HomeMy WebLinkAboutBLD2013-00321 SFR - BLD Permit / Conditions - 7/1/2013 _ 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
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RESIDENTIAL BUILDING PERMIT BLD2013-00321
OWNER: RICARDO SAHAGUN RECEIVED: 5/2/2013
CONTRACTOR: FINE LINE CUSTOM CONSTRUCTION LICENSE: FINELLC938NT EXP: 12/6/2013 ISSUED: 7/1/2013
SITE ADDRESS: 40 E BLACKWELL STALLYN EXPIRES: 1/1/2014
PARCEL NUMBER: 122205053005
LEGAL DESCRIPTION: ALLYN BLK: 53 LOT: 5
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW CONSTRUCTION SFR ST RT 3, L ON LAKELAND DR, R ON WHEELWRIGHT ST NORTH, R ON
BLACKWELLS ST
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 4 Type of Constr.: VB
Type of Use: SF Insp.Area: No.of Bathrooms: 3 Occ. Group: R-3/U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 2 Occ. Load: Building:2,523 Garage-Attached 575
Valuation: $ 297,995.48 Building Height: 28 Occ. Status: Primary Basement: COV PORCH 328
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: W 20.0 Ft. Shoreline: Ft. Water Body:
Rear: E 15.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Shoreline Desig.:
Side 1: N 10.0 Ft.
Year: Serial No.: Side 2: S 12.0 Ft. Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 3 Furnace<100K 1 Plan Check Fee GMM 5/2/2013 $ 1,355.74 S1201300000001
Lavatories 5 Heat Pump 1 Planning Review Fee GMM 5/2/2013 $205.00 S1201300000001
Bath Tubs 2 Ventilation Fan 4 Fire Warden Review GMM 5/2/2013 $73.00 S1201300000001
Showers 1 Propane Tank 1 EH Plan Review KKK 5/2/2013 $ 103.00 S6201300000001
Water Heaters 1 Gas Outlets 4 Water Adequacy Plan Revi KKK 5/2/2013 $ 103.00 S6201300000001
Clothes Washer 1 Propane Stove 1 Building State Fee LDK 5/30/2013 $4.50 S1201300000001
Kitchen Sink 1 Dryer Vent 1 Building Permit Fee LDK 5/30/2013 $2,102.55 S1201300000001
Dishwasher 1 Exhaust Hood 1 Mechanical Permit Fee LDK 5/30/2013 $246.90 S1201300000001
Hosebibs 2 Mechanical Base Fee LDK 5/30/2013 $28.50 S1201300000001
1 Plumbing Permit Fee LDK 5/30/2013 $ 145.40 S1201300000001
Laundry Tray Plumbing Base Fee LDK 5/30/2013 $24.70 S1201300000001
Total $4,392.29
BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 1 of 8
CASE NOTES FOR
BLD2013-00321
CONDITIONS FOR
BLD2013-00321
1) A Ro Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(36 7-9670 ext. 450. The building permit will not be"finaled" until the permit holder can show proof that the access permit from Public Works has
bee Yinaled" nd approved.
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2) Cog4ctor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
Th r are pot ntial risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-8 -647- 2. 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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3) O er/A 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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4) 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
nog a grant . In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and must be collected by the Building
De artm rior to any further inspections being performed or approvals granted.
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5) 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
cor ctions indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
O ic" I. The ermit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
re val roved documents will result in failure of required building inspections.
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6) T FOU ATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
7) 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
a p val will of 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
B ing D rtment prior to any further inspections being performed or approvals granted.
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BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 2 of 8
8) Washington State Energy Code Compliance h-as teen approved as follows:
Heat Type: Electric or other than electric, Con-chance Method: Prescriptive opt M. Window(Max U-Factor):'.; 30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulatior. R-21, Floor insulation R-30, C.:-i;ing Insulation R-38 advances cr R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In a di ion th following credit from Table 9-1 `,ali be completed: 1A-8.5 HSPF HEAT PUMP
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9) 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.
omp iance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in %4 or'/sheets. The
Maso Coun y Permit Center will also have some available.
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10) 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 h efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
instal din or ound 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).
Ref ence EC 505.
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11) R IREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
man facturer' installation instructions.
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BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 3 of 8
12) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, si :ng, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcei. 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 i ision 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 w sh to c nsuIt with the septic design professional involved with the project. By calling for a final inspection of
the building permit the owner/agent/c(ntra or is a nowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
13) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered.
A. infield/Reserve requires a 10ft setback from all footing/foundations.
B. S ptic to k(s) requires 5ft setback from all footing/foundations.
C'. c fou tion drains within 30ft, down gradient of drainfield/reserve area.
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14) 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 nd exis g dwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon
mo xide s. Carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms.
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15) The i ternational code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150'from an approved
ace s road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
suadect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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16) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
De rtment prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
then to. If doc ments are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be
ch ed a all be collected by the Building Department prior to any further inspections being performed or approvals granted.
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17) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
RVof Wa hington. Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
it re ation.
BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 4 of 8
18) 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 rega ing this ordinance and the REQUIREMENT to obtain an,ACCESS PERMIT for the installation/construction of a driveway or access
connecting fr m a ason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be cate 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 your proje
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19) Place ent o ture must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
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20) All c a ges to"a proved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordin ce or re lation, must be reviewed and approved by Mason County prior to construction.
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21) CONSTRUCTION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED
BUILDING CODE.
The c nstruction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance
with t e inter tional codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Insp for II be made prior to requesting additional inspections.
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22) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks filled
on site must be located a minimum of 10' from any possible source of ignition (electrical outlets, electrical fixtures, compressors, etc), mechanical system
air intake (direct vent appliance, ventilation air intake, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Propane
tanks less than 125 gallons must also be located a minimum of S from any building opening (foundation vents, windows, doors etc). Setback to the public
way, access easements shall be the greater of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be
the g ter of 5 or as specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective
bolls s must installed.
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23) All propane tanks must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All Propane tanks
between 125 and 500 gallons must be located a minimum of 10' from any building, possible source of ignition (electrical outlets, electrical fixtures,
co ssors, etc), and/or any weeds, grass, brush, trash or any other similar combustible materials. Setback to the public way, or access easements
sha 1 b the gre ter of 25-ft or as specified in the Mason County Development Regulations. Setback to property lines shall be the greater of 10-ft or as
speci ed in the ason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards must be
ins
M
.
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24) A ,pr pane tank must be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must
m the in ion requirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks.
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BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 5 of 8
25) Fuel i ing shall Pe inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the
time bf nspecti9fi the test pressure shall be no less than 10 psi held for no less than 15 minutes. Appliances to be attached to the fuel piping system shall
not b used the final inspection has been performed and approved by a Mason County building inspector.
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26) The placement of small propane tank--a-_ not normally subject to a permit review by the Planning Department, however, propane tanks are subject to
Planning Department regulations. Such egulatio s primarily consist of setbacks from shorelines and features considered to be critical areas (streams,
wetlands, slopes, etc.) If you think su featu xist on or nearby your property, please contact the Planning Department so that exact setback
requirements can be determined. X
27) Those parts of heating systems that are altered or replaced shall comply with the current Washington State Energy Code, Section 503. When a
space-conditioning system is altered by the installation or replacement of space conditioning equipment(including replacement of the air handler, outdoor
condensing unit of a split system air conditioner or heat pump, cooling or heating coil, or the furnace heat exchanger), the duct system that is connected
to the new or replacement space-conditioning equipment shall be tested as specified in RS-33. The test results shall be provided to the Mason County
Building Department at the final inspection.
The new and replaced heating equipment shall meet the requirements of the current Washington State Energy Code, applicable sections of the IRC and
IMC.
New and replaced 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 new 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 new duct systems. When new ducts are located in unheated spaces the ducts shall 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 ounty Building Department prior to the final occupancy inspection. Affidavit forms are
available on at the WSU-Energy Program website titles, ' u Leakage Affidavit"or"Duct Leakage Testing Results (Existing Construction)." Duct
tightness testing is not required if the air handler and all uc are located within the heated space.
All new or replaced heating equipment shall meet the re i em A
f the Natio al pliance Energy Conservation Act(NAECA) and be so labeled.
(WSEC503.4)or in accordance to WSEC Section 1411.
28) All property lines shall be clearly identified at the time of foundation inspection. ZK
BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 6 of 8
29) All buil permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to req e a final nspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mason oun dinances and building regulations.
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30) All p it41'
180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action r not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
hold hanted action from being taken. No more than one extension may be granted.
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31) Pres u treated w od manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
conne ors, a hing. Install metal connectors approved for contact with the new types of pressure treated material.
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32) Retaining walls needed to support a sure rge as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X
33) By de
� ition, pr ane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these ructure meet the setback conditions listed.
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34) Lands must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
' n"to ensure these structures are shown and meet the setback conditions listed.
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35) Ansions and setbacks on submitted May 2, 2013 site plan. Setbacks are measured from the furthest projection of the structure.
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36) An p roved claration f P rcel Combination has been recorded with the Mason County Auditors Office[AFN 2007913];and all
req ents r str t propepq'line setbacks of the development shall be met.
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37) Application acknowledges th s ure is only permitted for a use consistent with the current zoning Allyn UGA R-2 zone(medium density
residential)for the parcel. X
38) All construction and demolition debris must be removed from the site after project completion. JP �er d' 4al of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
39) Temporary erosion control measures must be implemented to prevent water quality degradatio ad t waters or properties. Silt fencing, straw, or
matting must be installed and maintained until upland getation has become established. X
40) Prior to final approval, all upland areas disturbed ors wly ted by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 7 of 8
_ This permit becomes ull d 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 co men ed. 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 contin tion of work is Wbymeans of a gres nspection. The owner or the agent on the owners behalf, represents that the information provided is accurate
and grants employees o on Coun ato the ve d cribed pr rty and structure for w773
nspection.
OWNER OR AGENT revi: DATE:
BLD2013-00321 Please refer to the following pages for conditions of this permit. Page 8 of 8
FORM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO.� 201 6 - C 32. 1
PLEASE PRESS HARD BUILDING PERMIT APPLICATION (A V)
426 W. Cedar• P.O. Box 186, Shelton, WA 98584
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 �t I
On the web www.co.mason.wa.us J� Vl. u (,A
APPLICANT INF RMA+ON CONTRACTOR INFORMATION
Owner ? O Company Name 6AZ Zy&L / tyT Tn/U
Maili ddress 0 Mailing Ad ress Z
City Stated—Zip Code City� State Zip Code
Phon� 'd}2 4"�COi O Other P �0 1 O Phone A3 �7S-y3�l Other Ph. S —i lou
Phon6 er Contractor Reg. #/_=i hF_L_LCJl N►Exp. 1, y-/3
E mail address E Mail Address 4 N� Z.-:�4 blae.. 4 -t
D:F t c.# 13A8 .fie,C.# Q99
SEPTIC /WATER SYSTEM INFORMATION-- Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer System Name of Sewer System ✓+L- gr!:l
PARCEL INFORMATION - 12 Digit Parcel No. 2 Fire District
Legal Description
Site Address(Please include street name, street number and city) YQ E -• G we C( S
Directions to site
Will timber be cut and sold in parcel preparation?Yes '
Is property within 200'of Saltwater Lake tQ D River/Creek _Pond 1y U
Wetland- J"Q Seasonal Runoff�_Stream j Slopes or Bluffs 15%
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 RESIDENCEM SEASONAL ❑
Use of Building Describe Work
No. of Bedrooms No. of Bathroomare Footage- 1st Floo 2nd Floor. 37f>
3rd Floor Basement��j4 Dec Covered Decker—Other Sq. ft.
Garage 57 Attached � Detached Carport Attached Detached
MANUFA OME INFORMATION - Make odel Year
Leng Widt Serial No. No. of Bedrooms No. of Bathrooms
Ty of Heat Purchase Price$ Replacement Uni . Yes/No
staller 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 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 ssary parties. If permission is required from any easement holder or any other party in interest regarding this application or the work
pr os in the application, I have obtained permission from them to apply for this permit and conduct the work proposed. The owner or
a nit
owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above
de crn ed property a d structure for review and inspection.This permit/application becomes null & void if work or authorized construction is
not c enced wit n 180 days or i onstru on work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
M S APROG ESSINSPE N.IN TIVITY ERMITAPPLICATIONOF180DAYS 'VILLINVALIDATETHEAPPLICATION.
X . ; Date:
Owne /Owners pres ;a7 /Contr r (indicate which one)
FOR OFFIC USE BEYON HI DINT Accepted by: Date
DEPARTMENTAL REVIEW ROVED DENIED NOTES
Building Department j3d 3
Planning Department
Environmental Health Department
Fire Marshal
FEES
Buildin Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Plannin Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
MASON COUNTY PERMIT NO.-IA I�'-60�2- J
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
APPLIC NT INF R I N CONTRACTOR INFORMATION
° Owner Company Name iti L'N t sr�r-t >u�T riir✓
Mailing Address Mailing A dre s
-'c r -2
City State ur. Zip Code 9�S �� City State (J R Zip Code
Phone Other Ph. Phone 7S—G 3 t-- ! Other Ph.
Lien/Title Holder Contractor Reg. # �'�^£u�� ^ ' Exp.
E mail address E Mail Address L%^'E F� h:/r/.hl�r_ •►cL
Drivers Lic.# DOB
SEPTIC INFORMATION- Connect to New Septic Existing Septic. Connect to Sewer System
Name of Sewer System
• PARCEL INFORMATION - 12 Digit Parcel No ZZ Z o — d Fire District
Legal Description
Site Address (Please include street name,street number and city)q0 E
Directions to site
Is property within 200' of Saltwater Lake tj " River/Creek u Pond
' ���' N ti
Wetland ►JU Seasona Runoff _Stream ti:C- Slopes or Bluffs > 15% /J0
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 UNIT
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 I
Bath Tubs Heatpumps
Showers 1 Spot Vent Fan
Water Heater / Propane Tank
Clothes Washer / Gas O �_is,
Kithen Sinks �— Wooc*aa ellet Stove /
Dishwasher / Kitchen Exhaust Hood /
Hosebibs Dryer Vent /
Other (,�M..�A� Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
BUILDER Acknowledges submission of inaccurate information may result in a stop work order or permit revocation.Acknowledgement of
su is b 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
rmit 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
uir from any easement holder or any other p in interest regarding this application or the work proposed in the application,I have obtained
permi ion from the to apply for this it a conduct the work proposed. The owner or agent on owners behalf,represents that the information
prov' accurat nd grants empl o aso ty ss to the above described property,and structure for review and inspection.
PR F CONTI� UATI C BY S FA ROGRESS INSPECTION.
Date: Z�
Owner/ wn Representative/ tra or (indicate which one)
OR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group Type 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
7-6 5
1" "Yerr 1 i IL1 N&
`J �� a�
i
,4 y 3 �Eo
House 7z
31' al q 7 st
PPPROVED
AS nN C"J UNTY D :D PLANNING
SITE PLAN SQUIRED f0 BE ON ` t[E
CHANGE CHANGEc SUBJECT TO APPROVAL
By Date4p,747
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DRa+n� PIT �
dw
gb'
TOPOGRAPHY PROFILE: use-
f
v"
Direction: Scae: Approval: for office use
Building Permit number: /, ZC} ` Building:
Owner/Applicant: et 6 q an Date of Planning:
application: Env. Health:
Parcel Number:
122205046001
122205051004 122205052009 122200060010
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TOPOGRAPHY PROFILE: f I
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Direction: Sca e: Approval: or,once use
Building Permit number: , 2C) ` Building:
Ovsmer/Applicant: le Set
Date of Planning:
application: Env. Health:
Parcel Number:
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSECI Ventilation Code Compliance Application
53Gb S
Owner' Parcel#: aiaa0 0 Type of project: n S _
Total Sq. Ft. 3 1 Floor:2 )`4-1 2n floor: 3`� Heated Basement:
of heated area::
Heating System Type: 0'-E ectric wall heater O Electric Central Furnace O LPG Furnace
• Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance A Prescriptive Option (see reverse side) circle one: I 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
residential units must develop 1 credit from Table 9-1. Identify and describe which option(s)will be used
to c pl If the table is not attached to this form you can access the table on our website at:
:// mason.wa.us/forms/Communit Dev/index. h .
Option: escription:
Table 9-1 1 yA
In & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
Windows: Total Sq. ft.
Doors:
Doors: Total Sq. Ft
Total window and door area
Total window &door area / (divided by)total sq. ft of heated area = %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 International Residential Code (/RC), 2009
International Mechanical Code (IMC), & 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, if 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:
http://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Wa1112 Wall Wall Slab 6
Area% Door U- Vaulted Above int ext on
Option of Floor vertical Overhead Factors Ceilingz Ceiling3 Grade below Below Floor 5 Grade
grade Grade
R-49 or R-21 R-21
I 13% .34 .50 .20 R-38 R-38 int 7 TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
I1 * 25% .32 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
adv int
'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.
MASON COUNTY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: Date:5-a• (3 Reviewed By:
Documentsilding Permit Application Completed Stormwater Chec st
Planning Intake Checklist Completed,
—?ite plan includes:Allowable building area,r overhangs,decks,etc.
ire Apparatus Access Road info required? Yes No
✓nergy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace
•Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type )
ZO Other: Specify:
MechanicaUPl Mbiing Application-WATER HEATER FUEL T E/LOCATION `
Engineering?O'er No Snow load: Seismic: 6*2A 6 n �
Stock Plan—approved snow load: Seismic: J64 .
(}�
M acture on 4 FLOOR PLANS rn U`� (((JJJ
Foundation Typ . ANSI/Manufacture method Eng' da ' n Basement
Decks: Covered? Uncovered over 4 x 6 and o 0"? Constructio ans require .
Constructio Plans: +' 3 COMPLETE SETS
laps Legible ✓Recognized Scale Elevation Views V Cross Section
undation Plan _Roof Framing Plan ✓Floor Plan-Use of rooms noted(all floors)
Floor Framing Plan-all floor levels including loft,crawlspace,etc. (<200 S.F. ??—stairs?)
Deck Framing Plan,incl cov.porch framing
Plan Detail
of framing details,truss lay-out may be needed (Hip and girder location shown)
;/Wall Framing-Does bearing-wall height exceed 10'?(Engineering may be required)
_Floor framing: Floor joists(size&spacing): ,Floor beams: X e)
_Window headers. Typical header: Garage header:
_Foundation: footing size,reinforcement
_Concrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required see details)
�andings at all exits?Less than 30"above grade?Y/N
e By Furnace-Location of Furnace Fuel type:
epla /Stove Information Shown-Fuel Type? L., � Location(s):
_✓Wm ow Sizes Marked on Plans
Braced wall panels(shear walls)marked on plans or late engineerin �2lL.�Q,Y1
2-story garage? (Engineering may be required) 1�`story o o s ory D1 —45%,D2—
COMMENTS: J
ENGINEERING REQUIRED
Braced wall panelsibrace wall lines are not marked on plans(R602.10)
Amount and location of bracing does not meet minimum required in Table R602.10.1
DESIGN CRITERIA: All notes and details required as a result of the engineered analysis shall be transferred onto proposed
building plans. Wind 85 MPH, Exposure B(unless proven otherwise). Seismic Zone: ,Snow_psf.
IRREGULAR BUILDINGS R301.2.2.2.2
Irregular portions of structures shall be designed in accordance with accepted engineering practice. A portion of a building shall be
considered to be irregular when one or more of the following conditions occur:
1)Exterior braced wall line or BWP cantilevered or offset by more than 4'
2)Roof or floor is not laterally supported on all edges
2A)Portion of roof or floor extend more than 6 ft.beyond the braced wall line.
3)End of BWP extends more than 1 ft.over an opening more than 8 ft in width below.
4)Opening in a floor or roof exceed the lesser of 12 ft.or 50%of the least floor or roof dimension.
5)Portions of floor level are offset vertically
6)Shear wall lines do not occur in two perpendicular directions.
7)When a story above grade is includes masonry or concrete construction(exc: fireplaces,chimneys,and veneer).
When this applies the entire story shall be designed.In accordance with accepted engineering practice.
H:\permit tech building checklist.doc Revised 11-29-2007
in e �t cw-d a �a g&4 L-N Parcel# 12Z Z0—SO-- S BLD#
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:
hitp//www.co.mason.wa--us/code/commissioners/index htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management".
Regulated activities shall be conducte 1
(Mason County Code Title 14 Chapter s on 14.48.70).You will receive a co of the Public Works document
entitled '.This document will assist
you in preparing e n m ormation 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
dctail�from.Mang 'n .Storm Drama e o o Thy mail P Ater Site Plan will be installef
e o +. Y
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: ()60)-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
tfurtheaTknowltee
Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
ent of such is by signature below.I declare that I am the owner,owner's legal representative, or the contractor.I
at the informa ion pr vided is accurate and employees of Mason County are granted access to the above-
review and � pe n as may be required.
Owner/Agent/Contractor(circle one)Date:
Page 2 of 2
ame R1 <_G�e(0 ��9uK Parcel# /22?-0--':� O '.S- O-S—BLD#
Mason County
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 1 of 2)
Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is
made for residential development,or redevelopment',with more than 2,000 square feet of impervious surface2.
'Redevelopment means,on an already developed site,tfie 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.
2-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�- alculafe Imper��ous Suffaces ease Gonptete This Tab7 '_
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
X = Measurements for buildings are taken at the
X _ perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X =
X = Length of drive begins at the right of way
X
Parking Areas =
Any paved, gravel or packed area per definition
above table
L
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.jr-eater than 2000,square fleet a
Small Parcel.Stormwater,Site.Ptan;is Require_d .
Total Impervious.Surfaae Area(sum of all areas)
If the Total Impervious Surface Area is LESS THAN 2000 Square Feet, please read,acknowledge and sign below.
J
the information you have provided a Stormwater Site Plan IS NOT required for this development activity.
er/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation.
ement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I
wledge that the information pr vided is accurate and employees of Mason County are granted access to the above-
pe for review an pec' n as may be required.
Owner/Agent/Contractor(circle one)Date:
If the Total Impervious Surfac read,acknowledge and sign
the information provided o
Page I of 2