,shall be
observed below grade in undisturbed soils.
-------------------------------------------------------------------------------------------------------------.
* 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.
* All other necessary permits from Mason County,Washington State, Federal Agencies, and/or other agencies/groups that
are required for this proposed development and construction must be obtained PRIOR TO DEVELOPMENT AND
CONSTRUCTION.
---------------------------------------------- -------------------------------------•--------------------------
* A permanent certificate, completed by the builder or registered design professional,shall be posted on a wall in the space
where the furnace is located, a utility room, or an approved location inside the building.When located on the elctrical panel,
the certificate shall not cover or obstruct the visibility of the circuit directory label, service disconnect labek, or toher reqyired
labels.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 Chapter 4, 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 5 air
changes per hour when tested with a blower door in accordanve with WSEC Section R402.4.1.2.
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 500 square feet. Reference WSEC R402.4.1.2.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate"and are
available in '/4 or'/2 sheets.
- - -----------------------------------------------------------------------------------------------
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Page 4 of 7
• Mason County
Mason County - Division of Community Development
615 W.Alder St.
N C Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
* 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.
........ .... .................................... ............................ . ...........................
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the farthest projection of the
structure. Front setbacks are measured from the front lot line or road easement boundary,whichever is closer.
...............................................................................................................
* Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Code 14.28 and 14.17.
------------- ----------..............---......_.....--------......---------_------------------------
* WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed.The basic wind
speed for Mason County is 85 mph with 110 mph gust factor.
* 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.
A drip edge shall be provided at eaves and gables of shingle roofs.
.-...--------------------------------------------------------------------------------------------
* All construction must meet or exceed all local and state ordinances in addition to 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.
* 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
contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained
permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The
owner or authorized agent represents that the information provided is accurate and grants employees of Mason County
access to the above described property and structure(s)for review and inspection.This permittapplication 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 INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION UNLESS OTHERWISE APPROVED.
* All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed.The Building
Official may grant one or more extension of 180 days, upon the receipt of a written extension request prior to permit
expiration. Letter must indicate that circumstances beyond the control of the permit holder prevented action from being
taken. -------------------------------------------------------------------------------------------- ..........
* 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.
................. ................. ...... ..... .... .......................................... . ...._ .
* Concrete encased grounding electrodes must be installed and used at each new building or structure that is built upon a
permanent concrete foundation. In Mason County the electrical code is regulated by Washington State Department of Labor
& Industries(L&I).
For more information contact L&I for additional information. In Olympia call (360)902-6350 and in Bremerton call (360)415-
4000.
* 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.
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Page 5 of 7
Mason County
Mason County - Division of Community Development
3 �
615 W.Alder St.
N,C Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
* All RED stamped 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.
-- -- ------ ------ ----- - - ---- ------- - ----- - ------ ---- - -- ----- -- - -- ------ -- ----------.
* Disclaimer: Mason County does not require a survey to obtain a building permit.As a result, site plans may not reflect
accurate data. It is the applicant's responsibility to comply with setback requirements.
------------------------------------------------------------------
* A minimum of 90 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
* 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 palling 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. 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.
* All changes to"approved"building plans that effect compliance with the international codes as amended and adopted, or
any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction.
.-. ----- - -------- ---------- ---- -- -- ---- -- -- ---------- ------- ---------- ------ ----------- -
* Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to
the Mason County Building Department prior to construction. All engineering and/or architectural documents are a part of
the approved set of plans and shall remain attached thereto. If documents are removed, approval will not be granted. In
addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
Building Department prior to any further inspections being performed or approvals granted.
- -------------------------------------------------------------------------------------------------------------
* A separate inspection in addition to the inspections required in the IBC, Section 110 shall be required in accordance with
the 2021 IBC, Section 1705.12.2 and Section 1707.1. The additional inspection is required when shear wall fastener
spacing is required to be 4 inches or less. The shear wall schedule shown on sheet S4 designate wall(s)type 2 and Pony
Walls with fastener spacing 4 inches or less.
The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified
to inspect lateral connections, the Engineer of record (EOR), or an authorized representative of the (EOR). The special
inspectors duties and responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the
inspection, special inspection reports shall be submitted to the Mason County Building Department, 615 W Alder St, Shelton,
WA 98584 and also available on site for review by the Building Official. Inspection reports shall be completed and submitted
to the Mason County Building Department in a timely manner and shall be submitted prior to the framing inspection of said
project.
------------------------------------------------------------------------------------,:,.------------...........
* Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered.
A.) Drainfield/Reserve requires a I Oft setback from all footing/foundations.
B.)Septic tank(s)requires 5ft setback from all footing/foundations.
C.) No foundation/Perimeter Drains within 30ft, down gradient of Drainfield/Reserve area.
D.) No Cut Bank(s)(greater than 5ft and over 45 degrees)within 50ft, down gradient of Drainfield/Reserve area.
--------------------------------------------------------------------------------------------------------------
* Comply with recommendations in HMP. See MEP2025-00008
----------------------------------------------------------------------------------------------------------------
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Page 6 of 7
A
Mason County
Mason County - Division of Community Development
3q 615 W.Alder St.
≥Cd, Building 8
Shelton, WA 98584
360-427-9670 ext 352
www.masoncountywa.gov
NEW SINGLE FAMILY RESIDENCE BLD2025-00187
" 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.
" Setbacks are measured from the furthest projection of the structure.
I hereby certify that I have read and examined this application and know the same to be true and correct.
All provisions of Laws and Ordinances governing this type of work will be complied with whether
specified herein or not. The granting of a permit does not presume to give authority to violate or cancel
the provisions of any other state/lQcal law regulating construction or the performance of construction.
Issued By:
Contractor or Authoriz d gent: Dater
Printed by:Genie Mcfarland on:04/22/2025 01:28 PM
Page 7 of 7
��' Swpecial I�n�spect�ion t�elquireme�nfi�s������� °, �
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COM%ILNr1T MIVICFS
2Loao -eo l8 Oc� ; iC s 3z ic4 -IS-1-1-0070
Permit Number Project Title Project Addres'UParcel Number
Applicants of projects requiring Special Inspection or Testing per Chapter 1704&14705 of the International
Building Code,as amended by Washington State.Please acknowledge and return this form to the Mason
County Permit Center.
THESE INSPECTIONS ARE 1VPT,PERFORMED BY,THE BUILDING DEPARTMENT ANDMUST BE
PERFORMED BY QUALIFIED SPECIAL INSPECTORS, HIRED BY THE OWNER AND APPROVED
BY THE COUNTY PERMIT CENTER. Individuals certified in, a special inspection category by
Washington Association of Building officials(WABO)or individuals employed by a recognized testing
laboratory and' under the direct supervision of a Registered Professional Engineer are typically
considered qualified at the discretion of the local jurisdiction having authority for enforcement.
BEFORE A PERMIT CAN BE'ISSUED The Owner or;his/her representative on the:advice of the
responsible Project Engineer or Architect;shall fill out completely,sign and submit two(2).copies of the
attached"Structural Tests and Inspection Schedule"Ito this Department for review and approval Including'
any requirements related to the Mason County Municipal Code. L
The Owner, General Contractor, and InspectionlTesting-Agency, where applicable, shall also
acknowledge the following conditions applicable to Special Inspection and/or Testing.
1. Inspection/Testing Agency shall submit names and qualifications of on isite Special Inspectors
to the Building Inspection Permit Center for approval PRIOR TO'PER ITIS BEING ISSUED.
2. All Special Inspections shall be noted on the approved plans or attached approved
documents.
3. All special inspections shall be approved'by the County or as recommended by the Engineer
of Record(EOR).
4. It is:the-responsibility of the General Contractor tom review"County approved plans for additional
inspection or testing, requirements that may be noted or required per IBC as noted on
approved'plans.
S. The General Contractor is responsible for proper notification to the Inspection/Testing
Agency for items listed on this form.
6. Special Inspectors shall provide detailed reports on company letterhead to the Building
Inspector of all required inspection.activities.These may also be provided when the inspector
visits the jobsite for the scheduled inspection but must be completed before the subject of
Inspection is approved by the building inspector.
7. Copies of all ongoing laboratory and testing reports shall be sent directly to the Building
Inspector by the Inspection/Testing Agency or other responsible party within a reasonable
time to test results.
8. BEFORE A CERTIFICATE OF OCCUPANCY APPROVAL CAN BE ISSUED: The
Inspection/Testing Agency shall submit a FINAL REPORT LETTER stating that all items
requiring testing and inspection have been fulfilled and reported and a final inspection report
shall be provided.. A copy of the statement is to,be maintained at the(jobsite for the Building
Inspectors review prior to final inspections. .
Page 1 of 4
COMMUMYYSEU ICES - - - - -
ACKNOWLEDGEMENTS
Prior to issuance of a building permit, the Owner, on the advice of the Project Engineer or Architect, shall
complete,sign,and submit this form to the County Permit Center.
Declaration of Owner
I,as the owner of the project,declare that the testing agency firm/s or individual/s listediherein are hired by me to
perform"Special Inspections" and/or"Structural Testing"in accordance with the provisions of the International
Building code(IBC)Chapter 17.
OAN�E� oc w
Owner(print) ner(Signature) (date)
Declaration of Registered Professional Architect/Engineer
I, as the design professional in responsible charge of the project listed herein, declare that the special
inspection listed herein are required for this,project in accordance with the provisions of the International
Building Code(IBC)Chapter 17.
____________ L / /
1' c_A5
Architect/Engineer(print) '. • ' I
Architect/Engineer Stamp/Signature(date)
Testing Agency Name/Contact V'l./A
info:
S cio Tvt�Qrc -t ut,r�
The Special Inspection/Testing Agency listed above must have a c�rt"a e Portfolio of Qualifications
on file with the County pjjgis to performing work.
Declaration of the General Contractor
I,as the General Contractor of the project,agree to comply with the"Contractor Responsibility"items
noted herein.
�t ' z
eneral Contractor(print) General Contractor Sj gnature- (date)
Page 2 of 4
special Inspection Requirements
' t
Required Special Inspections
International"$iulding Code; Chapter 17:
A completed and signed copy of pages 1.through'4 of this form shall be submitted to the
"Permit Center" prior to building permit approval.
Engineer shall check the applicable Items: i V' `O SA-� Yo.�, SPreeal
0 Special inspection of fabricated items 1704.2.5 1� �°C �'P1
❑Submittals to the building,official 1704:5
❑Structures over 75' in height located in Seismic Design Category D, 1704.6.1
❑Structures classified as Risk Category III or IV located.in Seismic Design Category D, 1704.6,1 •
❑Steel construction&structural Steel 1705.2.1
Cold form steel deck 1795.2.2
❑Open-web steel joists&,girders,1705.2.3
❑Cold form steel trusses.spanning 60.feet or greater 1705.2.4
❑Concrete construction 1705.3&Table 1705.3.
❑Shotcrete 1705.3
❑Welding of reinforcing bars 1705.3.1
❑Material Tests 1705.3.2
D Masonry Construction 1705.4
Empirically designed masonry,glass unit&masonry in Risk Category IV 1705.4.1
❑Vertical masonry'foundation-elements 1705,4.2
❑Wood construction 1705.5
❑High Load Diaphragms 1705.5.1
❑Metal-plate connected wood trusses spanning 60 feet or greater 1705.5.2
❑Soils 1705.6&Table 1705.6
❑Driven deep foundations 1705,7&Table 1705.7
❑Cast in-place deep foundations 1705.8&Tablee 1705.8
❑Helical pile foundations 1705.9
❑Fabricated items 1705.10
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p
•lf;, v. t. r • • N .
�:� Special InspectiQn Requ�rement�s
cOnaQ.1Jt(Y 9F.ttvICr. - -...
❑Special inspections for wind resistance 1705.11
❑Structural wood.1705.11.1
❑Wind resisting components''1705.11.3
❑Cold formed steel light frame 1705.11.2
❑Special inspection for seismic resistance 1705.12
❑Special inspection for structural steel per 1705.12.1
❑Seismic force-resisting systems'1705.12.1.1
❑Structural steel elements 1705.12.1,2
O Special inspection for structural wood per 1705.12.2
❑Special inspection for cold-formed steel per 1705.12.3,
❑Designated seismic systems 1705.12.4
❑Architectural components 1705:12.5
❑Plumbing;mechanical&electrical components 1705.12.6
o Storage racks 1705.12.7
❑Seismic isolation systems 1705.12.8
❑Cold-formed steel special bolted moment frames 170512.9
❑Testing for seismic resistance 1705.13
❑Structural steel.1705.13.1
❑Seismic fore-resisting systems 1705.13:1.1
CI Structural steel elements 1705.13.1.2
❑Nonstructural components 1705.13.2
❑Designated seismic systems 1705.13.3
❑Seismic isolation systems 1705.13.4
❑Sprayed fire-resistance materials 1705.14
❑Physical and visual tests 1705.14.1
❑Structural member surface conditions 1,705.14,2(1705.14,3 through 1705.14.6.3)
❑Mastic&intumescent fire-resistance costings 1705.15
❑Exterior insulation&finish systems(EIFS),1705.16
❑Fire-resistance penetrations and joints 1705.17
0 Penetration firestops 1705.17.1
❑Fire-resistant joint systems 1705.17.2 -
❑Testing for smoke control 1705.18
o Testing Scope 1705.18,1
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