HomeMy WebLinkAboutBLD2021-01269 Final SFR - BLD Permit / Conditions - 12/14/2022 �f b X� 615 W.Alder St.Bldg 8,SHELTON,WA 98584
MASON COUNTY
� SHELTON:360-427-9670,EXT 352
COMMUNITY SERVICES BELFAIR:360-275 4467,EXT 352
Building,Planning,Environmental Health,Community Health
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-servicesibid-inspectioa.php
Permit Number BLD2021-01269 Date Issued 01/07/2022 Issue
Project NEW SFR WITH ATTACHED GARAGE(Future ADU)
Site Address 60 NE D and J Trl
Applicant JONES BRITTANY&BRANDIE
Contractor
Contractor Phone
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
Department Building Official: Community Services Designee
Concrete Setbacks Slab
Footing Perimete Point load Footing
Footing Interior Footing Decks/Porches
Foundation Stem Walls Other
Rough-In Groundwork Plumbing Framing
Groundwork Mechanical Plumbing
Groundwork Gas Pipe Mechanical .2-�
Gas Piping Shear Wall Nailing _ •Z 'I
Underfloor'}_ Z
Other n 2
Insulation Slab Ceiling
Floor Vaulted Ceiling _ - Z
Walls -k,L Vapor Barrier
Other
Wallboard Interior Wall Brace Panels Fire Walls
Nailing
Other
Final Building
Manufactured Setbacks Setup
Home
Concrete Foot/Runners Final
Other
F6u "bn W�,U alyi( 7///Z2 S4 NO P" Cr �OGv+ �+.he�► 4n S,�"C Sc�,/!t
w
MASON COUNTY 360-427-9670 Shelton ext.352
COMMUNITY SERVICES 36 60-482-52 Be lm ext.352
360-482-5269 Elma ext.352
Building,Planning,Environmental Health,Community Health
615 W.Alder St. Bldg.8 - Shelton,WA 98584 www.co.mason.wa.us
CORRECTIOWINSPECTION REPORT
PERMIT/CASE NUMBER: IAL D 2,021 -O 12(a 9
ADDRESS/LOCATION: (oo N C D d J TrL -7akLAl(4
FINDINGS•
I P 6 of A-i-e_ Na k on S;J-C.
yn pits
Sa w
Items listed above must be corrected to gain compliance.
HIS IS NOT A COMPLETE INSPECTION
❑ This structure has been inspected by Mason County Building Department and the items listed
above are in VIOLATION of Mason County laws and/or ordinances.
❑ Call for re-inspection when corrections are made before proceeding with any further work.
❑ Make corrections, items will be checked on the next inspection.
❑ OK to
Date: �/Zl ZZ ❑ Please contact our office regarding possible
Department: &b structural damage incurred by recent
Inspector: "natural/man made"disasters.This is NOT a
CORRECTION NOTICE.
DO NOT REMOVE THIS TAG
MCC14.12
Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
B DD2021-01269 NEW SINGLE FAMILY RESIDENCE
PROJECT DESCRIPTION: NEW SFR WITH ATTACHED GARAGE ISSUED: 01/07/2022
(FUTURE ADU)
SITE ADDRESS: 60 NE D AND J TRL TAHUYA EXPIRES: 07/06/2022
PARCEL: 223184400020
APPLICANT: JONES BRITTANY& BRANDIE OWNER: JONES BRITTANY&BRANDIE
151 NE ALDERWOOD PL 151 NE ALDERWOOD PL
BELFAIR,WA98528 BELFAIR,WA98528
360.509.8447
VALUATIONS: FEES: Paid Due
U VB Utility, miscellaneous 369.00 $18,003.51 Building Permit Fee $1,345.68 $0.00
R-3 VB Residential, one- 998.00 $123,432.64 Planning Review Fee $240.00 $0.00
and two-family Technology Surcharge $52.37 $0.00
Mechanical Base Fee $30.00 $0.00
Plan Check Fee $874.69 $0.00
Plumbing Base Fee $25.00 $0.00
Plumbing Fees $113.00 $0.00
Mechanical Fees $230.00 $0.00
Building Plan Review/Change of $120.00 $0.00
Use-Onsite Sewage
State Fee-Residential $6.50 $0.00
Total: $141,436.15 Totals : $3,037.24 $0.00
FIXTURES
Qty Mechanical Fixtures City Plumbing Fixtures
1.0000 Gas Outlet(s) (1-5) 1.0000 Number of Bath Tubs
1.0000 Dryer Vent(s) 1.0000 Number of Clothes Washers
1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Dishwashers
1.0000 Ductless Heat Pump 1.0000 Number of Kitchen Sinks
1.0000 Propane Tank(s) 1.0000 Number of Water Heaters and or Vent
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 1 of 7
1
/�9 P
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2021-01269
Cat Mechanical Fixtures Cat Plumbing Fixtures
1.0000 Wood/Gas/Pellet Stove(s) 2.0000 Number of Hose Bibs
2.0000 Spot Vent Fan(s) 2.0000 Bathroom Sink
2.0000 Number of Showers
2.0000 Number of Toilets
REQUIRED INSPECTIONS
Setback Inspection Rough- Plumbing Inspection
Footing Inspection Gas Piping Inspection
Foundation Wall-Pre-Pour Inspection Mechanical Inspection
Underfloor Inspection Insulation Inspection
Shearwall Inspection BLD-Final Inspection
Framing 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.
" 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.
" 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.
* Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly
corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of
pressure treated material.
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 2 of 7
1G. Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCEBLD2021-01269
Adopted IECC/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.
4 DHP with zonal electric resistance per option 3.4
3.4 Ductless mini-split heat pump system, zonal control: In homes where the primary space heating system is zonal electric
heating, a ductless mini-split heat pump system with a minimum HSPF of 10.0 shall be installed and provide heating to the
largest zone of the
housing unit.
5.4 Water heating system shall include one of the following:
Electric heat pump water heater meeting the standards for Tier I of NEEA's advanced water heating specification or for R-2
Occupancy, electric heat pump water heater(s), meeting the standards for Tier I of NEEA's advanced water heating
specification, shall supply domestic hot water to all units. If one water heater is serving more than one dwelling unit, all hot
water supply and recirculation piping shall be insulated with R-8 minimum pipe insulation. 5
" The foundation/footing must be placed on undisturbed, firm-native soil.
• 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).
The use, handling and storage of hazardous materials or flammable and combustible liquids in excess of 10 gallons is not
allowed without the approval of the Mason County Fire Marshal.
Owner/Agent is responsible to post the assigned address and/or purchase and post private road signs in accordance
with Mason County Title 14.28 and 14.17.
* 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.
* 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
Iabels.The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab,
basement wall, crawlspace wall and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the
solar heat gain coefficient(SHGC) of fenestration. Where there is more than one value for each component, the certificate
shall list the value covering the largest area. The certificate shall list the type and efficiency of heating, cooling, and service
water heating equipment, duct leakage rates including test conditions as specified in WSEC Section R401.3 & R402.4.1.2,
and air leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 5 air
changes per hour when tested with a blower door in accordanve with IECC/.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 IECC/WSEC R402.4.1.2.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2015 Certificate" and are
available in or sheets. The Mason County Permit Center will also have some available.
A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance
with IECC/WSEC Section R404.1.
Printed by:Kate Campbell on:01/07/2022 10:54 AM Page 3 of 7
Mason County
Mason County - Division of Community Development
615 W.Alder St. Bldg.8
Shelton,WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2021-01269
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.
* 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.
* 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 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.
* 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.
* Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the
structure.
* 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.
* All property lines shall be clearly identified at the time of foundation inspection.
* 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 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.
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 4 of 7
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
?rFv Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2O21-01269
A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit
application. Design, sizing, placement, inspection and maintenance of stormwater management systems shall be the
responsibility of the owner/agent of the developed parcel. It is the owner/agent/contractor's responsibility to ensure that
Mason County Department of Public Works has approved the stormwater site plan for this parcel prior to the commencement
of any development activities. *NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled"Managing Storm Drainage on Small Lots, The Small Parcel
Stormwater Site Plan"constitutes an approved plan based on the criteria listed on the application/worksheet. If the
development has, or will have, a septic/drainfield system you are responsible for contacting Mason County Division of
Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this, or any other,
parcel. You may also wish to consult with the septic design professional involved with the project. By calling for a final
inspection of the building permit the owner/agent/contractor is acknowledging that all components of the stormwater
management system have been installed as approved on the stormwater site plan.
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.
* 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.
* 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.
* 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.
* 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.
* 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.
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 5 of 7
Mason County
�$ Mason County - Division of Community Development
7 ly 615 W. Alder St. Bldg.8
w. , ra Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCE BLD2021-01269
All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building
Official may grant a one time extention of 180 days, upon the receipt of a written extension request prior to permit expiration.
Letter must indicating that circumstances beyond the control of the permit holder preventing action from being taken. No
more than one extension may be granted.
* 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.
* Installation of heating equipment in a single-family residence shall meet the requirements of the current IECC/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.
* 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.
* 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.
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 6 of 7
Mason County
Mason County - Division of Community Development
615 W. Alder St. Bldg.8
Shelton, WA 98584
360-427-9670 ext 352
www.co.mason.wa.us
NEW SINGLE FAMILY RESIDENCEBLD2021-01269
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 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 INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
" On-site Septic System final installation approval required prior to temporary/final occupancy of the residence.
" Horizontal setbacks per WAC246-272A-0210 must be maintained, unless prior approval is obtained
• Applicant/Owner assumes all responsibility if On-site Sewage Components are encumbered.
A.) Drainfield/ Reserve requires a 1 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.
" If a main residence is added to the property, this structure will be an ADU and the garage area can never be converted to
living space.
" All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County
ordinances. All propane tanks must meet the installation requirements and minimum setbacks as listed in the Mason County
Fire Marshal's Standards for the Installation of Propane Tanks.
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 govern' g this type of work will be complied with whether
specified herein or ot. T e ranting of a pe it does not presume to give authority to violate or cancel
the provi ns f y of er tate/I cal I w gulating construction or the performance of construction.
Issued B
Contractor or Authorized Agent: ,Bz Date:
Printed by:Kate Campbell on:01/07/2022 10:54 AM
Page 7 of 7
Tr RA
� � �- �s�c R E E I V E D
1
loom
A"A
6.15.W.'AIder Street
oq-
FAE(-
LPLANNIN • ,.. ...
BACKS ARE MEAS D.
.-_-- --- OM THE.FURTHEST `TIOU00THE.PUILOING
: 4 PU
S f i•.
ENT
WUTYLift
►t STA•N LE ,-
roposED W*TER
4nE�SPf�ET X��
p5
raQoSED
,TORNI wATEiz `y`-
IZvN or-F
*' r460 + '
Fi�C.%H PraiK S <Y
0.rtA t` �
h e r
3I , o
so IA \pJAI
ANTS1fret5 Vt
ro PA V�.
ro v1�,
Tt
'rttl8rtsr/ TKEES
'` Siws 1 � ° --
Ctst1NG� w .LL �. ?0
yr e
fir, \ 1
` r `'ter`• '"'" `N
MASON COUP TY DC
f A�NNING
SITE PLAN RE �_11. Ei) 30 BE ON SITE
CHANG S "ECT I O APPROVAL �,. r .
By __ ate
EDGE o READ
b � Tratl-_
�� R\VA P[jA-b
MASON COUNTY COMMUNITY SERVICES PermitNo:. &l.�'11I� '�t✓
PERMIT ASSISTANCE CENTER:
•BUILDING•PLANNING•PUBLIC HEALTH•FIRE MARSHAL R
615 W.Alder Street,Shelton,WA 98584
Phone Shelton:(360)427-9670 eA 352•Fax:(360)427-7798 Phone
Belfalr.(360)2754467•Phone Brow(360)4B2-526940 V C
BUILDING PERMIT APPLICATION 13
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: 1 5
NAME: NAME: �Av c ,a N 6S V V AI(�� r
d
MAILINGADDRESS:15/ mE At4ertx"r] MAILIN�jADDRESS: i S/ �dEPJ,400 L
CITY:AWq l r STATE:VA 21P: CITY: 45,l r STATE: WA ZIP:q�
PHONE#1: 36, -94,4 7 E: -ZO LL:
PHONE#2: - -3958 EMAIL: F 16 70 AGrhaj L . Covh
EMAIL: We I ca j 6AD PLL, •W U L&I REG# F1 N E FP 1 Q EXP. '_l I5- Z L
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME ar �
N 21%"65 EMAIL
MAILING ADDRESS 1.91 A/E A l Qe.✓LJQM �—CITY 8 % STATE l.-r ZI
PHONE 9&0-5lQe-®SIU7 CELL -
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) Z 2 31 g �j►t/ - 0 b ri L o ZONWG g g j
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS n AND S r RAI L =TAHuv
DIRECTIONS TO SITE ADDRESS_OJ�6 jor R j Af_k.SA&j-t1"j � F_ je.
L4ICE l.r00I1
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14a/•: YES[] NO',® SNOW LOAD:psf
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Cheetanrhotapply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW$ ADDITION❑ ALTERRA�TION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commerdal Bldg,Etc) R�a 111.6(VGC
IS USE: PRIMARY® SEASONAL❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS Z
HEATED STRUCTURE? YES(Who�Jdg)0i YES(Parifr1 ofBldg)❑ NO❑
DESCRIBE.WORK Ew S F Nf4�r"%
SOUARE FOOTAGE:(prupo:.d)
1ST FLOOR_I_%_sq.fL 2ND FLOOR sq.ft. 3RD FLOOR sq.fL BASEMENT sq.ft.
DECK sq.R COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE-3G Q sq.fL Attached❑ Detached❑ CARPORT sq.ft.Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: '*4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIALNUMBER
ENVIRONMENTAL HEALTH.-
SEWAGE/SEWER SOURCE: SEPTIC® SEWER❑ / NEW N EXISTING❑
PLUMBING IN STRUCTURE? YES Df NO❑ Ifyes,attach completed Water Adequacy Farm
PERIMETERNOUNDATION DRAINS PROPOSED? YES jJ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS 0 PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER 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 and 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 legal
representative,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 permitlapplication 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 ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.08.42)
x - �
Signature of OWNER(Must be signed by the OWNER) Date
7-DEPARTMENTALREVIEW=; "APPROVFDI:'- DATE"`..=:.=_DEFIED_._ DATE :TAGS/NOTES/CONDITIONS--
BUILDING DEPARTMENT Z Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY COMMUNITY SERVICES Permit No: I 7-U01 620cl
PERMIT ASSISTANCE CENTER: ^
•BUILDING •PLANNING •FIRE MARSHAL `iC^,
615 W. Alder St- Shelton, WA 98584 c E7D
www.co.mason.wa.us qU
Phone Shelton:(360)427-9670 ext. 352- Fax:(360)427-7798 G
Phone Selfair. (360)275-4467- Phone Elma: (360)482-5269 61 s t V `� 20?1
PLUMBING & MECHANICAL PERMIT APPLICATION g1'd�r Stre,
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: j3/:4Nl:lr_ J-C.AJ S NAME: pAvE JoArC S
MAILING ADDRESS: dE /S/ &J3FQL")U _ MAILING ADDRESS: AlISl q/ e
CITY:BELfA1,2 STATE: t.✓A ZIP: CITY: &jki v- STATE: W r4 ZIP: '15S�ZIB
I"PHONE: o 8 PHONE: 3 - CELL:
2"a PHONE: 25= L - EMAIL :J E ce, Y►-�e� (�YV\
EMAIL: WoL ' b i.L,, L&I REG# i it EXP. 5- 1151 2 L
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): 22 3(A L(y GOU Z 'U Zoning:
LEGAL DESCRIPTION(Abbreviated):
SITE ADDRESS: CITY:
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB:
NEW ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS-1 ST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG Natural Gas DuctlessX
Toilets "L Type of Unit No. of Units Fees
Bathroom Sink 2- Furnace 0
Bath Tubs i Heat Pump 1
Showers 2 Spot Vent Fan Z
Water Heater i Propane Tank
Clothes Washer 1 Gas Outlets
Kitchen Sinks f oo as/Pellet Stove
Dishwasher 1 i c en Exhaust Hood
Hose bibs .Z Diyer Vent
Other Solar Panel O
Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER acknowledge 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. 1 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 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 OFTHIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE THE APPLICATION.
X
Signature o ner Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT cc- /-y,Z Z
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 JBN