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HomeMy WebLinkAboutBLD2006-00877 Final Addition - BLD Permit / Conditions - 8/20/2007 00 ; o CONCRETE MECHANICAL MANUFACTURED HOME M �. _ CD rn Footings/Setbacks Date By Ribbons Gas Piping I'TI o Interior Date By interior-Date By Date By 04 Extenof Date By Exterior-Date By Sat-up Point Load/isolated Footings INSULATION Date By D BG F SLAB INSULATION Date By Data By FIRE DEPARTMENT C Foundation Walls Floors Date By Date By Data By DECKS FRAMING Walls Data By Date 2 -/ E; By Data j 2 - ..E-?S-7 BY T72 PROPANE TANKS PLUMBING vault Data By Date L - L 7-4n)6 BY OTHER Groundwork Attic Date B Y Date By Type: _........�_.._m Dane By D,w.v DRYWALL Z - L�'o� Type: Int.Brace Wall Date By W Date By y -0 Dats FINAL INSPECTION Water Line Fire Saperatlon N CDDate By Date By Date By/,i O m Pass or Request Inspect. c Type of Insp. Fail Date Date Done By Comments o C -. 3,3 o- a 92 - 0 2�_ fff 0 v� 05 W�q'LL ZZy2 /-y-g L x9/L )-J e--� 2-/- .p7 � 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 BLD2006-00877 OWNER: LAURA FERREIRA RECEIVED: 5/25/2006 CONTRACTOR: LICENSE: EXP: ISSUED: 7/20/2006 SITE ADDRESS: 91 NE LARSON LAKE LN BELFAIR EXPIRES: 2/28/2007 PARCEL NUMBER: 123305200077 LEGAL DESCRIPTION: BEARDS COVE DIV 5 LOT: 77 PROJECT DESCRIPTION: DIRECTIONS TO SITE: ADDITION TAKE NORTHSHORE HWY TO LARSON LAKE RD TURN RIGHT FOLLOW STAIGHT ACROSS LARSON LAKE BLVD HOUSE ON LEFT General Information Construction &Occupancy Information Square Footage Information No.of Bedrooms: Type of Constr.: V-B Type of Use: SF Insp.Area: No.of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ADD Fire Dist.: 2 No.of Stories: 1 Occ. Load: Building:165 Valuation: Building Height: Occ. Status: Primary Basement: 0 Manufactured Home Information Setback Information Shoreline&Planning Information Make: Length: Ft. Front: E 56.0 Ft. Shoreline: Ft. Water Body: NONE Rear: W 20.0 Ft. Slope: Ft. SEPA?: Unkn Model: Width: Ft. Side 1: S 26.0 Ft. Shoreline Desig.: DWPApplicable Year: Serial No.: Side 2: N 20.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KS 5/25/2006 $72.31 S12006000 Planning Review Fee KS 5/25/2006 $155.00 S12006000 EH Plan Review CEW 5/27/2006 $35.00 S12006000 Building State Fee JRN 6/8/2006 $4.50 S12006000 Building Permit Fee JRN 6/8/2006 $111.25 S12006000 Total $378.06 BLD2006-00877 Please refer to the following pages for conditions of this permit. 1 of 5 CASE NOTES FOR BLD2006-00877 CONDITIONS FOR BLD2006-00877 1) 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 roads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X 2) 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 prior to any further inspections being performed or approvals granted. X �:t- 3) 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 I 4) 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 approved documents will result in failure of required building inspections. X ; ;r 5) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X 6) 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 Department prior to any further inspections being performed or approvals granted. X BLD2006-00877 Please refer to the following pages for conditions of this permit. 2 of 5 7) 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 WIND SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X 1G 8) Per 2003 IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordance with the applicable provisions of this section and the manufacturer's installation instructions. X rF_- 9) 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 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 limited to the approved and permitted classification. Any non-approved change of use or occupancy would result in permit revocation. X 1. 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 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 12) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ordinance or regulation, must be reviewed and approved by Mason County prior to construction. X 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 Inspector shall be made prior to requesting additional inspections. X I.L! 14) All property lines shall be clearly identified at the time of foundation inspection. X i 15) 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 Mason County ordinances and building regulations. X BLD2006-00877 Please referto the following pages for conditions of this permit. 3 of 5 16) 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 17) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, and flashing. Install metal connectors approved for contact with the new types of pressure treated material. X 18) An analysis of the foundation performed by a Washington State Design Professional may be required in order to determine the adequacy of the foundation concrete and reinforcement placed without a pre-pour inspection. Photos showing forms and rebar placement may be an acceptable substitute for the analysis. X i 19) 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 l 20) Water quality is not to be degraded to the detriment of the aquatic environment as a result of this project. X 1 21) 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 /F_ WL 22) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 1A 23) 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 4 24) 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 _0 25) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. X 26) 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 .l7 BLD2006-00877 Please referto the following pages for conditions of this permit. 4 of 5 r 27) 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 28) Additional heated space may not be occupied as a bedroom. Septic is sized for the 2 existing bedrooms. X Lr � I 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 fo review and inspection. OWN ER OR AGENT: �� DATE:�3 V BLD2006-00877 Please refer to the following pages for conditions of this permit. 5 of 5 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 BLD2006-00877 OWNER: LAURA FERDEIRA RECEIVED: 5/25/2006 CONTRACTOR: LICENSE: EXP: y ISSUED: 7/20/2006 SITE ADDRESS: 91 NE LARSON LAKE LN BELFAIR V PARCEL NUMBER: 123305200077 EXPIRES: 1/20/2007 LEGAL DESCRIPTION: BEARDS COVE DIV 5 LOT: 77 PROJECT DESCRIPTION: DIRECTIONS TO SITE: UNHEATED RESIDENTIAL STORAGE ADDITION TAKE NORTHSHORE HWY TO LARSON LAKE RD TURN RIGHT FOLLOW STAIGHT ACROSS LARSON LAKE BLVD HOUSE ON LEFT General Information Construction &Occupancy Information Square Footage Information No. of Bedrooms: Type of Constr.: V-B Type of Use: SF Insp. Area: No. of Bathrooms: Occ. Group: U Lot Size: Deck: Type of Work: ADD Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:Q Valuation: Building Height: Occ. Status: Primary Basement: Storage 165 Manufactured Home Information Setback Information Shoreline & Planning Information Make: Length: Ft. Front: E 56.0 Ft. Shoreline: Ft. Water Body: NONE SEPA?: Unkn Model: Width: Ft, Rear: W 2Q,Q Ft. Slope: Ft. Shoreline Desi Side 1: S 26.0 Ft. g.: OWtlApplicable Year: Serial No.: Side 2: N 20.0 Ft. Comp. Plan Desig.: Rural Plumbing Fixtures Mechanical Fixtures FEES Type Qty. Type Qty. Type By Date Amount Receipt Plan Check Fee KS 5/25/2006 $72.31 S12006000 Planning Review Fee KS 5/25/2006 $155.00 S12006000 EH Plan Review CEW 5/27/2006 $35.00 S12006000 Building State Fee JRN 6/8/2006 $4.50 S12006000 Building Permit Fee JRN 6/8/2006 $111.25 S12006000 Total $378.06 BLD2006-00877 Please referto the following pages for conditions of this permit. 1 of 5 b CASE NOTES FOR BLD2006-00877 CONDITIONS FOR BLD2006-00877 1) 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 ro s connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road. X GkJ 2) 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 me l:prior to any further inspections being performed or approvals granted. x V J 3) 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 inspec ns. X rGo/!� 4) 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 removaI ff roved documents will result in failure of required building inspections. X //'" yy 5) This structure is approved as un-heated space. If at any time this building is to be used for anything other than what it is approved for, a change of use permit,s�,,all applied for, reviewed and approved prior to the change. 6) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X l 7) The"approved s e 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 gngranted. I addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the Building t prior to dny further inspections being performed or approvals granted. X BLD2006-00877 Please refer to the following pages for conditions of this permit. 2 of 5 ! 8) 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 D SPEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH. X l� • fS � 9) Per 2003 IRC - SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in accordAnce with the applicable provisions of this section and the manufacturer's installation instructions. X 6,,:1 10) 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 &26 11) 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 yrevoc ion. X 12) 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. ,,g XL-►/+d 13) All changes to "approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County ,or.dinanc.q,pr relation, must be reviewed and approved by Mason County prior to construction. 14) 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 Inspector s ,rt�ade prior to requesting additional inspections. 15) All property lines shall be clearly identified at the time of foundation inspection. X BLD2006-00877 Please referto the following pages for conditions of this permit. 3 of 5 i i 16) 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 Mason Co ty or finances and building regulations. X ln� 17) 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 (older hav e Anted action from being taken. No more than one extension may be granted. 18) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners, connectors, fleshing. Install metal connectors approved for contact with the new types of pressure treated material. X �� �f 19) An analysis of the foundation performed by a Washington State Design Professional may be required in order to determine the adequacy of the foundation concrete and reinforcement pl�c�d without a pre-pour inspection. Photos showing forms and rebar placement may be an acceptable substitute for the analysis. X! TM 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 X L 800-647 vT person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law. 21) Water quality kn t 10 be degraded to the detriment of the aquatic environment as a result of this project. X �' J� 22) Prior to final approval, all upland areas disturbed or newly cre�tgd by ristruction activities shall be seeded, vegetated or given an equivalent type of erosion protection (silt fencing or straw matting). X G✓ L'D 23) Approveper 'mensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure. X 24) By definition, propane tanks and heatpumps are structures, which must meet setback conditions. Please check your"Approved Site Plan"to ensure these structures meetthe setback conditions listed. X f ,-+ B 25) 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 a Plan"to ensure these structures are shown and meet the setback conditions listed. X �1,v 4- 26) This par is I ated in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information. BLD2006-00877 Please refer to the following pages for conditions of this permit. 4 of 5 IL 27) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your "Appr ite Plan"to ensure these structures are shown and meet the setback conditions listed. X 28) 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 V This permit becomes null and void' ork 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 contin ation f 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' spe on.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 a structure fo review and ins a tion. OWNERORAGENT: _ c DATE:L// BLD2006-00877 Please referto the following pages for conditions of this permit. 5 of 5 00 o CONCRETE. MECHANICAL MANUFACTURED HOME M rn Footings Fi /Setbacks Date BY Ribbons m Gas Piping o interior Date By Interior-Date By Date By OD Exterior Date BY Exterior-[]ate By Set-up Point Load/isolated Footings INSULATION Date By D BIG SLAB INSULATION Date BY Da1e By FIRE DEPARTMENT CC Foundation Wails Floors Date By D Date By Data By DECKS FRAMING Wads Date By Date By Data By PROPANE TANKS PLUMBING vault Date By Date By OTHER Groundwork Attic Date By Type. Date BY Date By DWV DRYWALL Type: Int.Brace Wail Date By W Date BY Date By FINAL INSPECTION 0 v Water Line Fire Seperation Date By Date 8y Date 8Y o m � Pass or Request Inspect. c Type of insp. Fail Date Date Done By Comments y a CD 0 8 a o" 0 m 0 Request To Revise An Approved Plan Permit Number: BLD200 ' - Name Parcel Number - - Phone Numberdaytime Project Address I L Mailing Address 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? ❑ 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 chanees 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 ❑ No If Yes,Is a revised site plan,with all new setback dimensions included with this request? ❑ Yes ❑ No Q Additional Information: Applicant's signature Date: Office Use Only Received by. Date Sent Assigned To Approved By Date B. Original Valuation: $ J kA) 1 O.3 Additional Valuation: $ p, Sq.Ft. x$ $ I Sq.Ft. x S S E.H. lt7/ i✓� Total New Valuation $ ����1 l,_2�0 P.W. Additional Fees: Additional Planning Dept. $ Additional Plan Review $ -70 New Setbacks: Front / Rear / Additional Building Permit $ _ Side1_ / Side2 / Additional Plumbing $ Additional Conditions/Comments: Additional Mechanical $ Additional E.H.Dept. Other $ Total Amount Due: $ Lqb. ,to Amount To Be Paid Up-Front$ Tah Litid Revised SRC W'2Z 2= MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT WSEC/VIAQ Compliance Application Owner: fit, Q��ei r Telephone: g 7v Parcel#: Type of project ( ) New Residence (XAddition ( ) Remodel Total Sq. Ft. 1S Floor: 2 nd floor: Heated Basement: of heated area:: Heating System Type: )$Zlectric wall heater O Electric Central Furnace O LPG Furnace O Heat Pump with electric furnace O Heat pump with gas furnace O Boiler, specify fuel type: O Other: Specify Glazing O Prescriptive Option see reverse side circle one: 1 II IV Percentage: Compliance Method O Component Performance , Chapter 5— Calculation worksheets required Check one:: Systems analysis, Chapter 4 O 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: 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 2004 Washington State Energy Code (WSEC) 2003 Ventilation and Indoor Air Quality Code (VIAQ) effective July 1, 2004 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. 352. Additional WSEC and VIAQ compliance information is available on the internet at: http://www.energy.wsu.edu/code/ Prescriptive Requirements °,'for Group R Occupancy Climate Zone 1, Table 6-1 Glazing Glazing U-factor Door Wall Wall Wall Area%of U- Vaulted Above interior4 exterior Slab° Option Floor Vertical Overhead" Factors Ceiling Ceiling3 Grade below 4 Below Floors on '° z 12 grade Grade Grade 1 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-3 8 R-30 R-21 ' R-21 R-10 ('R��" 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. O ANNING: �bk�0 Oy o��\�yCC �`� ALL SET ACKS ARE MEASURED �aaa�y Op � FROM THE FURTHEST PROJECTION OF THE BUILDING Q ` x ap 4: Q0 N I o .r L t �• : j I i MASON COUNTY PERMIT NO. BUILDING PERMIT APPLICATION J�fi 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 INFORMATION CONTRACTOR INFORMATION Owner esaf q QECj2& lje A Company Name Mailing Address- I AL1-: ',ASoelLP K'c' / A,/CL Mailing Address City j9r,��� State IAj p Zip Code g a'?A City State Zip Code Phone i�'�< -R7oa Other 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 System Name of Sewer System PARCEL INFORMATION - 12 Digit Parcel No. I OL 2�3-ak52. n©o 7 7 Fire District Legal Description Site Address (Please include street name, street number and city) Directions to site Will timber be cut and sold in parcel preparation?Yes 0 e - Lof Is property within 200' of Saltwater __&/ Lake_,,i C� River/Creek Pond A/o Wetland /.�>ZSeasonal Runoff Stream Slopes or Bluffs 15% p,� {.►_+ L' Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No TYPE OF JOB - New Add_4Alt Repair Other PRIMARY RESIDENCE [ SEASONAL ❑� Use of Building !S=AAc-c Describe Work:5-�--r f"&Z 'tx)- No. of Bedrooms No. of Bathrooms Square Footage- 1st Floor 2nd Floor 3rd Floor Basement Deck Covered Deck Other Sq. ft. Garage Attached Detached Carport Attached Detached MANUFACTURED HOME INFORMATION - Make Tlt> 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 obtaineVa s n from all the necessary parties. If permission is required from any easement holder or any other party in interest re r ' the work proposed in the application, I have obtained permission from them to apply for this permit and conduct th The owner or agent on owners behalf, represents that the information provided is accurate and grants employees of M ounty c�rhe above described property and structure for review and inspection. This permit/application becomes null & void if work �u1I nstruction is not commenced within 180 days or if construction work is suspended fora period of 180 days. PROOF OF CON A O �,Q�IS BY MEANS OFA PROGRESS INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE T LPMr�°�IvN. X Date: L- B MAS os Owner/Owners Represe4aib"4 Contractor (indicate which one) FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date DEPARTMENTAL REVIEW APPROVED DENIED NOTES Building Department Planning Department Environmental Health Department 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 $ u TOTAL FEES