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CD om m � w � Q � 0m `° -,' -0 O O a m in m y 0 � v CD 00 y < � g rtm � �— CD cD m CD w y y CD CD 0 � 0 Q CL Cy O 0 C:" O CD 7 O _ 0 -0 CD y O 0 0 C)_0 0- y Cu 0 m y 0 c v CD c m . m y (Q cc ° C l< tZ cQ m CD m zr � 0 a m CD o — CD CD O o m (° ° o" a - -h � 3 l< o' CD Q m m o m _ � m m o 0 m � N 0 0 0 y m -h Qo -0 0CD- � m3 00w v mCD o (n S.� Q < m � � m (� " cn 0 a w � Q CD > CL 0l< (° 0 o 0 � Q to — cn' zsm _ zs E. m n� x 0 v 0 0 0 0 0 m o a-0 X0 w D o `< 0 c c 0 -•-0 py 00 0 0 0 7 v C CD (° O< M to CD m � �. n o •0 0 m y y o �' p -0 _ _ _ a o" a_ m cn c m � � v o0 v o0 0 � � - CD cn CD CD m 0 c c � m o o� 3 c � 0 —• 0 : CD CD a O CD cn / ^ ` \ ) / o m 77 � / ( \ \ = A = \ \ CD\ \ z% § $ \ J / .� \ \ \ . � o \ \ / E w m � \ / \ 8 � 3 / / CD { 7 2 « § CD \ k � ° ¥ \ \ 0 ? m = \ CD CD \ sE / = f § \ k _ \ CD M \ \ \ / \ } \ / \ 0 � § \ \\ / i EE g2 CL � r 0 R 4 � < % k a / 0 f a 2 f / & PERMIT NO.: BLD MASON COUNTY `r BUILDING PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 APPLICANT INFORMATION CONTRACTOR INFORMATION Owner d7 t+446, ?" /.7 Contractor Name Mailino ddress��I tQ Cim Q1!,!A S IGX Gt- Mailing Address City (( XTt),,-N State W_A Zip Code ff57f City State Zip Code Phone( 3!6 ) 4 V7-01t,'�'Other Ph.( ) Ph.( Other Ph.( ) Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System 6 a �+ t..� L s Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax arcel No. ', " Q / / 3 Fire District Legal Description . YIV r Site Address(Please include street name, street number and city) S t f- c.7T> Directions to site A soAn f ;. Will timber be cut and sold in parcel preparation? (Yes/No) V Is your property within 200' of the following: Body of Water (Name) Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs PERMANENT RESIDENCE( SEASONAL RESIDENCE❑ TYPE OF JOB New Add k Alt Repair Other Use of Building Describe Work AAA b 4--*)1 C3 An No. of Bedrooms-_No. of Bathrooms SQUARE OOTAGE-1st Floor 2nd Floor 3rd Floor Loft Basement Deck Other sq. ft. Garage Attached Detached Carport Attached Detached MOBILE HOME INFORMATION-Make -,Model Model Year Length Width Serial No. -� ' No. of Bedrooms No. of Bathrooms Type of Heat Purch2s6 price $ Replacement Unit ?(Yes/No) Installer Name Certification No. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: REr OWNER AFFIDAVIT-1 certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify thatTaM�tr�eenttered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington an t I am aware f ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for wh 1rrjyt i sued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No ch g W made without approval first obtaining approval. 42 X Date X Date FOR OFFICIAL USE BEYOND THIS POINT Accepted by —Dates Submittal Amount Due Iq Receipt No. DEPARTMENTAL REVI'E APPROVEp DENIED CO'NDITJON CODES Building Departmentt.ww- Occ Group Type Constr. '� IZLe q Planning Department i Environmental Health Department I Public Works Department 1 Fire Marshal Valuation $ FEES Building Permit Fee Site Inspection Plan Review Fee EH Review Fee Plumbing&Base Fee Planning Review Fee Mechanical &Base Fee Other Wood/Gas/Pellet Stove Fee State Fee Violation Fee i Pre-Paid at Submittal { ) — TOTAL FEES PERMIT NO.: or. MASON COUNTY PLUMBING/MECHANICAL PERMIT APPLICATION 426 W.Cedar/P.O.Box 186,Shelton,WA 98584 Shelton 360 427-9670 Belfair 360 275-4467 Elma 360 482-5269 Seattle 206 464-6968 + APPLICANT INFORMATION CONTRACTOR INFORMATION Owner Contractor Name Mailing Address G fi Mailing Address City State Zip Code 28524 City State Zip Code Phone(__) Other Ph.( ) Other Ph.(� Lien/Title Holder Contractor Reg. # Address Expiration SEPTIC INFORMATION-Connect to New Septic Existing Septic Connect to Sewer System Name of Sewer System PARCEL INFORMATION- 12 digit Tax Parcel No.4�6* r)QF3 / 77 /' a 3a-l. Fire District Legal Description 4 W 6 /-07 7 Site Address(Please include street name,street number and city) w ► .. r : _ ' Directions to site JUl 0 PI AT, f., h4v nVA f e, oA1 DL14 1Dn rXA f r AlEr-1r 0-i fj aJm ri Cfae Is your property within 200'of the following: Body of Water(Name) is!0 Saltwater Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs TYPE OF JOB New Add_, [_Alt Repair Other Use of Building Location of Fixtures/Units 1st Floor 2nd Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Fuel Type: Electric Type of Fixture No.of Fixtures Fees LPG Natural Gas Heatpump Toilets Type of Unit No.of Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps Showers Spot Vent Fan Water Heater Propane Tank Clothes Washer Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL A FLOOR PLAN AND PLOT PLAN MAY BE REQUIRED DEPENDING ON THE TYPE OF FIXTURE/UNIT. NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED. PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the information provided is accurate and grants employees of Mason County access to the above described property and structures for review and inspection of this project. Acknowledgment of such is by signature below: OWNER AFFIDAVIT-I certify that I am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-I certify that I am currently registered as a Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this perms andd all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No chant RG 1y-i�LJ approval. ` k' first obtaining approval. A [[jj LZ U f / / AUCTate� 9 1001 X Date X FOR OFFICIAL USE BEYOND THIS POINT 26 W. CEDAR ST. Accepted by Date Submittal Amount Due Receipt No. r> £3E 1#RTI1!EENTAE . . APPROVED 1ENII ....;: CiOh[D[ IQ1Y1 G£�DES Building Department Occ GroupType Constr. Planning Department Other Other Permit Fee Site Inspection Plan Review Fee UFC Plan Review Fee Plumbing&Base Fee Other Mechanical&Base Fee Other Wood/Gas/Pellet Stove Fee Pre-Paid at Submittal ( ) Violation Fee TOTAL FEES MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: T lephone: Parcel#: © o/��, (Yl e ,e - pe of project ( ) New Residence ( ) AddRECEIVEemodel Total Sq. Ft. 1 S Floor : 2" 20�floor: Heated Basement: of heated area:: Heating System: 426 W. CEDAR ST., Glazing O Prescriptive Option see reverse side circle one: I II III Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required 1 Check one:: -7 % O Systems analysis, Chapter 4 CQ- "Whole House Ventilation system O Whole House Ventilation using a Heat Ventilation using exhaust fans&window or wall fresh air Recovery Ventilation System (VIAQ 303.4.4) System vents (VIAQ 303.4.1) Check one O Whole House Ventilation Integrated O Whole House Ventilation using an inline with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3) Window & Door Schedule (If needed, attach an additional sheet) Total Manufacturer Room/location U-Factor Size Quantity Square Feet Windows: L �c,�4A° .�- PorT16 3 3 CJ Windows: Total Sq. ft. Doors: Doors: Total Sq. Ft Total window and door area Total window &door area Z /(divided by) total sq. ft of heated area = &" %of glazing MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT Permit Assistance Center SHELTON (360) 427-9670 BELFAIR (360)275-4467 SEATTLE (206)464-6968 ELMA(360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us P.O. Box 186, SHELTON 98584 2001 Washington State Energy Code (WSEC) effective July 1, 2002 2000 Ventilation and Indoor Air Quality Code (VIAQ) Code Compliance Application Form The following information will be required for the WSEC and VIAQ plan review: 1. Complete the Washington State Energy Code/ Ventilation and Indoor Air Quality Code (WSECNIAQ)application located on the reverse side. 2. Complete the window and door schedule on the reverse side. Include all windows, skylights, sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening dimensions of the windows and doors. Information about the U-factor of the window will also help to expedite the energy code review. If you are complying with the WSEC by prescriptive path and are using the area weighted average method you must include your calculations. 3. On your building plans note the location and fuel type of water heater, location of exhaust fans (bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and slabs, 4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 284. Additional WSEC and VIAQ compliance information is available on the internet at: www.energy.wsu.edu/buildings/ Prescriptive Requirements 0,1for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Wall Wall Wall Area% of Door Ceiling Vaulted Above interior' exterior Slab' Option Floor „ U s 2 Ceiling3 Grade below ' Below Floors on 10 Vertical Overhead Factor 12 grade Grade Grade I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10 II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Unlimited Single Family Res .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 (R-3)Only *Reference Case/Call (360)427-9670 ext. 284 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are exempt from the above grade wall insulation requirements. z RECEIVED AUG 19 2002 J 426 W. CEDAR ST., 330' j l,5o I 049 60� 1 C3-f 2ic2o 36 �.F�saaF.�r..� s-f ►° 40' t�A 4riu9*oLs8e- _ ` wTe✓ �..�Ve`.5 a Initials Date 3 w f Cow S►DE s►���� 5 ice►�..0 w.IC., C.�.�..-o�� 4r. MASON COUNTY DEPARTMENT OF HEALTH SERVICES August 22, 2002 PO BOX 1666 SHELTON, WA 98584 SHELTON (360)427-9670 FAX (360) 427-7798 ELMA (360)482-5269 MARGARET SPIWAK BELFAIR (360) 275-4467 51 W COUNTRY SIDE CT SEATTLE (206)464-6968 SHELTON WA 98584 Case No.:BLD2002-01108 Parcel No.:420087790132 Dear Applicant: Your building permit cannot be approved by Mason County Environmental Health until the following are completed and turned in: Report within the last three years from either a septic tank pumper or an Operation and Maintenance Specialist. Please call me at (360)427-9670, ext. 279 if you have any questions. Sincerely, Amanda Reynolds Environmental Health Mason County Health Services Comments: 8/22/2002 1 of 1 BLD2002-01108 MASON COUNTY PUBLIC WORKS DIRECTOR/COUNTY ROAD ENGINEER Sheltoq Wazhington 98584 DATE: Oct. 21" , 2002 INTER-DEPARTMENTAL COMMUNICATIONS TO: Mark Core, DCD—Building Inspector "Z 0 t 3�- FROM: Alan A. Tahja, P/W - Co. Hydr. Engr. WO#PLG-02 SUBJ: Geo-Tech Report Review NAME: Rigs SFR 2 Lk Cushman BLD2002-01108 Mark, Attached please find a copy of a fax I received from Thomas Richl, P.E.. The faxed materials include a cover letter, and a revised plan sheet to the geotechnical report I reviewed and recommended approval of on September 3Id of this year. I have no reason to object to this change, and recommend accepting the report as revised. Please feel free to contact me at County extension 461 if you have any questions regarding these comments, or if you feel any features need further discussion or attention. Si cerely, r L Alan A. Tahj Cc: Rick Mraz, DCD - Planner File: H:\WP\GEO\REVIEWS\Riggs-2.doc Oct 20 02 06: 33a Thomas E. Richl 206 524 4406 p. l moo, hn� AWN -TA tA3A THOMAS E. RICHL,P.E. 2119 No, 92°d Street Seattle, WA. 98103 1-206-524-48I9 Fax 1-206-524-4406 or POB 21 Lilliwaup,WA. 1-360-877-5545 Fax 1-360-877-0748 Mobile l-206-930-5624 October 21, 2002 Memo to: Mr. Rick Mraz, Mr. Mark Core and Mr. Alan Tahja. From: Thomas E. Richl, P.E. References: 1, BLD2002-01108 2. Geotech Report Job 4302-4 Dated 6-17-02. 3. Inter-Departmental Communications dated 9-3-2002 from Mr. Alan Tahja to Mr. Rick Mraz,DCD-Planner, 4, Correction Notice dated 10-15-2002. I have always been careful of trying to provide specific directions for the placement of foundations near downslopes. However; I intended that Mr. Riggs residence be within 10 foot of the Northerly 30 degree downslope. Now you tell me that a covered deck is living space. I think living space is doors, windows and a permanent floor. If this is your position, then I must modify my Geotech Report to reflect this position. Mr. Riggs house can be built within 10 ft of the downslope, deck covered or not covered. I have revised my sheet 5 of my original Geotech report to reflect this change. This downslope, as indicated in my Geotech Report is very stable and the trees and shrubbery growing on it will testify to this stability. My pictures on sheets 8 and 9 of my report show this stability. Please allow Shamrock builders to get on with this construction project,remember the building season is waxing. Thomas E. Richl, P.E. Job#302-4A File: RiggsF cc: Mr. Rick Bohanon(Shamrock Builders) Sheet 1 of 2 A&R Es RECEIVED AUG 19 2002 426 W. 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