HomeMy WebLinkAboutBLD2006-01369 SFR - BLD Permit / Conditions - 8/22/2006 �r (A z .o
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MASON COUNTY PERMIT NO.
BUILDING PERMIT APPLICATION I �o
426 W. Cedar• P.O. Box 186, Shelto , WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACT DR INFORMATION
Owner Company Name
Mailing Address Mailing Address
City State Zip Code City State Zip Code
Phone Other Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. Exp.
E mail address E Mail Addr 'ss
Drivers Lic.# DOB Drivers Lic. OB
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. Fire District
Legal Description
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 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 Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement Deck Covered Deck Other q. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of E edrooms-No. of Bathrooms
Type of Heat Purchase Price $ Repl cement Unit? Yes/ No
Installer Name Ce fication No.
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit re%iocation.
Acknowledgement of such is by signature below. I declare that I am the owner,owners legal representative, or the conti actor. 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 arty in interest regarding this pplication or the work
proposed in the application, I have obtained permission from them to apply for this permit and conduct the work propo ed. The owner or
agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County ccess to the above
described property and structure for review and inspection. This permit/application becomes null & void if work or aut orized construction is
not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTINUA ION OF WORK IS BY
MEANS OFAPROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
x An Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accep d by: Date
DEPARTMENTAL REVIEW APPROVED QENIED NOTES
Building Department
Planning Department
Environmental Health Department
Fire Marshal
FEES
Buildinq Permit Fee Site Inspection
Plan Review Fee.3� c. ti 76- --3 EH Review Fee
Plumbing & Base Fee Z'�> Planning Review Fee
Mechanical & Base fee 7 G Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee -G 6 Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.
PLUMBING/MECHANICAL PERMI APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, A 98584
Shelton (360) 427-9670 • Belfair(360) 275-4467• Elma (360) 482-5269
On the web www.co.mason.wa.
APPLICANT INFORMATION CONTRACT R INFORMATION
Owner ion &Ik0.f, f"' Company Na e -
Mailing Addres^^ss' �TTTTT Mailing Address
City State C,,2 Zip Code City tate Aip Code
Phone tic,,i ,-0M00ther Ph. Phone - ` Other Ph.
Lien/Title Holder I � Contractor R g. # L►N+i�� Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
Is property within 200'of Saltwater Lake River/C ek Pond
Wetland Seasonal Runoff r Stream Slopes or BIL fs > 15%
TYPE OF JOB - New Adder_Alt Repair Other se of Building
Location of Fixtures/Units - 1 st Floor', 2nd Floor Basement Garage loset
PLUMBING FIXTURES (Show Number of each) MECHANICj L UNITS
Type of Fixture No. 91 Fixtures Fees Fuel Type:Electric_ LPC_ Natural G s Heat Pump_
Toilets Type of Unit No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fa
Water Heater Propane Tan
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/P IetStove
Dishwasher Kitchen ExhaY t Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TCITAL PLUMBING TOTAL MECHA ICAL
OWNER/BUILDER Acknowledges submission of inaccurate information may result in a stowork order or permit revocation.Acknowledgement of
such is by signature below.I declare that's I am the owner,owners legal representative,or the c ntractor.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 pe ission from all the necessary I iarties.If permission is
required from any easement holder or any other party in interest regarding this application or I he work proposed in the applica ion,I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or E gent on owners behalf,represei its that the information
provided is accurate and grants employees of Mason County access to the above described operty and structure for review and inspection.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date:
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd RE ceipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Ins ec ion
Mechanical & Base fee UFC Plan 4view Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEE
VICINITY MAP NORI H
NAME:
SITE ADDRESS: X)C Irt,J o to Ar j�j.
CITY: p
ZIP: ct
MAILING ADDRESS: 3q 3,6
CITY:
.66p6.j�ick
ZIP: 9
cl
PARCEL NUMBER:
PHONE NUMBERS H_3,6o-Sb ,7 of 39
W: 2�-Y,67 ®�I�
C: �� (V�
MILES FROM HILINE SALES OFFICE: 3
Poo lb
0
r-
511d1�0nit,)'A
APPROVED Plot Map Drawn To Meet
MASON COUNTY DCD PLA ING iLlne Homes S-pecif catiom.
SITE PLAN �NoiNsF- BE N TE Any Revisions To Be Made
CHA BJECT TO,APPROVA By The Homeowner.
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MASON COUNTY PIL ANNING
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CHANGES SUBjECT TO APPROVAL ii
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PLAN PLO �EVISION
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Request To Revise An Approved Plan
Permit Number: BLD200(- o 1 � Name i� � l
Parcel Number ao 6— - 0 Phone Numberdaytime (__)
Project Address
_JJAqJ(1r Mailing Address
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Please provide a complete, detailed description of the proposed revisions to the approved p ans: .
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Are two sets of the revised plans or addendum indicating the changes included? C�-Yes ❑ No
Are the approved site plans included? bf Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? b�Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes CJ'No
If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural changes to a"designed"plan will be! roved without the written consent of the en gin and/or architect of record.
Does the proposed revision modify the footprint or location of the structure? 6-Yes ❑ No
If Yes,Is a revised site plan,mith all new setback dimensions included with this req est?
CT Yes ❑ No
Additional Information:
Applicant's signature
Date:
Office Use Only Received by.
Date Sent Assigned To Approved By pate
g Original Valuation: $
Additional Valuation: $
P. a Sq.Ft x$ $
Sq.Ft. x$ $—
E.M u p Total New Valuation $
Additional Fees:
Additional Planning Dept. $
Additional Plan Review $
New Setbacks: Front / Rear / Additional Building Permit $
Side1, / Side2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept. $4
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
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Revered SRG W2VM
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Window Schedule
HIL
NE f 2320 plan
H O M E S
Hi tne Homes of Centralia
Manufacturer: Milgard Windows Inc. Model: Classic Series
Type: Vinyl U-Value = . 6
Windows
Quantity Size/Handing Glazing area jotal S . Ft. Lo ation
width x height
2 1'0 x 5'0 5 10 Entry
1 5'0 x 5'0 25 25 Bedroom 3
1 60 x 5'0 25 25 Bedroom 2
1 6'0 x 4'0 24 24 Media
1 6'0 x 4'0 24 24 Master§ed
1 3'0 x TO 9 9 Master Bath
2 2'6 x 50 22.5 45 Great Rloorn
om
1 5'0 x 5'0 25 25 Great Rom
1 4'0 x 5'0 20 20 Dining
1 5'0 x 5'0 25 25 Dining Room
Slid. Glass Doors
1 6'0 x 6'10" sgd 41 41 Kitchen Nook
Total glazing area 273 sq. ft.
273 - 2320 = .117 X 100 = 12%
Glazing Area j Conditioned floor Area Glazing ercentage
If a sliding glass door option was chosen, switch the appropriate window w/the sliding gl ss door
and use the calculation below.
1 6'0 x 6'10" sgd 41 41 Appropriate Room
290 - 2320 = .125 X 100 = 13%
Glazing Area j Conditioned floor Area Glazing Percentage
All other doors,windows&skylights do not need to be calculated do to the fact they meet all minimum requirements.
HiL nE BUILDING PERMIT INFORMATION FO M - 2320 PLAN
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,some of
it may not apply to yours. If you have any questions please give us a call @ 360.2 5,1849.
Applicant/Owner/Contact information: Your name,address, phone number
Contractor Information: Name: HiLine Homes
Address: 1213 Long Rd
Centralia,WA.98531
Phone: 360-807-1849
License#: HILINH*981 BT
Expiration: 02/10/06
Tax Parcel#/Assessor's Account#: This will be with your prope y information.
Job Site Address: Your new home address(example: xxx Filmore St.)
Legal Description: This will be with your property information.(example:Lot X Large of SubDivision xxx in Clark County ect.)
This will be a New Single Family Residence
Describe work/type of job: NEW HOME CONSTRUCTION
HOME INFORMATION: Floor Area: (square footage)
Main/1st: 2320 #of stories: 1 Carports: 0
Second: 0 Bedrooms: 3 Decks: 0
Basement: 0 Bathrooms: 2 Y4 Porches: 132
Total: 2320
Garage: 528 (attached)
Construction Method: Wood Frame
Heating System:
Be sure to choose the information below that coorolated with the heat system you have ordered.
HVAC/Mecanical Contractoris the company installing your heat system.
Cadet/Wall Mount/Zone Heaters: (standard heats stem)
Installer: North Pacific Electric Contact: Bernie Kullmann
License#: NORTHPE994JB Phone: 360.943.6020
Expiration: 04/03/05 Location: Olympia,WA
Manuf: Cadet manuf. Of Vancouver Brand: Cadet
Model#: RM162 KW: Variable(700, 900, 1600 @ 240 volts)
WHF: AMPS: Variable(2.9,3.8, 6.7)
On permits, for the#of wall heaters, put 1,oryou'll be charged extra for every one.
Heat Pump w.furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License#: 212003217 Phone: 360.748.9221
Expiration: 09/21/05 Location: Centalia,WA
Manuf: Trane Model: 2TWR103OA1000A
Tonage: 2.5 HSPF: 7.75 KW: 10
LRA: 73 Efficiency: 100.00% Seer: 10
Natural Gas furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License#: 212003217 Phone: 360.748.9221
Expiration: 09/21/05 Location: Centalia,WA
Manuf: Trane Model: TDE060A936
BTU: 60000 Efficiency: 80.00% Watts: 997
Propane Gas furnace w/HWH
Installer: Chehalis Sheet Metal Manuf: Trane
License#: 212003217 BTU: 60000
Expiration: 09/21/05
Contact: David Pyles Model: TDE060A936
Phone: 360.748.9221 Efficiency: 80.00% Watts: 997
Location: Centalia,WA
Spot Vent Fan: 1 Kitchen exhaust Fan: 1 Dryer Vent: 1 Wood/Gas/Pellet Stoves: 0
Plumbing System: Installer: Dee Dubs Plumbing Contact: Darren
License#: DEEDUPL1990KQ Phone: 360-456-7469
Expiration: 05/31/03 Location: Olympia
Toilets: 2 Bathroom sinks: 2 Bathtubs: 2 Showers: 1 Kitchen sinks: 1 Water heater:
Clothes washer: 1 Dishwasher: 1 Hosebibs: 1 (first 4 enter quanit of 1, every home has 2)
Energy Compliance Information: Compliance Method/ Path: Always#3 Per Washington State Ener y Code)
Total Sq. Ft. of glazing (glass): Standard home: 253 .w. sliding glass door option: 270 divided by total
sq. ft. of heated area: 2320_ equals a glazing percentage of 11% standard or. 12% w/sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirements minimums.
Window Schedule: See attached form.
Ventalation System:
Intermittently operating Whole House Ventilation System using exhaust fans&window fresh air vents. (VIAQ 303. .1)
House Fan Specifications: Whole house fan:qty: 1 Manuf: Solitaire Ultra Silent Module : S11 OU CFM: 110
Bathroom one-bulb heater/fans: Qty 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 7
Copyright 2003 HiLine Homes