HomeMy WebLinkAboutBLD2013-00099 Demo - BLD Permit / Conditions - 2/15/2013 1
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MASON COUNTY PERMIT NO. L�pzo
BUILDING PERMIT APPLICATION � q
426 W. Cedar• P.O. Box 186, Shelton, WA 98594 I
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 ff, 4 , _ Company Name
Mailing Address SZ A.U.�..�y c,�s C i Mailing Address
City W41. State" Zip Code M-52f3 City State Zip Code
Phone _36b-6Ly �/D�5� - OtherPh. -
��' Phone Other Ph.
Yip „4/ /A� �.
Lien/Title Holder sAc-A e.-
Contractor Reg.# Exp.
E mail address E Mail Address
# Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic Existing Septic x,
Connect to Water System Name of Water System
Well Water System Name of Water System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name,str et number and city) _O ME '
Directions to site 74 L '`
Will timber be cut and sold in parcel prep ration?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 DK,,Other PRIMARY RESIDENCE E�SEASONAL ❑
7' Use of Building +�? =c'�=� Describe Work
No.of Bedrooms 3 No.of Bathrooms__L_Square Footage-1st Floor 101a0 2nf.Floor
3rd Floor Basement Deck Covered Deck Other Sq.ft
Garage Attached Detached Carport Vn 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/BUdDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
such is by signature below.I declare that I am the owner,owners legal representative,or the contractor.I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder,or any other party in interest regarding this application or the work proposed in the application,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason Canty access to the above described property and structure for review and inspection.
PROOF NUATION OF WO tS BY F7' GRESS INSPECTION.
Date-
Owner/Owners Representative/Contractor dicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by. Date
DEPARTMENTAL REVIEW A OVED DENIED NOTES
Building Department 2-
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildinq 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
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Owner: S _ Parcel#: Type of project:
Total Sq. Ft. 1 Floor: 2� floor: Heated Basement:
of heated area:: f Ll+•� 1A;� p
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other. Specify:
Glazing Compliance O Prescriptive Option (see reverse side) circle one: I II III
Percentage: Method O Component Performance , Chapter 5— calculaSon worksheets required
Check one::
O Other (specify):
Check one O Whole House Ventilation system O Whole House Ventilation O Other,
Ventilation using exhaust fans &window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply. If the table is not attached to this form you can access the table on our website at:
CREDITS http://www Dev/index. h .
Option: Description:
Table 9-1
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
r
Windows: Total Sq. ft.
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window &door area !(divided by) total sq. ft of heated area = %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SiTE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 International Residential Code (/RC), 2009
International Mechanical Code (IMC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-1 attached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions to calculate size. It is always helpful to
list the u-factors of windows and doors, if known. If you do not know u-factors, the plan reviewer will
assume that all window & door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom,
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements °,' for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor ' Wall Wall a
Area % Vaulted Wall int° ext4 Slab
Door U- Above on
Option of Floor Vertical Overhead Factor9 Ceiling2 Ceiling Grade below Below Floor 5 Grade
grade Grade
R-49 or R-21 R-21
I 13% .34 .50 .20 R-38 R-38 int TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
II* 25% .32 .50 .20 R-38 R-38 int TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
III Unlimited .30 .50 .20 R-38 R-38 int 1 TB R-10 R-30 R-10
adv
*Reference Case/Call (350)427-9670 ext. 352 for footnote information. Log &solid timber wall with a min. avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.
65F -01 S-
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPME
Permit Processing/Inspections/Addressing
Mason County Bldg.III 426 W.Cedar
P.O.Box 186 Shelton,WA 98584
(360) 427-9670 Belfair(360) 275-4467 Elma (360) 482-5269 Seattle (206) 464-6968
REQUEST FOR BUILDING PERMIT EXPEDITION
NAME: r: "I SN It,
MAILING ADDRESS (1- ,4L «CITY_G l r-:r STATEWc-4 ZIP ,`;2
PARCEL:2-336 --53 cDDj1
LEGAL DESCRIPTION:
SITE ADDRESS:
REQUEST DUE TO: MEDICAL CONDITION FIRE-)( OTHER
EXPLANATION OF HARDSHIP-..
l
MUST INCLUDE SUPPORTING DOCUMENTS. THIS MAY BE A LETTER FROM A
DOCTOR, INSURANCE CLAIM REPORT, OR REPORT OF FIRE DAMAGE FROM
APPROPRIATE FIRE REPRESENTATIVE.
I (WE) UNDERSTAND THE INTENTION OF THIS FORM IS TO DETERMINE AND
DOCUMENT JUSTIFICATION FOR EXPEDITION OF A BUILDING PERMIT TO ALTER
OR RECONSTRUCT A RESIDENCE ON THE ABOVE NAMED PROPERTY.
SIGNATURE OWNE- AG EN �
OLfI LY
ENVIRONMENTAL HEALTH
BUILDING DEPARTMENT PLANNING DEPARTMEN DEPARTMENT
APPROVED ❑ APPROVED ❑ APPROVED
DENIED ❑ DENIED ❑ DEN ED ❑ _
SIGNATURE SIGNATURE., SIGNATURE