HomeMy WebLinkAboutBLD2025-00112 SFR - BLD Application - 1/29/2025 Permit No: 0110?095—oo1/ QR
MASON COUNTY RECEIVED
COMMUNITY DEVELOPMENT
Permit Assistance Center,Building,Planning JAN 2 9 2025
BUILDING PERMIT APPLICATION
PROPERTY OWNER INFORMATION: CONTRACTOR I RUAf[Wi
NAME: �17 65& PkK4t fc- NAME: �«r�-
MAILING ADD SS: Z r� MAILING ADDRESS: 212
CITY:Rq STATE. ZIP: Q$ -CITY: 1 �f STATE:' ZIP:
PHONE#l: 2b& 3?�nil PHONE: 7GCP �''375o�t7CELL:
PHONE#2: EMAIL: r('al i-?S; GP'x-t/
EMAIL: l sr -Lr L&I REG P.
PRIMARY CONTACT: OWNER❑ CONTRACTOR❑ OTHER❑ y
NAME EMAIL �I�-�9�t,
MAILING ADDRESS CITY STATE
PHONE CELL
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number) ZONING
LEGAL DESCRIPTION(Abbreviate ) FIRE DISTRICT
SITE ADDRESS -140 ItAlk I/I 461-t- CITY r�✓�
DIRECTIONS TO SITE ADDRESS
IS THE PROJECT WITHIN 300 FT OF SLOPE(S)GREATER THAN 14%: YES NO❑ SNOW LOAD:_psf
IS PROPERTY WITHIN 200 FT OFTI-If FOLLOWING: (Check all tharapply).
SALTWATER❑ LAKE❑ RIVE REEK❑ POND❑ WETLAND❑ SEASONAL RUNOFF❑ STREAM❑
TYPE OF WORK: NEW V ADDITION❑ ALTERAT,'IONP REPAIR❑ OTHER ❑
USE OF STRUCTURE(Residence,Garage,Commercial Bldg,Etc.) f nn� 'cam
011
IS USE. PRIMARY❑ SEASONAL❑ NUMBER OF BEDROOMS NUMBER OF BATHROOMS
HEATED STRUCTURE? YES(Whole Bldg)❑ YES(Part[sJofBldg)X NO❑
DESCRIBE WORK
S UARE FOOTAGE: reposed)
uu 1 ST FLOOR- . 2ND FLOOR SQ.ft 3RD F — sq.ft. BASEMENT sq.ft.1-%C DECK sq. COVERED DECK J STO sq.ft. OTHER sq.ft.
GARAGE- sq.ft. Attached❑ 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 SEWER / NEW EXISTING❑
PLUMBING IN STRUCTURE? YES NO❑ If es,attach completed Water Adequacy Form
PERIMETER/FOUNDATION DRAINS PROPOSED? YES E/ NO[] EXISTING SQ.FT.
EXISTING BEDROOMS J 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,induding any easement holder or parties of interest regarding this project. The owner or legal
representative,represents that the information provided is accurate and grants employees of Mason County access to the above described property
and structure(s)for review and inspection. This permittapplication becomes null&void if work or authorized construction is not commenced within 180
days or if construction work is suspended for a period of 180 days.
PROOF OF CONTINUATION OF WORK ON THIS PERMIT IS BY MEANS OF INSPECTION. INACTIVITY OF THIS
PERMIT APPLICATION OF 0 DAYS OF MORE WILL CAUSE THE APPLICATION TO BE EXPIRED.(MASON
X COUNTY CODE 14.08.42) � � 2�
Signa o WNER(Must be signed by the OWNER) Date
IDEPARTMErKAL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
PUBLIC HEALTH
Permit No: �pA2o2 6--60
MASON COUNTY
COMMUNITY DEVELOPMENT
Permit Assistance Center, Building,Planning
PLUMBING & MECHANICAL PERMIT APPLICATION
OWNER INFORMATION: CONTRACTOR INFORMA ION:
NAME: .J dkk4- NAME:
MAILING ADDRESS: jZZ alm MAILING ADDRE S:
CITY: f1WJ4— STATE: V)4_ZIP: ge-20 CITY: STATE: ZIP:
I" PHONE: PHONE:26"b 311 5176 CELL:
2"d PHONE: EMAIL :
EMAIL:�tK( �elY� G4 S?� I L&I REG #
PARCEL INFORMATION:
PARCEL NUMBER(12 Digit Number): , aa.a�- �'j ^�'��` R , 9 2025
LEGAL DESCRIPTION(Abbrevi ted):
SITE ADDRESS: Q?M Ir A) Alder Street
DIRECTIONS TO SITE ADDRESS:
TYPE O OB:
NEW=ADD=AL"I=REPAIR=OTHER=USE OF BUILDING
LOCATION OF FIXTURES/UNITS— I ST FLOOR=2ND FLOOR=BASEMENT=GARAGED OTHER=
PLUMBING FIXTURES(SHOW NUMBER OF EACH) MECHANICAL UNITS
Type of Fixture No.of Fixtures Fees Fuel Type:Electric[OLgPG=Natural Gas=Ductles$�
Toilets 3Type of Unit No.of Units Fees /7�
Bathroom Sink �3 Furnace Pik q�
Bath Tubs 6 Heat Pump
Showers "/ Spot Vent Fan
Water Heater 1
Clothes Washer Gas-9t�ilets i►`
Kitchen Sinks j �Geedl�e
Dishwasher f Kitche xhaust Hood
Hose bibs 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 access to the above described property and structure(s)for review and inspection.This permit/application becomes null&void
if work or authorized construction is not commenced within 180 days or if construction work is suspended for a period of 180 days. PROOF
OF CONTINUATION OFTHIS PERMIT IS BY MEANS OF INSPECTION.INACTIVITY OF THIS PERMIT APPLICATION OF 180 DAYS
WILL INVALIDATE T PPLICATION. I
X ...................... 11//,C, /70
Signature er ate
DEPARTMEN AL REVIEW APPROVED DATE DENIED DATE TAGS/NOTES/CONDITIONS
BUILDING DEPARTMENT
PLANNING DEPARTMENT
FIRE MARSHAL
Rev:1/27/2016 1 BN
� i
i; b !V
The approval of this project is subject to the recommendations r
and specifications outlined in the attached geotechnical report.All
applicable recommendations and specifications shall be applied
to the development on this site. Any deviation requires stamped s
written approval from the registered design professional
responsible for the report and may require special inspection by - '� Disclaimer: Mason County does not require a
same. Structures and/or land modifications(grading, cuts, fills, survey to obtain a building permit.As a result,site
etc.)required in the geotechnical report, may require a separate plans may not reflect accurate data. It is the
�"�
permit. The geotechnical report shall remain attached to the � applicant's responsibility to comply with setback
requirements.
approved building plans.
Side I
30
\ �,v
� Rear
_ r +
EH APPROVED
Rhonda Thompson 02/05/2025
Public sewer and water
5w�s Q
ppWc p? � R?P Zoning
-Front yard-20 feet.
Front Side yard-5 feet.
Street side yard- 10 feet
�S Rear yard-Original construction and elevated decks 20 feet.
Ly) apib
oZ-
Side i�a 9W-eA !o' '0�0
WSU Code Compliance Calculator..WSEC 2021
Pro led Information Messa es/Comments• RESULT-
Parker Residence
210 Allyn View Dr.Allyn,WA Note: Review required for custom entries:-Doors-Wall(above grade)-Below Grade Wall
UA Reduction=14.46,Proposed UA is better than baseline by 4.8
Contact Information Window U-value meets selected Option 1.1
Jim Parker Vertical glazing area of proposed design exceeds 15%of Floor area.Baseline window area set to 15%of Floor area
limlparker1952(a�amail.com -
Whole House Mechanical Ventilation Airflow Rate:67.5 CFM with Run Time Percent of 100%,Unbalanced,Not Distributed
Results assume your inputs are complete and conec; Results do not constlute an approval Analysis should be reviewed by your AHJ
ANALYSIS SET UP
What code compliance pathway are you using? Tw is GA Alternative,Whole Building Trade Off Anal sis
Project Building Type? New Construction
Occupancy Type? R3 Single family dwellings and townhouses
Code Version? WSEC 2021
Classification: Medium Dwelling Unit-1427 sq.ft.
Baseline Description: Code Baseline-Maximum baseline window area is 15%of floor area.
About Your Selection: No exempt window or door areas
Classified as medium dwelling unit(not small dwelling unit)because fenestration area is 300 sf or greater.
RESULTS-Comparison of Baseline and Proposed Design-
Component Performance,R occupancies Baseline Proposed Design
U' Area UA U Area UA
Doors U= 0.300 118 35.3 0.220 118 25.9
Overhead Glazing U= 0.500 0 0.0 0 0.0
Vertical Glazing U= 0.300 214 64.2 0,220 430 94.5
FiaWaulted Ceilings U= 0.024 1,133 27.2 0.022 1,133 24.9
Wall(above grade) U= 0.056 1,775 99.4 0.047 1,560 73.2
Floors over Crawlspace U= 0,029 773 22A 0.025 773 19.3
Slab on Grade F= 0.540 66 35.9 0.480 66 31.9
Below Grade Wall U= 0,035 158 5S 0.042 158 6.6
Below Grade Slab F= 0.500 271 0A70 1 271 12.7
'Values from Table R402.1.2(Oct 2023)
Baseline UA Total 303.5 Proposed UA Total 289.0
Required Credits 8.0 Proposed Credits 8.0 from Tables 406.2 and 406.3
UA Percent Reduction 5%
UA Reduction 14.5
"Results assume your inputs are complete and correct Results do not constitute an approval Analysis should be reviewed by your AHJ
Table R406.2 Energy Equalization Credits
Fuel Normalization Total Credits
System No. Full Description Select System Type Credits 406.2 Energy Credits 406.3 406.2&406.3
For heating system using a heat pump that meets federal standards for the equipment
4 listed in Table C403.3.2(2)or Table C403.3.2(9)OR Air to Water heat pump units that Variable Refrigerant Heat Pump or Air-to- 3.0 5.0 8.0
are configured to provide both heating and cooling and are rated in accordance with Water Heat Pump
AHRI 550/590
Table R406.3 Energy Credits
Option No. Category Select Options Energy Credits Brief Description of Selected Options*
1 Efficient Building Envelope Option 1.1 0 5 Prescriptive compliance based on Table R402.1 3 Vertical Fenestration
=U022
2 Air Leakage Control and Efficient Ventilation Not Selected 0.0 0.00
Ductless Split System with no electric resistance in primary living areas.
3.1-3.10 High Efficiency HVAC Option 3.7 2.0 HSPF2,of 9(HSPF of 10),except HSPF2 of 8.1(HSPF of 9)if heating
load is 24000 BTUs or less
3,11 High Efficiency HVAC:Smart Thermostat Not Selected 0.0 -
4 High Efficiency HVAC Distribution System 0.0
5.1 Efficient Water Heating:Drain Heat Recovery 0.0
C-3 Code Calculator Jim Parker xlsm 10!1/2024 1
WSU Code Compliance Calculator,WSEC 2021
5.2 Efficient Water Heating:Compact Hot Water Distribution Not Selected 0.0 -
5.3-5.8 Efficient Water Heating Option 5.7 2.5 Split system heat pump water heater with min UEF of 2.9
6 Renewable Electric Energy kWh 0.0
7 Appliance Package 0.0
Energy Credits 5.0
•Refer to WSEC 2015 Table R406.2 for complete option descriptions and requirements
C-3 Code Calculator Jim Parker.xlsm 10/1/2024 2
1 �
WSU Code Compliance Calculator.WSEC 2021
THERMAL ENVELOPE DETAILS-Proposed Design
Conditioned Floor Area,Pro osed Desi n 1.427 sq.ft
Classification Medium Dwelling Unit
Notes
Exterior Doors
Plan Component Door Width Height
ID Description Ref. U Ot. Feet """ Feet "`" Area UA
WSEC Opt 1.1 Custom 0,22 3 3 ° 6 a 60 13.2 Refer to WSEC R402.1
WSEC Opt 1.1 Custom 0,22 1 6 ° 6 40 8.8 Refer to WSEC R402.1
WSEC Opt 1.1 Custom 0.22 1 2 a 6 6 18 3.9 Refer to WSEC R402.1
0 0.0
0 00
0 0.0
0 0.0
0 00
0 00
0 00
Sum of Area and UAII 118 25.9
Exterior Doors Area Weighted U 1 0.220
Overhead Glazing
Plan Component Glazing Width Height
ID Description Ref. U Qt. Feet '"`" Feet '"`" Area UA
Sum of Area and UA 0.0 0
Overhead Glazing Area Weighted U
Vertical Glazing Schedule Rows to Show 10
Plan Component Glazing Width Height
ID Description Ref. U CIL Feet '""' Feet "`" Area UA
1 U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 2 6 ° 6 8 80.0 17.60
2 U=0.22 2021 1A;2018 LS Table 406.2 0.22 3 4.00 6 3 47.3 10.40
3 U=0.22 2021 1.1;2018 1.5) Table 406.2 022 2 2 6 6 8 33.3 7.33
4 U=0.22 2021 1.1;2018 1,5 Table 406.2 0,22 1 16 0 6 8 106.7 23,47
5 U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 9 0 6 8 60.0 13.20
6 U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 1 4 0 1 8 67 1.47
7 U=0.22 2021 1.1;2018 1.5) Table 406.2 0.22 1 2 6 3 9 9.4 2.06
8 1.1=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 4 3 1 3 9 56.3 12.38
9 U=0.22 2021 1.1;2018 1.5 Table 406.2 0.22 3 2 a 3 9 30.0 6.60
10
Sum of Area and UA 429.5 94.5
Vertical Glazing Area Weighted U 0.220
Vertical Glazing and Doors Area Weighted U 0.220
FlatlVaulted Ceilings
Plan Component Attic
ID Description Ref. U Area UA
11.25"supported stress skin WSU 0.022 1 133 24.9
Sum of Area and UA 1, 333 24.9
Walls Above Grade
Plan Component Wall
ID Description Ref. U Net Area UA
6"EPS SIP Panel Premier Published U-Values Custom 0.043 924 40
ICF,R22 NEEA REMF 0.042 157 7
R21 cavi +R0 foam INT 2X6W T111 Code Baseline 10-5 0,056 479 27
Sum of Area and UA 1,560 73
C-3 Code Calculator Jim Parker.xlsm 10 1/2g24
,r
WSU Code Compliance Calculator,WSEC 2021
Floor over crawl or exterior
Plan Component Floor UA
ID Description Ref. U Area
R38 vented Joist 2021 1.2,1,3.2018 1.3.1.5 10-3 0.025 773 19
Sum of Area and UA 773 19
Slab on Grade less than 2 feet belowgrade)
Plan Component Slab Slab
ID Description Ref. F Perim FP
R10 4'vertical 0.00 0.480 29 14
R10 4'vertical 0.00 0,48 37.4 18
Sum of Perimeter and FP 66 32
Below Grade Walls and Slabs
Plan Component Slab Wall Wall Wall Slab Slab Slab
ID Description Depth Ref. U Area UA F Perim UA
ICF R-22 From WSEC G-3 AGW 7'depth Custom 0.04 158 6.6 0.470 27 13 f: ..........
Sum of Area,Length and UA 158 6.6 27 13
Links to Download Forms,Checklists and Other Resources Link
Compliance Certificate Compliance Certificate Instructions
Insulation Certificate for Residential New Construction Insulation Certificate
Duct Testing Affadavits
Existing Construction Affidavit,Existing
New Construction Affidavit,New
Prescriptive Checklist for 2018 WSEC Prescriptive Checklist
Alterations(Remodel)Worksheet Worksheet
EER SEER2 COP HSPF2 Converter https://www.adicotengineering.conVeer-seer2cop-hsof2-kwton-converter
Show Ventilation Calculator? Show
Ventilation Requirements
Conditioned Floor Area 1,427 sq.ft.
Number of Bedrooms 3
Run-Time Percent in Each 4-Hour Segment 100
Is the system Balanced? Unbalanced
Is the system Distributed? Not Distributed
Ventilation Code Section IRC,Chapter 15
Whole House Mechanical Ventilation Airflow Rate ®CFM
Show Distribution System Calculator? Show
HVAC Thermal Distribution System Download RS33(2018) htt ://www.ener .wsu.edu/Documents/Duct%2OTestin %2OStandards° 20 2018
Is this a hydronic heating system? INo
Location of Ducts I Unducted
Location of Air Handler I Unducted
Is Duct Testing Required?No
Show Heating System Sizing'?I Show
Heating System Sizing-Proposed Design Try Out BetterBuiltNW's HVAC Sizing Tool: htivs://be"erbuiltnw.com/resources/hvac-sizing-tool
Nearest Weather Station Bremerton
Indoor Design Temperature 70 F
Outdoor Design Temperature 29 F
Design Temperature Difference(AT) 41 F
Conditioned Floor Area,Proposed Design 1,427 ft2
Conditioned Volume 11,476 ft3
Leave Wank to use default of 8.5 ft ceiling height
HVAC System Type Heat Pump
Location of HVAC Distribution System Unducted
Sum of UA 289
Envelope Heat Load 11,849 Btu/Hour
C-3 Code Calculator Jim Parker.xlsm "'2C24
WSU Code Compliance Calculator,WSEC 2021
Sum of UA X nT
Air Leakage Heat Load 5.0551 Btu/Hour
(Volume X 0.6)X AT)X 018))
Building Design Heat Load 16,904 Btu I Hour
A,Leakage*Er,alope Heat Loss
Building and Duct Heat Load 16,904 Btu I Hour
For ducts located in unconditioned space:Sum of Building Heat Loss X 1.1
For duos located in conditioned space or ductless.Sum of Building Heat Loss X 1
Maximum Heal Equipment Output 21,130 Btu/Hour
Building and Duct Heat Loss X 1.25 for heat pumps 6.2 kW
Building and Duct Heat Loss X 1 40 for all other systems
C-3 Code Calculator Jim Parker.xlsm 10/1/2024 5
Name Parcel# a BLD#
Mason County w
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 re ter
Management in this jurisdiction.A complete copy of the ordinance can be found on the a o o=site:
http//www.co.mason.wa—us/code/commissioners/index.htm
Please follow the links to "Title 14,Chapter 14.48 Stormwater Management". JAN 2 9 2025
Regulated activities shall be conducted only after Mason County Public Works ao-,0�6�e4sI&WQfteStWpi$n
(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)-`'
r 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 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 acknowledge that the information provided is accurate and employees of Mason County are granted access to the above-
described prope r review and inspection as may be required.
"w X Owner/Agent/Contractor(circle one)Date: U D
Page 2 o 2
S C
` f
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 surface 2.
'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.
ZCommon 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 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 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.
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 ervious Surface Area is GREATER THAN 2000 Square Feet, please read,acknowledge and sign
the informa ion provided on page 2 of 2.
c�
Page I of 2 ��
BLD DATE STAMP
MASON COUNTY 2 � � )
COMMUNITY SERVICES RECEIVED
Building,Planning,Environmental Health,Community Health RCV�
JAN 2 9 2025
APPLICANT INFORMATION(please print clearly) (315 W. 4er Str et
Name of Applicant: Parcel Number:/O�o�02�" "
Site Address: `
This checklist must be com eted and signed by the owner or owners authorized agents at
time of submittal.
Incomplete applications will NOT be accepted. For a complete application, all items on this checklist
shall be submitted, unless waived by Staff.
PERMIT APPLICATION N/A Provided" Staff
Provide a completed and signed(by owner or authorized representative)application ❑
and applicable fees are due at submittal.
Provide a completed plumbing and Mechanical Application ❑
SITE PLAN
Provide one(1)copy of proposed site plan. Drawn to scale of either ❑
1"= 10' or 1"=20' depending on lot size.
North Arrow, location and dimensions of all property lines and easements. ❑
Vicinity map showing location and names of all roads and easements. (public and ❑
private)
Show distances to all structures, septic tanks,drain fields,property lines,top of ❑
slopes or cuts and ease S.
Zoning(indicate):
Rural Residential: l 5 115 ❑10 ❑20 ❑Other:
Urban Growth Area: Zone:
Front yard: Direction: Side yard: Direction:
Rear yard: Direction: Sideyard: Direction:
All access points,width of access. easements and driveways). ❑
Contour lines in twenty 20 foot increments. See Parcel Map Viewer on website ❑ 13
Building height shown on elevations at all four corners of structure. ❑ 01
Flood lain boundaries and setback distances. See Plans for additional requirements. ❑ Elz
Wetland or surface water(if any)and any applicable buffers. If yes,a wetland ❑
report may need to be submitted.
Is the site near a Shoreline stream,creek, lake, saltwater if yes,please indicate? ❑ In
Name of shoreline:
n!� Shoreline designation:
1" Stream type F, S,Ns,N :
Is the proposed site within 300 feet of a slope 15%of greater? If yes, a geological ❑
report or assessment may be required.
Existing/proposed on-site septic system and reserve areas, providing setback to ❑
structures.
IN
Existing/proposed wells show 100 ft well radius,with distances to structures). ❑
Existingand proposed stormwater controls(downspouts,d wells,etc. ❑
Exterior storage tanks(propane)and HVAC equipment. ❑ %
PLANS N/A Provi d Staff
Provide three 2 copies of plans 1 full size min. 18"x 24"and 1 small size)and ❑
two(1)copies of all specifications and engineering.Plans must be drawn to scale
of/4"= 1'.All notations and drawings must be clear and legible.All Engineering E� ❑
callouts must be on plans.
Engineered plans must provide calculations/analysis.Analysis must include the
following information:
• 2018 International Building Code
• Snow load(by location) [ ❑
• Seismic zone(D-2)
• Exposure(by location and topography)
• Windspeed 85 MPH basic and 110 ultimate w/3 secondgust)
If project is in a flood hazard area,the submittal must include an Elevation
Certificate,flood venting compliance and an elevation detail indicating the location ❑
of finished floor relative to the Base Flood Elevation or Design Flood Elevation as
designated by surveyor or engineer.
FOUNDATION PLAN
Plan view of foundation/footings/pads ❑
Type,size and location of footing(stepped foundation provide detail ❑
Elevation view of foundation steps,with final grade ❑
Cross-sections of footing and foundation(including height of wall). ❑
Floor'oist andspacing each floor). ❑
Show location of flood venting and detail the method and compliance for venting. ❑
TVDe and locations of hold-downs and anchors. ❑
Crawl access location and size. ❑
Insulation value for foundation(if slab or basement). See Energy Credits for ❑
additional requirements,credits must be indicated on the plans.
If project is in floodplain provide flood venting compliance including vent
locations,vent type,elevation detail for venting location interior and exterior of the ❑
crawls ace.
FLOOR PLAN
Square footage of each floor ❑
Use of each room ❑
Location and size of attic access ❑
Dimensions of building and rooms. ❑
Location and type of furnaces,water heaters,smoke detectors,and carbon ❑
monoxide detectors. Include location of bollard for appliances located in ara e.
Plumbing fixture locations ❑
Location of doors,windows include size, egress,tempered and skylights) ❑
Insulation value in floor. See Energy Credits for additional requirements,must be ❑
indicated on the plans.
Location of ventilation fans and CFM for each. ❑
Location of whole house fan and CFM continuous or intermittent ❑
Location,side and type of brace wall or shear-wall panels. If structure is EJ
engineered,must supply two copies of required analysis calculations
Dimensions and framing details of decks(including joists,beams,posts,ledgers. ❑
Plan MUST include size,grade,spacing,length and species or type of material
ELEVATIONS AND WALL DETAILS
Typical and rated walls(garage separation) ❑
Listing of fire-resistive wall designs(duplex or townhouse ❑
Building elevations-all 4 sides Show distance from grade at each corner. ❑
Exterior wall details when distance between overhangs is less than 5 feet. ❑
Insulation value for walls.See Energy Credits for additional requirements,must be ❑
indicated on the plans.
If project is in floodplain must provide Elevation detail indicating the location of ❑
finished floor relative to the Base Flood Elevation or Design Flood Elevation as
designated by surveyor or engineer. ❑
ROOF PLAN
Layout of roofs stem ❑
Label type of roofs stem,rafters,engineered trusses&spacing ❑
Headers noted at each location or typical header noted. ❑
Roof pitch and covering materials ❑
Sheathing types,dimensions and fastening ❑
Attic venting e, location and amount ❑
Insulation value for roof(R38 vault and R49 ceiling) See Energy Credits for ❑ ❑
addition re uirements,must be indicated on the plans.
ENERGY CODE REQUIREMENTS N/ Provided Staff
Completed Washington State Energy Code form
IT—
Plans must indicate fuel source for furnaces,water heaters and other appliances. ❑
Manufactures Specifications for each unit or component for HVAC & plumbing _ ❑
Compliance to the Washington State Energy Code and required Credits. /
Construction drawings/plans MUST include all credit information on the plan ,E ❑
details such as insulation,ventilation,furnaces,windows etc. Plans must also /"V
include the number of credits and which credits are chosen.
I verify that all required documents, plans,and specification associated with this application have been submitted and are
accurate.
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Sign atur ner or authorized agent Print Name date