HomeMy WebLinkAboutBLD2005-02066 SFR - BLD Permit / Conditions - 2/6/2006 Inspection Line(360)427-7262
MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670,ext.352
Mason County Bldg. III 426 W. Cedar P.O. Box 186
Shelton,WA 98584
RESIDENTIAL BUILDING PERMIT BLD2005-02066
OWNER: BRIAN STROMBERG RECEIVED: 12/6/2005
CONTRACTOR: STANBROOKE CUSTOM HOMES 253-841-3900 253-841-3901 LICENSE:STANBCH983PP ISSUED: 2/6/2006
SITE ADDRESS: 512 NE RIVERHILL DR BELFAIR EXPIRES: 8/6/2006
PARCEL NUMBER: 1 g12b~4120,
LEGAL DESCRIPTION: TR 12 E1/2 NE &W1/2 NW LOT: A OF SP 475
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
SFR, STOCK PLAN #2003-0107 ST RT 3 TO BELFAIR,L ON ST RT 300, AT 4-WAY GO STRAIGHT ON TO
OLD BELFAIR HWY. TURN RIGHT ON NEWKIRK RD, TURN LEFT ON
RIVERHILL RD FOLLOW TO END TO SITE ADDRESS OF 512, SHARED
DRIVEWAY WITH 510 NE.
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: 3 Type of Constr.: V-B
Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3, U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building:2,178 Garage-Attached 484
Valuation: Building Height: 16 Occ. Status: Primary Basement: Cov. Porch 125
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: W 60.0 Ft. Shoreline: Ft. Water Body:
g SEPA?: No
Model: Width: Ft. Rear: E 1 .0 Ft. Slope: Ft. g.: Not
Side 1: IN40.0 Ft. Shoreline Desi Applicable
Year: Serial No.: Side 2: S 143.0 Ft. I Comp. Plan Desig.: Urban Growth Area
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 12/6/2005 $860.70 S22005000
Hosebibs 2 Furnace<100K 1 Planning Review Fee KKK 12/6/2005 $155.00 S22005000
Kitchen Sink 2 Ventilation Fan 5 EH Plan Review TW 1/13/2006 $75.00 522006000
Lavatories 5 Heat Pump 1 Building Permit Fee JRN 1/27/2006 $1,324.15 S22006000
Showers 1 Dryer Vent 1 Building State Fee JRN 1/27/2006 $4.50 S2 bb1 b00
Water Closets (Toilets) 3 Mechanical Fee JRN 1/27/2006 $79.60 S22006000
Water Heaters 1 Mechanical Base Fee JRN 1/27/2006 $23.50 S22006000
Bath Tubs 2 Plumbing Fee JRN 1/27/2006 $117.00 S22006000
Clothes Washer 1 Plumbing Base Fee JRN 1/27/2006 $20.00 S22006000
Total $2,659.45
BLD2005-02066 Please referto the following pages for conditions of this permit. 1 of 4
CASE NOTES FOR
BLD2005-02066
t -
CONDITIONS FOR
BLD2005-02066
1) Water yality is not to be degraded to the detriment of the aquatic environment as a result of this project.
X 15
2) Prior to final approval, all upland areas disturbed or new y�created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
3) A ro ed�er dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
X
4) Existing dwelling on property must be removed prior to construction of new single-family residence X
5) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X -
6) 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
XDej?�rnjpnt prior to any further inspections being performed or approvals granted.
7) In accordance with international codes and Title 14, Mason County Building Code, "Standards for Fire Apparatus Access Roads,"all new structures that
require an address shall have approved numbers or addresses located at the beginning of long driveways when the address is not clearly visible from the
access road. The numbers shall also be plainly visible and legible from the street or road fronting the property and shall contrast with their background.
Mason County Building Department requires that this be completed prior to calling for any site inspections. A re-inspection fee based on rates as adopted
by the jurisdiction and the international codes will be assessed if the owner and/or contractor fail to post the address on site prior to requesting
Xini sn�\
8) 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
reof approved documents will result in failure of required building inspections.
X
9) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X �S
BLD2005-02066 Please refer to the following pages for conditions of this permit. 2 of 4
10) -Vllashington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: IV, Window(Max U-Factor):0.40, Skylight (Max U-Factor):0.58,
7Xype/Max U-Factor):0.40 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-30, Slab Insulation R-10.
11) Stock Plan Identification number: 2003-0107
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspectgp,aeuach required inspection.
X
12) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete
(\work exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
X c l/7 / ,
13) Any changes 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 documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged
hall be collected by the Building Department prior to any further inspections being performed or approvals granted.
X
14) 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 limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in
permit reYoga<tipn-
X �� \\
15) 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 locat d within 25' 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
16) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance r g ttion, must be reviewed and approved by Mason County prior to construction.
X ,
BLD2005-02066 Please referto the following pages for conditions of this permit. 3 of 4
17) 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
s + shall be made prior to requesting additional inspections.
X
18) All property lines shall be clearly identified at the time of foundation inspection. X
19) 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
my ordinances and building regulations.
X
20) 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
hol a e evented action from being taken. No more than one extension may be granted.
X
21) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
c nector and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
X
This permit becomes null and void if work or construction 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 progr inspection.The owneror the agent on the owners behalf,represents that the information provided is accurate and grants employees of Mason County access to
the above described prop rte and-structure i inspection. (�
OWN ER OR AGENT / f DATE:v 2 V
BLD2005-02066 Please refer to the following pages for conditions of this permit. 4 of 4
A
CONCRETE MECHANICAL MANUFACTURED HOME Ch
Date By X
?I C-9 Footinlp(l Sotbacits Gas Piping Ribbons 0
C)
Interior Date By Interior-Date By Date By
0) Exterior Date By Exterior-Date By Sist-up 171
X
Point Load I Isolated Footings BG I SLAB I INSULATION NSULATION Data By 9)
Date By Data By FIRE DEPARTMENT 03
X
Foundation Walls Floors Date By
Date By Data By DECKS z
FRAMING Waft Date By
Date By Data By PROPANE TANKS
PLUMBING vault Date By
Date By OTHER
Groundwork Attic
Date By Date 4DI=1!25 iC2 BY Type:Date By
D.W.V DRYWALL Type:
cl-43 2. Int Brace wall Date 03
Date By�7 Date By r—
FINAL INSPECTION
Water Line Fire Separation tv
Date B Date By Date CD
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Zb, C)
Pass or Request Inspect. f%)
Type of Insp. Fail Date Date Done By Comments CD
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APPROVED
I V MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED TO 13E ON SITE
CHA UaJcCT TO APPROVA
oo� 8Y _ Date
R 61 PLAN PLOZ REVISION
s6A C00141 RECEIVED —
MP50N DATE -- 6I
A
APPROVED :� �. t a3,A-B A
MASON COUNTY DC-) PLANNIN
SITE PLAN REQUIRED TO BE ON E
� �5^/
CHANGE SUBJECT TO APPROVAL
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— Date 30 ,
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.�arGel � ► a.31a� -ao- q�raa
s7rOhld�l4G� �Yi�J'I �S
Request To Revise An Approved Plan
Permit Number: BLD200 �(Q(�_ Name U� S l ,ram _
Parcel Number Jam ( _ aO _ n Phone Number da ime( �)
Project Address tijaMLA s/;1 Ve Q ,Pr�„�\ Mailing Address cam\
Please provide a complete,detailed description of the proposed revisions to a roved plans:
l ft e- ,• ��
4
Are two sets of the revised plans or addendum indicating the changes included? ❑ No
Are the approved site plans included? s ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? tg,�Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? Yes
If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
Qlote:No shuchwW changes to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? (��Yes o No
If Yes, Is a revised site plan,-with all new setback dimensions included with this request?
Yes ❑ No
Additional Information: L 6
Applicant's signatur Dater l
Office Use Only R b .
Date Sent Assigned To Approved By pate
fE.H.
Original Valuation: $
Additional Valuation: $
Sq.Ft. x$ $
Sq.Ft. x$ S
q4 t_ �gtal New Valuation $
Additional Fees:
Additional Planning Dept. $
New Setbacks: Front / Rear / Additional Plan Review $
Additional Building Permit $
Side1. / Side2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept. $�. J f j
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
T.n
Revised SRG W22re 03
Request To Revise An Approved Plan
Permit Number: BLD200 rD - DCO Name
Parcel Number gg1;?o Phone Number da ime C j 3 ) T(Vr-,R1 j
Project Address sla A S %WgW l� Qf Mailing Address 601 LZAl ify )r. ,(Sta1
--r
Please provide a complete,detailed description of the proposed revisions to the approved plans:
Are two sets of the revised plans or addendum indicating the changes included? ❑ Yes ❑ No
Are the approved site plans included? f tzyes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? Yes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes 94Ro
If Yes,Has the engineer or architect approved this revision? ❑ Yes JQ No
Is a stamped and signed approval included with this request? ❑ Yes 11 No
(Note:No structural chances to a"designed"plan will be approved without the written consent of the engineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? f Yes ❑ No
If Yes,Is a revised site plan,.with all new setback dimensions included with this request?
. g Yes ❑ No
Additional Information:
Applicant's signature Date: �7-- 49 0 G.
Office Use Only Received by
Date Sent Assigned To Approved By Date
B. Original Valuation: $
Additional Valuation: $
Sq.Ft. x$ $
1. Sq.Ft. x$ $
,H I 7 Total New Valuation $
P W Additional Fees:
Additional Planning Dept. $
Additional Plan Review $
New Setbacks: Front / Rear / Additional Building Permit $
Side1_ / Side2 / Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $____,�
Additional E.H.Dept. $
Other $
Total Amount Due: $ �
Amount To Be Paid Up-Front$
TsY filial
RevbW SW i2?ID=
T
APPROVED
MASON &RUNTY OCD PLANNING
SITE PLAN REn1,3IRED 10 BE ON SITE
CHANGES ijBjECT TO APPROVAL
Date ok)
- By
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TOPS FORM 3314 - -
MA',JE IN'J �.�1-
APPROVED
MASON COUNTY DCD PLANNING
SITE PLAN REQUIRED" TO BE ON SITE
CHA?GE U13JECT TO APPROVA
By — Date 10fo
61
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APPROVED
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MASON COU,`�TY PCD PLANNING
SITE PLA°� REQ;112t D TO BE ON SITE
LOT REVISION CHA Uc3JECT TO APPROVA
�vN '�(AN P L By - Date
cOv RECEIVED e
MPSON DAIE
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61
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APPROVED
MASON COU"NTY DCD PLANNING -'
SITE PLAN REQUIRED TO
BE ON SITE � 7Z
CHANGES SUBJECT TO APPROVAL
8y — Date
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ST RO'�
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PLANNING:
L
ETBACKS ARE MEASURED
ROM THE FURTHEST
CTION OF THE BUILDING
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MA ONCO TY RESIDENTIAL PLANS SUBMITTAL CHECKLIST
Owner's Name: S 6y' ` Date: �Z C1J Reviewed By:
Documents:.
_Building Permit Application Completed
j,,- Planning Intake Checklist Completed, S
S'e plan includes:Allowable building area,r verhangs,decks, etc.
1/ yire Apparatus Access Road info required? Yes/ o
Energy Code Application Form-O Electric wall heater O Electric central furnace O LPG Furnace
`§(Heat pump with electric furnace O Heat pump with LPG furnace O Boiler(heat type_
O Other: Specify:
echanical/Plumbing Application-WATER HEATER FUEL TYPE i e�
Engineering? Yes No Snow load used:_ Seismic Zone(c' a ne): D 1 or D2
—Geotechnical report or assessment?
Construction Plans:_3 COMPLETE SETS
_jZlans Legible 1/Recognized Scale 1�Elevation Views rocs Section
V Foundation Plan 11400f Framing Plan Floor Plan-Use of Rooms Noted
1/ loor Framing Plan-all floor levels represented? Loft,crawlspace, etc.
Deck Framing Plan,including covered.porch framing
Plan Details:
ls
Roof framing details,truss lay-out may be needed �u
k,' Wall Framing-Does bearing—�jO he t exceed 10'?(Engineering may be required) V/
Floor framing: Floor joists: ,Floor beams:
Window headers: Typical header: y X V
Foundation: footing size,reinforcement
Concrete Walls-Does Concrete Wall Height Excee '?(Engineering may be required)
andings at all exits? Less than 30"above grade Y N
Heated By Furnace-Location of Furnace
_-replace/Stove Information Shown-Fuel Type.
✓Window Sizes Marked on Plans
_ Story Garage? (Engineering may be required) R602.10.1, 1"story of a two-story D1-45%,D2-55%
t/Braced wall panels(shear walls)marked on plans or lateral engineering? (Plans may not be approved if not provided.)
COMMENTS:
IRREGULAR BUILDINGS(Irregular Shape)R301.2.2.2.2
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.
7)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.
2003 IRC Plans submittal checklist simplified/WORD
REQUIRED BRACED
OUT OF PLANE - REQUIRED BRACED WALL PANEL
OFFSETIN WALL PANEL
EXTERIOR BRACED
WALL —————— — _ __ _ _ _ —————
FFPI 1 I ❑� 1
` 1 = 0I I I
------ ------- -- -----I
SECTION VIEW SECTION VIEW
Figure R3012222(l) I I
BRACED WALL PANELS OUT OF PLANE
THAN 1 FT MORE THAN 1 FT
EXTERIOR ELEVATION EXTERIOR ISOMETRIC
4 FT WITH 2 x 12 "... For SL 1 foot.304.8 mm. Figure R3012222(S)
BRACED WALL PANEL EXTENSION OVER OPEWNG
CANTI
BACK SHALL ONLY .. - MORE THAN B=
SUPPORT ROOF ---------� T IS IRREGULAR
AND WALLWEKiFfT jjlF------ 'I T Jr-.—--== - 1
I I I
III—======�i
II II II B2 II II II
® II II II I�SECTIONTHRUCANTILEVER 4FTWI1'H2x12 SECTION THRU SET BACK LL==_==JL LL=
PorSL l imd-25A mqt,1 Loat-30U mm.
r �T MORE THAN B7/2
IS IRREGULAR
PLAN VIEW- PLAN VIEW .BRACED WALL PANELS StWPORTED CAN7ILEYER OR BET BACK
Figure A301.2222(S)
OPENING LIMITATIONS FOR FLOOR AND ROOF DIAPHRAGMS
p F-1.
II II 11
I I I FLOOR JOISTS CANNOT BE FLOOR JOISTS CANNOT BE
TIED DIRECTLY TOGETHER
TIED DIRECTLY TOGETHER
II II II II
�I II it �I
I II
DASHED LINE INDICATES I I I I
BRAG WALL LINE BELOW U
THERE IS NO BRACED
PLAN VIEW WALL LINE ON THIS EDGE
OF THE ROOF
gl SECTION VIEW SECTION VIEW
FLOOR OR ROOPt10T> ALL EDGES _
PORTIONS OF FLOOR LEVEL OFFSET VERTICALLY
BRACED WALL LINES ARE
rr —_ .==— I—=—--�� NOT PERPENDICULAR
Ij �I 11
IL------JI �r=--==1� ��— ---------—11
II II II II ��_--------- I I
IL====- L--_-JL-----
ROOF OR FLOOR SHALL BE PERMITTED UTO EXTEND UP To
BRACED WALL LINE FEET BEYOND THE
NO BRACED WALL PANEL ABOVE
PLAN VIEW
PERMITTED AT THIS LOCATION .
Par 9:l Loot=301.8 mm. PLAN VIEW
ROOF OR FLOOR EXTI7LSpN WALL LINE - Figure R3g12222M
BRACED WALL LINES NOT PERPENDICULAR
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner: �� ors -�R Telephone: ° Parcel#: IZ3 Z-l-Z p - Ct G
Type of project New Residence ( )Addition ( ) Remodel
Total Sq. Ft. 1 Floor : 2" floor: Heated Basement:
of heated area:: Z ( a,
Heating System: O Electric wall heater O Electric Central Furnace OLPG Furnace
• Heat Pump with Electric Furnace O Heat Pump with Gas Furnace O Boiler, specify fuel type
O Other: Specify:
Glazing ! Prescriptive Option see reverse side circle one: I II IV
� Percentage: Compliance
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:
�LSt
• (�o� l-t-� . 3 S � v � o l 1_Cp
35 v 5D I
of 0 3 La 114
CoO � O
D go go I I (.p
�O C(O a� 14�
Windows: Total Sq. ft. Z c.( Gj
Doors:
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 SEATTLE (206)464-6968
ELMA (360)482-5269 FAx: (360) 427-7798 WEB SITE: www.co.mason.wa.us
P.O. Box 186, SHELTON 98584
2001 Washington State Energy Code (WSEC)
effective July 1, 2002
2000 Ventilation and Indoor Air Quality Code (VIAQ)
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. Complete the window and door schedule on the reverse side. Include all windows, skylights,
sliding glass doors, french doors and any door that is more than 50% glass. Use rough opening
dimensions of the windows and doors. Information about the U-factor of the window will also help
to expedite the energy code review. If you are complying with the WSEC by prescriptive path and
are using the area weighted average method you must include your calculations.
3. On your building plans note the location and fuel type of water heater, location of exhaust fans
(bathroom, laundry, kitchen, etc.) and R-factor of insulation proposed for walls, floors, ceilings and
slabs,
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 284. Additional
WSEC and VIAQ compliance information is available on the internet at:
www.energy.wsu.edu/buildings/
Prescriptive Requirements 0,1for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Door Wall Wall Wall
Option
Area %of U_ Ceiling Vaulted Above interior4 exterior Slab'
Floor „ z Ceiling3 Grade below 4 Below Floors on 10 Vertical Overhead Factor s r
12
grade Grade Grade
I 12% .35 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
II* 15%* .40 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
IV Unlimited
Single
Family Res .40 .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.284 for footnote information. Log&solid timber wall with a min.avg.thickness of 3.5"are
exempt from the above grade wall insulation requirements.
FORM MUST BE COMPLETED PI INK r
PLEASE PRESS HARD PERMIT NO: BLD
MASON COUNTY J
O
BUILDING PERMIT APPLICATION �� �r
426 W.Cedar/P.O.Box 186,Shelton,WA 98684
Shelton 360 427.9670 Belfair 60 2764467 Elrtu 360 -6269 Seattle 206 -4968
APPLICANT INFORMATION V�r � CONTRACTOR INF RMATION
Owner, .>r 132 fl rJ Contractor Name cn CJR�oX
Maili Address t) i 1 Mail' g Address 4
City it State WJ4 Zip Code City l� StatelinIAL Zip Code 1
Phone leo Z4l5- Other Ph.( Ph.(Z53 ) ul-- 00 Other Ph.(��
Lien/Title Holder Contractor Reg.# SrlarJ�C N
Address Expiration N c*.2-
IS
EPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Conned to Sewer
ystem Name of Sewer System WellWater SystemName of
ater System
PARCEL INFORMATION-12 digit Tax Parcel No. Z /_7-0 q S(2 O Fire District
Legal Description T Y QL l�J )1 D+: y
Site Address(Please include street name,street number and city) f5t Z. C J i
Directions to site £fi-,—a rQ -3
Will timber be cut Snb sold in parcel preparation? es/No)
Is your property within 200'of the following:Body of Water(Name) Saltwater
Lake River/Creek Pond--Wetland—Seasonal Runoff Stream Slopes or
Bluffs
PERMANENT RESIDENCE% SEASONAL RESIDENCE❑
TYPE OF JOB New Add Alt Repair Other Use of Building
Describe Work
No.of Bedrooms ? No.of Bathrooms 3 SQUARE FOOTAGE-1st FloorZI 7-$ 2nd Floor
3rd Floor Loft Basement Deck Other so ft.
Garage " '��Attached=_Detached Carport Attached Detached
MOBILE HOME INFORMATION-Make Model 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.
NOTICE: THIS PERMIT BECOMES NULL&VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 130 DAYS AT ANY TIME AFTER THE WORK IS COMMENCED.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION. The owner or agent on owner's behalf,represents that the
information provided is accurate and grants employees of Mason County access to the above described property and structures for review and
Inspection of this project. Acknowledgment of such is by signature below:
OWNER AFFIDAVIT-1 certify that t am exempt from the requirements of the CONTRACTOR'S AFFIDAVIT-1 certify that I am currently registered as a
Contractor Registration Law RCW 18.27 and am aware of the ordinance contractor in the State of Washington and that I am aware of the ordinance
requirements for which this permit is issued and that all work will be done in requirements regulating the work for which this permit is issued and all work
co ante ther o changes shall be made without first obtaining shall be done in conformance therewith. No changes shall be made without
Xap firs1 obtaining approval.
1 —6� Iti (Date _ - Date
R OFFICIAL USE BEYOND THIS POINT
Accepted by Date Submittal Amount Due Receipt No.
oi .REYItitY: : a�ePRovEa CON
Building a r bEfi!E .
Building Department 1 C7C.
Occ Group Type Constr.
Planning Department U„ "T
Environmental Health Department f��(�•��o r V
Public Works Department
Fire Marshal
Valuation S
L
Building Permit Fee L:? Site Inspection
Plan Review Fee EH Review Fee
Plumbing&Base Fee _ Planning Review Fee 77
Mechanical&Base Fee I v Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal ( )
' TOTAL FEES
1