HomeMy WebLinkAboutBLD2019-01183 SFR - BLD Application - 10/16/2019 i
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MASON COUNTY COMMUNITY SERVICES Permit No:
\ PERMIT ASSISTANCE CENTER:
•OUfLDfNv•PL1hWlNG•PUBLIC HEALTH•FIRE 44RSMAL
615 W.Alder Syeat.S1reNan.WA 2656e
Phone Shclfmn(360)427-2670 ext.352•Fax:(36OM27.77p8 Pftorw OC j O
0allsrr.(360)275-4167•Phew EFns.;(300)462.5269 /
BUILDING PERMIT APPLICATION r`S Vv �01,4
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: Ci r
MAILING ADDRESS: MAILING A D SS: cnaJ
CA `' Street
CITY: ATE: t /1 Z P CITY:CI TATE:MA ZIP.
PHONE 1. OR♦ 7�1-91fY PHONE: CELL:
PHONE#2�— EMAIL
EMAIL: 0 too, L&1 REG# XP. /
'lilts RY CoNTA T NER❑ CONTRACTOR%
:
NAME o EMAIL C
MAILINGADDRIISS CITY STATE ZIP
PHONE CEL
PARCEL INFORMATION:
PARCEL NUMBE&(12 Digit Number) 'ZONING its �te>♦1'J
LEGAL DESCRIP'ITON(Abbreviotcd) LLY/� l�,t.wj j! LJ'Sl� FIRE DISTRICT _
SITE ADDRESS `171 E. Salr`lra ��_ ary
DIRECITONS'I'O SITE ADDRESS r
_
RIlDING
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES❑ NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Ciscialtfhmaptxy):
SALTWATER❑ LAKE❑ RIVEWCREEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW E• ADDITION❑ ALTERATION❑ REPAIR❑ OTHER❑
USE OF STRUCTURE(P—drea.Ga..V,C..—,.I BUS.Etc) It•1Ji k,,
IS USE: PRIMARY Jr SEASONAL❑ NUMBER OF BEDROOMS_NUMBER OF BATI IROOMS_I
HEATED STRUCTURE? YES(Whats AkW E YES(Pents)WOW(] NO❑
DESCRIBE WORK
SQUARE FOOTAGE:lP w«•.# f�4
IST FLOOR'sq.ft. 2ND FLOOR sq ft. 3RD FLOOR sq.R. BASEMENItma sq.If.DECK_5aAr_)sq.ft. COVERED DECK sq.ft. STORAGE sq.a OTHER sq.R.
GARAGE f 1q.ft.Attacheds Detached❑ CARPORT _sq.tl. Atraehed❑ Detached❑
MANUFACTURED HOME INFORMATION: a4 COPIES OFTUE FLOOR PLAN REQUIJRXU•
MAKE _ MODEL YEAR LENGTH _
WIDTH BEDROOMS BATHS. SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SL-WAGEISL'WER SOURCE: SEPTIC❑ SEWER® I NEW❑ EXISTING i
PLUMBING M STRUCTURE? YESIN NO❑ Ifyes,attach completed Water Adequacy Form
PERIMETERIFOUNDAT10N DRAINS PROPOSED? YES 11 NOD EXISTING SQ.Fr.
EXISTING BEDROOMS I— PROPOSED BEDROOMS_ TOTAL BEDROOMS —
OWNFER acknowledges that submission of inaccurais ntonnslion may result in a stop wodc order or potmit tevacahon.Acknowledge meat of such a by
signature balowr.I declare 0nat 1 am gw owner and 1 fix-mer declare that 1 run artlNed to mostva this pamnit and to do the work as propoa W.I have
obtained p9mla slon horn a6 the nacaa.ary padies,including any easarneM holder or parties of ntamst regarding this projoct.Ttw owner or legal
represanlative,rapes". that the information provided a sc made sad grants arnployeals of Mason County accua 10 the above descrtbed property
and strwturs(s)for review and inspection.This parmNappi"hon bewmes null a void It work or authoraed wnW—lion in not commenced within 160
days or If construction work is supetded for a period of 1e0 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
COUNTY CODE 14.00.42)
;gnature of 'ER(Must beA land by the OWNER) Date
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/1NOTMCONDI77UNS
BUILDING DEPARTMENT eJ 4-Z
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
C OnSnnIO S•dz PM
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MASON COUNTY RECEIVED
COMMUNITY SERVICES NW BUILDRIG
OCT 16 2019
Physical and Mailing Address:615 WAlder St.,Bldg 8,Shelton,WA 98584
Sheson Phone. (360)427-9670 ext 352 8 Fax (360)427-7798
W. Adel Street
PLUMBING & MECHANICAL PERMIT APPLICATION Pwmit#. _
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: ti a NAME: — - ADD r fi 10(\)
MAILING ADDRESS: MAILING ADDRESS: I
CITY: 416— STATE: Mk ZIP: CITY:G16 BARB R STATE:\($_ZIP:S$-A1�
1-1 PHONE- lT�bV�71i1719 -%04tPHON -C CELL: —* 0+rnr-
2"a PHONE: EMAIL
EMAIL: L&I REG#BIZ EXP.1-RJ /I
PARCEL INFORMATION: ;
PARCEL NUMBER(12 Digit Number): I I b tip S;? Zoning:
LEGAL DESCRIPTION(Abbreviated): 1- b'g� )a J�
SITE ADDRESS: y 7J 9. Al. CITY: 141k►,
DIRECTIONS TO SITE ADDRESS: Cr, ,e 1%1..,1, nr:rat. -h (3/1 to J..1W4., ,psi* Ne
t7
TYPE OF JOB/WORK: NEW_Ie— ADD ALT REPAIR OTHER
USE OF BUILDING re i;k,,%L%
PLUMBING FIXTURES MECHANICAL UNITS I I Ekx*ic in-wag heaters oar»1
);vae of Fixture No.4FixLu1q.1 Fuel Tvoe E o TvM o/ Ewl Timit EM
Toilet(s) Futnaw
Bathroom Sink(s) Heat Pump GI
Bath Tub(s) o Dudlsas H.P. IE/G/LPGI
Shower(s) L Spot Vent Fen
Water Heater(s) ) (EtrAPGI _ Propane Tank _ (_mat.)
Clothes Washer(s) (EIGILPGI Gas Out)et(s) /1
Kitchen Sink(s) 1 Meat Stove (E/GI t_pc_�nvn1
Dishwasher(s) Kitchen Exhaust Hood
Hose bib(s) Dryer Vent
Other 41 Solar Panel
Other I Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final 101 ian Fee Firuhl Inaoeclion Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER t BUILDER acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Admowledgamer t 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 peanission 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 pennit/appNution becorras null 6 void if work or authorized construction is not
commenced within 180 days or I 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.
Signature of Applicant Da
X klit:e... A. F`~�br Owner/Owners Representative/Contractor
Print Name (Circle one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS)NOTES(CONDITIONS
O auik ing
O Fire Maraaal
O Per"T"11 (OTC Pena or"A
h*Tp.//Wxtiw.co.mason.Wa.us/comnwn+ty_dev/ Rex3/08/?017
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BUILDINGSON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT 61,5
, Oct ,�+ ✓ O
WSEC/Ventilation Code Compliance Application 1S 2Q19
Submit with heating/cooling system size worksheet(see instructions#4)
Owner. Parcel#: Type o�pro L:
�J�S�iw►. :Sa o 11L✓A _ / 22 y-f0-OHOf� /'3t,L1
Total Sq. Ft —I }�`loor: 12111 floor. Heated Basement:
of heated area:: Q
Heating System Type: O Electric wall heater O Electric Central Fumace O LPG Furnace
rl-ieat Pump vritn electric furnace O Heat pump with gas furnace O Dxtless Heat Pump
O Boiler, specify fuel type: O Other.
Specify-
0 Prescriptive Option Table R402.1.1 (see table on previous page)
Compliance Compli
tl ancethod ❑ Component Performance, R402.1.3—calculation workshasts required
.lftw Check on c:
❑ Other(Specify):
Check one ❑ Whole House Ventilation system M wrioie House Ventilation
Ventilatio using exhaust fans&window or wall Integrated with a Forced Air ❑Other,describe
fresh air vents(M1507.3.4).If using System(M1507.3.5)
n System window vents be sure to order
windows with vents.
Referencing Table R408.2 'Additional Residential Energy Efficiency Requirements.'all residential units
must develop credits as specified in Table 405.2. 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
htto.liwww.co.mason.wa.uslforms/CommuniN Devhecc wsec.od`
Additional a) Description: Small dwelling units: less than 1,500 sq.feet of heated or cooled floor
fficienc area and less than 300 sq.ft fenestration area(skylights,doors, windows,etc).
E
=cencnergy Including additions to existing building that are greater than 500 sq.ft. of heated floor
y Requirem but less than 1,500 sq ft of floor area. Requires 1.5 credits
ems b) Medium dwelling units that are not included in(a) above(small dwelling),OR(c)below
Enaigy {large dwelling)Requires 3.5 credits
Cracks
EXCEPTION:Dwelling units serving R-2 occupancies shall require. Requires 2.5
required credits. See page two for description.
3.5 c) Large dwelling unit is a dwelling unit that exceeds 5,000 sq.ft.of heated or cooled
floor area. Requires 4.5 credits
d) Additions less than 500 sq feet. Requires.5 credits
(Fenestration is canned in the IECC as skylights, roof windows, vertical windows, opaque
doors, lazed-doors that include products with glass and no lass glazing materials)
Describe Energy Credit Option(s):
Using Option C—rc I L1 e&t*- B L'kA,' M �
number(s):
_ L
3
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FENESTRATION'SCHEDULE
USE FOR ENERGY CREDIT.a►SMALL DWELLING OPTION&COMPONENT PERFORMANCE COMPLIANCE
List all windows, doors,skylights. (lf needed attach an additional sheet)
'Fenestration is defined in IECC Chapter 2 as skyOghts,roof windows, vertical windows,opaque doors,glazed-doors
that indude roducts with I lass and lassglazing materials.
Manufacturer Location U-Factor Size Quantity Total
(rough eri Square Feet
okL14 ay
y
uvi Cox ° O
IIVine, Wn
h ok36
It Ito x
Wks-f' &UH
LAUNDRYI
N LL.W 6 x 6 j
u Y
_ y x6 `
b
Total Fenestration:windows,skylights and door area
Energy Credits
4
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Simple Heating System Size.Washington Mate
(-This heahng syslem suing calca,tator is based on the Pr swiptive Reduiremenls of Te 201S Washingtoro-,State EnergyCode frJ5E-';�and ACGA
jManuats.l and S.Thin calculator will rmk:uate Fr_3hrr koxs only.ACCn.«toceduras for sizb4 cnalirri mys"m s sh=utd be used to deler-r ne coalirQ
149t4ta
Please fill oct a%cf the green drop-dawns--id kymes Liat are Qjppucible-to vour projeG.As you make sekdrns in the drop•dzwls fcs e;bcn s4edicn,
some v Ie*will 09 calculated for you. If},Ysu do not sac the Sr-ICcb0n yw nced in the 4roy-cOwn oXirm.please Gall thG VQ"�3 Fnir-rgy F�G�n ipn
Program at tKRO)956-2042 for ass*ranee.
:
r'r. imkurr>�nxr L'L•r�a"Atk�nai@an
H1�Lscth Lan Lx=n j Now K:r5_:oastructon Lance M.F-urrwmirt
_. . ... 3!.3 YLS1 9C
Heating System Type: r.f+COW-%Aare t *w fist:
-?Sx+tr�x�f:•,tia4Y cxg'.a.{�tn$rCraa:rt 58C!�� 6r.4�H yEy�rp,•ryprrv7 rC6,�rd'•S�AS•uCt�'!��$;
Design Temperature
Dc-,gn Temparature Difference(AT} 47
Azr&a of Building
Con&EDncd Floor Anca
C:.,IG6uned Floor Area{sq ft}
Average Ceiling Haight Conditioned Volt.me
-,I . Average CeiSrr,HL-::911i 1rtl 9.0 20,9,52
Glazing a" Doors 13-Factor X Arrs UA
<:. 0.Ko 30 41a.5
k,�s__yvl'Q>3tg U-Fractof X Area = UA
Insulation
Attic U-F;ir car x Area = UA
{ 0.026 2.32E i 1,9.53
Slagle Rahter or Mtct Yautt c tlnc�g U-Facto: X_ Area_ UA
No 137E5I
Abovo Grade Walls rs..ryu e'I U-Faa w X Araa UA
D.USS 2-3 ?30.S7
F[oar3 � U-Factor X Arc.< UA
0.0e9 i 2A2E } 67,51
E391owGradeWa11.5rsx'c'g'x!}1 U-Facw X Ama UA
Nry"eCtlon
Slab Bee cy v Gradc rywra:r.sl F-Factor X LLen Chn J UA
No wzulior.
Slab on Gesde(--m- -c 1: F-F,Ktpr X Length VA
0.3co ,�_
Location of Duch
Duct Leakage Coef tclerrt
1.10
Sum of UA 376.9'
Emv^etopo Heat Load 17,715 Ertu i fur
Figure 1. 19U-1Xni
i+ Air Leakage Heat Load 10,535 Blu f Hfr.r
rt nwrr SulydiPq D6e ry Heat Load 26,360 Btu.?Haw
kw 1-Lwr-r-1 av►*5sw�:>wt i rx
Bulldil"arkf Duct heat Load 31,185 Btu i tour
rn,.".aN u:a+mud*;,%"':•.�*-Yc'f,fGTM:;t4a� OSsx�.�G
Lb"�s,i�Ci0.'.Ak:M^sR•1h"'•run 0-'9:�1y.^h11..-:ss 7i f
Maximum Heat Equ4xn*ti Output 36 4fl1 titu i 14nvr
r4"",Wo V1vl I Oaf r.MX:AD.tk't' ArFu-.*a+
am-%;;wo Jrv::�-.wI "sY P.25.U'rtCJr°:C.�
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RECEIVED
Name &e Parcelti_{��)�-sb-ACn )
1t 10 Alder street
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 ofa routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment.
'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas,
concrete or asphalt paving,gravel roads,packed earthen materials,and oiled,macadam or other surfaces which similarly impede the
natural infiltration of stomtwater.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
Buildin s X
X = Measurements for buildings are taken at the
X perimeter of the farthest projections(example:
_ eaves/gutters)
X =
Driveways r X =
X = Length of drive begins at the right of way
X -
Parki no 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) 5 52-
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 SlormwarerSile 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 revie v and ins ection as may be required. /X 1 ,Owner/Agen ntracto (circle one)Date; `/
l— 1`-'I
If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet,plgsge ' '0wo
the information provided on page 2 of 2. , zt 'X-
Page
I of 2
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Name_.r Parcel
!Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet(page 2 of 2)
Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity.
Title 14,Chapter 14.48 of the Mason County Code(MCC)regulates compliance requirements for Stormwater
Management in this jurisdiction.A complete copy of the ordinance can be found on the Mason County website:
htipL/www.co,ma.,�on.wa—us/code/c,ommissionersjindex.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 stormwatcr 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 Lou,'rhe 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 is
their entirety AND no part of the stormwatcr 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)_._ :7te relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel.
B)_An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the
system will be located as not to adversely affect any septic systems on this,or any other,parcel.
If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works
Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at:
Phone:360-427-9670 ext 450
100 W.Public Works Dr
Shelton.WA 98584
If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of
Environmental 11calth 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- 360-127-9670 ext 400
415 N.6th St—Bldg#3 lower level
Shelton.WA 98584
A condition will be added to the building permit that states,in part,that all conditions the stormwatcr 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 1 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_RT�ZJ�'\ Owner/Agen ontracto circle one)Date:_"� G
Page 2 of 2
5 of 6 9/25/2019, 5:43 PM
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P A KING: b4'
ALL SETS fAjt9M SUW1E DERBER& RD. RECEIVED
FROMI 'i HE FURTHEST
PROJECTION, OF THE BUILDING OCT 16 2019
615 W. Alder Street
SITE PLAN_
APPROVED I" = 20,_0„
MASON COUNTY DCD PLANNtNC
SITE pL.A Il REQUIRED TO BE ON SITE n 1�
CHA ES S B.IET TOAPPROVAL I PARCEL # 12218-50-00058
3 D
Y
R-1P:RESIDENTIAL PLATTED DISTRICT
SETBACKS:
FRONT YARD 20 FEET
SIDE YARD 5 FEET(OVERHANG CAN EXTEND INTO SETBACK 2FT MAX)
STREET SIDE YARD 10 FEET
REAR YARD:20
Request to Revise Approved Plans
Permit Numbe : BLD OM 2��a - Name
Parcel Number I - S 065 ' Phone Number daytime 3to -7ifl -9211
J
Project Address er -fL Mailing Address A, AD x ?6 1
Please provide a complete, detailed description of the proposed revisions to the approved kt�Rx/rzfn�
�'
JA N a c
615 �y AIs
5 er�et
• Are two sets of the revised plans or addendum indicating the changes included? Wi'es ❑ No
• Are the approved construction plans included? ®'Yes ❑ No
The RED stamped "site" approved construction plans must be included.
• Are the revisions clearly and accurately identified on the plans or addendum? _; Yes ❑ No
• Does the plan contain an engineer's or architects lateral or vertical analysis? -%Yes ❑ No
If Yes, Has the engineer or architect approved this revision? es ❑ No
Is a stamped and signed approval included with this request? Yes ❑ No
No structural changes to a "designed" plan will be approved without the written consent of the
engineer and/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, with all new setback dimensions included with this request?
Yes ❑ No
Additional Information:
Applicant's signature r`�. . ��— '—W41, Date:_ -ao
Received by Date: f
OFFICIAL USE ONLY
Initials
Department Date of Date Reviewers Original Valuation: $
for Review Received Assigned Approved Approval
Reviewer Additional Valuation: $
Sq.Ft. x$ $
Building 1h, st-L 1--k-Zo -)�Z_ Sq.Ft. x$ $
W
Planning W AA tw Se Total New Valuation $
Public
Health Additional Fees:
Additional Planning Dept. $
Additional Plan Review $
pomp Additional Building Permit $
• Additional Plumbing $
Additional Mechanical $
Additional Conditions/Comments: Additional E.H.Dept. $
Other $
Total Amount Due: $