HomeMy WebLinkAboutBLD2015-01006 SFR - BLD Permit / Conditions - 12/2/2015 Inspection Line (360)427-7262
SON C0[2 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
BLD2015-01006
OWNER: BELLA HOMES RECEIVED: 12/2/2015
CONTRACTOR: LICENSE: EXP: ISSUED: 1/8/2016
SITE ADDRESS: 590 E SODERBERG RD ALLYN EXPIRES: 7/8/2016
PARCEL NUMBER: 122185000043
LEGAL DESCRIPTION: LAKELAND VILLAGE#12 PHASE II LOT: 43
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR ST RT 3 TO ALLYN, L ON HOMESTEAD DR, R ON OLD RANCH RD, R ON
SODERBERG RD TO SITE ADDRESS ON THE RIGH SIDE
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: New SFR
Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R Lot Size: Deck: 676
Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:3,200 Garage-Attached 723
Valuation: $ 406,524.37 Building Height: 31 Occ. Status: Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 39.0 Ft. Shoreline: Ft. Water Body:
Rear: E 36.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: N 5.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 24.0 Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Bath Tubs 2 Dryer Vent 1 Plan Check Fee GMM 12/2/2015 $ 1,763.42 S1201500000001
Clothes Washer 1 Exhaust Hood 1 EH Plan Review GMM 12/2/2015 $205.00 S1201500000001
Dishwasher 1 Fireplace 1 Planning Review Fee GMM 12/2/2015 $205.00 S1201500000001
Hosebibs 2 Furnace<100K 1 Building State Fee CRE 12/8/2015 $4.50 S2201600000001
Kitchen Sink 1 Gas Outlets 4 Building Permit Fee CRE 12/8/2015 $2,712.95 S2201600000001
Lavatories 5 Ventilation Fan 4 Mechanical Permit Fee CRE 12/8/2015 $228.70 S2201600000001
Showers 1 Propane Tank 1 Mechanical Base Fee CRE 12/8/2015 $28.50 S2201600000001
Water Closets (Toilets) 3 Plumbing Permit Fee CRE 12/8/2015 $ 136.70 S2201600000001
Water Heaters 1 Plumbing Base Fee CRE 12/8/2015 $24.70 S2201600000001
Total $5,309.47
BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 1 of 8
CASE NOTES FOR
BLD2015-01006
CONDITIONS FOR
BLD2015-01006
1 AS PER P. WORKS. SEWER CONNECTION FEES MUST BE PAID PRIOR TO ISSUING PERMIT.
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2) Appr veer dimensions and setbacks of residence/garage on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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3) Application acknowledges that the structure is only permitted for a use consistent with current zoning of the parcel, Allyn Urban Growth Area R1-P
resiqM� platted zone.
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4) The pro osed structure(marked as casita)nearby to the primary residence has NOT been reviewed or approved as an Accessory Dwelling Unit
(ADU):A second dwelling unit detached from an existing single-family dwelling for use as a completely independent or semi-independent unit
with provisions for cooking, eating, sanitation and sleeping. ADUs are required to meet the requirements and public review under Mason
Cou Qyelopment Regulations 17.03.029.
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5) Contrac r 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 J7-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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6) All appro ed 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 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
De,
ent prior to any further inspections being performed or approvals granted.
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7) Ow rAgent is responsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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8) The pla 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
Offici 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
remove approved documents will result in failure of required building inspections.
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 2 of 8
9) ALL FURNACE INSTALLATIONS SHALL MEET THE MINIMUM EFFICIENCIES SET FORTH IN THE CURENT EDITION OF THE WASHINGTON
STATE ENERGY CODE (WSEC). ANY PORTION OF THE MECHANICAL SYSTEM THAT IS ALTERED OR REPLACED SHALL MEET THE MINIMUM
ST ARDS SET FORTH IN THE WSEC AND INTERNATIONAL MECHANICAL CODE.
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10) THE UNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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11) The" roved" 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
approva 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
Build Department prior to any further inspections being performed or approvals granted.
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c
12) 2012 IE C/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 ddition the following credits from R406.2 shall be completed as follows:
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13) 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 Y4 or%sheets. The
Mason County Permit Center will also have some available.
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14) A minimum of 75 percent of all permanently installed lamps in lighting fixtures shall be high efficacy lamps in accordance with IECC/WSEC Section
R4 .1.
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 3 of 8
15) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied im accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
A dri edge shall be provided at eaves and gables of shingle roofs. (IRC 2012 R905.2.8.5)
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16) A Maso County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. `NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan"constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting 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. By calling for a final inspection of
the building permit the owner/agent/contracto i acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
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17) All construction and demolition debris must be emoved from the site after project completion. per 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
18) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters properties. Siit fencing, straw
matting, or surface protection must be installed and maintained until upland vegetation has become established. X
19) Co r&te leachate and wash water must be contained during construction pouring, such that water quality degradation f adjacent waters does not occur.
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20) A con6- ete 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.
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21) Concr 'e used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
verticakconcrete work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 4 of 8
22) 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, r additions requiring a permit occur, or when one or more sleeping rooms are added or created.
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23) The international code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved
acce road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such ds connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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24) Any ch ges in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charg nd shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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25) All cons uction 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
permit cation.
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 5 of 8
26) Installation of heating equipment in a single-family residence shall meet-the requyrements of the current IECC/WSEC R403, applicable sections of the
IRC, and IMC.
Heating equipment shall be sized in accordance to ICC/WSEC, Section R403.6. Heating and design load calculations for the purpose of sizing HVAC
systems are required and shall be calculated in accordance with accepted practice, including infiltration and ventilation. Design calculations shall be
available for inspection during inspection.
Referencing IRC M1601.4, all ducts, air handlers, filter boxes, and building cavities shall be sealed. All joints of duct systems and seams shall be made
substantially air tight by means of tapes, mastics, liquid sealants, gasketing or other approved closure systems. Closure systems used with rigid fibrous
glass ducts shall comply with UL181A and shall be marked 181A-P for pressure-sensitive tape, 181A-M for mastic or 181 A-H for heat-sensitive tape.
Closure systems used with flexible air ducts and flexible air connectors shall comply with UL181 B and shall be marked 181 B-FX for pressure-sensitive
tape or 181 B-M for mastic. Duct connections to flanges of air distribution system equipment or sheet metal fittings shall be mechanically fastened.
Mechanical fasteners for use with flexible nonmetallic air ducts shall comply with UL 181 B and shall be marked 181 B-C. Crimp joints for round metal ducts
shall have a contact lap of at least 1-1/2 inches (38 mm) and shall be mechanically fastened by means of at least three sheet-metal screws or rivets
equally spaced around the joint. Closure systems used to seal metal ductwork shall be installed in accordance with the manufacturer's installation
instructions.
Duct tape is NOT permitted as a sealant on any ducts. When ducts are located in unheated spaces the ducts hall be insulated to R-8
DUCT TIGHTNESS TESTING shall be conducted by person(s)trained to perform such testing. A signed affidavit documenting test results in accordance
to IECC/WSEC Section R403.2.2 shall be provided to the Mason County Building Department prior to the final occupancy inspection. Affidavit forms are
available on at the WSU-Energy Program website titles, "Duct Leakage Affidavit" or"Duct Leakage Testing Results (Existing Construction)." Duct
tigh ness testing is not required if the air handler and all ducts are located within the heated space.
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27) The p cement of buildings and structures on or adjacent to slopes steeper than one unit vertical in three units horizontal (33.3% slopes) shall conform to
the International Residential Code Section R403.1.7 for descending or ascending slopes.
Alternate setbacks may be approved subject to approval of the building official based upon the investigation and recommendations of a qualified engineer
licensed in the State of Washington. Such an investigation shall include consideration of material, height of slope, slope gradient, load intensity, and
erosiacteristics of slope material.
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28) Prop %eLtructure(s) must maintain a minimum of a 5' setback from all property lines, easements and 25' from all County and State Road right of ways.
SetbN are measured from the furthest projection of the structure.
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29) All ch ges to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordin�r regulation, must be reviewed and approved by Mason County prior to construction.
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 6 of 8
30) 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
Ins or shall be made prior to requesting additional inspections.
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31) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
mee t installation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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32) Fuel pi ing 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 �Sed until the final inspection has been performed and approved by a Mason County building inspector.
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33) Owne applicant must obtain a sepera rmit for the placement of any size propane tank serving a fixed appliance within a dwelling structure or unit
prior to the placement of the tank. X
34) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
meettinstallation requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
X35) All prlines shall be clearly identified at the time of foundation inspection. X
36) 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
Mas n County ordinances and building regulations.
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37) All pe its 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
hold have prevented action from being taken. No more than one extension may be granted.
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38) Press%1 treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
conn ors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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39) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approv d Site Plan"to ensure these structures are shown and meet the setback conditions listed.
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BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 7 of 8
.d''-6oN ?i.
{ �'' ° �r� MASON COUNTY' Permit No:� ICi
` DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352
http:/Iwww.co.mason.wa.usZcoi-ni-nunity dev/ (360) 275-4467 Belfair ext. 352
426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352
nul
WING BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: 1)1 '1 ►i7P" jMl NAME:
MAILING ADDRESS: '2'i�i tyw�»' L' jitrt MAILING ADDRESS:15y5 �Vynw„} 1�.t4 >`►,3�e ;
CITY:OW ml2 ,� STATE: W A- ZIP:__C& — CITY- f�� i f STATE: ZIP:�0 0 Z
PHONE:, CELL:7,v6 jai-&-* PHONE: - CELL: jai,
EMAIL: ti �' 1aor �r s (_�y M EMAIL : ^:, 1✓wb, . �2—rel�+
L&I RE,G#C;a(' ,er.1c+��*9W—) EXP.
CONTACT : OWNER W CONTRACTOR g BELOW gL
NAME:�ACT \11tA5 MAILING ADDRESS:4,14-,< r f4« :Jl4esis 1pf,
CITY: STATE: i.,�, ZIP: -O)£a502_ PHONE: CELL:
EMAIL:j 0.p+j2 14CAw.t rc�.r,.�q j�_o�
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER) �7?_ ( �-1'�''j FIRE DISTRICT._
LEGAL DESCRIPTION(ABBREVIATED) : t7 �+�a .c,tL �� "Yt W 9 fl.c�'t✓ �4L2;
SITE ADDRESS �22,qgtZ M M tZa CITY
DIRECTIONS TO SITE ADDRESS FGh►� `j= I,.,c�� LJ �c��-: �Cc' r"+� �c"� ���� + +j
Ea tit
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 / ADDITION ❑ ALTERATION ❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) L, bCV 1 A
IS USE: PRIMARY ❑ SEASONAL ❑' NUMBER OF BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK_IvNLvl fPn,��-�,TQ�ok`�'tZ /-�ti��•�y�
SQUARE FOOTAGE:
1ST FLOOR 1_1�0 sq. ft. 2ND FLOOR () sq.ft. 3RD FLOOR — sq.fl. BASEMENT sq.ft.
DECK' sq.ft. COVERED DECK (L]_b_sq.P. STORAGE sq.ft. OTHER -- sq.ft.
GARAGE_sq.ft. ATTACIIED'FJ DETACHED ❑ CARPORT --- sq. ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4CLIFIL OF THE FLOOR PLAN RE UI ED
ICE MODEL YEAR LENGTH
— :7
DTII BEDR BATHS SERIAL NUMBER
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 or owner's legal representative. 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 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 CONTINU OF WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
SATPION OF18 YWILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
Signature of OWNER Date
DEPARTMENTAL REVIEW APPROVE DAT i DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
t, r,y+ ► ' ; ° �"F1EUlS'rh to a{A iiyt�'�,�' `1iOT� °AVtA�Ii�)Ar +'
t
BUILDING PERMIT FEE FIRE ACCESS AND GRADJ�CC
PLAN REVIEW GEO-TECH REVIEW �E
PLUMBING&BASE FEE STORMWATER REVIEW 6
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE V3I,ROLA�T�gI�ON FEE y �t
'�a. ,'� � �• 1 ,dam#�i� t �� �..�✓���•
40) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PR PERTIES NOR INCREASE THE VELOCITY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR WD WAY.
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41) 2012 1 CC/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: Air-source heat pump with a minimum HSPF of 8.5. Electric water with a
mini V93.
.
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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
PE IT APPL TION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
1 - 9 - I4Q
Sign a Date
7 OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-01006 Please refer to the following pages for conditions of this permit. Page 8 of 8
Name I � i Parcel# 'f d (,tC2 114 BLD#,!2t)1 —a 1 W
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 Coimty website:
httn//www.co.mason.wa—us/code/commissioners/index.htm i�tl. �j ` 4UQ
Please follow the links to "Title 14, Chapter 14.48 Stormwater Management".
426 W. CEDAR ST
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 Lois, The Small Parcel Stormwater Site Plan
on the pages that begin with"Handout"
PLEASE IlVTITAL 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
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/d rain field 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. 352
Mail: P 0 Box 1666, Shelton WA 98584
Physical: 426 W Cedar St, 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 qf such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
further cknowledg at the information provided is accurate and employees of Mason County are granted access to the above-
descri property f eview and inspection as may be required.
X. Owner/Agent/Contractor(circle one)Date:
Page 2 0
Name Parcel# 11m1$ 0 `'l S, BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
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 surface'.
'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.
2Common 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 X =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
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 = If 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)
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 Square Feet, please read, acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instructions #4)
Owner- '� 11 Parcel#: Type of Projec :
12z18-50-600143 nE e-j
Total Sq. Ft. 15 Floor : 2'0 floor: Heated Basement:
of heated area:: H 9 0 Po__U'
JL .sY W
Heating System Type: O Electric wall heater • Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump DCC 0 1 2015
O Boiler, specify fuel type: O Other: Specify:
• Prescriptive Option Table R402.1.1
Compliance Method O Component Performance, R402.1.3 — Calculation worksheets required
Check one::
O Other (Specify):
Check one O Whole House Ventilation system ! Whole House Ventilation O 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:
http://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
I .J .
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):
Oc, -.�. h.�,eA_ F_ F .q3
Using Option number(s): R1 A(L GuEpM JL 8 5
3 - 5-A
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
C
L
Total Fenestration: windows, skylights and door area
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application BIJ
U L
Submit with heating/cooling system size worksheet (see instructions IDING
Owner. Pargel#i T p o,f project:
Total Sq. Ft. 1St Floor: i 211 floor. Heated Basement:
of heated area:: 1455 RECEIVE
Heating System Type: O Electric wall heater O Electric Central Fumace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas fumace VDuctiess Heat Pump JUN 2 3 2019
O Boiler, specify fuel type: 0 Other.
Specify: 615 W. Alder Str et
X, Prescriptive Option Table R402.1.1 (see table on prbvious page)
Compliance
Method ❑ Component Performance, R402.1.3 — Calculation worksheets requited
Must Check one::
❑ Other (specify):
---TIIqESE FP
Whole House Ventilation system El Whole House Ventilation T -E JOB SITE
u S MUST BE
Check one h
Ventilatio using exhaust fans &window or wall Integrated with a Forced Air ElOthfo"IR
sc
fresh air vents(M1507.3.4). If usingSystem (M1507.3.5) INSPECTION.
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 4D6.2. 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:
h .co.mason.wa.us/forms/Commun ity Devfiecc wsec. df
Additional La2))escription: 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 b) 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.
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 IECC as skylights, roof windows, vertical windows, opaque
doors, lazed-doors that include products with glass and non-glass glazing materials.
Describe Energy Credit Option(s):
Using Option 56.
number(s): 3c. 3D-DUCTLESS HEATPUMP
5A-EFFICIENT WATER HEATING
N1ASOi; 7UILDING INSPECTOR
CHI ANGE`> SUBJ ECT TO VAL
0 Alf
3
i
50N. co
a ....
r� MASON COUNTY PERMIT NO.P>Icl2-mei-O)axQ
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 1tDShelton,WA 98584 (360)482-5269 Elma ext.352& MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: �tV�1 M-B� 2 NAME: [ -O)-1 F.5
MAILING ADDRESS: MAILING ADDRESS:915 5 MMA 1cJ,.-•t r'60
CITY: STATE: ZIP: CITY:Llkj ii p%A, STATE: \I J k ZIP:
Clio r7�07-
PHONE: CELL: PHONE: CELL: ,Zak- j54,1-- ?
EMAIL: EMAIL : {�-,,srr Y 1,r�irhi�Q tc d • C �+1'h
L&I REG#�bjj-l(A 1.1 ) EXP. I / 13/ 1[2
PARCEL INFORMATION:
PARCEL NUMBER(12 DIGIT NUMBER):
LEGAL DES CRIPTION(ABBREVL4TED): L-A vt 11�m \lr.11AN l l2 'VVk1k6V Z Lam- yam,
SITE ADDRESS: C CITY:
DIRECTIONS TO SITE ADDRESS: -e�f�-lin�r� yE� j :� i' C?►v, S �,r,� ✓r � ti� �� �_
TYPE OF JOB
NEW !.t ADD ALT REPAIR OTHER USE OF BUILDING
LOCATION OF FIXTURES/UNITS—11T FLOOR 2'FLOOR__1ZBASEMENT ,GARAGE_Z OTHER
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric / LPG Natural Gas Ductless_
Toilets 3 Type of Unit No.of Units Fees
Bathroom Sink r3 Furnace
Bath Tubs Heat Pump
Showers 1 Spot Vent Fan
Water Heater 1 Propane Tank 1
Clothes Washer 1 Gas Outlets
Kitchen Sinks I Wood/ as ellet Stove i
Dishwasher ( Kitchen-Exhaust Hood t
Hose bibs Dryer Vent 1
Other Solar Panel
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 peso 180 days. PROOF OF CONTINUATION OF WORK IS BY MEANS OF INSPECTION.INACTIVITY OF THIS
PERMI PPLICATI F 180 DAYS WILL INVALIDATE THE APPLICATION.
X
re of Ap li ant Date < �—
X ~— ( Owner/Owners Representaee/Contractor
Print Name (indicate which one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT y
PLANNING DEPARTMENT
FIRE MARSHAL
Bella Homes LLC eb-) 2 015 - 01 oO
545 Summit Lakeshore Road
Olympia Wa, 98502
PLANNING :
S I T E L A Y O U T ALL SETBACKS ARE MEASURED
FROM THE FURTHEST
Parcel # 12218500043 PROJECTION OF THE BUILDING
APPROVED Plat 12 Phase 2
MASON COUNTY DCD PLANNING PLANNINGIRED TO ESE ON SITE
SITE PLAN REQUIRED ECEIVED
CHAN .ES SUSJEC
By ate �� 1 _ DEC 0 2 2015
y lD o 426 W. CEDAR ST
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