HomeMy WebLinkAboutBLD2013-00462 Addition, Remodel - BLD Permit / Conditions - 7/22/2013 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584
- NP10
RESIDENTIAL BUILDING PERMIT BLD2013-00462
OWNER: STEPHEN HACKETT RECEIVED: 6/21/2013
CONTRACTOR: LICENSE: EXP: ISSUED: 7/22/2013
SITE ADDRESS: 40 E MOUNTAIN VIEW DR ALLYN EXPIRES: 1/22/2014
PARCEL NUMBER: 122205000136
LEGAL DESCRIPTION: LAKELAND VILLAGE 1 TR 136 S 33/211 SEE BLA#07-47
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR ADDITION -940 sf addition + remodel 12-ft x 25-ft existing. ST RT 3 TO ALLYN, L ON LAKELAND DR, L ON MOUNTAIN VIEW DR TO
SITE ON THE RIGHT SIDE
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 2 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: R3U Lot Size: Deck:
Type of Work: ADD Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:940
Valuation: $ 115,465.20 Building Height: Occ. Status: Primary Basement: rem<50% 300
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: N 30.0 Ft. Shoreline: Ft. Water Body:
Rear: S 34.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: E 20.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: W Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 1 Ventilation Fan 2 Plan Check Fee GMM 6/21/2013 $645.94 S1201300000001
Lavatories 2 Furnace<100K 1 Planning Review Fee GMM 6/21/2013 $205.00 S1201300000001
Bath Tubs 1 Heat Pump 1 EH Plan Review KKK 6/21/2013 $ 103.00 S6201300000001
Showers 1 Building State Fee DLC 7/16/2013 $4.50 S1201300000001
Building Permit Fee DLC 7/16/2013 $ 1,083.35 S1201300000001
Plumbing Permit Fee DLC 7/16/2013 $43.50 S1201300000001
Plumbing Base Fee DLC 7/16/2013 $24.70 S1201300000001
Mechanical Base Fee DLC 7/16/2013 $28.50 S1201300000001
ADJUST--Plan Check Fee DLC 7/16/2013 $58.24 S1201300000001
Mechanical Permit Fee DLC 7/16/2013 $54.50 S1201300000001
Total $2,251.23
BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2013-00462
CONDITIONS FOR
BLD2013-00462
1) 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-U
7-0982. 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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2) 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.
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3) Clean out required outside of the building to the sewer.
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4) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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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.
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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.
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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
remov of approved documents will result in failure of required building inspections.
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8) THE F9PNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
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BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 2 of 6
9) 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
Buil Department prior to any further inspections being performed or approvals granted.
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10) A permanent certificate, completed by the 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 503.10.2, 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 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. 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 WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate" and are available in %<or%sheets. The
Mason County Permit Center will also have some available.
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11) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Referepge
X WSEC 505.
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BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 3 of 6
12) Installation of heating equipment in a single-family residence shall meet the requirements of the current Washington State Energy Code, applicable
sections of the IRC and IMC.
Heating equipment shall be sized in accordance to IRC, Section M1401. 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 WSEC Section 503.10.3 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
tightness testing is not required if the air handler and all ducts are located within the heated space.
All heating equipment shall meet the requirements of the National Appliance Energy Conservation Act(NAECA) and be so labeled. (WSEC503.4) or in
aAcorce to WSEC Section 1411.
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13) 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.
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14) 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
Inspeq chi shall be made prior to requesting additional inspections.
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15) All property lines shall be clearly identified at the time of foundation inspection. X
16) 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.
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BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 4 of 6
17) 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
hole have prevented action from being taken. No more than one extension may be granted.
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18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
copn!J tors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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19) 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.
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20) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option II - 15% glazing , Window(Max U-Factor):0.32, Skylight(Max
U-Factor):0.50, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R49 standard,
Vault Insulation R-38, and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: option 1A, Heat pump HSPF 8.5 or better.
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21) The demolition and disposal of debris must meet the regulations of Mason County and Olympic Region Clean Air Agency(ORCAA).
It is unlawful for any person to cause or allow the demolition (or major renovation) of any structure unless all asbestos containing materials have been
identified and removed from the area to be demolished. Work shall not commence on an asbestos project or demolition project unless the owner or
operator has obtained written approval from ORCCA.2490 B Limited Lane NW, Olympia WA 98502, 360.586.1044/800.422.5623 www.orcaa.org
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22) All construction and demolition debris must be removed from the site after project completion. Propgr 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
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23) Temporary erosion control measures must be implemented to prevent water quality degradation Qf�djacent waters or properties. Silt fencing, straw or
matting must be installed and maintained until upland vegetation has become established. X J
24) Prior to final approval, all upland areas disturbed or newl created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
25) Application acknowledges that the structure is only permitted for a use consistent with the current zoning of the parcel. Zoning is Allyn UGA R-1 P zone
residential platted).
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BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 5 of 6
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended for a period of 180 days at any
time after work is commenced. Evidence of continuation of work is a progress inspection within the 180 day period. Final inspection must be approved before building can be
occupied. Proof of continuation of work is by means of a progress inspection.The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees of Mason nt _access to the above described property and structure for revie and inspection.
OWNER OR AGENT: DATE: 3
BLD2013-00462 Please refer to the following pages for conditions of this permit. Page 6 of 6
o CONCRETE MECHANICAL MANUFACTURED HOME
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w Footings I Setbacks GasaPiping By Ribbons A
o Interior Date By Interior-Date By Date By
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Exterior Date 7^� T/ B Exterior-Date B
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INSULATION
Point Load I isolated Footings Date By
BG I SLAB INSULATION - Ill
Date By Data By FIRE DEPARTMENT =
Foundation!Nails Floors Date By m
Date By Data By DECKS Z
FRAMING walls Date By
Date By Data _z- -:50 By PROPANE TANKS
PLUMBING Vault Date ey
Date By OTHER
Groundwork Attic;
Type-
Date By Date By Date By
D.w.v DRYWALL Type-
Int.Brace Wall Date By W
Date _ '�- J 8 Date CD Z-25 13y FINAL 1NSPEGTION p
17,CAWater Line Fire Separation C
Data Z-2- 3 BY/ Dace By Date'3 ( I'-� By
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`Permit#
MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location `' O t\�- V tac--) or
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed b low must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing ❑ Please contact our office
❑ Make corrections, items will be checked on next inspection regarding possible structural
OK to t - damage incurred by recent
"natural/man made"
❑ This is not a complete inspection disasters.This is NOT a
Date �� /3 Department fj D CORRECTION NOTICE.
Inspector
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PLANNING �.o APPROVED
G_ Q COUNTY I CD PLANNING
4AN REQUIRE TO BE ON SITE
PLANNING : PT f,4ES SU JEC TO APPROVAL
: L SETBACKS ARE MEASURED I Vate
FROM THE FURTHEST
%ROJECTION OF THE BUILDING `
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Nam 1cel#12220-SO-40136 BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management ApplicatiowWorksheet (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:
httD//www.CO.mason.wa—us/c,ode/c.ommissioriers/index.htrn
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) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed
in eir 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 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 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 pro for review and inspection as may be required.
X Owner/A ent/Contractor(circle one)Date 7/13
Page 2 of 2
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MASON COUNTY PERMIT NO. 61 d AD oo 1lY
BUILDING BUILDING PERMIT APPLICATION -Al 1 U61-A
426 W. Cedar• P.O. Box 186, Shelton, VJA 98584
Shelton (360) 427-9670•Beffalr (360)w 275-4467 o Elma (360) 482-5269 _ P
On the web ww.co.masonma.us
APPLICANT INFORMATION CONTRACTOR INFORMAI Ot�,
Owner AJ c company Name__S2 )
Maili Address ur< a�A pf-;V-- Mailing Address
City wAS. r Zip Code S1 City State Zip Code
Phone G o & o Other Ph.%Q 710 1`!br' Phone Other Ph-
Lien Title Holder Contractor Reg. Exp.
E mail address ca E Mail Address
Drivers Lic.u .1 G S l DOB I Drivers Lic,
DOB
SEPTIC 1 WATER SYSTEM INFORMATION -Connect to New Septic Existing Se tic SEW
Connectto Water System Name of Water System \-q WWQ
Well Water System Name of Water System
PARCEL INFORMATION-12 Digit P 40 Fire Dis 'ct
Legal Description D \ 1 0-IF3 Z J J -1319
Site Address(Please include street name,street number and city) 40 6-a5t moun w we N A °I
D1rectionstosite O>-ir- tot,IAwffi�j -WNZj1--j-_5 ftLt)?_1 L11 0 PN%D iJ1L1.1-k,4�
Lc.ET O v w DYZ. F 11� 66-- coN I2l6HT
Willi timber be cut and sold in parcel preparation?Yes Au
Is property v✓ithin 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs ] 15'D
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB- e Add_/�Aft Repair Other PRIMARY RESIDENT 4 SEASONAL ❑ �6
Use of Building- Describe ft
No. of Bedrooms No.of Bath rooms-ALL Square Footage-1st Floor
y 2nd Floor M I
3rd Floor Basement Deck Covered Deck Other Sq.ft.
Garage Attached 1t4A Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION -Make Model Year
Length Width Serial No. No.of Bedrooms No_ of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/No
Installer Name Certification No.
CVVNER/BUILDER Acknowledges submission ofi ham bfomation may result in a stop work order or permit revocation.A--mowfajgamer t of
s.-Li is by signahr-=below.I declare that I am the owner,owner legal represerrratiive,or .the contractor.I further declare that I am entitled to receive this
permrT and to do the work as proposed in the appBL-,don.I declare that I have obtained the permission from aH the necessary parties.If permission is
ragged from arry easement hoider.or any other party in interest ragardng this application or the work proposed in the appLcAon,I have obtained
permission from them to apply for this pema and conduct the work proposed. The owner or agent on owner behalf,represerits that the irbrrr2fion
provided is mate and grants employees of Mason County acoass to the above described property and structure for review and inspection.
PROD F Qn AT10N OF WORK IS BY MEANS OF A PROGRESS INSPECT]O%
X Date _
ne /Ov�ers Rep-esentative/Contractor (Indic to which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted b Date �-
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 7-
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Buildin Permit Fee / 3 - Site Insoec ion
Plan Review Fee 5 � . / E-1 Review Fee
Plumbing&Base Fee 413 t JO planninq Review Fee
Mechanical &Base fee I -r .TVOther
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee 4K2- Pre-Paid at Submittal
Valuation$ z 0 TOTAL FEES
MASON COUNTY PERMIT NO.
Bu " "` " ' 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
On the web www.co.mason.wa.us
APPLICANT INFORMATION t� CONTRACTOR INFOMATjgg2
Owner .-le Ace Company Name W M �i�--
Mailin Address u0 i a VICW Lr-1We- Mailing Address
City State Wh Zip Code 9E5iy City State Zip Code
Phone Other Ph.-360 Z(Q M5 Phone Other Ph.
Lien/Title Holder Contractor Reg. # Exp.
E mail address P S0 EoT&v.') ky- E Mail Address
Drivers Lic. #1406KCSS DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Se tic Existing Septic Connect to Sewer System ** _
Name of Sewer System CU"', kAnL - 1 NA l>
PARCEL INFORMATION - 12 Digit Parcel No -So- Fire District G
Legal Description V\tom A C-,- I OG O - -( 33 Z I - I LP
Site Address (Please include street name, street number and city) ivC
Directions to site Off W-�'4 34,1U1( V--k6, tT 011 I.IAY=fAfi1s1Q V ll_IL116, DrL . `1AQ t!I L
Ot'AI -D MQLA F:\V-S- vts'F- C;,P.l
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Adder 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
Type of Fixture No. of Fixtures Fees Fuel Type:Electric LPG—Natural Gas_Heat Pump_
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 -
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood cX
Hosebibs Dryer Vent EX
Other 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 the contractor. I further declare that I am entitled to receive this
permit and to do the work as proposed in the application.I declare that I have obtained the permission from all the necessary parties.If permission is
required from any easement holder or any other party in interest regarding this application or the work proposed in the application, I have obtained
permission from them to apply for this permit and conduct the work proposed. The owner or agent on owners behalf,represents that the information
provided is accurate and grants employees of Mason County access to the above described property and structure for review and inspection.
PRO F SPVTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: 7111
Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEY ND THIS POINT
Accepted b anning Pd Ck# Date -t,L - 13 Bld Pd Receipt No.
DEPARTMIINTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group TVpe Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/ Pellet Stove Fee Other
Violation Fee TOTAL FEES
pTi COa Y '
ems MASON COUNTY
w DEPARTMENT OF COMMUNITY DEVELOPMENT
dE Mason County Bldg. III, 426 West Cedar Street
PO Box 186, Shelton,WA 98584
1854_ TY www.co.masonma.us (360)427-9670 Belfair(360)275-4467 Elma(360)482-5269
NON-STRUCTURAL RE-ROOF APPLICATION
Roof Slope:
Old Roof Material
New Roofing Material:
Sheathing:
Underlayment: 5
Existing Insulation: S S—t
'`
New Insulation: t G l r
Roof Slope: IRC section R904.1
Roof slope must be indicated to ensure selected roof covering is allowed On designed pitch.
Roof Covering: IRC section R905
Selected roof covering must be installed in accordance with manufacturer's specifications and IRC
requirements-
Insulation WSEC 101-3.2-5 exception 2a&2b
Existing roofs shall be insulated to the requirements of this Code if:
a The roof is uninsulated or insulation is removed to the level of the sheathing or,
b. All insulation in the roof/ceiling was previously installed exterior to the sheathing or non-
existent
Attic Ventilation:IRC section 806
Enclosed attic and rafter area shall be supplied with cross-ventilation.The net area shall not be less than 1/150
of the area of the space to be ventilated_If 50%and not more than 80%of the ventilating area is provided
from the upper portion of the space to be ventilated,then 1/300 is allowed-
Applicattt/O er: —Contractor. `�-i -
Parcel No: r� �L J _ CC Permit No.:
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signature: �-/ Date:115 ARC 10/19/04 rcvoorupplicatioado