HomeMy WebLinkAboutBLD94-0394 SFR - BLD Application - 3/30/1994 Permit No.
MASON COUNTY
luj L� !J IJ [JUILDING PERMIT APPLICATION
426 W. Cedar/P.O. Box 186, Shelton, WA 98584 427 9670/1 800-562-5628
PLEASE poffi 3 O
A r /UD�D3T7p-CND i Me ddressPhone# (�ZD& gel$-�7
ite Address H Fire District#
City Ileffs" r Wk 9$5g2 St Zip
Directions to Job Site A1''! y)c '1,i A41 oor 0t dA� SDRT� ON HDD� GtNA[-
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Owner Mailing Address �✓�� ��
City C-45--Arai5 4 W14- 10/0/ St Zip
Lien/Title Holder —
Address
Clty St Zip
#2 Contractor Name Contractor Reg#
Address Expiration Date
City St Zip Phone
#3 If septic is located on project site, include records.
Connect to Septic? 7' Public Water Supply Well X
Connect to Sewer System? Name of System
(If residential, proof of potable water is required)
#4 Parcel No. 32233 _ 4' -
Legal Description Gl as-r %Z C::�,OdT• G 31 rPPWN54* ZZ/J /94 WEsr
#5 Building Square Footage: (existing/pr pose \11111*�
1 st FI 11449 2nd FI / 3rd FI / Loft /
Basement 114, eck / #be rooms / #bathrooms / _
Garage / -- Car / (Cir :Attached or Detached?)
Other ft. /
#6 Use of building �- Describe work
/ ytPCW A4F- r'1RW-CM V1 tWu&t r 045,--NcNT"
#7 Type of Job: New Add Alt Repair Other
#8 MOBILE/MANUFACTURED ME I ORMATION
Model Year Make Model
Length Width Serial No.
# Bedrooms # Bathrooms Type of Heat
Purchase Price $
#9 Indicate by circling the applicable source if any water is on or adjacent to subject property:
River Pond Creek Stream Wetland Lake Marsh Saltwater Seasonal Runoff Other
Show following on the site plan
Lot Dimensions . Flood Zones
Existing Structures Fences
Structure Setbacks Driveways
Water Lines Shorelines
Drainage Plan Topography
Septic Systems Wells _
Proposed Improvements Easements
Name of Flanking Street Indicate Directional by (N, S, E, W)
Name of Fronting Street in relation to plot plan
APPLICANT TO DRAW SITE PLAN BELOW
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APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW
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Plumbing Fixtures ($3 each) Fee Mechanical Fixtures ($6 each)
No. -Toilets l� CIRCLE FUEL TYPE: Gas, Electric,
Bath Basins 2— Heatpump, Other
< Bath Tubs No. Units Fees
_Z Showers _ Furn BTU 60
�✓ Hot Water Htr Heatpumps
Laundry Washer _ Vent Systems
I—Sinks Spot Vent Fans
3 Floor Drains No.
Laundry Basins �t� _ HP
Dishwasher 1 No. Air Handling Units
_Disposal cfm#_
Urinals No. Fire Protection Systems
Other _ Auto. Fire Alarm Sys 50.00
Fixed Fire Supp. Sys 50.00
Permit Basic Fee 15.00 _ Auto Fire Sprink Sys 25.00
TOTAL PLUMBING $ No. Other
Gas Outlets
Wood, Gas, Pellet Stove
NOTICE: THIS PERMIT BECOMES NULL AND VOID IF
WORK OR CONSTRUCTION AUTHORIZED IS NOT COM-
MENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR Permit Basic Fee 15.00
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD
OF 180 DAYS AT ANY TIME AFTER WORK IS COM-
MENCED. PROOF OF CONTINUATION OF WORK IS BY
MEANS OF A PROGRESS INSPECTION.
OWNERS AFFIDAVIT AFFIDAVIT
I CERTIFY THAT I AM EXEMPT FROM THE REQUIRE- �TI ��AT I AM A CURRENTLY REGISTERED
I
MENTS OF THE CONTRACTORS REGISTRATION LAW 'WU6 AR-IN THE STATE OF WASHINGTON AND I
RCW 18.27, AND AM AWARE OF THE MASON COUNTY AM AWARE OF THE ORDINANCE REQUIREMENTS REGU-
ORDINANCE REQUIREMENTS FOR WHICH THIS PER- LATING THE WORK FOR WHICH THE PERMIT IS ISSUED
MIT IS ISSUED AND THAT ALL WORK DONE WILL BE IN AND ALL WORK DONE WILL BE IN CONFORMANCE
CONFORMANCE THEREWITH. NO CHANGES SHALL BE THEREWITH. NO CHANGES SHALL BE MADE WITHOUT
MADE WITHOUT FIRST OBTAINING APPROVAL FROM FIRST OBTAINING APPROVAL FROM THE BUILDING
THE BUILDING DEPARTMENT. DEPARTMENT.
X OWNER X BY ��
DATE DATE
FOR OFFICIAL USE ONLY: Accepted by: ! C — Date: G`
--- ----- -------
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DEPARTMENTAL REVIEW
FOR OFFICE USE ONLY
Approved Cond. Hold
Approval
Planning: '
Environmental Health:
Building Plan Review
Occupancy Group: Type of Const:
Fire Marshal:
Other:
I
Special Conditions: FEES
Building Permit q
Plan Check s z
Plumbing Fee n
Mechanical Feet/5-OD
Wood/Gas/Pellet Stove
Radon Monitor ,VU
Violation Fee
Site Inspection
Building State Fee q_50
Other
Other CC
Building Valuation: TOTAL FEE J J
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10. SITE PLAN DRAWING
Must have setbacks from all property lines, easement lines and structures.
Drainfields septic tank location, outbuildings, etc. . .
11. TOPOGRAPHY DRAWING
If property is flat write "flat" on the topography section. If house or structure
is near a slope or hill, drawing must reflect this.
12. OWNER OR CONTRACTOR AFFIDAVIT
Owner or contractor must sign affidavit statement and date it.
13. ACCEPTED BY
Whoever is accepting permit information must sign your initials and date form on
the bottom of page 3 or use date stamp and initial on back of permit.
14. PRINTS
Need two sets of prints unless it is a stock plan. For stock plans, we only
require one copy. hh
❑ 15. WATER ADEQUACY l V LZ
For new residences and mobiles.1 41VAiJWELLS T HAVE WELL LOGS OR CAPACITY TEST
AND BACTERIAL TEST. If they are on a p lic wa r system, verify the water system
is in compliance with State requirements.
16. WSEC & V & IAQ CODE
Required for all residential, additions and commercial buildings. Energy Code
compliance form needs to be COMPLETED. Verify heat source (no wood or pellet
stoves are permitted as primary system) . Window schedule must be filled out and
reflect what appears on submitted building plans. If applicant has decided to go
with the PUD in a Long Term Super Good Cents program, we require a copy of the
signed agreement with the utility.
17. PLUMBING/MECHANICAL
This form must be completed for any structure with plumbing and mechanical
excluding mobiles/modulars.
18. FIRE DISTRICTS
Please make sure the fire district is included in the application information.
Refer to map located at counter.
❑ 19. R AC SS PERMIT
If u ill be accessing your driveway from a County road, contact the Public Works
Depar ent in Mason County Building I, 427-9670 extension 450. Access from State
Hig ays equires Department of Transportation approval. Contact office (206)895-
47 3 (Port Orchard) .
* ACCEPTED BY• A,' 1C &
** DO NOT ACCEPT PERMI APPLICA ON WITHOUT PRINTS AND REQUIRED DETAILED INFORMATION
(SETBACKS, ADDRESSES, PAR L 7F AND TER) .
"checklst.blg"
10/05/93
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9/20/93
MASON COU' I' BUILDING DEPARTMENT
1991 WASHINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
RESIDENTIAL REQUIREMENTS (NEW CONSTRUCTION, ADDITIONS, &REMODELS)
THE PROCESSING OF YOUR APPLICATION CAN BE EXPEDITED IF YOU PROVIDE
COMPLETE AND DETAILED INFORMATION.
YOU ARE ENCOURAGED TO COMPLY TO THE 1991 WSEC BY UTILIZING THE
APPROPRIATE PRESCRIPTIVE PATH FOR YOUR PROJECT. THIS WILL ALSO
HELP EXPEDITE MATTERS.
THE FOLLOWING INFORMATION MUST BE PROVIDED:
1) A complete window schedule must be submitted with your WSEC compliance
information, even if a window schedule is included on your building plans. Note that
sliding glass doors (patio), french doors, and any door with 50% or more glass in it is
considered a window with the area (sq.ft.) being the entire units rough opening
dimensions. Any windows in doors (less than 50% of area) must be taken out of the
door area and put into the window area on the schedule.
This window schedule must minimally show the dimensions of the rough openings of
each window, the model (casement, horizontal slider, single hung, awning, picture,
etc...), and the units tested U-value.
2) If you are complying to the WSEC by prescriptive path and are using the area weighted
averaging method you must include your calculations (worksheet).
3) Indicate type of hot water heater, location of exhaust fans (bathrooms, laundry,
kitchen), the location of your whole house fan, and all insulation levels (walls, floors,
ceilings, and slab) on your building plans.
4) Indicate how you will comply with the requirement for introducing fresh air to each
habitable room on your building plans (window frame vents, through the wall ports, or
cp
an integrated system with your furnace).
5) If your home is 2,000 square feet or less, and using electric resistance heating
(excluding heat pumps) a $900.00 "Payment to Owner at Time of Construction" will be
issued from your service utility after the final County inspection has passed.
MASON COUNTY BUILDING DEPARTMENT
1991 WASBINGTON STATE ENERGY CODE
AND
VENTILATION AND INDOOR AIR QUALITY CODE
OWNER 4W C Nhrys7,nM TELEPHONE / , 8 f 8 - Z f7'7
OWNERS NIAILIIVGADDRESS lStVi � � 44W7Zr , IVA. 1?91O/
COMPLIANCE INFORNIATION
TYPE OF PROJECT: NEW RESIDENCE () ADDITION()REMODEL()OTHER
AREA(SQ.FT.) 1ST FLOOR 2ND FLOOR HEATED BASEMENT
Note: Heated basements must be insulated and finished to meet minimum energy code requirements.
TOTAL SQUARE FOOTAGE OF CONDITIONED (DATED) AREA 2�f hoc
COMPLIANCE METHOD:
() PRESCRIPTIVE PATH — circle o ve
n — I II III IV ' V VI VII VIII
Glazing percentage (total gazing area divided by total conditioned area)
( ) COMPONENT PERFORMAN — Chapter 5 — attach documentation and worksheets
( ) SYSTEMS ANALYSIS — WATTSUN 5.2 — attach documentation and worksheets
HEATING SYSTE I:
ELECTRIC RESISTANCE
( ) Electric Central Furnace ( ) Electric Wall Heaters ( ) Baseboard Units
O Radiant Panels O Other
OTHER FUELS
( ) Heat Pump ( ) Gas Furnace ( ) Oil Furnace () Other.
O Boiler System (indicate type)
Make Model
S ize AFUE HSPF
VENTILATION SYSTEM:
( ) Spot and Whole House ( ) Central Ducted System Integrated with Furnace
( ) Heat Recovery System (air to air heat exchanger — eat recovery heat pump)
GENERAL NOTES:
Your building plans should indicate certain compliance measures: framing to be used (standard,
intermediate, advanced); type of vapor barriers being used; location of furnaces, hot water tanks and
other equipment; location of solid fuel burning appliances, fireplaces and their combustion air duct runs;
and termination points of exhaust ventilation fans.
OWNER'S NAME: /�'!/u• � /�unD�I�NZ
r
WINDOW & DOOR SCHEDULE
WINDOWS
INCLUDE ALL WINDOWS, SKYLIGHTS, SLIDING GLASS DOORS, FRENCH DOORS AND
STORE DOORS. ANY WINDOWS IN DOORS (LESS THAN 50% OF AREA) MUST BE
TAKEN OUT OF THE DOOR AREA AND PUT INTO THE WINDOW AREA ON THE -
SCHEDULE.
BRAND MODEL U-VALUE QUANTITY SIZE TOTAL SQ. FT.
1VNi AlU A)& 65 & 3=o x 7�G �w
XED APO:
5'=ox 3 !6
'9/4 P&?r, 68 2�0
TOTAL WINDOW AREA 63
DOORS
BRAND MODEL U-VALUE LOCATION SIZE TOTAL SQ. FT.
TOTAL. DOOR AREA
.Prescriptive Requirements/For Residential Occupancies
Heating by Electric Resistance Zone 1
Option Glazing% Glazing Doors Ceiling2 Vaulted Wail Above W2111int4 Walllext4 Floors Stabs on
Fioor Ares U-Value U-Value Ceiiing3 Grade Below Below Grade Grade
Grade
I. 101% 0.46 0.40 R38 R30 R-21 R-21 R-10 R30 R-10
II. 12% 0.43 0.20 R38 R'30 R-19 R-19 R-10- R30 R-10 .
III. 12% 0.40 0.40 R38 R30 R-21 R-21 R-10 R30 R-10
IV.- 15% 0.40 0.20 R38 R30 R-19 R-19 R-10 R30 R-10 '
V. 18% 0.39 0.20 P-38 R30 R-21 R-21 R-10 R30 R-10
VI. 21% 0.36 020_ R.38 R30 R-21 R-21 R-10 R30 R-10
VII, 25% 0.32- 020 P38 R30 R-19+R-56 R-21 R-10 R30 R-10
Vill.7 30% 0.29 0.20 R38 R-30 R-19+R-56. R-21 _ R-10 R30 R-10
'Referenas Cass ---.
1 Mirimuvn requrerrwtb for each upon feted.For-Vie.7 a proposed design has a g6ting radio to the conditioned floor area d IM t shad with ad d the r
21%g6z r g Option(a Ngh-J.Proposed designs which correct rnset the specfc requirenertts of a iatd � d this Cods.
d the
option above,tnsr takuhde compliance by Chapters 4 a 5 d the Coda.
2 Requisnwt applies to all oeiings momx zigle raper a joist vasdtd asiings.'AoV denotes Advarwed Frartsd Ceiig.
3 fi.quirwnsni apprcabe only to single rains or jolt voided Cxlitgs.
4 Bebw grads walk shal be Insulated«der on tM edenor to a ninir urn Ievd d R-10.or on the'vs•ricr to the same 6"as walls above grads.Exiena insuladion installed on below grade
wals sh"be a water resistant nvdanaL rtsnutactusd 5or its wdended use,and installed according to die msm6dstrer's speafcaliorm See section 6022.
5 Floors over aap.l spaces or exposed b antwo air conditions.
B Required slab per rnebr'vsu4lim shill be a waist res;sturt n-werial.rn-dadved for its intended use,and isstafied woo ding to manufacturer's spedr"ions.Ses section 6CZ4.
7 The fdbwing opucns,shall be appicabie to buldrtgs Tess than three slories:a-15 n=inum for glazirg area d 25%a Gas:Q=nsasirssan for gl="g areas oi 33%or ka.
8 This ovaA i Ld:on req-Trent denotes R-19 wal c"ioulabon plus R-5 foam shesdhitg.
Excerpted from WSEC Tabte 6-1 -
Prescriptive Requirements'For Residential Occupancies
Heating by Other Fuels Zone 1
Option HVACg Glazing Glazing Doors Ceiling2 Vaulted Wall WaIU1nt4 WalUext4 Floors Slab'
Equp.% Floor Area U-Value U-Value Ceiling3 Above Below Below on
Effic. Grade Grade Grade Grade
I. Med. 10% 0.70 0.40 R30 R-30 R-15 R-15 R-10 R-19 R-10
IL Med. 12e/ 0.65 0.40 R30 R30 -R-15 R-15 R-10 R-19 R-10
III. High 21% 0.75 0.40 R30 R30 R-19 R-19 R-10 R-19 R-10
IV.- Med. 21% 0.65 0.40 R30 R30 R-19 R-19 R-10 R-19 R-10
V. Low 21% 0.60 0.40 R30 R30 R-19 R-19 R-10 R-19 R-10
VI., Med. 25% 0.45 0.40 R38 R30 - R-19 • R-19 R-10 R-25 R-10
VII., Med, 30% 0.40 0.40 R30 R30 R-19 R-19 R-10 R-25 R-10
,Fw.rervos Case
1 M"rnr rn requirements far each option feted.For axanple,ii a proposed design has a gtazirq rxilo to the conditioned floor area of I M t steal comply wish al d des iewir-r-is-(the
21%glri g option(or higl .Prcpnsad designs whch annd meek the spsrdc requirements of a fisted option above,may-ka We oorpfona by Chapters 4 or 5 d this Coda
2 Requirs non applies to aA osiings except sing)*rafter or joist vauld osiings.'Ad a denotes Advaroed Framed C•Trg.
3 Requiertwt applicable only to single-1tar w joist vaulted oe7nga -
4 Bebw grads walk steal b•irtsulatd•iNar an tM sxtenv to a rtinimtm ie..f d R-10,or m Its inl•nor to the sans rsv.f a walk above g ads.Exterior irswlation nstalld on'slow
grad•wait sbatl be a vrafe restore ns-W.nnanut-cured for is irtanded use,and insuJSed according to the meutacurei s specd-cabons.See section 602Z
5 Fbays over trawl spaces a exposed 10 wrbierd w tnndtions. '
8 Required slab Perimssr imuW=shall be a waxer resstwd material,manul-dwd fa.ts intended u1e6 and insbAnd a®ndrn 10 rronUaawe's spearn=iats.See s roan 6M4.
7 The f.11v-ng options sh.A be appk b6 to bui�ugs Tess than three stones:0S0 mnxirmm for glazrg areas of 25%or lea:0.45 maintm for g6zing cress d 30%a teas.
8 This wal rnsuLdt requiramsnt denosss R-19 wol cavity isulaba plus R-5 faun sheathing.
9 M'uinxan HVAC Equipment efresr •npuirensrrt,Zae denotes an AFUE of 0.74.Med.'denotes an AFUE of 0.71L 14 h6 denotes an AFUE d QBa.
_ Extatrpted from WSEC Table 8.2
Log Homes Prescriptive Requirements'
Heating By Electric Resistance
Option Average2 Log Glazing% Glazing Doors Ceiling3 Vaulted4 Floors Slab'on
Thickness Floor Area U-Value U-Value Ceiling Grade
Climate Zone 1
1.7 5.5- 15% 0.31 0.14 R30Adv R38 R-38 R-10
IL 7.5- 15% 0.40 0.20 R-60Adv R38 R30 R-10
IIL' 9,61 15% 0.40 0.20 R-38 R30 R30 R-10
'Rd•renas Coe
1 For Group R Ca Fancy use Table rt-5 for-Y Ise portion of door arse using Log/solid tirtt5er wafis.Use Tables 6.1 b 6-4 for a1 other are la s&atin option fisted.'nterpdatiws bete ern options a red permitted.Proposed deapns wni h annot resat des•spe,,e requ srrtenta d a fisted options abo,,m,yicakvlats oorrpiwoe
by Cf 2ch 4 5 d the Cade.
2 Required mnimum average leg th6(ess.
3 'Adv'denotes Advanrnd Framing•Requiemert applies to air ceding,except single raper joist vaulted miings.
4 Requirement appticoble only to:irgle rail«joist vaulted os4jngs.
5 F-over crawl U"-ea on esyosed b arroient air Conch-,
6 R•quved:lab peirnen ire ulltbn shall be waterresisunt mate W-nunufacl-d far its mended ua•,and i-Wled aacoMirn b manutactva's speolcanons.
7 T-oPba-shad be coo"twin io bu�tir;�a:1�n three:vr�as.