HomeMy WebLinkAboutBLD2007-00004 Addition - BLD Permit / Conditions - 1/18/2007 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 BLD2007-00004
OWNER: TRACY LEGAULT RECEIVED: 1/2/2007
CONTRACTOR: LICENSE: EXP: ISSUED: 1/18/2007
SITE ADDRESS: 91 E CLONAKILTY DR SHELTON EXPIRES: 7/18/2007
PARCEL NUMBER: 321275400002
LEGAL DESCRIPTION: LAKE LIMERICK 5 TR 2
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
ADDITION N ON ST RT 3 FROM SHELTON 4.2 MILES LEFT ON MASON LAKE RD FOR
2.8 MILES RIGHT ON CLONAKILTY DR LEFT AT"T, 2ND LOT ON LEFT
General Information Construction &Occupancy Information Square Footage Information
No.of Bedrooms: Type ofConstr.: V-B
Type of Use: SF Insp.Area: No. of Bathrooms: Occ. Group: R-3 Lot Size: Deck:
Type of Work: ADD Fire Dist.: 13 No. of Stories: 1 Occ. Load: Building:
Valuation: Building Height: Occ. Status: Primary Basement:
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: E 64.0 Ft. Shoreline: Ft. Water Body: NONE
Rear: W 65.0 Ft. Slope: Ft. SEPA?: Unkn
Model: Width: Ft. Side 1: IN Shoreline Desi 10.0 Ft. g•: I WttApplicable
Year: Serial No.: Side 2: S 20.0 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 1/2/2007 $379.05 S12007000
HOsebibs 1 Ventilation Fan 2 Planning Review Fee KS 1/2/2007 $155.00 512007000
Kitchen Sink 1 Dryer Vent 1 Building State Fee RTB 1/8/2007 $4.50 S22007000
Lavatories 1 Building Permit Fee RTB 1/8/2007 $583.15 S22007000
Water Closets (Toilets) 1 Mechanical Fee RTB 1/8/2007 $32.40 S22007000
Water Heaters 1 Mechanical Base Fee RTB 1/8/2007 $23.50 S22007000
Bath Tubs 1 Plumbing Fee RTB 1/8/2007 $54.00 S22007000
Clothes Washer 1 Plumbing Base Fee RTB 1/8/2007 $20.00 S22007000
EH Plan Review TW 1/11/2007 $75.00 522007000
Total $1,326.60
BLD2007-00004 Please referto the following pages for conditions of this permit. 1 of 5
' CASE NOTES FOR
BLD2007-00004
CONDITIONS FOR
BLD2007-00004
1) The Washington State Clean Air Act prohibits the burning of any construction or demolition debris in an outdoor fire.
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2) 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 coPnect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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3) Contractor registration laws are governed under RCW 18.27 and enforced by the WA State Dept of Labor and Industries, Contractor Compliance Division.
There are potential risks and monetary liabilities to the homeowner for using an unregistered contractor. Further information can be obtained at
1-800-647-0982. The person signing this condition is either the homeowner, agent for the owner or a registered contractor according to WA state law.
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4) Approved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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5) This parcel is located in a smoke management zone. Please contact a fire warden at(360)427-9670 ext. 459 for further information.
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6) Temporary erosion control measures must be implemented to prevent water quality degradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X '
7) All other necessary permits from Mason County, Washington State and/or Federal Agencies that are required for this proposed development and
construction must be obtained PRIOR TO SAME DEVELOPMENT AND CONSTRUCTION. X
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 prior to any further inspections being performed or approvals granted.
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BLD2007-00004 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.
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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 approved;documents will result in failure of required building inspections.
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11) All exterior wall cavities exposed during construction or remodeling work shall be insulated to the full depth of the wall cavity and inspected prior to
covering. X
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 Department prior to any further inspections being performed or approvals granted.
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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,
Doors (Type/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.
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15) 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).
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16) 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.
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BLD2007-00004 Please referto the following pages for conditions of this permit. 3 of 5
1.7) • 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.
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18) 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.
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19) 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.
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20) All property lines shall be clearly identified at the time of foundation inspection. X
21) 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.
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22) 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.
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23) 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.
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24) 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.
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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,Site Plan"to ensure these structures are shown and meet the setback conditions listed.
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BLD2007-00004 Please referto the following pages for conditions of this permft. 4 of 5
26) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X !
27) This parcel is located in a smoke management zone. Please contact a fire warden at (360)427-9670 ext. 459 for further information.
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This permit becomes null and void if work or construction authorized is not commenced within 180 days,or if construction or work is suspended fora period of 180 days at anytime 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 owner or 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 review and inspection.
OWNERORAGENT: _ DATE:
BLD2007-00004 Please referto the following pages for conditions of this permit. 5 of 5
o CONCR CHANICAL /��� MANUFACTURED HOME m
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ALTERNATE BRACED WALL PANEL
(ABP 1800# AND 3000#) IRC R602.10.6
2'8"minimum
1800# ABP - 3000# ABP
Minimum 2'8" panel width Minimum 2'8" panel width
Max.imum10'0" height Maximum10'0" height
3/8" APA rated sheathing one 3/8" APA rated sheathing
side both sides.
Secure with 8d nails Secure with 8d nails
Edge: 6" o.c. Edge: 4" o.c.
Field.- 12" o.c. Field: 12" o.c.
1800# uplift capacity tie down 3000# uplift capacity tie
devices at each end, installed down devices at each end,
in accordance with the manu- installed in accordance with
facturer specifications. the manufacturer
2 anchor bolts at panel quar-
specifications.
ter points 3 anchor bolts at one-fifth
(1) #4 reinforcement bar at points
the top and bottom (1) #4 reinforcement bar at
Panels shall be supported the top and bottom
directly on a foundation Panels shall be supported
which is continuous across directly on a foundation
the entire length of the which is continuous across
braced wall line. the entire length of the
braced wall line.
USE 1800# UPLIFT CAPACITY TIE DOWNS ON SINGLE STORY OR SECOND
STORY OF A TWO STORY STRUCTURE.
USE 3000# UPLIFT CAPACITY TIE DOWNS ON THE FIRST STORY OF A TWO
STORY STRUCTURE.
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Job: Lq I p 112LIM WHLKIN John Ul son / H 24' Stub Uom THIS DWG. PREPRRED FROM COMPUTER INPUT (LORDS R DIMENSIONS)SUBMITTED BY TRUSS MFR.
Top chord 2x4 HF #2 90 mph wind 15.00 Ft mean hgt, RSCE 7-02, CLOSED bldg Located onywhere In
Bo chord 2x4 HF #2 roaF, CRT If, EXP C, wind TC DL-3.5 psF, wind BC DL-5.b psf.
Webs 2x4 HF Stud
Trues design per IBC seat. 2306.1. 10.00 peF non-oonourrent bottom chord live
LeFt end vertical not exposed to wind pressure. load applied per RNSI/TPI 1.
DeFleotion meets L/240 live and L/180 total load.
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LEFT RRKE = 1' 11-3 RIGHT RRKE = 2' 1"5
LEFT JIG = 5' 10-12 RIGHT JIG 12'9"1
DESC. = R 24' Stub Com SED = 89843
PLT. TYP. -WAVE IBC/TPI2002(STD) C /RT-1.00(1.25)/ 5( 0) OTY= 4 TOTRL= 4 REV. 7.25.0411.13 SCRLE =0.4130
++WRRNING++ TRUSSES REQUIRE EXTREME CARE IN FABRICATING HANDLINGI, SHIPPING INSTALLING
AND BRACING. REFER TO HIB-91 (HANDLING INSTALLING AND ORRCING) PUBLISHED by TPI (TRUSS TC L L 25.OpR& REF
PLATE INSTITUTE, 5B3 D'ONDFRIO OR. SUITE 200 MADISON, WI. 537191 FOR SAFETY PRACTICES
PRIOR TO PERFORMING THESE FUNCTION. UNLESS OTHERWISE INDICATED TOP CHORD SHALL HAVE TC DL 7•Opp* DATE 01-02-2007
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS FIND BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGI
CEILING. ++IMPORTANT++ FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. BC D L 10 0 DR WG
2750 Hogum Boy Rd. N.E. DESIGN:EANYNFAILURERTO PRODUCTS INC.
TRUSSES NOT
INBCONFORMANCELWITHRTPI: ORVFABRICATING THIS r,�
Loce WA 99516-3123 HANDLING, SHIPPING, INSTALLING AND BRACING OF TRUSSES. DESIGN CONFORMS WITH APPLICABLE BC L L 0•0r�r JDS
y� PROVISIONS OF NOS (NATIONAL DESIGN SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND
PAPER RSSOCIRTION) AND TPI.NE ALPINE CONNECTORS ARE MADE OF 20GA RSTM PG53 GR4O GRLV. STEELTOT.L D. 4 2.0 O/A L E N. 16
(360) 491-8024 EXCEOCATED O�
THISPT AS DESIGN POSITION CONNECTORS PER DRAWINGS 160 A Z. THE kFIL ON THIS DRAWING
NOTED.
ILRS TO EACH CFTNNSHERWISE LINDICATE DUR.FAC. 1 . 15
ACCEPTANCE OF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT
Fox: (360) 491-8028 DESIGN SHOWN. THE SUITABILITY INC USE OF THIS COMPONENT FOR RNY PARTICULAR BUILDING SPACING 24-n- TYPE COMN
iIS THE R P N I TY F TH N TN
R PER
AN /TP - 9 TION 2.
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Job: l I 112UmJ WHLKIN John Ui Son / H1 24' Std Stub Lom THIS OWG. PREPRREO FROM COMPUTER INPUT (LORDS & DIMENSIONS)SUBMITTEO BY TRUSS MFR.
Top chord 2x4 HF #2 'T2 2x4 DF-L 1800E-1.6E: 85 mph wind %OE) Ft moon hgt, RSCE 7-02, CLOSED bldg Located anywhere In
Bo chord 2x4 DF-L 1BOOF-1.6E roof, CRT If, EXP C, wind TC DL-3.5 psf, wind BC OL-5.b psf.
Webs 2x4 HF Stud :W2 2x4 HF #2:
:W4 2x4 DF-L 1BOOF-1.GE: RII plates ore 2X4 except as noted.
SPECIRL LORDS Truss spaced at 24.0" OC designed to support 1-6-0 top chord outlookers.
-(LUMBER OUR.FRC.-1.15 / PLATE OUR.FRC.-1.15) Cladding load shall not exceed 3.00 PSF. Top chord must not be out or notched.
TC From 133 PLF at -1.83 to 193 PLF of 0.00
TC - From 202 PLF at 0.00 to 193 PLF of 18.00 See DWGS R08515EEO405, GBLLETIN0405, & GBLBRSTD0405 For more requirements.
BC - From 4 PLF at -1.B3 to 4 PLF of 0.00
BC - From 20 PLF at 0.00 to 20 PLF at 16.00 Truss design per IBC sect. 2306.1. 10.00 psF non-concurrent bottom chord live
BC From 4 PLF at 16.00 to 4 PLF at 18.00 load applied per RNSI/TPI 1.
Left end vertical not exposed to wind pressure. DeFlection meets L/240 live and L/180 total load.
+•WRRNINGii Low TC live load with 1.33 duration Factor.
1'4'+1-4"+1'4" 1'4' -1'4"----1'4"----1'7-2� �1'4'�- 1'14 2.8"
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r,I�=+_ 16'
Rv-2126# U-209# W-5"8 Rv-2171# U-21 # W
LEFT RAKE = 1'11"3 RIGHT RAKE = 2' 1"5
LEFT JIG = 5' 10"12 RIGHT JIG = 12'9"1
DESC. = R1 24' Std Stub Com SEE) = 89848
PLT. TYP. -WRVE IBC/TPI20021STDI c /RT-1.00(1.25)/ 5( O) OTY= 1 TOTRL= 1 REV. 7.25.0411.13 SCALE =0.4130
+NWRRNING*+ TRUSSES REQUIRE EXTREME CARE IN FABRICATING t HANDLING i SHIPPING INSTALLING
AND BRRCING. REFER TO HIB-91 (HANDLING INSTALLING AND tlRACING) PUBLISHED �Y TPI (TRUSS TC L L 25.0 REF
PLATE INSTITUTE, 583 D'ONOFRIO OR. SUITE 200 MADISON, WI. 537j91 FOR SAFETY PRACTICES
rl PRIOR TO PERFORMING THESE FUNCTION. UNLESS 6THERWISE INDICATED TOP CHORE) SHALL HAVE TC DL 7•Opl& DATE D1-02-2007
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE fS PROPERLY ATTACHED RIGI
CEILING. +•IMPORTRNT++ FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. BC D L 10 0�F DR W G
2750 Hogum Boy Rd. N.E. DESIGN:EANYNFAILURERTOUBUILDITHE SHALL NOT
BE
RTPIY ORVFABROICATING THIS
Lace WR 98516-3123 HANDLING, SHIPPING, INSTALLING AND BRACING OF TRUSSES. DESIGN CONFORMS WITH RPALICRBLE BC L L 0•0�F JDS
y� PROVISIONS OF NOS (NATIONRL DESIGN SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND
PAPER ASSOCIRTION) AND TPI. ALPINE CONNECTORS ARE MADE OF 20GR RSTM R653 GR40 GRLV. STEEL TOT.LD. 42.0 O/A LEN. 16
(3 60) 491 -80 2 4 THISPDESIGNOTPOSITIONLCONNECTORSRPER DRAWINGS FACE
160FATZ. THE AND
SbLUNLESS
THIISHDRAWINGSE LOCATED
OICATE
ACCEPTANCE bF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT DUR.FR C. 1 • 1 5
Fox: (360) 491-8028 DESIGN SHOWN. THE SUITABILITY RND USE OF THIS COMPONENT FOR RNY PARTICULAR BUILDING SPACING 24.0" TYPE GRBL
II S THER P N TY TH B N N R PER
RN /TP - 9 T N2.
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Job: l i 112Um) WHLKIN John Gl son / b 12' Lom bp THIS DWG. PREPARED FROM COMPUTER INPUT (LORDS 6 DIMENSIONSISUBMITTEO BY TRUSS MFR.
Top chord 2x4 HF #2 90 mph wlnd 15.00 ft mean h9t, RSCE 7-02, CLDSEO bld9 Located anywhere in
Bo chord 2x4 HF #2 rooF, CRT If, EXP C, wInd TC 0L-3.5 psf, wind BC OL-5.b psf.
Webs 2x4 HF Stud
Truss des:9n per IBC seot. 2306.1. 10.00 pef non-oonourrent bottom chord live
Defleotion meets L/240 live and L/180 total load. load applied per RNSI/TPI 1.
12�4 5'7"2
SX5
4 12
v
2X4(RII
4X
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4X4
2X4
4' 12'
4' 5'7"2 I- 6'4"14
�---1'10" 4' 12'
2
L
Rv-1064# U-180# W-5"8 I6' Rv-556# U-180 W-5"B
LEFT RAKE = 1' 11-3 RIGHT RAKE = 2' 1"5
LEFT JIG = 4'4" RIGHT JIG = 12'9-1
DESC. = B 12' Com Sp SED = 89854
PLT. TYP. -WAVE IBC/TPI2002(STO) c /RT-I.000.25)/ 5( 0) OTY= 7 TOTAL= 7 REV. 7.25.0411. 13 SCALE =0.4130
--WRRNING-- TRUSSES REQUIRE EXTREME CARE IN FABRICATING HANDLING SHIPPING INSTALLING
AND BRACING. REFER TO HIB-91 (HANDLING INSTALLING AND RACING) NBLISHEO 6Y TPI (TRUSS TC L L 25.O� REF
PLATE INSTITUTE, 583 D'ONOFRIO DR. SUITE 200, MADISON, WI. 53719) FOR SAFETY PRACTICES
PRIOR TO PERFORMING THESE FUNCTION. UNLESS OTHERWISE INDICATED TOP CHORD SHALL HAVE TC DL 7.OpRe DATE 01-02-2007
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGI
CEILING. --IMPORTANT-- FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. BC D L 1 O O DR W G
2750 Hogum Boy Rd. N.E. DES I GN:EANYNFAILURERTOUCTS BUILD INC.E SHALL NOT
INBCONFORMANCELWITHRTPIY ORVFABROICATING OM THIS
Lace WR 98516-3123 HANDLING, SHIPPING, INSTALLING AND BRACING OF TRUSSES. DESIGN CONFORMS WITH APALICABLE BC L L 0.O� JD S
yl PROVISIONS ASSOCIATION) AND TPI. ALPINE CONNECTORSIAREON PMADE5OF020GA ASTM BY THE MRG53RGR40R EST AND
PAPER GRLV. STEEL TOT.LD. 42.0 0/R LEN. 16
(360) 4 9 1-8 02 4 EXCETHISPT AS DESIGNOTPOSITIONLCONNECTORSRS TO EACH PER DRAWINGSC160FRTZT N
. HEE SALNONSTHISHERWISE DRAWINGLOCATED
INDICATE
ACCEPTANCE 6F PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT DU R.FR C. 1 . 15
Fax: (360) 491-8028 DESIGN SHOWN. THE SUITABILITY RND USE OF THIS COMPENT FOR ANY PARTICULAR BUILDING SPACING 24.0" TYPE COMN
THEII SRESPON I TY F TH N G ON
NER PER
RN /TP1 1-1995 SECTION
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Job: l I 112Um) WHLKIN John Ul son / bl 12' 5td Lom bp THIS OWG. PREPARED FROM COMPUTER INPUT (LORDS & DIMENSIONS)SUBMITTED BY TRUSS MFR.
Top chord 2x4 HF 165Df-1.SE 85 mph wend 15.00 ft mean hgt, RSCE 7-02, CLOSED bldg Located anywhere In
Bot chord 2x4 HF #2 roof, CRT If, EXP C, wind TIC DL-3.5 psf, wend BC OL-5.b psf.
Webs 2x4 HF Stud :W2 2x4 HF #2:
:W3 2x4 HF 1650E-1.5E: All plates ore 2X4 except as noted.
See DWGS RD8515EE0405, GBLLETIN0405, & GBLBRSTD0405 for more requirements. Truss spaced at 24.0" OC desigqned to support 1-6-0 top chord outlookers.
Clcdding load shall not exoeea 3.00 PSF. Top chord must not be cut or notched.
Truss dee:gn per IBC sect. 2306.1. 10.00 psf non-concurrent bottom chord live
load applied per ANSI/TPI 1. Deflection meets L/240 live and L/180 total load.
2'8. 1.4" 1.4.�1�1.4.�(�1.4..�l�1.7.2�l�o�1.4.�1�1.4_�1�2'0'
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i
,
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71
4X4
4' 12'
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�1110" 4' 12'
2
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Rv-1462# U-216# W-5"8 16 Rv-760# U-180 W-5"8
LEFT RRKE = 1' 11"3 RIGHT RRKE = 2' 1"5
LEFT JIG = 4'4" RIGHT JIG = 12'9-1
DESC. = B1 12' Std Com Sp SEO = 89871
PLT. TYP. -WAVE IBC/TPI2002(STD) C /RT-1.00(1.25)/ 5( 0) OTY= 2 TOTAL= 2 REV. 7.25.0411.13 SCALE =0.4130
aaWRRNINGaa TRUSSES REQUIRE EXTREME CARE IN FABRICATING HANDLING SHIPPING INSTALLING
AND BRACING. REFER TO HIB-91 (HANDLING INSTALLING AND BRACING) hBLISHED 6Y TPI (TRUSS T C LL 25.OpR& REF
PLATE INSTITUTE, 583 D'ONDFRID OR. SUITE 200, MADISON, WI. 53719) FOR SAFETY PRACTICES TC DL 7,0 DATE Oi-02-2007
PRIOR TO PERFORMING THESE FUNCTION. UNLESS OTHERWISE INDICATED TOP CHORD SHALL HAVE
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGI
CEILING. a+IMPORTANT" FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. BC DL 10.O DR WG
2750 Ho um Bo Rd. N.E. RLPINE ENGINEERED PRODUCTS, INC. SHALL NOT BE RESPONSIBLE FOR ANY DEVIATION FROM THIS
g y DESIGN: ANY FAILURE TO BUILD THE TRUSSES IN CONFORMANCE WITH TPI: OR FABRICATING 0,0 JDS
Loce WA 98516-3123 HANDLING, SHIPPING, INSTALLING AND BRACING OF TRUSSES. DESIGN CONFORMS WITH RPALICABLE BC ILL I 1 , v.
yr PAPERPROVISIONS OF NOS ASSOCIATION)(ANDIIPIL DESIGN ALPINE CONNECTORSION AREPMADE OFO BY 20GRTHE RSTMMA653AGR40REST AND
GALV. STEEL TOT.LO. 4 2.0 0/A LEN. 16
(3 60) 491 -8 0 2 4 EXCEPT AS NOTED. APPLY CONNECTORS TO EACH FACE OF TRUSS AND UNLESS OTHERWISE LOCRTED 0
THIS DESIGN POSITION CONNECTORS PER DRAWINGS 160 A-Z. THE kRL ON THIS DRAWING INDICATE OU R.FR C. 1 . 15
ACCEPTANCE bF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT
Fax: (360) 491-8028 DESIGN SHOVN. THE SUITABILITY AND USE OF THIS COMPONENT FOR RNY PARTICULAR BUILDING SPACING 24.0" TYPE GRBL
TH R P N IT, T NDESIGNER,
N R PER
RN /TPI 1-1 9 CT
N
PDF created with pdfFactory Pro trial version www.pdffactory.com
Job= (GIP1114R) WALKIN JOHN GIPSON / 24' COM THIS DWG. PREPRREO FROM COMPUTER INPUT (LORDS & DIMENSIONS)SUBMITTED BY TRUSS MFR.
Top chord 2x4 HF #2 90 mph wend 15.00 Ft mean hgt, RSCE 7-02, CLOSED bldg Located anywhere in
Bo chord 2x4 HF #2 roof, CRT If, EXP C, wind TC DL-3.5 psF, wind BC DL-5.6 psf.
Webs 2x4 HF Stud
Truss design per IBC sect. 2306.1. 10.00 psF non-concurrent bottom chord live
Deflection meets L/240 live and L/180 total load. load applied per RNSI/TPI 1.
S
-� 5
12' 12'
6'4"8 5'7'8 5'7"8 614"8
SX5
12
m
4 2X4 2X4
7
5X5(R2) SX5(R2)
q'3
y 4X4 3X5 4X4
24'
8'3" 3'9- -L 3'9" B'3-
2 24
Rv-1155# U-180# W-5"B Rv-1155#
LEFT RAKE = 2' 1"5 RIGHT RAKE = 2' 1"5
LEFT JIG = 12'9"3 RIGHT JIG = 12'9"3
DESC. = 24' COM SEO = 132201
PLT. TYP. -WAVE IBC/TPI2002(STD) C /RT-1.00(1.25)/ 5( D) OTY= 7 TOTRL= 7 REV. 7.25.0411. 15 SCALE =0.2956
++WRRNING++ TRUSSES REQUIRE EXTREME CARE IN FABRICATING 1 HANDLING 1 SHIPPING INSTALLING
AND BRACING. REFER TO HIB-91 (HANDLING INSTALLING AND 6RRCING) PUBLISHED 6Y TPI (TRUSS T C L L 25.0 P S F REF
PLATE INSTITUTE, 583 0 ONOFRID DR. SUITE 200 MADISON, WI. 53719) FOR SAFETY PRACTICES
PRIOR TO PERFORMING THESE FUNCTIONS'. UNLESS 6THERWISE INDICATED TOP CHORD SHALL HAVE TC DL 7.OPSf DATE 11-17-2DD6
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE A PROPERLY ATTACHED RIGI
CEILING. ++IMPORTANT** FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. B C D L O•O S D R W G
2750 Ho um Bo Rd. N.E. ALPINE ENGINEERED PRODUCTS, INC. SHALL NOT BE RESPONSIBLE FOR ANY DEVIATION FROM THIS OP
SF
y DESIGN: ANY FAILURE TO BUILD THE TRUSSES IN CONFORMANCE WITH TPI: OR FABRICATING,
Lacey, WR 98516-3123 HANDLING, SHIPPING, INSTALLING AND BRRCING OF TRUSSES. DESIGN CONFORMS WITH APPLICABLE B C L L O.O P S f R T H
y PROVISIONS OF NOS (NRTIONRL DESIGN SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND
PAPER ASSOCIATION) AND TPI ALPINE CONNECTORS ARE MADE OF 20GR RSTM RG53 GR40 GRLV. STEELTOT. L D. 42.O S F 0/A L E N. 24
(3 6 0) 4 9 1-8 0 2 4 CATED 01,
THIS DESIGN, POSITION CONNECTORS PER DRAWINGS 150 A . THE kRL ON THI
S EACH DRAWING
HERWISE LOINDICATE
ACCEPTANCE OF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT D U R.F R C. 1 . 1 5
I
ax: (360) 491-8028 DESIGN SHOWN. THE SUITABILITY RND USE OF THIS COMPONENT FOR RNY PARTICULAR BUILDING SPRCING 24.0" TYPE COMN
Y F R ANSI/TPI 1-1995 SECTION 2.
Job: (GIP1114R) WALKIN JOHN GIPSON / 24' Std Com THIS DWG. PREPARED FROM COMPUTER INPUT (LORDS & DIMENSIONS)SUBMITTED BY TRUSS MFR.
Top chord 2x4 HF #2 90 mph wind 15.OD Ft moon hgt, RSCE 7-02, CLOSED bldg Located anywhere In
Bo chord 2x4 HF #2 rooF, CRT If, EXP C, wind TC OL-3.5 psF, wind BC OL-5.b psF.
Webs 2x4 HF Stud
Truss spaced at 24.0" OC designed to support 1-6-0 top chord outlookers. All plates ore 2X4 except as noted.
CloddIng load sholl not exceed 3.00 PSF. Top chord must not be out or notched. See DWGS R10015EE0405, GBLLETIN0405, & GBLBRST00405 For more requirements.
OeFleotion meets L/240 live and L/180 total load. Truss design per IBC seat. 2306.1. 10.00 psF non-oonourrent bottom chord live
load applied per RNSI/TPI 1.
12' 12'
1 4" 1 1 4" I 4N 1 4" 1 4" 1 4" �L 9� I 1 4" 1 4"
o
o `c 2 B
4X8
12
4p
7
I
l
3X9(A 1) 3X9(A I)
43
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24'
�— 1'4" j14" N " i4" � l 1'4" " 'I 1' " !I
-2'8" _
198 2'8"
2 24
Rv-1593# U-276# W-5"8 Rv-1593# U-27(# �-5"8 I
LEFT RAKE = 2'1"5 RIGHT RAKE = 2' 1"5
LEFT JIG = 12'9"3 RIGHT JIG = 12'9"3
DESC. = 24' Std Com SEO = 132207
PLT. TYP. -WAVE IBC/TPI2002(STD) C /RT-1.00(1.25)/ 5( 0) OTY= 1 TOTAL= 1 REV. 7.25.0411. 15 SCALE =0.2956
ANDRBRACING.TRREFER USSES REQUIRETREME IN LLING TC L L 25.O P S f REF
PLATE INSTITUTE, 583 D'ONOFRIO DR. SUITE 200, MADISON, WI. 537I9) FOR SAFETY PRACTICES
PRIOR TO PERFORMING THESE FUNCTIONS. UNLESS OTHERWISE INDICATED TOP CHORD SHALL HAVE TC DL 7.OPSf DATE 11-17-2006
T r u T r u s s I n c PROPERLY ATTACHED STRUCTURAL PANELS AND BOTTOM CHORD SHALL HAVE PROPERLY ATTACHED RIGI
CEILING. ++IMPORTRNT++ FURNISH R COPY OF THIS DESIGN TO THE INSTALLATION CONTRACTOR. BC DL 10.O S F D R W G
2750 Ho um Bo Rd. N.E. ALPINE ENGINEERED PRODUCTS, INC. SHALL NOT BE RESPONSIBLE FOR ANY DEVIATION FROM THISP
9 y DESIGN: ANY FAILURE TO BUILD THE TRUSSES IN CONFORMANCE WITH TPI: OR FABRICATING
Looe , WA 98516-3123 HANDLING, SHIPPING, INSTALLING AND BRACING OF TRUSSES. DESIGN CONFORMS WITH APPLICABLE BC L L 0•O P S F R T H
y PROVISIONS OF NOS (NATIONAL DESIGN SPECIFICATION PUBLISHED BY THE AMERICAN FOREST AND
PAPER RSSOCIRTION) FIND TPI. ALPINE CONNECTORS ARE MADE OF 20GA RSTM R653 GR40 GRLV. STEE TOT. LD. 42.0 SO O/A LEN. 24
(3 6 0) 4 9 1-8 02 4 THISP DESIGN, POSITIONLCONNECTORSRPERODRAWINGSEACHC160FATZ. THERUSSNSSRLNONSTHIISHERWISE DRAWINGLOCATED INDICATE
D U R.F R C. 1 . 15
ACCEPTANCE OF PROFESSIONAL ENGINEERING RESPONSIBILITY SOLELY FOR THE TRUSS COMPONENT
Fax: (360) 491-8028 DESIGN SHOWN. THE SUITABILITY AND USE OF THIS COMPONENT FOR RNY PARTICULAR BUILDING SPACING 24.D"
TY N R R / T TYPE GABL
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TOPOGRAPHY PROFILE:
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ITT
Direction: Scale: Approval: for office use
Building Permit number: 07-- n le UAr, 10, Building:
Owner/Applicant: �(0,C(A �364 kx �QI C�y�./� Date of Planning:
�(( 2 Ur�r r_ Z C application: Env. Health:
Parcel Number: I 7 �b I 1 �30IDb
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/ VIAQ Compliance Application
Owner: J f Telephone: p�� arcel#: 3Z1Z
Type of project ( ) New Residence (y)Addition ( ) Remodel
Total Sq. Ft. ` 1S Floor : 2 floor: Heated B sement:
of heated area:: La 1 21 / t
Heating System Type: M Electric 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 ® Prescriptive Option see reverse side circle one: 1 II V
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets required
� Check one::
% O 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
System
vents (VIAQ 303.4.1) Recovery Ventilation System (VIAQ 303.4.4)
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:
rA arif L uvt r
r iA Ev,f 1 0
Windows: Total Sq. ft. ' C)
Doors:
5lsc. Qf"
Doors: Total Sq. Ft
G 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
(WSECNIAQ)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 Ll-factor Door Wall Wall Wall
Area %of _ Vaulted Above interior° exterior Slab°
Option Floor „ s CeilingCeilin 3 Grade below °Below Floors on
,U Vertical Overhead Factor z g tz 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
IVJ 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. 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.
k I - o 1 c
Mason County Planning Intake Checklist
Owners Name: 14 �. &01 f Date:_ I�- I�1 -OCp
Project: _ 1 t Reviewed By: — Ll
Commercial Development: YES NO Comments:
PLANNER: GBM TSC CMM KJM PBC R:DH
Sit Plan:
North Arrow
Property Dimensions: xvl�"
>All
treets and Driveways Shown. Road name: �Yl IQ l�/V� eeJ
ur' Existing Structures shown_ Ath tbac_ksJ WIG
o Well Location, Septic and Drain-field hown with setbacks Cpmmun Lj4x —
❑ Identify all surface wa er s reams, ponds, shoreline, wetlands, natural or istoric drainage,
defined drainage ditches) n
o Topography (slopes) pt rva,') ` ,- }' L► ►�-e� -1'i�.Lc��
❑ Proposed Structure Setbacks irection/ etback): ,
F: R: S1: I0 r� S2:
4/lutility and Drainage Easements: es No (if yes enter condition #5022)
V'Other Easements , N6,tum
c--'Accessory Appurtenances: Prone / Heatpum
viVariance applied for: Yes /�- parking spaces allotted? Yes / No
cu County Access Permit Needed (add condition #0010) r_ k
Li State Access Permit Needed (add condition #0020) J
Standard Conditions to be added to all Building permits that planning reviews: #5019 and #0700
Site Access: Are there any impediments (dogs/gates) that my restrict access to your site?
I�C�
Is the site clearly marked? How? U-----'AddressP1-A 4-,+ Orly
❑ Name
Critical Areas: ❑ Other:
Setbacks: Shoreline: Slope:
Shoreline Designation: Comprehensive Plan: Rura oning:
❑ Not Applicable ❑ Agricultural E RR 2.5C5 10 20
❑ Urban ❑ In-holding ❑ RMF
❑ Rural ❑ LTCFL ❑ RC 1 2 3
❑ Conservancy ❑ Rural ❑ RI
❑ Natural ❑ RAC ❑ RNR
❑ Unknown ❑ RCC-Hamlet ❑ RT
❑ Urban Growth Area ❑ MPR
❑ Unknown ❑ Unknown
Water Body (type ,if unnamed):
SEPA: Yes/ No Cdnknown Flood Plain: YE�JNO Unknown Map#
Aquifer Recharge: YES�NO Unknown Map#
Tags/Cases:
RLC/SPI Case: 6-Year Dev. Moratorium: YE '
Eagle Nest Tag YE NO Other Y 9,'
Revised: 09-29-2006
t� 'ro aq
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13 x,h �'""�11.'m ,c•,c��,,,r, 11
MASON COUNTY PERMIT NO
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 5
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 1 c �c_xt Company Name
Mailing Address \ O 130" �Z 1 Ln - Mailing Address
City e State kV'M Zip Code 99 9'0 City State Zip Code
Phone '''�' ' �p"d`7 Z� Other Ph.vYv Phone Other Ph.
Lien/Title Holder. Contractor Reg. # Exp.
E mail address f'ra E Mail Address
Drivers Lic.# b r D<DOB :� /2 S h -A 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 of5ewer System
PARCEL INFORMATION - 12 Digit Parcel Nb. C>o C> Fire District
Legal Description Z-
Site Address(Please include street name, stree nu ber and city) 1 Ct' .'�� �• 5 y,%
Directions to site �^ ,� h^ l- S "�'` l��. ''� y 2 w►, s Ce ari f 5
t ( Y .,J 'T r' /v 01 L P
Will timber be cut and sold in parcel preparation?Yes/No:-
Is property within 200' of Saltwater Lake RiverlCreek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/
TYPE OF JOB - New Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building ' Describe Work
No. of Bedroom No. of Bathrooms Square Footage- 1 st Floor 2nd Floor
3rd Floor Basement 6M Deck-CovergcLDeck Other ('1 Z- Sq. ft.
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make f f&�Model. Year
Length Width Serial No. No. of Be4roorns 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 if construction work is suspended for a period of 180 days.PROOF OF CONTINUATION OF WORK IS BY
MEANS FAPROGRES$INSP CTION.INACTIVITYOF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALIDATE THEAPPLICATION.
X u c Date:
Owner%Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: U..J Date
DEPARTMENTAL REVIEW PROVED DENIED NOTES
Building44
Department / ►� ��
Planning Department
Environmental Health Department
Fire Marshal C�
FEES
Building Permit Fee / Site Inspection
Plan Review Fee 7 . EH Review Fee
Plumbing & Base Fee y aG Planning Review Fee
Mechanical & Base fee p 0 Other
Wood /Gas/ Pellet Stove Fee r� State Fee y�
Violation Fee a �-�-G� Pre-Paid at Submittal
Valuation $ TOTAL FEES
PERMIT NO.! t4-?t!K") 0 Lj-J6
MASON COUNTY
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 INFORMATION CONTRACTOR INFORMATION
Owner. I/ > G ^r '" Company Name
Mailing Address '62 11 .5ZI Mailing Address
City -L+ (kcAA StatehL4 Zip Code � � 5v-,.) City Mate Zip Code
Phone zi PO `�_2Q-(_,.xf Z f�er Ph. Phone Other Ph.
Lien/Title Holder AAA Contractor Reg. 9 Exp.
E mail address E Mail Address
Drivers Lic.# {._� (, rA-61bOB S1 Drivers Lic.# DOB
SEPTIC INFORMATION - Connect to New Septic Existing Septic - Connect to Sewer System
Name of Sewer System
PARCEL INFORMATION - 12 Digit Parcel No. � 7 1 —S L/ - c�Jc�Z Fire District
.Legal Description t
Site Address (Please include street name, street number and city) I Cr -j
Directions to site -3. f,ant Sly_ 0Lb"t `V,7 I,,-
-or orf #
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
TYPE OF JOB - New .Add Alt Repair Other use of Building
Location of Fixtures/Units - 1 st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNITS
Type of Fixture No. of Fixtures Fees Fuel Type:Electriq LPC-L-- Natural Gas_ Heat Pump_
Toilets Type of Unit' No. of Units Fees
Bathroom Sink Furnace
Bath Tubs Heatpumps
Showers Spot Vent Fan
Water Heater Propane Tank
Clothes Washer Gas Outlets
Kithen Sinks Wood/Gas/Pellet Stove
Dishwasher Kitchen Exhaust Hood
Hosebibs Dryer Vent
Other Other
Base Fee Base Fee
TOTAL PLUMBING TOTAL MECHANICAL
OWNER/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 parry 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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X r- _rtJaAk Date:—
owner i Owners Representative/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
Occ Group-TVpe Constr.
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