Loading...
HomeMy WebLinkAboutBLD2010-00043 Final Demo - BLD Permit / Conditions - 11/8/2010 Inspection Line(360)427-7262 MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352 , Mason County Bldg. 111426 W. Cedar P.O. Box 186 *9-916 Shelton,WA 98584 10 RESIDENTIAL BUILDING PERMIT BLD2010-00043 OWNER: WILLIAM LATTA RECEIVED: 1/26/2010 CONTRACTOR: D J HARTMAN HOMES 1.360.741.8965 LICENSE: DJHARHL036J9 EXP: 4/302010 ISSUED: 3/5/2010 SITE ADDRESS: 10151 ESTATE ROUTE 106 UNION EXPIRES: 9/5/2010 PARCEL NUMBER: 322365100010 LEGAL DESCRIPTION: PEBBLE BEACH PARK TR 10 &T.L. N OF R/W PROJECT DESCRIPTION: DIRECTIONS TO SItE: DEMO OF EXISTING CABIN AND CONSTRUCTION OF NEW SFR ST RT 106 TO SITE ADDRESS ON THE WATER SIDE General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: 2 Type of Constr.: VB Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3 Lot Size: Deck: Type of Work: NEW Fire Dist.: 6 No. of Stories: 2 Occ. Load: Building:1,333 Valuation: Building Height: 26 Occ. Status: Primary Basement: Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E Ft. Shoreline: Ft. Water Body: HOOD CANAL S E PA?: Model: Width: Ft. Rear: W Ft. Slope: Ft. Shoreline Desig.: Urban Side 1: S 5.0 Ft. Year: Serial No.: Side 2: N 10.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Dishwasher 1 Exhaust Hood 1 Plan Check Fee GMM 1/26120 1 0 $682.34 S12010000 Hosebibs 2 Furnace<100K 1 Planning Review Fee GMM 1/26/2010 $205.00 S12010000 Kitchen Sink 1 Gas Outlets 5 EH Plan Review KKK 1/26/2010 $103.00 56201bbb0 Lavatories 2 Propane Tank 1 Building State Fee LDK 2/2/2010 $4.50 S12b1bbbb Showers 2 Ventilation Fan 3 Building Permit Fee LDK 2/2/2010 $1,139.35 si26ibbbb Water Closets (Toilets) 2 Heat Pump 1 Mechanical Permit Fee LDK 2/2/2010 $237.90 S12010000 Water Heaters 1 Propane Stove 1 Mechanical Base Fee LDK 2/2/2010 $28.50 S12010000 Clothes Washer 1 Dryer Vent 1 Plumbing Permit Fee LDK 2/2/2010 $93.20 S12010000 Plumbing Base Fee LDK 2/2/2010 $24.70 S12010000 Total $2,518.49 BLD2010-00043 Please referto the following pages for conditions of this permit. 1 Of 6 CASE NOTES FOR BLD2010-00043 ` CONDITIONS FOR BLD2010-00043 1) 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 i urther inspections being performed or approvals granted. X ' 2) Owner/Agen is r p sible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28. X 3) 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 mit 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 pr a ocuments will result in failure of required building inspections. X 4) All slabs thin the heated space shall be insulated t im -10 for at least 24". Monolithic slabs shall be insulated around the perimeter from the top of the slab to the bottom of the footing X 14 5) THE FOUNDATION SYSTEM SHALL BE PLACE N UNDISTURBED, NATIVE SOIL. X 6) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is r�uested and the"approved" site plan is not on site, then approval wno 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 D pra rior to any further inspections being performed or approvals granted. X 7) Wash i on State Energy Code Compliance has been approved using the following: Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors (Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab Insulation R-10. Exceptio - R- 0 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the undersi of r f sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation. X �I BLD2010-00043 Please refer to the following pages for conditions of this permit. 2 of 6 i 8) Per IRC- SE ION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordance a cable provisions of this section and the manufacturer's installation instructions. X 9) A Mason �o�un 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 ponsult with the septic design professional involved with the project. By calling for a final inspection of the building permit the owner/agent/contractor is Ck, I g that all components of the stormwater management system have been installed as approved on the stormwater site plan. X 10) In building of unusually tight construction, f -burning appliances (excluding cooking appliances and domestic clothes dryers) shall obtain combustion air from s e ccordance with the international codes. X 11) Owne uilder assumes all responsibility if drainfield/reserve area is encumbered. A. Drainfield/Reserve requires a 10ft setback from all footing/foundations. B. Septic t (s) requires 5ft setback from all footing/foundations. C. No fou ¢a * ins within 30ft, down gradient of drainfield/reserve area. X 12) Concr used for basement walls, foundation wails, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other vertical con c work exp sed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2). X 13) The int ional code requires a fire apparatus access road for every facility, building, or portion of a building that is more than 150' from an approved access Pyoadspre required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where such roa s t ith a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 14) Any nges 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 doeum is are removed, approval will not be granted. In addition, a re-inspection fee(refer to current fee schedule, minimum 1 hour)will be charged an ected by the Building Department prior to any further inspections being performed or approvals granted. X� 15) All constWction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the State of Washingto Occupancy is limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation X BLD2010-00043 Please refer to the following pages for conditions of this permit. 3 of 6 16) Installation of heating equipment in single family residences shall meet the requirements of the current Washington State Energy Code. The furnace to be installed shall not exceed 150% of the heating and cooling design load. Heating and design load calculations for the purpose of sizing HVAC systems are required and shall be calculated in accordance with accepted engineering practice, including infiltration and ventilation. Design calculations shall be available for inspection during the framing inspection. Warm-air furnaces shall have a minimum efficiency of 78%AFUE or higher or 80% combustion efficiency. All ducts shall be securely fastened and sealed with Ids, gaskets, mastics (adhesives), mastic-plus-embedded-fabric systems or tapes installed in accordance with manufacturers installation instructionu is NOT permitted as a sealant on any ducts. Ducts in unheated spaces shall be insulated to R-8. X 17) ProvisioKs 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 locyd within5' of a Mason County road right of way, it is suggested to contact that office to review future planned work which may affect your project. / X 18) All changes to" r ved" uilding plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or ul ust be reviewed and approved by Mason County prior to construction. X 19) CONSTR TION PROCESS TO BE FIELD CORRECTED AS REQUIRED PER MASON COUNTY BUILDING DEPARTMENT AND THE ADOPTED BUILDING CODE. The construction of the permitted project is subject to inspections by the Mason County Building Department. All construction must be in conformance with the inter tonal codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building Inspectors II b prior to requesting additional inspections. X Gat 20) All prop 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 5' from any building opening (foundation vents, windows, doors etc). Setback to the public way, or 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 greater 5 or qs specified in the Mason County Development Regulations. If a propane tank is exposed to probable vehicular damage, protective bollards led. X 21) All pr Va�n(yan s m t be installed in accordance with the International Fire Code and all applicable Mason County ordinances. All propane tanks must meet the s equirements and minimum setbacks as listed in the Mason County Fire Marshal's Standards for the Installation of Propane Tanks. X BLD2010-00043 Please referto the following pages for conditions of this permit. 4 of 6 22) Fuel piping shall be inspected after the installation of fuel piping is complete, and before the attachment of fixtures, appliances, or shut-off valves. At the time of inspec .on 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 be used ti e i inspection has been performed and approved by a Mason County building inspector. X 3) The pla ent of small propane tanks are not normally subject to a permit review by the Planning Department; however, propane tanks are subject to Planning Department regulations. Such regulatI s p imanly consist of setbacks from shorelines and features considered to be critical areas (streams, wetlands, slopes, etc.) If you think such featurs ex" n�arf nearby your property, please contact the Planning Department so that exact setback requirements can be determined. X / 24) All property lines shall be clearly identified a time of foundation inspection. X "W 25) All building permits shall have a final inspection performed and approved by the Mason unty Building Department prior to permit expiration. The failure to request a final i ec n or obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with Mason County din a building regulations. X 26) All permits a ffe 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 perio o exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit holder have pr c i n from being taken. No more than one extension may be granted. X 27) Pressure eat wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, f h' Install metal connectors approved for contact with the new types of pressure treated material. X 28) Retaining Is needed to support a surcharg �uctures, roads, or to support slopes, shall require a separate building permit and approval prior to construction of the retaining wall. X Ar 29) By definition, pro ane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structur me t the,sback conditions listed. X 30) Landing s irs st meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Approve it P o ensure these structures are shown and meet the setback conditions listed. X 31) Must tf6ve a tisf ory pumpers/maintenance report prior to temporary or final occupancy. X 32) 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 k nd monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at 1-800-647-0982. e � igning this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. X BLD2010-00043 Please refer to the following pages for conditions of this permit. 5 of 6 33) Approve p sions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X j 34) The opose,0 project must be consistent with all applicable policies and other provisions of the Shoreline Management Act, its rules, and the Mason County Sh e e er Program. X 35) All c ructi a d de lition debris must be removed from the shore area after project completion. Proper disposal of construction debris must be on land in suc Wat debris cannot enter or cause water quality depredation of State waters. X This permit becomes null and void if work orconstruction 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 inspe ion.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 t e for re w and inspection. ? OWNER OR AGENT: DATE: BLD2010-00043 Please referto the following pages for conditions of this permit. 6 of 6 1 *G o CONCRETE MECHANICAL MANUFACTURED HOME N o Date _7 �,/ D o Footings /Setbacks Gas Piping / Ribbons D o Interior Date By Interior-Date By Date By c wExterior Date s_S �U By Z Exterior-Date By Set-up <F Point Load/Isolated Footings INSULATION Date By r- BG/SLAB INSULATION D Date By Data By FIRE DEPARTMENT 9 Foundation Walls Floors Date By Date Q s` p_/p B Data (I ( 13YLA6 DECKS FRAMIN We lie Date By Date v Data By PROPANE TANKS PLUMBING vault Date ©y Date By OTHER Groundwork Attic Deter By Type_ Date By Date By O.W.v / DRYWALL Type- D / Int Brace Wall Date By W CD Date -7 f D Date By r v FINAL INSPECTION 0 m Water Line Fire Seperation N mDate y Date By Date U By � C s Pass or Request Inspect. c 5 Type of Insp. Fail Date Date Done By Comments CD CD v - -�� mT- � CL t,w G Err CD y v 7 ��/�`--C" cv:� !✓ � / �� a cl_ �i�+�o�-CSC !Y�.� 0 Name 4-At X, Parcel# 3 Z Z a d o/y BLD#Z O 10 — OHO y Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page I 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 surface 2. '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. 2Common 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. To Calculate Impervious Surfaces Please Complete This Table Surface TypegX Width = Area * All dimensions in feet ildin s = r1D Measurements for buildings are taken at the _ perimeter of the farthest projections(example: eaves/gutters) = Driveways = = Length of drive begins at the right of way = Parkin Areas = 2rj 2 Any paved, gravel or packed area per definition above table = 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 greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) 1�5a If the Total Impervious Surface Area is LESS T AN 2000 pare Feet,please read,acknowledge and sign below. Based Upon the information you have provided a Stor Waerite Plan IS NOT required for this development activity. 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 acknowledgeAhat the information provided is accurate and employees of Mason County are granted access to the above- descri d rope or r w a sp ion as may b�requir Own- Agent/Contractor(circle one)Date: 117,6 Z 010 If the Total Impervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 � Name / � /�% Parcel# 3 r 5 00 U /CD 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: httu//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 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" PLEA IS SE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR TH SITE A) X 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 further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples.(Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail:P 0 Box 1850,Shelton WA 98584 Physical:415 N 6th St,Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone:(360)-427-9670 EXT.352 Mail:P 0 Box 1666,Shelton WA 98584 Physical:426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. Acknowledgement of such is by signature below.I declare that I am the owner,owner's legal representative,or the contractor.I further acknowledge that the i ation provided is accurate and employees of Mason County are granted access to the above- de scri prop fo ev' d i ion as may be required. Own /Agent/Contractor(circle one)Date: Z!o O Page 2 of 2 MASON COUNTY PERMIT NO. DIel,�016 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 A I!IA YL On the web www.co.mason.wa.usrL APPLICANT INFORMATION CONTRACTOR INFORM TION i Owner \Ah A. Company Name V 17 a �-L Mailin Address 'S Mailing Address 27.1 A&17A0kuj00V City 4. * State 4-A Zip Code 25-2 / City State WA Zip Code IS S3L Phone �$L'�!y'` '''Other Ph. Phone GO Pf Sc;&l Other Ph. Lien/Title Holder Contractor Reg. #Dl**4 K14,L Gi)r t'xp. zoue 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 Well Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 00040 Fire District Legal Description k" 4 -( A K B • L, a u im VP— Site Address (Please include street name, street number and city) 10 1'•/ C Sr.Qr7_- X0,t 4)41 11 viay. 42 Directions to site W y /'O R �d / uRw.l /��4.c��— �ie,o LG�`.l> �'O ice►/c.� D Will timber be cut and sold in parcel prep a``�tion?Yes/ o p �.X 1 l v) Is property within 200' of Saltwater Lake R' r/Creek Pond Wetland Seasonal Runoff Stream Slopes or Bluffs /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 Alt Repair Other PRIMARY RESIDENJE ❑ 11 SEASONAL Use of Building > t=M Describe Wor No. of Bedrooms 7° No. of Bathrooms 1' Square Footage- 1st Floor '70'r "_1 2nd Floor 3rd Floor Basement Deck_ Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTU ED HOME INFORMATION - Ma - Model Year Length Widt Serial No. �� �I�f Bedrooms o. of Bathroo �►�''� Typ Heat Purchase,F�t°ice $ Replaceme it? Yes/ No � In aller Nam Certific ion 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 1 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 11) agent on owners behalf, represents that the information provided is accurate and grants employees of Mason County access to the above 14) 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 O A PROGRESS INSPEP ION.ID}AOTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WI L INVALIDATE THE APPLICATION. �� � X C..�-'� �r l.�ri•�--- --, etJ"�r�--._ Date: � -Z� Z�a 92 Owner/Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by, Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Zwv k6k,- Planning Department Environmental Health Department Fire Marshal FEES Building Permit Fee Site inspection Plan Review Fee EH Review Fee Plumbinq & Base Fee < Planning Review Fee Mechanical & Base fee Other Wood/Gas/ Pellet Stove Fee 77'— State Fee Violation Fee Pre-Paid at Submittal Valuation $ N TOTAL FEES MASON COUNTY PERMIT NO. 1 ZD IV -0004 PLUMBING/MECHANICAL PERMIT APPLICATION - 5 426 W.Cedar• P.O. Box 186, Shelton,WA 98584 Shelton (360) 427-9670• Belfair(360) 275-4467• Elma (360) 482-5269 4 In On the web www.co.mason.wa.us APPLICANT INFORMATION CONTRACTOR INFQRMATION Owner. Company Name P, -i, i+ A;r-M Aw 6AM& Mailin Addres 2 Mailin Address i- Cit --State " Zip Code�f2:a2- City tate�J�- Zip Code y "r �-�----- Phon 'Other Ph. Phon — Other Ph. Lien/Title Holder Contractor Reg.#7u'µt�K 14 Lo3 P. E mail address E Mail Address Drivers Lic.# DOB Drivers Lic.# DOB i SEPTIC INFORMATION - Connect to New Septic Existing SepticX Connect to Sewer System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. 2 G v w Fire District Legal Description 6 (. Site Address (Please include street name, street number an,d city)l�f 4"/ Lam; Sr,-�a /cad 1Are/LYE �0L Directions to site / 4 C. s.. 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 S"tc 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:Electric 1-71 C,G" Natural Gas_ Heat Pump, Toilets Type of Unit No. f'Units Fees Bathroom Sink Furnace Bath Tubs Heatpumps 1< Showers Z. Spot Vent Fan 3 Water Heater r Propane Tank Clothes Washer I Gas O ets V- S Kithen Sinks I Wooc(%Sa Pellet Stove 1 Dishwasher I KitcherYExhaust Hood 1 Hosebibs Z Dryer Vent 1 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. PROQW qF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION�' * Date: �Z O/ Z`r Owner Owners Representative/Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted b ^' Planning Pd Ck# Date Bld Pd Receipt No. DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building De a tment Occ Grou TVpe Constr.V o G41( 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 WSEC/VIAQ COMPLIANCE FORM Page e 1 of 2 Owner.' Latta Telephone: Parcel#: Type Of Project: ❑New Residence ❑Addition El Remodel Date: 8/12/2009 Total Sq. Ft. of Heated Area: 15t Floor: 700 2"d Floor: 475 Basement: Heating System Type ❑Electric wall Heater ❑Electrical Central Furnace El LPG Furnace ❑Heat Pump with Electric Furnace ❑Other(Specify): ❑Heat Pump with Gas Furnace ❑Boiler,Specify Fuel Type: Glazing Pctg. Compliance Method 121 Prescriptive Option No. 1 4 1 ❑Systems Analysis,Chapter 4 23.48% Check One: ❑Component Performance,Chapter 5-Calculation Worksheet Required Ventilation ❑ Whole House Ventilation System 2 Whole House Ventilation System System using exhaust fans&window or wall fresh air vents(VIAQ 303.4.1) using a heat recovery ventilation system (VIAQ 303.4.4) ❑ Whole House Ventilation System ❑ Whole House Ventilation System Check one: integrated with a forced air heating system (VIAQ 303.4.2) using an inline supply fan (VIAQ 303.4.3) Windows U- Quan- Size 1/2 114 Exe- Area UA Brand Window Type Room Value tity w H Rd. Rd. Tri mpt (S. F.) Value Milgard Horiz. Slider AR/LE Living 0.300 1 4 ° 210 ❑ ❑ ❑ ❑ 8.00 2.40 Milgard Fixed AR/LE Living 0.290 1 7 6 5 ° ❑ ❑ ❑ ❑ 37.50 10.88 Milgard SI.GI. Door AR/LE Living 0.300 1 7 ° 6 10 ❑ ❑ ❑ ❑ 47.83 14.35 Milgard Horiz. Slider AR/LE Kitchen 0.300 2 6 ° 3 6 ❑ ❑ Ell ❑ 42.00 12.60 ❑ ❑ ❑ ❑ Milgard Horiz.Slider AR/LE Bedroom 0.300 1 4 ° 3 6 ❑ 01 ❑ ❑ 14.00 4.20 ❑ ❑ ❑ ❑ Milgard Horiz.Slider AR/LE Bath 0.300 1 4 ° 20 ❑ LJI 17 El 8.00 2.40 LI ❑ ❑ ❑ Milgard Fixed AR/LE Stairwell 0.290 1 2 °1 2 ° ❑ ❑ ❑ ❑ 4.00 1.16 Milgard Fixed AR/LE Stairwell 0.290 1 2 ° ❑ ❑ ❑ ❑ 3.45 1.00 ❑ ❑ ❑ ❑ Milgard Fixed AR/LE Stairwell 0.290 1 4 ° 2 ° ❑ ❑ ❑ ❑ 8.00 2.32 ❑ Ell ❑ ❑ Milgard Horiz. Slider AR/LE Loft 0.300 1 8 ° 5 ° ❑ E]I ❑ ❑ 40.00 12.00 Milgard Fixed AR/LE Loft 0.290 1 8 ° ❑ ❑I ❑ ❑ 16.93 4.91 Milgard Horiz. Slider AR/LE ISleeping 1 0.300 1 2 4 ° ❑ ❑ ❑ ❑ Milgard I Fixed AR/LE Isleeping 0.290 1 ° ❑ Ell ❑ ❑ 8.35 2.42 t ❑ <- Check Here if windows, sk,I;—A s o�J---are ccn,'inued on an additional shoe,' Target Weighted U-Value for Windows=0.35 Total Window Area/Total UA: 275.91 81.91 Weighted U-Value=Sum(UA)/Total Window Area (not including exempt windows) Weighted U-Value 0.297 Skylight U- Size Exe Area UA Skylight Brand Model Number Room Value Quant. w H mpt S. F.) Value ❑ -7- Target Weighted U-Value for Skylights=.58 Total Skylight Area:/Total UA Weighted U-Value=Sum(UA)/Total Skylight Area (not including exempt Skylights) I Weighted U-Value 0.000 Door U- Size Exe Area UA Brand Model Number Room Value Quant. w F H mpt S. F.) Value a a ❑ 0 8 ❑ Target Weighted U-Value for Doors =.20 Total Door Area/Total UA: Weighted U-Value=Sum(UA)/Total Door Area (not including exempt doors) I Weighted U-Value 0.000 Total window&door area 275.91/(divided by)total sq.ft.of heated area 1175= 23.48% of glazing (& Doors) Single glazed, ornamental or garden window or door ue to 1% of floor area may be exempted Foster and Williams Associates Analyst: JB JAN 2 6 2010 4126 VOOII., CEMM ST WSEC/VIAQ COMPLIANCE FORM Page 2 of 2 Single glazed, ornamental or garden window up to 1%of floor area may be exempted Windows U- Quan- Size 1/2 1/4 Exe- Area UA Brand Window Type Room Value tity w I H Rd. Rd. Tri mpt (S. F.) Value Milgard Vert. Slider AR/LE Sleeping 0.300 1 2 16 51° ❑ ❑ ❑ ❑ 12.50 3.75 Milgard Vert. Slider AR/LE Sleeping 0.300 1 3 ° 1 3 ° ❑ ❑ ❑ LI 9.00 2.70 ❑ ❑ ❑ ❑ Milgard Horiz. Slider AR/LE Bath 0.300 1 4 ° 2 ° ❑ ❑ ❑ ❑ 8.00 2.40 Milgard Fixed AR/LE Bath 0.290 1 4 ° ❑ ❑ ❑ ❑ 8.35 2.42 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ 0, ❑ ❑ ❑ Ell ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ El El- ❑ ❑ ❑ ❑ ❑ ❑ ❑77 ❑ ❑ ❑ ❑ ❑ ❑ El El❑ El ❑ ❑ ❑ Ell ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Single glazed, ornamental or garden window up to 1%of floor area may be exempt Skylight U- Size Exe Area UA Skylight Brand Model Number Room Value Quant. w H mpt (S. F.) Value 3.000 ❑ Door U- Size Exe Area UA Brand Model Number Room Value Quant. w H mpt (S. F.) Value 1 ° 18 ❑ 0 8