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HomeMy WebLinkAboutBLD2013-00733Addition - BLD Application - 8/23/2013 JRM MUST BE COMPLETED IN INK MASON COUNTY PERMIT NO. \JLZ PLEASE PRESS HARD BUILDING 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 iJP A/� dStE Pc«�Tr�/L Company Name /JEn%aYS H4'ME [MP�MC&1' Mail'in Address f t� O 1 -5t 4V� C N' MailingAddress�s Ink, &A�W4 rCAO City G HA"R C State Zip Code GY�22 City 6(244"'C' State W4 Zip Code Phone Z'S3 8D 9'S-9q Other Ph. Phone 4-316-1 Other Ph. Lien/Title Holder Contractor Reg. # Exp. ` E mail address E Mail Address 0�13?67 /t4�1yM Drivers Lic. # DOB Drivers Lic.# DOB 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 V!CTU, 9 -2aW= ,3n,-2- PARCEL INFORMATION - 12 Digit Parcel No. i -2-Z.Z 1 3(4 001 zo Fire District Legal Description T12-1 Z- ©G 6L14 w LY c 2 2f i,,) s' A) t/z 74A 5-6-4 Site Address (Please include street name, street number and city) ' 4.3 C-0 1: . "57i- 27- W2- Directions to site 11*dA-Y .3 7a WIC-72i4 302— Will timber be cut and sold in parcel preparation?Yes/ o Is property within 200' of Saltwater &—Lake River/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluff /o Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add_)CAlt Repair Other PRIMARY RESIDENCE SEASONAL ❑ Use of Building - Describe Work /()On 50 F7- Aj q-1 f--CMr_ No. of Bedrooms Z No. of Bathrooms y Square Footage- 1st Floor /006 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATIO - Make Model Year Length Width Serial No. No. of Bedrooms No. of Bathrooms Type of Heat Purcrice$ Replacement Unit? Yes/ No ha P Installer 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 PRO ESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION. X ffi'0�— Date: 3' 1 Okvner/Owners Re resentative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department 0 /�D eew M6 se-vve'e— Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee / 1, Gf Site Inspection Plan Review Few (Q, o;ro) EH Review Fee Plumbinq & Base Fee v o� '� Planning Review Fee Mechanical & Base fee JT��U1 �=� Other Wood /Gas/ Pellet Stove Fee State Fee Violation Fee Pre-Paid at Submittal Valuation $ t (P TOTAL FEES FORM MUST BE COMPLETED IN INK PERMIT NO. PLEASE PRESS HARD MASON COUNTY 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 UMk -5 7� Af— 10e t L-� _ Company Name Mailing Address Mailing Address City State Zip Code City State Zip Code Phone Other Ph. Phone Other Ph. Lien/Title Holder Contractor Reg.# Exp. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB SEPTIC INFORMATION - Connect to New Septic Existing Septic. Connect to Sewer System Name of Sewer System L A C7ZI2 d 02_ PARCEL INFORMATION - 12 Digit Parcel No. t 2-22 I 3 9 061 ZO Fire District Legal Description —1-224 Z OF 6 0q W&Y A- 4140 Al '1T -b'4 Site Address (Please include street name, street number and city) 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 Floord Floor Basement Garage Closet PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS Type of Fixture No. of Fixtures Fees Fuel Type:ElectriG_ LPG Natural Gas_ Heat Pump_ Toilets Type of Unit No. of Units Fees Bathroom Sink Furnace 1 Bath Tubs Heatpumps Showers —r— Spot Vent Fan V� Z. till thy Water Heater Propane Tank Clothes Washer f Gas Outlets Kithen Sinks V�— Wood/Gas/Pellet Stove Dishwasher Kitchen Exhaust Hood Hosebibs Dryer Vent Other L'OLV nd",�--= 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. PROD OF CO INUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. X Date: '' ner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTE: 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 PLA N N11NG : a . ALL SETBACKS ARE MEASURE"u FROM THE FUIRTHEST PROJECTION OFTHE BUILDIW.' APPROVED c MASON COUNTYZCD PLANNING o SITE PLAN REQUIf ED TO BE ON SIg M CHANGES SUBJqCTTO APPROVAV j / I By I Date l 190 I i i E%I6TIN0 ADDRION _ ADDRION E%I671N0 _ --!-- 37'-0" ------- - -- - w/W - -- w/W-- -- , N I q ADDITIONpo EXISTING �� o I = 3 -' / o Co q m XISTING - __= =- _ ' CARPORT & o Drivewa ABIN & i�SHOP � � j N G - -r---- -- — - 0-4 --- -- -- I ` ECK I, - ---S�-A�r►- i - i a.. ------- -------------- C/) i ADDITION ! I --28'-0" uw o I of NEW DECK /W S /W S/W S/W1. o -_ �n --------------------------- ----- ____ _ .._ i i a i T -34'-0" - � I N i 190' i Well Housel Septic GrTinder PLOT PLAN N Address: SELBY DESIGN LTD DESIGN FOR: 4360 E. State Rt. 302 Scale Page 4370 NW Shelley Dr.,Silverdale,Wa.98383 360-275.6550 URBAN & JOSIE PELLETIER Belfair, Wa. 98528 1" = 20' 2012 WSEC Component Performance Worksheet(Climate Zone 4C) Name: Pelletier Sq. Ft 921 Permit Number: BLD2013-00733 Parcel Number: Target from Table 5-1 U-factor Area Target UA Glazing 15% U-0.30 138.15 41.445 Vert Glazing - Skylight U-0.50 0 0 Doors U-.30 21 4.2 Attic R-49 standard U-.027 786 21.222 Vault R-38 U-.034 135 4.59 Wall - Electric R-21 intermediate U-.056 1303 72.968 Floor R-30 U-.029 921 26.709 Slab R-10 fully insulated F-0.36 0 Below Grade - Interior Insulation R-21 U-.042 0 0 0 0 171.134 Increase 5% efficiency Table 9-1, option 3a Total Target without option 3bi 162.5773 PROPOSED Actual R Actual U/F Area Proposed UA Factor factor Glazing 0.3 187.5 56.25 Glazing 0 Doors 0.3 21 6.3 Attic R-49 0.027 786 21.222 Vault R-38 0.034 135 4.59 Wall R-21 0.056 1156.5 64.764 Floor 0 0 Below Grade - Interior Insulation 2' depth 0 3.5' depth 0 7' depth 0 Below Grade Exterior Insulation 2' depth 0 3.5' depth 0 7' depth 0 Total Target 153.126 4 .- p # a ►;_ _ v�, s. Y" � � N T22N p r r k t Itt ,. �N. w e�M Source Esn Digit Globe, ��oE==��, cu' Qd_ USDA USGS AE�X. Getmapp r,g;Aerogridx IG , IGP;swisstopo �ndMthe GIS Use, ommunityilj N 1 inch = 50 feet E 1 inch = 0 miles S