HomeMy WebLinkAboutBLD2008-00216 Final Replace MFG Home - BLD Permit / Conditions - 2/24/2009 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
014Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2008-00216
OWNER: ANTHONEY &TARA FLEENOR RECEIVED: 2/26/2008
CONTRACTOR: HILINE HOMES LICENSE: HILINH*981 BT EXP: 2/10/2010 ISSUED: 4/7/2008
SITE ADDRESS: 70 E JUNO CT SHELTON EXPIRES: 10/7/2008
PARCEL NUMBER: 321347590152
LEGAL DESCRIPTION: TR 15-B OF SURV 2/98 TR B OF SP#2551
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
New SFR/Stock Plan 2006-0006. HWY 3 TO MASON LAKE RD APPROX 1.5 MILES TO CATFISH LAKE RD TO
REPLACING MANUFACTURED HOME THE END, LOT 155 LOT ON RIGHT
General Information Construction&Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 3 Occ. Group: R-3U Lot Size: Deck:
Type of Work: Fire Dist.: 5 No.of Stories: 2 Occ. Load: Building:2,001 Garage-Attached 484
Valuation: Building Height: Occ. Status: Primary Basement: COVPORCH 96
Manufactured Home Information Setback Information Shoreline&Planning Information
Make: Length: Ft. Front: S 233.0 Ft. Shoreline: Ft. Water Body:
Rear: N 60.0 Ft. Slope: Ft. SEPA?:
Model: Width: Ft. Shoreline Desig.:
Side 1: W 68.0 Ft.
Year: Serial No.: Side 2: E 20.0 Ft. Comp. Plan Desig.:
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Dishwasher 1 Exhaust Hood 1 Plan Check Fee KKK 2/26/2008 $277.15 S22008000
Hosebibs 3 Furnace<100K 1 Planning Review Fee KKK 2/26/2008 $190.00 522008000
Kitchen Sink 1 Ventilation Fan 4 Building State Fee ARC 3/4/2008 $4.50 S1200i3000
Lavatories 4 Heat Pump 1 Building Permit Fee ARC 3/4/2008 $1,380.15 S12008000
Water Closets (Toilets) 3 Dryer Vent 1 Mechanical Fee ARC 3/4/2008 $88.45 S12008000
Water Heaters 1 Mechanical Base Fee ARC 3/4/2008 $26.60 S12008000
Bath Tubs 2 Plumbing Fee ARC 3/4/2008 $111.91 S12008000
Clothes Washer 1 Plumbing Base Fee ARC 3/4/2008 $23.10 S12008000
EH Plan Review TW 4/2/2008 $100.00 S12008000
Water Adequacy Plan Review TW 4/2/2008 $40.00 S12008000
Total $2,241.86
BLD2008-00216 Please refer to the following pages for conditions of this permit. 1 of 5
CASE NOTES FOR
BLD2008-00216
CONDITIONS FOR
BLD2008-00216
1) Contractor registration laws are governed under RCW 1827 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;TI1e 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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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 9oWct 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) Approved imensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
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4) 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 pr r any further inspections being performed or approvals granted.
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5) Owner/Age-1 i esponsible to post the assigned address and/or purchase and post private road signs in accordance with Mason County Title 14.28.
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6) 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, oved documents will result in failure of required building inspections.
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7) THE FOUNDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, NATIVE SOIL. X
8) 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 Dep rtment prior to any further inspections being performed or approvals granted.
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BLD2008-00216 Please referto the following pages for conditions of this permit. 2 of 5
9) Washington State Energy Code Compliance has been approved using the following:
Heat Type: Electric or other fuels, Compliance Method: Prescriptive option IV, Window(Max U-Factor):0.35, Skylight(Max U-Factor):0.58, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38, Vault Insulation R-38 (see exception), Slab
Insulation R-10.
Exception: R-30 insulation may be installed, up to 500 sq. ft., in single rafter or joist vaulted ceilings where the distance of the top of the ceiling and the
underside of he-roof sheathing is less than 12-inches and there is 1-inch vented airspace above the insulation.
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10) 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 WI PEED (3-SECOND GUST)the wind speed for Mason County is 85 MPH.
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11) Per 2003 IRC -SECTION R905 - REQUIREMENTS FOR ROOF COVERINGS - R905.1 Roof covering application. Roof coverings shall be applied in
accordance (ith the applicable provisions of this section and the manufacturer's installation instructions.
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12) A Mason County Stormwater Management Worksheet was completed and signed as part of this building permit application. Design, sizing, placement,
inspection and maintenance of stormwater management systems shall be the responsibility of the owner/agent of the developed parcel. It is the
owner/agent/contractor's responsibility to ensure that Mason County Department of Public Works has approved the stormwater site plan for this parcel
prior to the commencement of any development activities. 'NOTE if Stormwater Management option "A"was selected on the Small Parcel Stormwater
Management Application/Worksheet the document entitled "Managing Storm Drainage on Small Lots, The Small Parcel Stormwater Site Plan" constitutes
an approved plan based on the criteria listed on the application/worksheet. If the development has, or will have, a septic/drainfield system you are
responsible for contacting 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. By calling for a final inspection of
the building permit the owner/agent/contractor is a ledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan. X
13) Stock Plan Identification number: 2006-0006
This project is approved subject to the provisions identified the Mason County Stock Plan Policy. The site plan approved by the Planning Department,
original building plans, and all attachments approved by the Mason County Building Department shall be available for the Mason County Building
Inspector at erequired inspection.
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14) Concrete used for basement walls, foundation walls, exterior walls, porches, carport slabs, steps exposed to the weather, garage floor slabs and other
vertical concrete wo�rk�exposed to the weather shall have a minimum compressive strength of 3000 psi (IRC Table R402.2).
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15) Any changes in proposed construction shall be reviewed by the engineer or architect of record and submitted in writing to the Mason County Building
Department prior to construction. All engineering and/or architectural documents are a part of the approved set of plans and shall remain attached
thereto. If documents are removed, approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be
charged and ha be collected by the Building Department prior to any further inspections being performed or approvals granted.
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BLD2008-00216 Please referto the following pages for conditions of this permit. 3 of 5
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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17) 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
X ordinance or rep)tion, must be reviewed and approved by Mason County prior to construction.
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. lj'�II 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 Coun dinances 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 prV
ed 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 f shing. Install metal connectors approved for contact with the new types of pressure treated material.
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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 la "to ensure these structures are shown and meet the setback conditions listed.
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BLD2008-00216 Please referto the following pages for conditions of this permit. 4 of 5
25) Prior to final approval, all upland areas disturbed or newly c d by construction activities shall be seeded, vegetated or given an equivalent type of
erosion protection (silt fencing or straw matting). X�
26) Temporary erosion control measures must be implemented to prevent water quality dggradation of adjacent waters or wetlands. Silt fencing must be
installed and maintained until upland vegetation has become established. X
27) Applicant agrees that the existing manufactured home on sit all be removed prior to final occupancy of the proposed stick built residence. Area is
zoned one single family residence per five acres. X �-
28) Owner/builder assumes all responsibility if drainfield/reserve area is encumbered. X 42
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 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.
OWNER OR AGENT: r DATE: y 7— O
BLD2008-00216 Please refer to the following pages for co nd i tion s o f th is permit. 5 Of 5
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o GONCRETE MECHANI AL MANUFACTURED HOME r
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o Date O�G By fir' m
00 Gas Piping Ribbons Z
Interior ate � E3y trricrior-Dtr By Date By
Extwi r Date 7 By Exterior-Elates Bv Set-up
Point Lord/Isolated Footinils INSULATION DateBy z
Date By BG 1 SLAB INSULATION
Date By FIRE DEPARTMENT 2
foundation Wails Floors Date By Z
Date By , D:eta��f - gy DECKS M
FRAMING Walls Date By 90
Dates ,. B Data � By PROPANE TANKS --I
PLUMBING vault Date 9y D
Date, By OTHER
Groundwor% Attic
/ Type:
DDateE3; B 4011 ' '" Date By
MW.V DRYWALL ryps;
Int.Brace WON Date By W
Date s Date By FINAL INSPECTION
orator Lino! ) fine Separation CD
Dale (� By Dato By Hate 2 Zy.CPT By O
Pass or Request Inspect, c
Typq of insp. Fail Date Date Done By Comments
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SITE PLANS EQUIBE
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Home Owner.
Name Parcel# � 1�1 `7 "1 0�j BLD# � f 'W2
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.
2Common 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.
...... .
�t1aIGU/ �1<irrxrtit5 $Et!'f�C 1�1 �5� lfx#p� #� TRIS'�" f3f
.. .... .. .
Surface Type Length X Width = Area * All dimensions in feet
Buildings 40 X AS _
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 = W IMH
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 tt e;tz U1.1r pa IOUS AM. b. tl a pr posia' site
... ... .
X = tiev�[�pme ft is .M. ;6rthart 2(#7tl qua feint a
>'. irtilfPi�:el [ f#tt1t�E [�If, tt> l n�s htlufrcl
....... ..
"0 al irnperwo.0 :Mrt'ace Area sum
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.
Acknowledgement of such is by signature below. I declare that I am the owner,owner's legal representative,or the contractor. I
further acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owner/Agent/Contractor(circle one)Date:
If the Total Impervious 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
Name � '�-J Parcel# :37,13'4-i 4 brS a— BLD#
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)JThe 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) 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
TO BE KEPT IN THE Mail: P 0 Box 1850, Shelton WA 98584
Physical: 415 N 6th St, Shelton WA 98584
If this Re�trAl�itwE�s, or will h e, a septic/drainfield system you may need to contact Mason County Division of
Env' o 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 acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described property for review and inspection as may be required.
X Owne/Agent/Contractor(circle one)Date: 'Z- 2 -cv ct
Page 2 of 2
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPMENT
WSEC/VIAQ Compliance Application
Owner: A v-i-lo P Q r-Z Tel o 2.,_-&7 WS Parcel#:3 01 3 c(--7 5--9 O )
Type of project ( ) New Residence ( )Addition ( ) Remodel
Total Sq. Ft. 15 Floor : 25,floor: Heated Basement:
of heated area:: 2 00 / 1 1 014 01 S 2-
Heating System Type: 6'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 Prescri tive Option see reverse side circle one: 1 II IV
Percentage: Compliance
Method O Component Performance , Chapter 5— Calculation worksheets require
Check one:: O Systems analysis, Chapter 4
Q 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 Roomllocation U-Factor Size Quantity Square Feet
Windows:,
IZZ
Windows: To 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
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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
2006 Washington State Energy Code (WSEC)
2006 Ventilation and Indoor Air Quality Code (VIAQ)
Effective July 1, 2007
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. The window and door schedule should include all windows, skylights, sliding glass doors, french doors and
any other door with 50% glass or more. Use rough opening dimensions of windows and doors to calculate
size. It is always helpful to list the u-factors of windows and doors, if known. If you do not know u-factors,
the plan reviewer will assume all window & door glazing will have a u-factor of .35 or less. When using the
area weighted average method to comply with the prescriptive path include calculations with submittal
documents.
3. On your building plans note the location and fuel type of heating system, water heater, location of exhaust
fans (bathroom, laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and
slabs. Outdoor lighting, permanently mounted to a residential building or to other buildings on the
same lot shall be high efficacy luminaires or motion sensor with integral photocontrol photosensor.
All linear fluorescent fixtures must be fitted with T-8 or smaller lamps, but not T-10 or T-12 lamps.
To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360) 427-9670 ext. 352. Additional WSEC
and VIAQ compliance information is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements 0,' for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing 1-1-factor Vaulted Wall Wall Wall
Area%of Door Ceiling Ceiling3 Above interior exterior Slab 6
Option Floor s 2 See note Grade 4 below 4 Below Floor 5 on
10 Vertical Overhead Factor below 12 grade Grade Grade
I 10% .32 .58 .20 R-38 R-30 R-15 R-15 R-10 R-30 R-10
II* 15%* .35 .58 .20 R-38 R-30 R-21 R-21 R-10 R-30 R-10
IV Unlimited
Single
Family Res .35 .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. Vaulted ceilings shall be limited to 500 sq.ft. of ceiling area for any
one dwelling unit.
BUILDING PERMIT INFORMATION FORM - PLAN 2001
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,some
of it may not apply to yours. If you have any questions please give us a call at(360)275-1849.
Applicant/Owner/Contact information: Your name, address, phone number
Contractor Information Name: HiLine Homes
Address: PO Box 3375
Belfair WA 98528
Phone: 360-275-1849
License#: HILINH'983BD
Expiration: 11/08/07
Tax Parcel#/Assessor's Account M This will be with your property information.
Job Site Address: Your new home address(example: xxx Filmore St.)
Legal Description: This will be with our property information.(example:Lot X Large Lot SubDivision xxx in Clark County ect.)
9 P Y P P Y ( P 9
This will be a New Single Family Residence
Describe work/type of job: NEW HOME CONSTRUCTION
HOME INFORMATION: Floor Area: (square footage)
Main/1st: 1049 #of stories: 2 Carports: 0
Second: 952 Bedrooms: 3 Decks: 0
Basement: 0 Bathrooms: 2.5 Porches: 0
Total: 2001
Garage: 484 (attached)
Construction Method: Wood Frame
Heating System:
Be sure to choose the information below that coorolated with the heat system you have ordered.
HVAC/Mecanical Contractoris the company installing your heat system.
Cadet/Wall Mount/Zone Heaters: standard heats stem
Installer: Hendon Electric Contact: Scott Hendon
License#: HENDEEL11 ONZ Phone: 360.297.4433
Expiration: 08/09/07 Location: Kingston
Manuf: Cadet Brand: Register Plus
Model: RM202, RM162 KW: 7
AMPS: 20
On permits,for the#of wall heaters, put 1, oryou'll be charged extra for every one.
Heat Pump w.furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License M 212003217 Phone: 360.748.9221
Expiration: 03/01/08 Location: Chehalis
Manuf: Trane Model: 2TWBO03OA1000AB
Tonage: 3 HSPF: 7.6 KW: 10
LRA: 87 Efficiency: 100.00% Seer: 13
Natural Gas furnace w/HWH:
Installer: Chehalis Sheet Metal Contact: David Pyles
License M 212003217 Phone: 360.748.9221
Expiration: 03/01/08 Location: Chehalis
Manuf: Trane Model: TDE060A936
BTU: 60000 Efficiency: 80.00% Watts: 997
Propane Gas furnace wl HWH
Installer: Chehalis Sheet Metal Manuf: Trane
License M 212003217 BTU: 60000
Expiration: 03/01/08
Contact: David Pyles Model: TDE060A936
Phone: 360.748.9221 Efficiency: 80.00%
Location: Chehalis Watts: 997
Spot Vent Fan: 1 Kitchen exhaust Fan: 1 Dryer Vent: 1 Wood/Gas/Pellet Stoves: 0
Plumbing System: Installer: Kitsap Plumbers Group Contact: Karen Alyia
License M KITSAPGO09CM Phone: 360.373.2859
Expiration: 03/11/09 Location: Bremerton
Toilets: _3_ Bathroom sinks: 4 Bathtubs: 2 Showers: 0 Kitchen sinks: 1 Water heater: 1
Clothes washer: 1 Dishwasher: 1 Hosebibs: 1 (first 4 enter quanity of 1,every home has 2)
Energy Compliance Information: Compliance Method/ Path: Always#3 (Per Washington State Energy Code)
Total Sq. Ft.of g!azing(glass): Standard home: 237 .w.sliding glass door option: N/A divided by total
sq.ft.of heated area: 0.118 equals a glazing percentage of 12% standard or N/A w/sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirements minimums.
Window Schedule: See attached form.
Ventalation System:
IntermittentlV operating_Whole House Ventilation System using exhaust fans&window fresh air vents. (VIAQ 303.4.1)
House Fan Specifications: Whole house fan:qty: 1 Manuf: Solitaire Ultra Silent Module#: S11OU CFM: 110
Updated Bathroom one-bulb heater/fans:Qty 2 Manuf: Solitaire Ultra Silent Model#: 162 CFM: 70
Copyright 2003 HiLine Homes
MASON COUNTY PERMIT NO. aoo C)
S+ BUILDING PERMIT APPLICATION Co-QjG
QM 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
APPLIC NT INFORM ION CONTRACTOR I FORMATIO'
Owner Company Name t
Mailin A dress Mailing A ress D. 0
City State_ Zip Code City State Zip Code
Phone - Other Ph. Phone b- 5- Other Ph.
Lien/Title Holder Contractor Reg. # n ,gii3P Exp.
E mail address t:--( A E Mail Address
Drivers Lic.# DOB - Drivers Lic. # DOB
SEPTIC/WATER SYSTEM INFORMATION -Connect to New Septic. Existing Septic
Connect to ater System Name of Water System
Well Water System Name of Water System
PARCEL INFORMA I N - Digi P cel No Fire District
Legal Description -
Site Address (Please include street nVne, street number and c'ty) U� YL b
Direction to site C c l to
O e
Will timber be cut and sold in parcel preparation? Yes/
Is property yvithin 200' of Saltwater Lake River/Creek l> Pond
Wetland -!JAL) Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Y /No
TYPE OF JOB - New Add Alt Repair Other PRIMARY RE JDENCE SEASONAL ❑
Use of Building Describe Work 'n
No. of Bedrooms No. of Bathrooms��* Square Footage- 1 st FI or VZ 2nd Floor J_
3rd Floor—Basement_ DeCovered Deck—Other Sq. ft. 7,061
Garage Attached Detached Carport Attached Detached
MANUFACTURED HOME INFORMATION - Make Model Year
Length Width Serial No. -�' No. of Bedrooms No. of Bathrooms
Type of Heat Purchase Pric 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 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 �� Date-
Owner/O ers rese ive/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date
DEPARTMENTAL REVIEW APP OVED DENIED NOTES
Building Department
Planning Department
Environmental Health Department
Public Works Department
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee 1 3S• O Planning Review Fee
Mechanical & Base fee .57 Other
Wood/Gas/Pellet Stove Fee I State Fee '
Violation Fee NO E'VF- Pre-Paid at Submittal
Valuation $ /016 Jr 2 .i TOTAL FEES
PERMIT NO. _
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 Company Name 'It " LIES
Mailing Address Mailing Address
City State Zip Code City I State — Zip Code
Phone Other Ph. Phone V- Other Ph,
Lien/Title Holder Contractor Reg. # Exp.
E mail address E Mail Address
Drivers Lic.# DOB 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. Fire District
Legal Description
Site Address (Please include street name, street number and city)
Directions to site
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:Electric_ LPG— 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 I 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 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.
PROOF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
X Date: �r
Owner/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIS POINT
Accepted by: Planning Pd Ck# Date Bid Pd Receipt No.
DEPARTMENTAL REVIEW APPROVED DENIED NOTES
Building Department
Occ Group—Type Constr.
Planning Department
Environmental Health Department
FEES
Plumbina & Base Fee Site Inspection
Mechanical & Base fee UFC Plan Review Fee
Wood/Gas/Pellet Stove Fee Other
Violation Fee TOTAL FEES