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Home My WebLink AboutBLD2014-00903 - BLD Permit / Conditions - 4/3/2015 Inspection Line (360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352 Mason County Bldg. III 426 W. Cedar Shelton, WA 98584 1854 RESIDENTIAL BUILDING PERMIT BLD2014-00903 OWNER: PIONEER BUILDERS INC RECEIVED: 9/30/2014 CONTRACTOR: LICENSE: EXP: ISSUED: 4/3/2015 SITE ADDRESS: 120 E CARDINAL CTALLYN EXPIRES: 10/3/2015 PARCEL NUMBER: 122085102001 LEGAL DESCRIPTION: LAKEWOOD PLAT I BLKS 2-6 LOTS: 1 &29 OF R/W FOR BELWOOD LANE PROJECT DESCRIPTION: DIRECTIONS TO SITE: NEW SFR FOLLOW ST RT 3 PAST ALLYN, TURN R ON ST RT 302, R ON BELWOOD DR, L ON CARDINAL CT TO SITE ADDRESS ON THE RIGHT SIDE General Information Construction&Occupancy Information Square Footage Information No. of Bedrooms: 3 Type of Constr.: V-B Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 2 No. of Stories: 2 Occ. Load: Building:1,697 Garage-Attached 410 Valuation: $ 208,767.96 Building Height: Occ. Status: Basement: cov. deck 108 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: N 85.0 Ft. Shoreline: Ft. Water Body: Rear: S 63.0 Ft. Slope: Ft. SEPA?: No Model: Width: Ft. Side 1: E 7.5 Ft. Shoreline Desig.: Not Applicable Year: Serial No.: Side 2: W 17.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee GMM 9/30/2014 $ 1,042.70 S1201400000001 Lavatories 4 Ventilation Fan 5 Planning Review Fee GMM 9/30/2014 $205.00 S1201400000001 Bath Tubs 1 Gas Outlets 2 Fire Warden Review GMM 9/30/2014 $73.00 S1201400000001 Showers 1 Exhaust Hood 1 EH Plan Review MRB 9/30/2014 $200.00 S7201400000001 Water Heaters 1 Dryer Vent 1 Building State Fee RTB 12/18/201 $4.50 S2201500000001 Clothes Washer 1 Building Permit Fee RTB 12/18/201 $ 1,604.15 S2201500000001 Kitchen Sink 1 Mechanical Permit Fee RTB 12/18/201 $91.70 S2201500000001 Dishwasher 1 Mechanical Base Fee RTB 12/18/201 $28.50 S2201500000001 Hosebibs 2 Plumbing Permit Fee RTB 12/18/201 $ 128.00 S2201500000001 Laundry Tray 1 Plumbing Base Fee RTB 12/18/201 $24.70 S2201500000001 Total $3,402.25 BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 1 of 6 CASE NOTES FOR BLD2014-00903 CONDITIONS FOR BLD2014-00903 1) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/ Reserve requires a 1 Oft setback from all footing/foundations. B. Septic tank(s) requires 5ft setback from all footing/foundations. C. No foundation drains within 30ft, down gradient of drainfield/reserve area. X 2) On-site septic system final installation approval required prior to temporary/final occupancy. SWG2013-00080 3) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and construction must be obtained PRIOR TO SAME DEVELOPMENTAND CONSTRUCTION. X 4) 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. X __Ilk 5) All 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. X +W 6) 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. X ::2�L 7) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the 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. X 8) The "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, then 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. X �, BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 2 of 6 9) 2012 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. In addition the following credits from R406.2 shall be completed as follows: 5b, efficiency water heating, gas minimum E.F. .82, elec. minimum E.F. 2.0 X 10) A permanent certificate, completed by the owner, builder or registered design professional, shall be posted within three feet of the electrical distribution panel. 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 105.4, 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 IECCLWSEC Section R402.4. 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 750 square feet. Reference IECC/WSEC R401.3 & R101.4.3 Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2012 Certificate"and are available in %or%2 sheets. The Mason County Permit Center will also have some available. X :1) 11) 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. X -* 12) WINDOWS IN HIGH EXPOSURE AREA All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during inspections. In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference IRC R301.2.1.4 & IBC 1609.4. The design criteria for this project is established at 85 mph wind speed, exposure_. X BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 3 of 6 13) 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. X � 14) 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. (IRC 2012 R905.2.8.5) X � 15) A concrete encased grounding electrode 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. X 1 16) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical concrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X � 17) 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. X --�) 18) All construction must meet or exceed all local ordinances and 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 perms revocation. X " W 19) 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. X :& BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 4 of 6 20) 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 X Inspector shall be made prior to requesting additional inspections. I 21) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspection the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall not be used until the final inspection has been performed and approved by a Mason County building inspector. X � 22) All property lines shall be clearly identified at the time of foundation inspection. X � 23) All building permits shall have a final inspection performed and approved by the 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. X1 24) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have prevented action from being taken. No more than one extension may be granted. X 25) 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. X ,� 26) 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. X � 27) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X --t\ 28) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X 29) 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. X —V 30) All construction and demolition debris must be removed from the site after project completion. Proper disposal of construction debris must be on land in such a manner that debris cannot enter or cause water quality degradation of State waters. X � BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 5 of 6 31) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing, straw, or surface matting must be installed and maintained until upland vegetation has become established. X 32) SHEAR WALL INSPECTION- 2012 IBC A separate inspection in addition to the inspections required in IBC, Section 110 shall be required in accordance with the 2012 IBC, Section 1707.11.2. The additional inspection is required when shear wall fastener spacing is required to be less than 4-inches. The shear wall schedule shown on sheet A2 designate walls type 4 and 5 with fastener spacing less than 4-inches. The required inspection may be performed by the Mason County Building Department, a WABO certified inspector, certified to inspect lateral connections, the engineer of record(EOR), or an authorized representative of the EOR. The special inspectors duties & responsibilities shall be as specified in Chapter 17. When a third party inspector is used to perform the inspection special inspection reports shall be submitted to the Mason County Building Department, 426 West Cedar St, Shelton WA 98584 and also available for inspection. Inspection reports shall be completed and submitted to the dept. in a timely manner and shall be submitted prior to the framing inspections. X ,�' 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. Signa re Date c OWNER - REPRESENTATIVE - NIT CTOR Print N me (Circle one to indicate) BLD2014-00903 Please refer to the following pages for conditions of this permit. Page 6 of 6 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 Pio E Catdinat'Lane Heating System Type: O All Other systems p Hear Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Design Temperature Instructions Design Temperature Difference(AT) 47 Shelton dT=Indoor(70 degrees)-Outdoor Design Temp Area of Buildinq Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) 13,576 Glazing and Doors U-Factor X Area = UA Instructions 0.30 62.40 Skylights U-Factor X Area = UA Instructions 0.50 --- Insulation Attic U-Factor X Area = UA Instructions R-49 0.026 16.48 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA Instructions R-38 Vented 0.027 5.10 Above Grade Walls(see Figure 1) U-Factor X Area UA Instructions R-21Intermediate 0.056 123.65 Floors U-Factor X Area UA Instructions 38 0.025 21.85 R- � Below Grade Walls(see Figure 1) U-Factor X Area UA Instructions No Belay Grade Walls in this project. --- -- Slab Below Grade isee Figure v F-Factor X Length UA Instructions No Slab Below Grade in this project. -- Slab on Grade(see Figure v F-Factor X Length UA Instructions No Slab on Grade in this project. -- Location of Ducts Instructions -- --" Duct Leakage Coefficient Unconditioned Space 1.10 Sum of UA 229.49 Envelope Heat Load 10,786 Btu I Hour Figure 1. Sum of LAX4T Air Leakage Heat Load 6,891 Btu I Hour Volume X 0.6 X AT X.018 Anwecrade Building Design Heat Load 17,677 Btu I Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 19,445 Btu I Hour Duds 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 27,223 Btu/Hour Building and Dud Heat Loss X 1.40 for Forced Air Furnace Building and Dud Heat Loss X I.25 for Heat Pump (07/01/13) Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information Pioneer Builders, Inc. Bryan Uhler 3603403319 >33TE Cardinal Lane � Allyn, WA 98584 0(Pl This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition, based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date _ All Climate Zones R-Value U-Factor Fenestration U-Factor n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGC .e n/a n/a Ceiling 49 0.026 Wood Frame Wall 21 int 0.056 Mass Wall R-Value' 21/21 0.056 Floor 301 0.029 Below Grade Wall° 10/15/21 int+TB 0.042 Slab R-Value& Depth 10,2 ft n/a *Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses, as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: 1. Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. F�12. Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. ❑4. Dwelling unit other than one and two-family dwellings and townhouses: Exempt As defined in Section 101.2 of the International Residential Code Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope 1a 0.5 ❑ 1 b Efficient Building Envelope 1 b 1.0 ❑ 1 c Efficient Building Envelope 1 c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 ❑ 1 3b High Efficiency HVAC 3b 1.0 El3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 ❑ 5b Efficient Water Heating 1.5 1.5 6 Renewable Electric Energy 0.5 *1200 kwh 0.0 Total Credits 1.50 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/Table 406 2 Energy Credits 2012 WSEC.pdf Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .=continuous insulation, int .= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums. When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. "10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so"13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. The second R-value applies when more than half the insulation is on the interior of the mass wall. ' For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. � < m kG � C) (D ] 9 m m \ CL / 3 - $ 0 g s 0 CDG) cn / aa CD ( \ ? q_ CD } \ ® 2 % a ` I0 ƒ T � § - f \ \ / m 2 / 2 3 \ } 0 ° 7 I 8 8 & ° a 5 R ? 0 ^ a CL ::r m / 2 (CD)- Q / o (a 7 G -6 ] k E k f f § 2 \CD \ \ \ o ) ] \ / / k . § \ a A E o ] o ` Q q / f 9@ g g@ 9 g 9@ g@ E 9 c & e w u w u u o o u w Q ® Q - 0 0 0 0 0 0 0 0 0 0 0 § to 0 \ = o _ co 2 \ _ & e o # a a # & w 'm a \ $ u \ k \ $ E $ s k 7 7 0 c e c o 0 0 = e o \ } co & e o & 4" 0, 0) a u a o w 2 I 2 I @ m $ m m 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 « e / / \ 2 / o \ / 6 6 6 6 a 6 6 a 6 6 a 6 6 3 6 6 6 6 6 6 60 6 60 6 6 6 6 6 0 6 6 6 6 6 6 0 0 0 0 0 o 0 o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 o e e a.-0, w u # / % A / o w \ 0 6 0 o 6 6 o 6 6 o 6 6 6 6 6 6 6 6 6 6 6 6 o 6 w « a » 6 a co a a & 6 6 a 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 &0 0.00 Sum of Vertical Fenestration Area and UA 208.0 62.40 Vertical Fenestration Area Weighted U = UA/Area 0.30 Overhead Glazing (Skylights) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.01 0.00 Sum of Overhead Glazing Area and UA 0.0 0.00 Overhead Glazing Area Weighted U = UA/Area 1 0.00 Total Sum of Fenestration Area and UA (for heating system sizing calculations) 1 228.01 70.20 oN-STATE MASON COUNTY o Py A o N DEPARTMENT OF COMMUNITY DEVELOPMENT > S Planning Division 1P o f Y 426 W Cedar St, Shelton, WA 98584 �° (360)427-9670 1864 NOTIFICATION OF INCOMPLETE APPLICATION February 19, 2015 PIONEER BUILDERS INC P O BOX 1094 PORT ORCHARD WA 98366 Parcel No.: 122885112684 12.208 - 51 I Proiect Description: NEW SFR Dear Applicant: You have submitted a permit application (case no. BLD2014-00903) for proposed construction or development in the county. Upon review of your application, I have determined that the contents of the application are incomplete or do not provide enough detail for review. Therefore, review of your application will not proceed until the necessary information is provided (see the comment section of this letter for details.) Once the information is submitted and the application is complete, I will continue to process your application accordingly. If the additional information is not provided to the County within 180 days of this request, the application shall expire and no further action on the proposed development shall take place. Please contact me at (360) 427-9670, ext. 365 if you have questions. Sincerely, Allan Borden Land Use Planner Mason County Planning Department 2/19/2015 Page 1 of 2 BLD2014-00903 NOTIFICATION OF INCOMPLETE APPLICATION 2/19/2015 Case No.: BLD2014-00903 Comments: Initial review in mid-December 2014 did not evaluate the closeness of the building footprint to the slope to the east southeast. At follow-up visit (Feb. 19, 2015) to property on the north side of Cardinal Ct., slope to the east southeast of Cardinal Ct. was noted as 30 to 35 percent. Due to this fact, a geologic assessment must be prepared for site development review. This document can address specific proposed development on parcels 12205-50-12001 & 12208-50-12004. Send to the Permit Assistance Center to complete permit review. 2/19/2015 Page 2 of 2 BLD2014-00903 ZZa� - S'!- O2�► I I -10.00' -6.00' 5.00' r A�PROVED P,AS N COUNTY DCD PLANNING SITE PLAN �2EQUIRED TO BE ON SITE CHANGE SUBJECT TO APPROVAL I By Date I 0 2-7.00' N 5.0 PLAN: R6-140b031 (MI 5EPfIG TK T O O i O OD-WX 5 �� 00 L O p PRATED A 5. 2.00' 2.00' I 75.00' 120 EAST CARZ7 I NAL T- 51 TE PLAN 50ALE: LOT 63 SELINOOD 0U570M JAY HAUGEN, I7E5 16NER HOME PORT ORGHARfl, WA nE51 GN (560) 8-71-5548 A SITE PLAN FOR PIONEER SU I Li:�ERS INC. 1 0430 Name e91 0,no vaL��•1 r�Vr ,,n1. Parcel# BLD# 02001 PUILDING Mason County Department of Community Developmen 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: httpL/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)`I�\ 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 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-� D County Division of Environmental Health can be reached at: Phone: (360)-427-9670 EXT.352 Se 3 0 20% Mail:P 0 Box 1666, Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 426 W. CEDAR 87 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 Owne Agent/ ntractor(circle one)Date: al -a Page 2 of 2 OUNTY EPARTMENT OF COMMUNITY BUILD SEC/Ventilation lat on Code Compliance p licat oOPMENT Submit with heating/cooling system size worksheet (see instructions #4) Owner: Parcel#: Type of project: _�,_JLLV �Af- 1 1�A,tlu Total Sq. Ft. 1"Floor: 2"d floor: Heated Basement: of heated area:: I S i O 9 V Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump O Boiler, specify fuel type: 00ther: Specify: T1,A-.,,AI A5 �M�rhtP µ Prescriptive Option Table R402.1.1 Compliance Method µ/Component Performance, R402.1.3— calculation worksheets required Check one:: µ Other (Specify): Check one µ Whole House Ventilation system µ 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 at: hftp://www.co.mason.wa.us/forms/Community Dev/index.php. Additional Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an Requirements existing building that is less than 750 sq. ft. of heated area. To use this option Energy credits complete a window schedule in order to verify that the fenestration area does not exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows, required: vertical windows, opaque doors, glazed-doors that include products with glass and non-glass glazing materials. —0.5 points 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 or cooled floor area. —2.5 points. Describe Energy Credit Option(s):\ l n5 hfPJi Qt1 h f WA hIJTP1/ r �L -..,I .V i ♦ Using Option number(s): 1 1 I Ix . ,Nc o 8 loth v. I= r A 14 � - O e �e � 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 glass and non-glass glazing materials. Manufacturer Location U-Factor Size Quantity Total rough opening) Square Feet Total Fenestration: windows, skylights and door area Table R402.1.1 Footnotes For SI: 1 foot .= 304.8 mm, ci .=continuous insulation, int .= intermediate framing. a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity which is less than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights.The SHGC column applies to all glazed fenestration. Exception: Skylights may be excluded from glazed fenestration SHGC requirements in Climate Zones 1 through 3 where the SHGC for such skylights does not exceed 0.30. `"10/15/21.+TB" means R-10 continuous insulation on the exterior of the wall, or R-15 on the continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at the interior of the basement wall. "10/15/21.+TB" shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "10/13" means R-10 continuous insulation on the interior or exterior of the home or R- 13 cavity insulation at the interior of the basement wall. "TB" means thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors. See R402.2.9.1. e There are no SHGC requirements in the Marine Zone. f Basement wall insulation is not required in warm-humid locations as defined by Figure R301.1 and Table R301.1. g Reserved. h First value is cavity insulation, second is continuous insulation or insulated siding, so"13.+5" means R-13 cavity insulation plus R-5 continuous insulation or insulated siding. If structural sheathing covers 40 percent or less of the exterior, continuous insulation R-value shall be permitted to be reduced by no more than R-3 in the locations where structural sheathing is used to maintain a consistent total sheathing thickness. 'The second R-value applies when more than half the insulation is on the interior of the mass wall. ' For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38. k Int. (intermediate framing) denotes standard framing 16 inches on center with headers insulated with a minimum of R-10 insulation. Log and solid timber walls with a minimum average thickness of 3.5 inches are exempt from this insulation requirement. Table R402.1.3 Footnote a Nonfenestration U-factors shall be obtained from measurement, calculation or an approved source or as specified in Section R402.1.3. t'KUM: t$t5tSY444y40 TO: 130Utf 14UZU/ Vy/1D/lY tV:U0 rq t vi GROW YOUR BUSINESS PRE-APPROVED $5,000 to $5,000,000 FOR BUSINESS OWNERS fE � FN Capual Funds Network . nnessee Coin any SHORT TERM BUSINESS LOANS We offer a variety of business loan options for your company. No personal credit or collateral required. Apply online at www.cfnfax.com. Loan Size $5,000 - $5,000,000 + Payback Time 3 — 36 months Interest Rate 9%to 191% on average Repayment Fixed Payment - Weekly, Bi-Monthly, Monthly Funding Timeline Approval & Funding in 24 hours Qualifications Minimum $20,000 gross monthly volume Additional Funds with current business cash advance or loan Refinance Replace high interest advance or loan Features Same Day Funding, Beat ANY Offer Guarantee CALL NOW TO SPEAK WITH DAN KAYE I 1-866-456-8538 Recently Funded Businesses (As of Friday, September 12, 2014): Amount Bus.Type Location Reason Payback Interest $50,000 Auto Dealer WA Cash Flow 12 months 19% $20,000 Consulting VA Cash Flow 12 months 19% $60,000 Restaurant NJ Equipment 12 months 15% $1,250,000 Janitorial GA Refinance 24 months 7% Apply today and receive funds by Friday, September 19, 2014! Download our Application online at www.cfnfax.com To opt-out of future funding opportunities, call 1-855-595-3762. Applicant Notice: Never Pay Upfront Fees Prescriptive Energy Code Compliance for All Climate Zones in Washington Project Information Contact Information 120 E Cardinal Court, Allyn Bryan Uhler 36034033/9 bryan@pioneerbuildersonline.com K" I , , - 6 ' I - I _. This project will use the requirements of the Prescriptive Path below and incorporate the the minimum values listed. In addition,based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Authorized Representative Date y y All Climate Zones R-Value U-Factor Fenestration U-Facto n/a 0.30 Skylight U-Factor n/a 0.50 Glazed Fenestration SHGC n/a n/a Ceiling 49 0.026 Wood Frame Wall 21 int 0.056 Mass Wall R-Value' 21/21 0.056 Floor 30 0.029 Below Grade Wall 10/15/21 int+TB 0.042 Slab R-Value&Depth 10,2 ft n/a "Table R402.1.1 and Table R402.1.3 Footnotes included on Page 2. Each dwelling unit in one and two-family dwellings and townhouses,as defined in Section 101.2 of the International Residential Code shall comply with sufficient options from Table R406.2 so as to achieve the following minimum number of credits: ❑1.Small Dwelling Unit: 0.5 points Dwelling units less than 1500 square feet in conditioned floor area with less than 300 square feet of fenestration area. Additions to existing building that are less than 750 square feet of heated floor area. 72.Medium Dwelling Unit: 1.5 points All dwelling units that are not included in#1 or#3, including additions over 750 square feet. ❑3. Large Dwelling Unit: 2.5 points Dwelling units exceeding 5000 square feet of conditioned floor area. ❑4. Dwelling unit other than one and two-family dwellings and townhouses: Exempt As defined in Section 101.2 of the International Residential Code Table R406.2 Summary Option Description Credit(s) 1a Efficient Building Envelope I 0.5 ❑ lb Efficient Building Envelope 1 b 1.0 ❑ 1c Efficient Building Envelope 1c 2.0 ❑ 2a Air Leakage Control and Efficient Ventilation 2a 0.5 ❑ 2b Air Leakage Control and Efficient Ventilation 2b 1.0 ❑ 2c Air Leakage Control and Efficient Ventilation 2c 1.5 ❑ 3a High Efficiency HVAC 3a 0.5 ❑ 3b High Efficiency HVAC 3b 1.0 ❑ 3c High Efficiency HVAC 3c 2.0 ❑ 3d High Efficiency HVAC 3d 1.0 ❑ 4 High Efficiency HVAC Distribution System 1.0 ❑ 5a Efficient Water Heating 0.5 ❑ 5b Efficient Water Heating 1.5 0 1.5 6 Renewable Electric Energy 0.5 -1200 kwh 0.0 Total Credits 1.50 *Please refer to Table R406.2 for complete option descriptions http://www.energy.wsu.edu/Documents/Table 406 2 Energy Credits 2012 WSEC.pdf (D M X N o x (D o 'D (D° 3 m � °- 3 a o v n 7 v o (D a cn N N (0 (D p� a N J S tip W n N (� W = (D t (D 0- (D T (DQ (D ° O cD C7 3 o rn p n (D ° (D ° 5' �" 0) m ° o u) 3 N v a 3 o (Q (c� - a 3 ° 0 _0 �. n� A o O 3 °0 0 �* 3 �" a 0 ° N 3 3 w N cn 0 d , 3 ° _ v a a x c a " (� 0 3 t'!1 X ro ro 0 0 0 0 0 0 0 0 0 0 o C o C O O O O CD 0 0 0 0 0 0 v (0 N 0 0 Cr -: n m 0 @c � w N A o• o p 0 m N A A A O (roD _a N a- S�. cr 0 o 0 0 o o o 0 0 ~- ET CaD n U W N A () (n Ui W ' CP W w 71 2 71 = (L> (D (D (D (D — ro N" > > n r O 3 D D Co N A N N N O CD O O ID CD O O O O CD CD CDO O O CD .0 CD CD CD CD N 0) N O CDA A Ui A 1 (DO O N O O Cl O O O Cl O Cl Cl O O O O O O O O O O O O O O 66 O O O O O Cl O O O O O O O O O O O O O O O O O O O O O O O O O O O O O W .N I w A D O �1 D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 (D 0 0 0 0 0 0 0) Co CD CD N N cn N w CD00 CDO O O O O O O O O O O O O O O O O O O O 0 O O O 0 0 O O O O O O O O O O r- 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Vertical Fenestration Area and UA 259.0 77.70 Vertical Fenestration Area Weighted U= UA/Area 0.30 Overhead Glazing (Skylights) Component Width Height Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA 0.01 0.00 0.01 0.00 0.01 0.00 0.0 0.00 0.0 0.00 0.0 0.00 Sum of Overhead Glazing Area and UA 1 0.0 0.00 Overhead Glazing Area Weighted U= UA/Area F0.00 Total Sum of Fenestration Area and UA (for heating system sizing calculations) 1 279.01 85.50 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 tall the WSU Energy Extension Program at(360)956-2042 for assistance. Project Information Contact Information Bry Bryan�pioneerbufldersoriine.tom Heating System Type: O all other systems Q Heat Pump To see detailed instructions for each section,place your cursor on the word"Instructions". Design Temperature Instructions 3 Design Temperature Difference(AT) 47 Shelton AT=Indoor(70 degrees)-Outdoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) Average Ceiling Height Conditioned Volume Instructions Average Ceiling Height(ft) MW 8.0 12,768 Glazing and Doors U-Factor X Area = UA InstructionsFM 0.30 83.70 Skylights U-Factor X Area = UA Instructions 0.50 - Insulation Attic U-Factor X Area = UA Instructions Rig 0.026 9.54 Single Rafter or Joist Vaulted Ceilinp_____ _ U-Factor X Area UA Instructions R-38 Vented� � 0.027 18.17 Above Grade Walls(see Figure 1) U-Factor X Area UA Instructions R-21 intermediate 0.056 101.25 Floors U-Factor X Area UA Instructions R-sa � 0.025 12.35 rRtl Below Grade Walls(sea Figure+) U-Factor X Area UA Instructions No Below Grade Walls inthis project. --- Slab Below Grade(see Fiourev F-Factor X Length UA Instructions No Slab Below Grade in this project. --- Slab on Grade(see Froure 1) F-Factor X Len th UA Instructions R-10 Perimeter 0.540 50.76 Location of Ducts Instructions Duct Leakage Coefficient un°onditioned Speoe 1.10 Sum of UA 275.77 Envelope Heat Load 12,961 Btu I Hour Figure 1. Sum ofuAXAT Air Leakage Heat Load 6,481 Btu I Hour Volume X 0.6 X AT X.018 Above Grade Building Design Heat Load 19,442 Btu/Hour Air Leakage+Envelope Heat Loss Building and Duct Heat Load 21,387 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 29,941 Btu/Hour Building and Dud Heat Loss X 1.40 for Forced Air Furnace Building and Dud Heat Loss X 1.25 for Heat Pump (07101113) ACCESS & GRADE INSPECTION BLD l�(T(�Q I p;3 ADDRESS: INSPECTOR: DATE OF INSPECTION: FIRE SPRINKLER REQUIRED? (circle) YES IF fire sprinkler required, was notification letter mailed? DATE MAILED: DRIVEWAY ACCESS C4 need post at access of f vpway with reflective address numbers i rPlAn Length: Width: Surface: Size of turn-around: Condition of shoulders: Vertical clearance: GRADE OF DRIVEWAY %, OF ROAD % ROAD ACCESS Length: Wid Surface: J 1 Condition of Shoulders: G 4 Vertical clearance: (_) BURN PERMIT REQUIRED FOR LAND CLEARING FIRE. L—) LOT INSIDE UGA—NO OUTDOOR BURNING PERMITTED. LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES 2 X 3 FIRES PASSED ( ) FAILED ( ) ON HOLD ( ) REMARKS: K co vNr� MASON COUNTY PERMIT NoSiA,,& t—6 0 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352� fD Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext.352 1854 PO Box 279, Shelton,WA 98584 (360)482-5269 Elma ext.352 BUILDING BUILDING PERMIT APPLICATION A l� � OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: "?;oy p- r '��,;Id �-1, l A c. NAME: 5a►"C, MAILING ADD SS:`-?o 1o94 MAILING ADDRESS: CITY.nj of a STATE: W�ZIP: 11`06 CITY: STATE: ZIP: PHONE:360g14 0 31 1 CELL:360340.3319 PHONE: CELL: EMAIL: b-r4g, EMAIL: L&I REG#r'i I ON E1*92�t K E. EXP.J7 `6 / PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER) X a a 0 FIRE DISTRICT LEGAL DESCRIPTION(ABBREVIA L_,� CITY TED): /411 ,,, SITE ADDRESS F.- Car 1�nn DIRECTIONS TO SIJB.�JDDRESS 120 IS PROPERTY WITHIN 200 FT: SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND❑ SEASONAL RUNOFF ❑ STREAM❑ DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES[] NO ❑ TYPE OF JOB: NEW �Z ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑ USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) S I`\ IS USE: PRIMARY❑ ❑SEASONAL NUMBER OF BEDROOMS NUMBER OF BATHROOMS DESCRIBE WORK SQUARE FOOTAGE: IST FLOOR,q-74 sq.ft. 2ND FLOOR q�3 sq.ft. 3RD FLOOR sq.ft. BASEMENT sq,ft. DECK s ft. COVERED DECKt5 sq.ft.STORAGE sq.ft. OTHER sq.ft. GARAGE_ _sq.ft. ATTACHED't< DETACHED❑ CARPORT sq.ft. ATTACHED ❑ DETACHED❑ NIANUFA OME INFORMATION: *4 F THE FLOOR PLAN MODEL YEAR GTH W TH BEDROOMS BA SERIAL 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 INSP CTION CTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WIrL�L INVALIDATE THE APPLICATION. �ature of Applicant Date X`lruc,^ lam✓ OWNER idgEiEENTATIVE CONTRACTOR Print Name E) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAG BUILDING DEPARTMENT /4it 7flIk PLANNING DEPARTMENT FIRE MARSHAL +— I , rgoN coU�T� MASON COUNTY PERMIT NO:�0-26d DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING•PLANNING•FIRE MARSHAL _ WWW.CO.MASON.WA.US (360)427-9670 Shelton ext.352 -_ Mason County Bldg. III,426 West Cedar Street (360)275-4467 Belfair ext. 352 1854 PO Box 279,Shelton,WA 98584 (360)482-5269 Elma ext.352 B V I L® I N VFUMBING & MECHANICAL PERMIT APPLICATION OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:'?;caer- `_� ,I p,i,.l,ne• NAME: 5A w,Z . MAILING ADDRES :'TQ 1,)9,4 MAILING ADDRESS: CITY: fl,' 0 nr STATE:W_ZIP: b CITY: STATE: ZIP: PHONE:`41-)09►1 al)t CELL: PHONE: CELL: EMAIL: A. ze EMAIL : L&I REG#?1 PlJ F. aDa Y EXP. PARCEL INFORMATION: PARCEL NUMBER(12 DIGIT NUMBER): }99 1)�6- 51 i � (�2 00 LEGAL DESCRIPTION(ABBREVIA ED): SITE ADDRESS: CITY: Al 1, ,k DIRECTIONS TO SITE ADDRESS: I AD TYPE OF JOB NEW V ADD ALT REPAIR OTHER USE OF BUILDING LOCATION OF FIXTURES/UNITS—IST FLOOR 2ND FLOOR BASEMENT GARAGE OTHER PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS / Type of Fixture No.of Fixtures Fees Fuel Type:Electric LPG Natural Gas ✓ Heat Pump_ Toilets 3 Type of Unit No.of Units Fees Bathroom Sink L1 Furnace I Bath Tubs 1 Heatpump Showers ) Spot Vent Fan _ Water Heater i Propane Tank Clothes Washer i Gas Outlets1`1Cc;Tv Kitchen Sinks 1 (J Dishwasher 1 Kitchen Exhaust Hood 1 Hosebibs a Dryer Vent 1 Other i Other Base Fee Base 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_Z?q Signature of Applicant Date X ram,a.. Owner/ wners Re resentative Contractor 1_1 — Print Name in ica e w one) DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE T S BUILDING DEPARTMENT d PLANNING DEPARTMENT 42A -AA FIRE MARSHAL $1