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BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Name OwnerCf �<'t. Company P Y Mailing Address 9 k, r3 9r " " Mailin Address • �- �°• 1 City `" �� State Zip Code' ~�; City State' Zip Code Phone K k" Other Ph. ): Phone -..Other Ph. Lien/Title Holder Contractor Reg. It< ' ate" Exp. E mail address E Mail Address Drivers Lic. # DOB F: Drivers Lic. # f 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. I Fire District�4, Legal Descriptions Site Address (Please include street name, street number and city) `­, ' r' Directions to site Will timber be cut and sold in parcel preparation?Yes 1,No,..k Is property within 200' of Saltwater Lake _- River/ Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/�Vo TYPE OF JOB - NewAdd Alt Repair., Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work t r No. of Bedrooms No. of Bathrogm Square Footage- 1 st Floor 2nd Floor 3rd Floor Basement ;Deck 0 Covered Deck Other Sq. ft. Garage Attached D ched 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 OFAP,tQGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION. Xat Date: 1 Ownerl/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by:f'+a Date DEPARTMENTAL REVIEW APPRO D DENIED NOTES Building Department `s Planning Department ° Environmental Health Department Fire Marshal ' t FEES Building Permit Fee ( Site Inspection Plan Review Fee 2 17 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 2 �7 Valuation $ � TOTAL FEES MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION 426 W. Cedar• P.O. Box 186, Shelton, WA 98584 ' Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFORMATION Owner t" Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. t i Phone Other Ph. Lien/Title Holder Contractor Reg. Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic A. 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 A Site Address (Please include street name, street number and city) Directions to site 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 Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New_,L_Add Alt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building Describe Work er i_. ;X'i, No. of Bedroom-- 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 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.INACTIVITY OF 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 DENIED NOTES Building Department Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site Inspection Plan Review Fee 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 Valuation $ TOTAL FEES MrDn County Planning Intake Checklist Owners Name: rl Date: Project: Reviewed By: I Commercial Development: YES NO Comments: PLANNER: GBM TSC CMM PBC RDH REC Site Plan: North Arrow Property Dimensions: 10 5 X 11 b Streets and Driveways Shown. Road name: Al sting c es own s acks ,,d ell Loca io p is and Dr 'n-field n wi se ac tA rl , nds, shoreline, wetlands, natural or historic drainage, defined dr ' a e ditches Corn m n � e� Id Topography (slopes) �(, mope.. .-� , , Yl o -P't�. ,,a Proposed Structure Setb= (Direction/Setback): tea' Utility and Drainage Easements: Yes No (if yes enter condition #5022) Other Easements Does site plan show landings all exits? ❑ Variance applied for: Yes / No - parking spaces allo ed. Yes / No ❑ County Access Permit Needed (a d condition #0010) o State Access Permit Needed (add condition #0020) rl V6� Standard Conditions to be added to all Building per its that planning reviews: #5019 and #0700 Site Access: Are there any impedim nts (dogs/gates) that my restrict access to your site? Is the site clearly marked? How? Address o n In'1 t-F ❑ Name Critical Areas: ❑ Other: Setbacks: Shoreline: Slope: Shhoeline Designation: Comprehensive Plan: Ru 0 Zoning: Not Applicable ❑ Agricultural RR 2.5 5 10 20 ❑ Urban ❑ In-holding ElRMF ❑ Rural ❑ LTCFL ❑ RC 1 2 3 ❑ Conservancy Rural ❑ RI ❑ Natural /❑ RAC ❑ RNR ❑ Unknown ❑ RCC-Hamlet ❑ RT ❑ Urban Growth Area ❑ MPR ❑ Unknown ❑ Unknown Water Body (type of water if unnamed): hD SEPA: Yes/ No Unknown Flood Plain: YES/NO 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: 07-10-2007 Uniformly Loaded Floor Beam[2006 International Buildinq Code(05 NDS)1 Ver: 7.01.12 By: Debbera Coker, Mason County on: 11-19-2007 :09:38:46 AM Proiect: Pierce- Location: Summary: 3.5 IN x 7.25 IN x 8.0 FT /#2-Hem-Fir- Dry Use Section Adequate By: 127.6% Controlling Factor: Section Modulus/Depth Required 4.81 In Deflections: Dead Load: DLD= 0.02 IN Live Load: LLD= 0.08 IN =U1254 Total Load: TLD= 0.10 IN = U973 Reactions(Each End): Live Load: LL-Rxn= 480 LB Dead Load: DL-Rxn= 139 LB Total Load: TL-Rxn= 619 LB Bearing Length Required(Beam only, support capacity not checked): BL= 0.44 IN Beam Data: Span: L= 8.0 FT Unbraced Lenqth-Top of Beam: Lu= 1.33 FT Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: U 240 Floor Loadinq: Floor Live Load-Side One: LL1= 40.0 PSF Floor Dead Load-Side One: DL1= 10.0 PSF Tributary Width-Side One: TW1= 1.0 FT Floor Live Load-Side Two: LL2= 40.0 PSF Floor Dead Load-Side Two: DL2= 10.0 PSF Tributary Width-Side Two: TW2= 2.0 FT Live Load Duration Factor: Cd= 1.00 Wall Load: WALL= 0 PLF Beam Loadinq: Beam Total Live Load: wL= 120 PLF Beam Self Weiqht: BSW= 5 PLF Beam Total Dead Load: wD= 35 PLF Total Maximum Load: wT= 155 PLF Properties For:#2-Hem-Fir Bendinq Stress: Fb= 850 PSI Shear Stress: Fv= 150 PSI Modulus of Elasticitv: E= 1300000 PSI Adiusted Modulus of Elasticity: E-Min= 470000 PSI Stress Perpendicular to Grain: Fc_perp= 405 PSI Adjusted Properties Fb'(Tension): Fb'= 1103 PSI Adjustment Factors: Cd=1.00 CI=1.00 CF=1.30 Fv': Fv'= 150 PSI Adiustment Factors: Cd=1.00 Design Requirements: Controllinq Moment: M= 1238 FT-LB 4.0 ft from left support Critical moment created by combining all dead and live loads. Controllinq Shear: V= 532 LB At a distance d from support. Critical shear created by combining all dead and live loads. Comparisons With Required Sections: Section Modulus(Moment): Sreq= 13.47 IN3 S= 30.66 IN3 Area(Shear): Areq= 5.32 IN2 A= 25.38 IN2 Moment of Inertia(Deflection): Ireq= 31.90 IN4 1= 111.15 IN4 Uniformly Loaded Floor Beam[2006 International Building Code(05 NDS)]Ver: 7.01.12 By: Debbera Coker, Mason County on: 11-19-2007 Project: Pierce-Location: Summary: 3.5 IN x 7.25 IN x 8.0 FT /#2- Hem-Fir-Dry Use Section Adequate By: 127.6% Controlling Factor: Section Modulus/Depth Required 4.81 In SHEAR, MOMENT,AND DEFLECTION DIAGRAMS Load combination shown: Controlling Shear/Moment/Deflection Diagrams 700 619 Ibs @ 0 ft 350 Shear (Ibs) 0 -350 -700 -619 Ibs @ 8 ft 2000 1238 ft-Ibs @ 4 ft 1000 Moment (ft-Ib) 0 -1000 -2000 -0.08 -0.04 Deflection (in) 0 0.04 0.08 in@4ft Span =8 ft Controlling Load Cases: Shear: Critical shear created by combining all dead and1ive loads. Moment: Critical moment created by combining all dead and live loads. Deflection: Critical deflection created by live loads only. LOADING DIAGRAM A B Span =8 ft Reactions Live Load Dead Load Total Load Uplift Load A 480 Lb 139 Lb 619 Lb 0 Lb B 480 Lb 139 Lb 619 Lb 0 Lb Shan Uniform Loading Live Load Dead Load Self Weight Total Load W 120 Plf 30 Plf 5 Plf 155 Plf Floor Joist(2006 International Buildinq Code(05 NDS))Ver: 7.01.12 By: Debbera Coker, Mason County on: 11-19-2007 : 09:39:22 AM Proiect: -Location: Summary: 1.51Nx5.51Nx5.0FT(3+2)(a) 16 O.C./#2-Hem-Fir- Dry Use Section Adequate By: 388.9% Controlling Factor: Moment of Inertia/Depth Required 3.24 In Center Span Deflections: Dead Load: DLD-Center= 0.00 IN Live Load: LLD-Center= 0.00 IN= U9146 Total Load: TLD-Center- 0.00 IN = U8883 Right Cantilever Deflections: Dead Load: DLD-Riqht= 0.00 IN Live Load: LLD-Right= 0.02 IN =2U2347 Total Load: TLD-Right= 0.02 IN =2U2030 Center Span Left End Reactions(Support A): Live Load: LL-Rxn-A= 80 LB Dead Load: DL-Rxn-A= 11 LB Total Load: TL-Rxn-A= 91 LB Desian For Uplift Loads(Includes Uplift Factor of Safetv) Rxn-A-min= -28 LB Bearinq Lenqth Required (Beam only, support capacity not checked): BL-A= 0.15 IN Center Span Riqht End Reactions(Support B): Live Load: LL-Rxn-B= 222 LB Dead Load: DL-Rxn-B= 56 LB Total Load: TL-Rxn-B= 278 LB Bearinq Lenqth Required (Beam only, support capacity not checked): BL-B= 0.46 IN Dead Load Uplift F.S.: FS= 1.5 Joist Data: Center Span Lenqth: L2= 3.0 FT Right Cantilever Lenqth: L3= 2.0 FT Floor sheathinq applied to top of joists-top of joists fully braced. Live Load Duration Factor: Cd= 1.00 Live Load Deflect. Criteria: U 480 Total Load Deflect. Criteria: U 360 Center Span Loadinq: Uniform Floor Loading: Live Load: LL-2= 40.0 PSF Dead Load: DL-2= 10.0 PSF Total Load: TL-2= 50.0 PSF Total Load Adiusted for Joist Spacing: wT-2= 67 PLF Riqht Cantilever Loading: Uniform Floor Loading: Live Load: LL-3= 40.0 PSF Dead Load: DL-3= 10.0 PSF Total Load: TL-3= 50.0 PSF Total Load Adiusted for Joist Spacing: wT-3= 67 PLF Properties For:#2- Hem-Fir Bendinq Stress: Fb= 850 PSI Shear Stress: Fv= 150 PSI Modulus of Elasticitv: E= 1300000 PSI Adiusted Modulus of Elasticity: E-Min= 470000 PSI Stress Perpendicular to Grain: Fc-perp= 405 PSI Adjusted Properties Fb'(Compression Face in Tension): Fb'= 1230 PSI Adjustment Factors: Cd=1.00 CI=0.97 CF=1.30 Cr=1.15 Fv': Fv'= 150 PSI Adjustment Factors: Cd=1.00 Design Requirements: Controllinq Moment: M= -133 FT-LB Over riqht support of span 2 (Center Span) Critical moment created by combining all dead loads and live loads on span(s)2, 3 Controllinq Shear: V= 114 LB At a distance d from riqht support of span 2(Center Span) Critical shear created by combining all dead loads and live loads on span(s)2, 3 Comparisons With Required Sections: Section Modulus(Moment): Sreq= 1.30 IN3 S= 7.56 IN3 Area(Shear): Areq= 1.14 IN2 A= 8.25 IN2 Moment of Inertia(Deflection): Ireq= 4.25 IN4 I= 20.80 IN4 Floor Joist[2006 International Building Code(05 NDS)]Ver: 7.01.12 By: Debbera Coker, Mason County on: 11-19-2007 Project: -Location: Summary: 1.5INx5.5INx5.0FT(3+2)@ 16 O.C./#2-Hem-Fir-Dry Use Section Adequate By: 388.9% Controlling Factor: Moment of Inertia/Depth Required 3.24 In SHEAR, MOMENT,AND DEFLECTION DIAGRAMS Load combination shown: Controlling Shear/Moment/Deflection Diagrams 200 133 Ibs @ 3 ft 100 Shear (Ibs) 0 -100 -200 -144 Ibs @ 3 ft 200 23 ft-Ibs @ 1 ft I 100 Moment (ft-Ib) 0 -100 I -200 -133 ft-Ibs @ 3 ft -0.03 -0.004 in @ 1.7 ft -0.015 Deflection (in) 0 I I 0.015 I 0.03 0.02in@5ft � Center Span =3 ft F Right Cantilever =2 ft Controlling Load Cases: Shear: Critical shear created by combining all dead loads and live loads on span(s)2, 3 Moment: Critical moment created by combining all dead loads and live loads on span(s)2, 3 Deflection: Critical deflection created by live loads only on span(s)3 LOADING DIAGRAM A B Center Span =3 ft Right Cantilever =2 ft Reactions . 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