HomeMy WebLinkAboutBLD2016-00346 res - BLD Permit / Conditions - 5/25/2016 Q4� MASON COUNTY COMMUNITY SERVICES
ON OO '�J. Y`
PERMITASSlSTANCE CENTER: Permit No: AlLe
• BUILDING. PLANNING• FIRE MARSHAL Recv'd:
!i'� 615 W. Alder St - Shelton, WA 98584 r
€: °J
- ; Phone Shelton:(360)427-9670 ext 352 Fax:(360)427-779
854 ` Phone Belfair: (360)275-4467 Phone Elam:(360)482-5269 2Ufa �f�y�
BUILDING BUILDING PERMIT APPL ATION ;f$�' � ��,�r 01
reet
PROPERTY OWNER INFORMATION: CONTRA JTOR INFORMATION:
NAME: NAME:
MAILING AD RES MAILING DDRESS:
CITY:' STATE: WA ZIP:c,, _ CITY: STATE: ZIP:
PHONE#1: PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: L&I REG #' EXP.
CONTACT PERSON : OWNERY CONTRAC OR ❑ *OTHER/See Below ❑
*NAME: 6��"n�'` MAILING A DRESS: .644w•e ve
CITY: STATE: ZIP: PHONE: CELL:
EMAIL:
PARCEL INFORMATION: ��
PARCEL NUMBER(12 Digit Number) ZONING
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT
SITE ADDRESS 31 w J (OLY�
DIRECTIONS TO SITE ADDRESS : �-r7 hill ,cj,
IS THE PROJECT WITHIN 00 FT OF SLOPES) GREATER THAN 14-N YESS4 NO ❑
IS PROPERTY WITHIN 200 T: (Check all that apply):
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND SEASONAL RUNOFF STREAM ❑
TYPE OF WORK: NEW W ADDITION ❑ ALTERATION❑ REPAIR❑ OTHER
El-
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc) 4J eA
IS USE: PRIMARY 4,Z SEASONAL ❑ NUMBER OF BEDROOMS 7i NUMBER OF BA HROOMS3�t}
HEATED STRUCTURE? YES (Whole Bldg ❑ YES (Par1[sJ of Bldg), NO ❑ `DESCRIBE WORK V%tW lr\07v� y
(Valuation'/Project Bid Amount: $
SQUARE FOOTAGE:
1ST FLOOR 1, W sq. ft. 2 •LOOK sq. it. 3RD FLOOR sq. ft. B AS E MEI 4T sq.ft-.
DECK sq. ft. COVE"51DECK LL'91 sq. ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq. ft. Attached 54 Detached❑ CARPORT sq.ft. Attached❑ etached❑
MANUFACTURED HOME INFORMATI *4 COP {S OF THE FLOOR P AN REQUIRED*
MAKE tAR TH
WIDTI BEDROOMS BATHS 3ERIAL NU
OWNER acknowledges that submission of inaccurate information may result in a stop work order or ermit revocation.
Acknowledgement of such is by signature below. I declare that I am the owner or owner's legal repre entative. I further
declare that I am entitled to receive this permit and to do the work as prop sed. I have obtained permission from all the
necessary parties, including any easement holder or parties of interest regarding this project. Theowner 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 bec mes null &void if
work or authorized construction is not commenced within 180 days or if construction work is suspen ed for a period of
180 days.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS FERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
X1� �
Signature of OWNER llate
DEPARTMENTAL REVIEW APPROVED DATE ]DENIED DATE TAGS/NOT,S/CONDITIONS
BUILDING DEPARTMENT 15*45�
PLANNING DEPARTMENT
FIRE MARSHAL
PERMIT SPECIALISTS Intake: Ati 2 Approved& eady for Pick- p: `
Visit us on-line: http://wWw.co.mason.wa.us/community_dev/ F ev. 112 712016 by JBN
Sox CoU = MASON COUNTY COMMUNITY SERVICES permit No:
PERMITASSISTANCE CENTER:
•BUILDING•PLANNING•FIRE MARSHAL
615 W. Alder St-Shelton, WA 98584
Phone Shelton:(360)427-9670 ext. 352 Fax:(360)427-7
- — Phone Belfair. (360)275 4467 Phone Elmer:(360)482-526 JILDING
�yy
PLUMBING & MECHANICAL PERMIT APPLICATION Ald. .
OWNER INFORMATION: CONTRACT4 INFORMATI N:
NAME: NAME: WZT
MAILING ADDRESS MAILING AD SS:
CITY: Jj--STATE: lklk- ZIP: CITY: STATE:
1 S,PHONE: PHONE: CELL:
2nd PHONE: EMAIL :
EMAIL: L&I REG# EYJ
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): J 7,00 W4 Z Zoning:
LEGAL DESCRIPTION(Abbreviated): L17 Z Z C
SITE ADDRESS: 6 CITY:
DIRECTIONS TO SITE ADDRESS:,
�f r
TYPE OF JOB
NEW.)C ADD ALT REPAIR OTHER USE OF B DING
LOCATION OF FIXTURES/UNITS—1 IT FLOOR_2�FLOOR BASEMENT GARAGE OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Tvne of Fixture No. of Fixtures Fees Fuel Type:Electri LPG Natural Gas Ductless.x
Toilets Type of Unit No.of Units Fees
Bathroom Sink Furnace
Bath Tubs Heat Purnell 5)' I _
Showers i Spot Vent Fan
Water Heater l Propane Tank
Clothes Washer Gas Outlets
Kitchen Sinks oo Gas/Pellet Stove
Dishwasher t Etc"
Exhaust Hood
Hose bibs Dryer Vent 1
Other Solar PaF
l
. '" 2—
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocati n.
Acknowledgement of such is by signature below. I declare that I am the owner, owners legal representative, or contractor. 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 gent represents that the information provided is
accurate and grants employees of Mason County access to the above described property Ind structure(s)for review and inspection.This
permit/application becomes null&void if work or authorized construction is not commence I within 180 days or if constructs n work is
suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY MEAI 4S OF INSPECTION.INACTIVI rY OF THIS
PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X z 2 - I
Signature of Applicant Date
wner wners Re resentative/ ontractor
Print Name One)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
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MASON COUNTY COMMUNITY SERVICES DEPARTMENT
WSEC/ Ventilation Code Compliance Application
Submit with heating/cooling system size worksh et (see instructions )
Owner: Parcel#: 00
Ty e of project:
Total Sq. Ft. 1 S Floor : 2n floor: Heated Basement:
of heated area:: l k J 1
Heating System Type: Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace 0-Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Prescriptive Option Table R402.1.1
Compliance Method ❑ Component Performance, R402.1.3 — c �culation worksheets require
Check one.:
❑ Other (Specify):
Check one Whole House Ventilation system ❑ Whole House Ventilation µ Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1507.3.4) System (M1507.3.5)
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 t:
http://www.co.mason.wa.us/forms/Community Dev/index. h .
Additional
Energy a) Description: Small dwelling units with less than 00 sq. feet of heated c r cooled
Efficiency space and less than 300 sq. ft fenestration (see anition below) or addi ions to an
Requirements existing building that is less than 750 sq. ft. of heated area. To use this c ption
Energy credits complete a window schedule in order to verify that the fenestration area does not
exceed 300 sq. ft. Fenestration is defined in tf e /ECC as skylights, roof windows,
required: vertical windows, opaque doors, glazed-doors t at include products with glass and
non-glass glazing materials. —0.5 points
f
b) Medium dwelling units not includes in a) above, or b) below— 1.5 points
c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated Dr cooled floor
area. —2.5 points.
Describe Energy Credit Option(s):
rA
Using Option number(s):
C I
615 "v". Alder Street
! FENESTRATION SCHEDU(E
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 glass and non-glass gla ing materials.
Manufacturer Location U-Factor Size Quantity Total
(rough opening) Square Feet
'4 (1!PA 404 V
%� y c�
u�t�J6V �-"70
�pG✓ �EDIur�M I 3�' � � �'
Total Fenestration: windows, skylights and door area
7
BLD# IG/
Parcel# ''gar
Mason County
Department of Community Development 1 of )
'arcel Stormwater Management Application orksheet (page
Chapter 14.48 a stormwater site plan is required whenever a building appli ation is
Per Mason County Code,Title 14, square feet of impervious surfac .
made for residential development,or redevelopment',with more than 2,000
building or other structure,and/or replacement of imperviousredevelopment.surface
hat is not
'Redevelo ment means,on an already developed site,the creation or addition of impervious surfaces,structural development
including construction,installation or expansion of $
part of a routine maintenance activity,and land disturbing activities associated with structural or impervious
walkway
s patios,driveways,parking lots or sto age areas,
,Common impervious surfaces include,but are not limited to,rooftops >
, Y
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,in or other surfaces which impervious
impede e
natural infiltration of stormwater.Open,uncovered retention/detention facilities shall nbt be considered as impervious surfaces.
n To Calculate Impervious Surfaces Please Cotlriplete This Table
_ Area *All dimensions in fee
Surface Type Length X Width
X Measurements for buildings are t ken at the
Buildin s _ le:
.. X — perimeter of the farthest projection (example:
_ eavesigutters)
X
� - yz
v , x -
X =
Drivewa s Length of drive begins at the right of way
X =
X =
. X Any paved, gravel or packed area per definition
Parkin Areas X = above table
X =
X = Any paved, gravel or packed area per definition
Patios/1Nalks _X above table
—
X =
Others
X If the total impervious area of the proposed site
__
X development is greater than 2000 square feet a`
X = Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area{sum of-all areas)
If the Total Impervious Su
rface Area is LESS THAN 2000 Square Feet,please read,acknowledge nd sign below.
Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this deve] p
ment activity.
result in a stop work order or permit revocation.
OwnerBuilder/Agent Acknowledges that submission of inaccurate information may anted or the
to the above-
further of such is by signature below.I declare and employees of Mason County wner's legal are granted
or h contractor.I
Ackn g
further acknowledge that the information provided is accurate
described property for review and inspection as may be required.
Owner/Agent/Contractor(circle one)Date:
X
rface Area is GREATER THAN
2000 Sc u re Feet,please read,acknowledge and sign
If the Total Impervious Su
the information provided on page 2 of 2.
Page 1 of 2
i i s a Street
A '
Name ��l�.(11, Parcel 47,[10 BLD# J 3
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 foE don the Mason County w site:
http//www.co.mason.wa—us/code/corninissioners/index.htm
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
Regulated activities shall be conducted only after Mason County Public WorkE 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 Slor maser Sile Plan
on the pages that begin with"Handout"
PLEASE INTTIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SUE
A)ILA / 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,piucel.
B) An alternative plan and/or professional design will be submitted to the De ent of Public Works for a roval AND the
system will be located as not to adversely affect any septic systems on this, or any o er,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. (Sec on 14.48.130)contact Public works at:
Phone: (360)-427-9670 EXT. 45
Mail:P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
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. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, 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 the above-
described property for review and inspection as may be required.
iZ 0 er AgentJContractor(circle one)Date:
X / w
Page 2 of 2
•
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