HomeMy WebLinkAboutBLD2017-00821 SFR - BLD Application - 8/24/2017 0 ot� tryrA MASON S COUNTY
S NTYE CENTER:OMMUNITY SERVICES ['omit No:
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•BUILDING•PLANNING•PUBLIC HEALTH.FIRE MARSHAL
615 W.Alder Street,Shelton,WA 98584
I Phone Shelton:(360)427-9670 ext. 352•Fax:(360)427-7798 Phone
Be/felr.(360)275-4467•Phone Elma:(360)482-5269 AUG L
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BUILDING PERMIT APPLICATION 615 W. Alder Street
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: —N E{ \4_ & NAME:
MAILING AD RE S: '�-1 S n Or e 31,s' MAILING ADDRESS:
CITY: RILS1 Ck I STATE: ZIP:Gt R SJ 7*-- CITY: STATE: ZIP: ----
PHONE#1: (,� - 5�t7 7 g��� PHONE: CELL:
PHONE#2: - y — 0q81 EMAIL :
EMAIL:K� v i r i Ca h(10 c,�N.1 G("'K L&I REG#
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑
NAME EMAIL
MAILING ADDRESS CITY STATE ZIP
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) i 1'-.Z.�j C)C,-S- n n C7 1 q ZONING I I V A
LEGAL DESCRIPTION(Abbreviated) FIRE DISTRIC
SITE ADDRESS f g) , ();�u h•ftv olCt A D (— CITY_���\! h
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO
IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): / `
SALTWATER❑ LAKE❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW ADDITION❑ ALTERATION❑ REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) (d j
IS USE: PRIMARY SEASONAL❑ NUMBER OF BEDROOMS j 4UMBA OF BATHROOMS-4
HEATED STRUCTURE? YES ole Bldg))K YES(Part fsj of Bldg) ❑ NO ❑
DESCRIBE WORK n E
SOUARE FOOTAGE: (propose+existing)
1ST FLOOR I1i2) sq.ft. 2ND FLOOR sq.ft. 3RD FLOOR sq.ft. BASEMENT sq. it.
DECK sq.ft. COVERED DECK 2-z4 sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE_ __sq.ft. Attached/ Detached ElCARPORT sq.ft. Attached❑ Detached❑
MAMJ1;ACT1JRED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED*
MAKE MODEL LENGTH
WIDTH BEDROOMS BATHS SERIAL NUMBER
ENVIRONMENTAL HEALTH:
SEWAGE/SEWER SOURCE: SEPTIC❑ SEWER / NEWK EXISTING ❑
PLUMBING IN STRUCTURE? ' YES>( NO❑ If yes, attach completed Water Adequacy Form
PERIMETERNOUNDATION DRAINS PROPOSED? YES K NO❑ EXISTING SQ.FT.
EXISTING BEDROOMS a PROPOSED BEDROOMS TOTAL BEDROOMS
OWNER 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 and I further declare that I am entitled to receive this permit and to do the work as proposed.I have
obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)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 WORTS ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 180 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON
COUNTY CODE 14.08.42)
X oZ
Signature of OWN R(Must be sianed by the OWNER) D to
EPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
MASON COUNTY RECEIVED
COMMUNITY SERVICES "}Y�
1 AUG Z 4 2017
\ Building,Planning Environmental Health,Community Health ' i
Physical and Mailing Address: 615 WAlder St., Bldg 8, Shelton, WA 98584 615 W. Alder Street
Shelton Phone: (360)427-9670 ext 352 •:• Fax (360)427-7798
PLUMBING & MECHANICAL PERMIT APPLICATION Permit#:
OWNER INFORMATION: CONTRACTOR INFORMATION:
NAME: -ia .s c 4AME:
MAILIN�DDRES 'cQ i c, -C MAILING ADDRESS:
CITY: ow STATE:WA ZIP: CITY: STATE: ZIP:
1st PHONE: — — PHONE: CELL:
2nd PHONE: l — EMAIL :
EMAIL: L&I REG# EXP. I I
PARCEL INFORMATION: 1 P
~CEL NUMBER (12 Digit Number): 0 D D [ Ct Zoning:
LEGAL DESCRIPTION (Abbreviated):
SITE ADDRESS: N1 , F , CntzrA r u 6A, br CITY: PA v ti
DIRECTIONS TO SITE ADDRESS:
TYPE OF JOB/WORK: NEW ADD ALT REPAIR OTHER
USE OF BUILDING
PLUMBING FIXTURES MECHANICAL UNITS [] Electric in-wall heaters(no fee)
Type of Fixture No. of Fixtures Fuel Type Fees Type of Unit No. of Units Fuel Type Fees
Toilet(s) ' Furnace [E/G/LPG]
Bathroom Sink(s) Heat Pump [E/G/LPG]
Bath Tub(s) Ductless H.P. [E/G/LPG]
Shower(s) Sp Vent Fan
'Water Heater(s) j [E/G/LPG] Propane Ter-A- L _gal.]
Clothes Washer(s) ( [E/G/LPG] Gas Outlet(&)-
Kitchen Sink(s) 1 Heat Stove- [E/G/LPG/W]
Dishwasher(s) 'Kitchen Exhaust Hood /
Hose bib(s) Dryer Vent /
Other 1,_rvuhck r r Solar Panel
Other Other
Plumbing Subtotal Mechanical Subtotal
Plumbing Base Fee Mechanical Base Fee
Final Inspection Fee Final Inspection 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 contractor. I further declare that I am entitled to receive this permit and to
do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this
project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County access to the above
described property and structure(s)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 OF
INSP ION. INACTIVITY OF THIS PE T APPLICATION OF 180 DAYS WILL INVALIDATE THE APPLICATION.
X q ZI�-7
gnature of Applicant
Owner wners Re resentative/Contractor
Print Name Cir�one)
DEPARTMENTAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
O Building J-/Z-
O Fire Marshal
O Permit Tech (OTC permit only)
Visit us on-line: http://www.co.mason.wa.us/community_dev/ Rev:3/08/2017
Permit number BLD
Mechanical Permit Checklist
• Name of owner: Name of Installer:
• Fuel Type? LPG Nat Gas Electric Other
• If propane,what is the proposed size of tank(s)?
• What type of mechanical unit will be installed? (i.e.freestanding stove,forced air furnace, etc.)
• If the unit is a wood stove,provide: Make Model
Year Label Number
• What is the use of the structure? (Circle one) Residential Commercial
(A permit application for a commercial mechanical permit wi upon satisfactory review by staff. Include a floor plan
showing the location of unit(s)and layout of duct work with the permit application.)
• Type of structure: (Circle one)Qite Built Home Manufactured Home Other
• What room will the mechanical unit be located?
• Will the unit be located in a basement? (circle one) Yes oNo '
• How will combustion air be supplied to the mechanical unit? (Describe, i.e. direct vent, air inlets, etc.)
• How will the mechanical unit be exhausted to the outside? Applies to appliances using gas, oil or wood fuel.
(Indicate B-vent, direct vent,L-vent,etc.)
• What year was the structure constructed? Was this structure part of a PUD upgrade?
• What type of controls will be installed? (i.e. thermostat, etc.)
• Will the proposed mechanical unit be a heat source?(circle one) Yes No
• Additional information:
Signature of Applicant Date
Typical mechanical fees:
Forced air furnace $ 18.30
Heat pump 18.20
Propane
---- - - ----
Gas Outlets 6.20 additional outlets over 1-5 ($1.20 each after 5)
Mechanical base fee 28.50 or$ 9.00 if base fee was paid on an active building or mechanical permit
Freestanding unit, fireplace,pellet stove or wood stove $73.00
Final Inspection fee 73.00
Name a4i- Parcel# J 22 Z0—SS �()1q BLD# 'ZO 7 Oo S 2 l
Mason County
Department of Community Development r �
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 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 Type Length X Width = Area ' All dimensions in feet
Buildings l X
X = Measurements for buildings are taken at the
X - perimeter of the farthest projections(example:
eaves/gutters)
X =
Driveways X 1
X Length of drive begins at the right of way
X -
Parking Areas X AM 1 -
X _ Any paved, gravel or packed area per definition
above table
X -
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)
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 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 acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
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�`�E �t Parcel# !o2v�� �� "0 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:
h=//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'
PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE
A)__ZThe 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
100 W. Public Works Dr
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 400
415 N.6th St—Bldg#8 lower level
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-
d4eo
operty for review an�mspec�onas' m�aybeequired.
X OwnerP/Agent/Contractor(circle one)Date: off--,/F/-Z
—
P
MASON COUNTY RESIDENTLA-L PLANS SUBMITTAL CHECKLIST
Owner's Name: Ci )POn/eb+ Date: Z Project description: NW S F'CL
Documents:: I L D I N G
V
-��uildmg Permit Application Completed.
echanical/Piumbing Application Completed.
gEnergy
anning Intake Checklist Completed.
te plan includes: Allowable building area, roof overhangs, decks, etc.
re Apparatus &Access Road info required? Yes o�ormwater Checklist Completed.
Code Application Form - O Electric wall heater O Electric central furnace O LPG Furnace
O Heat pump with electric fumace O Heat pump with LPG furnace O Boiler(heat type }
• Ductless Heat Pump O Other. Specify.-
Construction Plans:
Sets (2 full size sets w/ engineered calculations & 1 reduced sized set 1X17 min.(no calculation needed )
/Plans Legible _✓ cognized Scale �/f evation Views Cross Section
Foundation Plan _Roof Framing Plan ✓Floor Plan -Use of rooms labeled (all floors)
• � or Framing Plan -all floor levels including loft, crawlspace, etc.
De✓ ck Framing Plan including covered porch, carports
Plan Details:
o framing details, truss lay-out may be needed (Hip and girder location shown) MF6 TI&4$SeS
Oalf
l Framing - Does bearing-wall height exceed 10'? (Engineering may b Cequired)_ Id F M0_4C,
_ or framing: Floor joists (size & spacing): 9 VX ! J e i 5t 19•Z, Floor beams: Pb>,•/ W!!LLU
V�indow headers. Typical header: yx10 DO 1�Z Garage header. '!X I2 DFtr2.-
;--Foundation: footing size, reinforcement rhea.,
_✓Concrete Walls - Does Concrete Wall Height Exceed 8'. (Engineering ay be required, see details)
✓Landings at all exits? Less than 30' above grade? Y/ N (must be shown on site plan)
_IZWater Heater. Location: Type: E1 GC,{V C_.
_Window Sizes Marked on Plans.
raced wall pa (shear walls) MUST be marked/indicated on plans.
vEngineered es No Snow load: 2-S Seismic: D2 Design Code: ZO I S Are plans stamped
Manufactured Homes:
4 Floor Plans (rooms&areas must be labeled)
Foundation Type:
ANSI/Manufacture metho Engineered f foundation Basement
Decks`: 44=and/or
d at each entra e shown on site/plot plan)
`Covered dcks greater than a 4'x4' that exceed 30'from arade r Permit and
co non plans.
COMMENTS:
Intake review(initials ::Date: d 2
H:\permit tech building checklist2015.doc Revised 8.5.2016
If any of the items listed below are either indicated or missing within the construction
documents; the plans must be engineered or returned to the,applicant for resolution.
ENGINEERING REQUIRED:
Braced wall panels/brace 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: D2, Snow_psf. ,
IRREGULAR BUILDINGS R301.2.2.2.5 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 shear wall or braced wall line are not in one plane vertically from the foundation to the uppermost
story in which they are required. See exceptions.
2) Roof or floor is not laterally supported by shear walls or brace walls lines on all edges.
3) Portion of roof or floor extend more than 6 ft. beyond the braced wall line.
4) End of BWP extends more than 1 ft. over an opening more than 8 ft in width below.
5) Opening in a floor or roof exceed the lesser of 12 ft. or 50% of the least floor or roof dimension.
6) Portions of floor level are offset vertically
7) Shear wall lines do not occur in two perpendicular directions.
8) If a story above grade includes masonry or concrete construction*When this applies the entire story shall be
designed. In accordance with accepted engineering practice. *(exception: fireplaces, chimneys, and veneer as
permitted by the code).
*'Applicant must take plans to a design professional to address items indicated above***
Notes/Comments for design professional:
H:\permit tech building checlLtist2015.doc Revised 8.5.2016
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