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Date By Date By FINAL INSPECTION Water Line Date B Date Byr Date By v oa - Cn 0 � 2Z d3— �- 0 c 81Y^ F<n�A 0 0 m m 0 8 Z a 0 cn cn d r CD N � N O y N 0 PERMIT NO.: BLD MASON COUNTY 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 Contractor Name Mailing Address 'jLz, Mailing Address City ,,: fit; State Zip Code City State Zip Code Phone( ;) "s 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 Well Water System Name of Water System PARCEL INFORMATION-12 digit Tax Parcel No. I / 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 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 Alt Repair Other Use of Building Describe Work �-",� (4-3 1 Kt No. of Bedrooms No. of Bathrooms SQUARE FOOTAGE-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 Purchase Price.$ . ........-�- —w 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: 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 permit is issued and all work conformance therewith. No changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without approval. first obtaining approval. X Date X Date .11 FOR OFFICIAL USE BEYOND THIS POINT Accepted by ! Date Submittal Amount Due Receipt No. IEPARTM,ENTA REVIEW APP OVED DENIED C£3NAITlaJN CL�pS Building Department ® -7 f i Occ Group Type Constr. Planning Department Environmental Health Department Public Works Department i 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 �, jw following on the site plan ens Flood Zones ,ructures Fences j Setbacks Driveways Shorelines -fines Topography age Plan Wells ,tic Systems Easements )posed Improvements Indicate Directional by (N, S; E, W) me of Flanking Street in relation to plot plan me of Fronting Street 'PLICANT TO DRAW SITE PLAN BELOW O Z i O G o-0 05, ,PPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Request To Revise An Approved Plan Permit Number: BLD200,; - (M7 Name 0/1 q Parcel Number J--J-90/2/ S / 060 Z3 Phone Number Project Address �3 E _Z Y ailing Address LjCLn.tc.e_� Please provide a complete, detailed description of the proposed revisions to the approved plans: t,0`r.51\ 4K--u c:x&CQ C, C A 0�� �uV\&C �,c,-Yl� sue, Ct Y�c cV-k d 19-1 V\-K I q (-'ArM P\CC L,-—MQ. - 4 J f ! 3 _r3 W.--C AR ST., Are the site building plans, approved by Mason County, included with this application? ❑ Yes ❑ No Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No Are the revisions clearly and accurately identified on the plans or addendum? 0 Yes ❑ No Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ 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 an engineered plan will be approved without the written consent of the engineer or architect of record.) Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑No If Yes, Is a revised site plan, drawn to scale, included with this request? ❑ Yes ❑No Additional Information: Applicant's signature �,c Qw.� Date: -:�A 1 3 Received by: Date: —2--&3 Foryard to departments in 'cate below: "AppKoNal/Date Original Valuation: Building t U Additional Valuation: ❑ Sq Ft x Planning Sq Ft x ❑ Environmental Health Total New Valuation: Additional Fees: ❑ Public Works Additional Plan Review Additional Conditions/Comments: Additional Building Permit Additional Plumbing Additional Mechanical Other Total Amount Due: $ acu oCEAC H H C DDIFDH&&UF&D STRUCURAL DESIGN FOR KILMER RESIDENCE ADDITION FOR JANICE KILMER PROJECT #02-169 BY RANDY THOMPSON, P.E. ld. GHQ ON tiny cr. � � a N I /STE s� VAL ' '� 8-2 9- SCOPE OF WORK: Provide VERTICAL& LATERAL ANALYSIS for new bay area addition to existing residential home per client's request. PROJECT DESCRIPTION: Single-story wood framed addition to like structure. DESIGN PARAMETERS: GRAVITY LOADS: Roof: Trusses and comp. = 15 psf dead 25 psf snow 40 psf total Walls: Conventional = 10 psf dead Floors: Conventional const. = 12 psf dead 10 psf partition 40 1sf live 62 psf total LATERAL LOADS: Wind exposure B, 80 MPH Seismic zone III SITE SOILS DATA: Assumed allow. soil bearing pressure = 1500psf ACCU-CALC Job: ENGINEERING DESIGN Date: By: —r Shelton,WA 98584 (360) 432-8903 Phone/Fax Sheet: Page ice. of L;fI LAO _ N 6 Ax loAW, •' . r 4 - CL B,Aj Al 3 � 3 p � I � f e p d G e '+mow a 3 7 M y M W E I f S t � t i x t tt g S { t j T — i t i f � � • f �1 t,a � cl: E� ANT f ? _ d z OS i �F. }f. / ACCU-CALC Job: - ENGINEERING DESIGN Date: - By: W Shelton,WA 98584 (360) 432-8903 Phone/Fax Sheet: `" Page of _ e P . e'er to PA� . �._ 0-1 I L al re B�t x MASON COUNTY DEPARTMENT--OF COMMUNITY DEVELOMENT 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 Door Wall Wall 4 Wall 4 Area /o of Ceiling Vaulted Above interior exterior Slab U Option Floor „ 9 2 Ceiling3 Grade below 4 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 if * 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Ill 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. i co w z tc` i a • i • s •