Loading...
HomeMy WebLinkAboutBLD2024-00274 SFR with Attached Garage - BLD Application - 4/8/2024 n PLN Approved 03/08/2024 Mason County Community Development , �� L U J \ Gavin Scouten s All Changes Subject to Approval S 87'32'11" - - ----f-W-------- -- ---- r I I 21--2.65 • PLN SETBACKS j --- `� Front(North):25' j ____—_______`_ ;` J NO CLEARING OR NEW Sides:20' j ;`""" —__ DEVELOPMENT WITHIN 90' Rear:20' j '-�,,, / OF STREAM TO THE SOUTH .all setbacks measured from the farthest \ projection of the building 'subject to EH setbacks I I z! j { PARCEL 2 j BLA 21-07 m. PARCEL 32 10 90012 w I _ram 3.03 ACRES, o ,� N C2 191.18 CC z ------------------- O M --------N 86'22'13" E / `� cn W ', n N a F I O iN I L m i} I p irn i � I I Q 3� EH Setbacks !I will LOT 1 - �� _ ___L - A.) Drainfield/Reserve requires 10'setback from footing/foundations --• - ll B.)Septic tank(s)requires 5'setback from all footing/foundations SHORT �i' L14 :_= L32 3 3 C.)No foundation/Perimeter Drains within 30ft,downgradient of, PLAT Drainfield/Reserve area 2269 D.)No Cut Bank(s)(greater than 5ft and over 45 degrees)within, 50ft,down gradient of Drainfield/Reserve area \ \ L \ CN �v EH APPROVED ¢�GRAPHIC SCALE so o is so w Rhonda Thompson 04/04/2024 " C1 C1 r� Name aK0A0A Parcel# 36,13 J JG 0— BLD# .-no Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 1 of 2) Per Mason County Code, Title 14,Chapter 14.48 a stormwater site plan is required whenever a building application is made for residential development,or redevelopment', with more than 2,000 square feet of impervious surface'. 'Redevelopment means,on an already developed site,the creation or addition of impervious surfaces,structural development including construction,installation or expansion of a building or other structure,and/or replacement of impervious surface that is not part of a routine maintenance activity,and land disturbing activities associated with structural or impervious redevelopment. 'Common impervious surfaces include,but are not limited to,rooftops,walkways,patios,driveways,parking lots or storage areas, concrete or asphalt paving,gravel roads,packed earthen materials,and oiled, macadam or other surfaces which similarly impede the natural infiltration of stormwater.Open,uncovered retention/detention facilities shall not be considered as impervious surfaces. To Calculate Impervious Surfaces Please Complete This Table Surface Type Length X Width = Area * All dimensions in feet Buildings 0 1 X L} _ X = Measurements for buildings are taken at the X _ perimeter of the farthest projections (example: eaves/gutters) X = Driveways X = X = Length of drive begins at the right of way X Parking Areas X X = Any paved, gravel or packed area per definition above table X = Patios/Walks X = X = Any paved, gravel or packed area per definition above table X = Others X = X = If the total impervious area of the proposed site X = development is greater than 2000 square feet a Small Parcel Stormwater Site Plan is Required Total Impervious Surface Area (sum of all areas) If the Total Impervious Surface Area is LESS THAN 2000 Square Feet,please read, acknowledge and sign below. Based Upon the information you have provided a Stormwater Site Plan IS NOT required for this development activity. Owner/Builder/Agent Acknowledges that submission of inaccurate information may result in a stop work order or permit revocation. AcVmenth is by signature below. I declare that I am the owner,owner's legal representative,or the contractor. I futhe information provided is accurate and employees of Mason County are granted access to the above- de 'ew and inspection as may be required.X Owner/Agent/Contractor(circle one)Date:Ifus Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign the information provided on page 2 of 2. Page 1 of 2 ti _Ift Name Parcel# �j�13���D "`qa�l BLD# ��— 0��? Mason County Department of Community Development Small Parcel Stormwater Management Application/Worksheet (page 2 of 2) Based Upon the information you have provided a Stormwater Site Plan IS Required for this development activity. Title 14,Chapter 14.48 of the Mason County Code (MCC)regulates compliance requirements for Stormwater Management in this jurisdiction. A complete copy of the ordinance can be found on the Mason County website: http//www.co.mason.wa—us/code/commissioners/index.htm Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". Regulated activities shall be conducted only after Mason County Public Works approves a stormwater site plan (Mason County Code Title 14 Chapter 14.48 section 14.48.70).You will receive a copy of the Public Works document entitled"Managing Storm Drainage on Small Lots,The Small Parcel Stormwater Site Plan".This document will assist you in preparing the necessary information and plans for Public Works to review and approve. Per Department of Public Works this document will constitute an approved plan if all of the relevant details* are to be installed in their entirety AND no part of the stormwater system adversely affects any septic system (see Environmental Health information below). If an alternative system is to be used a plan will need to be submitted to Public Works for approval. A design by a registered professional may be required for more complex sites. *These details are found in the document Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan on the pages that begin with"Handout" PLEASE INITIAL BELOW TO INDICATE THE STORMWATER MANAGEMENT PLAN FOR THIS SITE A) The relevant details from Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan will be installed in their entirety AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. B)11—An alternative plan and/or professional design will be submitted to the Department of Public Works for approval AND the system will be located as not to adversely affect any septic systems on this,or any other,parcel. If you have further questions pertaining to parcel drainage and stormwater management Mason County's Public Works Department can provide additional instructions,guidance and examples. (Section 14.48.130)contact Public works at: Phone: (360)-427-9670 EXT.450 Mail: P 0 Box 1850,Shelton WA 98584 Physical: 415 N 6th St, Shelton WA 98584 If this development has,or will have,a septic/drainfield system you may need to contact Mason County Division of Environmental Health to ensure that the stormwater system will not adversely affect the septic system of this,or any other,parcel.You may also wish to consult with the septic design professional involved with the project.Mason County Division of Environmental Health can be reached at: Phone: (360)427-9670 EXT. 352 Mail: P 0 Box 1666,Shelton WA 98584 Physical: 426 W Cedar St, Shelton WA 98584 A condition will be added to the building permit that states,in part,that all conditions the stormwater site plan will be met prior to a request for final inspection of the building permit. Owner/Builder/Agent Acknowledges that 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,owner's legal representative,or the contractor.I further a w the information provided is accurate and employees of Mason County are granted access to the above- descri o for rev w and inspection as may be required. X Owner/Agent/Contractor(circle one)Date: Za Z"I Page 2 .► -a MASON COUNTY COMMUNITY DEVELOPMENT Permit Assistance Center, Building,Planning These requirements apply to all IRC building types,including detached one-and two-family dwellings and multiple single-family dwellings(townhouses). Contact Information Project Information Hers Name: Site Address: , , "I prylviol J- Mal-to P I Z- I 6 INSdsarlL� Mailin Address: 35 69 O Syc,P,l�a� (Nf4 �8�✓£s`f Parcel Number: O�wtPio WK- 99ya2 37.133 -/J - 11101z quare Feet(total): el nel Ventilations Compliance: Whole House Ventilation system 0 Whole House Ventilation using exhaust fans&window orwall Integrated with a Forced Air fresh air vents(M1507.3.4) System(M1507.3.5) Other, describe: Instructions:This single-family project will use the requirements of the Prescriptive Path below and incorporate the minimum values listed. Based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Provide all information from the following tables as building permit drawings:Table R402.1- Insulation and Fenestration Requirements by Component,Table R406.2-Fuel Normalization Credits and 406.3- Energy Credits. All Climate Zones(Table R402.1.1) R-Value e U-Factor e Fenestration U-Factor b n/a 0.30 Skylight U-Factor b n/a 0.50 Glazed Fenestration SHGC bje n/a n/a Ceiling a 49 i 0.026 Wood Frame Wall gh 21 int 0.056 Floor 30 0.029 Below Grade Wall c,h 10/15/21 int+TB 0.042 Slab I,'R-Value& Depth 10,2 ft n/a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity that is less a than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights. "10/15/21+5TB" means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at c the interior of the basement wall. "10/15/21+5TB"shall be permitted to be met with R-13 cavity insulation on the interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "5TB" means R-5 thermal break between floor slab and basement wall. d I R-10 continuous insulation is required under heated slab on grade floors.See Section 11402.2.9.1. Prescriptive Path—Single Family 2018 Washington State Energy Code-R For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R-38 if the full insulation depth e extends over the top plate of the exterior wall. R-7.5 continuous insulation installed over an existing slab is deemed to be equivalent to the required perimeter f slab insulation when applied to existing slabs complying with Section R503.1.1. If foam plastic is used,it shall meet the requirements for thermal barriers protecting foam plastics. For log structures developed in compliance with Standard ICC 400,log walls shall meet the requirements for g climate zone 5 of ICC 400. Int.(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard h framing 16 inches on center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 insulation. Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 (fuel normalization credits)and Table 406.3 (energy credits)to achieve the following minimum number of credits.To claim this credit,the building permit drawings shall specify the option selected and the maximum tested building air leakage and show the qualifying ventilation system and its control sequence of operation. 1. Small Dwelling Unit:3 credits Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area. Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf. 2. Medium Dwelling Unit:6 credits All dwelling units that are not included in#1 or#3 3. Large Dwelling Unit:7 credits Dwelling units exceeding 5,000 sf of conditioned floor area 4. Additions less than 500 square feet: 1.5 credits All other additions shall meet 1-3 above Before selecting your credits on this Summary table, review the details in Table 406.3(Single Family),on page 4. Summary of Table R406.2 Heating Credits-select ONE Options Fuel Normalization Descriptions heating option User Notes 1 Combustion heating minimum NAECAb 0.0 2 Heat pump` 1.0 1 - 6 3 Electric resistance heat only-furnace or zonal -1.0 4 DHP with zonal electric resistance per option 3.4 0.5 5 All other heating systems -1.0 ❑ Energy Credits-select ON Energy Credit Option Descriptions energy option from each Options cate o 1.1 Efficient Building Envelope 0.5 1.2 Efficient Building Envelope 1.0 1.3 Efficient Building Envelope 0.5 0.5 1.4 Efficient Building Envelope 1.0 ❑ 1.5 Efficient Building Envelope 2.0 ❑ 1.6 Efficient Building Envelope 3.0 ❑ 1.7 Efficient Building Envelope 0.5 2.1 Air Leakage Control and Efficient Ventilation 0.5 2.2 Air Leakage Control and Efficient Ventilation 1.0 2.3 Air Leakage Control and Efficient Ventilation 1.5 ❑ 2.4 Air Leakage Control and Efficient Ventilation 2.0 ❑ 3.la High Efficiency HVAC 1.0 3.2 J High Efficiency HVAC 1.0 3.3- High Efficiency HVAC 1.5 ❑ 3.4 High Efficiency HVAC 1.5 ❑ 3.5 i High Efficiency HVAC _ 1.5 ❑ 3.61 1 High Efficiency HVAC 1 2.0 1 ❑ Prescriptive Path-Single Family 2018 Washington State Energy Code-R YJ � 4.1 High Efficiency HVAC Distribution System 0.5 ❑ 4.2 High Efficiency HVAC Distribution System 1.0 5.1' Efficient Water Heating 0.5 ❑ 5.2 Efficient Water Heating 0.5 ❑ 5.3 Efficient Water Heating 1.0 5.4 Efficient Water Heating 1.5 5.5 Efficient Water Heating 2.0 a, 5.6 Efficient Water Heating 2.5 ❑ 6.le Renewable Electric Energy(3 credits max) 1.0 ❑ 7.1 Appliance Package 0.5 ❑ Tota I Credits a. An alternative heating source sized at a maximum of 0.5 W/sf(equivalent)of heated floor area or 500 W, whichever is bigger, may be installed in the dwelling unit. b. Equipment listed in Table C403.3.2(4)orC403.3.2(5) c. Equipment listed in Table C403.3.2(1)orC403.3.2(2) d. You cannot select more than one option from any category EXCEPT in category S.Option 5.1 may be combined with options 5.2 through 5.6.See Table 406.3. e. 1.0 credit for each 1,200 kWh of electrical generation provided annually, up to 3 credits max. See the complete Table R406.2 for all requirements and option descriptions. Please print only pages 1 through 3 of this worksheet for submission to your building official. Prescriptive Path—Single Family 2018 Washington State Energy Code-R 2018 Washington State Energy Code—Residential Prescriptive Energy Code Compliance for All Climate Zones in Washington Single Fary*—New a Mdlttlaeu(offecOvo Fako ry 1,2021) These requirements apply to all IRC building types,including detached one-and two-family dwellings and multiple single-family dwellings(townhouses). -- --------- --- -- — - Project Information Contact Information MARIO RUIZ JWR Desi n 23 1310 360-354-0333 Instructions:This single-family project will use the requirements of the Prescriptive Path below and incorporate the minimum values listed. Based on the size of the structure,the appropriate number of additional credits are checked as chosen by the permit applicant. Provide all information from the followingtables as building permit drawings:Table R402.1-Insulation and Fenestration Requirements by Component,Table R406.2-Fuel Normalization Credits and 406.3-Energy Credits. Authorized Representative Date All Climate Zones(Table R402.1.1) _ R-Value U-Factor' !Fenestration U-Factor b n/a 0.30 Skylight U-Factor b n/a 0.50 !Glazed Fenestration SHGC b,e n/a n/a Ceiling° 49 i 0.026 Wood Frame Wall g.h 21 int 0.056 Floor 30 0.029 Below Grade Wall`•h 10/15/21 int+TB 0.042 _ !Slab 0 R-Value&Depth ! 10,2 ft n/a R-values are minimums. U-factors and SHGC are maximums.When insulation is installed in a cavity that is less a than the label or design thickness of the insulation,the compressed R-value of the insulation from Appendix Table A101.4 shall not be less than the R-value specified in the table. b The fenestration U-factor column excludes skylights. "10/15/21+STB"means R-10 continuous insulation on the exterior of the wall,or R-15 continuous insulation on the interior of the wall,or R-21 cavity insulation plus a thermal break between the slab and the basement wall at c the interior of the basement wall."10/15/21+5TB"shall be permitted to be met with R-13 cavity insulation on Lthe interior of the basement wall plus R-5 continuous insulation on the interior or exterior of the wall. "5TB" .Teans R-5 thermal break between floor slab and basement wall. d R-10 continuous insulation is required under heated slab on grade floors.See Section R402.2.9.1. I For single rafter-or joist-vaulted ceilings,the insulation may be reduced to R 38 if the full insulation depth I e extends over the top plate of the exterior wall. R-7.5 continuous insulation installed over an existing slab is deemed to be equivalent to the required perimeter f slab insulation when applied to existing slabs complying with Section R503.1.1. If foam plastic is used,it shall meet the requirements for thermal barriers protecting foam plastics._ For log structures developed in compliance with Standard ICC 400, log walls shall meet the requirements for ! g I climate zone 5 of IC_C 400. Int.(intermediate framing)denotes framing and insulation as described in Section A103.2.2 including standard In In�frami g 16 inches on center,78%of the wall cavity insulated and headers insulated with a minimum of R-10 J Prescriptive Path—Single Family 2018 Washington State Energy Code-R 1 2018 Washington State Energy Code-Residential Prescriptive Energy Code Compliance for All Climate Zones in Washington Single famHy-New&Additions(effective February 1, 2021) Each dwelling unit in a residential building shall comply with sufficient options from Table R406.2 (fuel normalization credits)and Table 406.3 (energy credits)to achieve the following minimum number of credits.To claim this credit,the building permit drawings shall specify the option selected and the maximum tested building air leakage, and show the qualifying ventilation system and its control sequence of operation. 1. Small Dwelling Unit: 3 credits Dwelling units less than 1,500 sf in conditioned floor area with less than 300 sf of fenestration area. Additions to existing building that are greater than 500 sf of heated floor area but less than 1,500 sf. 2. Medium Dwelling Unit:6 credits All dwelling units that are not included in#1 or#3 3. Large Dwelling Unit:7 credits Dwelling units exceeding 5,000 sf of conditioned floor area 4. Additions less than 500 square feet: 1.5 credits All other additions shall meet 1-3 above Before selecting your credits on this Summary table, review the details in Table 406.3(Single Family),on page 4. Summary of Table R406.2 Heating - Credits-select ONE Feet Normaltzatbn Descriptions User Notes Options' heating option 1 Combustion heating minimum NAECAb 0.0 ❑ 2 Heat pump` _ �1.0 [� 3 Electric resistance heat only-furnace or zonal -1.0 ❑ 4 DHP with zonal electric resistance per option 3.4 0.5 _ ❑ _5 All other heating systems -1.0_ _❑ Energy Credits-select ONE Options Energy Credit Option Descriptions energy option from each sate ory_ 1.1 -- 0.5 ❑ - 1.2 Efficient Building Envelope 1.0 ❑ 1.3 Efficient Building Envelope 0.5 1.4 Efficient Building Envelope 1.0 ❑ 0-5 1.5 Efficient Building Envelope 2.0 _ ❑ i 1.6 Efficient Building Envelope 3.0 ❑ 1.7 Efficient Building Envelope O.S ❑ 2.1 ;Air leakage Control and Effident Ventilation 0.5 r2.2 Air Leakage Control and Efficient Ventilation 1.0 ❑ - 2.3 Air Leakage Control and Efficient Ventilation 1.5 ❑ C- �2.4 Air Leakage Control and Efficient Ventilation_ 2.0 ❑ 3.11 High Efficiency HVAC _ 1.0 0 3.2 High Efficiency HVAC 1.0 ❑ High Efficiency HVAC _ 1.5 ❑ 3.4 High Mclency HVAC 1.5 ❑ 3.5 High Efficiency HVAC 1.5 ❑ High Efficienq HVAC -_._._--,____ 2.0 ❑ 4.1 High Efficieng HVAC Distribution System 0.5 i ❑ (- 4.2-High Efficiency HVAC Distribution System 1.0 Pia 1pd Path-Single Ftndy 2018 Washington State Energy Code-R 2 2015 Washington State Energy Code-Residential Prescriptive Energy Code Compliance for All Climate Zones in Washington Single family-New -AWdititiwts(effectWe FOWWay 1,_M) - - l Summary of Table R405.2(cont.) Energy --- - — Credits-select ONE - - O lions Energy Credit Option Descriptions(cont.) energy option from User Notes p _ _ each category - -- --Efficient Water Heating -- 0.5 ❑ - - - 5.2 Efficient Water Heating 0.5 ❑ 5.3 Efficient Water Heating 1.0 ❑ f 5.4 Efficient Water Heating 1.5 ❑ �—5.5 Efficient Water Heating 2.0 ❑ _ 5.6 Efficient Water Heating 2.5 ❑ j 6.10 Renewable Electric Energy(3 credits max) 1.0 Q 7.1 Appliance Package _ _0.5 ❑ J TotolCYedlta 6.0 CLEAR FORM I a. An alternative heating source sized at a maximum of O.S Wjsf(equivalent)of heated floor area or 500 W, whichever is bigger,may be installed in the dwelling unit. b. Equipment listed in Table C403.3.2(4)or C403.3.2(5) c. Equipment listed in Table C403.3.2(1)or C403.3.2(2) d. You cannot select more than one option from any category EXCEPT in category 5.Option 5.1 may be combined with options 5.2 through 5.6.See Table 406.3. e. 1.0 credit for each 1,200 kWh of electrical generation provided annually,up to 3 credits max. See the complete Table R406.2 for all requirements and option descriptions. Please print only pages 1 through 3 of this worksheet for submission to your building official. Prescriptive Path—Single Family 2018 Washington State Energy Code-R 3 Simple Heating System Size:Washington State This heating system sizing calculator is based on the Prescriptive Requirements of the 2018 Washington State Energy Code(WSEC)and ACCA Manuals J and S.This tool will calculate heating bads only.ACCA procedures for sizing cooling systems should be used to determine cooling loads. Please complete the green drop-downs and boxes that are applicable to your project.As you make selections it the drop-downs for each section,some values will be calculated for you.If you do not see the selection you need in the drop-down options,please contact the WSU Energy Program at energycode@energy.wsu.edu or(360)956-2042 for assistance Project Information Contact Information MARt0RUIZ JWtt 1) I HELTOM,WA 1-(360)-35"333 Heating System Type: All Ot�-er S;s-i ms Oe HW Pump To see detailed instructions for each section,place your cursor on the word'Instructions' Design Temperature Instructions '-Shelton Design Temperature Difference(AT) 47 � ..�.__...._..:.. -,..d.•.�_w.......:.,:;..-, r AT-Indoor(70 degrees)-Ouidoor Design Temp Area of Building Conditioned Floor Area Instructions Conditioned Floor Area(sq ft) Average Ceiling Height Conditioned Volume msiructl°ns Average Ceiling Height(ft) ® 21,296 Glazing and Doors U-Factor X Area = UA Instructions j u-0ze .' 0.280 17 105.84 Skylights U-Factor X Area = UA Instructions 0.50 Insulation Attic U-Factor X Area = UA Instructions 4 0.026 ® 52.60 Single Rafter or Joist Vaulted Ceilings U-Factor X Area UA InstructionsNo Vaulted CNl this p ings in roject —IdWMNWANilill _...- Above Grade Walls(see F-iwm t) U-Factor X Area UA Instructions - - — i R-2t tntemrcdiats �� � 0.056 � 195.55 Floors ae/ U-Factor X Area UA Instructions - 0.025 2A23 50.58 fl 35._,._..._..-. Below Grade Walls(a«Filpurs 1) U-Factor X Area UA Instructions rVoBelowGradewstlsintHspiclill t` l 0.028 1 Slab Below Grade Im Fare i) F-Factor X Length UA Instructions No Stab t�&�in ft�L' I 0.303 0 — Slab on tirade is"Far.v _ F-Factor X Length UA Instructions II ` 1 No Slab on Grade In this prolil w0 Location of Ducts Instructions Duct Leakage Coefficient Conditioned Spa" �J 1.00 Sum of UA 404.57 - Envelope Heat Load 19,015 Btu/Hour Figure 1. Sum of UA x AT Air Leakage Heat Load 10,810 Btu/Hour - Volume x 0.6 x AT x 0.018 Building Design Heat Load 29,824 Btu/Hour Air leakage+envelope heat loss Building and Duct Heat Load 29,824 Btu/Hour Ducts in unconditioned space:sum of budding heat loss x 1.10 Ducts in conditioned space:sum of&dIdinq heat loss x 1 Maximum Heat Equipment Output 37,281 Bur/Hour Buibrta and duct heat loss It 1.40 for forced air fwnaee Buildirla and duct heat loss x 1.25 for heat nurnv (07/01/J3) Permit No:MASON COUNTY COUNTY E�� Ate-D Imp COMMUNITY DEVELOPMENT`'''" ����' Permit Assistance Center, Building,Planning BUILDING BUILDING PERMIT APPLICATION 615 W. Alder Street PROPERTY OWNER INFORMATION: CONTRACTOR INFORMATION: NAME: Yt d Pvt 2 NAME: MAILING A RESS: 2.g35 5-y M 4V�-NW MAILING ADDRESS: CITY: 04An I a STATE:_ZIP:q915o 2 CITY: STATE: ZIP: PHONE 417 30Q 319 406 PHONE: CELL: PHONE#2:3 / 3 7 EMAIL : EMAIL: n-za L&I REG# EXP. PRIMARY CONTACT: OWNER II CONTRACTOR❑ OTH R Q NAME EMAIL ✓� 0� MAILING ADDR SS 2-y35 59 Pffe NW CITY STATE W1 i . ZIP , PHONE,7(6?0 1451,7737 CELL PARCEL INFORMATION: y� PARCEL NUMBER(12 Digit Number) 324 53 f 10—9 0 Q t Z ZONING LEGAL DESCRIPTION(Abbreviated) FIRE DISTRICT SITE ADDRESS It ZO 6 Ii-Won L-V- FA CITY ShGI¢an DIRECTIONS TO SITE ADDRESS IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES[] NO ® SNOW LOAD:26 Psf IS PROPERTY WITHIN 200 FT OF THE FOLLOWING: (Check all that apply): SALTWATER ❑ LAKE ❑ RIVER/CREEK❑ POND ❑ WETLAND ❑ SEASONAL RUNOFF❑ STREAM g TYPE OF WORK: NEW la ADDITION❑ ALTERATION ❑ ^^RQQEPAIR❑ OTHER ❑ USE OF STRUCTURE (Residence,Garage,Commercial Bldg,Etc.) 12,eSl _ L6 VI IS USE: PRIMARY[' SEASONAL ❑ NUMBER OF BEDROOMS_ NUMBER OF BATHROOMS Z•� HEATED STRUCTURE? YES (Whole Bldg) 5( YES(Part[,]of Bldg) ❑ NO ❑ DESCRIBE WORK SQUARE FOOTAGE: (proposed) 1 ST FLOOR l t&5 S sq.ft. 2ND FLOOR j,D 0 L sq.ft. 3RD FLOOR sq.ft. BASEMENT sq.ft. DECK sq.ft COVERED DECK-3 22 sq.ft. STORAGE sq.ft. OTHER sq.ft. GARAGE_—L—J_3_sq.ft. Attached t@ Detached❑ CARPORT sq.ft. Attached❑ Detached❑ �MANUFACTURED HOME INFORMATION: *4 COPIES OF THE FLOOR PLAN REQUIRED* MAKE MODEL YEAR LENGTH WIDTH BEDROOMS BATHS SERIAL NUMBER ENVIRONMENTAL HEALTH: SEWAGE/SEWER SOURCE: SEPTIC JS SEWER❑ / NEW�j EXISTING❑ PLUMBING IN STRUCTURE? YES4 NO ❑ Ifyes, attach completed Water Adequacy Form PERIlvIETER/FOUNDATION DRAINS PROPOSED? YES ®' NO[] EXISTING SQ. FT, STING BEDROOMS_�_ PROPOSED BEDROOMS _ TOTAL BEDROOMS OWNER acknowledges that 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 and I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties,including any easement holder or parties of interest regarding this project. The owner or legal X representative. represents that the information provided is accurate and arants emolovees of Mason Countv access to the above described orooertv Permit No: MASON COUNTY COMMUNITY DEVELOPMENIRECEIVEM Permit Assistance Center, Building,Planning 14AR 0 4 2024 PLUMBING & MECHANICAL PERMIT APPLICATION 615 W. Alder Street OWNER INFORMATION: CONTRACTOR INFORMATION: NAME:��,[a d-"01 yl.d P,U, Z NAME: MAILING ADDRESS: Zq 61-1 /,h/,, Aj k/ MAILING ADDRESS: CITY:6!mrnI?]O STATE: JVP ZIP:qF69Z, CITY: STATE: ZIP: Is'PHONE: 73 PHONE: CELL: 2nd PHONE: (p EMAIL : EMAIL:A" !l m w L&I REG# EXP. PARCEL INFORMATION: PARCEL NUMBER(12 Digit Number): 32—V 33 - L a— -!00 kZ Zoning: LEGAL DESCRIPTION(Abbreviated): SITE ADDRESS: (Q 03 CITY: DIRECTIONS TO SITE ADDRE SS: TYPE OF JOB: NEW=ADD=AL=REPAIR=OTHER=USE OF BUILDING LOCATION OF FIXTURES/UNITS— 1ST FLOOR©2ND FLOOR©BASEMENT®GARAGED OTHERO PLUMBING FIXTURES (SHOW NUMBER OF EACH) MECHANICAL UNITS Tyne of Fixture No.of Fixtures Fees Fuel Type:Electric=PG=atural Gas[=Ductless= Toilets 3 Tyne of Unit No.of Units Fees Bathroom Sink Furnace 1 Bath Tubs 'L Heat Pump Showers Spot Vent Fan _ Water Heater Propane Tank Clothes Washer 1 Gas Outlets Kitchen Sinks Wood/Gas/Pellet Stove-- Dishwasher Kitchen Exhaust Hood Hose bibs 2 Dryer Vent Other Solar Panel Other Base Fee Base Fee TOTAL PLUMBING TOTAL MECHANICAL OWNER acknowledge 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 contractor. I further declare that I am entitled to receive this permit and to do the work as proposed. I have obtained permission from all the necessary parties, including any easement holder or parties of interest regarding this project.The owner or authorized agent represents that the information provided is accurate and grants employees of Mason County es to the above described property and structure(s)for review and inspection. This permittapplication becomes null&void if work or auth iz c nstruction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF OF CONTIN TI FTH S PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS WILL INVALI HE AP LICATION. X 0 -:� l/- 1 ur er ���— ate DEPARTMENT REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS BUILDING DEPARTMENT PLANNING DEPARTMENT FIRE MARSHAL Rev:1/27/2016 JBN