HomeMy WebLinkAboutBLD2013-00393 Final SFR - BLD Permit / Conditions - 8/25/2014 r Inspection Line(360)427-7262
_ MASON COUNTY DEPT. OF COMMUNITY DEVELOPMENT Phone: (360)427-9670, ext. 3_2
Mason County Bldg. III 426 W. Cedar P.O. Box 279
Shelton, WA 98584
RESIDENTIAL BUILDING PERMIT BLD2013-00393
OWNER: CAROLYN LASATER RECEIVED: 5/31/2013
CONTRACTOR: HILINE HOMES 253-840-1849 LICENSE: HILINH*983BD EXP: 11/8/2013 ISSUED: 7/1/2013
SITEADDRESS: 35 NETRUDEAU MOUNTAIN RD BELFAIR EXPIRES: 1/1/2014
PARCEL NUMBER: 223027590033
LEGAL DESCRIPTION: TR 3 OF SURVEY VOL 1 PG 200 LOT: C OF SP#2698
PROJECT DESCRIPTION: DIRECTIONS TO SITE:
NEW SFR HILINE 1940 ST RT 3 TO BELFAIR, L ON ST RT 300/NORTH SHORE RD. R ON SAND
HILL RD, L ON BEARCREEK DEWATTO RD, L ON TRUDEAU MOUNTAIN
RD, L ON PRIVATE EASEMENT SHARED ADDRESSES 31,33,35,37 NE
General Information Construction &Occupancy Information Square Footage Information
No. of Bedrooms: 3 Type of Constr.: VB
Type of Use: SF Insp.Area: No. of Bathrooms: 2 Occ. Group: R-3/U Lot Size: Deck:
Type of Work: NEW Fire Dist.: 2 No. of Stories: 1 Occ. Load: Building:1,940 Garage-Attached 528
Valuation: $ 227,512.68 Building Height: 17 Occ. Status: Primary Basement: COV PORCH 48
Manufactured Home Information Setback Information Shoreline& Planning Information
Make: Length: Ft. Front: E 100.0 Ft. Shoreline: Ft. Water Body:
Rear: W 54.0 Ft. Slope: Ft.
SEPA?:
Model: Width: Ft. Side 1: N 175.0 Ft. Shoreline Desig.: Not Applicable
Year: Serial No.: Side 2: S 75.0 Ft. Comp. Plan Desig.: Rural
Plumbing Fixtures Mechanical Fixtures FEES
Type Qty. Type Qty. Type By Date Amount Receipt
Water Closets (Toilets) 2 Ventilation Fan 3 Plan Check Fee GMM 5/31/2013 $ 1,111.86 S1201300000001
Lavatories 3 Dryer Vent 1 EH Plan Review GMM 5/31/2013 $ 103.00 31201300000001
Bath Tubs 2 Exhaust Hood 1 Water Adequacy Plan Revi GMM 5/31/2013 $ 103.00 S1201300000001
Showers 1 Planning Review Fee GMM 5/31/2013 $205.00 S120130000000t
Water Heaters 1 Fire Warden Review GMM 5/31/2013 $73.00 S120130000000t
Clothes Washer 1 Building State Fee LDK 6/26/2013 $4.50 S1201300000001
Kitchen Sink 1 Building Permit Fee LDK 6/26/2013 $ 1,710.55 S1201300000001
Dishwasher 1 Mechanical Permit Fee LDK 6/26/2013 $49.20 S120130000000f
Hosebibs 2 Mechanical Base Fee LDK 6/26/2013 $28.50 S1201300000001
Plumbing Permit Fee LDK 6/26/2013 $ 110.60 S1201300000001
Plumbing Base Fee LDK 6/26/2013 $24.70 S120130000000t
Total $3,523.91
BLD2013-00393 Please refer to the following pages for conditions of this permit. Page 1 of 6
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CASE NOTES FOR
BLD2013-00393
CONDITIONS FOR
BLD2013-00393
1) 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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2) All approved plans are required to be on-site for inspection purposes. If an inspection is called for and plans are not available on site, then approval will
not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour) will be charged and must be collected by the Building
XepIment prior to any further inspections being performed or approvals granted.
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3) Owr}pr/,Agent is responsible 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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4) The plan review check list and corrections are part of the approved plans and must remain thereto. It is the responsibility of the applicant to make the
corrections indicated on the plans. Once the plans are marked "APPROVED", they shall not be changed or altered without authorization from the Building
Official. The permit holder is responsible to retain the complete approved set of plans on site for the duration of the project. Failure to comply and/or
rr(e(vaj of approved documents will result in failure of required building inspections.
5) XHtF�NDATION SYSTEM SHALL BE PLACED ON UNDISTURBED, FIRM-NATIVE SOIL.
6) The"approved" site plan is required to be on-site for inspection purposes. if an inspection is requested and the "approved" site plan is not on site, then
approval will not be granted. In addition, a re-inspection fee (refer to current fee schedule, minimum 1 hour)will be charged and shall be collected by the
BuiW
epartment prior to any further inspections being performed or approvals granted.
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7) Washington State Energy Code Compliance has been approved as follows:
Heat Type: Electric or other than electric, Compliance Method: Prescriptive option III, Window(Max U-Factor):0.30, Skylight(Max U-Factor):0.50, Doors
(Type/Max U-Factor):0.20 or less, Wall insulation R-21, Floor insulation R-30, Ceiling Insulation R-38 advanced or R-49 standard, Vault Insulation R-38,
and Slab Insulation R-10.
In addition the following credit from Table 9-1 shall be completed: 3A& 5A
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BLD2013-00393 Please refer to the following pages for conditions of this permit. Page 2 of 6
8) A permanent certificate, completed by the builder or registered design professional, shall be posted within three feet of the electrical distribution panel.
The certificate shall list the predominant R-values of insulation installed in or on ceiling/roof, walls, foundation (slab, basement wall, crawlspace wall
and/or floor), and ducts outside the conditioned spaces; U-factors for fenestration; and the solar heat gain coefficient(SHGC) of fenestration. Where the[e
is more than one value for each component, the certificate shall list the value covering the largest area. The certificate shall list the type and efficiency of
heating, cooling, and service water heating equipment, duct leakage rates including test conditions as specified in WSEC Section 503.10.2, and air
leakage results if a blower door test was conducted.
Building envelope air leakage control shall be considered acceptable when tested to have an air leakage less than 0.00030 Specific Leakage Area (SLA)
when tested with a blower door at a press of 50 Pascals (0.2 inch w.g.). Testing shall occur at any time after rough in and after installation of penetrations
of the building envelope, including penetrations for utilities, plumbing, electrical, ventilation, and combustion appliances and sealing thereof. The blower
door test results shall be recorded on the permanent certificate required located near the electrical distribution panel. Air leakage testing is not required
for additions less than 750 square feet. Reference WSEC 105.4 Certificate and 502.4.5 Building Air Leakage Testing.
Compliance certificates are available online at the WSU Energy program website titled, "WSEC 2009 Certificate"and are available in Y4 or'/2 sheets. The
Mason County Permit Center will also have some available.
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9) A minimum of 50 percent of all luminaires shall be high efficacy luminaries unless lighting compliance was approved using the options available in WSEC
Section 1520 or 1530. Luminaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on the same lot shall
be high efficacy luminaries unless permanently installed outdoor luminaires are controlled by a motion sensor(s)with integral photocontrol photosensor or
installed in or around swimming pools or water features. All fluorescent fixtures must be fitted with T-8 or smaller lamps (but not T-10 or T-12 lamps).
Refere ce WSEC 505.
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10) REQUIREMENTS FOR ROOF COVERINGS. Roof coverings shall be applied in accordance with the applicable provisions of the current code and the
manufacturer's installation instructions.
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11) 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 acknowledging that all components of the stormwater management system have been installed as
approved on the stormwater site plan.X 0A
12) 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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BLD2013-00393 Please refer to the following pages for conditions of this permit. Page 3 of 6
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13) Carbon monoxide alarms, listed as complying with UL 2034 shall be installed in accordance with manufacturer specifications and in accordance with IRC
~ Section R315.
New and existing dwellings within which fuel-fired appliances are installed, and new dwellings with an attached garage shall be equipped with carbon
monox�de alarms. Carbon monoxide alarms shall be installed outside of each separate sleeping area in the immediate vicinity of the bedrooms.
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14) 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
X such fads connect with a county maintained public road or to another fire apparatus access road which connects to a county maintained public road.
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
char vg d And shall be collected by the Building Department prior to any further inspections being performed or approvals granted.
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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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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 proje t
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18) Placement of structure must comply with standards set forth per the international codes regarding descending and/or ascending slopes.
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19) All changes to"approved" building plans that effect compliance with the international codes as amended and adopted, or any other Mason County
ordinapce or regulation, must be reviewed and approved by Mason County prior to construction.
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20) 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
Insp tQr shall be made prior to requesting additional inspections.
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BLD2013-00393- Please refer to the following pages for conditions of this permit. Page 4 of 6
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21) All property lines shall be clearly identified at the time of foundation inspection. X L
22) All building permits shall have a final inspection performed and approved by the Mason County Building Department prior to permit expiration. The failum
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 wit-;
Mahon County ordinances and building regulations.
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23) 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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24) Pressure treated wood manufactured after January 1, 2004 may contain high concentrations of copper which could quickly corrode metal fasteners,
connect,Qrs, and flashing. Install metal connectors approved for contact with the new types of pressure treated material.
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25) Retaining walls needed to support a surcharge such as structures, roads, or to support slopes, shall require a separate building permit and approval prior
to construction of the retaining wall. X 4=
26) 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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27) Landings and stairs must meet the same setback conditions as any permitted structure; and, must be shown on your site plan. Please check your
"Approved Site Plan"to ensure these structures are shown and meet the setback conditions listed.
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28) XpprQved per dimensions and setbacks on submitted site plan. Setbacks are measured from the furthest projection of the structure.
29) Temporary erosion control measures must be implemented to prevent water quality degradatior�of adjacent waters or properties. Silt fencing, straw, or
matting must be installed and maintained until upland vegetation has become established. X ( r
30) All construction and demolition debris must be removed from the site after project completion. PIA�
r disposal of construction debris must be on land in
such a manner that debris cannot enter or cause water quality degradation of State waters. X
BLD2013-00393 Please refer to the following pages for conditions of this permit. Page 5 of 6
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 o ason County acc ss to the above described property and structure for review and inspection.
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OWNER ORAGENT: DATE:
BLD2013-00393 Please refer to the following pages for conditions of this permit. Page 6 of 6
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_Bui1+ng Permit # " ; _r% MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
360 427-9670
CORRECTION NOTI E
Job Locations T ZIP C /e27 ��'7',� �✓ %i
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance /dip
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You are hereby notified that the above corrections shall be made
;EFORE PROCEEDING WITH ANY FURTHER WORK
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❑ Call for re-inspection when corrections are made before continuing
4cl s items will be checked on next inspectionThis is not a complet n ection
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Date - Inspector
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Building Permit # l3 3 MASON COUNTY
f BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
ORRECTION NOTICE
Job location -3S� 265- rz4 J 6o A� 9i
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items Listed below must be corrected to gain code compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
Call for re-inspection when corrections are made before continuing
0 Make corrections, items will be checked on next inspection
❑ OK to Oyv`I v06A- I
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DO NOT REIVIOV � THIS TAom
Building Permit # f 3 343
-�— MASON COUNTY
BUILDING 111 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location s l�' �� � k( 4d
inspected b Mason Count Building Department
This structure has beeny y g p
and the following VIOLATION of County Laws and Ordinances has been
t corrected t gain code compliance
fo nd: Items Listed below must be c e o g p
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
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Permit# MASON COUNTY
BUILDING III 426 W. CEDAR
SHELTON, WASHINGTON 98584
(360) 427-9670
CORRECTION NOTICE
Job Location M- bl'�" A &t.,
This structure has been inspected by Mason County Building Department
and the following VIOLATION of County Laws and Ordinances has been
found: Items listed below must be corrected to gain compliance
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You are hereby notified that the above corrections shall be made
BEFORE PROCEEDING WITH ANY FURTHER WORK
❑ Call for re-inspection when corrections are made before continuing 0 please contact our office
® Make corrections, items will be checked on next inspection regarding possible structural
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Name ACM �� U parcel# o �jOa���j• �l��T BLD# 13- QQ 31i 5
Mason County ,
Department of Community Development
Small Parcel Stormwater Management Application/Worksheet (page 2 of 2)
Based Upon the information you have provided a Stonnwater Site Plant 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.va—us/code/co=issioners/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 INTITAL 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) 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 farther 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 wiIl 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: i L, D
Phone: (360)-427-9670 EXT.352
Mail:P 0 Box 1666,Shelton WA 98584 JUN 0 3 20
Physical:426 W Cedar St, Shelton WA 98584
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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-
des '�b'ednp\roperty for r 'ew and inspection as may be required.
X I vv v Owner/Agent/Contractor(circle one)Date-
Page 2 of 2
Name Parcel# BLD#
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 surface2.
'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.
'T� alc late /mperv��ous Sur ces �feasi' of p1 Thls Fable`:,
Surface Type Length X Width = Area *All dimensions in feet
Buildings X =
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.20 0-square feet a
Small Parce[8tormwater'Sft&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 E 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 I of 2
MASON COUNTY
1EPARTMENT 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
2009 Washington State Energy Code (WSEC)
Effective January 1, 2011.
Ventilation & Indoor Quality
Ventilation code provisions are now located in the 2009 International Residential Code (IRC), 2009
International Mechanical Code (IMC), & 2009 International Building Code
The following information will be required for the WSEC and ventilation code plan review:
1. Complete the Washington State Energy Code/Ventilation code application located on the reverse side
including information about the project, proposed compliance methods and proposed energy credit(s) listed
in Table 9-1attached to this form. All dwelling units are required to develop at least one credit from Table
9-1.
2. Include all windows, skylights, sliding glass doors, french doors and any other door with 50% glass or more
on the window and door schedule. Use rough opening dimensions 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 that all window & door glazing will have the required u-factor of the compliance option. When
using the area weighted average methods to comply with prescriptive-path include calculations with
submittal documents.
3. Identify the location and fuel type of the heating system, water heater, location of exhaust fans (bathroom,
laundry, kitchen, etc.) and R-factor of proposed insulation for walls, floors, ceilings, and slabs on the
building plans. Indoor and outdoor lighting shall be high efficacy luminaires that comply with WSEC section
505. To verify compliance, provide lighting information on plans.
4. Questions? Call Mason County Community Development at (360)427-9670 ext. 352. WSEC compliance
information and code text is also available on the WSU-Energy Program website at:
http://www.energy.wsu.edu/code/
Prescriptive Requirements " for Group R Occupancy
Climate Zone 1, Table 6-1
Glazing Glazing U-factor Wall12 Waal Waal Slab s
Area% Vaulted int ext
Door U- Above on
Option of Floor Vertical Overhead Factors Ceiling2 Ceiling3 Grade below Below Floor 5 Grade
10 grade Grade
R-49 or R-21 R-21
1 13% .34 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
II* 25% .32 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
R-49 or R-21 R-21
III Unlimited .30 .50 .20 R-38 R-38 int' TB R-10 R-30 R-10
adv
*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.
MASON COUNTY DEPARTMENT OF COMMUNITY DEVELOPmUtL D' N G
WSEC/Ventilation Code Compliance Application
Owner: ar0( N LaSaf r Parcel4:1230275g0033 I Type of project:
Total Sq. Ft. 'qyo 15 Floor: 2n floor: Heated Basement:
of heated area:: � 940
Heating System Type: 4 Electric wall heater O Electric Central Furnace O LPG Furnace
O Heat Pump with electric furnace O Heat pump with gas furnace O Ductless Heat Pump
O Boiler, specify fuel type: O Other: Specify:
Glazing Compliance Prescriptive Option see reverse side circle one: I II III
Percentage: Method Component Performance , Chapter 5— Calculation worksheets required
�% Check one:
Other (Specify):
Check one µ Whole House Ventilation system µ Whole House Ventilation µ Other,
Ventilation using exhaust fans&window or Integrated with a Forced Air describe:
System wall fresh air vents (M1508.4) System (M1508.5)
Referencing WSEC Section 901, "Additional Residential Energy Efficiency Requirements,"all
NkW residential units must develop 1 credit from Table 9-1. Identify and describe which option(s)will be used
ENERGY to comply. If the table is not attached to this form you can access the table on our website at:
http://www.co.mason.wa.us/forms/Comm unit Dev/index. h .
CREDITS Option: Description:
Table 9-1 3A + 5A eg'ueKt 601A� .eKVA0j e / e*cim+ w4v- h.ecf tj
Window & Door Schedule (If needed, attach an additional sheet)
Total
Manufacturer Room/location U-Factor Size Quantity Square Feet
windows: lad . 28 6°k 50 / 30
I nk5° z /o
°XS° 3o
#Z tloyqo l 16
b1ilin S6b 6°Y610 l q/
Kl'le eti 4°k3 & I I y
,M4s4e- 6 o k 4 o l 2 N
tlfer8a vkY° I /G
Windows: Total Sq. ft. / $1
Doors: COd C Fret+ CAtry 3°k 6 8 I 20
Doors: Total Sq. Ft 3 g
Total window and door area ,2 Gj
Total window& door area .2 / (divided by)total sq. ft of heated area L3LIO _ ! %of glazing
1
901 Additional Residential Energy Efficiency Requirements. Dwelling units permitted under this Code shall
comply with all provisions of Chapter 5 of this Code and develop 1 credit from Table 9-1.
EXCEPTION: Buildings complying using Chapter 4 Building Design by Systems Analysis shall meet
this provision of this section by demonstrating that the proposed building energy use is 8 percent less
than the target building energy use.
Table 9-1,Energy Credits (Debits)
OPTION DESCRIPTION CREDIT(S)
1 a HIGH EFFICIENCY HVAC EQUIPMENT 1: 1.0
Gas,propane or oil-fired furnace or boiler with minimum AFUE of 92%,
or
Air-source heat pump with minimum HSPF of 8.5.
1 b HIGH EFFICIENCY HVAC EQUIPMENT 2: 2.0
Closed-loop ground source heat pump;with a minimum COP of 3.3.
1 c HIGH EFFICIENCY HVAC EQUIPMENT 3: 1.0
DUCTLESS SPLIT SYSTEM HEAT PUMPS,ZONAL CONTROL:
In home where the primary space heating system is zonal electric heating,a ductless heat
pump system shall be installed and provide heating to at least one zone of the housing unit.
2 HIGH EFFICIENCY HVAC DISTRIBUTION SYSTEM: 1.0
All heating and cooling system components installed inside the conditioned space.All
combustion equipment shall be direct vent or sealed combustion.Locating system
components in conditioned crawl spaces is not permitted under this option. Electric
resistance heat is not permitted under this option. Direct combustion heating equipment
with AFUE less than 80%is not permitted under this option.
3a EFFICIENT BUILDING ENVELOPE 1: 0.5
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.28 floor R-38,slab on grade R-10 full,below grade slab R-10 full.
�( or
Component performance compliance: Reduce the Target UA from Table 5-1 by 5%,as
determined using EQUATION 1. '
3b EFFICIENT BUILDING ENVELOPE 2: 1.0
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.25 and wall R-21 plus R-4 and R-38 floor,slab on grade R-10 full,below
grade slab R-10 full,and R-21 plus R-5 below grade basement walls.
or
Component performance compliance: Reduce the Target UA from Table 5.1 by 15%,as
determined using EQUATION 1. '
3c SUPER-EFFICIENT BUILDING ENVELOPE 3: 2.0
Prescriptive compliance is based on Table 6-1,Option III with the following modifications:
Window U=0.22 and wall R-21 plus R-12 and R-38 floor,slab on grade R-10 full,below
grade slab R-10 full and R-21 plus R-12 below grade basement walls and R-49 advanced
ceiling and vault.
or
Component performance compliance: Reduce the Target UA from Table 5.1 by 30%,as
determined using EQUATION 1. '
4a AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 0.5
Envelope leakage reduced to SLA of 0.00020 building envelope tightness shall be
considered acceptable when tested air leakage is less than specific leakage area of 0.00020
when tested with a blower door at a pressure difference of 50 PA.Testing shall occur after
rough in and after installation of penetrations of the building envelope,including
penetrations for utilities,plumbing,electrical,ventilation,and combustion appliances.
and
All whole house ventilation requirements as determined by Section M1508 of the
Washington State Residential Code shall be met with a heat recovery ventilation system in
accordance with Section M1508.7 of that Code.
4b ADDITIONAL AIR LEAKAGE CONTROL AND EFFICIENT VENTILATION: 1.0
Envelope leakage reduced to SLA of 0.00015 building envelope tightness shall be
considered acceptable when tested air leakage is less than specific leakage area of 0.00015
when tested with a blower door at a pressure difference of 50 PA.Testing shall occur after
rough in and after installation of penetrations of the building envelope,including
penetrations for utilities,plumbing,electrical,ventilation,and combustion appliances.
and
All whole house ventilation requirements as determined by Section M1508 of the
Washington State Residential Code shall be met with a heat recovery ventilation system in
accordance with Section M1508.7 of that Code.
5a EFFICIENT WATER HEATING:' 0.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.62.
�y or
1� Electric Water Heater with a minimum EF of 0.93.
and for both cases
All showerhead and kitchen sink faucets installed in the house shall meet be rated at 1.75
GPM or less.All other lavatory faucets shall be rated at 1.0 GPM or less.2
5b HIGH EFFICIENCY WATER HEATING: 1.5
Water heating system shall include one of the following:
Gas,propane or oil water heater with a minimum EF of 0.82.
or
Solar water heating supplementing a minimum standard water heater. Solar water heating
will provide a rated minimum savings of 85 therms or 2000 kWh based on the Solar Rating
and Certification Corporation(SRCC)Annual Performance of OG-300 Certified Solar
Water Heating Systems.
or
Electric heat pump water heater with a minimum EF of 2.0.
6 SMALL DWELLING UNIT 1:' 1.0
Dwelling units less than 1500 square feet in floor area with less than 300 square feet of
window door area.Additions to existing building that are less than 750 square feet of heated
floor area.
7 LARGE DWELLING UNIT 1:' -1.0
Dwelling units exceeding 5000 square feet of floor area shall be assessed a deduction for
purposes of complying with Section 901 of this Code.
8 RENEWABLE ELECTRIC ENERGY: 0.5
For each 1200 kWh of electrical generation provided annually by on-site wind or solar
equipment a 0.5 credit shall be allowed,up to 3 credits.Generation shall be calculated
as follows:
For solar electric systems,the design shall be demonstrated to meet this requirement
using the National Renewable Energy Laboratory calculator PVWATTs.
Documentation noting solar access shall be included on the plans.
For wind generation projects designs shall document annual power generation based
on the following factors:
The wind turbine power curve;average annual wind speed at the site;frequency
distribution of the windspeed at the site and height of the tower.
Footnotes: 1.Interior Duct Placement:Ducts included as Option 2 of Table 9-1 shall be placed wholly within the
heated envelope of the housing unit.The placement shall be inspected and certified to receive the credits
associated with this option.
Exceptions:
Ducts complying with this section may have up to 5%of the total linear feet of ducts located in the
exterior cavities or buffer spaces of the dwelling.If this exception is used the ducts will be tested to
the following standards:
Post-construction test:Leakage to outdoors shall be less than or equal to 1 CFM per 100 ft of
conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (25 Pa)across the
entire system,including the manufacturer's air handler enclosure.All register boots shall be taped
or otherwise sealed during the test.
2.Plumbing Fixtures Flow Ratings.Low flow plumbing fixtures(water closets and urinals)and fittings
(faucets and showerheads)shall comply with the following requirements:
(a)Residential bathroom lavatory sink faucets: Maximum flow rate-3.8 L/min(1.0 gal/min)when tested in
accordance with ASME Al 12.18.1/CSA B125.1.
(b)Residential kitchen faucets: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance
with ASME Al 12.18.1/CSA B125.1.
(c)Residential showerheads: Maximum flow rate-6.6 L/min(1.75 gal/min)when tested in accordance with
ASME A112.18.1/CSA B125.1.
I."i i�idfy
A ITJIO JOIST REPAIRS (ALLOWABLE STRESS DESIGN)
Weyerhaeuser
lob Description
contractordlHkine Homes
Job Name: Location: Barcelona.....
Job N.rbr:IWY 31205 Location:ISt George,UT Designer Alan Sondenkamp
— --- -........................- . .........I....................... I . I - I
Slope Cut Hole Too Too Many
Close To-
Joist Series: 10 Close Holes
9 21n
Tile
Flange
Hole Tao
�Notdl Big
NOTCHED RANGE 9 1/2 Tll® 110
Use TI-Beam$Output-
Notch Location(see figure 0 right) Side of lop Flange Dwth
Notch Depth 114 In -T D.M
Notch Length 4 In
'Design Moment @ Notch W* gm1fprmnt.) 464 ft-lb
'Control Moment @ Notch Across Top Flange side of Top Flange
Percent of Flange Area issin 14%
1 --- -- -- *---'*-M ....................
Reduced Control Moment 1, ft-lb
1. -.1-11 ........ Across Bottom Fla Side Of Bottom Flange
_Percent of C.apacitv... 26.6%
...........................
Joist PASSES in Moment at notch location.
LNotes: L..
I Condition of adjacent joists should be considered when T D" �
determining ovefal fitness of damaged joist. Link analysis reen
to one notch per T31*.
.Casuet
pq!yLsao i!tej
----------
• `Prescriptive Energy Code Compliance for Single Family and Duplex Housing: Zone 1
Project Information Contact Information
Carolyn Lasater project HLH#1940 HiLine Homes
35 NE Trudeau Mountain Rd Belfair, WA 98528 253-840-1849
Parcel #223027590033
This set of forms has been developed to assist permit applicants documenting compliance with the
Washington State Energy Code, (2009 edition). This set is for structures built under the IRC and located
in Climate Zone 1.
The following forms provide much of the required documentation for plan review. The details noted here
must also be shown on the drawings (WSEC 104.2).
This form is not a substitute for the energy code itself. To obtain a copy of the energy code
go to the following web address. http://www.energy.wsu.edu/code
Glazing i� a a e
10 Glazing U-Factor Door 9 z Vaulted Wall ` Wall- int Wall- ext 5 Slab
Option Area Ceiling 3 Above Below Below Floor on
%of Floor Vertical Overhead' U-Factor Ceiling Grade Grade Grade Grade
R-49 or R-21 R-21 R-10
0 1 13% 0.34 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 21
Adv.
R-49 or R-21 R-21 R-10
Q II 25% 0.32 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 21
Adv.
R-49 or R-21 R-21 R-10
Q III Unlimited 0.30 0.50 0.20 R-38 R-38 Int.7 TB R-10 R-30 2,
Adv.
See WSEC table 6-1 for footnotes
Glazing Schedule Attached to Document
❑ Does not apply. (SEE INSTRUCTIONS) Using Prescriptive Option III.All glazing
and doors meet maximum U-factor.Alternate heating size method submitted.
❑ Option I or II,Glazing to floor area limit(WSEC 602.7.2)
❑ Area weighted window, skylight or door U-factor(WSEC 602.7.2)
❑ As part of the heating system sizing calculation (IRC M1401.3&WSEC 503.2.2)
Radiant slab:
❑ R-10 foam insulation, continuous with thermal break(WSEC 502.1.4.9)
Chapter 9 Options Total of 1 Credit Required
Opt. Opt. Description
1a High Efficiency HVAC Equipment 1 ❑
lb High Efficiency HVAC Equipment 2
1c High Efficiency HVAC Equipment 3
2 High Efficiency HVAC Distribution System
3a Efficient Building Envelope 1 0.5
3b Efficient Building Envelope 2
3c Super-Efficient Building Envelope 3
4a Air Leakage Control and Efficient Ventilation
4b Additional Air Leakage Control and Efficient Ventilation
5a Efficient Water Heating 0.5
5b High Effieciency Water Heating
6 Small Dwelling Unit
7 Large Dwelling Unit
8 Renewable Electric Energy *1200 kwh
Total Credits 1.00
421^ w �'
WSEC Prescriptive Worksheet(2010 edition)Zone 1 WSUEEP10-010 Copyright 2010
4�
Glazing Schedule
Project Information Contact Information
Carolyn Lasater project HLH #1940 HiLine Homes
35 NE Trudeau Mountain Rd Belfair, WA 98528 253-840-1849
Parcel #223027590033
Conditioned Floor Area 1940 Sum of UA for Heating System Sizing 58.2
Sum of All Glazing Areas From Below 181
Glazing to Floor Area Ratio 9.33% 602.7.2 Exception Ratio (not to exceed 1%)�
Exterior Doors
Plan Component Door Percent Width Height Glazing Door Door
ID Description Ref. U-factor Glazed Qt. Feet Inc" Feet Inch Area Area UA
Front Entry Door 0.200 1 3 6 8 20.0 4.0
Garage Bomber Door 0.200 1 2 8 6 8 17.8 3.6
One Exempt Swinging Door<24 Square Feet
Sum of Glazing Area, Door Area, and UA (do not include exempt door) 37.8 7.6
Area Weighted U = UA/Area 0.20
Sum of Area and UA for Heating system size only(include exempt door) 37.8 7.6
Vertical Glazing (Windows, Glazed doors using Exception 602.6#1)
Plan Component Glazing Width Height Glazing
ID Description Ref. U-factor Qt. Feet Inch Feet Inch Area UA
Great Room 0.280 1 6 5 30.0 8.40
Front Entry 0.280 2 1 5 10.0 2.80
Bedroom 3 0.280 1 6 5 30.0 8.40
Bedroom 2 0.280 1 4 4 16.0 4.48
Dining SGD 0.280 1 6 16 10 41.0 11.48
Kitchen 10.280 1 4 3 6 14.0 3.92
Master Bedroom 0.280 1 6 4 24.0 6.72
Master Bathroom 0.280 1 4 4 16.0 4.48
Sum of Area and UA 181.0 50.68
Area Weighted U = UA/Area 0.28
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
Simple Heating System Size: Climate Zone 1
Project Information Contact Information
Carolyn Lasater project HLH #1940 Hi Line Homes
35 NE Trudeau Mountain Rd Belfair, WA 98528 253-840-1849
Parcel #223027590033
Indoor Design Temperature 70
Outdoor Design Temperature 22
Design Temperature Difference (AT)
AT=Indoor-Outdoor Design Temp 48
Conditioned Floor Area 1940
Conditioned Volume 15520
Glazing
Copy Sum of UA from Glazing Schedule 58
Attic U-Factor X Area = UA
R-49 0.027 1940 52.4
R-38 Advanced 0.026
Single Rafter or Joist Vaulted Ceilings
U-Factor X Area = UA
R-38 Vented 0.027
Above Grade Walls U-Factor X Area = UA
R-21 0.056 1317 73.8
Floors U-Factor X Area = UA
R-30 0.029 1 440 56.3
Below Grade Walls U-Factor X Area = UA
2' Depth Walls 0.042
3.5' Depth Walls 0.041
7' Depth Walls 0.037
Slab Below Grade F-Factor X Length = UA
2' Depth 0.59
3.5' Depth 0.64
7' Depth 0.57
Slab on Grade F-Factor X Length = UA
R-10 2' perimeter 0.54
R-10 Full - Heated 0.55
Sum of UA 241
Envelope Heat Load 11550 Btu/ Hour
Sum of UA X AT
Air Leakage Heat Load 8046 Btu / Hour
((Volume X 0.6)X AT)X.018))
Building Design Heat Load 19596 Btu/ Hour
Air Leakage+Envelope Heat Loss
Building and Duct Heat Load 1.15 22535 Btu / Hour
If ducts are located in unconditioned space:Sum of Building Heat Loss X 1.15
If ducts are located in conditioned space:Sum of Building Heat Loss X 1
Maximum Heat Equipment Output 150% 33803 Btu /Hour
Building and Duct Heat Loss X 1.50
WSEC Prescriptive Worksheet(2010 Edition)
WSUEEP10-010 Copyright 2010
FIRE
MARSHAL-& GRADE INSPECTION ttp 1�J�d 2D13-G17 13
ADDRESS: 35 nE`UdU1_0
INSPECTOR: L�D>L DATE OF INSPECTION: (>
FIRE SPRINKLER REQUIRED? (circle) YES
IF fire sprinkler required, was notification letter mailed? DATE MAILED:
DRIVEWAY ACCESS
need post at access of driveway with reflective address numbers
Length: I q t'VJ e___ Width: Surface: Gj Yw��c
Size of turn-around:
Condition of shoulders:
Vertical clearance:
GRADE OF DRIVEWAY %, OF ROAD %
ROAD ACCESS
Length: Width: Surface:
Condition of Shoulders:
Vertical clearance:
(� BURN PERMIT REQUIRED FOR LAND CLEARING FIRE.Q
�) LOT INSIDE UGA-NO OUTDOOR BURNING PERMITTED.
LOT TOO SMALL FOR: BURN PERMITS 4 X 4 FIRES
2 X 3 FIRES
PASSED ( ) FAILED ( ) ON HOLD ( )
REMARKS: , pyl k)
RECPIVPD
�� JUN 0 3 2013
�) 426 W. CEDAR ST.
BUILDING
�,J 1 �Id Qd i 3 . Oo 3 9i 3
BUILDING PERMIT APPLICATION
426 W. Cedar• P.O. Box 186, Shelton, WA 98584 V-
Shelton (360) 427-9670 • Belfair (360) 275-4467 • Elma (360) 482-5269 � . S On the web www.co.mason.wa.us
APPLICANT INFORMAT)ON CONTRACTOR INF RMATION
Owner &YD�h IDS G� Company Name f-�r i/►e fhmes
Mailing Address 2 lI RO S - Mailing Address 1!306 62V% Ave. E
City 16A'VIoNt V�State N Ar Zip Code 7 34Q1City `uva(lvp State wA Zip Code 9'g373
Phone i � `/yl- `1S -72 Other Ph. Phone 253 1340 ISLIq Other Ph.
Lien/Title Holder ' p Contractor Reg. # 141 N04193810 Exp. it-o g-2or3
E mail address 1-03A1C E Mail Address 6loesmw�hi line how�ts.cew.
Drivers Lic.# DOB Drivers Lic.# DOB
SEPTIC/WATER SYSTEM INFORMATION - Connect to New Septic Existing Septic
Connect to Water System Name of Water System
Well X Water System Name of Water System
PARCEL INFORMATION - 12 Digit Parcel No. 302 .45 q cpu93 Fire District
Legal Description
Site Address (Please inclu a tree ame, street umber and ity) S Nt: '1rc�cl ett,� t'!Fa (ZcA. 4,�,Q `1',""
erections to si e e+3 3= A
U
Will timber be cut and sold in parcel reparation. Ye i No 31,3'S, 35,3
Is property within 200'of Saltwater Lake River/Creek Pond
Wetland Seasonal Runoff Stream Slopes or Bluffs > 15%
Is this permit submittal the result of a Stop Work Notice,Correction Notice or other enforcement action?Yes/No
TYPE OF JOB - New X Add Alt Repair Other PRIMARY RESIDENCE ❑ SEASONAL ❑
Use of Building single 4m11y Describe Work -Lif+ 14ouSe em -povred c—c. (*v AA*'*%
No. of Bedrooms 3 No. of Bathrooms I Square Footage- 1st Floor 19y0 - 2nd Floor
3rd Floor Basement Deck Covered Deck 'it Other Sq.ft.
Garage S� Attached X Detached Carport Attached Detached
MANUFACTURED HOME INFOR A - <e Model Year
Lengt� Width Seria o. No. of Bedrooms No. of Bathrooms
Type o at urchase Price$ Replac a Unit? Yes/No
Installer Names--- ertification 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.ff 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.
PR F OF CONTINU T10N OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
x Date:
Ow r/Owners Representative/Contractor indicate which one
FOR OFFICIAL USE BEYOND THIS POINT Accepted by: Date 5 3 -Qa I
DEPARTMENTAL REVIEW APPROVED DENIED ! NOTES
Building Department 13 WJ/
Planning Department
Environmental Health Department
Public Works Department rlV +
Fire Marshal
FEES
Building Permit Fee Site Inspection
Plan Review Fee EH Review Fee
Plumbing & Base Fee Planning Review Fee
Mechanical & Base fee Other
Wood/Gas/Pellet Stove Fee State Fee
Violation Fee Pre-Paid at Submittal
Valuation $ TOTAL FEES
PERMITNO ���13— �3G3
�! � MASON COUNTY
BUILDIN MBING/MECHANICAL PERMIT APPLICATION A[w n
426 W. Cedar- P.O. Box 186, Shelton, WA 98584
Shelton (360)427-9670•Belfair(360)275-4467-Elma(360)482-5269 -5
On the web www.co.mason.wa.us
APPLIC4, NT INFORMATION CONTRACTOR INFORMATIQN
Owner "4yl LIxSm - Company Name-K+A Pl1101b, 'I
Mailing Address 7_12212 �- m0L'L 3LL-14 1�6 "N6 Mailing Address
City State Wk Zip Code qN)7`-L11 City State Zip Code
Phone a Other Ph.3U0-Li3i1—yS�Z Phone 253 5-03 2t, Other Ph.
Lien/Title Holde et'�t✓ � � Contractor Reg. # k1PLUS1995'K5 Exp. 05-07- I y
E mail address 16WL. tin E Mail Address
Drivers Lic.# DOB (P I 1ti 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. 12302 q< yo33 Fire District
Legal Description
Site Address (Please include street name, street number and city) N C "5vdt0_Q Mfi�. (2d. Wez�(f-,VVA,9
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 X Add Alt Repair Other Use of Building d
Location of Fixtures/Units- 1st Floor 2nd Floor Basement Garage Closet
PLUMBING FIXTURES (Show Number of each) MECHANICAL UNIT�- � ZA
Type of Fixture No. of Fixtures Fees Fuel Type:Electric k LPG_Natural Gas_Heat Pump_
Toilets Type of Unit No.of Units Fees
Bathroom Sink 3 Furnace _
Bath Tubs Heatpumps --
Showers I Spot Vent Fan 3
Water Heater I Propane Tank --
Clothes Washer I Gas Outlets --
Kithen Sinks ► Wood/Gas/Pellet Stove --
Dishwasher I Kitchen Exhaust Hood
Hosebibs 2 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.
PROQF OF CONTINUATION OF WORK IS BY MEANS OF A PROGRESS INSPECTION.
x % l� C Date: 13
Ownefr/Owners Representative/Contractor (indicate which one)
FOR OFFICIAL USE BEYOND THIMOINT
Accepted by Planning Pd Ck# Date 5'3 1— I?8Id Pd Receipt No.
DEPARTM TAL REVIEW APPROVED DENIED NOTES
Building De +a.r�tment
Occ Group!` � T e Constr. fri 13 �'1
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