HomeMy WebLinkAboutBLD2015-00217 Remodel Garage, Bathroom - BLD Permit / Conditions - 5/26/2015 Inspection Line (360)427-7262
��6oN °o` rA MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 352
Mason County Bldg. III
426 W. Cedar
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2015-00217
OWNER: EMILY OUTCALT RECEIVED: 3/27/2015
CONTRACTOR: LICENSE: EXP: ISSUED: 5/26/2015
SITE ADDRESS: 5632 E STATE ROUTE 302 BELFAIR EXPIRES: 11/26/2015
PARCEL NUMBER: 122335000019
LEGAL DESCRIPTION: OLYMPIC SHORE TR 8 E 1/2 &T.L.
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
COVERT 136 SQ FT OF GARAGE SPACE INTO A WA ST RT 3 N, CONTINUE STRAIGHT ONTO E NORTH BAY RD, CONTINUE
MUDROOM/BATHROOM, ALL WITHIN EXISTING FOOTPRINT ONTO WA-302 E, SITE ON RIGHT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 1 Occ. Group: U Lot Size: Deck:
Type of Work: ALT Fire Dist.: No. of Stories: 1 Occ. Load: Building:
Valuation: $ 9,310.56 Building Height: Occ. Status: Basement: conversion 136
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: Ft. Shoreline: Ft. Water Body:
SEPA?:
Model: Width: Ft. Rear: Ft. Slope: Ft. Shoreline Desi
Side 1: Ft. g"
Year: Serial No.: Side 2: Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 1 Ventilation Fan 1 Plan Check Fee JBN 3/27/2015 $ 117.81 S2201500000001
Lavatories 2 Building State Fee JBN 3/27/2015 $4.50 S2201500000001
Bath Tubs 1 Building Permit Fee JBN 3/27/2015 $ 181.25 S220150000000i
Showers 1 EH Minor Plan Review SDW 3/27/2015 $ 100.00 S620150000000i
Water Heaters 1 Mechanical Permit Fee RTB 5/13/2015 $9.00 S1201500000001
Mechanical Base Fee RTB 5/13/2015 $28.50 S120150000000i
Plumbing Permit Fee RTB 5/13/2015 $52.20 S120150000000(
Plumbing Base Fee RTB 5/13/2015 $24.70 S120150000000i
Total $517.96
BLD2015-00217 Please refer to the following pages for conditions of this permit. Page 1 of 4
CASE NOTES FOR
BLD2015-00217
CONDITIONS FOR
BLD2015-00217
1) On-site septic system final installation required prior to temporary/final occupancy.
2) All other necessary permits from Mason County, Washington State and/or Federal Agencies that a uirnf�offhis pro development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X ,//
3) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800 4 - lk�
T rs peo g this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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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
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
Dep =to � furt �rrspections being performed or approvals granted.
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5) Own /Agent is resp nsible to oos signed address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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6) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
rZv I 7 of approxed ments w re failure of required building inspections.
7) All slabs within the heated space shall be ins � # i R-10 for at le t 24". Monolithic slabs shall be insulated around the perimeter from the
top of the slab to the bottom of the footing X �//y
8) All wall cavities serving as exterior walls, exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and
insp cted prior t cov . In lation es shall be as follows: 2x4 wall cavities min. R-15 and 2x6 wall cavities min. R-21.
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BLD2015-00217 Please refer to the following pages for conditions of this permit. Page 2 of 4
9) 2012 IECC/Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option Marine-4C, Window(Max U-Factor):0.30, Skylight(Max
U-Factor):0.50, Doors (Type/Max U-Factor):0.30 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation min. R-49, Vault Insulation R-38,
and Slab Insulation R-10.
In ad Pon the following cr dits fro R406.2 Shall be completed as follows: energy credit N/A
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10) All construction must meet or exceed all local ordinances and the international codes requirements as adopted and amended by Mason County and the
State of Washington. Occupancy is lim'ted to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit
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11) Provisions for surface/subsurface drainage control must be implemented with new construction or development on site and MUST NOT adversely impact
adjacent parcels. Under the requirements of Mason County Stormwater Ordinance, either private ditches and drains will meet requirements of the
stormwater ordinance or prior approval will be granted to use an existing utility and drainage easement dedicated for that specific purpose. For further
information regarding this ordinance and the REQUIREMENT to obtain an ACCESS PERMIT for the installation/construction of a driveway or access
connecting from a Mason County Road, Contact the Mason County Public Works Department prior to construction at Ext 450. For any construction which
is proposed to be located within 2 ' of a Mason Cgunty 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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12) All changes to"approved" building I s-thaf-effect compliance with the international codes as amended and adopted, or any other Mason County
ordin r fo reviewed and approved by Mason County prior to construction.
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13) CONSTRUCTION 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 international codes as amended and adopted by Mason County. Any corrections, changes or alterations required by a Mason County Building
Inspoctor shall be mad nor to r a itional inspections.
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14) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
to request a final inspection or to obtain approval will be documented in the legal property records on file with Mason County as being non-compliant with
Mas or ance nd gutations.
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15) All permits expire 180 days after permit issuance, or 180 days after the last inspection activity is performed. The Building Official may extend the time for
action for a period not exceeding 180 days, upon the receipt of a written extension request indicating that circumstances beyond the control of the permit
(olde ��� acti fro No more than one extension may be granted.
u o
BLD2015-00217 Please refer to the following pages for conditions of this permit. Page 3 of 4
16) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
conn Z
s an ashi t a connectors approved for contact with the new types of pressure treated material.
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17) ALL SURFACE WATER AND POTENTIAL RUNOFF WILL BE CONTROLLED ON SITE AND SHALL NOT ADVERSLY AFFECT ANY ADJACENT
PRffiE=
TY FLOW ENTERING OR ABUTTING TO ANY STATE OR COUNTY CULVERTING/DITCHING SYSTEM
OR
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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 INSPECTION. INACTIVITY OF THIS
PER
7APPLICATION IF 180 DAYS WILL INVALIDATE THE APPLICATION.
5 2
Signature I Date
t��Iw OWNER - REPRESENTATIVE - CONTRACTOR
Print Name (Circle one to indicate)
BLD2015-00217 Please refer to the following pages for conditions of this permit. Page 4 of 4
BUILDING
DEVELOPMENT
MASON COUNTY DEPARTMENT OF COMMUNITY
WSEC/ Ventilation Code Compliance Application
Submit with heating/cooling system size worksheet (see instructions #4)
Owner: Parcel#: Type of project:
Total Sq. Ft. / „ is' Floor : 2n floor: Heated Basement:
of heated area:.-
Heating System Type: O Electric wall heater O Electric Central Furnace O LPG Furnace rlo
O Heat Pump with electric furnace O Heat pump with gas furnace 0 Ductless Heat Pump OR-_ El 2C�1C r
O Boiler, specify fuel type: O Other: Specify:
0 Prescriptive Option Table R402.1.1
Compliance Method 0 Component Performance, R402.1 .3 — Calculation worksheets required
Check one::
O Other (Specify):
Check one 0 Whole House Ventilation system Whole House Ventilation J Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1507.3.4) System (M1507.3.5)
Referencing Table R406.2, "Additional Residential Energy Efficiency Requirements," all residential units
must develop credits as specified in Table 406.2. Identify and describe which option(s) will be used to
comply. If the table is not attached to this form you can access the table on our website at:
http://www.co.mason.wa.us/forms/Community Dev/index.php.
Additional
Energy a) Description: Small dwelling units with less than 1500 sq. feet of heated or cooled
Efficiency space and less than 300 sq. ft fenestration (see definition below) or additions to an
Requirements existing building that is less than 750 sq. ft. of heated area. To use this option
Energy credits complete a window schedule in order to verify that the fenestration area does not
exceed 300 sq. ft. Fenestration is defined in the IECC as skylights, roof windows,
required: vertical windows, opaque doors, glazed-doors that include products with glass and
non-glass glazing materials. — 0.5 points
I b) Medium dwelling units not includes in a) above, or b) below— 1.5 points
c) Large dwelling unit is a dwelling unit that exceeds 5000 sq. ft. of heated or cooled floor
area. — 2.5 points.
Describe Energy Credit Option(s):
Using Option number(s): A) w� VQ_�
RECEIVED
426 W. CEDAR ST.
ia-
FENESTRATION SCHEDULE
USE FOR ENERGY CREDIT, a) SMALL DWELLING OPTION & COMPONENT PERFORMANCE COMPLIANCE
List all windows, doors, skylights. (If needed, attach an additional sheet)
Fenestration is defined in IECC Chapter 2 as skylights, roof windows, vertical windows, opaque doors, glazed-doors that
include products with glass and non-glass glazing materials.
Manufacturer Location U-Factor Size Quantity Total
rough opening) Square Feet
Total Fenestration: windows, skylights and door area
WASHINGTON STATE ENERGY CODE, RESIDENTIAL PROVISIONS
TABLE 406.2
ENERGY CREDITS (DEBITS)
OPTION DESCRIPTION CREDIT(S)
la EFFICIENT BUILDING ENVELOPE Ia: 0.5
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Fenestration U.=0.28
Floor R-38
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 5%.
lb EFFICIENT BUILDING ENVELOPE lb: 1.0
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Fenestration U.=0.25
Wall R-21 plus R-4
Floor R-38
Basement wall R-21 int plus R-5 ci
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 15%.
lc EFFICIENT BUILDING ENVELOPE lc: 2.0
Prescriptive compliance is based on Table R402.1.1 with the following modifications:
Fenestration U.=0.22
Ceiling and single-rafter or joist-vaulted R-49 advanced
Wood frame wall R-21 int plus R-12 ci
Floor R-38
Basement wall R-21 int plus R-12 ci
Slab on grade R-10 perimeter and under entire slab
Below grade slab R-10 perimeter and under entire slab
or
Compliance based on Section R402.1.4: Reduce the Total UA by 30%.
2a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2a: 0.5
Compliance based on R402.4.1.2: Reduce the tested air leakage to 4.0 air changes per
hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a high efficiency fan(maximum 0.35
watts/cfin),not interlocked with the furnace fan ventilation systems using a furnace
including an ECM motor are allowed,provided that they are controlled to operate at
low speed in ventilation only mode.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the option being selected and shall specify the
maximum tested building air leakage and shall show the beat recovery ventilation
system.
2b AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2b: 1.0
Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 2.0 air
changes per hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a heat recovery ventilation system
with minimum sensible heat recovery efficiency of 0.70.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum tested building air leakage and shall
show the heat recovery ventilation system.
2c AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION 2c: 1.5
Compliance based on Section R402.4.1.2: Reduce the tested air leakage to 1.5 air
changes per hour maximum
and
All whole house ventilation requirements as determined by Section M1507.3 of the
International Residential Code shall be met with a heat recovery ventilation system
with minimum sensible heat recovery efficiency of 0.85.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the maximum tested building air leakage and shall
show the heat recovery ventilation system.
3a HIGH EFFICIENCY HVAC EQUIPMENT 3a: 0.5
Gas,propane or oil-fired furnace with minimum AFUE of 95%
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3b HIGH EFFICIENCY HVAC EQUIPMENT 3b: 1_0
Air-source heat pump with minimum HSPF of 8.5
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3c HIGH EFFICIENCY HVAC EQUIPMENT 3c: 2.0
Closed-loop ground source heat pump;with a minimum COP of 3.3
or
Open loop water source heat pump with a maximum pumping hydraulic head of 150
feet and minimum COP of 3.6
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
3d HIGH EFFICIENCY HVAC EQUIPMENT 3d: 1.0
DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL:
In homes where the primary space heating system is zonal electric heating,a ductless
heat pump system shall be installed and provide heating to at least one zone of the
housing unit.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and the minimum
equipment efficiency.
4 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM:` I.0
All heating and cooling system components installed inside the conditioned space.All
combustion equipment shall be direct vent or sealed combustion.
Locating system components in conditioned crawl spaces is not permitted under this
option.
Electric resistance heat is not permitted under this option.
Direct combustion heating equipment with AFUE less than 8016 is not permitted
under this option.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the heating equipment type and shall show the
location of the heating and cooling equipment and all the ductwork.
Sa EFFICIENT WATER HEATING 5a: 0.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.62
or
Electric water heater with a minimum EF of 0.93.
and for both cases
All showerhead and kitchen sink faucets installed in the house shall be rated at 1.75
GPM or less.All other lavatory faucets she be rated at 1.0 GPM or less.b
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the water heater equipment type and the minimum
equipment efficiency and shall specify the maximum flow rates for all showerheads,
kitchen sink faucets and other lavatory faucets.
5b EFFICIENT WATER HEATING 5b: 1.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.82
or
Solar water heating supplementing a minimum standard water heater.Solar water
heating will provide a rated minimum savings of 85 therms or 2000 kWh based on the
Solar Rating and Certification Corporation(SRCC)Annual Performance of OG-300
Certified Solar Water Heating Systems
or
Electric heat pump water heater with a minimum EF of 2.0 and meeting the standards
of NEEA's Northern Climate Specifications for Heat Pump Water Heaters
or
Water heater heated by ground source heat pump meeting the requirements of Option
3c.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall specify the water heater equipment type and the minimum
equipment efficiency and,for solar water heating systems,the calculation of the
minimum energy savings.
6 RENEWABLE ELECTRIC ENERGY: 0.5
For each 1200 kWh of electrical generation provided annually by on-site wind or solar
equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated
as follows:
For solar electric systems,the design shall be demonstrated to meet this requirement
using the National Renewable Energy Laboratory calculator PVWATTs.
Documentation noting solar access shall be included on the plans.
For wind generation projects designs shall document annual power generation based
on the following factors:
The wind turbine power curve;average annual wind speed at the site;frequency
distribution of the wind speed at the site and height of the tower.
To qualify to claim this credit,the building permit drawings shall specify the option
being selected and shall show the photovoltaic or wind turbine equipment type,
provide documentation of solar and wind access,and include a calculation of the
minimum annual energy power production.
a. Interior Duct Placement.Ducts included as Option 4 of Table R406.2 shall be placed wholly within the heated
envelope of the housing unit.The placement shall be inspected and certified to receive the credits associated with this
option.
Exception: Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the
exterior cavities or buffer spaces of the dwelling.If this exception is used the ducts will be tested to the following
standards:
Post-construction test: Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft2 of conditioned floor
area when tested at a pressure differential of 0.1 inches w.g.(25 Pa)across the entire system,including the
manufacturer's air handler enclosure.All register boots shall be taped or otherwise sealed during the test
b. Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings(faucets and
showerheads)shall comply with the following requirements:
1. Residential bathroom lavatory sink faucets: Maximum flow rate-3.81 Jmin(1.0 gal/min)when tested in
accordance with ASME Al 12.18.1/CSA B125.1.
2. Residential kitchen faucets: Maximum flow rate-6.6 Lmin(1.75 gal/min)when tested in accordance with
ASME Al 12.18.1/CSA B125.1.
3. Residential showerheads: Maximum flow rate-6.6 Lmin(1.75 gal/min)when tested in accordance with ASME
Al 12.18.1/CSA B125.1.
MASON COUNTY RESIDENTIAL P ANS
O SUBMITTAL CHE IST p
wner's Name: � I W ce( Date: �-7 I S Reviewed By: "J"
Documents:
Building Permit Application Completed M/A—Stormwater Checklist
_Planning Intake Checklist Completed.,
,/Site plan includes:Allowable building area,roof ov gs,decks,etc. BUILDING
Fire Apparatus Access Road info required? Yes CN
V Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace
* Heat pump with electric furnace O Heat DUMD with LPG furnace O Boiler(heat type )
O Ductless Heat Pump O Other. Specify: t
MechanicaUPlumbing,Application-WATER HEATER FUEL TYPE/LOCATION �'
_Engineering? Yeo Snow load Seismic:_D2
Stock Plan-approved snow load Seismic: D2_
Manufactured Homes-4 FLOOR PLANS
undatio e: ANSUM ac method eered footing/foundation Basement
D vered. ncovered o 4 x 6 over 30' . lans required.
Construction Plans:b3 COMPLETE SETS
_Plans Legible ,/"Recognized Scale ✓ Elevation Views _`Gh"oss Section
_—Pomadation Plan _ an XZ Floor Plan-Use of rooms noted(all floors)
l� _ -199 -Foaming Plan-all floor levels including loft,crawlspace,etc. (<200 S.F. ??-stairs?)
N _ g Plan,incl cov.porch framing
Plan Details:
---Rsaf framing details,truss lay-out may be needed (Hip and girder location shown)
Z Wall Framing-Does bearing-wall height exceed 10'? (Engineering may be required)
—= 4e,c aming: Floor joists(size&spacing): ,Floor beams:
Window headers. Typical header: Garage header.
�dation:footing size,reinforcement
Gaecrete Walls-Does Concrete Wall Height Exceed 8'?(Engineering may be required, see details)
findings at all exits?Less than 30"above grade?Y/N
_Heated By Furnace-Location of Furnace Fuel type:
_Fireplace/Stove Information Shown-Fuel Type? Location(s):
Window Sizes Marked on Plans
v� Braced wall panels(shear walls)marked on plans or lateral engineering? RECEIVED
CONQV=S: MAR 2 7 2015
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: ,Snow_�sf.
-- IRREGULAR BUILDINGS R301-.2.2.12----- - -- ------- --- - -- --- - - --- - -- -- - - -- -- -
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.
i)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 checklistdoc Revised 11-29-2007
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MASON COUNTY Permit No:
DEPARTMENT OF COMMUNITY DEVELOPMENT
BUILDING•PLANNING•FIRE MARSHAL (360) 427-9670 Shelton ext. 352
http://www.co.mason.wa.us/community dev/ (360) 275-4467 Belfair ext. 352
1854 ��`��
y 426 W Cedar Street, Shelton WA 98584 (360) 482-5269 Elma ext. 352
B U I L D I N QUILDING PERMIT APPLICATION
IRIECE V
D
PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: MAR 2 7 201
NAME: %kl^ OLCAW- NAME: 426 MAILING ADD SS: 11D1 P�RSa�tS"Ct�rRtc D►, MAILING ADDRESS: AR ST.
CITYIAkG6 0 STATE: o P-- ZIP: --1y_2 CITY: STATE: ZIP:
PHONE,5()3•to310 (4(a1q CELL:42.6• 1- 59o(o PHONE: CELL:
EMAIL: �IyC(�{2p(,��[� Ago t.•!.a EMAIL :
L&I REG# EXP.
CONTACT : OWNER, . CONTRACTOR ❑ BELOW ❑
NAME: CA,L MAILING ADDRESS: 1101 fhjt:5acfeJ?4v&ce Dt'
CITY: STATE: 0 JZ— ZIP: -,IV 3q PHONE: 503•(p3(,-Yk-VCELL:SfY3•&36'L&,
EMAIL: a ?q)L. 6oM
PARCEL INFORMATION:PARCEL NUMBER(12 DIGIT NUMBER) I 2 2 33 C— J C�)OC) FIRE DISTRICT
LEGAL DESCRIPTION(ABBREVIATED) :
SITE ADDRESS_13(o32 I-. '5T t tZ-TE 3o2 CITY }3F�A t p—
DIRECTIONS TO SITE ADDRESS RqW 3nZ lv /tDDp DN : cX—tA II l S�DI OF ftw:x,
IS PROPERTY WITHIN 200 FT:
SALTWATER❑ LAKE ❑ RIVER/CREEK ❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF ❑ STREAM ❑
DOES PROPERTY HAVE SLOPE(S)WITHIN 300 FT OF THE PROJECT-GREATER THAN 14% YES❑ NO ❑
TYPE OF JOB: NEW ❑ ADDITION ❑ ALTERATIONK REPAIR❑] OTHER ❑
USE OF STRUCTURE(RESIDENCE,GARAGE ETC.) - 104Q 1n 6"_ �
IS USE: PRIMARY ❑ SEASONAL NUMBER�F BEDROOMS NUMBER OF BATHROOMS
DESCRIBE WORK
SQUARE FOOTAG �VQ(-+- 5062 (^'b
1 ST FLOOR sq. ft. F a ft. 7
00 S sq. ft.
DECK sq.ft. COVERED DECK sq.ft. STORAGE sq.ft. OTHER sq.ft.
GARAGE sq. ft. ATTACHED ❑ DETACHED ❑ CARPORT sq.ft. ATTACHED ❑ DETACHED ❑
MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED
MA M DEL YE GTH
WIDT BED OOMS BA S SERIA R
OWNER nowledges that NSNQaon 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 or owner's legal representative. 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 WORK IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT
APPLICATION OF 180 DAYS WILL CAUSE THE APPLICATION TO BE EXPIRED. (MASON COUNTY CODE 14.08.42)
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Signature of OWNER Date `
DEPARTMENTAL REVIEW APPROVE DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
FEE'S TOTAL VALUATION:
BUILDING PERMIT FEE FIRE ACCESS AND GRADE
PLAN REVIEW GEO-TECH REVIEW
PLUMBING&BASE FEE STORMWATER REVIEW
MECHANICAL&BASE FEE TOTAL FEES
WOOD/GAS/PELLET STOVE VIOLATION INVESTIGATION FEE
PLANNING REVIEW FEE VIOLATION FEE
MASON COUNTY BUILDING (360)427-9670 Shelton ext352
�5 �oa��A DEPARTMENT OF COMMUNITY DEVELOPMENT (360) 275-4467 Belfairext. 352
w BUILDING• PLANNING•FIRE MARSHAL (360)482-5269 Elma ext. 352
Mason County Bldg. III, 426 West Cedar Street '��. I0 a'I
PO Box 279, Shelton, WA 98584 www.co.mason.wa.us
1854
- PLUMBING & MECHANICAL PERNIIT
APPLICANT INFORMATION CONTRACTOR INFORMATION
Owner ll! yMi lj pit-.�T Company Name
Mailing Address001 pR Ut-5hDl5 'TL�� D2 Mailing Address
City LAB a5wtz•0 State 09 Zip Code e -,:ta3�A City State Tip Code
Phone- yD� -L462-� Other Ph.L125-2y1•-S (o o Phone Other Ph.
Lien/Title Holder 0a1 61ka Contractor Reg. # Exp.
E mail address U �-a E Mail Address
Drivers Lic.Ofi55Zg-715 DOB 12- 2 O 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 •Z 3 - 0 -0b Fire District
Legal Description
Site Address(Please include street name, street number and city) srmu tZ'i7• .302- bapi y.-
Directions to site 322- "� D D 5c'"I?•t 51QF nF ttl 6
VL SIDE cv Dtz�v
Is property within 200' of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New Add Alt Repair Other Use of Building
Location of Fixtures/Units- 1 st Floor 2nd Floor Basement Garage 7S Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electric_LPG—Natural Gas—Heat Pump_
Toilets t Tvpe of Unit No. of Units Fees
Bathroom Sink z Furnace
Bath Tubs t _ Heatpumps
Showers I Spot Vent Fan
Water Heater I Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/BUII..DER 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 s accurate and grants employees of Mason County access to the above described property and structure for rev is,ecIi V E D
PROOF F�c N NUA ON O O 15 MEANS OF A PROGRESS INSPECTION.
X // Z/ Date:3Z—�' 126(� M
Owner/Owners Representative/Contractor AR 2 7 2015
p Indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT 426 W. CEDAR ST.
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department //ff�� S
Occ Grouo�Tvoe Constr.
Planning Department
Environmental Health Department
FEES
Plumbing & Base Fee Site Inspection
Mechanical.&Base fee L UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee I TOTAL FEES
-0
existing ex(stirg —
�v �Q
ill
- - Existing Family Rm x
�Np
_T
U1
Den x
ud rm Sat
3,- a S4 SF Existing Bed Room
gn
° 2.6" -0• Ex i st i ng House
0
Sma\ 02 ! �
x 2-O"
MXS 18GYJU
Dlakn Min split
Elect � X
Exists �� m l
Ex f st i mg Laundry Bath \ -
�� XI
Extating KIt
N
Pantry Cab r
x 3'-0,1 x 2i.,r,,ii At 3-0° x 3-O" 24n
P co fJ ppa
�-600
---- Existing
' Gallon
APP j 1ST FLOOR FLAN OPTfON I Septic Tank 35 f�et
MC P PF'OHED SCALE: 114 = 1-0
A1 rf., 1
MAR 3 4 2015
CEW
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ENVIRONMENTAL
HEALTH f
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