HomeMy WebLinkAboutBLD2006-01265 Revised SFR Final - BLD Permit / Conditions - 6/29/2003 Request To Revise An Approved Plan
Permit Number: BLD200-�?-- ( �5 Name ,
Parcel Number Phone Number da lme 3 �
Project Address Mailin Address S'h
g i eC
r
Please provide a complete,detailed description of the proposed revisions to the approved plans:
— � • P �to /� � 1 �G�i+�
Are two sets of the revised plans or addendum indicating the changes included? 9 Yes ❑ No
Are the approved site plans included? ❑ Yes ❑ 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 ❑ No
If Yes, Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural chanties to a"designed"plan will be approved without the written consent of the enpineer and/or architect of record.)
Does the proposed revision modify the footprint or location of the structure? ❑ Yes ❑ No
If Yes, Is a revised site plan,with all new setback dimensions included with this request?
❑ Yes ❑ No
Additional Information:
Applicant's signature
Date:
Office use only Received by:
Date Sent Assigned To Approved By Date
o B. Original Valuation: $
Additional Valuation: $
11 P. U p� Sq.Ft. x$ $
o Sq.Ft. x$ $
21 E.H. a —�-� Total New Valuation $
P.W.
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.
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
Tah tulial
Revised SRG WW2 003
Request To Revise An Approved Plan
Permit Number: BLD200 o ( l p Name E rl 3-ci n.2_,�L) .
Parcel Number,�a 13 J - y 3 -ova C ) phone Number da time (34tV LI -
Project Address 31 lG Mailing Address
Please provide a complete, detailed description of the prop sed revisio to the approved pl _f
11 r I ..R w, I Y1 tom' h t r1Cl
(� f-
Are two sets of the revised plans or addendum indicating the changes included? W�Yes ❑ No
Are the approved site plans included? W'Yes ❑ No
Are the revisions clearly and accurately identified on the plans or addendum? tidlYes ❑ No
Does the plan contain an engineer's or architect's lateral or vertical analysis? ❑ Yes ❑ No
If Yes,Has the engineer or architect approved this revision? ❑ Yes ❑ No
Is a stamped and signed approval included with this request? ❑ Yes ❑ No
(Note:No structural 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? to Yes ❑ No
If Yes, Is a revised site plan,.with all new setback dimensions included with this request?
lia Yes ❑ No
Additional Information:
Applicant's signatureZ-/ o
Date:
Office Use Only Received by:
Date Sent Assigned To Approved By Date
B. Original Valuation: $
Additional Valuation: $
P. q�7 Sq.Ft x$ $
Sq.Ft. x$ S
E.H. nshq6r
otal New ValuationP.W. Additional Fees:
Additional Planning Dept. $
Additional Plan Review $
New Setbar�cs: Front 3�5 / _Rear 5p / Y) Additional Building Permit $
Sidel. S1de2�e5 W Additional Plumbing $
Additional Conditions/Comments: Additional Mechanical $
Additional E.H.Dept.
Other $
Total Amount Due: $
Amount To Be Paid Up-Front$
f;i
RerisM SRG i72ltOW
' 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 BLD2006-01265
OWNER: ED JONES RECEIVED: 7/19/2006
CONTRACTOR: HILINE HOMES OF GRAYS HARBOR 360-482-7750 LICENSE: HILINH*981 BT EXP: 2/10/2C ISSUED: 8/10/2006
SITE ADDRESS: 1231 E SPENCER LAKE RD SHELTON EXPIRES: 2/10/2007
PARCEL NUMBER: 221314304020
LEGAL DESCRIPTION: TR 2 OF SW SE
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR Spencer Lake Rd. Left side of road next to Halberg Road. They will have
STOCK#2003-0003 property staked and flagged.
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp. Area: No. of Bathrooms: 2 Occ. Group: R-31_1 Lot Size: Deck:
Type of Work: NEW Fire Dist.: 5 No. of Stories: 1 Occ. Load: Building:1,716 Garage-Attached 484
Valuation: Building Height: 15 Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline & Planning Information
Make: Length: Ft. Front: S 190.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: N 210.0 Ft. Slope: Ft. SEPA?: No
Model: Width: Ft. Side 1: W 240.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: E 45.0 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 KS 7/19/2006 $227.87 S12006000
Hosebibs 3 Ventilation Fan 3 Planning Review Fee KS 7/19/2006 $155.00 S12006000
Kitchen Sink 1 Dryer Vent 1 Address Fee GMM 7/25/2006 $140.00 S22006000
Lavatories 2 EH Plan Review TW 8/2/2006 $75.00 52200600o
Water Closets (Toilets) 2 Building State Fee ARC 8/3/2006 $4.50 S22006000
Water Heaters 1 Building Permit Fee ARC 8/3/2006 $1,139.35 S22006000
Bath Tubs 2 Mechanical Fee ARC 8/3/2006 $39.65 S22006000
Clothes Washer 1 Mechanical Base Fee ARC 8/3/2006 $23.50 S22006000
Plumbing Fee ARC 8/3/2006 $75.00 S22006000
Plumbing Base Fee ARC 8/3/2006 $20.00 S22006000
Total $1,899.87
BLD2006-01265 Please refer to the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2006-01265
CONDITIONS FOR
BLD2006-01265
1) Prior to final approval, all upland areas disturbed or newly created by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X
2) Approved per d'mensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
x '
3) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed.
X 21
4) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure
these structures meet the setback conditions listed.
X ��
5) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X ;I 3
6) 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
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
x 2��
7) The international 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 road. Roads are required to meet the minimum Mason County Fire Marshal standards for Fire Apparatus Access Roads up to the point where
such 2nls _ ect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
X --rT
8) 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 to any further inspections being performed or approvals granted.
BLD2006-01265 Please referto the following pages for conditions of this permit. 2 of 5
9) 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
inspections.
-
X ;`;LLr,t f -
10) 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
removal of ap ro d documents will result in failure of required building inspections.
X Z4_7
11) A Road Access Permit or Approval must be granted by the Mason County Department of Public Works. For more information contact Public Works, at
(360)427-9670, ext. 450. The building permit will not be"finaled"until the permit holder can show proof that the access permit from Public Works has
been nTd�approved.
12) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X /
13) The"approved" site plan is required to be on-site for inspection purposes. If an inspection is requested and the "approved" site plan is not 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 shall be collected by the
Building, DWartr-lent prior to any further inspections being performed or approvals granted.
X L,`h
14) Washington 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,
Doo1),
Typq/Ma 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.
X
15) Per 2003 IRC - SECTION 1609 -WIND LOADS- 1609.1 Applications. Buildings, structures and parts thereof shall be designed to withstand the
minimum wind loads prescribed herein. Decreases in wind load shall not be made for the effect of shielding by other structures. Per FIGURE 1609
BASIC Vy.,lf�l� S_P ED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
Xl'11 v�` _
16) Per 2003 IRC - SECTION R905- REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordpn e applicable provisions of this section and the manufacturer's installation instructions.
X
BLD2006-01265 Please referto the following pages for conditions of this permit. 3 of 5
17) . Stock Plan Identification number: 2003-0003
fi'iis 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
Inspector at ec required inspection.
18) 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).
19) 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 and h Il be
X � collected by the Building Department prior to any further inspections being performed or approvals granted.
%p�
20) 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 revocation.
x
21) 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 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�
22) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinance r r I tion, must be reviewed and approved by Mason County prior to construction.
X
23) 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
X spector:,§4a made prior to requesting additional inspections.
v
24) All property lines shall be clearly identified at the time of foundation inspection. X
BLD2006-01265 Please referto the following pages for conditions of this permit. 4 of 5
25) Y All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failure
t;-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
Mason County ordinances and building regulations.
26) 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
holder have prevented action from being taken. No more than one extension may be granted.
X
27) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
X nre�� hing. Install metal connectors approved for contact with the new types of pressure treated material.
28) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information.
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 progress 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 property and structure for re view and inspection.
OWN ER OFF AGENT:' DATE:
BLD2006-01265 Please referto the following pages for conditions of this permit. 5 of 5
i
ti [Footings
ONCRETE MECHANICAL MANUFACTURED HOME p ,
o w Date f f 0-7B y�/fnW Z
rn !Setbacks Ribbons MGas Piping
o terior Date 8y Interior-Date By Date B
)I��5rv� Lf�C y _._ m
0) Exterior Date By Exterior-Date By
Set-
Point �
Load/Isolated Footings INSULATION Date By
BG f SLAB INSULATION -------
Date BY Data By FIRE DEPARTMENT
Foundation Walls Floors Date By
Date tk 3 6to BY L401(, Data lei "11,8139dDECKS
FRAMINt We"$ Date BY
Date3-- ey/� Data / �p BY PROPANE TANKS
PLUMBING vault Date By
Date By OTHER _ _.
Groundwork Attic
Type:
Date By Date -Or By Date By
D.W.V DRYWALL Type:
Int Brace Wall date By W
Date O I '? p 7 By LS Date - cS/ By �-� r
FINAL INSPECTION 0
Water Line Fin Separation N
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Date .. By Date By Date v"'z By CD
Pass or Request Inspect.
Type of Insp. Fail Date Date Done By Comments
CD
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'PLAN PLOT EVISIO
,..... ,. . .r~. ... . DATE 1
FORM MUST BE COMPLETED IN INK Cf� I�O J PERMIT NO D
PLEASE P ESS ARD j V MAS �O�N;
1 _-.- �M 6UILDING PERMIT APPLICATION
-JU
426 W.CedarlP.O. Box 186,Shelton,WA 98584
Shelton (3150t427-9670 Belfair 360 275.4467 Elma 360 482-5269 Seattle 206 464-6968
APPf_I CAN T INFORMATION CONTRACTOR INFgRD4ATIO
Owner �_�} lC-t llffliler L412S Contractor Name ItJN; Rom s' o? �_ r 'I
PAniling Address (/0 Rci,rl-kr-er- Lccla Mailirin AddrPtiq 56" S Z_�
City Oy—x"I ev- State w Zip Code �� (� City_ SJate_VJ_ Zip Code 99'5L
Phone(3QO ). k_tf(, Other Ph.( Aco g51-(,Q 2- Ph.(-2-lno 1) ilher Ph ( )
Lien/Title Holder Contractor Reg.
Address Expiration__1L _/_p_7_/ o_5_
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic Existing Septic Connect to Sewer
System Name of Sewer System Well�_Water System Name of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. ,�2 13 11 1 q�_ r 04`20 Fire District
Legal Description rJ
Site Address(Ple e include street name, street number and city) e C_ ) 604
Directions to siterM a(s /O I -�i= "�k-'5 (�� (7,ra 6k, (L euCe---,,
Will timber be: cut and sold in parcel preparation? (Yes/No)
Is your properly within 200' of the following: Body cf Water (Name) W/O Saltwater u,o
Lake /t River/Creek 0- Pond i o Welland 00 Seasonal Runoff ma(, Streamg)(\ Slopes or
�Bluffs 6D
PERMANENT RESIDENCE SEASONAL RESIDENCE❑
TYPE OF JOB New_'X_Add Alt Repair Other Use of Building
Describe Work
No. of Bedrooms 3 No. of Bathrooins � SQUARE FOOTAGE-1st Floor r _2nd Floor_
31d Floor Lott__ Basenlent_ ,,O Deck Other sq ft
Garage 4 Attach edX_Detached_�&Carpoit cL Attached etached
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)
InstaCer Naine 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 180 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
intonnation 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-I certify that I 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
conformance therewith. No changes shall be made without first obtaining shall be done in conforal4nce therewith. No changes shall be made without
approval first obtaini r
X rt -' 0 ate ate
l/ ,tOR OFFICIAL USE BEYOND THIS POINT
i
Accepted by � Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVEP, DENIED CONDITION CODES
Building rou 1<Dept{- t/yp �
Occ G yT- e Constr�. rno
Planning Department ;- —��
Environmental Health Department �
I
Public Works Department
FORM MUST BE COMPLETED IN INK PERMIT NO BLD
PLEASE P A ESS RDCg�o 3MAS��QO�N�T
&'_ t �UILDING PERMIT APPLICATION
584
426 W.Cedar/P.O.Box 186,Shelton,WA 98584
Shelton (360)427-9670 Belfair 360 275A467 Elma 360 482-5269 Seattle 206 464.6968
APPLICANT INFORMATION CONTRACTOR INFgRtAATIO
Owner_L--_C�_a Ylci, Contractor Name_ WIJN�
Mailing Address (/C� Ci�✓1 1r��r L,c c�� Mailinn Addra�e
City lty,rtt ev- Stafetk� Ay_ Zip Cede City_ 5Dle, ` Zlp CodeJ`t
Phene(a� ). Ltrf(, 42_2,5- Other Ph.(()g51-(,Q?2_ I Ph.( M � 1'ther Ph.( )
LienlTitle Huldel Contractor Reg. # NILINN)( 991 Ai
Address Expiration_ /_P-7 /_off,-__
SEPTIC/WATER SYSTEM INFORMATION-Connect to New Septic _Existing Septic Connect to Sewer
System Name of Sewer System Well�_Water System Narne of
Water System
PARCEL INFORMATION-12 digit Tax Parcel No. L I .� /_ � - !042b Fire District
Legal Description c .
Site Address(Ple se include street name, street number and city) e' C3 He U &
Directions to site v - ' &411 — ' cI �`
Will timber be cut and sold in parcel preparation? (Yes/No) _
Is your properly within 200' of the following: Body of Water (Name) Wa Saltwater u
Lake /(,v River/creek Vo Pond A-b Wetland A)o Seasonal Runoff tUC Streamwd _Slopes or
Bluffs tya
PERMANENT RESIDENCE SEASONAL RESIDENCE❑
TYPE OF JOB Ne%v_X_Add Alt Repair Other Use of Building " 5,(t�e,gc c
Describe Work
No. of Eedi000 s 3 No. of Bathiooins�_ SQUARE FOOTAGE-1st Floor l 1lfo 2nd Floor___
31d Floor Lott___ Basement_ Deck Other /L) Il _ sq It _
Garage t Attached_ Detachedljjj�Carport 6C Attached etarhed
MOBILE HOME INFORMATION-Make Model Model Year
Length Width Serial No. No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Piice $ Replacement Unit ?(Yes/No)
Installer Name Certification No.
NOTICE: THIS PERMIT BECOMES NULL a VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS OR IF
CONSTRUCTION WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 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 signaiuie below:
OWNER AFFIDAVIT-I ceilify that I am exempt from the requirements of the 'CONTRACTOR'S AFFIDAVIT-[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
conformance therewith. No changes shall be made without first obtaining shall be done in confor nce therew h. No changes shall be made without
approval first oblaini ijur
ate
l/ /F-OR OFFICIAL USE BEYOND THIS POINT
Acc,pp!ed by Date Submittal Amount Due Receipt No.
DEPARTMENTAL REVIEW APPROVE o DENIED CONDITION CODES:-
Building Department
Occ Grou Type Constr. i + no
Planning Departrnent
Environmental Health Department �
_ I
Public Works Dehailinent I i
I
Hi' - NE - Building Permit Information Form - 1716 Plan
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,
some of it may not apply to yours. If you have any questions, please give us a call at 360-807-1849.
Applicant/Owner/Contact Information: Your name, address, phone number
Contractor Information: Name: HiLine Homes of Elma
Address: 50 Enterprise Ln Ste 215
Elma WA 98541
Phone: (360)482-1750
License# HILINH'981BT
Expiration: 01/30/06
Tax Parcel#/Assessor's Acct.# : This will be with your property information.
Job Site Address: Your new home address(example: xxx Filmore St.)
Legal Description: This will be with your property information. (example:Lot xx Large Lot Sub Division xxx in Lewis County etc.)
This will be a New Single Family Residence
Describe work/Type of Job: New Home construction
Home Information: Floor Area: (sq.footage)
Main/1st: 1716 #of stories: 1 Carports: 0
Second: 0 Bedrooms: 3 Decks: 0
Basement: 0 Bathrooms: 2 Porches: 0
Total: 1716
Garage: 484 (Attached)
Construction Method: Wood frame
Heating System:
Be sure to choose the information below that correlates with the heat system you have ordered.
HVAC/Mechanical Contractor is the company installing your heat system.
f. Cadet/Wall Mount/Zone Heaters: Standard heats stem
Installer: North Pacific Electric Contact: Bernie/Kim
License#: NORTHPE994JB Phone: 360-943-6020
Expiration: 06/27/04 Location: Olympia
Manuf: Marley Brand:
Module#: KW: 7
WHF: AMPS: 20
On permits,for the#of wall heaters, put 1,or you'll be charged extra for every one.
Heat Pump w/furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: Dave Pyles
License#: CHEHASM252MH Phone: 360-748-9921
Expiration: 07/02/04 Location: Chehalis
Manuf: Trane Module: 2TWB0024A1000A KW: 10
Tonnage: 2 HSPF: 7.75 Seer: 10
LRA: 60 Efficiency: 100%
Natural Gas or Propane furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: Dave Pyles
License#: NORTHPE994JB Phone: 360-748-9921
Expiration: 07/02/04 Location: Chehalis
Manuf: Trane Module: TDE060A936 Watts: 977
BTU: 60,000 Efficiency: 80%
Spot Vent Fan:-_1__ Kitchen Exhaust Fan: 1 Dryer Vent:_ I Wood/Gas/Pellet Stoves:__0 Gas Outlets:—
.0-Plumbing System: Installer: Allied Plumbing Contact: Roner
License#: ALLIEP8986KC Phone: 360-289-4114
Expiration: 05/31/06 Location: Rocherster
Toilets:_ Bathroom Sinks:_2 Bath Tubs:_Z Showers:1__ Kitchen Sinks: 1 Water Heater:_1
Clothes Washer:_1_. Dishwasher:_ Hose Bibs:_1—(first 4 enter quantity of 1, every home has 2)
Energy Compliance Information:
Compliance Method/Path: Always#3 (Per Washington State Energy Code)
Total sq. ft of glazing (glass): Standard home- 198 , w/sliding glass door option:9Q5_divided by
total sq.ft. of heated area: 1716 .equals a glazing percentage of 11% standard or 12% w/sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirement minimums.
Window Schedule: See attached form.
Ventilation System:
Intermittently operating Whole House Ventilation System using exhaust fans&window fresh air venta. (VIAQ 303.4.1)
House Fan Specifications: Whole house fan: Qty: 1 Manuf: Solitaire Ultra Silent Module#: S110U CFM: 110
Bathroom One-Bulb Heater/Fans: Qty 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 70
Copyright 2003 HiLine Homes
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