HomeMy WebLinkAboutBLD2013-00431 Replace SFR - BLD Permit / Conditions - 7/25/2013 Inspection Line (360)427-7262
toMASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III 426 W. Cedar P.O. Box 279
too Shelton, WA 98584
o RESIDENTIAL BUILDING PERMIT BLD2013-00431
OWNER: LONZO FLICK RECEIVED: 6/11/2013
CONTRACTOR: E I KRISTYN &SON CONST LICENSE: EIKRIKS950QD EXP: 11/4/2013 ISSUED: 7/25/2013
SITE ADDRESS: 18270 E STATE ROUTE 3 ALLYN EXPIRES: 1/25/2014
PARCEL NUMBER: 122205002006
LEGAL DESCRIPTION: ALLYN BLK: 2 TR 6 (NELY 50' OF SWLY 370'BLK 2 & 10'VAC SHERWOOD AVE ADJ)
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
REPLACEMENT SFR, ORIGINAL SFR DESTROYED BY FIRE SEE FOLLOW ST RT 3 TO ALLYN TO SITE ADDRESS ON THE RIGHT SIDE
(DIS2013-00005)
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: 2 Occ. Group: R-3/U Lot Size: Deck: 527
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,700 Garage-Attached 478
Valuation: $ 210,324.94 Building Height: 18 Occ. Status: Primary Basement: COV PORCH 179
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W Ft. Shoreline: 23.0 Ft. Water Body: NORTH BAY
Rear: E 23.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Side 1: N 5.0 Ft. Shoreline Desig.: Urban
Year: Serial No.: Side 2: S 5.0 Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Furnace<100K 1 Plan Check Fee GMM 6/11/2013 $ 1,031.78 S1201300000001
Lavatories 2 Heat Pump 1 Planning Review Fee GMM 6/11/2013 $205.00 S1201300000001
Bath Tubs 2 Ventilation Fan 3 EH Plan Review KKK 6/11/2013 $ 103.00 S6201300000001
Water Heaters 1 Dryer Vent 1 Building State Fee LDK 7/9/2013 $4.50 S1201300000001
Clothes Washer 1 Exhaust Hood 1 Building Permit Fee LDK 7/9/2013 $ 1,615.35 S1201300000001
Kitchen Sink 1 Mechanical Permit Fee LDK 7/9/2013 $85.70 S1201300000001
Dishwasher 1 Mechanical Base Fee LDK 7/9/2013 $28.50 S1201300000001
Hosebibs 2 Plumbing Permit Fee LDK 7/9/2013 $93.20 S1201300000001
Plumbing Base Fee LDK 7/9/2013 $24.70 S1201300000001
Total $3,191.73
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 1 of 6
CASE NOTES FOR
BLD2013-00431
CONDITIONS FOR
BLD2013-00431
1) Approved per dimensions& setbacks on 06-11-2013 site plan. Setbacks are measured from the furthest projection of the structure. Old and new roof
eaves shall rr*et 33 to 35 ft. setback from saltwater Ordinary High Water Mark and no closer to side property lines.
X `2
2) The proposed project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason
County Shoreline Master Program.X :
3) All construction and demolition debris must be removed from the site after project completion. Proper dispos of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
4) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or properties. Silt fencing or straw/
matting must be installed and maintained until upland vegetation has become established. X
5) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
6) All property lines shall be clearly identified at the time of foundation inspection. X
7) 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.
X
8) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
X
9) Maintain mini m 5'cle-rance betweennew construction and existing pressure sewer line.
X
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 2 of 6
10) 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
1-800-647-0982. The persor1,signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
X —ZS
11) Engineer of record to perform a site inspection of existing foundatiW and provide written approval that foundation is adequate. Have eng
letter on site at time of first inspection.— Mort ► "i 01'e—S15 v' ►�� W�rs'� l L '�/ ��
X /
12) 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 jpspections being performed or approvals granted.
X
13) 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.
X
14) 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
removal of approved documents will result in failure of required building inspections.
X ���
15) 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
Building Department prior to an ,further inspections being performed or approvals granted.
X
16) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, 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 R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: la-heat pump with n(n. 8.5 hspf,,
X
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 3 of 6
17) 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'/z sheets. The
Mason County Permit Center will also have some available.
X �
18) 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).
Reference WSEC 505
X
19) WIND LOADS- Roof coverings shall be designed and tested to withstand the maximum basic wind speed. The basic wind speed for Mason County is 85
MPH.
X
20) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
X Q4
21) Windows in High Exposure Area
All windows and doors shall be installed and flashed in accordance with the manufacturers written installation instructions and shall be available during
inspections.
In addition to other inspection(s), an inspection of the flashing shall be required for projects located in an area with a wind exposure of C or D, reference
IRC R301.2.1.4 & IBC 160,9.4. The design criteria for this project is established at 85 mph wind speed, exposure
X
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 4 of 6
22) A Mason 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/contractor is acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X `'_Z�
23) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. Drainfield/ Reserve requires a 10ft setback from all footing/foundations.
B. Septic tank(s) requires 5ft setback from all footing/foundations.
C. No foundation drains within 30ft, down gradient of drainfield/reserve area.
X `?0C
24) Carbon monoxide alarms, listed as complying with UL 2034 shall be installed in accordance with manufacturer specifications and in accordance with IRC
Section R315.
New and existing dwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon
monoxide alarms. Carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms.
X —7-S
25) Any changes 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
charged and shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
X `-In
26) All construction 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 revocation.
X
27) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 25' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may
affect yourXroject. ,
28) Placement of-structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
X 73
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 5 of 6
29) 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.
X
30) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENTAND 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
Inspector shall be made prior to requesting additional inspections.
X �'�
31) All property lines shall be clearly identified at the time of foundation inspection. X
32 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.
X n!�22
33) 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
holder have prevented action from being taken. No more than one extension may be granted.
X �
34) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
35) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X �t3
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 County access to the above described property and structure for review and inspection.
OWNER OR AGENT: �� �� << —` DATE:
BLD2013-00431 Please refer to the following pages for conditions of this permit. Page 6 of 6
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO, 201?J•aZ43
PLEASE PRESS HARD BUILDING PERMIT APPLICATION ( 1-4 n
B U I L D' N g 426 W. Cedar- P.O. Box 186, Shelton, WA 98584
elton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 U
On the web www.co.mason.wa.us
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner / /ak Z7C) f=LiC< - Company Nameii-Ir i06-s—r k/ P Slit/ CL.%Sf�U�_
Mailing Address Mailing Address ir,11
City_A44 t�kj State kA3-Zip Code City_Srla_0K"A State o_�A Zip Code ';;�P52�4
Phone Other Ph. hone_3 Other Ph.
Lien/Title Holder ' ' +- Contractor Reg. #f Irifi2r r;_Sg5jaL_4Exp. Iy
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic.
Connect to Water System Name of Water System e",rya Gr= At i t c)
Well Sewer System Name of Sewer Syste �f
PARCEL INFORMATION - 12 Digit Parcel No. l Fire District
Legal Description
Site Address (Please include street name, street number and city) I E5Zr7 0 E 3 2
Directions to site
Will timber be cut and sold in parcel prep ration?Yes
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ® SEASONAL ❑
Use of Building .S r i2 Describe Work fs-�P—P&A f t=i/Ztc
No. of Bedroom No. of Bathrooms�_S Footage- 1st Floor_ 1 L0cl� _2nd Floor
3rd Floor Basement Deck overed Deck Other Sq. ft.
Garage ` Attached Detached Carport 1 Attached Detached
MANUFACTURED--HOM_E INFORMATION - Make Model Year
Len Width Ser�a't14A No. of Bedrooms_ - f�t�oSathroc�m ,
T e of Heat Purchase Price$ Replacement'Unit? Yes/ No
nstaller Name --Certification No.
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.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 OFA PROGRESS INSPECTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X Date: --j 1—,ir'Z—
Owner/Owners Represen ' ontractor Vdicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: -1 U Date - I -'
i
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department 3 L4
Planning Department
Environmental Health Department na —
Fire Marshal D
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee PlanningReview Fee
Mechanical & Base fee Other
Wood /Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
BUILDING MASON COUNTY PERMIT NOBI C zO 1 5 .00L4 31
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 CONTRACTOR INFORMATION
Owner i Company Name L l K,2 S r`d J k 4 yt r«Kr .2 r
Mailing Address Mailing Address (Qr cT.
City State Zip Code City C�o x CKA > State 'fin Zip Code ¢FEU
Phone Other Ph. Phone -36n- ' 11y 2 Other Ph.
Lien/Title Holder Contractor Reg.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System 1�
Name of Sewer System
PARCEL INFORMATION- 12 Digit Parcel No Fire District
Legal Description
Site Address(Please include street name,street number and city) ?7
Directions to site
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electdc_LPG—Natural Gas_Heat Pump_
Toilets 'z Type of Unit No.of Units Fees
Bathroom Sink Fumace
Bath Tubs Heatpumps
Showers — Spot Vent Fan 3
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher �— Kitchen Exhaust Hood i
Hosebibs x Dryer Vent l
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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X -� Date: G-i`• Zf
Owner/Owners Representativ ntractor indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted b lanning Pd Ck# Date -l 1• L Bid Pd Receipt No.
DEPARTME TAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group-Type Constr. 3
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
PLANNING
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ALL SETBACKS ARE MEASURED JUN 1 4 2013 • (.y 370 ' O 2-6LK : t 101
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Contractors or Tradespeople Printer Friendly Page Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with Lftl to perform construction work within the scope of
its specialty.A General or Specialty construction Contractor must maintain a surety bond or assignment of
account and carry general liability insurance.
Business and Licensing Information
Name El KRISTYN 8 SON CONST INC UBI No. 602467646
Phone 3604323147 Status Active
Address 101 Se Rosewood Court License No. EIKRIKS950QD
Suite/Apt. License Type Construction Contractor
City Shelton Effective Date 11/4/2005
State WA Expiration Date 11/4/2013
Zip 98584 Suspend Date
County Mason Specialty 1 General
Business Type Corporation Specialty 2 Unused
Parent Company
Other Associated Licenses
Specialty Specialty Effective Expiration
License Name Type 1 2 Date Date Status
EIKRISC9821-1 E I KRISTYN Et SON Construction General Unused 6/21/2002 6/21/2006 Archived
CONSTRUCTION Contractor
Business Owner Information
Name Role Effective Date Expiration Date
BAILEY,TIMOTHY(TIM) DOUGLAS President 11/04/2005
BAILEY, EILEEN MARIE Vice President 11/04/2005
BAILEY, JOAN K Secretary 11/04/2005 11/04/2011
BAILEY, JOAN K Treasurer 11/04/2005 11/04/2011
Bond Information
Bond Bond Company Name Bond Account Number Effective Date Expiration Date Cancel Date Impaired Date Bond Amount Received Date
5 Western Surety Co 61696423 06/19/2013 Until Cancelled $12,000.0006/10/2013
4 Platte River Ins Co 41225434 06/19/2011 Until Cancelled 07/10/2013 $12,000.0006/17/2011
3 AMERICAN CONTRS 100025534 06/19/2007 Until Cancelled 08/14/2011 $12,000.0006/25/2007
INDEMNITY CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance Company Name Policy Number Effective Date Expiration Date Cancel Date Impaired Date Amount Received Date
7 Nevada Capital 77NPP4008387 10/28/2010 10/28/2013 $1,000,000.0009/13/2012
Ins Co
6 Nevada Capital 77NPP4008387 10/28/2009 10/28/2010 $1,000,000.0010/27/2009
Ins Co
5 Nevada Capital NCIC001417 10/28/2009 10/28/2010 $1,000,000.0010/27/2009
Ins Co
WESTERN
4 HERITAGE INS SCP0726262 10/28/2008 10/28/2009 $1,000,000.0010/31/2008
CO
3 UNDERWRITERS AIQ9991169 10/28/2008 10/28/2009 $1,000,000.0010/21/2008
AT LLOYDS
2 UNDERWRITERS WAS000380 10/28/2006 10/28/2008 $1,000,000.0009/10/2007
AT LLOYDS
Summons/Complaint Information
Cause Y1 Complaint Judgment Status Payment Paid By
https:Hfortress.wa.gov/lni/bbip/Print.aspx 7/10/2013
Planner: Grace Allan Rebecca
PLANN I N MASON COUNTY PLANNING INTAKE CHECKLIST
"Owners ame: Ln n Zd 1C�- Date:(.o- I - Zd 1,3
Project: S - r)eu n ommercial ?: yes o
Site Plan: �Q )y b �r
XNorth Arrow
❑ Property Dimensions: 5C) x 1'4 8 Irregular Shape ? yes Ono
,e'Streets and Driveways shown
.Road Frontage Name: -
All Existing Structures Shown with setbacks and use.
Identified Surface water(streams,ponds, shoreline,wetlands,natural/lu!on'o dra4inage,Q/efined drainage)
,eFopography (slopes) fU-t- +0 naP44i_ bA y
❑ Minimum Structure Setbacks direction/setb ck): r 7
F: W /6bu. yeA: E7 / at3` S1 r / 6 S2__d_/c5
.el'CTtility and Drainage Easements: yes (if yes enter condition#5022)
Other Easements , .. II
Accessory Appurtenances: propane tank Heat pump VJ1
,,, Accessory
site plan show landings at all exits ?
Variance applied for: yes no Parking spaces allotted: yes no
-5-Gounty Access Permit Needed add condition #0010)
'State Access Permit needed (add condition#0020) L_XIS1k)G
,,a'Standard Planning conditions: #5019 and #700 r
❑ Are there any impediments (dogs/gates at may restrict access to your site? yes no
❑ If yes, do we need appoi nt. es 1
❑ Is site clearly marked? Addr Name Other
ZONING
UGA'S
L BELFAIR/SHELTON Rural LAND DESIGNATIONS
GC PF R-1 R-1P RC 1 RR 2.5 AGRICULTURAL
POS FR R-2 R-1R RC 2 RR 5 LTCFL
BI GC-CI R-3 RI RC 3 RR 10 IN-HOLDING
HC LTA R-5 RT RMF RR 20 TRIBAL
T MU R-10 RT/RTC RNR
MM P BP vC RAC NR y T
Critical Areas: (streams,ponds, shoreline,wetlands&steep slopes) ft 220�Shoreline Designation: ❑ /A Urban ❑ Rural ❑ Conservancy atural
Water Body: 4261 W ,
SEPA: yes no unoo Plain: yes no a o� -n Map #
Aquifer Recharge: ye no )Flood
Map#
Tags/Cases:
RLC/SPI: y)LZ 6 year r es
Eagle Nest Tag: yes o Other orth Bay Sewer: yes no
I
4
RECEVED
Precise Engineering Inc. MAY 212013
t01.:1 Mellen street y Centralia, WA 98531 Foster.&Williams
360-73G-1137 *FaN 360-807-0108 Architects
I
May 21, 2013 tMILDING
Foster&Williams Architects
P.O. Box 102
Shelton, WA 98584
Attn: Grant Foster
RE: Flick Project.
Dear Mr.Foster:
1
I have reviewed the Flick plans and you have my permission to place my professional
engineering stamp on the drawings
If you have any questions,please call (360) 736-1137
Sincerely yours, /
PRECISE ENGINEFVdNG, INC. �!
Harold Hahnenkratt P.E.
President'
JUN 1 4 2013
426 W. CEDAR ST
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/Ventilation Code Compliance Application aa--'rme.+
Owner: La h20 tL Parcel#J 222o-5�-6jm_o Type of project:
Total Sq. Ft. I � 1 Floor: I 2" floor: Heated Basement:
of heated area::
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furn
• Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
BUILDING
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance O Prescriptive Option (see reverse side) circle one: 1 II III
Percentage: Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
O Other (Specify):
Check one O Whole House Ventilation system O Whole House Ventilation o Other,
Ventilation using exhaust fans &window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements," all
NEW residential units must develop 1credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply. If the table is not attached to this form you can access the table on our website at:
mason.wa.us/forms/Communi Devhndex. h .
CREDITS Option: Description:T 1 r1
Table 9-1 I /1 �l f. 600nr e. I� Y L Um mlV1YYl --• HGPF- 8. 5
In ow & iDoorSchedulel(IfnLe-1e-tded, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows: � �. G- ,5 0 10
� 11::�4� 0 Z 141
E�Pec 61
G 6
Windows: Total Sq. ft.
Doors:
� G
_ U I
Doors: Total Sq. Ft
Total window and door area yry
Total window & door area Z`f Ll /(divided by) total sq. ft of heated area l(-$ _ C- .'7 %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 Intemational Residential Code (/RC), 2009
International Mechanical Code (/MC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-1 attached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions to calculate size. It is always helpful to
list the u-factors of windows and doors,rf known.' If you do not know u-factors, the plan reviewer will
assume that all window & door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom,
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
h ttp://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Wall12 Wall Wall Slab 6
Area% int ext
Door U- Vaulted Above on
Option of Floor Vertical Overhead Factor9 Ceiling2 Ceiling3 Grade below Below Floor a Grade
grade Grade
R-49 or R-21 R-21
1 13% .34 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
II* 25% .32 .50 .20 R-38 R-38 int TB R-10 R-30 R-10
adv
R-49 or
III Unlimited .30 .50 .20 R-38 R-38 R-t i R-221 R-10 R-30 R-10
adv
TB
*Reference Case/Call (360)427-9670 ext. 352 for footnote information. Log &solid timber wall with a min.avg.thickness of 3.5" are
exempt from the above grade wall insulation requirements.
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�. i 1
Name 1 . Parcel#I�a0-56 '6 Z 00(0 BLD#-?2kl k J " 004112 1
Mason County BUILDING
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:
htto//,,A,ww.co.mason.wa---us/code/commissioners/index htm Ju st i 14 46 j j
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
49F CAI r,r-t,QD c-r
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 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 furrtber 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 e for review and inspection as may be required.
X 1 Owner/Age Contractor circle one)Date — "
Page 2 of 2
Name P( ;r-le_ Parcel# BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Appheation/Worksheet (page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a sormwater site plan is required whenever a building application is
made for residential development, or redevelopment% with more than 2,000 square feet of impervious surfacez.
'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.
'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 stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces.
T alcc�late.Irripenr.��ous Sur aces_ (ease Go_)iiplete_Tliis Tab1,e'
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
perimeter of the farthest projections(example:
X = eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X =
Parking Areas = ,
_ Any paved, gravel or packed area per definition
above table
X =
PabosNValks =
X = Any paved, gravel or packed area per definition
above table
X =
Others X
X = `-tf.the tot l,impervrous area of the proposed site
X = -development is.greatk.than.200D•square,feet a-
Small Parcel.Stormwater Site.Plan,It Required
Total Impervious.Surface Area(sum o-'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 LS NOT required for this development activity.
Owner/Bader/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 reAeww�and inspection as may be required.
XOwn==qluare
a one)Date:
If the Total Impervious Surface Area is GREATEReet, please read,acknowledge and sign
the information provided on page 2 of 2.
Page 1 of 2
I gill
WSEC COMPLIANCE FORM - CLIMATE ZONE 1 �d �"
Owner/Project: IFlick Res El Kristyn Telephone: Parcel#: 1 Date: 5/29/2013
Type of Project:ISingle Family Res. I Analyst: Kari Trevorrow For Foster&Williams Architects
Total of Heated Area.(1,692 S.F.) I 1s Floor: 1,692 2" Floor: Bsmt./Other:
Heating System Type: Electric Wall Heaters El Other(Specify): hhh Boiler-Specify fuel Type: _
❑Gas Furnace Air Source Heat Pump ❑Ductless Heat Pump ❑Other(Specify):
Glazing Pctg. Compliance Method: ElPrescriptive opt.I El Prescriptive Opt.II ❑Prescriptive Opt.III ❑Systems Analysis,Chapter 4
14.48% 1 Check One: ❑Component Performance,Chapter 5-Calculation Worksheet Required
Ventilation El Exhaust Fan & Fresh Air Vents (M1508.4) Energy Credit Option Type %GI.Allowed V Glazing O H Glazing Doors
System: ❑Integrated with Forced Air System(M1508.5) Option(s)From Opt. 1 0.13 0.34 0.50 0.2
❑Heat Recovery Ventilation System (M1508.7) WSEC Table 9-1 Opt.2 0.25 0.32 0.50 0.2
❑Other 5a Opt.3 Unlimited 0.30 0.50 0.2
Conformance Table Targeted weighted U=Value(Windows&Skylights) Actual Weighted U=Value Windows&Sk li hts Conformance
Presc.Method 1: (0.34 x 245.0)+(0.50 x 0))/(245 0+0.0)= 0.34 ((0.29 x 245.0)+(0.0 x 0.0))/(245.0+0.0)= 0.291
Presc.Method 2: ((0 32 x 245.0)+(0.50 x 0))/(245.0+0.0)= 0.32 (0.29 x 245.0)+(0.0 x 0.0))/(245.0+0.0)= 0.291
Presc.Method 3: ((0.30 x 245.0)+(0.50 x 0))/(245.0+0.0)= 0.30 ((0.29 x 245.0)+(0.0 x 0.0))/(245.0+0,0)= 0.291
Shapes: R=Round,H=Half Round, Q=Quarter Round, T=Triangle L=Exempt, Blank=Rectangular Window--)
Windows Window Room U- Quan- Size y Area UA
Brand T Name Value ti W D H Shape S.F. Value
Milgard Tuscany or Montecito Horiz.Slider-SS/AR/LESM/EG Master Bedroom 0.31 1 6 4 24.0 7.44
Milgard Tuscany or Montecito Horiz.Slider-SS/AR/LESM/EG Master Bath 0.31 1 4° 1 ° 4.0 124
Milgard Tuscany or Montecito Horiz.Slider-SS/AR/LESM/EG Bedroom 0.31 1 5 ° 4° 20.0 6.20
Milgard Tuscany or Montecito Horiz.Slider-SS/AR/LESM/EG Living Room 0.31 1 1 1 6° 5° 30.0 9.30
Milgard Tuscany or Montecito Pict.-3DM/SS/AR/LES/EGM Living Room 0.28 1 8 ° 6° 48.0 13.44
Milgard Tuscany or Montecito Pict.-3DM/SS/AR/LES/EGM Living Room 0.28 1 4° 1 210 1 8.0 2.24
Milgard Tuscany or Montecito Pict.-3DM/SS/AR/LES/EGM Dining Room 0.28 1 8° 1 6 10 48.0 13.44
Milgard Tuscany or Montecito Pict.-3DM/SS/AR/LES/EGM Dining Room 0.28 1 4 2 8.0 2.24
Milgard Tuscany or Montecito SI.Gl.Dr.-3DM/DS/AR/LES/EGM Dining Room 0.28 1 6 0 6 11041.0 11.48
Milgard Tuscany or Montecito Horiz.Slider-SS/AR/LESM/EG Kitchen 0.31 1 4° 316 14.0 4.34
Target Weighted U-Value for Windows= 0.32 Total Window Area/Total UA: 245.0 71.36
7-1
Weighted U-Value=Sum(UA)/Total Window Area (not including exempt windows)»»»»»»»» 0.29
Door Door Model Room U- Quan- Size I Area UA
Brand Number or Type Name Value ti W H Shape S.F. Value
Insul.Steel&Wd. Frame 69/.Glazin , Dbl.GL.,1/2"Airspace I Entry 0.19 1 1 3 6 20.0 3.80
Insul.Steel&Wd. Frame No Glazing I Garage to House 1 0.16 1 1 1 3ju 1 616 120.0 3.20
Target Weighted U-Value for Doors= 0.20 Total Door Area/Total UA: 40.0 7.00
Weighted U-Value=Sum(UA)/Total Window Area»»»»»»»»»»»»»»»»»»»»»> 0.18
Garden window up to 1%of floor area and 1 door up to 24 square feet may be exempted.Garden window area is tripled.
Window Abbreviations: AR=Argon gas, LE=Low E coating, LES=Low E Suncoat, LESM=Low E Suncoat Max, EG=Edge Guard, EGM=Edge Guard Max,
3D=3D Eneregy Package,3DM=3D Max Energy Package,SS=Single Strength 3116"Glass, DS=Double strength 1/4"Glass,HPLE=High Performance Low E,
Temp.=Tempered Glass,SD=Sun Defense Dual Low E Coating
(Grids have no effect on U-Values unless noted otherwise)