HomeMy WebLinkAboutBLD2019-00215 SFR - BLD Application - 3/11/2019 r�o�cope MASON COUNTY COMMUNITY SERVICES �1d&)q oC)ZIs
PERMIT ASSISTANCE CENTER: Permit No:
•BUILDING•PLANNING •PUBLIC HEALTH.FIRE MARSHAL _
615 W.Alder Street,Shelton,WA 98584d�/�--o�ZOS � ,, ED
Phone Shelton:(360)427-9670 ext.352•Fax:(360)427-7798 Phone *ti
Belfair.(360)275-4467•Phone Elms:(360)482-5269 1 2019
s
B BUILDING PERMIT APPLICATION his W AlderS
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: o c- AIWi c-k NAME:
MAILING ADDRESS: y R I if 4 MAILING ADDRESS:
CITY: 5C l PA STATE: 1,14 _ZIP: 9 tf CITY: STATE: ZIP:
PHONE#1: 36o _ 21rto - .y 7e PHONE: CELL:
PHONE#2: EMAIL :
EMAIL: A-m,ck J 5 V G r-,A,/• 4ol, L&I REG# EXP.
PRIMARY CONTACT: OWNER CONTRACTOR❑ OTHER❑
NAME ,oc14"nick EMAIL 4n.`kJ4 4mr,I .6,"
MAILING ADDRESS q Al E rl t k t).- CITY Cie l�' �'r STATE�y/jg ZIP 9P3 AY
PHONE_360 ;IeG - y7,6-G CELL ftoo 2e(e -"7e(a
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) I da10 5 I L/ - 100 7 S ZONING R R 5
LEGAL DESCRIPTION(Abbreviated)TA G ,,4 ofSE 5 / r12 4 .- t' e 2 6 y 4 FIRE DISTRICT a
SITE ADDRESS 41 a 1 IFA l k pr- O CITY 8c./ .11
DIRECTIONS TO SITE ADDRESS h c, ri f�✓ 3 1,¢ /
an/V /�/ j�;_S ,ul,l up01"rf Rd, 6n DaS�-c4urC4 dopD ne.cf h-It an rCt
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] N0
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply):
SALTWATER❑ LAKE❑ RIVEWCREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW 8' ADDITION❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,
IS USE: PRIMARY ff' SEASONAL ❑ NUMBER OF BEDROOMS_3 NUMBER OF BATHROOMS a S
HEATED STRUCTURE? YES(Whole Bldg) R YES(Part(s)of Bldg) ❑ NO ❑
DESCRIBE WORK
SOUARi•; FOOTAGE: (propose+existing)
I ST FLOOR a 4a 5 sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE H0!K sq.ft. Attached Rr Detached❑ CARPORT sq.ft. Attached❑ Detached❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL YEAR LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC [9/ SEWER❑ / NEW❑ EXISTING[-
PLUMBING IN STRUCTURE? YES V NO❑ If yes, attach completed Water-Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES NO[] EXISTING SQ.FT.
EXISTING BEDROOMS j PROPOSED BEDROOMS 3 TOTAL BEDROOMS 3
OWNER 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 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,including 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)
x
ig a ure of OWNER(Must be signed by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT 'jJ 6:
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY RECEIVED
/I COMMUNITY SERVICES
Building,Planning,Environmental Health,Community Health MAR 11 2019
Physical and Mailing Address: 615 W Alder St., Bldg 8, Shelton, WA 98584 615 W.Alder Street
Shelton Phone: (360)427-9670 ext 352 -o Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: Jo S'G P !gym(G k- NAME:
MAILING ADDRESS: l Fi4/-k MAILING ADDRESS:
CITY: STATE: W,4 ZIP: flSZk CITY: STATE: ZIP:
1st PHONE: 360 -At( - y7,r> PHONE: CELL:
2"d PHONE: EMAIL:
EMAIL: ArKiek J 5 00 6x-L,-- Cow► L&I REG# EXP. l I
PARCEL INFORMATION:
PARCEL NUMBER (12 Digit Number): 1 AA0 5 - 3y - qe0 j3 Zoning:
LEGAL DESCRIPTION (Abbreviated):_? 1- D of SES'w7z i) of sPl*-a6q6
SITE ADDRESS: 14AI 115� A/k, D, CITY:
DIRECTIONS TO SITE ADDRESS: fia,nfA,,l/'ah n/o,rA *Vf 3 R"S ttlol/f5 gv-r 13e,(r� RR 4.'✓6S
C�h,4 a l* DG S 3,�.��k !- va d�'�� P�,s�-Gar✓rGl, y1 exf h.71 011 /t
TYPE OF JOB/WORK: NEW //✓ ADD ALT REPAIR OTHER
USE OF BUILDING RGS,d&y? rirjl
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) 3 Furnace [E/G/LPG]
Bathroom Sink(s) 3 Heat Pump I [E/G/LPG]
Bath Tub(s) O Ductless H.P. [E/G/LPG]
Shower(s) of Spot Vent Fan q
Water Heater(s) I [E/ PG Propane Tank
Clothes Washer(s) 1 [E/G/LPG] Gas Outlet(s) a
Kitchen Sink(s) 1 Heat Stove I [E/G/LPG/15
Dishwasher(s) ] Kitchen Exhaust Hood 1
Hose bib(s) 3 Dryer Vent I
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 42�0
Signature of Applicant Date
X Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building
O Fire Marshal
O Permit Tech (OTC permit only)
i-O.h. WG.us"CUm D11niiv clev�
Permit number BLD
Mechanical Permit Checklist
• Name of owner: Name of Installer:
• Fuel Type? LPG ✓ Nat Gas Electric ✓ Other &-loo c(
• If propane, what is the proposed size of tank(s)?
• What type of mechanical unit will be installed?(i.e.freestanding stove,forced air furnace, etc.)
• If the unit is a wood stove,provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) esidenti Commercial
(A permit application for a commercial mechanical permit will be issued upon satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application.)
• Type of structure: (Circle one) Qite Built Home Manufactured Home Other
• What room will the mechanical unit be located? C?u'S``4L- A'1/1.n a
• Will the unit be located in a basement?(circle one) Yes No
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, direct vent,L-vent,etc.)
• What year was the structure constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. ermosta tc.)
• Will the proposed mechanical unit be a heat source?(circle one) es No
• Additional information:
Signature of Applicant Date
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane tank 73..00
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or $ 9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace, pellet stove or wood stove $73.00
Final Inspection fee 73.00
Zr
R EC Ei ® FALL�SETBACKS ARE MEASUREDFROM THE FURTHESTMAR 11 2G1 OJECTION pF THE BUILDING N
I
615 W.Alder Street
SCALE: 1"=50' - —r=100
WELL
0 25 50 100 ' Y E 359.8 ;
87.421 _ N 8510 55 A R DV E D
303:07 ^ Ml-kSON COUp(ITY DCD PLANNING
") f SITE PLAN QUIRED TO BE ON SITE
.7UBJECTTOAPPR `JAL
,O0 t A AA BY Date 2—/
0. 63 AC.
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EXISTING DRAINFIELD v
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Fo S.L G 433.95 PLANNING 659.
).45 30' ROAD & UTILITY EASEMENT, A.F.N. 431463 I D( O
SW4
AND OTHER DOCUMENTS c
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:
JoSe-p� 1gwi k 1 ado 3xi` ma Ale-i (rdsclen.ce-,
Total Sq. Ft. 1�Floor: 2"d floor. Heated Basement:
of heated area:: as s — --
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace
Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other.
Specify:
d Prescriptive Option Table R402.1.1 (see table on previous page)
- Compliance
Method ❑ Component Performance, R402.1.3 — Calculation worksheets required
Mort Check one::
❑ Other (Specify):
Check one El Whole House Ventilation system El Whole House Ventilation
Ventck onetio using exhaust tans &window or wall Integrated with a Forced Air ❑ 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 R4D6.2, "Additional Residential Energy Efficiency Requirements,' all residential units
must develop credits as specified in Table 4D62. 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
http://www.co.mason.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
Efficiency Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits
ents ® 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.
3. 5 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 /ECC as skylights, roof windows, vertical windows, opaque
doors, fazed-doors that include products with glass and non-glass glazing materials.
Describe Energy Credit Option(s):
Using Option
number(s):
a, 3b, 5
3
Simple Heating System Size: Washington State
This heating system sizing calculator is based on the Prescriptive Requirements of the 2012 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.
The glazing(window)and door portion of this calculator assumes the installed glazing and door products have an area weighted average U-factor of
0.30. The incorporated insulation requirements are the minimum prescriptive amounts specified by the 2012 WSEC.
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
421 E Alta Dr Belfair Wa 98528 Joe Amick
New Residence 421 E Alta Dr Belfair wa 98528
360-286-4786
Heating System Type: all Other Systems *Heat Pump
To see detailed instructions for each section,place your cursor on the word'Instructions".
Design Temperature •`` /M
�+.
- Instructions Design Temperature Difference(4T) /' 47
Shelton � ,1T=Indoor(70 degrees)-Outdoor Design Temp �u
_ Area of Building AR ,
Conditioned Floor Area �1s;V
Instructions Conditioned Floor Area(sq ft) •A/
Average Ceiling Height Conditioned Volume ae/
Streef
Instructions Average Ceiling Height(ft) 9.0 20,025
Glazing and Doors U-Factor X Area = UA
Instructions 0.30 345 UA k
Skylights U-Factor X Area = O
Instructions 0.50 --- ,��
Insulation
Attic U-Factor X Area = UA
Instructions —R 49 0.026 1,292 33.59
Single Rafter or Joist Vaulted Ceilings U-Factor Area UA
Instructions 0.027 933 25.19
R 38 Vented �
Above Grade Walls(see Ficure 1) U-Factor Area UA
Instructu,ns � 0.056 1,833 102.65., R-21 Intermediate
Floors U-Factor Area UA
c R-30 0.029 2.225 64.53
��
Below Grade Walls(see Figure 1) U-Factor Area UA
Iiislrncticns L -----------------
select I,valueNo selection 0 ---
Slab Below Grade(seeFioure 1) F-Factor Length UA
Instructions '--
No Slab Below Grade in this protect. �
Slab on Grade(see Fivure a F-Factor Length UA
0 No Slab on Grade in this project.
IS
Location of Ducts
Duct Leakage Coefficient
Unconditioned Space
1.10
Sum of UA 329.31
Envelope Heat Load 15,477 Btu/Hour
Figure 1 Surn of UA X,%T
Air Leakage Heat Load 10,165 Btu/Hour
Volume X 0.6 X 6T X 018
Above Grade Building Design Heat Load 25,642 Btu/Hour
"ram• Air Leakage+Envelope Heat Loss
n Building and Duct Heat Load 28,206 Btu/Hour
Ducts in unconditioned space.'Sum of Building Heat Loss X 1.10
Ducts in conditioned space;Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 35,258 Btu/Hour
Building and Duct Heat Loss X 1.40 for Forced Air Furnace
Building and Duct Heat Loss X 1.25 for Heat Pump
(07101113)
I
RE
Name le, /'m?le� Parcel# 1 a .�a0 _ 3 `1- Sao?J BLD# kAD # _
?019
Mason County t
816
�U'' dlcS Department of Community Development t{!'UderS�e
l`Partormwater Management Application/Worksheet (page2 1 of )
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 surface2.
'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 6 X (e Z• (p = 3 7 j
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = 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 = 1f the total impervious area of the proposed site
X = development is greater than 2000 square feet a
Small Parcel Stormwater Site Plan is Required
Total Impervious Surface Area(sum of all areas) 379-t
If the Total Impervious Surface Area is LESS THAN 2000 Square 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 uare Feet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
Name lG Parcel# ►;a0 5 -3I-/— 51V 73 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:
httpHwww.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 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 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 prope for rev' w and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date: 3/' )
Page 2 of 2