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Home My WebLink AboutBLD2019-00233 Final 2-Story SFR - BLD Permit / Conditions - 8/14/2020r 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 DD2019-00233 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW 1606 SQ FT 2-STORY SFR ISSUED: 05/13/2019 SITE ADDRESS: 260 NE LAKERIDGE DR BELFAIR EXPIRES: 11/09/2019 PARCEL: 223047690130 APPLICANT: RAYMOND BISSER OWNER: RAYMOND BISSER PO BOX 168 PO BOX 168 ALLYN,WA 98524 ALLYN,WA 98524 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 1080.00 $130,410.00 Building Permit Fee $1,746.08 $0.00 and two-family Change in Tenant- Minor EH $110.00 $0.00 Covered Deck/Carport 576.00 $12,672.00 Plan Review R-3 VB Residential, one- 526.00 $63,514.50 Plumbing Base Fee $25.00 $0.00 and two-family Planning Review Fee $240.00 $0.00 Mechanical Fees $73.00 $0.00 Mechanical Base Fee $30.00 $0.00 Plan Check Fee $1,134.95 $0.00 State Fee-Residential $6.50 $0.00 Plumbing Fees $122.00 $0.00 Total: $206,596.50 Totals : $3,487.53 $0.00 FIXTURES (fit Mechanical Fixtures Qt Plumbing Fixtures 1 Dryer Vent(s) 1 Number of Clothes Washers 1 Kitchen Exhaust Hood(s) 1 Number of Dishwashers 1 Ductless Heat Pump 1 Number of Kitchen Sinks 3 Spot Vent Fan(s) 1 Number of Showers 1 Number of Water Heaters and or Vent 2 Number of Hose Bibs Printed by:Ariane Paysse on:05/13/2019 01:21 PM Page 1 of 6 4 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 BLD2019-00233 Qt C Plumbing Fixtures 2 Number of Bath Tubs 2 Number of Toilets 3 Bathroom Sink REQUIRED INSPECTIONS Setback Inspection Rough- Plumbing Inspection Footing Inspection Mechanical Inspection Foundation Wall-Pre-Pour Inspection Insulation Inspection Shearwall Inspection BLD-Final Inspection Framing Inspection CONDITIONS * 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 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 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. * 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. * 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:Ariane Paysse on:05/13/2019 01:21 PM Page 2 of 6 s Mason County r� \� 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 BLD2O19-00233 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. * The foundation/footing must be placed on undisturbed, firm-native soil. * 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. * 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. * Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. * 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. * 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 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. Printed by:Ariane Paysse on:05/13/2019 01:21 PM Page 3 of 6 Mason County Mason County - Division of Community Development 615 W. Alder St. Bldg. 8 Ht;, Shelton, WA 98584 360-427-9670 ext 352 www.co.mason.wa.us NEW SINGLE FAMILY RESIDENCE BLD2019-00233 * 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. 1a EFFICIENT BUILDING ENVELOPE 1a: Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U = 0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 5%. 0.5 3db HIGH EFFICIENCY HVAC EQUIPMENT 3d: Ductless Split System Heat Pumps, Zonal Control: In homes where the primary space heating system is zonal electric heating, a ductless heat pump system shall be installed and provide heating to the largest zone of the housing unit. 1.0 5a EFFICIENT WATER HEATING 5a: All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.c 0.5 5c EFFICIENT WATER HEATING 5c: Water heating system shall include one of the following: Gas, propane or oil water heater with a minimum EF of 0.91 or Solar water heating supplementing a minimum standard water heater. Solar water heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation (SRCC)Annual Performance of OG-300 Certified Solar Water Heating Systems or Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards of NEEA's Northern Climate Specifications for Heat Pump Water Heaters 1.5 " 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. * 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. * All property lines shall be clearly identified at the time of foundation inspection. Printed by:Ariane Paysse on:05/13/2019 01:21 PM Page 4 of 6 Mason County 1 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 BLD2019-00233 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. * 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. * 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. * 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. * 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. * 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. * 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. * 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. * 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. * 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. Printed by:Ariane Paysse on:05/13/2019 01:21 PM Page 5 of 6 Mason County a 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 BLD2019-00233 " 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. * 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. * 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. * Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. RR5 * Height of structure not to exceed 35 feet from average grade. * PER MCC8.52.170(E)(2) no clearing of native vegetation within 35 of the OHWM of the lake. * If tree and/or vegetation removal is proposed in areas>40% slope please provide an addendum to the Geological Assessment prepared by the engineer stating that the hazards of the landslide area can be overcome in such a manner as to prevent harm to property and public health and safety, and also assure the project will cause no significant environmental impact. * On-site Septic System professional inspection required prior to temporary/final occupancy of the residence. 1 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 provision of any ot7ata oca a ulating construction or the performance of construction. r Issued B ' Contractor or Authorized Agent: Date: Printed by:Ariane Paysse on:05/13/2019 01:21 PM Page 6 of 6 i 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 DD2019-00233 NEW SINGLE FAMILY RESIDENCE PROJECT DESCRIPTION: NEW 1606 SQ FT 2-STORY SFR ISSUED: 05/13/2019 SITE ADDRESS: 260 NE LAKERIDGE DR BELFAIR EXPIRES: 03/09/2020 PARCEL: 223047690130 APPLICANT: RAYMOND BISSER OWNER: RAYMOND BISSER PO BOX 168 PO BOX 168 ALLYN,WA98524 ALLYN,WA98524 VALUATIONS: FEES: Paid Due R-3 VB Residential, one- 1080.00 $130,410.00 Building Permit Fee $1,746.08 $0.00 and two-family Change in Tenant-Minor EH $110.00 $0.00 Covered Deck/Carport 576.00 $12,672.00 Plan Review R-3 VB Residential, one- 526,00 $63,514.50 Plumbing Base Fee $25.00 $0.00 and two-family Planning Review Fee $240.00 $0.00 Mechanical Fees $160.00 $0.00 Mechanical Base Fee $30.00 $0.00 Plan Check Fee $1,134.95 $0.00 State Fee-Residential $6.50 $0.00 Plumbing Fees $122.00 $0.00 Mechanical Base Fee $10.00 $0.00 Total: $206,596.50 Totals : $3,584.53 $0.00 FIXTURES (sty Mechanical Fixtures gty Plumbing Fixtures 1.0000 Gas Outlet(s) (1-5) 1.0000 Number of Clothes Washers 1.0000 Dryer Vent(s) 1.0000 Number of Dishwashers 1.0000 Kitchen Exhaust Hood(s) 1.0000 Number of Kitchen Sinks 1.0000 Ductless Heat Pump 1.0000 Number of Showers 1.0000 Propane Tank(s) 1.0000 Number of Water Heaters and or Vent Printed by:Genie Mcfarland on:12/30/2019 02:39 PM Page 1 of 7 P T (n T T (n n 00 o m c O O D m `'I C n 3 ci ° a z z z a � -i 0 3 S = m n n C 1 p y m a z 0 0 CD 'p 2 n cD Co � O _ r. m m O n D N W 0 z m O rp N m O � o r Z W J \ 0 (.0 Z' O 11 ^ W Cl) O W �- w cn ---� m C o v r � I o 3 r' D D cil m v v -o -o z _ y m m m L. `O D Z _ �'n^ ` cn Vi n n V -0 O O v D m v 1 rn c V ,..� � c W 0 O 0 0 � C� N W (A W X ;o m o -� o- O cn QO.ram v (a v T S O fn c90 �^ —I O W- p 2. ; z 0 0 � 0 lA 3 z cD E z rn W O L n+ M m 0 Z (n N p 7 m O N O ° D z v D v D 0 0 n OD cn -I fD A � N 0 c 0 CD Cl) >* m 00 cn N 2 = O0 T O O M V z z to m m _ o o PLANNING In �O (V in 1tl d' 310, W Sep is Tanks & Drainfield N } '^-140' N •L O 3 Feway & Parking A Fr 7 LuIF m o 8' 30' 6'i 46' N �ater Line & Meter Box Power Line RECEIVED SITE PLAN SCALE 1 " = 40' MAR 14 2019 5i 0 NE Lakerid a Drive, Belfair, 1Na. N 615 W. Alder street PLANNING: A P'= " ' -D All SETBACKS ARE MEASURED MASON COUNTY DCD PL,^,NNI G FROM THE FURTHEST SITE PL, N REQUIRED TU BE Ulv sr p PROJECTION OF THE BUILDING ES SUBJECT TO BY Date 51te Address: 5ELBY DESIGN LTD DESIGN FOR: P e a '1'192 Holly Park Gt NW W 260 NE Lakerid Drivel,Bremerton, a 98312 � 9 March 4 2019 UUW.selbydeslgnitd.com 360-649-1826 Raymond Chase Bisser Belfair, lNa. iy Name �l '!� Parcel# 2-SO Y —7w --( 0/5%LD# 24biq — 00Z✓ Mason County �V I Department of Community Developmen LDING Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14, Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development, or redevelopment',with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area *All dimensions in feet Buildings X y = 0 X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X = Parking Areas X = X = Any paved, gravel or packed area per definition above table X = Patios/Walks X X = Any paved, gravel or packed area per definition above table X = Others X = X If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required r7Total Impervious Surface Area(sum of all areas) If the Total Impervious Surface Area is LESS T N 2000 S are Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please RIsign the information provided on page 2 of 2. REfeEPOEV Page I of 2 MAR 14 2019 615 W.Alder Street Name Parcel# BLD# Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B) An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: 360-427-9670 ext 450 100 W.Public Works Dr Shelton.WA 98W If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: 360-427-9670 ext 400 415 N. 6th St— Bldg#8 lower level Shelton.WA 98584 A condition will be added to the building permit that states, in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above- described property for review and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Page 2 of 2 (R-2 occupancy is Residential occupancies containing sleeping units or more than two dwelling units where the occupants are primarily permanent in nature, including: Apartment houses, Boarding houses (non-transient) with more than 16 occupants, Congregate living facilities (non-transient) with more than 16 occupants, Convents, Dormitories, Fraternities and' sororities, Hotels (non-transient), LiveAvork units, Monasteries, Motels (non-transient), Vacation timeshare properties.) c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits. d) Additions less than 500 sq feet. Requires .5 credits 4 Must provide a completed heating/cooling system size worksheet to verify compliance to IECC R403.7. The calculator/worksheet is available on the WSU-Energy Program website at: http-://www.energy.wsu.edu/Documents/Heat Sizing code%20specs final 2015.xis. Staff may be able to assist with preparation of the worksheet. 5 Must meet the prescriptive option for all fenestration products. Products shall comply with the required U- factor listed in Table R402.1.3. Windows, doors, and glazed doors shall have a tested U-factor or .30 or less. When using the small dwelling option for energy credits (a) or Performance Alternative approach you must provide a fenestration schedule that identifies the square feet and U-factor of each item. Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, glazed- doors that include products with glass and non-glass glazing materials. 6 Identify on the construction drawings 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 concrete slab floors on the building plans. 7 Not less than 75% of all permanently installed lamps in lighting fixtures shall be high efficacy lamps. High efficacy lamps are defined in IECC Chapter 2 and are considered compact fluorescent lamps, T-8 or smaller diameter linear fluorescent lamps, or lamps with a minimum efficacy 60 lumens per watt for lamps over 40 watts, 50 lumens per watt for lamps over 15 watts to 40 watts, and 40 lumens per watt for lamps 15 watts or less. If you need assistance please contact Mason County Community Development at (360) 427-9670 ext. 352 or WSEC compliance information and code text is also available on the WSU-Energy Program website at: �http://www.energy.wsu.L-du/BuildingEfficiency/EnerqvCode.aspx) Prescriptive Requirements °,' for Mason County Climate Zone 4-C, Table R402.1.1 Fenestration Glazing U-factor Wall d Area % Vaulted Wall Slab on Vertical Skylight g g Above Option of FloorCeiling Ceiling Grade int�,n below grade Floor Grade (inoludes doors, b windows.etc.) R-10,2 ft 4C Unlimited .30 .50 R-49 R-38 R-21 10/15121 int+ R-30 Heated slabs int TB require R10 full slab. n Log & solid timber wall with a min. avg. thickness of 3.5" are exempt from the above grade wall insulation requirements. All footnotes are available on WSU-Energy Program Website @ htti)i//www.ener_qy.wsu.edu/BuildingEfficiency/Energy0odc-.aspx RECEIVED MAR 14 2019 N� 615 W.Alder Street 2 MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/ Ventilation Code Compliance Application Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#: Type of project: �fo ; 5 S C r %2,3o"I -1 6 - �I k0&\' - Total Sq. Ft. Is' Floor: 211 floor. Heated Basement: of heated area:: i Q 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 �) Ductless Heat Pump O Boiler, specify fuel type: O Other. Specify: 4 Prescriptive Option Table R402.1.1 (see table on previous page) Compliance ❑ Component Performance, R402.1.3 — Calcula6on worksheets required Method Must Check one:: ❑ Other (specify): Check one [j� whole House Ventilation system ElWhole House Ventilation Ventifatio using exhaust fans &window or wall Integrated with a Forced Air El Other,describe: fresh air vents (M1507.3.4). If using System (M1507.3.5) n System window vents be sure to order windows with vents. Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units must develop credits as specified in Table 406.2. Identify and describe which option(s)will be used to comply. If the table is not attached to this form you can access the table on our website at httpi//www.co.MaSDn.wa.us/forms/Community Devfiecc wsec.pdf Additional a) Description: Small dwelling units: less than 1,500 sq. feet of heated or cooled floor area and less than 300 sq. ft fenestration area (skylights, doors, windows, etc). Energy *Including additions to existing building that are greater than 500 sq. ft. of heated floor Requir Eftquir em cy but less than 1,500 sq ft of floor area. Requires 1.5 credits ents b) Medium dwelling units that are not included in (a) above {small dwelling}, OR (c) below Energy {large dwelling} Requires 3.5 credits credits EXCEPTION: Dwelling units serving R-2 occupancies shall require. Requires 2,5 required. credits. See page two for description. c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq. ft. of heated or cooled floor area. Requires 4.5 credits d) Additions less than 500 sq feet. Requires .5 credits (Fenestration is defined in the IECC as skylights, roof windows, vertical windows, opaque doors, lazed-doors that include products with glass and non-glass glazing materials. Describe Energy Credit Option(s): Using Option I C C9- S C'-c�-i ,F S number(s): 3 a — I 0 C nw ;vs 3,6 3 FENESTRATION'SCHEDULE USE FOR ENERGY CREDIT a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE List all windows, doors, skylights. (If needed, attach an additional sheet) 'Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that include products with lass and non- lassglazing materials. Manufacturer Location U-Factor Size Quantity Total rough opening) Square Feet Total Fenestration: windows, skylights and door area Energy Credits 4 (2015 WSEC -- Table 406.2) OPTION DESCRIPTION CREDIT(S) l a EFFICIENT BUII DING ENVELOPE l a: 0.5 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U =0.28 Floor R-38 Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 5%. lb EFFICIENT BUILDING ENVELOPE lb: 1.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U =0.25 Wall R-21 plus R-4 Floor R-38 Basement wall R-21 int plus R-5 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R-10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 15116. 1 c EFFICIENT BUIIDING ENVELOPE 1 c: 2.0 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U =0.22 Ceiling and single-rafter or joist-vaulted R-49 advanced Wood frame wall R-21 int plus R-12 ci Floor R-38 Basement wall R-21 int plus R-12 ci Slab on grade R-10 perimeter and under entire slab Below grade slab R 10 perimeter and under entire slab or Compliance based on Section R402.1.4: Reduce the Total UA by 30 . Id' EFFICIENT BUILDING ENVELOPE 1 d: 0.5 Prescriptive compliance is based on Table R402.1.1 with the following modifications: Vertical fenestration U=0.24 2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2a: 0.5 Compliance based on R402.4.1.2: Reduce the tested air leakage to 3.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M15073 of the International Residential Code shall be met with a high efficiency fan(ma)imum 0.35 watts/cfm�not interlocked with the furnace fan.Ventilation systems using a furnace including an ECM motor are allowed,provided that they are controlled to operate at low speed in ventilation only mode. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the qualifying ventilation system. 2b AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2b: 1.0 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 2.0 air changes per hour maximum and All whole house ventilation requirements as determined by Section M15073 of the International Residential Code shall be met with a beat recovery ventilation system with minimum sensible heat recovery efficiency of 0.70. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system 5 OPTION DESCRIPTION CREDIT(S) 2c AIR LEAKAGE CONTROL AND EFFICIENT VENTIl_kTION 2c: 1.5 Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 1.5 air changes per hour maximum and All whole house ventilation requirements as determined by Section M1507.3 of the International Residential Code shall be met with a heat recovery ventilation system with minimum sensible heat recovery efficiency of 0.85. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum tested building air leakage and shall show the heat recovery ventilation system 3a° HIGH EFFICIENCY HVAC EQUIPMENT 3a: 1.0 Gas,propane or oil-fired furnace with minimum AFUE of 94°/%or Gas,propane or oiled-fired boiler with minimum AFUE of 92% To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum ui ment efficiency. 3b HIGH EFFICIENCY HVAC EQUIPMENT 3b: 1.0 Air-source beat pump with minimum HSPF of 9.0 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the beating equipment type and the minimum went efficiency. 3c HIGH EFFICIENCY HVAC EQUIPMENT 3c: 1.5 Closed-loop ground source heat pump;with a minimum COP of 3.3 or Open loop water source heat pump with a maximum pumping hydraulic head of 150 feet and minimum COP of 3.6 To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equip ment efficiency. 3d HIGH EFFICIENCY HVAC EQUIPMENT 3d: 1.0 Ductless Split System Heat Pumps,Zonal Control:In homes where the primary space heating system is zonal electric heating,a ductless heat pump system shall be installed and provide heating to the largest zone of the housing unit. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and the minimum equipment efficiency. 4 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM: 1.0 All heating and cooling system components installed inside the conditioned space. This includes all equipment and distribution system components such as forced air ducts,hydronic piping,hydronic floor heating loop,convectors and radiators.All combustion equipment shall be direct vent or sealed combustion. For forced air ducts:A maximum of 10 linear feet of return ducts and 5 linear feet of supply ducts may be located outside the conditioned space.All metallic ducts located outside the conditioned space must have both transverse and longitudinal joints sealed with mastic.If flex ducts are used,they cannot contain splices.Flex duct connections must be made with nylon straps and installed using a plastic strapping tensioning tool. Ducts located outside the conditioned space must be insulated to a minimum of R-8. Locating system components in conditioned crawl spaces is not permitted under this option. Electric resistance heat and ductless heat pumps are not permitted under this option. Direct combustion heating equipment with AFUE less than 80%is not permitted under this option. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the heating equipment type and shall show the location of the beating and cooling equipment and all the ductwork 6 OPTION DESCRIPTION I CRED7(S) Sa EFFICIENT WATER HEATING Sa: All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75 GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.' To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the maximum flow rates for all shower-heads,kitchen sink faucets,and other lavatory faucets. 5b EFFICIENT WATER HEATING 5b: 1.0 Water heating system shall include one of the following- Gas,propane or oil water heater with a minimum EF of 0.74 or Water heater heated by ground source heat pump meeting the requirements of Option 3 c. or For R-2 occupancy,a central heat pump water beater with an EF greater than 2.0 that would supply DHW to all the units through a central water loop insulated with R-8 minimum pipe insulation. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency. 5c EFFICIENT WATER HEATING 5c: 1.5 Water heating system shall include one of the following- Gas,propane or oil water heater with a minimum EF of 0.91 or / Solar water heating supplementing a minimum standard water heater.Solar water ,X> heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-300 Certified Solar Water Heating Systems or Electric beat pump water heater with a minimum EF of 2.0 and meeting the standards ofNEERs Northern Climate Specifications for Heat Pump Water Heaters To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall specify the water heater equipment type and the minimum equipment efficiency and,for solar water heating systems,the calculation of the minims energy savings. 5d EFFICIENT WATER HEATING 5d: 0.5 A drain water heat recovery unit(s)shall be installed,which captures waste water heat from all the showers,and has a minimum efficiency of 40%if installed for equal flow or a minimum efficiency of 52%if installed for unequal flow.Such units shall be rated in accordance CSA B55.1 and be so labeled. To qualify to claim this credit,the building permit drawings shall include a plumbing diagram that specified the drain water heat recovery units and the phimbing layout needed to install it and labels or other documentation shall be provided that demonstrates that the unit complies with the standard. 6 RENEWABLE ELECTRIC ENERGY: 0.5 For each 1200 kWh of electrical generation per each housing unit provided annually by on-site wind or solar equipment a 0.5 credit shall be allowed,up to 3 credits. Generation shall be calculated as follows: For solar electric systems,the design shall be demonstrated to meet this requirement using the National Renewable Energy Laboratory calculator PVWATTs. Documentation noting solar access shall be included on the plans. For wind generation projects designs shall document annual power generation based on the following factors:The wind turbine power curve;average annual wind speed at the site;frequency distribution of the wind speed at the site and height of the tower. To qualify to claim this credit,the building permit drawings shall specify the option being selected and shall show the photovoltaic or wind turbine equipment type, Provide documentation of solar and wind access,and include a calculation of the minimum annual energy power production. a.Projects using this option may not use Option la,lb or It. b.Projects may only include credit from one space heating option,3a,3b,3c or 3d.When a housing unit has two pieces of equipment(Le.,two furnaces)both must meet the standard to receive the credit r—Plumbing Fixtures Flow Ratings Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and showerbeads)shall comply with the following requirements: 1.Residential bathroom lavatory sink faucets:Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in accordance with ASME A1a18.1/CSA B125.1. 2.Residential kitchen faucets:Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.1&VCSA B125.1. 3.Residential showerbeads:Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with ASME A112.18.VCSA B125.1 7 MASON COUNTY RECEIVED COMMUNITY SERVICES v, Building,Planning,Environmental Health,Community Health MAR 14 2019 DIAI Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584 0 615 W.Alder Street Shelton Phone: (360)427-9670 ext 352 ❖ Fax (360)427-7798 Q �f) PLUMBING & MECHANICAL PERMIT APPLICATION Permit#: V a" I q rXZ33 OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: &4o- ura. - & SSe'r - NAME' MAILING AD ESS: `Q0 Q)OX WB MAILING ADDRESS: CITY: N\\yr\ STATE: \Jh ZIP: 5Z-4 CITY, STATE: ZIP: 1st PHONE: .j(00 go\- `'it)6 1 PHONE: CELL: 2nd PHONE: 360 - $ol — Di'b"A ' EMAIL: EMAIL: L&I REG# EXP. PARCEL INFORMATION: 1 PARCEL NUMBER (12 Digit Number): `� 3 oy u q h 13 0 Zoning: LEGAL DESCRIPTION (Abbreviated): SITE ADDRESS: Zh Q L G,LAc, I?i cam,e_ L*)r, CITY: _ged��r DIRECTIONS TO SITE ADDRESS: TYPE OF JOB/WORK: NEW�_ ADD ALT REPAIR OTHER USE OF BUILDING Qe,c'rr\c_&n k �t5iden d c. PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters (no fee) Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees Toilet(s) � Furnace [E/G/LPG] Bathroom Sink(s) Heat Pump [E/G/LPG] Bath Tub(s) 'v O Ductless H.P. 1 OE G/LPG] Shower(s) 1 —Spot Vent Fan Water Heater(s) 1 &{ /LPG] Propane Tank --- L_gal.] Clothes Washer(s) 1 IPG/LPG] Gas Outlet(s) Kitchen Sink(s) I Heat Stove [E/G/LPG/W] Dishwasher(s) I Kitchen Exhaust Hood dose bib(s) _ Dryer Vent 1 Other Solar Panel Other Other Plumbing Subtotal Mechanical Subtotal Plumbing Base Fee Mechanical Base Fee Final Inspection Fee Final Inspection Fee TOTAL PLUMBING TOTAL MECHANICAL 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. X ple/illse4, ; Signature of Applicant Date X 1Za�v 6,sh e,r Owner/Owners Representative/Contractor Prin Name (Circle one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS O Building ,2S' O Fire Marshal O Permit Tech (OTC permit only) ;Si: i"t: :n-'i h j: ,'�1/1Rrortl+-CO.I'?u5p;�.Wd.U�'C�nl'1 'Jn(iV_CtE'V� hev 2 7 Simple Heating System Size: Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2015 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This calculator will calculate heating loads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. Please fill out all of the green drop-downs and boxes that are applicable to your project.As you make selections in the drop-downs for each section, some values will be calculated for you. If you do not see the selection you need in the drop-down options,please call the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information / RAYMOND BISSER BLD2019-00233 L_ Heating System Type: 0411 Other Systems Q-leat Pump To see detailed instructions for each section,place your cursor on the word'Instructions". Design Temperature Instructions --.:.--..- -..-.- - Design Temperature Difference(AT) 41 Bremertonlum " AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(scl ft) 1,606 Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) 10.0 16,060 Glazing and Doors U-Factor X Area = UA Instn.�cticn, .— 0.280 288 80.64 Skylights U-Factor X Area = UA Inst:iii,hr;"` 0.50 --- Insulation Attic U-Factor X Area = UA (w4m,'tiun, 0.026 830 21.58 R49 � Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA lnsEructSons l _____.._.. R-49-Advance.__ d 0.020 250 5.00 Above Grade Walls(see Figure1) U-Factor X Area UA r caon� — 0.056 1,505 84.28 R-21 Intermediate Floors U-Factor X Area UA 0.025 1,080 27.00 Below Grade Walls(see Figure 1) U-Factor X Area UA InsiructSoris No selection -- Select R-value � i Slab Below Grade(see Figure'0 F-Factor X Len th UA Instructions _ _ .____._. .. -__--_._ Select conditioning No selection 0 I --- Slab on Grade(see Figure 1) F-Factor X Len th UA Instructions Select R-value NO Selection ! J --- Location of Ducts l,strucnons — ._ - Duct Leakage Coefficient Unconditioned Space 1.10 Sum of UA 218.50 Envelope Heat Load 8,959 Btu/Hour Figure 1. Sumof UAXAT Air Leakage Heat Load 7,111 Btu/Hour Volume X 0.6 X pT X.018 Above Grade Building Design Heat Load 16,070 Btu/Hour +..� Air Leakage+Envelope Heat Loss Building and Duct Heat Load 17,677 Btu/Hour Duds in unconditioned space:Sum of Building Heat Loss X 1.10 Duds in conditioned space:Sum of Building Heat Loss X 1 Maximum Heat Equipment Output 22,096 Btu/Hour Building and Duct Heat Loss X 1.40 for Forced Air Fumace Building and Duct Heat Loss X 1.25 for Heat Pump (07101113) MASON COUNTY COMMUNITY SERVICES I E:. � p PERMIT ASSISTANCE CENTER: Permit No: -a •BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL �yJ; �f d,3DM Z 615 W.Alder Street,Shelton,WA 98584 l RECEIV - Phone Shelton:(360)427-9670 ext 352•Fax:(360)427-7798 Phone ED Belfair.•(360)275-4467•Phone Elms:(360)482-5268 l� �SaI • BUILDJKMNG PERMIT APPLICATION MAR 14 2019-. PROPERTY OWNER INFORMATION: CONTRACTOR INFORTRAONAIder Street NAME: V_&wnpn 6%SSe t^ NAME: MAILING DRESS: 90 S 0 X 1 b S MAILING ADDRESS: CITY: AAkkl K STATE:�JN-, ZIP: SZ,4 CITY: STATE: ZIP: PHONE- #I: 360- 190 1-y b(01 PHONE: CELL: PHONE#2: 360 - 901 - OVVA EMAIL : EMAIL: C")D':c_S hn+Nr~"•Co^ L&I REG# EXP. PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER NAME C&M,nr, t55t-e— EMAIL r- SSc( Q •F ° I •Gots MAILING f tT[ ESS �T f,D)G IGs CITY R1iT_STATE �zh- ZIP ��sZ PHONE C6 -- w I —4061 CELL PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number) ' �c0 O'� —7 0 3 ® ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS Z(oQ L°J4Q- TA, �f_ 9C , CITY 60f-pJr DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO ❑ IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER❑ LAKE ❑ RIVER/CREEK❑ POND❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM❑ -TYPE OF WORK: NEW ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Lte) F_25r Ji-e n C e. IS USE: PRIMARY PS SEASONAL❑ NUMBER OF BEDROOMS 3 NUMBER OF BATHROOMS Z HEATED STRUCTURE? YES(Whole Bldg) YES (Part[s]of Bldg) ❑ NO ❑ DESCRIBE WORIC SQUARE FOOTAGE: (propose+existing) IST FLOOR I�sq.It. 2ND FLOOR 5Z6 sq.ft. 3RD FLOOR sq. ft. BASEMENT sq.it. DECK sq.ft. COVERED DECK. S"7 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE sq.ft. Attached❑ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ MANUFACTURE'D HOME 029EM N: *4 COPIES OF THE F R PLAN '�AKE MODEL YEAR LENGTH WI DROOMS BATHS SE ER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC SEWER❑ / NEW❑ EXISTING [� PLUMBING IN STRUCTURE? YES NO ❑ Ifyes, attach completed Water.Adequacy Form PERIMETER/FOUNDATION DRAINS PROPOSED? YES ❑ NO❑ EXISTING SQ.FT. EXISTING BEDROOMS 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.1 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,Includiing 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 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 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) Sig ature of OWNER(Must be signed by the OWNER) Date DEPARTMENTAL Ri,VIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL PUBLIC HEALTH I