HomeMy WebLinkAboutBLD2009-00973 Cancelled Garage to Living Space - BLD Application - 11/17/2009 FORM MUST BE eOMPLETED IN INK MASO.,i COUNTY PERMIT NO 'AlCI 2&f7-
PLEASE PRESS HARD BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 I [A n
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 11 �'— i i O r 1 , Company Name
Mailin,Addr ss 41 Wailing Address
City La tate LJA_Zip Code Z-- �ity $tat Zip Code
Phone r-253-56 1-02 er Ph. Phone Other Ph.
Lien/Title Holder Contractor Reg. Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic. # DOB
SEPTIC /WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well Sewer Syste Name of Sewer SystemS
PARCEL INFORMATION - Digit Parcel—No. Fire Districii`�
Legal Description 1
Site Address (Please indlude street na _Q, street number and city) e- I c_
Diriecti ns to it / ` 1 I'
&
Will timber be cut ol6i rcel pre ara n?Yes No
Is property within 200,of Saltwater L �e Lake River/Creek Pond
Wetland Seasonal Runoff 'Stream .Slopes or Bluffer 1 /.
Is this permit submittal the result of a,4jap Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB New ,Add� t I Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building )```- IDc�S nescribe Work ' ► %' �� n t 1S E �rorr �C�ic,n�r�,c ' t�� L vi(�q•_k
No. of Bedrooms I No. of Bathrooms SquareFoo6ge- 1st Flo or-5r�
3rd.Floor Basement Deck Covered Deck Other Sq. ft.
"Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Price$ Replacement Unit? Yes/ No
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 i onstruction work is suspended for a period of 180 days. PROOF OF CONTINUATION OF WORK IS BY
MEANW0FOGRfSS I SIDE INA TIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALI ATE THE
APPLICATION.
X Date: 1 51 o I
Owner/Owners Representative!Contractor (indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: kn Date
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department n
Fire Marshal
FEES
Building Permit Fee Site Ins ection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/ Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
le 2
µi MASON COUNTY PERMIT NO.
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 INNFPRMATION CONTRACTOR INFORMATION
Owner Company Name
Mailing Add es Mailing Address
Cit tate 14Zip Code zz- City State Zip Code
Phone - Other Ph.;;t Phone Other Ph.
Lien/Title Holder Contractor Reg.4 Exp.
E mail address E Mail Address
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Se tic Existing Septic Connect to Sewer System �J-f
Name of Sewer System
PARCEL INFORM ION - 12 Digit Parcel No. 2
A Fire District 3
Legal Description
Site Address (Pleasa in ude strreei ame, street number nit 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 - 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electrir_ LPCz_ Natural Gas_ Heat Pump_
Toilets I Type of Unit No. of Units Fees
Bathroom Sink I Furnace
Bath Tubs Heatpumps
Showers ► Spot Vent Fan i
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/PelletStove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent I
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OMER/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 g nts employees of Mason County access to the above described property and structure for review and inspection.
PROD OF CONTI U+A I N OF ORK IS BY MEANS OF A PROGRESS INSPECT17Z
X Dater�"
Owner/Ow er Representa roe/contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by �Planning Pd Ck# Date Bld Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department � "It
Occ Grou k-� T e Constr.v r,�f' Mt)
.101
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
RECEIVED
- - -- - - . - - 426 W. CEDAR ST.'
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APPROVED
U MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO BE ON SITE
CHA�I S JECT TO APPROVAL
"� BY Date G
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner:. n Telephone�3_,_U� arcel#: 1 ZZZq- S -o�O3a
Type of project ( ) New Residence ( )Addition Remodel &hancf,o.
Total Sq. Ft. 1 st Floor:,,, 2" floor: Heated Basement:
of heated area:: 5�1(,o c
U
Heating System Type: • Electric wall heater O Electric Central Furnace O LPG Furnace Rl
O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type:
O Other: Specify
Glazing Compliance a Prescriptive Option see reverse side circle one: I I I IV
Percentage: P
Method O Component Performance , Chapter 5— Calculation worksheets required
Check one::
% O Systems analysis, Chapter 4
® Whole House Ventilation system O Whole House Ventilation using a Heat
Ventilation using exhaust fans&window or wall fresh air
Recovery Ventilation System (VIAQ 303.4.4)
System vents (VIAQ 303.4.1)
Check one
O Whole House Ventilation Integrated O Whole House Ventilation using an inline
with a Forced Air System (VIAQ 303.4.2) supply fan. VIAQ 303.4.3)
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
Windows:
Windows: Total Sq. ft.
Doors:
I
Doors: Total Sq. Ft
Total window and door area
Total window &door area /(divided by) total sq. ft of heated area = %of glazing
MASON COUNTY
DEPARTMENT OF COMMUNITY DEVELOPMENT
Permit Assistance Center
SHELTON (360) 427-9670 BELFAIR (360)275-4467 Elma (360)482-5269
FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2006 Washington State Energy Code (WSEC)
2006 Ventilation and Indoor Air Quality Code (VIAQ)
Effective July 1, 2007
Code Compliance Application Form
The following information will be required for the WSEC and VIAQ plan review:
1. Complete the Washington State Energy Code/Ventilation and Indoor Air Quality Code (WSEC/VIAQ)
application located on the reverse side.
2. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and
any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate
size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors,
the plan reviewer will assume all window & door glazing will have a u-factor of .35 or less. When using the
area weighted average method to comply with the prescriptive path include calculations with submittal
documents.
3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust
fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and
slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor.
All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps.
To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360)427-9670 ext. 352. Additional WSEC
and VIAQ compliance information is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Vaulted Wall Wall Wall
Area%of Door Ceiling Ceiling3 Above interior exterior Slab 6
Option Floor U s Z See note Grade 4 below 4 Below Floor 5 on
10 Vertical Overhead Factor below 12 grade Grade Grade
I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
II* 15%* .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
IV Unlimited
Single
Family Res .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
(R-3)Only
*Reference Case/Call(360)427-9670 ext. 352 for footnote information. Log&solid timber wall with a min. avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.Vaulted ceilings shall be limited to 500 sq.ft. of ceiling area for any
one dwelling unit.
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